Artykuły w czasopismach na temat „Screening”
Kliknij ten link, aby zobaczyć inne rodzaje publikacji na ten temat: Screening.
Utwórz poprawne odniesienie w stylach APA, MLA, Chicago, Harvard i wielu innych
Sprawdź 50 najlepszych artykułów w czasopismach naukowych na temat „Screening”.
Przycisk „Dodaj do bibliografii” jest dostępny obok każdej pracy w bibliografii. Użyj go – a my automatycznie utworzymy odniesienie bibliograficzne do wybranej pracy w stylu cytowania, którego potrzebujesz: APA, MLA, Harvard, Chicago, Vancouver itp.
Możesz również pobrać pełny tekst publikacji naukowej w formacie „.pdf” i przeczytać adnotację do pracy online, jeśli odpowiednie parametry są dostępne w metadanych.
Przeglądaj artykuły w czasopismach z różnych dziedzin i twórz odpowiednie bibliografie.
1
Kaniová, Marie, Barbora Kopecká, Karol Zeleník, Michal Bar, Barbora Kurková, Pavel Ressner i Pavel Komínek. "Dysphagia screening - experiences with introduction of dysphagia screening in patients with neurological disorders". Neurologie pro praxi 19, nr 4 (1.09.2018): 294–97. http://dx.doi.org/10.36290/neu.2018.108.
Pełny tekst źródła
2
Siddiqi, Ahmed. "Preferred screening test for Cushing’s syndrome screening". Endocrinology and Disorders 4, nr 1 (26.11.2020): 01–05. http://dx.doi.org/10.31579/2640-1045/053.
Pełny tekst źródłaStreszczenie:
Background: In our practice 24 hours urine collection for free cortisol (24Hr UFC) and overnight dexamethasone suppression test (ONDST) are initial investigations to screen patients for hyper-cortisolism. I audited our practice to find our clinicians’ and patients’ choice of first screening investigation for hyper-cortisolism. Method & material: Electronic and paper medical records of patients who underwent 24Hr UFC and/or ONDST at our hospital over previous consecutive twenty four months were examined. 62 such patients were identified but 12 patients were excluded from analysis. We tried to contact 30 patients over consecutive 48 hours over the phone who underwent both 24Hr UFC and ONDST. We managed to contact 18 patients and asked them two study questions. Data & results: 33 (66%) patients were female and 17 (33%) were male. 20 (40%) had 24Hr UFC alone and 30 (60%) patients had both. In total 80 such investigations completed 30 being ONDST and 50 24hr UFC. 53 (66%) of the investigations were requested by Endocrinologists, 21 (26%) by Hospital General Physicians and 6 (8%) by General practitioners (GP). For UFC 10 (20%) were true positive, 31 (62%) were false positive, 6 (12%) were true negative and 0% false negative. 3 (6%) 24Hr UFC samples were not collected properly and were not processed for results. Out of the total false positives (31 patients), 6 (19.3%) cases were of alcohol excess, 4 (13%) of dépression, 3 (9.7%) of inhaled steroids and 1 (3.2%) of sleep apnea. For the ONDST 7 (23.3%) true positive, 4 (13.3%) false positive 19 (63.4%) true negative and 0% false negative. All 18 patients contacted over the phone answered both questions. 16 preferred ONDST over 24Hr UFC, 1 patient had no preference and 1 patient preferred 24Hr UFC over ONDST. Conclusion: Patients overwhelmingly preferred ONDST as first screening test in contrast to physician’s choice of 24Hr UFC.
3
Orrsjö, Gustav, Björn Cederin, Eric Bertholds, Salmir Nasic i Lennart Welin. "Screening of Paroxysmal Atrial Fibrillation after Ischemic Stroke: 48-Hour Holter Monitoring versus Prolonged Intermittent ECG Recording". ISRN Stroke 2014 (4.03.2014): 1–6. http://dx.doi.org/10.1155/2014/208195.
Pełny tekst źródłaStreszczenie:
Aims. Screening of paroxysmal atrial fibrillation (PAF) after ischemic stroke and TIA is important. The ideal method is not known and studies of intermittent screening methods in particular are lacking. In this retrospective study we compared a shorter continuous screening method with an intermittent screening method. Methods. Since early 2011 our stroke unit has used two different methods of screening: either a 48-hour continuous screening with Holter monitor or a 21-day twice daily intermittent screening with a hand-held ECG recorder. Through the Swedish National Stroke Registry and medical records reviewing all screening episodes between 2011-02-01 and 2013-01-31 were collected and analysed. Results. Of 386 screenings, 26 screenings were excluded leaving 360 screenings for the final analysis of which 114 screenings were made with hand-held ECG recorder and 246 with Holter monitoring. No significant difference between the groups concerning basic characteristics was observed. In the hand-held ECG recorder group a total of 13 PAF screenings (11.4%) were detected compared with 7 (2,8%) in the Holter group (P=0.001). Conclusions. A prolonged intermittent screening is a better method than a shorter continuous screening in terms of detecting PAF after ischemic stroke and TIA.
4
Barton, Pelham. "Screening screening". New Scientist 195, nr 2618 (sierpień 2007): 22. http://dx.doi.org/10.1016/s0262-4079(07)62132-0.
Pełny tekst źródła
5
Reungwetwattana, Thanyanan, Julian R. Molina i Jeanette Y. Ziegenfuss. "Factors and trends in cancer screening in the United States from 2004 to 2010." Journal of Clinical Oncology 30, nr 15_suppl (20.05.2012): 1565. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.1565.
Pełny tekst źródłaStreszczenie:
1565 Background: Understanding the prevalence of cancer screening in the US and the factors associated with its accessibility is important for public health promotion. Methods: The 2004 and 2010 Behavioral Risk Factor Surveillance Systems were used to ascertain cancer screening rates among populations indicated for each test by age, gender, and the American Cancer Society recommendation for cancer screenings [fecal occult blood test (FOBT) or endoscopy for colorectal cancer (CRC) screening, digital rectal examination (DRE) or prostate specific antigen (PSA) for prostate cancer screening, clinical breast examination (CBE) or mammogram for breast cancer screening, and Papanicolaou (Pap) test for cervical cancer screening]. Results: Over this period, CRC and breast cancer screening rates significantly increased (15.9%, 13.9%) while prostate and cervical cancer screening rates significantly decreased (1.2%, 5.2%). Race/ethnicity might be an influence in CRC and cervical cancer screening accessibility. Prostate cancer screening accessibility might be influenced by education and income. The older-aged populations (70-79, >79) had high prevalence of CRC, prostate and breast cancer screenings even though there is insufficient evidence for the benefits and harms of screenings in the older-aged group. Conclusions: The disparities in age, race/ethnicity, health insurance, education, employment, and income for the accession to cancer screening of the US population have decreased since 2004. The trajectory of increasing rates of CRC and breast cancer screenings should be maintained. To reverse the trend, the causes of the decreased rate of cervical cancer screening and the high rates of screenings in older-aged populations should, however, be further explored. [Table: see text]
6
Zwahlen, Marcel, i Matthias Egger. "Mammografie-Screening". Therapeutische Umschau 70, nr 4 (1.04.2013): 205–13. http://dx.doi.org/10.1024/0040-5930/a000391.
Pełny tekst źródłaStreszczenie:
Nur wenige Vorsorgeuntersuchungen sind so umfassend in randomisiert-kontrollierten Studien (RCTs) untersucht worden wie das Screening auf Brustkrebs mit Hilfe der Mammografie. Es liegen derzeit acht große randomisiert-kontrollierte Studien und mehrere Meta-Analysen vor. Letztere kommen mehrheitlich zum Schluss, dass sich die Brustkrebssterblichkeit durch Mammografie-Screening um etwa 20 % senken lässt. Dies bedeutet im Schweizer Kontext, dass etwa 1 von 1'000 Frauen weniger an Brustkrebs stirbt, wenn Frauen ab dem 50. Lebensjahr zehn Jahre lang gescreent werden. Andererseits führt das Screening auch zu Überdiagnosen und Übertherapien. So nimmt die Zahl der Brustkrebsdiagnosen um etwa 20 % zu, was zu einer entsprechenden Zunahme an chirurgischen Eingriffen, Strahlen- und Chemotherapien führt. Über zehn Jahre gerechnet, erhalten etwa 4 von 1'000 Frauen eine Brustkrebsdiagnose, die sie ohne Screening nicht erhalten hätten. Etwa 200 von 1'000 Frauen sind im Verlaufe von zehn Jahren (fünf Screening-Runden) mit abklärungsbedürftigen Befunden konfrontiert, wobei es sich dabei mehrheitlich um falsch positive Befunde handelt. Gleichzeitig werden auch mit einem Screening-Programm 20 bis 30 % der Brustkrebse nicht im Screening erfasst. Die Information der Bevölkerung bezüglich des Mammografie-Screenings ist derzeit noch mangelhaft. Dies führt dazu, dass der mögliche Nutzen von den betroffenen Frauen überschätzt und der Schaden unterschätzt wird. Die Aufklärung der Bevölkerung im Hinblick auf Nutzen und Risiken des Mammografie-Screenings muss daher verbessert werden, denn Frauen haben einen Anspruch auf evidenzbasierte Informationen und eine „informierte Entscheidung“.
7
Zheng, Senshuang, Xiaorui Zhang, Marcel J. W. Greuter, Geertruida H. de Bock i Wenli Lu. "Determinants of Population-Based Cancer Screening Performance at Primary Healthcare Institutions in China". International Journal of Environmental Research and Public Health 18, nr 6 (23.03.2021): 3312. http://dx.doi.org/10.3390/ijerph18063312.
Pełny tekst źródłaStreszczenie:
Background: For a decade, most population-based cancer screenings in China are performed by primary healthcare institutions. To assess the determinants of performance of primary healthcare institutions in population-based breast, cervical, and colorectal cancer screening in China. Methods: A total of 262 primary healthcare institutions in Tianjin participated in a survey on cancer screening. The survey consisted of questions on screening tests, the number of staff members and training, the introduction of the screening programs to residents, the invitation of residents, and the number of performed screenings per year. Logistic regression models were used to analyze the determinants of performance of an institution to fulfil the target number of screenings. Results: In 58% and 61% of the institutions between three and nine staff members were dedicated to breast and cervical cancer screening, respectively, whereas in 71% of the institutions ≥10 staff members were dedicated to colorectal cancer screening. On average 60% of institutions fulfilled the target number of breast and cervical cancer screenings, whereas 93% fulfilled the target number for colorectal cancer screening. The determinants of performance were rural districts for breast (OR = 5.16 (95%CI: 2.51–10.63)) and cervical (OR = 4.17 (95%CI: 2.14–8.11)) cancer screenings, and ≥3 staff members dedicated to cervical cancer screening (OR = 2.34 (95%CI: 1.09–5.01)). Conclusions: Primary healthcare institutions in China perform better in colorectal than in breast and cervical cancer screening, and institutions in rural districts perform better than institutions in urban districts. Increasing the number of staff members on breast and cervical cancer screening could improve the performance of population-based cancer screening.
8
Suchánek, Štěpán, Tomáš Grega i Miroslav Zavoral. "Colorectal cancer screening". Vnitřní lékařství 64, nr 6 (1.06.2018): 679–83. http://dx.doi.org/10.36290/vnl.2018.093.
Pełny tekst źródła
9
Honzík, Tomáš, Viktor Kožich, Karolína Pešková i Felix Votava. "Laboratory newborn screening". Česko-slovenská pediatrie 77, nr 1 (21.01.2022): 12–18. http://dx.doi.org/10.55095/cspediatrie2022/002.
Pełny tekst źródła
10
David, Jan, i Felix Votava. "Screening in paediatrics". Česko-slovenská pediatrie 79, nr 3 (1.05.2024): 129–32. http://dx.doi.org/10.55095/cspediatrie2024/019.
Pełny tekst źródła
11
Meyer, Dodi, Eva Lerner, Alex Phillips i Katarina Zumwalt. "Universal Screening of Social Determinants of Health at a Large US Academic Medical Center, 2018". American Journal of Public Health 110, S2 (lipiec 2020): S219—S221. http://dx.doi.org/10.2105/ajph.2020.305747.
Pełny tekst źródłaStreszczenie:
Universal screenings for social determinants of health (SDOH) are feasible at the health system level and enable institutions to identify unmet social needs that would otherwise go undiscovered. NewYork-Presbyterian Hospital implemented SDOH screenings together with clinical screenings in four outpatient primary care sites. Aligning SDOH screening with clinical screening was crucial for establishing provider buy-in and ensuring sustainability of screening for SDOH. Despite some challenges, universal screening for SDOH has allowed NewYork-Presbyterian Hospital to identify unmet needs to improve population health.
12
Duong, Huong T., i Suellen Hopfer. "Let’s Chat: Development of a Family Group Chat Cancer Prevention Intervention for Vietnamese Families". Health Education & Behavior 48, nr 2 (13.02.2021): 208–19. http://dx.doi.org/10.1177/1090198121990389.
Pełny tekst źródłaStreszczenie:
Vietnamese Americans are disproportionately affected by preventable late-stage cancers. This study capitalizes on the protective role of family networks to develop an online social media family group chat intervention promoting cancer screening among Vietnamese American families. A feasibility study was conducted to assess implementing Let’s Chat, a 4-week intergenerational family group chat intervention to increase cancer screenings. Vietnamese American young adults were trained to act as family health advocates on their private family group chats and share cancer screening messages. The intervention covered material on recommended screenings for colonoscopy for those aged 45+ years, HPV (human papillomavirus) vaccination for young adults, and Pap testing for women. Ten families ( n = 41) participated. Family group chat content analysis resulted in (a) sharing personal screening experiences, (b) family members being prompted to schedule cancer screening appointments after discussions in the chat, and (c) family members expressing a sense of urgency to follow up with cancer screening. Postintervention survey results revealed that 48% of participants received screening/vaccination, 77% reported intent to schedule an appointment to discuss recommended screenings, 61% reported discussing cancer screenings outside their group chat, 84% felt comfortable discussing screenings with family after the intervention, and 68% agreed that the group chat facilitated comfort around cancer screening discussions. Family members reported feeling closer to their family and greater comfort discussing cancer and cancer screening. Results from the Let’s Chat feasibility study indicate promise for implementing a randomized trial conditional on grouping family chats by age and gender to increase cancer screenings among Vietnamese American families.
13
Robles-Rodriguez, Evelyn, Plyshette Wiggins i Tondalya DeShields. "Abstract C127: Strategies to improve breast cancer screenings among uninsured individuals post COVID-19". Cancer Epidemiology, Biomarkers & Prevention 32, nr 12_Supplement (1.12.2023): C127. http://dx.doi.org/10.1158/1538-7755.disp23-c127.
Pełny tekst źródłaStreszczenie:
Abstract MD Anderson Cancer Center at Cooper (Cooper) is located in Camden, NJ, one of the poorest cities in the nation. The Camden County Cancer Screening Project (CCCSP) is a state and federally funded program out of Cooper which provides breast, cervical, prostate and colorectal cancer screening at no cost for uninsured and underinsured individuals. This target group is particularly difficult to screen due to a variety of social determinants of health and other barriers. Like other national sites, routine screenings stopped at Cooper for approximately four months in 2020. This quality improvement project focused on several initiatives to return insured and uninsured vulnerable patients back to mammography screening over the past two years. We also looked to understand barriers to screening prevalent in the community. Cooper undertook a multi-level approach to return our communities to their routine mammography screening. These included opportunities during the pandemic when screenings froze, opportunities when screenings resumed, outreach efforts through CCCSP, and special events with community partners. Efforts included screening postcards, advertisements, letters and phone calls to current patients, email blasts, virtual education, opening evening and weekend hours for mammograms, promoting screenings at vaccine sites, and in-reach to women who were due for screening. In 2020, mammography screenings decreased to 11% less for all of Cooper patients and to 37% for CCCSP compared to 2019 (pre-pandemic levels). In 2021, screenings increased higher than pre-pandemic levels at Cooper by 15% but stayed 25% lower for CCSP. In 2022, screenings increased higher than pre-pandemic levels at Cooper by 25% but stayed 22% lower for CCSP. A survey of 367 Camden community women 40 and older on barriers to screening noted that of the women who never had been screened (25) or had not gotten screened in over 2 years (118), health insurance, perceptions of mammography and transportation were the top barriers to screening. Institutional efforts at Cooper to return women to breast cancer screenings were successful for insured individuals but did not return to the pre-pandemic screening rate for uninsured individuals. A recent internal study noted that fear of screening, compounded by the pandemic, is a major reason for lack of screening for this community. A survey of our community noted insurance, beliefs and transportation as major barriers. As such, as we continue to encourage women back to screening, efforts need to focus on resources to support our underserved community’s concerns. Citation Format: Evelyn Robles-Rodriguez, Plyshette Wiggins, Tondalya DeShields. Strategies to improve breast cancer screenings among uninsured individuals post COVID-19 [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr C127.
14
Gebreselassie, H. M., T. Kaspar, S. Droz i J. Marschall. "Low Yield of Methicillin-Resistant Staphylococcus aureus Screening in Hemodialysis Patients: 10 Years’ Experience". Infection Control & Hospital Epidemiology 36, nr 9 (26.05.2015): 1046–49. http://dx.doi.org/10.1017/ice.2015.117.
Pełny tekst źródłaStreszczenie:
OBJECTIVETo determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization in hemodialysis patients and to analyze the cost-effectiveness of our screening approach compared with an alternative strategy.DESIGNScreening study and cost-effectiveness analysis.METHODSAnalysis of twice-yearly MRSA prevalence studies conducted in the hemodialysis unit of a 950-bed tertiary care hospital from January 1, 2004, through December 31, 2013. For this purpose, nasal swab samples were cultured on MRSA screening agar (mannitol-oxacillin biplate).RESULTSThere were 20 mass screenings during the 10-year study period. We identified 415 patients participating in at least 1 screening, with an average of 4.5 screenings per patient. Of 415 screened patients, 15 (3.6%) were found to be MRSA carriers. The first mass screening in 2004 yielded the highest percentage of MRSA (6/101 [6%]). Only 7 subsequent screenings revealed new MRSA carriers, whereas 4 screenings confirmed previously known carriers, and 8 remained negative. None of the carriers developed MRSA bacteremia during the study period. The total cost of our screening approach, that is, screening and isolation costs, was US $93,930. The total cost of an alternative strategy (ie, no mass screening administered) would be equivalent to costs of isolation of index cases and contact tracing was estimated to be US $5,382 (difference, US $88,548).CONCLUSIONSIn an area of low MRSA endemicity (<5%), regular nasal screenings of a high-risk population yielded a low rate of MRSA carriers. Twice-yearly MRSA screening of dialysis patients is unlikely to be cost-effective if MRSA prevalence is low.Infect. Control Hosp. Epidemiol. 2015;36(9):1046–1049
15
Kwon, JungMi. "Cancer screening test". Journal of Medicine and Life Science 7, nr 1 (1.06.2010): 45–50. http://dx.doi.org/10.22730/jmls.2010.7.1.45.
Pełny tekst źródłaStreszczenie:
SCreening lest is Iimited to asymptomatic individuals and its purpose is to decrease mortality. Beyond the technical issues involved in study design, other requirements addressing implementation，analysis，and interpretation including biases, must be met to demonstrate that a screening test is useful. A positive screening test may lead to early intervention that could allow "cure'' of the disease but not be efficacious for a person's general health. There are effective screening modalities for breast cancer ‘colorectal cancers , and cervical cancers，whereas no compelling evidence exists for the value to screening for lung cancer. Over the past few years ‘there have been rapid developments applying new imaging and molecular diagnostic modalities for the purpose of cancer screenings. Appropriate methods for incorporating these new techniques into screening trials must be considered.
16
Du, Yun K., Conrad Fernandes, Anh N. Le, Madeline Good, Miche Duvall, Sarah Jennings, Jacquelyn Powers i in. "Abstract 2237: Rates of intervention after initial versus subsequent whole-body MRI screening in Li-Fraumeni Syndrome". Cancer Research 82, nr 12_Supplement (15.06.2022): 2237. http://dx.doi.org/10.1158/1538-7445.am2022-2237.
Pełny tekst źródłaStreszczenie:
Abstract Background: Yearly whole-body MRI is recommended for cancer screening in patients with the rare high risk cancer predisposition syndrome, Li-Fraumeni syndrome (LFS). This is based on data from multiple studies demonstrating an approximately 7% cancer detection rate on baseline screening. However, the rate of actionable findings and malignancies on initial versus subsequent screenings has yet to be compared in a patient cohort. Patients and Methods: We identified 68 adult LFS patients in a single institutional cohort that received more than one full body MRI (including brain MRI). For each screening instance, findings and subsequent recommended interventions (immediate and short-term imaging, biopsy, and/or surgery) were recorded. Invasive interventions (biopsy and/or surgery) were denoted with free text describing pathology results. We analyzed findings on initial versus subsequent scans. Results: There were 258 instances of whole-body MRI screenings performed in 68 patients (28% male, 72% female) in the cohort. The mean number of screenings per patient analyzed was 3.8±1.9 over 3.3±2.4 years. Among 68 initial screenings, 26 (38.2%) required follow-up imaging or invasive intervention. Among 190 subsequent screenings, the follow-up intervention rate was significantly lower (n=36, 18.9%, p=0.0026). Eleven screenings (5.8%) required invasive follow-up (biopsy or surgery); two (3% of patients) were from an initial screening and nine (13% of patients) were from a subsequent screening. From these interventions, we identified six total cancers in five patients amongst the cohort (7% of patients), with two cancers (3% of patients) being identified on the first screening and four (6% of patients) being identified on a subsequent screening. Conclusion: Cancer detection rates were similar between initial and subsequent whole-body MRI screenings in LFS patients. Follow-up interventions decreased significantly on subsequent screenings compared to the initial screen. These findings may be useful in counseling of LFS patients initiating a screening program. Limitations of this study include lack of inclusion of other screening modalities in the analysis, short follow-up duration, and loss to follow-up. Further studies involving a larger cohort with longer-term follow-up are needed to fully determine the impact of long-term whole-body MRI screening in LFS. Citation Format: Yun K. Du, Conrad Fernandes, Anh N. Le, Madeline Good, Miche Duvall, Sarah Jennings, Jacquelyn Powers, Kristen Zelley, Bryson W. Katona, Suzanne P. MacFarland, Kara N. Maxwell. Rates of intervention after initial versus subsequent whole-body MRI screening in Li-Fraumeni Syndrome [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 2237.
17
R S, Dr Nisha. "Screening for Depression among Adolescents using Child Adolescent Psychiatric Screening (CAPS) Tool". Journal of Medical Science And clinical Research 05, nr 05 (23.05.2017): 22142–46. http://dx.doi.org/10.18535/jmscr/v5i5.142.
Pełny tekst źródła
18
Nennstiel, Uta, Anja Lüders i Inken Brockow. "Neugeborenen-Screening-Programme". Public Health Forum 27, nr 4 (18.12.2019): 317–19. http://dx.doi.org/10.1515/pubhef-2019-0071.
Pełny tekst źródłaStreszczenie:
Zusammenfassung In Deutschland wird allen Neugeborenen in den ersten Lebenstagen ein Screening auf angeborene Störungen des Stoffwechsels, des Hormon- und Immunsystems sowie Hörstörungen angeboten. Die Durchführung des Screenings sowie die Aufklärung der Eltern und die Einwilligung sind durch den G-BA in der Kinder-Richtlinie ebenso geregelt wie Untersuchungsmethoden und Befundmitteilung. Das Screening ist sehr effektiv, allerdings fehlt ein Programm zur Sicherstellung hoher Prozessqualität (z.B. Tracking).
19
Grønkjær, Mette, Lise Nørregaard Søndergaard, Mona Østergaard Klit, Kerstin Mariegaard i Kathrine Hoffmann Kusk. "Alcohol screening in North Denmark Region hospitals: Frequency of screening and experiences of health professionals". Nordic Studies on Alcohol and Drugs 34, nr 3 (7.04.2017): 230–42. http://dx.doi.org/10.1177/1455072517691057.
Pełny tekst źródłaStreszczenie:
Background: Alcohol consumption is a risk factor for disease, disability and death. Approximately 20% of all hospital admissions are alcohol related. In Denmark, hospitalised patients undergo systematic health risk screenings to establish preventive initiatives if the screening detects a risk. The frequency and usability of alcohol screening and health professionals’ experiences of the screening is unknown. Aim: To examine the frequency and usability of alcohol screening at North Denmark Region hospitals, as well as health professionals’ experiences of screening for alcohol. Methods: This study consisted of an initial audit of 120 patient records from medical and surgical units at four hospitals assessing information on alcohol screening. This was followed by six focus-group interviews with health professionals ( n = 20) regarding their experiences of conducting alcohol screening. Results: Among overall health screenings, screening for alcohol and tobacco smoking was performed most frequently (81.8% and 85%). Alcohol screening scored the lowest percentage for usability (67.7%). Hospital-based alcohol screening was perceived ambiguously leading to a schism between standardised alcohol screening and the individual needs of the patient. Health professionals described different patient types, each with their perceived needs, and screening was associated with taboo and reluctance to engage in alcohol screening of some patient groups. Conclusion: This study revealed factors that influence health professionals working with hospital-based alcohol screening. The variation in and complexity of alcohol screening suggests that screening practice is an ambiguous task that needs continuous reflection and development to ensure that health professionals are prepared for the task.
20
Etale, Belia Ngesa. "Influencing Elements Impacting the Participation in Cervical Cancer Screening Among Women of Childbearing Age at Jinja Regional Referral Hospital, Eastern Uganda". IDOSR JOURNAL OF BIOCHEMISTRY, BIOTECHNOLOGY AND ALLIED FIELDS 8, nr 3 (31.12.2023): 59–70. http://dx.doi.org/10.59298/idosr/jbbaf/23/16.7351.
Pełny tekst źródłaStreszczenie:
This research aimed to gauge cervical cancer screening participation and its influencing factors among Women of Reproductive Age (WRA) at Jinja Regional Referral Hospital (JRRH) in Eastern Uganda. Conducted from January to April 2021, the study utilized a cross-sectional descriptive design, surveying 370 WRA through pretested semi-structured questionnaires. Analysis was performed using SPSS version 20, presenting outcomes through tables, frequencies, percentages, and logistic regression analyses. Among the 370 respondents, merely 24.3% (90 individuals) had undergone cervical cancer screening. Of these, 14.1% had one screening, 7.0% had two screenings, and 3.2% had been screened three or more times. The primary mode of screening (11%) occurred during medical camps. Regarding awareness, 89.7% had heard of cervical screening, predominantly through radio broadcasts (41.0%), with 41.4% recognizing its purpose and 52.4% acknowledging its role in early detection and treatment. Furthermore, 94.3% viewed cervical cancer screening as a beneficial practice, with 81.1% advocating for other women to undergo screening, while 90% believed in promoting this practice. Culturally and religiously, the acceptance of cervical cancer screening was widespread. Demographically, most respondents (66.5%) fell within the 15-30 age bracket, with the majority identifying as Anglicans (33.8%) and 88.9% being Ugandan nationals. Educational attainment was predominantly at the secondary (37.0%) and tertiary (39.2%) levels. Regression analysis indicated that being Anglican significantly influenced the uptake of cervical cancer screening [OR=2.219(1.039 – 3.899); 95% CI, P=0.038)]. Despite increased knowledge and awareness about cervical cancer screening’s purpose, treatment, and associated complications, uptake remains below desired levels. Notably, a substantial number of women did not seek screening due to the absence of signs or symptoms and lack of advice from medical professionals, exposing a gap in primary healthcare significance. The study underscores the need for heightened health education across healthcare platforms to emphasize the critical importance of cervical cancer screening and encourage more women to partake in this essential preventive practice. Keywords: Cancer, Women, Cervical cancer screening, Pap smear test
21
Lingam, S. "Child development: Pre-screening, screening and super-screening". Indian Journal of Pediatrics 59, nr 2 (marzec 1992): 139–49. http://dx.doi.org/10.1007/bf02759975.
Pełny tekst źródła
22
Walker, Colin H. M. "Pre-Screening Questionnaires, Screening and Post-Screening Programmes". Developmental Medicine & Child Neurology 19, nr 2 (12.11.2008): 241–45. http://dx.doi.org/10.1111/j.1469-8749.1977.tb07976.x.
Pełny tekst źródła
23
DINCA, Ligia. "Screening for diabetic retinopathy". Romanian Medical Journal 66, S3 (27.10.2019): 16–18. http://dx.doi.org/10.37897/rmj.2019.s3.4.
Pełny tekst źródła
24
Tyler, Carl V., Stephen J. Zyzanski, Vanessa Panaite i Linda Council. "Nursing Perspectives on Cancer Screening in Adults With Intellectual and Other Developmental Disabilities". Intellectual and Developmental Disabilities 48, nr 4 (1.08.2010): 271–77. http://dx.doi.org/10.1352/1934-9556-48.4.271.
Pełny tekst źródłaStreszczenie:
Abstract Health care disparities have been documented in cancer screenings of adults with intellectual and other developmental disabilities. Developmental disabilities nurses were surveyed to better understand and improve this deficiency. Two thirds of respondents believed that adults with intellectual and developmental disabilities received fewer cancer screenings compared with the general population. The most frequently cited barriers to cancer screenings were as follows: patient need for sedation, unsuccessful attempts at screening, and failure of the primary care clinician to order cancer screening tests. Nurses observed that health care providers frequently did not tailor cancer screening recommendations to individuals' family histories, life expectancies, or their disability-specific cancer risks. The authors suggest interventions to improve cancer screening centered around education and training, accessibility, financing–insurance, modification of procedures, and patient tracking.
25
Reardon, Lecia. "Nurse Practitioner Knowledge of and Experienced Barriers to High-Risk Colorectal Cancer Screenings". Journal of Doctoral Nursing Practice 9, nr 2 (2016): 229–35. http://dx.doi.org/10.1891/2380-9418.9.2.229.
Pełny tekst źródłaStreszczenie:
Problem: Evidence supports earlier preventive colorectal cancer (CRC) screening for high-risk individuals. Awareness of high-risk factors and application to screening guidelines can enable nurse practitioners (NPs) to positively impact screening rates. Application of this knowledge can transform high-risk CRC screenings from tertiary CRC diagnosis to primary and secondary prevention to improve health outcomes. Purpose: To survey NP knowledge, perceived barriers, and current practice patterns in referring high-risk individuals for CRC screenings. Methods: A 16-question Qualtrics Internet survey designed, tested, and emailed to 2,155 primary care NPs in North Carolina. Results: One hundred eighty respondents (8.3%) completed the survey, with 57.5% (n = 104) rating themselves knowledgeable of high-risk CRC screening guidelines. Screening barriers included uninsured status, patient refusal, and lack of access. Aggregate practice screening pattern questions were related to self-perceived knowledge of high-risk CRC guidelines (χ2 = 4.1918, df = 1, p = .04). Conclusion: Over half (57.8%) of the respondents reporting knowledge of high-risk CRC guidelines had statistically significant relationship in aggregate practice patterns. Reduction of screening barriers using targeted interventions may improve health outcomes.
26
Combs, Pamela, Heather M. Hurwitz, Markayla Mariner, NaSheema Anderson, Kate Mccaffrey, Raymond Jackson, Sarah Kilic i in. "Abstract P6-08-12: Toward Comprehensive Cancer Prevention for Women Experiencing Homelessness: Demonstrating the Need for Onsite Mammography, Education, Navigation, and Cross Cancer Screenings". Cancer Research 83, nr 5_Supplement (1.03.2023): P6–08–12—P6–08–12. http://dx.doi.org/10.1158/1538-7445.sabcs22-p6-08-12.
Pełny tekst źródłaStreszczenie:
Abstract Background: Persons experiencing homelessness (PEH) rarely receive regular preventative health care or consistent cancer screenings. Late stage detection of cancer and barriers to care are prevalent among PEH. Novel programs such as onsite mobile mammography services represents an approach to improve breast cancer disparities among women experiencing homelessness (WEH) and allows for understanding of barriers to cancer screening amongst WEH and to develop best practices. Objectives: During onsite mobile mammography events at shelters for WEH, develop best practices for improving breast cancer screening utilization while developing approaches to increase use of other cancer screenings. Methods: In 2022, the Cleveland Clinic performed onsite mobile mammography screening events at area shelters and day centers. All seven screening events included onsite mammography, breast health education, and patient navigation. After WEH completed the education session, they completed the mammogram. Subsequently, at two events, patients had an opportunity for further consultation with an advanced practice provider (APP) including discussing additional screening tests (ex. colorectal, lung, cervical cancer) beyond mammograms with referrals as needed. Consultations also discussed approaches to reduce cancer risks with further education, referrals for dental care, and assistance securing a primary care provider (PCP). Results: At the events that included consultations, 30 patients received mammograms and 80% (n=24) of patients chose to speak with the APP. Patients seeking consultation were 21-73 years old and identified as Black/African American (n=5), White (n=16), and other (n=3). Topics of discussion included mammograms (n=24, 100%), smoking cessation referral and/or lung cancer screening (n=16, 67%), colorectal cancer screening (n=11, 46%), and cervical cancer/HPV screening (n=11, 46%). Additionally, 46% of patients (n=11) were assisted with securing a PCP and 8% of patients (n=2) were referred for dental services. Discussion: Our preliminary data demonstrate that most WEH undergoing onsite mammography screening are willing to engage in consultation to discuss additional cancer screenings with many patients eligible for additional cancer screenings. Additionally, this approach provided access to PCPs. Three best practices for cross cancer screenings include: 1) Onsite mobile mammography is an appropriate entry point for addressing breast health and also cancer screening broadly. 2) An onsite approach allows for education beyond cancer screening to provide access to primary care and other wrap around services. 3) Clinicians provide credibility and trust when they attend onsite mobile mammography events. Conclusion: Beyond breast cancer screening, WEH benefit from onsite mobile mammography, which can serve as a gateway to cross cancer screenings and access to primary care. Addressing disparities in this population should include wrap around services such as smoking cessation and connection to a PCP. Future research should examine best practices for following up with patients and completing navigation through cross cancer screenings. Citation Format: Pamela Combs, Heather M. Hurwitz, Markayla Mariner, NaSheema Anderson, Kate Mccaffrey, Raymond Jackson, Sarah Kilic, Tiffany Onger, Kimberly Sanders, Tyler Stimpert, Jeremy Suwarna, Jeremy Weleff, Chirag Shah. Toward Comprehensive Cancer Prevention for Women Experiencing Homelessness: Demonstrating the Need for Onsite Mammography, Education, Navigation, and Cross Cancer Screenings [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-08-12.
27
Nguyen, Chi Mai, i Jing Su. "Effect of colorectal cancer screening on 1-year mortality and medical costs: Real-world evidence from the largest commercial medical claims database in the US." Journal of Clinical Oncology 41, nr 16_suppl (1.06.2023): 10579. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.10579.
Pełny tekst źródłaStreszczenie:
10579 Background: Colorectal cancer (CRC) is the third leading cause of cancer-related deaths in the United States with increasing trends in both mortality and incidence in individuals under age 50. Whether CRC screening reduces mortality recently becomes controversial in some observational studies due to a lack of data and a possibility of screenings confounded with social determinants of health (SDoH) and patient characteristics that were not properly addressed. Methods: We used the Optum’s de-identified Clinformatics Data Mart Database that provides information of healthcare plan, major SDoH, the CRC diagnosis, treatments, medical service and prescription charges, and survival data since 2007 for over 75 million patients to re-examine benefits of CRC screenings. Our CRC study cohort (N=99,704) included persons first diagnosed with CRC between 2010 – 2020, with 3-year pre-diagnosis continuing insurance coverage to identify pre-diagnosis screening, and 1-year follow-up to identify death and associated costs. Primary outcomes are 1-year mortality, the post-diagnosis medical and prescription cost increments, and health plan change after CRC diagnosis. Augmented inverse probability weighting (AIPW) models were employed to estimate the benefits of CRC screening, adjusting the probabilities of pre-diagnosis screenings due to insurance cover types (commercial/employer, Medicare advantage, and dual Medicare-Medicaid or low-income subsidy (LIS) covers), and healthcare plans (pre-paid, only-in-network, pay-less in-network, and fee-for-service plans), ages, sex, race, residential states, and calendar year. Results: In the study cohort, 37.8% have pre-diagnosis screening records, 18% died within 1 year. Women, persons under age 45, and persons with dual covers were more present in the non-screening group than the screening one. CRC screening was associated with a significant reduction of one-year mortality after adjusting for age, sex, race, health plans, and other factors (death rates in the non-screening group vs the screening one were 23% vs 12%, adjusted OR = 0.57, 95%CI = 0.55 - 0.59). Persons with no screening records experienced higher one-year medical cost increases than those who had pre-diagnosis screenings (17.8% vs 14.8%). No significant difference in health plan changes and/or disruption among the two groups was obvious for persons having either dual- or commercial-cover beneficiaries, yet the screenings slightly induced more these plan changes in the Medicare advantage beneficiaries (OR = 1.06, 95%CI = 1.01 - 1.11). Conclusions: The real-world evidence from the US largest medical claims database suggested that, after adjusting for the screening probability due to healthcare plans and other confounders, CRC screening dramatically reduced one-year death risk, and slightly eased the 1-year financial burdens after CRC diagnosis.
28
Rockson, Lois, Margaret Swarbrick i Carlos Pratt. "Cancer Screening in Behavioral Health Care Programs". Journal of the American Psychiatric Nurses Association 26, nr 2 (3.10.2019): 212–15. http://dx.doi.org/10.1177/1078390319877227.
Pełny tekst źródłaStreszczenie:
OBJECTIVE: Adults with serious mental illnesses have a lower life expectancy attributable to many factors including metabolic disorders and cancer. Access to cancer screening has been shown to decrease morbidity and increase chances of survival. This study examined access to cancer screening services among individuals with serious mental illnesses served by a community behavioral health care agency partial hospitalization program at four locations. METHOD: A self-administered paper-and-pencil survey was provided to adults attending partial hospitalization programs. The survey consisted of open- and closed-ended questions about utilization, access to, and barriers to cervical, breast, and colorectal cancer screenings. RESULTS: Surveys were completed by 136 individuals. Participant screening rates were above national rates for cervical and breast cancer but lower for colorectal cancer. The main cited barrier to receiving the screening tests was lack of physician recommendations. CONCLUSIONS: Psychiatric nurses are ideally suited to communicate with this population and other behavioral health care professions about the importance of these screenings. Communication should also advocate for improved education and increased support for cancer screenings to address this health care disparity.
29
MacDonald, Madeline, Abu-Sayeef Mirza, Rahul Mhaskar, Aldenise Ewing, Liwei Chen, Katherine Robinson, Yuanyuan Lu i in. "Preventative Cancer Screening Rates Among Uninsured Patients in Free Clinics: A Retrospective Cohort Study of Cancer Survivors and Non-cancer Survivors". Cancer Control 29 (styczeń 2022): 107327482110729. http://dx.doi.org/10.1177/10732748211072983.
Pełny tekst źródłaStreszczenie:
Background There is limited research on screening rates among uninsured cancer survivors. Uninsured cancer survivors are at higher risk of poorer health outcomes than the insured due to limited access to preventative screening for secondary cancers. This study examines the rates of surveillance and screening of uninsured cancer survivors and compares to uninsured patients without a cancer history seen in free clinics. Methods Data were collected retrospectively from electronic medical records and paper charts of patients from 10 free clinics between January 2016 and December 2018 in the Tampa Bay area. The prevalence of socioeconomic characteristics, cancer diagnoses, and screening practices were compared for cancer survivors and free clinic patients without a history of cancer. Study participants were determined to be eligible for cancer screenings based on the United States Preventive Services Task Force guidelines. Results Out of 13 982 uninsured patients frequenting free clinics between 2016 and 2018, 402 (2.9%) had a documented history of cancer. Out of the 285 eligible cancer survivors, 44 (15.4%) had completed age-appropriate colon cancer screening. Among the 170 female cancer survivors, 75 (44.1%) had completed breast cancer screenings, and only 5.9% (59/246) had completed cervical cancer screenings. After adjusting for age, gender, race, salary, employment status, and household size, cancer survivors were more likely to undergo colorectal cancer screening (OR: 3.59, 95% CI: 2.10–6.15) and breast cancer screening (OR: 2.13, 95% CI: 1.30–3.84) than patients without a cancer history. This difference was not seen for cervical cancer screening (OR: 0.99, 95% CI: .62–1.58). Conclusions Uninsured cancer survivors frequenting free clinics represent a unique population that is underrepresented in the medical literature. Our results suggest that uninsured survivors use screening services at higher rates when compared to uninsured patients without a reported cancer diagnosis. However, these rates are suboptimal when compared to national screening rates of insured cancer survivors.
30
Omenukor, K. "Cancer Awareness Campaign and Screening". Journal of Global Oncology 4, Supplement 2 (1.10.2018): 142s. http://dx.doi.org/10.1200/jgo.18.73900.
Pełny tekst źródłaStreszczenie:
Background and context: Colorectal cancer is the 3rd leading cause of cancer-related mortalities, which can be prevented by early screening. However, inadequate knowledge regarding the importance of early screening contributes to low cancer screening rates in the population. Aims: A collaborative initiative between David Omenukor Foundation and Fight Colorectal Cancer Organization strives to cancer awareness and screening in the population. Strategy: The David Omenukor Foundation organized a 5-km WALK-A-THON in Mesquite, Texas, on March 10, 2018, as part of the activities to observe the March Colorectal Cancer Awareness Month. During the event, participants received free screening for colorectal, breast, and prostate cancers. Free cholesterol, diabetes, and blood pressure testing were also done because of the impact of these comorbidities on health outcomes. Education experts on cancer were available to teach aspects of healthy diets and exercise. Two cancer patients and a survivor also shared their experiences. Program/Policy process: The program seeks to increase cancer awareness among populations and promote the culture of early and regular screening. Outcomes: Free colorectal and breast cancer screenings were provided to 270 people. About 60 people received free prostate-specific antigen (PSA) test, whereas 135 people received fecal occult blood testing. Similarly, 75 women received mammogram testing. The total number of patients who received colorectal cancer screening increased from 50 on 11th March 2017 to 135 on March 11th, 2018. Impact: The foundation created awareness of all forms of cancer and emphasized the value of early screening as the most effective to avoid the cancer scourge. The participants benefitted from nutritional advice as one strategy for reducing the risk of colorectal cancer. The event indicated that the campaign on early screening for detection was beginning to catch up. Regular interactive events and screenings increase knowledge of cancer and reduce disparities in cancer screening in the community.
31
Nennstiel, Uta, i Holger Tönnies. "Grundlagen und aktueller Stand des Neugeborenen-Screenings auf angeborene Störungen des Stoffwechsels, des Hormon- und Immunsystems in Deutschland". Medizinische Genetik 32, nr 1 (1.05.2020): 67–74. http://dx.doi.org/10.1515/medgen-2020-2008.
Pełny tekst źródłaStreszczenie:
Zusammenfassung Seit der Einführung des flächendeckenden Neugeborenen-Screenings auf Phenylketonurie Ende der 60er Jahre in Deutschland, ist die Anzahl der Zielerkrankungen im sogenannten erweiterten Neugeborenen-Screening (ENS) stetig gestiegen. Aufgrund neuer diagnostischer Möglichkeiten, sowie neuer therapeutischer Ansätze bei schweren, seltenen Erkrankungen z. B. des Stoffwechsels, wird die Anzahl der Zielkrankheiten absehbar weiter steigen. Diese werden, unter Berücksichtigung der im vorliegenden Beitrag beschriebenen Grundvoraussetzungen, entweder Teil des erweiterten Neugeborenen-Screenings oder als eigenständiges Screening Teil der Sekundärprävention in Deutschland sein. Dieser Beitrag soll einen Überblick über Grundlagen des etablierten Neugeborenen-Screenings liefern sowie Einblicke in die Voraussetzungen für die Einführung neuer Zielerkrankungen in das Neugeborenen-Screening in Deutschland ermöglichen.
32
Shah, Sumit K., i Pearl A. McElfish. "Cancer Screening Recommendations During the COVID-19 Pandemic: Scoping Review". JMIR Cancer 8, nr 1 (24.02.2022): e34392. http://dx.doi.org/10.2196/34392.
Pełny tekst źródłaStreszczenie:
Background Cancer screening tests are recommended to prevent cancer-associated mortality by detecting precancerous and cancerous lesions in early stages. The COVID-19 pandemic disrupted the use of preventive health care services. Although there was an increase in the number of cancer screening tests beginning in late 2020, screenings remained 29% to 36% lower than in the prepandemic era. Objective The aim of this review is to assist health care providers in identifying approaches for prioritizing patients and increasing breast, cervical, and colorectal cancer screening during the uncertainty of the COVID-19 pandemic. Methods We used the scoping review framework to identify articles on PubMed and EBSCO databases. A total of 403 articles were identified, and 23 articles were selected for this review. The literature review ranged from January 1, 2020, to September 30, 2021. Results The articles included two primary categories of recommendations: (1) risk stratification and triage to prioritize screenings and (2) alternative methods to conduct cancer screenings. Risk stratification and triage recommendations focused on prioritizing high-risk patients with an abnormal or suspicious result on the previous screening test, patients in certain age groups and sex, patients with a personal medical or family cancer history, patients that are currently symptomatic, and patients that are predisposed to hereditary cancers and cancer-causing mutations. Other recommended strategies included identifying areas facing the most disparities, creating algorithms and using artificial intelligence to create cancer risk scores, leveraging in-person visits to assess cancer risk, and providing the option of open access screenings where patients can schedule screenings and can be assigned a priority category by health care staff. Some recommended using telemedicine to categorize patients and determine screening eligibility for patients with new complaints. Several articles noted the importance of implementing preventive measures such as COVID-19 screening prior to the procedures, maintaining hygiene measures, and social distancing in waiting rooms. Alternative screening methods that do not require an in-person clinic visit and can effectively screen patients for cancers included mailing self-collection sampling kits for cervical and colorectal cancers, and implementing or expanding mobile screening units. Conclusions Although the COVID-19 pandemic had devastating effects on population health globally, it could be an opportunity to adapt and evolve cancer screening methods. Disruption often creates innovation, and focus on alternative methods for cancer screenings may help reach rural and underresourced areas after the pandemic has ended.
33
Kicková, Štěpánka, i Michal Hrdlička. "Screening of autism spectrum disorder". Psychiatrie pro praxi 21, nr 1 (15.05.2020): 7–12. http://dx.doi.org/10.36290/psy.2020.001.
Pełny tekst źródła
34
Anderlová, Kateřina. "Screening for gestational diabetes mellitus". Vnitřní lékařství 67, nr 6 (13.10.2021): 366–67. http://dx.doi.org/10.36290/vnl.2021.094.
Pełny tekst źródła
35
Anderlová, Kateřina. "Screening for gestational diabetes mellitus". Vnitřní lékařství 67, nr 6 (13.10.2021): 366–67. http://dx.doi.org/10.36290/vnl.2021.094.
Pełny tekst źródła
36
Werfel, Krystal L., Laura Peek, Gabriella Reynolds i Sydney Bassard. "Hearing Screening Failure Among Students With Reading Impairment: Rate and Relation to Specific Reading Deficits". Perspectives of the ASHA Special Interest Groups 5, nr 5 (23.10.2020): 1212–20. http://dx.doi.org/10.1044/2020_persp-19-00163.
Pełny tekst źródłaStreszczenie:
Background The purpose of this preliminary study was to explore one potential underlying factor that may contribute to poor reading outcomes: minimal hearing loss. Additionally, we compared decoding and comprehension deficits in students who passed or failed the hearing screening. Method Forty-three school-age students completed a hearing screening and a literacy assessment. Results Fifty-four percent of children with reading impairments failed the hearing screening, compared to only 21% of children with typical reading. Additionally, students who failed the hearing screening were more likely to exhibit decoding deficits; comprehension skills between the hearing screening groups did not differ. Conclusions Thus, children with reading impairments are more likely to fail hearing screenings than children with typical reading, and the deficits of those who fail hearing screenings appear to center on decoding rather than comprehension skills. Supplemental Material https://doi.org/10.23641/asha.12818252
37
Sweetnam, Victoria I., Allison J. Louis, William J. Marsack, Ashley M. Hull, Nicole M. Twu, Vineet M. Arora i Valerie G. Press. "Inpatient vision screening: A needs assessment". British Journal of Visual Impairment 38, nr 1 (13.09.2019): 6–14. http://dx.doi.org/10.1177/0264619619874835.
Pełny tekst źródłaStreszczenie:
Insufficient vision is a common but under-recognized risk factor among hospitalized patients that affects patient safety and self-care. Nurses may be ideal providers to screen inpatients’ vision, but little is known regarding their knowledge of inpatient vision, screening skills, and willingness to serve as screeners. We conducted a pilot, prospective, qualitative, and quantitative interview study and enrolled 25 consenting registered nurses. Descriptive statistics were employed to analyze discrete questionnaire items and responses to qualitative open-ended items. Forty-eight percent (12/25) of nurses believed that vision problems were “moderately common,” half (13/25) did not know how to administer vision screenings, and three-quarters (19/25) had never administered screenings. Half of nurses (12/25) believed vision screening would be feasible, though over half (14/25) believed physicians should conduct the screening. This study underscores the necessity and positive support for inpatient vision screening; however, while nurses play a critical role, an inter-professional approach should be explored.
38
Li, Chien-Ching, i Darren Liu. "INTEREST GROUP SESSION—CANCER AND AGING: CURRENT CHALLENGES IN CANCER SCREENING AMONG OLDER MINORITY POPULATIONS". Innovation in Aging 3, Supplement_1 (listopad 2019): S189. http://dx.doi.org/10.1093/geroni/igz038.678.
Pełny tekst źródłaStreszczenie:
Abstract Cancer is an important public issue around the world. Among types of cancer, lung and colorectal cancer are the most common in men while breast and cervical cancer are the most common in women. Detection of early stage cancer via screening can significantly reduce the mortality and prolong life. Although cancer prevention and control has been served as the national priority, individual’s utilization of cancer screening services is low due to limited knowledge of cancer screening and ineffective patient-provider commutation, especially in minority populations. In this symposium, we will examine three scenarios that highlight the challenges of cancer screenings in minority populations. First, we will share the results from a mixed method study that investigate the knowledge and attitudes towards Low Dose Computed Tomography lung cancer (LDCT) screening and assess the smoking cessation needs for African Americans who receive LDCT screening in an effort to reduce the health burden of lung cancer. The next study will discuss how the characteristics of older Chinese adults from the United States and Taiwan are associated cancer screening communication with physicians (i.e., whether doctor recommended screenings and whether communicated screenings with doctor). Lastly, we will share the results from a cross-sectional study that analyzed 10 years data of National Health Interview Survey to examine the difference in LDCT screening eligibility among Asian American (i.e., Chinese, Filipino, and other Asian) smokers. The discussant will summarize with an overview of the topic, and comment on the disparities of cancer screening in older minority populations.
39
Kelkar, Amar H., Jing Zhao, Shu Wang i Christopher R. Cogle. "Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System". Healthcare 10, nr 2 (29.01.2022): 264. http://dx.doi.org/10.3390/healthcare10020264.
Pełny tekst źródłaStreszczenie:
During the first year of the coronavirus disease 2019 (COVID-19) pandemic, prevention measures included quarantining and facility closures. Because cancer screening is dependent on interventions in facilities, the extent of the COVID-19 impact on screening was questioned. A claims registry from a large health system was queried for colorectal and prostate cancer screening. A screening gap and screening loss ratio were calculated by comparing 2020 screening to historical reference years. All cancer screenings decreased in the first four months of the pandemic. Colorectal cancer screening returned to baseline in the latter six months of 2020. Prostate cancer screening exceeded baseline in the latter six months, but with a lesser gain than previous years. Populations disproportionately affected by decreased cancer screening included men and black people. To catch-up after the initial deficit in screening, it is estimated that the rate of colorectal cancer screening needs to increase by 50%.
40
Limwattanayingyong, Jirawut, Variya Nganthavee, Kasem Seresirikachorn, Tassapol Singalavanija, Ngamphol Soonthornworasiri, Varis Ruamviboonsuk, Chetan Rao i in. "Longitudinal Screening for Diabetic Retinopathy in a Nationwide Screening Program: Comparing Deep Learning and Human Graders". Journal of Diabetes Research 2020 (15.12.2020): 1–8. http://dx.doi.org/10.1155/2020/8839376.
Pełny tekst źródłaStreszczenie:
Objective. To evaluate diabetic retinopathy (DR) screening via deep learning (DL) and trained human graders (HG) in a longitudinal cohort, as case spectrum shifts based on treatment referral and new-onset DR. Methods. We randomly selected patients with diabetes screened twice, two years apart within a nationwide screening program. The reference standard was established via adjudication by retina specialists. Each patient’s color fundus photographs were graded, and a patient was considered as having sight-threatening DR (STDR) if the worse eye had severe nonproliferative DR, proliferative DR, or diabetic macular edema. We compared DR screening via two modalities: DL and HG. For each modality, we simulated treatment referral by excluding patients with detected STDR from the second screening using that modality. Results. There were 5,738 patients (12.3% STDR) in the first screening. DL and HG captured different numbers of STDR cases, and after simulated referral and excluding ungradable cases, 4,148 and 4,263 patients remained in the second screening, respectively. The STDR prevalence at the second screening was 5.1% and 6.8% for DL- and HG-based screening, respectively. Along with the prevalence decrease, the sensitivity for both modalities decreased from the first to the second screening (DL: from 95% to 90%, p = 0.008 ; HG: from 74% to 57%, p < 0.001 ). At both the first and second screenings, the rate of false negatives for the DL was a fifth that of HG (0.5-0.6% vs. 2.9-3.2%). Conclusion. On 2-year longitudinal follow-up of a DR screening cohort, STDR prevalence decreased for both DL- and HG-based screening. Follow-up screenings in longitudinal DR screening can be more difficult and induce lower sensitivity for both DL and HG, though the false negative rate was substantially lower for DL. Our data may be useful for health-economics analyses of longitudinal screening settings.
41
Nguyen, Trinh Xuan Thi, Sumeet Lal, Sulemana Abdul-Salam, Mostafa Saidur Rahim Khan i Yoshihiko Kadoya. "Financial Literacy, Financial Education, and Cancer Screening Behavior: Evidence from Japan". International Journal of Environmental Research and Public Health 19, nr 8 (7.04.2022): 4457. http://dx.doi.org/10.3390/ijerph19084457.
Pełny tekst źródłaStreszczenie:
Although Japan has a well-established cancer screening program and has implemented several initiatives to increase screening rates, levels of cancer screening can be further improved. Based on a rational decision-making framework, this study examines the role of financial literacy and financial education, which measure peoples’ knowledge about investment and savings, respectively, in improving cancer screening rates in Japan. The main data were extracted from Osaka University’s Preference Parameters Study for 2011. The dependent variable was the number of cancer screenings while the two main independent variables were financial literacy and financial education. Ordered probit regression models were run to test the association between financial literacy, financial education, and the number of cancer screenings. The results showed a positive relationship between financial education and cancer screening behavior in Japan, while no significant association was observed between financial literacy and screening behavior. Furthermore, according to findings stratified by three age groups, the positive association between financial education and cancer screening behavior was particularly evident in 50- to 59-year-olds, while the effects of other demographic, socioeconomic, and risky health behavior variables were not consistent. It is imperative that implementation of more financial education programs is an effective intervention to encourage cancer screening behavior in Japanese populations.
42
Williams, Petal Petersen, Catherine Mathews, Esmé Jordaan, Yukiko Washio, Mishka Terplan i Charles DH Parry. "Validation of simple dichotomous self-report on prenatal alcohol and other drug use in women attending midwife obstetric units in the Cape Metropole, South Africa". Clinical Ethics 15, nr 4 (31.05.2020): 181–86. http://dx.doi.org/10.1177/1477750920928885.
Pełny tekst źródłaStreszczenie:
Background This paper examines the degree of agreement among simple dichotomous self-report, validated screening results, and biochemical screening results of prenatal alcohol and other drug use among pregnant women. Method Secondary analysis was conducted on a cohort of pregnant women 16 years or older, presenting for prenatal care in the greater Cape Town, South Africa. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and other drug use in dichotomous verbal screenings were asked to engage in screening using the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and urinalysis. Results Significant agreements between dichotomous and ASSIST scores were observed (K = 0.73–0.76). A higher rate of self-reported (36.9%) alcohol use was detected, relative to urine screening (19.6%) with a predictive value of 34.9; while underreporting of illicit substance use was observed (3.6% self-report vs. 8.8% urine screening) with an overall predictive value of 50.0. Conclusion Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy, so that women can be identified and referred for appropriate interventions where needed.
43
Brownlee, Andrew R., i Jessica S. Donington. "Update on Lung Cancer Screening". Seminars in Respiratory and Critical Care Medicine 41, nr 03 (25.05.2020): 447–52. http://dx.doi.org/10.1055/s-0039-3400480.
Pełny tekst źródłaStreszczenie:
AbstractOver the past 10 years, there has been substantial progress in the study and implementation of lung cancer screening using low-dose computed tomography (LDCT). The National Lung Screening Trial, the recently reported NELSON (NEderlands-Leuvens Longkanker Screenings ONderzoek) trial, and other European trials provide strong evidence for the efficacy of LDCT to reduce lung cancer mortality. This has resulted in the United State's Preventative Task Force and numerous professional medical societies adopting lung cancer screening recommendations. Despite the general acceptance of the positive effect of screening, low adoption and implementation rates remain nationally. In this article, the authors discuss the evolution and current state of the evidence for LDCT screening for lung cancer. The authors will also review the associated risks, cost, and challenges of implementation of an LDCT screening program.
44
Weerakkody, Asoka. "Screening tests and screening programmes". Sri Lanka Journal of Obstetrics and Gynaecology 33, nr 4 (25.10.2012): 194. http://dx.doi.org/10.4038/sljog.v33i4.4812.
Pełny tekst źródła
45
Mühlhauser, Ingrid. "Screening auf Brustkrebs/Mammografie-Screening". Deutsche Zeitschrift für Onkologie 45, nr 02 (2.07.2013): 80–85. http://dx.doi.org/10.1055/s-0033-1334370.
Pełny tekst źródła
46
Ishida, Kanako, Erin Weiss, Summer A. Kee i Charles T. Yingling. "Increasing colorectal cancer screening orders using unlicensed assistive personnel". BMJ Open Quality 8, nr 2 (czerwiec 2019): e000545. http://dx.doi.org/10.1136/bmjoq-2018-000545.
Pełny tekst źródłaStreszczenie:
BackgroundColorectal cancer (CRC) is among the leading cancer diagnoses affecting both men and women worldwide. Prevention and early detection of CRC is possible by increasing access to and utilisation of screening tests. Although CRC screening is highly recommended, screening rates remain suboptimal in the USA, particularly among underserved populations. Our project site, an urban federally qualified health centre, was not meeting the national screening target of 80% of eligible adults.ObjectiveThe aim of this quality improvement project was to increase the number of orders for CRC screening to eligible patients by using unlicensed assistive personnel and automated telephone outreach calls to offer 100 patients CRC screening during an 8-week period.Methods40 patients received outreach calls from care coordinators (CC). 40 patients received automated telephone call reminders to call a CC to obtain an order for CRC screening. 20 patients were offered CRC screening by a medical assistant (MA) as part of their scheduled office visits. We used two plan-do-study-act (PDSA) cycles to deliver these three screening interventions.ResultsA total of 100 patients received one of the interventions. Ten of those patients received an order for either colonoscopy or faecal immunochemical testing by the conclusion of the second PDSA cycle. The MA-offered screening resulted in the highest percentage of patients accepting CRC screenings and patients preferred this outreach approach compared with CC outreach or automated voice messages. CC outreach yielded a lower rate of accepted screenings. None of the patients who received the automated calls followed up to obtain a screening order.ConclusionOur project demonstrates that unlicensed assistive personnel have the potential to increase patient access to CRC screening.
47
Bicheno, Sharna, i Sadie Geraghty. "Exploring the Professional Issue of Group B Streptococcus Screening in Pregnancy". International Journal of Childbirth 5, nr 4 (2015): 224–28. http://dx.doi.org/10.1891/2156-5287.5.4.224.
Pełny tekst źródłaStreszczenie:
Throughout pregnancy, women are offered various screenings and diagnostic procedures. Group B Streptococcus (GBS) screening is currently a routine screening process in Australia, but not in the United Kingdom, which is offered to women at 35–37 weeks gestation. The results of GBS screening alter a woman’s course of care for labor and the postnatal period. This article is a review of evidence, policy, and clinical practice and aims to determine whether GBS screening is necessary and whether the screening has a positive or negative impact on women and their babies.
48
Burke, Shani, Grant McGeechan i Becky James. "‘It’s not only business or embarrassment’: Justifying non-attendance of cervical screening on social media discussions". QMiP Bulletin 1, nr 29 (2020): 22–31. http://dx.doi.org/10.53841/bpsqmip.2020.1.29.22.
Pełny tekst źródłaStreszczenie:
This research applied discursive psychological analysis to discussions about cervical screening on Facebook and Twitter. The analysisfocused on how people justify not attending cervical screening. Previous research lias identified barriers to attending cervical screening such as embarrassment, fear of pain, and the procedure being too triggering for survivors of sexual assault. Findings identified three discourses around how social media users positioned attendance and non-attendance: (i) practical barriers such as the length of time waiting for results; (ii) psychological barriers such as cervical screenings being triggering for survivors of sexual assault; (iii) taking accountability for non-attendance. Findings are discussed in light of how non-attendance to cervical screenings is accounted for, which campaigners could consider when promoting the importance of attending cervical screening.
49
Bierig, S. Michelle, Anita Arnold, Lynne C. Einbinder, Eric Armbrecht i Thomas Burroughs. "Cardiovascular Ultrasound Combined With Non-invasive Screening for the Detection of Undiagnosed Cardiovascular Disease: A Literature Review". Journal of Diagnostic Medical Sonography 34, nr 3 (24.11.2017): 197–206. http://dx.doi.org/10.1177/8756479317737764.
Pełny tekst źródłaStreszczenie:
Non-invasive screenings have been widely utilized in the United States and worldwide to provide early identification of cardiovascular disease, allowing for earlier diagnosis and treatment. Screening sonography detects valve disease, cardiac dysfunction, and carotid disease in 5% to 20% of the population. This review discusses the current data regarding cardiovascular screening, the methodologies, and the resources required for performance of screenings. Cardiac and carotid sonography is highly accurate and discovers cardiovascular diseases that impact quality of life and risk of future events. Screenings are performed in a variety of settings and accuracy depends on the quality of personnel performing the non-invasive testing, the equipment utilized, and the personnel interpreting the studies. Despite the potential benefit for disease detection, population screening to detect cardiovascular disease is not widely supported by national organizations due to the theoretical cost of further testing and lack of cost versus benefit data. Additional studies are necessary to compare costs and benefits of non-invasive cardiovascular screening in the community setting.
50
Chien, Shih-Ying, Ming-Chuen Chuang i I.-Ping Chen. "Why People Do Not Attend Health Screenings: Factors That Influence Willingness to Participate in Health Screenings for Chronic Diseases". International Journal of Environmental Research and Public Health 17, nr 10 (17.05.2020): 3495. http://dx.doi.org/10.3390/ijerph17103495.
Pełny tekst źródłaStreszczenie:
Background: Chronic diseases are a leading cause of morbidity and mortality worldwide, and preventative screenings are the most effective way to reduce the risk of developing a chronic disease. However, many individuals do not take advantage of preventative screening services for chronic diseases, especially in rural areas. In this study, we investigated (1) the factors that affect people’s willingness to participate in chronic disease screenings and (2) reasons why people have not undergone screening for a chronic disease in the past. Methods: Study participants (aged 30–65 of years age; n = 204) included individuals from four areas in northern of Taiwan that are considered to have a high chronic disease risk. To identify factors that influence willingness to attend health screenings, data were collected by questionnaire. Results: Over 50% of participants (58.33%; n = 119) indicated that they were unaware of community-based screenings for chronic diseases offered by Chang Gung Memorial Hospital, which is one of the top-rated medical centers in Taiwan. Factors that increase willingness to participate in health screenings for chronic diseases include: (1) the convenience of screening site locations; (2) affordability; and (3) other considerations related to healthcare providers and diagnostic facilities (e.g., reputation, degree of modernization, etc.). Conversely, factors that reduce willingness to participate in health screenings include: (1) a belief that one was currently healthy; (2) lack of time; (3) a belief that screening procedures were too complicated to understand; (4) physical pain or negative emotions such as fear, anxiety, embarrassment, pain, and discomfort and, (5) having had a negative experience during a previous health checkup. Conclusions: Our findings demonstrate that health attitudes, sociodemographic factors, and other motivating and preventative factors affect peoples’ willingness to participate in health screenings. The motivating factors and barriers for people to participate in health screening for chronic diseases are very heterogeneous. However, understanding the barriers and motivating factors to health screening would mean that interventions with the purpose of decreasing people’s health risks and reducing deaths and disabilities caused by a chronic illness could be implemented.