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Автор: Grafiati

Опубліковано: 7 липня 2024

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1

Lee, Yee Lin, Fabian Yap, and Rashida Farhad Vasanwala. "Abnormal thyroid function in paediatric practice." Archives of disease in childhood - Education & practice edition 105, no. 6 (April 4, 2019): 361–63. http://dx.doi.org/10.1136/archdischild-2018-316426.

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2

AE, Raffle, B. Alden, and Mackenzie EFD. "Detection Rates for Abnormal Cervical Smears." European Journal of General Practice 1, no. 3 (January 1995): 106. http://dx.doi.org/10.3109/13814789509160300.

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3

Fraser, Ian S., Malcolm G. Munro, and Hilary O. D. Critchley. "Best Practice Issue on ‘Abnormal Uterine Bleeding’." Best Practice & Research Clinical Obstetrics & Gynaecology 40 (April 2017): 1–2. http://dx.doi.org/10.1016/j.bpobgyn.2017.01.002.

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4

Mohammad, Tasneem F., and Iltefat H. Hamzavi. "Practice and Educational Gaps in Abnormal Pigmentation." Dermatologic Clinics 34, no. 3 (July 2016): 291–301. http://dx.doi.org/10.1016/j.det.2016.02.005.

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5

Funston, Garth, Luke TA Mounce, Sarah Price, Brian Rous, Emma J. Crosbie, Willie Hamilton, and Fiona M. Walter. "CA125 test result, test-to-diagnosis interval, and stage in ovarian cancer at diagnosis: a retrospective cohort study using electronic health records." British Journal of General Practice 71, no. 707 (February 3, 2021): e465-e472. http://dx.doi.org/10.3399/bjgp.2020.0859.

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BackgroundIn the UK, the cancer antigen 125 (CA125) test is recommended as a first-line investigation in women with symptoms of possible ovarian cancer.AimTo compare time between initial primary care CA125 test and diagnosis, tumour morphology, and stage in women with normal (<35 U/ml) and abnormal (≥35 U/ml) CA125 levels prior to ovarian cancer diagnosis.Design and settingRetrospective cohort study using English primary care and cancer registry data.MethodAssociations between CA125 test results and test-to-diagnosis interval, stage, and ovarian cancer morphology were examined.ResultsIn total, 456 women were diagnosed with ovarian cancer in the 12 months after having a CA125 test. Of these, 351 (77%) had an abnormal, and 105 (23%) had a normal, CA125 test result. The median test-to-diagnosis interval was 35 days (interquartile range [IQR] 21–53) for those with abnormal CA125 levels, and 64 days (IQR 42–127) for normal CA125 levels. Tumour morphology differed by CA125 result: indolent borderline tumours were less common in those with abnormal CA125 levels (n = 47, 13%) than those with normal CA125 levels (n = 51, 49%) (P<0.001). Staging data were available for 304 women with abnormal, and 77 with normal, CA125 levels. Of those with abnormal CA125 levels, 35% (n = 106) were diagnosed at an early stage, compared to 86% (n = 66) of women with normal levels. The odds of being diagnosed with early-stage disease were higher in women with normal as opposed to abnormal CA125 levels (odds ratio 12.2, 95% confidence interval = 5.8 to 25.1, P<0.001).ConclusionDespite longer intervals between testing and diagnosis, women with normal, compared with abnormal, CA125 levels more frequently had indolent tumours and were more commonly diagnosed at an early stage in the course of the disease. Although testing approaches that have greater sensitivity might expedite diagnosis for some women, it is not known if this would translate to earlier-stage diagnosis.

6

Chitkara, Monica, Mas Ahmed, Bushra Rafique, and Nimrit Dhillon. "Abnormal head growth in children." InnovAiT: Education and inspiration for general practice 10, no. 1 (September 26, 2016): 15–19. http://dx.doi.org/10.1177/1755738016639990.

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Head size naturally differs between female and male infants, and it is age-dependent. The skull is filled with the brain, cerebrospinal fluid and vascular structures. The shape and size of the head is determined by the above components, as well as skull thickness, rate of the fusion of the cranial sutures, and the development of the frontal sinuses. This article aims to outline a best practice assessment of head circumference and discuss abnormalities that could be seen in general practice.

7

Bassett, Andrew M., and Charley Baker. "Normal or Abnormal? ‘Normative Uncertainty’ in Psychiatric Practice." Journal of Medical Humanities 36, no. 2 (January 24, 2015): 89–111. http://dx.doi.org/10.1007/s10912-014-9324-2.

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8

Pourlis, A., and A. Tsingotjidou. "Abnormal twins: dog and cat." Journal of the Hellenic Veterinary Medical Society 74, no. 4 (January 18, 2024): 6305–16. http://dx.doi.org/10.12681/jhvms.35089.

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A survey of congenital malformations in dog and cat relating to their abnormal embryonic twinning was carried out. According to the degree, sites and angle of fusion, they have various external variation and are classified as free asymmetric, conjoined symmetric or asymmetric twins and unequal conjoined twins (heteropagus or parasitic twins). This manuscript aims to describe and summarize these defects. Among the recorded duplications in dog, a number of common defects relates to cephalothoracopagus phenotype whereas some cases of caudal duplication or parasitic twins have been surveyed. Among the recorded publications in cat, a number of craniofacial duplications have been encountered, whereas, some cases of thoracopagus phenotype have also been described. The pathogenetic mechanisms of this condition, reported in veterinary practice, are discussed. The importance in clinical practice lies in the fact that abnormal embryonic twinning is commonly associated with dystocia. Treatment of the diseased animals is also of veterinary practice consideration. The manuscript finally introduces a framework of an essential national registry for the malformed companion animals.

9

Zhou, Yin, Fiona M. Walter, Luke Mounce, Gary A. Abel, Hardeep Singh, Willie Hamilton, Grant D. Stewart, and Georgios Lyratzopoulos. "Identifying opportunities for timely diagnosis of bladder and renal cancer via abnormal blood tests: a longitudinal linked data study." British Journal of General Practice 72, no. 714 (October 20, 2021): e19-e25. http://dx.doi.org/10.3399/bjgp.2021.0282.

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BackgroundUnderstanding pre-diagnostic test use could reveal diagnostic windows where more timely evaluation for cancer may be indicated.AimTo examine pre-diagnostic patterns of results of abnormal blood tests in patients with bladder and renal cancer.Design and settingA retrospective cohort study using primary care and cancer registry data on patients with bladder and renal cancer who were diagnosed between April 2012 and December 2015 in England.MethodThe rates of patients with a first abnormal result in the year before cancer diagnosis, for ‘generic’ (full blood count components, inflammatory markers, and calcium) and ‘organ-specific’ blood tests (creatinine and liver function test components) that may lead to subsequent detection of incidental cancers, were examined. Poisson regression was used to detect the month during which the cohort’s rate of each abnormal test started to increase from baseline. The proportion of patients with a test found in the first half of the diagnostic window was examined, as these ‘early’ tests might represent opportunities where further evaluation could be initiated.ResultsData from 4533 patients with bladder and renal cancer were analysed. The monthly rate of patients with a first abnormal test increased towards the time of cancer diagnosis. Abnormalities of both generic (for example, high inflammatory markers) and organ-specific tests (for example, high creatinine) started to increase from 6–8 months pre-diagnosis, with 25%–40% of these patients having an abnormal test in the ‘early half’ of the diagnostic window.ConclusionPopulation-level signals of bladder and renal cancer can be observed in abnormalities in commonly performed primary care blood tests up to 8 months before diagnosis, indicating the potential for earlier diagnosis in some patients.

10

Miller, Karl S., Jamie Yunger, Nancy Single, and Jerry Kunz. "Prevalence of Abnormal Pap Smears in Rural Family Practice." Journal of Rural Health 12, no. 1 (December 1996): 33–38. http://dx.doi.org/10.1111/j.1748-0361.1996.tb00770.x.

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11

Yang, Jun-Seok, Jong-Sung Kim, Won-Yoon Seo, and Sir-Chae Paik. "Drinking Amount Associated with Abnormal Gamma-Glutamyl Transpeptidase Expression in Women." Korean Journal of Family Medicine 37, no. 1 (2016): 2. http://dx.doi.org/10.4082/kjfm.2016.37.1.2.

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12

Grishenko, O. V., and V. V. Bobrytska. "The efficacy of hemostasis in gynecological practice." HEALTH OF WOMAN, no. 10(116) (December 29, 2016): 94–97. http://dx.doi.org/10.15574/hw.2016.116.94.

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The objective: to study the clinical efficacy of Cyclokapron-Zdorovje and its impact on the parts of the system in cases of abnormal uterine bleeding (AUB), as well as a comparison of the effectiveness of the complex method of stop bleeding and hormonal hemostasis. Patients and methods. The study included 60 patients with AUB at the age 35-46 years with metrology. The patients were divided into three groups according to the therapy: group I (n=20) received the drug Cyclokapron-Zdorovje 10 ml (1 g tranexamic acid) for the purpose of hemostasis; group II (n=20) surgical hemostasis – separate curettage or hysteroscopy combined with intravenous Cyclokapron 10 ml (1 g); group III (n=20), in which hemostasis was achieved using a combined estrogen-progestin preparation (ethinyl estradiol 30 mg in combination with desogestrel 150 mg). Results. Treatment of abnormal uterine bleeding using intravenous infusions of Cyclokapron 1000mg was performed. The medicine was administered to patients before the curettage, as well as the hemostatic agent in patients with advanced endometrial histological result of the state. Intravenous dosage of 1000mg Cyclokapron in women with abnormal uterine bleeding achieves significant hemostatic effect, reduces total blood loss. Conclusion. The medicine is clinically effective and safe. The drug can be recommended for inclusion in the standard algorithm for emergency patients with AUB. In addition, the safety of the drug can be recommended for the whole spectrum of possible clinical situations in obstetrics and gynecology, complicated by hemorrhage. Key words: abnormal uterine bleeding, hemostasis, Cyclokapron-Zdorovje.

13

McIvor, B., and S. Andronikou. "A pictorial review of diseases causing meningeal enhancement in paediatric practice." South African Journal of Radiology 5, no. 2 (October 31, 2001): 18–29. http://dx.doi.org/10.4102/sajr.v5i2.1472.

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Meningeal enhancement on contrast enhanced computed tomography (CT) and magnetic resonance imaging (MRI), scans can occur in normal or diseased meninges. Any process that causes meningeal irritation can cause abnormal meningeal enhancement. In certain clinical settings, abnormal meningeal enhancement can add weight to a suspected clinical diagnosis, e.g. tuberculous meningitis. However, in the setting of neoplastic disease, the presence of abnormal meningeal enhancement can imply metastatic involvement of the meninges, which alters patient management, and implies a worse prognosis. With previous surgery for brain parenchymal neoplasm, previous lumbar puncture, previous intrathecal chemotherapy, or craniospinal radiotherapy it is critical to distinguish between iatrogenic meningeal enhancement and metastatic involvement of the meninges. There are characteristics of the enhancement, which can be of assistance in making this differentiation. When abnormal meningeal enhancement is encountered unexpectedly, a differential diagnosis is provided to help elicit the cause.

14

Lumley, John SP. "The Impact of Creutzfeldt–Jakob Disease on Surgical Practice." Annals of The Royal College of Surgeons of England 90, no. 2 (March 2008): 91–94. http://dx.doi.org/10.1308/003588408x261726.

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Creutzfeldt–Jakob disease (CJD) is characterised by abnormal prion protein that can replicate and replace nervous tissue, with rapid lethal neurodegenerative consequences. The transmissible nature of CJD has been known for half a century and transmission has occurred through neurosurgical procedures. Variant Creutzfeldt–Jakob disease (vCJD) emerged in 1996, and the presence of abnormal prion in lymphatic tissue extended the number of surgical specialties dealing with infected material; transmission through blood transfusion raised the possibilities of a large carrier pool and spread of epidemic proportion. The abnormal prion is difficult to remove and this could influence future decontamination programmes. Contaminated instruments must be withdrawn from surgical practice, and this can interfere with the efficient running of a surgical unit and optimal patient care. There is an urgent need for reliable methods for the detection of abnormal prion, within and outside the body. These will help to clarify the epidemiology of CJD, and to reduce its transmission via blood and tissue. They will also allow determination of the efficacy of new decontamination products in surgical practice, and the value of any treatment of sufferers and carriers of CJD. In the meantime, continued vigilance and informed regulation of all aspects of CJD must remain.

15

Karasz, A. "Women's Experiences of Abnormal Cervical Cytology: Illness Representations, Care Processes, and Outcomes." Annals of Family Medicine 1, no. 4 (November 1, 2003): 196–202. http://dx.doi.org/10.1370/afm.31.

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16

Kirsh, Kenneth L., Eric Ehlenberger, Angela Huskey, Jennifer Strickland, Kathleen Egan City, and Steven D. Passik. "Exploring Rates of Abnormal Pharmacogenetic Findings in a Pain Practice." Journal of Pain & Palliative Care Pharmacotherapy 28, no. 1 (March 2014): 28–32. http://dx.doi.org/10.3109/15360288.2013.878015.

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17

Klumpp, Micah L., Makarena Gusman, and Moises A. Arriaga. "Defining the Level of Abnormal ECOG in a Neurotology Practice." Otolaryngology–Head and Neck Surgery 145, no. 2_suppl (August 2011): P207. http://dx.doi.org/10.1177/0194599811415823a238.

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18

Cartoski, Mark J., Meghan Kiley, and Philip J. Spevak. "Appropriate Use Criteria for paediatric echocardiography in an outpatient practice: a validation study." Cardiology in the Young 28, no. 6 (April 25, 2018): 862–67. http://dx.doi.org/10.1017/s1047951118000513.

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AbstractBackgroundAlthough transthoracic echocardiography is the dominant imaging modality in CHD, optimal utilisation is unclear. We assessed whether adherence to the paediatric Appropriate Use Criteria for outpatient transthoracic echocardiography could reduce inappropriate use without missing significant cardiac disease.MethodsUsing the Appropriate Use Criteria, we determined the indication and appropriateness rating for each initial echocardiogram performed at our institution during calendar year 2014 (N=1383). Chart review documented ordering provider training, patient demographics, and study result, classified as normal, abnormal, or abnormal motivating treatment within a 2-year follow-up period. We tested whether provider training level or patient age correlated with echocardiographic findings or appropriateness rating.ResultsWe found that 83.9% of echocardiograms were normal and that 66.7% had an appropriate indication. Nearly all abnormal results and all results motivating treatment were in appropriate studies, giving an odds ratio of 2.73 for an abnormal result if an appropriate indication was present (95% confidence interval 1.92–3.89, p<0.001). None of the remaining initial abnormal results with less than appropriate indications became significant, resulting in treatment over 2 years. Results suggest a potential reduction in imaging volume of as much as 33% with application of the criteria. Cardiologists ordered nearly all studies resulting in treatment but also more echocardiograms with less appropriate indications. Most examinations were in older patients; however, most abnormal results were in patients younger than 1 year.ConclusionsThe Appropriate Use Criteria can be used to safely reduce echocardiography volume while still detecting significant heart disease.

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Dinuka, Vina Kholisa. "IFRS ADOPTION AND EARNINGS MANAGEMENT PRACTICE: EVIDENCE FROM INDONESIA COMPANIES." JURNAL AKUNTANSI, EKONOMI dan MANAJEMEN BISNIS 7, no. 2 (December 27, 2019): 229–39. http://dx.doi.org/10.30871/jaemb.v7i2.1808.

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The purpose of this study is to verify IFRS contribution by examining the presence of Accrual Earnings Management (AEM) and Real Earnings Management (REM) in the period pre- and post- IFRS implementation in manufacturing companies in Indonesia. AEM is measured by absolute value of discretionary accrual, while REM is proxied by three measurements of REM, they are abnormal cash flow operation, abnormal production and abnormal discretionary expenses. The sample is taken from Indonesia stock exchange in 2009-2011 and 2013-2015. 2012 is Indonesia adoption period and it is excluded from the sample, because it is considerated as transitory year. This study uses regression analysis and Paired t-test to compare the presence of AEM and REM preceding and following IFRS implementation. The findings reveal that IFRS adoption has significantly negative effect towards AEM and REM. It indicates that the following IFRS implementation, AEM and REM are decrease. Therefore, IFRS is able to reduce earnings management practices in manufacturing companies in Indonesia both for AEM and REM.

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Nurul Wahidah, Siti Isnaini. "UANG DAN KEKUASAAN POLITIK." SOSIO EDUKASI Jurnal Studi Masyarakat dan Pendidikan 1, no. 1 (December 4, 2017): 1–8. http://dx.doi.org/10.29408/sosedu.v1i1.536.

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Vote buying is abnormal politic but is massive practice in Indonesian General Election. Curriculum vitae and professional popularity was substitute with money and goods. With observation, interview, and documentary technique this article assumed there are not something new in vote buying practices in Indonesian politics.

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Eberl, M. M., C. H. Fox, G. Broffman, J. Pomerantz, J. Serghany, M. Reinhardt, N. Watroba, and S. B. Edge. "An automated practice-based intervention for case management of abnormal mammograms." Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 6563. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.6563.

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6563 Background: Failure to obtain follow-up (f/u) of abnormal mammograms may delay cancer diagnosis and impact outcome; studies show up to 20% of women do not get recommended f/u. Our group previously established that administrative claims linked to medical records accurately identify care for management of abnormal mammograms. We are testing a case management system linking claims data to mammogram information to assist physicians in assuring appropriate f/u for abnormal mammograms. Methods: Electronic medical records in a staff model practice affiliated with a single payer are scanned to identify the BI-RADS code for all mammograms. The practice performs about 8,000 mammograms with about 500 abnormal mammograms annually. Physicians are notified of each abnormal mammogram and provided with a standardized care pathway for management. For each BI-RADS 0, 3, 4 or 5 mammogram, claims are searched for f/u breast procedures (imaging, biopsy, surgery). If recommended f/u (additional imaging for BI-RADS 0, biopsy by 2 months for BI-RADS 4 and 5, f/u imaging by 8 months for BI-RADS 3) is not observed, the ordering physician is alerted. Results: From 01/01/2001 to 12/31/2003, we observed that among women eligible for f/u, 189 (16%) did not receive BI-RADS recommended f/u care. In the prospective intervention from 1/1/06 - 6/30/06, 166 BI-RADS 0, 21 BI-RADS 4, and 3 BI-RADS 5 mammograms had 98.2%, 76.2%, and 100% appropriate f/u, respectively. From the alerts, all but one patient who refused biopsy received appropriate care. Conclusions: A practice intervention utilizing BI- RADS data linked to claims accurately identified missed f/u in a time frame when appropriate care can be delivered. This practice-based intervention has potential to improve the management of other cancers and chronic diseases. This intervention is being expanded on a community wide level. No significant financial relationships to disclose.

22

DeLaRosa, M., V. Kondamudi, N. Kondamudi, and S. Juratli. "Tethered Cord Syndrome with Abnormal Gait." Journal of the American Board of Family Medicine 16, no. 4 (July 1, 2003): 345–48. http://dx.doi.org/10.3122/jabfm.16.4.345.

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23

Ely, J. W., C. M. Kennedy, E. C. Clark, and N. C. Bowdler. "Abnormal Uterine Bleeding: A Management Algorithm." Journal of the American Board of Family Medicine 19, no. 6 (November 1, 2006): 590–602. http://dx.doi.org/10.3122/jabfm.19.6.590.

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24

Schulz, Lukas P., and Annina S. Vischer. "Cardiomyopathies in the Clinical Practice – an Overview." Praxis 111, no. 11 (August 2022): 623–31. http://dx.doi.org/10.1024/1661-8157/a003912.

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Abstract. Cardiomyopathies are myocardial disorders with a structurally and functionally abnormal heart muscle. In this review, we describe pathophysiological aspects, clinical presentation, diagnosis, risk stratification and therapeutical concepts of the three most common forms of cardiomyopathy: hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), and arrhythmogenic cardiomyopathy (ACM).

25

Poli, Simone. "The Relationship between Shareholder Gender and Earnings Management in Private Italian Companies." International Journal of Business and Management 12, no. 1 (December 28, 2016): 11. http://dx.doi.org/10.5539/ijbm.v12n1p11.

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Although the relationship between the type and characteristics of shareholders and earnings management practices is a topic that has been extensively investigated in the literature, the specific relationship between shareholder gender and earnings management practices has been overlooked by scholars. To contribute to filling this knowledge gap, this study investigates whether and how shareholder gender is related to the magnitude of abnormal (or discretionary) accruals in private Italian companies. It shows that the relationship between female ownership and the magnitude of abnormal accruals is not linear (and negative), but quadratic. This means that the practice of manipulating accruals is not contrasted by the presence of female ownership but by the presence of gender heterogeneity in the ownership structure.

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Wheeler, Thomas L., Miles Murphy, Rebecca G. Rogers, Rajiv Gala, Blair Washington, Linda Bradley, and Katrin Uhlig. "Clinical Practice Guideline for Abnormal Uterine Bleeding: Hysterectomy versus Alternative Therapy." Journal of Minimally Invasive Gynecology 19, no. 1 (January 2012): 81–88. http://dx.doi.org/10.1016/j.jmig.2011.10.001.

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27

Benjamins, Laura J. "Practice Guideline: Evaluation and Management of Abnormal Vaginal Bleeding in Adolescents." Journal of Pediatric Health Care 23, no. 3 (May 2009): 189–93. http://dx.doi.org/10.1016/j.pedhc.2009.02.003.

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Agrawal, Sahil, and Saloni Gupta. "Has COVID-19 changed long-term clinical practice – The new abnormal?" Kerala Journal of Ophthalmology 33, no. 3 (2021): 388. http://dx.doi.org/10.4103/kjo.kjo_141_21.

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Shurshalina, A. V., I. E. Korneeva, and А. А. Feoktistov. "Diagnostic abilities of hysteroscopy in patients with chronic endometritis." Journal of obstetrics and women's diseases 54, no. 5S (November 15, 2005): 95. http://dx.doi.org/10.17816/jowd87588.

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Hysteroscopy is an important diagnostic method in the gynecology practice. The visualization of the uterus cavity can detect a lot of abnormal changes, value the prevalence of the pathology process and eliminate of the abnormal tissues.

30

Otero, S., and R. Mehrotra. "Structural Neuroimaging in First-Episode Psychosis: a review of neuroimaging practice in an early intervention service." European Psychiatry 26, S2 (March 2011): 947. http://dx.doi.org/10.1016/s0924-9338(11)72652-9.

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IntroductionThe UK NICE technology guidance “Structural Neuroimaging in First-Episode Psychosis” concludes that CT/MRI is not routinely recommended as an initial investigation for first-episode psychosis.ObjectivesTo evaluate the use of CT/MRI in a group of Early Intervention Service (EIS) patients with a first-episode psychosis aged 18–35 years at presentation.AimsTo develop practice guidelines for use of neuroimaging in first-episode psychosis.MethodsAll 107 patients registered with the EIS in Hounslow, London, UK, were eligible for inclusion in this review. Data was collected from the medical records and the Picture Archiving and Communications System. Data was analysed using a microsoft excel data analysis tool. Additionally, comparisons were made between the group of patients with normal scans and that with abnormal scans. Statistical significance was determined using the chi-squared method with a significance of P < 0.05.Results17 patients had documented neuroimaging results. 4 scans were abnormal. There was no significant difference between the group with normal and abnormal scans in terms of gender, abnormalities of physical/neurological health, blood tests and whether the patient had any additional medical conditions. Abnormal scan results did not influence treatment or outcome for any patient.ConclusionsThe abnormal scans were not correlated to clinical indices of history, examination and laboratory tests. Abnormal scans appear to have a low yield in terms of clinical effectiveness. The findings support selective use of neuroimaging in this cohort of patients. The indications for it usage would appear to rely on clinical judgement as well clinical findings.

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Glassgow, Anne Elizabeth, Yamile Molina, Sage Kim, Richard T. Campbell, Julie Darnell, and Elizabeth A. Calhoun. "A Comparison of Different Intensities of Patient Navigation After Abnormal Mammography." Health Promotion Practice 20, no. 6 (June 15, 2018): 914–21. http://dx.doi.org/10.1177/1524839918782168.

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Background. Patient navigation is a practice strategy to address barriers to timely diagnosis and treatment of cancer. The aim of this study was to examine the effectiveness of varying intensities of patient navigation and timely diagnostic resolution after abnormal mammography. Method. This is a secondary analysis of a subset of women with an abnormal screening or diagnostic mammogram who participated in the “patient navigation in medically underserved areas” 5-year randomized trial. We compared timely diagnostic resolution in women assigned to different intensities of patient navigation including, full navigation intervention, no contact with navigators, or limited contact with navigators. Results. The sample included 1,725 women with abnormal mammogram results. Women who interacted with patient navigators had significantly fewer days to diagnostic resolution after abnormal mammography compared with women who did not interact with patient navigators. Discussion. Results from our study suggest that even limited contact with navigators encourages women to seek more timely diagnostic resolution after an abnormal mammogram, which may offer a low-cost practice strategy to improve timely diagnosis for disadvantaged and underserved women.

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Menon, Krishnagopal, and David D. Williams. "Former Audit Partners and Abnormal Accruals." Accounting Review 79, no. 4 (October 1, 2004): 1095–118. http://dx.doi.org/10.2308/accr.2004.79.4.1095.

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Audit clients often employ a former partner of their present auditor as an officer or a director. This “revolving door” practice presents a potential threat to auditor independence. Using the Jones (1991) model to calculate abnormal accruals for firms in 1998 and 1999, we find that firms employing former partners as officers or directors report larger signed and unsigned abnormal accruals than other firms, after controlling for other factors that plausibly affect abnormal accruals. To ensure that the results are not driven by performance characteristics of the former partner firms, we construct a performance-matched control sample and obtain consistent results. We also observe a disproportionately higher (lower) proportion of former partner firms than expected just meeting (missing) analysts' earnings forecasts.

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Nguyen, Dung. "Transfer Learning for Abnormal Object Detection." Journal of Technical Education Science 19, no. 1 (February 28, 2024): 25–32. http://dx.doi.org/10.54644/jte.2024.1526.

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In today's world, smart surveillance plays an important role in protecting security and creating a safe living environment. For abnormal objects in the smart surveillance system, this is an important issue, requiring attention and timely response from managers and supervisors. To address this issue, the paper uses transfer learning techniques on modern object detection models to detect abnormal objects such as guns, knives, etc. in public places. We experimented with the transfer learning method on the DETR model with a small dataset, and the model results showed a fairly fast convergence speed. Through this method, we hope to help reduce the burden of public security monitoring and warning work for managers, while technicians can use transfer learning techniques that are deployed in practice.

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Tjakraatmadja, Ricardo, and Dini Rachma Erawati. "ABNORMAL FREE GAS COLLECTION IN RADIOGRAPHY: A PICTORIAL REVIEW." International Journal of Radiology and Imaging 1, no. 01 (June 29, 2022): 11–17. http://dx.doi.org/10.21776/ub.ijri.2022.001.01.3.

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An abnormal free gas collection in the thorax and abdomen is a condition which is present of abnormal air in the thorax and abdominal cavity that normally not found. Radiological examination plays very important role to detect the presence of abnormal gas, the volume, the location, and the complication. Some of these conditions can represent classic radiological appearance that we can find in everyday practice.

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Kurowska, Klaudia. "Abnormal psychomotor development of children. Part II: Electroencephalography." Pediatria i Medycyna Rodzinna 14, no. 2 (June 29, 2018): 151–56. http://dx.doi.org/10.15557/pimr.2018.0015.

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Plastun, Alex, Ahniia Havrylina, Liudmyla Sliusareva, Nataliya Strochenko, and Olga Zhmaylova. "Daily abnormal returns and price effects in the “passion investments” market." Investment Management and Financial Innovations 18, no. 4 (November 4, 2021): 141–49. http://dx.doi.org/10.21511/imfi.18(4).2021.13.

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This paper explores price effects in the “passion investments” market after days with abnormal returns. To do this, daily prices for stamps and diamonds over the periods 1999–2021 and 1989–2021 are analyzed. The following hypothesis is tested: One-day abnormal returns create stable patterns in price behavior on the next day. Statistic tests (t-test, ANOVA, Mann–Whitney U test, modified cumulative abnormal returns approach, regression analysis with dummy variables) confirm the presence of price patterns related to extreme returns: price fluctuations on the day after extreme returns are higher than returns on “normal” days. On the days after positive abnormal returns, the momentum effect is detected. Contrarian effect is typical for the days after negative abnormal returns. A trading strategy based on detected price effects showed the presence of exploitable profit opportunities. Results of this paper provide additional pieces of evidence in favor of inconsistencies between the efficient market hypothesis and practice and can be used by traders to generate extra profits in the “passion investments” market. Acknowledgment The authors gratefully acknowledge financial support from the Ministry of Education and Science of Ukraine (0121U100473).

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Minuk, Gerald Y. "Canadian Association of Gastroenterology Practice Guidelines: Evaluation of Abnormal Liver Enzyme Tests." Canadian Journal of Gastroenterology 12, no. 6 (1998): 417–21. http://dx.doi.org/10.1155/1998/943498.

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Gower, Tracy. "Computers in clinical practice: Screening renal patients for abnormal biochemistry and malnutrition." Journal of Renal Nutrition 12, no. 2 (April 2002): 107–12. http://dx.doi.org/10.1053/jren.2002.32146.

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Marret, H., A. Fauconnier, N. Chabbert-Buffet, L. Cravello, F. Golfier, J. Gondry, A. Agostini, et al. "Clinical practice guidelines on menorrhagia: management of abnormal uterine bleeding before menopause." European Journal of Obstetrics & Gynecology and Reproductive Biology 152, no. 2 (October 2010): 133–37. http://dx.doi.org/10.1016/j.ejogrb.2010.07.016.

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Sun, Li Bo, Shun Sheng Guo, Yi Bing Li, Jun Guo, and Si Qi Wu. "Application of Quality Early Warning System Base on Web Form Design." Advanced Materials Research 201-203 (February 2011): 1553–57. http://dx.doi.org/10.4028/www.scientific.net/amr.201-203.1553.

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Aiming at the quality early warning problem of manufacturing process, this study develops a quality early warning system base on Web form design, combining some auto parts companies operating practice. In addition, it analyses the design principle and application methods of the system. It has been proved that the system achieves real-time monitoring, diagnosis, early warning to abnormal volatility, and prevents the defective products from occurrence and outflow, and gives corresponding diagnosis views to abnormal fluctuations according to historical data. It has been proved that this system is effective in practice.

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Pourlis, A., G. Papakonstantinou, and V. Papatsiros. "Abnormal twinning in goat: a review." Journal of the Hellenic Veterinary Medical Society 74, no. 4 (January 18, 2024): 6317–28. http://dx.doi.org/10.12681/jhvms.35100.

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A survey of congenital malformations relating to abnormal caprine twins was carried out. According to the degree, sites, and angle of fusion, they have various external variations and are classified as free asymmetric, conjoined symmetric or asymmetric twins (heteropagus or parasitic twins). The aim was to describe and summarize these defects. Among the recorded abnormal twining in goats, several common defects relate to thoraco-omphalopagus. A series of dicephali and diprosopus monsters have also been registered. At last, cases of free asymmetrical twins have been reviewed. There is also a report of a case of unequal conjoined–parasitic twins. The pathogenetic mechanisms of this condition, frequently reported in veterinary practice, are discussed. However, the etiopathogenesis of imperfect twins remains puzzling. The importance of embryonic duplications is commonly associated with dystocia. The manuscript finally introduces a framework of an essential national registry for the malformed companion animals.

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Majid, Norhaini, Mohd Ramadan Ab Hamid, Wan Marina Wan Ismail, and Suryanto Suryanto. "Parental Feeding Practice in Relation to Their Children’s Weight Status among Puncak Alam Residents." Environment-Behaviour Proceedings Journal 8, no. 26 (October 29, 2023): 231–37. http://dx.doi.org/10.21834/e-bpj.v8i26.5150.

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In Malaysia, the incidence of overweight and obesity among children has increased. Poor parental feeding behaviours lead to abnormal BMIs in children. The aim of this study is to identify parental feeding practices among Puncak Alam residents. The study involved 201 parents with children between one and five years old, with 148 mothers and 53 fathers responding to the questionnaire. Most participants were Malay and aged between 30 and 39 years old. The collected data was analyzed using descriptive statistics. Study revealed that restriction was the most used parental feeding practice for weight control, while emotion regulation was the least frequent practice.

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Shapley, M., K. Jordan, and P. R. Croft. "Abnormal bleeding patterns associated with menorrhagia in women in the community and in women presenting to primary care." Family Practice 24, no. 6 (November 13, 2007): 532–37. http://dx.doi.org/10.1093/fampra/cmm068.

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Dietsch, Elaine, Heather Gibb, and Karen Francis. "ABNORMAL PAP TEST RESULTS AND THE RURALITY FACTOR." Australian Journal of Rural Health 11, no. 2 (April 2003): 50–56. http://dx.doi.org/10.1046/j.1440-1584.2003.00464.x.

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Snehal, Isha, Kanchan Kumari, Makayla Schissel, and Arun Swaminathan. "Benefits of Routine Inpatient EEG in Practice: Experience from a Level 4 University Hospital." Journal of Experimental Neurology 4, no. 1 (March 30, 2023): 37–42. http://dx.doi.org/10.33696/neurol.4.071.

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Purpose: Routine inpatient EEGs have been part of epilepsy practices for years. We aim to improve current routine EEG practices by studying their role at a large university hospital. Methods: Inpatient routine EEGs from January-July 2021 were included and patients <5 yrs., EEGs repeated on the same patient were excluded. Indications, floor status, abnormality, day of study, neurology consultation, results, treatment changes, discharge status, and prior AED use were analyzed using SAS 9.4. Results: The mean age for 250 patients was 57.27 yrs., where 54.22% were males and 45.78% were females. Indications listed were 26.5% altered mental status, 59.83% seizures, and 13.65% others. 87.36% of ICU patients had abnormal EEG vs 73.75% of floor patients. A significant association (p=0.0147) was found between floor status and EEG results. Abnormalities were 44% generalized slowing, 23.6% focal slowing, 9.2% epileptiform activity, and 23.2% others. Treatment was changed in 21.03% with abnormal vs 5.56% with normal EEG. AEDs were added in 18.46% with abnormal vs 3.7% with normal EEG. A significant association (p=0.014) was found between Neurology consultation and treatment change and with AED addition respectively. EEG result was associated with treatment change and AED addition. “Abnormal EEG” was significantly associated with further study. A significant association (p=0.0351) was found between EEG results and discharge status. 53.82% of patients were not on AED before EEG vs 46.18%. Prior AED had no association with EEG results. Conclusions: It is helpful to consult Neurology. Longer duration of routine EEGs may not show abnormalities. Routine EEG facilitates discharges and guides further workup.

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Abdalla, Ahmed, Aditi Singh, Hussein Gharib, Benjamin Huber, Sindhu Janarthanam Malapati, Tarik H. Hadid, and Zyad Kafri. "The incidence of occult endocrinopathies in patients with cancer undergoing immunotherapy in community practice." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e14571-e14571. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e14571.

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e14571 Background: Immune checkpoint blockade (IO) can induce inflammation of the pituitary, thyroid or adrenal glands. This usually results in non-specific symptoms such as headache, low-energy, nausea and vomiting, which can be difficult to differentiate from symptoms associated with cancer and therapy-related symptoms. Therefore, the exact incidence of endocrinopathies is exceedingly difficult to estimate in community practices. Also, the variable methods of assessment, diagnosis, and monitoring used in different clinical trials make it challenging to precisely measure the incidence of endocrinopathies. Methods: This is a single-center retrospective chart review of patients diagnosed with cancer receiving immunotherapy for cancer treatment who had routine hormone levels checked during their treatment. Data collected includes tumor types and the types of IO agents used. Laboratory data collected included thyroid-stimulating hormone (TSH), testosterone level, follicular stimulating hormone (FSH), luteinizing hormone (LH), cortisol levels. Results: In total, 75 patients were included in the study. The primary indication for IO was lung cancer in 43 patients (57%), genitourinary tumors (12%), melanoma (12%) and head & neck cancers (5.3%). Single-agent nivolumab (39 patients) was the most common IO agent used followed by single-agent pembrolizumab (22 patients), ipilimumab (11 patients), atezolizumab (3 patients), avelumab (1 patient) (There was one patient who got nivolumab initially and then pembrolizumab). Nine patients were treated with ipilimumab/nivolumab combination. The mean number of cycles received was 9.1. The total number of patients who developed at least one abnormal hormone level was 57(76%), with 33 out of 74 (45%) patients had at least one abnormal TSH, 29 out of 44 (66%) patients had at least one abnormal testosterone level, 10 out of 49 (20.4%) patients had at least one abnormal FSH and/or LH level, 36 out of 52 (69%) patients had at least one abnormal cortisol level. The mean number of days from starting IO to develop the first abnormal laboratory result was 106 days. Conclusions: The incidence of endocrinopathy was significantly high in patients receiving IO in this study, which is higher than what is reported in previous clinical trials. This could be due to frequent testing in asymptomatic patients and strict laboratory cut-off values which is not always clinically meaningful. This finding may highlight the importance of routine monitoring of the endocrine function during IO treatment. Routine measurement of hormone levels can detect asymptomatic endocrinopathy which may warrant further work-up and treatment. These findings should be validated in a larger prospective study.

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Joyce, Steven M., Douglas E. Brown, and Elizabeth A. Nelson. "Epidemiology of Pediatric EMS Practice: A Multistate Analysis." Prehospital and Disaster Medicine 11, no. 3 (September 1996): 180–87. http://dx.doi.org/10.1017/s1049023x00042928.

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AbstractObjective:To describe the epidemiology of pediatric emergency medical services (EMS) practice in a large patient population from several geographic areas.Design:Retrospective computer analysis of EMS databases from four states using a common data set and analysis system.Setting:Pennsylvania, Tennessee, Mississippi, and Nevada (except Clark County), 1990 through 1992.Methods:All patient-care reports of patients 14 years old and younger were extracted from the EMS databases and analyzed for the following factors: age, gender, date, elapsed pre-hospital times, incident type, mechanism of injury, call disposition, illness or injuries encountered, severity of illness/injury (by abnormal vital signs), and basic life support (BLS) and advanced life support (ALS) treatment delivered.Results:A total of 1,512,907 patient care reports were reviewed. Those of 61,132 children were extracted for analysis. These children comprised about 4% of prehospital responses. Male subjects predominated (56%), and children aged 7 through 14 years represented 46% of cases. Most calls occurred in the evening and daylight hours. Children were transported by ambulance in 89% of cases, and care was refused in 7.7%. Mean response time was 9±16 minutes, mean scene time 12±14 minutes, and mean transport time 14±20 minutes. Traumatic incidents predominated at 42%, with motor vehicle accidents and falls the most common mechanisms. Blunt injuries accounted for 94% of trauma, whereas respiratory problems, seizures, and poisoning/overdose were the most common medical problems. Vital signs were obtained in 56% of cases. Abnormal vital signs were noted in 21% of these, and the presumptive causes were similar in distribution to those of the general population, with the addition of cardiac arrest. The most commonly used treatments were spinal immobilization, oxygen administration, intravenous access and several ALS medications. An ALS capability was available in more than half the runs, but ALS treatment was delivered in only 14% of those cases. Outcome data were not available.Conclusion:This multistate analysis of pediatric EMS epidemiology confirms findings reported in smaller regional studies, with several exceptions. Excessive scene times were not noted. Few children had serious disorders as evidenced by abnormal vital signs. An ALS treatment, when available, was used infrequently. These findings have implications for EMS planners and educators.

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Boutis, K., A. Davis, M. Pecarcic, M. Pusic, M. Shouldice, T. Smith, and J. Brown. "LO81: Bridging the GAP: A deliberate practice method for learning Genital Abnormalities in Prepubescent girls." CJEM 20, S1 (May 2018): S35—S36. http://dx.doi.org/10.1017/cem.2018.143.

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Introduction: Correctly identifying pathology in pre-pubertal females is a high-stakes physical examination skill. Currently, learning this skill relies heavily on case-by-case exposure, which is variable, limited and often results in suboptimal skill. Thus, there is a need to develop and evaluate learning platforms that simulate the presentation and diagnosis of this important clinical task. We developed an on-line learning and assessment platform that allowed the deliberate practice of 158 pre-pubertal female genital image interpretations . We examined the quantity of skill acquisition by deriving performance metrics and learning curves. Methods: This was a prospective cross-sectional study administered via an on-line learning and assessment platform. Colposcopic images were acquired from a child abuse clinic. Two child abuse experts interpreted images to determine case solutions and 40% of cases had medical or traumatic pathology. Further, to validate image interpretations, a unique set of five child abuse and pediatric gynaecology experts reviewed the cases. Study participants were recruited from the USA and Canada and were required to complete all 158 cases. For each image, learners designated cases as normal or abnormal and if abnormal indicated the abnormal area on the image. The primary outcome was the change in accuracy, sensitivity and specificity. Results: We enrolled 107 participants, 26 medical students, 31 pediatric residents, 24 pediatric emergency fellows, and 26 pediatric emergency attendings. For all participants, the change in accuracy was +9.6% for accuracy (<0.001), +1.4% for sensitivity (p=0.6) and +15.7% (p<0.001) for specificity. The final score for accuracy, sensitivity and specificity was 79.5%, 66.1%, and 87.8%, respectively. There was no difference between learner types with respect to summary performance metrics (accuracy, p=0.15; sensitivity, p=0.44; specificity, p=0.54). Learning curves show maximal learning gains (inflection point) up until 100 cases. Conclusion: Deliberate practice of pre-pubertal female image interpretation was effective for ensuring predictable skill improvement for normal cases but was less effective for abnormal cases. Future research could examine how to refine the education tool to better serve diagnostic skill of abnormal cases.

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Tom, Katherine, Natasha De Silva, Alicia Polack, Karishma Singh, Charles Keown-Stoneman, Jonathon Maguire, Catherine Birken, and Peter Wong. "11 Clinician Management of Childhood Dyslipidemia in the Community Setting." Paediatrics & Child Health 27, Supplement_3 (October 1, 2022): e4-e5. http://dx.doi.org/10.1093/pch/pxac100.010.

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Abstract Background Childhood dyslipidemia is a known risk factor for the development of cardiovascular disease (CVD) in adulthood. Although adverse health outcomes of dyslipidemias are rare in childhood, the atherosclerotic process begins in early life. An overlooked lifelong progression of disease may result in myocardial infarction and stroke in later life. There are currently no Canadian paediatric guidelines for lipid screening. Despite dyslipidemia identification, early treatment or management may not be initiated. Primary care providers (PCP) are well positioned to advise and reinforce cardiovascular health behaviours to minimize the risk of CVD and promote lifelong cardiovascular health. Objectives To describe clinician practice patterns associated with childhood dyslipidemia management in the community setting. Design/Methods A retrospective chart review was conducted for children 2 to 10 years of age with abnormal lipid profiles. Participants were recruited from a practice-based research network. Non-fasting blood samples were obtained. The primary study outcome was the proportion of physicians engaging in each step of management practice. R version 3.6.2 (R Foundation for Statistical Computing, Vienna, Austria) was used for statistical analysis. Results Among 462 children identified with dyslipidemia, all were seen by PCP at their next follow-up visit. PCP rarely informed families about abnormal lipid profiles. PCP frequently counselled on diet and eating habits (n=424, 95.1%), but less often on physical activity (n=154, 34.5%), screen time (n=24, 5.4%), and sleep (n=1, 0.2%). Family history of CVD, diabetes, high cholesterol, or hypertension was infrequently discussed (n=5, 1.1%). PCP repeated fasting lipid profiles uncommonly (n=20, 4.5%). Management plans for abnormal lipid profiles were not documented. Only one participant had a follow-up visit (n=1, 0.2%). Referrals were rarely made to dieticians (n=2, 0.4%) and were not in response to abnormal lipid levels. Conclusion Dyslipidemia in childhood is a risk factor for the development of adult cardiovascular disease. Among children with abnormal lipid profiles, our study showed PCP rarely identified and initiated early management for abnormal lipid levels. Our results may inform the need for paediatric lipid screening and management guidelines to develop best clinical practice.

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Kristiansen, Bettina Kjær, Berit Andersen, Flemming Bro, Hans Svanholm, and Peter Vedsted. "Impact of GP reminders on follow-up of abnormal cervical cytology: a before–after study in Danish general practice." British Journal of General Practice 67, no. 661 (July 17, 2017): e580-e587. http://dx.doi.org/10.3399/bjgp17x691913.

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BackgroundDysplasia may progress because of a loss to follow-up after an abnormal cervical cytology. Approximately 18% of Danish women postpone the recommended follow-up, which depends on the cytology results.AimTo investigate if a reminder to the GP about missed follow-up could reduce the proportion of women who fail to act on a recommended follow-up, and to analyse the effect on sociodemographic and general practice variations.Design and settingA national electronic GP reminder system was launched in Denmark in 2012 to target missed follow-up after screening, opportunistic testing, or surveillance indication. The authors compared follow-up proportions in a national observational before–after study.MethodFrom national registries, 1.5 million cervical cytologies (from 2009 to 2013) were eligible for inclusion. Approximately 10% had a recommendation for follow-up. The proportion of cervical cytologies without follow-up was calculated at different time points. Results were stratified by follow-up recommendations and sociodemographic characteristics, and changes in practice variation for follow-up were analysed.ResultsFewer women with a recommendation for follow-up missed follow-up 6 months after a GP reminder. Follow-up improved in all investigated sociodemographic groups (age, ethnicity, education, and cohabitation status). Interaction was found for age and cohabitation status. Variation between practices in loss to follow-up was significantly reduced.ConclusionAn electronic GP reminder system showed potential to improve the quality of cervical cancer screening through reduced loss to follow-up.