Questions related to Clinical Assessment
For example, I just read an excellent article:
Galderisi S, Mucci A, Dollfus S, et al. EPA guidance on assessment of negative symptoms in schizophrenia. Eur Psychiatry. 2021;64(1):e23.
There are four assessment instruments discussed in that article that I wish to download or consider purchasing:
Brief Negative Symptom Scale (BNSS)
Clinical Assessment Interview for Negative Symptoms (CAINS)
Schedule for Deficit Syndrome (SDS)
Self-evaluation of Negative Symptoms (SNS)
After nearly an hour searching Google and other databases, I found one of the four scales - thank you Prof. Ann Kring for posting them on your lab's website!
Clinical Assessment Interview for Negative Symptoms (CAINS)
https://esilab.berkeley.edu/wp-content/uploads/2017/12/CAINS.pdf and https://esilab.berkeley.edu/wp-content/uploads/2017/12/CAINS-manual.pdf
But what about the other three scales? Are they simply not available? How do you find out?
And in general, do you have a method for finding tests, scales, measures, etc. that you read about in the literature?
I am looking for resources to learn more about detailed muscle innervation related to its function. For example, the general knowledge about innervation for rectus abdominis is that it is innervated by intercostal nerve (T6-T11) and subcostal nerve (T12). I am looking for a bit deeper knowledge. For instance, would the innervation from the two different nerves into the rectus abdominis make different parts of the rectus abdominis function differently? Some people say lower and upper parts of the rectus abdominis should be assessed differently due to different fascial arrangement between these two parts. Are these two parts actually innervated differently? If so, I think this is quite a compelling and useful argument. It is not just about rectus abdominis. Similar arguments have been made for the hamstring groups. Some say that long head of the biceps femoris and short heads should be treated like two different muscles due to completely different innervation. I find such arguments fascinating and would love to learn more about the details.
Thank you so much for your time!
Has this been done with current vaccines and do you have links to the research to provide us with?
Double-blind clinical trials for coronavirus COVID 19.
I am writing a paper and I just need to look at a copy of the manual to see how to communicate the findings and some of the information that is included in the manual. It will be used strictly for the purposes of this paper and not for clinical use with clients.
I know this doesn't allow for a lot of back and forth commentary if you can help me with this please reach out on here or I can be reached by email firstname.lastname@example.org
The lifetime learning of illiterate and low-educated individuals shapes their cognitive skills, which are challenging to grade by the current available neuropsychological tools. Which is the best available cognitive screening tools validated in the illiterate and low-educated subjects to assess language impairments?
Given the constraints of COVID-19, our IRB is limiting data collection that can be completed in-person. Thus I am looking to utilize teleadministration and comparing that to previously collected data. With that said, this means we have two separate groups that we are comparing. Is there a way to evaluate agreement between administration modality similar to that of an ICC or Bland-Altman plot?
Hi everyone, I am looking for ways to quantify psychiatric comorbidity / comorbidity severity in our sample** (primary diagnosis of interest: major depression) more elaborately, rather than simply reporting the average number of present comorbid psychiatric conditions. Are you familiar with indices/scores I could calculate for each patient, that, for example, allow weighing different conditions differently (I would perhaps naively assume that personality disorders would receive a greater weight with respect to comorbidity severity than, let's say, a specific phobia). Data collection has already been completed, so unfortunately I'm unable to apply additional questionnaires/assessments. (Comorbid) Diagnoses have been established by SKID-interviews and I am hoping to find a way to build on those.
Any ideas are greatly appreciated, thanks so much in advance!
Can anyone suggest any research where errors were not corrected on the trail making test? thank you
Are there any advantages and disadvantages of not correcting participants?
Just wondering if anyone might have a PDF copy of Schedule for Clinical Assessment in Neuropsychiatry? Specifically I am looking for Chapter 8. I have a hard copy somewhere, but cannot put my hand on it at the minute.
I would be thankful for any piece of literature introducing short, accessible and uncomputerised psychological tests for executive functioning and visual-motor processing. I am most interested in assessment of spatial and hierarchical planning.
Why do almost all the guidelines (WHO) choose urinary iodine to define iodine deficiency but not blood iodine?
I need to know if a new method of measurement is equivalent to an established one already in clinical use. I used Bland-Altman method and calculated bias, limits of agreements and percentage error.
The percentage error is elevated (sup. to 50%). Do you know if the "critchley criteria" (percentage error acceptable if inf. to 30%) are only true for assessing cardiac output measurement or more generally accepted?
I am currently writin a literature review on several tools for assessing prospective memory. Would you have the normative data (sample characteristics, reliability, validity, sensitivity, specificity, etc.) of the RBMT-III and the CAMPROMPT (Wilson et al., 2008;2005) ?
Thanks in advance for your help.
24 year old man with deforming arthropathy and limitation of hip movement. He also has features of aortic stenosis and allergy to food in a way that he develop vomiting from certain foods with irritability, impairment in memory, forgetting, and nervousness.
I need to compare groups based on their pornography consumption. Those groups differ on this scale, but I do not know if any of them is clinicaly distinct from the general population.
I could also use an article who made an estimation of that cut-off score.
I would like to discuss a little about proposed cut-points for physical activity in individuals with functional impairment (eg. Patients with peripheral arterial disease). Is there a more appropriate proposition?
A good part of the available studies is based on cut-points proposed by Freedson et al. 1998 (young adults) and Copeland et al. 2009 (elderly without functional changes). To what extent these propositions may be underestimating the physical activity intensity in elderly individuals with functional limitations?
I've encountered publications which demonstrated the agreement between assay methods for the clinical classification of the results through Cohen's kappa values obtained over 0.6 or 0.8. I have failed, however, to find documents which validate its use for the comparison of the performance of chemical assays. I wonder if Cohen's kappa is thought to be a valid indicator for method agreement in the clinical laboratory by others.
For example, two treatments could be statistically significantly different, but their clinical effects may irrelevant ?. In this case how should we interpret the results?
I am looking for questionnaires and tests that apply to clinical assessment of novel psychoactive substances addiction. Is there visual analogue scale for craving?
I'm exploring deaths in elders attributable to neglect such as the withholding of medications that would likely improve health (antibiotics, diuretics). I have two trajectories of interest. First to explore hidden euthanasia of the elderly believed to be "bed blockers". Second, to explore whether these incidents are dealt with through the professional bodies or whether they make it to actual criminal cases. Thanks.
This should be the endpoint of our work and maybe give us useful information how to modify our work in the future.
I'm searching for any prevalence study that shows a prevalence of 6 sets of clinical criteria to classify Alzheimer's disease (DSM). Thank you.
The patient has Hypothyroidism, Hypertension, Type 2 Diabetes, & Vitiligo.
He had an episode of SIADH 2 months ago.
Can someone help interpret his investigations?
His CBC is as follows:
White Blood Cells 10.15x103/uL
Red Blood Cells 4.34x106/uL
Hemoglobin 13.1 g/dL
Hematocrit 40.9 %
MCV 94.2 fL
MCH 30.1 pg
MCHC 31.9 g/dL
RDW 14.6 %
MPV 9.5 fL
Neutrophils 72.7 %
Lymphocytes 19.7 %
Monocytes 4.3 %
Eosinophils 0.5 %
Basophils 1.1 %
Large Unstained Cells 1.6 %
Neutrophils Abs 7.38x103/uL
Lymphocytes Abs 2.00x103/uL
Monocytes Abs 0.44x103/uL
Eosinophils Abs 0.06x103/uL
Basophils Abs 0.11x103uL
LUC Abs 0.16 103/uL [*] 0.00 0.50
Glucose 129 mg/dL
Phosphorus 3.4 mg/dL
Uric Acid 7.7 mg/dL
Creatinine Serum 0.95 mg/dL
Urea 22.1 mg/dL
Total Protein 7.68 g/dL
Albumin 4.70 g/dL
Globulin 2.98 g/dL
SGOT(AST) 28 U/L
SGPT(ALT) 33 U/L
Gamma GT 14 U/L
Alkaline Phosphatase 85 U/L
LDH 356 U/L
Bilirubin Total 0.56 mg/dL
CPK 61 U/L
Calcium 10.56 mg/dL
Sodium 140 mmol/L
Potassium 5.0 mmol/L
Chloride 100 mmol/L
His Lipid Profile:
Cholesterol Total 173 mg/dL
Triglycerides 120 mg/dL
HDL Cholesterol 53.9 mg/dL
LDL (Calculated) 95 mg/dL
I intend to measure nurses' competence in interpreting an ECG and their ability to quickly recognise a potentially life-threatening arrhythmia. In order to accurately do so, I am going to set up a series of scenarios with an associated ECG that the candidates will have to interpret.
As these scenarios will be focused on the assessment of an acutely-ill patient, I was wondering if anybody knew whether there is a consensus on the amount of time nurses should take to determine the existence of a potentially life-threatening arrhythmia.
How long do you think it should take a qualified nurse to interpret an ECG? (not taking into consideration the amount of time needed for the recording process)
Thanks in advance.
Your comments can be useful to many patients. It helps to justify the very difficult and the repeated trials to get a correct shunt.
We are planning some studies assaying tissue collected by a minimally invasive muscle biopsy method. We have two scientists and a clinician working on this project. The clinician is not in a position to perform these biospsies on our patients. We are unclear as to the relevant regultion surrounding the ability of non-clinically trained scientific personnel to peform these tasks as ideally the two scientists would perform the biopsies. Further what are the costs involved in this proceedure (per patient) and what other consumables are needed?
I am taking part in a research team preparing a systematic review about the psychometric instruments used in the assessment of PTSD in earthquake or tsunami survivors (in the last ten years). I’m looking for advice about the relevant data bases and search strategies (free terms, Mesh, filters). We’ll start with Medline, Cinahl, PsycInfo, PILOTS and manual reference search of the retrieved papers. What do you think?
Patients with several somatic diseases tend to listen closely to their bodies for signals of potential harm. For instance, those with cardiac pacemakers may feel like having arrhythmia while everything is correct. This mechanism is known to influence the onset of panic attacks. I have recently encountered a now to me group of patients, with so called inappropriate sinus tachycardia. This condition is poorly studied and, of course, there are suspicions that it may be psychosomatic. Any ideas?
I would like to ask if someone had seen specific pattern in caloric vestibular examination: 12-years old boy with walking instability, on ENG OKN hyporeflexia, caloric exam 4-times within 1,5 year, always strong DP to left, ie. reaction practically only in CR and WL tests, but changing intensity - twice greater on the left side, once greater on the right side. Once was caloric normal with all four reactions. Clinical symptoms dint change during this whole time.
I wonder, if you have ever seen similar fluctuation in caloric reactivity? Thanks
Also based on what criteria? What number of locations, as well as the recruitment of number of participants, are selected to perform clinical trials for medical devices?
Inspired by an interesting case report, I am trying to assess the proportion of patients that directly benefit from participating in clinical trials - in terms of uncovering their covert diseases and subclinical disorders.
Does anyone know any statistics or has an article on that?
Is anyone using a valid and reliable audit tool to assess the quality of the clinical learning environment for student undergraduate nurses?
A 78-year-old Caucasian women presented fever (39°C) and a large, moderately painful ulceration on her right breast which had begun about 10 days ago after quadrantectomy and extended rapidly. Wound and blood cultures yielded negative results. Laboratory investigations: erythrocyte sedimentationrate was 73mm/h, WBC was 22890 mmc; C-reactive protein (CRP) was 25 mg/dl; Protein electrophoresis showed a increase in alfa 2 globulin 15.6%. No clinical response with different antibiotics (imipenem plus teicoplanin; daptomicin + levofloxacin; piperacillin/tazobactam + trimetoprim/sulfamexazole + tigecicline + fluconazole. What is your diagnosis? What do you suggest?
Heart rate is a simple clinical parameter. However, it varies with respiration and autonomic sympatho-vagal balance. A huge number of studies has evidenced usefulness of heart rate variability for diagnosing (diabetic neuropathy, sick sinus syndrome, OSAS) or prognosing (myocardial infarction, heart failure, stroke etc.) reasons. As yet, HR is usually reported in many clinical trials, while HRV is not. Does HRV really mean nothing?
I'm at a teaching college with tiny research support. I am currently using Achenbach's ASEBA self reports for adults. Any other suggestions?
I am looking for the questionnaires with good psychometric parameters, which: 1) maybe used in clinical or non-clinical populations; 2) may be based on categorical or dimensional models of personality disorders.
This is not an area of expertise for me, so any suggestions would be helpful.
A psychological test was carried out, but of the kind that I do not know. The test was carried out by a psychologist face to face, but there was no questionnaire.
The time required for the test was approximately 30 minutes. The following are the main contents of the test.
・Language association (for example, the subject associates a word with one vowel sound)
・Imitation of the posing (the subject imitates the movement of the psychologist's hand)
・Imitation of the rhythm (the subject imitates the hand claps of the psychologist)
・in the last part of the test the subject matches both palms with a psychologist (sense of distance is dependent on the subject )
Can anyone tell me the name of this test ? And what is the purpose of such analysis?
If there are not applicable test, please guess what is the purpose such this psychology test, analyzes for patients. This is a test that actually took place.
There are many minerals, vitamins and other food constituents that we need for optimal health. Sufficiency or excess of many key nutrients and other aspects of human nutritional status can be assessed through the analysis of biological samples. If you want to know about the nutrition status of your research participants, patients or clients, which nutrients and nutritional conditions are most important to you. To make it clear, the goal here is not to assess one or two specific nutrients because of a particular research question or prompted by clinical symptoms. This is strictly for global, non-targeted nutrition assessment. The preferred portfolio of assessment indicators will obviously depend on the target group and area of interest, so it would be helpful to hear about the rationale for the selection.
As a pediatrician I do it all the time. These parents are...this and that. They should behave like this...like that. But with time (15 years of practice) I slow down on judging patients. More and more I accept them. maybe because I listen to them and try mainly to help and coach them. Sometimes I am amazed how far I can go with this "non-judging attitude"
How does a peer observer affect the interaction between the teacher and students? Between doctor and patients? And how does it affect the teacher's performance in clinical settings?