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At least 307 records · Page 17Linked to original sources

Subjective symptomatology of asthma: validation of the asthma symptom checklist in an outpatient Spanish population.

The objective of this study was to validate the Asthma Symptom Checklist (ASC) so that it could be reliably used to assess the subjective symptomatology of asthma attacks in our context. Subjective symptomatology of asthma was examined in a group of 100 adult Spanish outpatients (57 women, 43 men; 17-69 years of age) with asthma. All of them completed the modified version of the ASC as well as questionnaires of depression, anxiety, and self-management of asthma (self-efficacy expectancies and health care utilization). Data about duration and severity of asthma, as well as dyspnea and %FEV1, were also recorded. The highest reliability Cronbach alpha indexes were for the panic-fear and fatigue scales. The oblique rotation of the ASC revealed five correlated factors (53% of the total variance explained): 1) panic-fear, 2) airways obstruction, 3) airways obstruction and panic-fear, 4) fatigue and irritability, 5) hyperventilation. The structure of factors was revalidated using orthogonal (varimax) rotation. Construct validity was examined by Person product-moment coefficient correlations, ANOVAs (asthma severity x ASC scores), and t-tests (sex by ASC scores). Panic-fear showed the best construct validity, as it was related to the severity of the asthma and the use of high-cost health care resources. There were no differences in ASC scores either on the basis of the asthma severity or on the sex of patients. The ASC factors represent stable components of subjective symptomatology of asthma attacks, especially with regard to the panic-fear and the hyperventilation subscales; however, the structure of the checklist as a whole was not identical to those reported in other studies. Correlations of the ASC with clinical variables related to asthma severity support the construct validity of the instrument and confirm its utility to evaluate the subjective symptomatology of asthma attacks in outpatients.

Adolescent↗

Juggling performance checklist.

Teaching psychomotor skills to nurses presents challenges to nurse preceptors. The Juggling Performance Checklist, used by The Presbyterian Hospital in New York City, presents a humorous way of teaching nurses how to teach psychomotor skills. Humor can have both a physical and psychological benefit. Please note the directions on the performance checklist--washing your hands is optional; having fun is not!

Education, Nursing↗

Checklist for the evaluation of low vision in uncooperative patients.

PURPOSE: To present a checklist for the evaluation of low vision in uncooperative patients; in this specific case, children with neurological deficits. METHOD: The checklist includes several behavioral indicators obtainable with a standard clinical examination. Each test is assigned a score (0=failure, 1=success). The final visual quotient score is obtained by dividing the partial score by the total number of tests performed. Eleven children with cerebral visual impairment were studied using behavioral and preferential looking techniques. RESULTS: Visual quotient was >0 in all patients, indicating that residual visual function was always detectable. Average visual quotient was 0.74. CONCLUSION: Visual quotient can be useful both for follow-up examinations and comparison and integration with other evaluation methods (behavioral and instrumental) of residual visual capacity. In particular, if combined with preferential looking techniques, visual quotient testing permits characterization of the entire spectrum of low vision.

Child↗

[Development of an interaction behaviors checklist for early detection of autistic children].

PURPOSE: This study was conducted to develop a behavioral checklist to predict an autistic disorder and to identify the earliest detecting time. METHOD: One hundred and fifty eight children including normal, autistic, institutionalized normal, and retarded were assessed using critical interaction behavioral markers from literature review. Data was collected by semi-structured mother-child interaction by videotape recording and analyzed by factor analysis, Cronbach alpha, Kappa, chi(2), and Duncan. RESULT: Ten behavioral markers were sorted into 2 factors; joint-attention and synchronized behavior. Autistic children were impaired in pretend play, prodeclarative pointing, proimperative pointing, gaze-monitoring, referential looking, showing, joint-attention, rhythmical vocal exchange, and synchronized laughing. The sychronized behavior was also a critical marker to predict the autistic disorder. However, it was difficult to differentiate autistic disorder from mental retardation. In addition, the appropriate detecting time was around 18 months after birth. CONCLUSION: This checklist should be behavior markers to predict autistic disorder and could be useful as educational material at children's clinics, parents class, and for caregivers in the health center. In addition, early detection should lead to treatment being started as soon after 18 months of age as possible.

Autistic Disorder↗

Checklist of Health Promotion Environments at Worksites (CHEW): development and measurement characteristics.

PURPOSE: Health promotion policy frameworks, recent theorizing, and research all emphasize understanding and mobilizing environmental influences to change particular health-related behaviors in specific settings. The workplace is a key environmental setting. The Checklist of Health Promotion Environments at Worksites (CHEW) was designed as a direct observation instrument to assess characteristics of worksite environments that are known to influence health-related behaviors. METHODS: The CHEW is a 112-item checklist of workplace environmental features hypothesized to be associated, both positively and negatively, with physical activity, healthy eating, alcohol consumption, and smoking. The three environmental domains assessed are (1) physical characteristics of the worksite, (2) features of the information environment, and (3) characteristics of the immediate neighborhood around the workplace. The conceptual rationale and development studies for the CHEW are described, and data from observational studies of 20 worksites are reported. RESULTS: The data on CHEW-derived environmental attributes showed generally good reliability and identified meaningful sets of variables that plausibly may influence health-related behaviors. With the exception of one information environment attribute, intraclass correlation coefficients ranged from 0.80 to 1.00. Descriptive statistics on selected physical and information environment characteristics indicated that vending machines, showers, bulletin boards, and signs prohibiting smoking were common across worksites. Bicycle racks, visible stairways, and signs related to alcohol consumption, nutrition, and health promotion were relatively uncommon. CONCLUSIONS: These findings illustrate the types of data on environmental attributes that can be derived, their relevance for program planning, and how they can characterize variability across worksites. The CHEW is a promising observational measure that has the potential to assess environmental influences on health behaviors and to evaluate workplace health promotion programs.

Health Behavior↗

A training course on food hygiene for butchers: measuring its effectiveness through microbiological analysis and the use of an inspection checklist.

The effectiveness of food hygiene training for a group of retail butchers was evaluated with the aim of verifying whether the butchers modified their behavior in the light of knowledge gained and whether their acquired knowledge or behavior change was sustained over a period of time. Microbiological analysis (enumeration of mesophilic and coliform bacteria and Escherichia coli) of a raw semiprocessed product (stuffed rolled beef) was conducted, and an inspection checklist was issued before the training course (T0). Initial results were later compared with results obtained 1 month (T1) and 6 months (T6) after the training. The checklist comprised 89 items classified into five categories: A, approved suppliers and product reception; B, storage conditions and temperature control; C, flow process, food handling procedures, and conditions of the window display unit; D, facility design and proper cleaning and sanitizing of equipment, utensils, and work surfaces; and E, pest control system, water supply control, and garbage disposal. The inspection results were recorded as "yes" or "no" for each item. Compliance with food safety procedures was recorded as the percentage of "yes" answers. The bacterial counts were significantly higher at T0. At T6, there was no significant increase in bacterial counts. There was a significant improvement in food safety practices at T1 and T6 compared with T0 for all categories. When comparing T0 and T1, the largest increases in the compliance scores were seen within categories C and D. No significant decrease in scores for compliance with food safety practices was observed at T6. Supervision and refresher activities may be necessary to maintain behavioral changes for a longer period of time.

Animals↗

The reliability of the Motor Development Checklist.

A study was conducted to determine the interrater and test-retest reliability of the Motor Development Checklist (Doudlah, 1976). Thirty-six subjects with diagnosed multiple disabilities and severe and profound mental retardation were evaluated by two experienced occupational therapists. Reliability was established by means of the intraclass correlation approach, and results indicated that coefficients ranged from .93 to .99. The study results suggest that the Motor Development Checklist, when administered by experienced raters, can provide consistent information regarding the spontaneous motor performance of persons with multiple disabilities. Implications for practice and future research are briefly discussed.

Adolescent↗

Use of the Role Checklist with the patient with multiple personality disorder.

A paucity of occupational therapy evaluation tools exists for use with patients with multiple personality disorder. The Model of Human Occupation (Kielhofner & Burke, 1980), particularly the volition and habituation subsystems within this model, proved useful for the identification of the many facets of patients with multiple personality disorder on a short-term treatment unit. The Role Checklist (Oakley, Kielhofner, Barris, & Richler, 1986), a tool derived from the Model of Human Occupation, was adapted for use with this population and was found to be beneficial in the identification of common goals held by most of the personalities of each patient with multiple personality disorder. The use of the Role Checklist is illustrated with a case example.

Acting Out↗

Does the CONSORT checklist improve the quality of reports of randomised controlled trials? A systematic review.

OBJECTIVE: To determine whether the adoption of the CONSORT checklist is associated with improvement in the quality of reporting of randomised controlled trials (RCTs). DATA SOURCES: MEDLINE, EMBASE, Cochrane CENTRAL, and reference lists of included studies and of experts were searched to identify eligible studies published between 1996 and 2005. STUDY SELECTION: Studies were eligible if they (a) compared CONSORT-adopting and non-adopting journals after the publication of CONSORT, (b) compared CONSORT adopters before and after publication of CONSORT, or (c) a combination of (a) and (b). Outcomes examined included reports for any of the 22 items on the CONSORT checklist or overall trial quality. DATA SYNTHESIS: 1128 studies were retrieved, of which 248 were considered possibly relevant. Eight studies were included in the review. CONSORT adopters had significantly better reporting of the method of sequence generation (risk ratio [RR], 1.67; 95% CI, 1.19-2.33), allocation concealment (RR, 1.66; 95% CI, 1.37-2.00) and overall number of CONSORT items than non-adopters (standardised mean difference, 0.83; 95% CI, 0.46-1.19). CONSORT adoption had less effect on reporting of participant flow (RR, 1.14; 95% CI, 0.89-1.46) and blinding of participants (RR, 1.09; 95% CI, 0.84-1.43) or data analysts (RR, 5.44; 95% CI, 0.73-36.87). In studies examining CONSORT-adopting journals before and after the publication of CONSORT, description of the method of sequence generation (RR, 2.78; 95% CI, 1.78-4.33), participant flow (RR, 8.06; 95% CI, 4.10-15.83), and total CONSORT items (standardised mean difference, 3.67 items; 95% CI, 2.09-5.25) were improved after adoption of CONSORT by the journal. CONCLUSIONS: Journal adoption of CONSORT is associated with improved reporting of RCTs.

Editorial Policies↗

An updated checklist of the mosquitoes of New Jersey.

The last checklist of New Jersey mosquitoes was published in 1983 and contained 59 species from 10 genera. Since that time 4 additional species have been collected in New Jersey: Aedes thibaulti, Aedes infirmatus, Aedes aegypti, and Aedes albopictus. Aedes aegypti was not able to overwinter and is not part of New Jersey's mosquito fauna. As a result, the addition of 3 species brings the updated checklist of New Jersey mosquitoes to 62.

Aedes↗

A world checklist of genera, subgenera, and species of ticks (Acari: Ixodida) published from 1973-1997.

Researchers on ticks and tickborne diseases have been extremely fortunate in having at their fingertips the tick bibliographies produced by Harry Hoogstraal and his coworkers at the U.S. Naval facility at Cairo, Egypt, and by Mildred Doss and her colleagues at the U.S. Department of Agriculture laboratory at Beltsville, Maryland, USA. The Doss checklist of tick families, genera, species, and subspecies is now 25 years out of date, and the following checklist of one new genus, nine new subgenera, and 110 new species of Ixodida brings together the nomenclature on ticks produced during the last quarter century.

Animals↗

[A checklist of the mosquitoes (fam. Culicidae) in the European part of Russia].

The checklist of the European Russia Culicidae is presented for the first time in Russian literature. It includes 64 species. The distribution in Russia of 4 from 64 listed species (Culiseta fumipennis, Aedes rusticus, Ae. cretinus, Ae. aegypti) is doubtful. The classification and valid species names are listed according to the Catalog of the Mosquitoes of the World (Knight, Stone, 1977) and its supplements (Knight, 1978; Ward, 1984; 1992; Gaffigan, Ward, 1985), with the exceptions of 4 species. These species (Aedes duplex, Ae. pulchritarsis, Ae. rossicus, Ae. schtakelbergi) are regarded in comments to the checklist.

Animals↗

[HACCP (Hazard Analysis and Critical Point system) at a catering service: checklist and microbiological examination].

The A.A. carried out a survey on the functioning of a catering service in Rome. The risk analysis assessment was performed by means of a checklist that collected systematically all data about the environment, the operators, the food and the catering process. The results of the microbiological analysis carried out in the CCP's showed that the general conditions of the catering service were not satisfactory, but also indicated the validity of the checklist used. This method showed a high predictive value and can be useful to improve the application of the HACCP system.

Clostridium↗

Practising physician's knowledge and patterns of practice regarding the asplenic state: the need for improved education and a practical checklist.

OBJECTIVE: To examine physicians' knowledge and actions regarding the asplenic state and to develop a practical checklist to aid in the systematic education and management of asplenic patients. DESIGN: A prospective cohort survey utilizing an experienced nurse practitioner and a survey questionnaire with on-site interviews. SETTING: The Okanagan Valley, British Columbia. SUBJECTS: A cohort of 122 physicians serving a population base of 350,000. MAIN OUTCOME MEASURES: Beliefs and practices relating to vaccination and precautions necessary for adult and pediatric splenectomized patients. PRINCIPAL RESULTS: The majority of physicians appeared to be knowledgeable about potential conditions affecting splenic function, except in the case of severe liver disease with portal hypertension and collagen vascular disease. There appeared to be good understanding on the part of most physicians of the risks associated with various infectious diseases and the asplenic state, except in the case of Capnocytophaga canimorsus infection linked to dog bites and the increased susceptibility of asplenic patients to intraerythrocytic parasites. Although a majority of physicians were cognizant of the need for pneumococcal vaccination and other immunizations in adults, there was marked uncertainty in relation to the need and the appropriate time interval for revaccination. In the case of children there appeared to be uncertainty regarding the role of antibiotic prophylaxis. There were discrepancies between physicians' expressed attitudes and the actions actually taken for asplenic patients in individual practices. CONCLUSIONS: Further education is required concerning the management of asplenic patients. The systematic use of a practical checklist may facilitate this process.

Adult↗

Mapping a method for systematically reviewing the medical literature: a helpful checklist postmortem protocol of human immunodeficiency virus (HIV)-related pathology in childhood.

INTRODUCTION: Since the first description of two children affected with human immunodeficiency virus (HIV), various diagnostic procedures have been established. However, the morphologic study of biopsy and autopsy material from children with acquired immunodeficiency syndrome (AIDS) is still of fundamental importance. The morphology has contributed remarkably to the progress in understanding the pathogenesis of the primary tissue lesions and of the sequelae directly or indirectly associated with HIV infection. The aim of this study was to evaluate the HIV pathology in pediatric AIDS (PAIDS) through a systematic review of the English-language literature and to draw up a practical checklist protocol for the postmortem. MATERIALS AND METHODS: Information on HIV pathology in childhood was retrieved from a MEDLINE search (January 1994-January 2001) of the original reports and bibliographic article reviews published in English. Citations from papers retrieved were screened and retrieved papers were evaluated. RESULTS: Based on the screened data, we propose a practical, organ-oriented checklist protocol for the postmortem according to the HIV pathogenesis. CONCLUSIONS: Evidence-based medicine is a paradigm now exerting increasing influence in related fields such as surgery, general practice, psychiatry, and pathology. This article is a summary of the literature on PAIDS pathology. The protocol that we propose is particularly useful for pediatric pathology programs and for electronic data processing.

Acquired Immunodeficiency Syndrome↗

Health economic evaluations using decision analytic modeling. Principles and practices--utilization of a checklist to their development and appraisal.

OBJECTIVES: Decision analytic modeling allows a rational, feasible, scientific, and timely approach to measure the efficiency of new medical technologies in health care by using the best available evidence of different sources to produce detailed estimates of the clinical and economic consequences of different healthcare interventions. The aim of this article has been twofold: first, to state the benefit, usefulness, and limitations of decision analytic modeling; and second, to propose a list of steps that should be considered when carrying out this sort of analysis in order to increase its credibility and validity for medical decision making. METHODS: After having read the published literature about decision analytic models, a checklist was created, listing the paramount items and points that should always be followed when carrying out disease modeling. RESULTS: A checklist with 3 items and steps to be taken was drawn up to ensure that all important methodologic aspects are considered when performing and assessing decision analytic modeling, thereby constituting a standard guide to good modeling practices. In addition, a set of limitations inherent to the use of decision analytic models is also contemplated, along with a list of recommendations increasing their validity and utility. CONCLUSIONS: Health economic assessments will continue to be an important tool for the correct allocation of resources, and disease analytic modeling will be a potentially invaluable tool in assisting decision makers in this task.

Cost-Benefit Analysis↗

Reliability and validity of behavior problem checklists as measures of stable traits in low birth weight, premature preschoolers.

Mothers, teachers, and assistant teachers completed the Richman Behavior Checklist (BCL) at ages 2 and 3 years and the Achenbach Child Behavior Checklist for Ages 2-3 (CBCL 2-3) at 3 years for a large sample of low birth weight, premature children. Interinstrument correlations for total scores were moderate, higher for teachers and assistant teachers than for mothers, with moderate temporal stability for BCL scores. Interrater agreement for either total scores or classifications of clinically significant scores was moderately high between teachers and assistant teachers only, and children identified as disturbed by mothers versus teachers represent almost nonoverlapping groups. Furthermore, many more children were identified as disturbed using the BCL. The most powerful predictors of mothers' total CBCL 2-3 scores were HOME Inventory scores and self-reported depression. The use of these scales in clinical and research contexts is discussed.

Child Behavior Disorders↗

Open cavities in cholesteatoma surgery: checklist for proper surgery and perioperative care.

Decisions in cholesteatoma surgery regarding open versus closed techniques are based on the extent of the cholesteatoma, the degree of pneumatization of the middle ear and mastoid and the integrity of the remaining mucosa following complete resection of all disease. Checklists regarding handling of the soft tissues, drilling of the temporal bone with complete exenteration of the tympanomastoid air cell tracts, lowering of the facial ridge, partial obliteration of the cavity and meatoplasty and postoperative care are presented. Adhering to these checklists should enable every otologic surgeon to perform a safe open cavity and to end up with a dry, mostly self-cleaning cavity.

Cholesteatoma, Middle Ear↗