Objective The present retrospective study was to explore the clinical value of Six-Item Screener （SIS）, which is constituted by 6 items from mini-mental status examination （MMSE）, to identify cognitive impairment....Objective The present retrospective study was to explore the clinical value of Six-Item Screener （SIS）, which is constituted by 6 items from mini-mental status examination （MMSE）, to identify cognitive impairment. Methods A total number of 1976 patients aged over 50 years, from the Memory Clinic of Huashan Hospital were employed in a battery of neuropsychological tests including MMSE. Subjects with severe conditions, unable to cooperate, or having been previously enrolled, were excluded from this study. The employed subjects were divided into 3 groups： subjective memory complaints （SMCs） （475 cases）, patients with mild cognitive impairment （MCI） （440 cases）, and patients with Alzheimer＇s disease （AD） （1061 cases, including 555 mild, 339 moderate, and 167 severe）. A total score of MMSE and a score of SIS composed of date, month, year, three-word delayed recall from MMSE were calculated. Data were analyzed based on educational background. Results The cut-off of SIS score was 〈 2 for illiterate, 〈 3 for elementary, and 〈 4 for junior high school or above. The sensitivity and specificity of SIS for detecting mild AD were 88.5% and 78.3%, respectively, with an overall accuracy of 83.8%, while for detecting MCI, the sensitivity and specificity were 34.3% and 90.1%, respectively, with an overall accuracy of 63.2%. Conclusion SIS is an effective and reliable instrument for dementia detection in outpatient department. However, it has limited value for MCI identification.展开更多
To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals...To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.展开更多
Fuel economy regulations have been issued in many countries to save energy,and it is one of the most essential performance requirements for Passenger Car Motor Oil(PCMO) this decade.The performance is also important t...Fuel economy regulations have been issued in many countries to save energy,and it is one of the most essential performance requirements for Passenger Car Motor Oil(PCMO) this decade.The performance is also important to reduce green house gas(GHG) emissions.Automotive,Oil and Additive industries have been developing fuel economy tests in fired engine for PCMO.The ASTM 5 Car test was started in 1982 and ASTM Sequence Ⅵ series test was also developed by the industries as one of fuel economy tests after the 5 Car test.However,the fired engine(combustion) test condition is more complicated and the combustion mode in engine introduce high variability into a fuel economy measurement.Screening by bench testing is complicated by the difficulty to reproduce friction conditions of all of engine parts.Based on the background,a motored engine friction torque test(MEFT) was developed as one of the solutions for fuel economy screening test.Using a newly developed MEFT,key additive chemistries were evaluated and compared in the test,and it distinguished the differences in additive chemistries,in addition to those in viscosity and friction modifiers.The Sequence Ⅵ-D FEI 1(Seq.Ⅵ-D FEI 1) and chassis dynamometer vehicle tests were also conducted in this study,and the test data has shown an excellent correlation among MEFT,Seq.Ⅵ-D FEI 1 and chassis dynamometer vehicle tests.展开更多
Behavioral health concerns are surging in pediatric practices.Fortunately,integrated behavioral/medical health clinics are growing and child psychiatrists/psychologists are increasingly embedded in these care settings...Behavioral health concerns are surging in pediatric practices.Fortunately,integrated behavioral/medical health clinics are growing and child psychiatrists/psychologists are increasingly embedded in these care settings to help shoulder the clinical load.Routine screening of behavioral health problems in primary care facilities enables early identification and treatment.However,deciding on sound,efficient,and scalable screening measures is sometimes arduous.Accordingly,this article presents a clinician-friendly review of three common instruments useful in screening pediatric behavioral health concerns including anxiety,depression,and conduct problems.Psychometric findings and clinical applications of the Pediatric Symptom Checklist-17(PSC-17),the Patient Health Questionnaire-9(PHQ-9),and the Screen for Child Anxiety Related Emotional Disorders(SCARED)are delineated.Finally,clinical implications and recommendations for practicing pediatricians and child psychiatrists are offered.展开更多
文摘Objective The present retrospective study was to explore the clinical value of Six-Item Screener （SIS）, which is constituted by 6 items from mini-mental status examination （MMSE）, to identify cognitive impairment. Methods A total number of 1976 patients aged over 50 years, from the Memory Clinic of Huashan Hospital were employed in a battery of neuropsychological tests including MMSE. Subjects with severe conditions, unable to cooperate, or having been previously enrolled, were excluded from this study. The employed subjects were divided into 3 groups： subjective memory complaints （SMCs） （475 cases）, patients with mild cognitive impairment （MCI） （440 cases）, and patients with Alzheimer＇s disease （AD） （1061 cases, including 555 mild, 339 moderate, and 167 severe）. A total score of MMSE and a score of SIS composed of date, month, year, three-word delayed recall from MMSE were calculated. Data were analyzed based on educational background. Results The cut-off of SIS score was 〈 2 for illiterate, 〈 3 for elementary, and 〈 4 for junior high school or above. The sensitivity and specificity of SIS for detecting mild AD were 88.5% and 78.3%, respectively, with an overall accuracy of 83.8%, while for detecting MCI, the sensitivity and specificity were 34.3% and 90.1%, respectively, with an overall accuracy of 63.2%. Conclusion SIS is an effective and reliable instrument for dementia detection in outpatient department. However, it has limited value for MCI identification.
文摘To identify missing childhood Tuberculosis (TB) cases, “screeners” (hospital-based health workers trained to screen accompanying contacts of TB patients for symptoms) were introduced in eight tertiary care hospitals of Sindh, Pakistan in 2013. There was a 55% increase in childhood TB notifications in 2014 compared to 2012 in facilities with screeners (n = 8) compared to 40% increase in facilities without screeners (n = 22). This apparent association disappeared when stratified by presence of “trained pediatrician” whose introduction was associated with a massive increase in notifications while transfer was associated with a marked decrease. In conclusion, screeners were not associated with increase in pediatric TB case notifications.
文摘Fuel economy regulations have been issued in many countries to save energy,and it is one of the most essential performance requirements for Passenger Car Motor Oil(PCMO) this decade.The performance is also important to reduce green house gas(GHG) emissions.Automotive,Oil and Additive industries have been developing fuel economy tests in fired engine for PCMO.The ASTM 5 Car test was started in 1982 and ASTM Sequence Ⅵ series test was also developed by the industries as one of fuel economy tests after the 5 Car test.However,the fired engine(combustion) test condition is more complicated and the combustion mode in engine introduce high variability into a fuel economy measurement.Screening by bench testing is complicated by the difficulty to reproduce friction conditions of all of engine parts.Based on the background,a motored engine friction torque test(MEFT) was developed as one of the solutions for fuel economy screening test.Using a newly developed MEFT,key additive chemistries were evaluated and compared in the test,and it distinguished the differences in additive chemistries,in addition to those in viscosity and friction modifiers.The Sequence Ⅵ-D FEI 1(Seq.Ⅵ-D FEI 1) and chassis dynamometer vehicle tests were also conducted in this study,and the test data has shown an excellent correlation among MEFT,Seq.Ⅵ-D FEI 1 and chassis dynamometer vehicle tests.
文摘Behavioral health concerns are surging in pediatric practices.Fortunately,integrated behavioral/medical health clinics are growing and child psychiatrists/psychologists are increasingly embedded in these care settings to help shoulder the clinical load.Routine screening of behavioral health problems in primary care facilities enables early identification and treatment.However,deciding on sound,efficient,and scalable screening measures is sometimes arduous.Accordingly,this article presents a clinician-friendly review of three common instruments useful in screening pediatric behavioral health concerns including anxiety,depression,and conduct problems.Psychometric findings and clinical applications of the Pediatric Symptom Checklist-17(PSC-17),the Patient Health Questionnaire-9(PHQ-9),and the Screen for Child Anxiety Related Emotional Disorders(SCARED)are delineated.Finally,clinical implications and recommendations for practicing pediatricians and child psychiatrists are offered.
