Academic literature on the topic 'Start back screening tool'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Start back screening tool.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "Start back screening tool"
1
Traeger, Adrian, and James H. McAuley. "STarT Back Screening Tool." Journal of Physiotherapy 59, no. 2 (June 2013): 131. http://dx.doi.org/10.1016/s1836-9553(13)70170-x.
Full text
2
Hasan, Md Israt, and Syed Mozaffar Ahmed. "Translation, cross-cultural adaptation and validation of English start back screening tool into Bangla for patients with low back pain." Bangabandhu Sheikh Mujib Medical University Journal 13, no. 3 (September 19, 2020): 73–78. http://dx.doi.org/10.3329/bsmmuj.v13i3.49265.
Full textAbstract:
This study was intended to translate and culturally adapt the STarT back screening tool to produce an equivalent Bangla version. Total 58 patients with low back pain completed the newly developed Bangla version of STarT back screening tool and Bangla version of Ronald Morris Disability Questionnaire seven days apart. Reliability was assessed by internal consistency (Chronbach’s alpha for overall score 0.81 and for spychosocial subscale was 0.76) and test-retest reliability (intraclass correlation coefficient for overall score was 0.78 and for spychosocial subscale was 0.71). Reliability of Bangla version of STarT back screening tool was very good. Pearson’s correlation coefficient was carried out on the Bangla version of STarT back screening tool and Bangla version of RMDQ to assess construct validity (overall score was 0.88 and spychosocial subscale score was 0.83) which indicate a strong correlation between them. This study shows that the Bangla version of STarT back screening tool is a reliable, valid and culturally adapted responsive screening tool for the patients with low back pain.
3
Fuhro, Fernanda Ferreira, Felipe Ribeiro Cabral Fagundes, Ana Carolina Taccolini Manzoni, Leonardo Oliveira Pena Costa, and Cristina Maria Nunes Cabral. "Örebro Musculoskeletal Pain Screening Questionnaire Short-Form and STarT Back Screening Tool." SPINE 41, no. 15 (August 2016): E931—E936. http://dx.doi.org/10.1097/brs.0000000000001415.
Full text
4
Pilz, Bruna, Rodrigo A. Vasconcelos, Paulo P. Teixeira, Wilson Mello, Freddy B. Marcondes, Jonathan C. Hill, and Débora B. Grossi. "Construct and discriminant validity of STarT Back Screening Tool – Brazilian version." Brazilian Journal of Physical Therapy 21, no. 1 (January 2017): 69–73. http://dx.doi.org/10.1016/j.bjpt.2016.12.006.
Full text
5
Betten, Carola, Christofer Sandell, Jonathan C. Hill, and Annelie Gutke. "Cross-cultural adaptation and validation of the Swedish STarT Back Screening Tool." European Journal of Physiotherapy 17, no. 1 (January 2, 2015): 29–36. http://dx.doi.org/10.3109/21679169.2014.1003962.
Full text
6
Aebischer, Bernhard, Jonathan C. Hill, Roger Hilfiker, and Sven Karstens. "German Translation and Cross-Cultural Adaptation of the STarT Back Screening Tool." PLOS ONE 10, no. 7 (July 10, 2015): e0132068. http://dx.doi.org/10.1371/journal.pone.0132068.
Full text
7
Morsø, Lars, Hanne Albert, Peter Kent, Claus Manniche, and Jonathan Hill. "Translation and discriminative validation of the STarT Back Screening Tool into Danish." European Spine Journal 20, no. 12 (July 19, 2011): 2166–73. http://dx.doi.org/10.1007/s00586-011-1911-6.
Full text
8
Butera, Katie A., Trevor A. Lentz, Jason M. Beneciuk, and Steven Z. George. "Preliminary Evaluation of a Modified STarT Back Screening Tool Across Different Musculoskeletal Pain Conditions." Physical Therapy 96, no. 8 (August 1, 2016): 1251–61. http://dx.doi.org/10.2522/ptj.20150377.
Full textAbstract:
Abstract Background The STarT Back Screening Tool is a validated multidimensional screening measure and risk stratification tool for people with low back pain. Objective The study objective was to compare relationships between a modified STarT Back Screening Tool (mSBT) and clinical and psychological measures in people with low back, neck, shoulder, and knee pain. The hypothesis was that the relationships between mSBT scores and clinical and psychological measure scores would be similar across the included musculoskeletal pain conditions. Design A cross-sectional, secondary analysis was done in this study. Methods Participants with low back (n=118), neck (n=92), shoulder (n=106), or knee (n=111) pain were recruited, and an mSBT was developed for use across the pain conditions. Separate hierarchical linear regression models were developed, with clinical (health status, pain intensity, and disability) and psychological (kinesiophobia, catastrophizing, fear avoidance, anxiety, depressive symptoms, and self-efficacy) measures as dependent variables. Demographic and pain region variables were entered in the first step, mSBT scores were entered in the second step, and pain region × mSBT interactions were entered in the last step. Results In the final models, no interactions were identified, suggesting that dependent measure scores did not differ by pain region. The strongest contributor for all dependent variables was mSBT scores (β=|0.32|–|0.68|); higher mSBT scores were associated with poorer health status and self-efficacy and with higher levels of pain intensity, disability, kinesiophobia, catastrophizing, fear avoidance, anxiety, and depressive symptoms. Limitations Generalizability was restricted to physical therapy outpatients with the included pain conditions. The mSBT used in this study is not ready for clinical implementation. Conclusions The results of this study support the feasibility of using a single measure for concise risk assessment across different musculoskeletal pain conditions. Further longitudinal studies are needed to better direct the clinical use of an mSBT in people with low back, neck, shoulder, and knee pain.
9
Billis, Evdokia, Konstantinos Fousekis, Maria Tsekoura, Sofia Lampropoulou, Charalampos Matzaroglou, John Gliatis, Christos Sinopidis, Jonathan Hill, and Nikolaos Strimpakos. "Cross-cultural validation of the start back screening tool in a Greek low back pain sample." Musculoskeletal Science and Practice 53 (June 2021): 102352. http://dx.doi.org/10.1016/j.msksp.2021.102352.
Full text
10
Gusi, Narcís, Borja del Pozo-Cruz, Pedro R. Olivares, Miguel Hernández-Mocholi, and Jonathan C. Hill. "The Spanish version of the “STarT Back Screening Tool” (SBST) in different subgroups." Atención Primaria 43, no. 7 (July 2011): 356–61. http://dx.doi.org/10.1016/j.aprim.2010.05.019.
Full textDissertations / Theses on the topic "Start back screening tool"
1
Gustavsson, Johan. "Investigation of validity for the STarT Back Screening Tool : – A Systematic Review." Thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-64164.
Full textAbstract:
Background: Non-specific low back pain is a growing problem in society. No treatment have shown satisfying results to reduce pain or disability for patients with non-specific low back pain, and 1-18% of these patients develop chronic low back pain. STarT Back Screening Tool (SBST) is an instrument for sub grouping patients with non-specific low back pain into low, medium or high risk of developing chronic low back pain and then modifying the treatment after the different needs of every patient. The purpose of this study was to do a systematic review, investigating validation of the SBST to evaluate the justification of its use by clinicians. Method: Pubmed, Cinahl and Medline was searched in February 2017 for studies investigating criterion validity, construct validity and content validity of the SBST. The author (JG) assessed risk of bias and extracted relevant data following the procedures of PRISMA-statement. Result: 15 articles were identified for inclusion in the review. 8 articles investigated criterion validity, 11 articles investigated construct validity and 1 article investigated content validity. Predictive validity showed heterogeneous statistical analysis and varying results, a narrative result was presented that showed marginal benefits for the use of SBST for prediction of future outcome. Concurrent validity was measured with Spearman’s rank correlation coefficient in all investigated articles, showing results between 0.34-0.802. Discriminant validity was measured with Area under the curve analysis in all articles, scoring between 0.69-0.92. Convergent validity showed a Pearson’s correlation between 0.708-0.811 and a Spearman’s rank correlation between 0.35-0.74. Conclusion: Because of heterogeneity of the results it is not possible to draw conclusive conclusions. However, results tend to show limited evidence for the use of SBST as a predictive instrument for patients with non-specific low back pain.
2
Pelaio, Bruna Pilz Moraes. "Versão Brasileira do STarT Back Screening Tool - tradução, adaptação transcultural, confiabilidade e validade de construto." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/17/17152/tde-18122014-115402/.
Full textAbstract:
Fatores psicossociais não são rotineiramente identificados na avaliação fisioterapêutica e podem influenciar no prognóstico de pacientes com dor lombar. O questionário STarT Back Screening Tool (SBST) foi criado para distinguir subgrupos dentre pacientes com dor lombar em relação ao prognóstico no tratamento considerando fatores físicos e psicossociais, classificando-os em baixo, médio e alto risco de mau prognóstico. Objetivo: Traduzir e adaptar transculturalmente o SBST para Língua Portuguesa do Brasil, testar a confiabilidade e validade de construto. Métodos: A primeira etapa consistiu na tradução, síntese, retro-tradução, revisão pelo grupo de tradução, pré-teste e avaliação dos documentos pelo Comitê. A versão pré-final foi aplicada em duas amostras de 52 pacientes cada, com dor lombar, ambos os sexos, idade acima de 18 anos e níveis educacionais variados. Para verificação da confiabilidade intra-avaliador, foram realizadas duas entrevistas em outra amostra de 50 pacientes, e os resultados analisados pelo Kappa ponderado quadrado. Também foram calculados a consistência interna usando de Cronbach (n=105), o erro padrão da medida (n=50) e a validade de construto (n=151), correlacionando o SBST-Brasil com as versões brasileiras do Oswestry Disability Index (ODI), Rolland Morris (Brasil- RM) e Fear Avoidance Beliefs Questionnaire para trabalho (FABQ-Work) e atividade física (FABQ-Phys). Resultados: O consenso foi atingido nas etapas de tradução e retrotradução, apenas o item 6 não foi compreendido e depois de reformulado foi reaplicado em outros 52 pacientes que não tiveram mais dúvida. A confiabilidade foi considerada substancial (0,79 - 95% IC 0,63 0,95), a consistência interna aceitável (0,74 pontuação total e 0,72 da subescala psicossocial), e o valor do erro de padrão da medida muito bom (1,9%). Em relação à validação, a pontuação total do SBST- Brasil mostrou alta correlação com o Brasil-RM (r=0,61), moderada correlação com o ODI (r = 0,56) e FABQ-Work (r=0,3) e fraca correlação com o FABQ-Phys (r = 0,18). Já a subescala psicossocial mostrou correlação moderada com o Brasil-RM (r =0,49) e ODI (r =0,47) e fraca correlação com o FABQ-Work (r =0,24) e FABQ-Phys (r =0,21). Além disso, a estratificação dos grupos de risco do SBST-Brasil foi compatível com os valores de classificação do ODI, Brasil-RM e FABQ-Phys para risco de mau prognóstico. Conclusão: O SBST-Brasil mostrou-se confiável e válido para avaliar a influência de fatores psicossociais em pacientes com dor lombar.Psychosocial factors are not usually identified on physiotherapy assessment, what influences on low back pain prognosis. The questionnaire STarT Back Screening Tool\" (SBST) was created to identify patients with potentially treatment modifiable prognostic influenced by physical and psychosocial indicators which are relevant to initial decision making, classifying them into low, medium and high risk categories. Aim: Translation and cross-culturally adaptation of the SBST into Brazilian-Portuguese, assess its reliability and construct validity. Methods: The translation and cross-cultural adaptation process involved the steps of Translation, Synthesis, Back-translation, Committee Revision, Pretesting and Submission the documents to the Committee. The pre-final version was applied to two samples of 52 patients each, with low back pain, both sexes, aged over 18 years, from different education levels. After that, two interviews assessed intra-rater reliability on a different sample of 50 patients, and the quadratic weighted Kappa was used for statistical analysis. The Cronbach´s alpha was also calculated for internal consistency (n=105), standard error measurement (n=50) and construct validity (n=151) analyzing the correlation between the SBST-Brasil and the Brazilian version of Oswestry Disability Index (ODI), Rolland Morris (Brasil- RM) and Fear Avoidance Beliefs Questionnaire for work (FABQ-Work) and physical activity (FABQ-Phys). Results: Consensus was found on translations and back-translations processes, and only the item 6, which patients had some difficulty in understanding, was reviewed and re-applied to 52 additional subjects with no difficulties being reported. The reliability was classified as substantial (0.79 - 95% CI 0.63 0.95), the internal consistency acceptable (0.74 for total score and 0.72 for psychosocial subscale score) and a very good standard measurement error (1.9%). The correlation between the SBST-Brasil total score and Brasil- RM was high (r =0.61), moderate with ODI (r = 0.56) and with FABQ-Work (r = 0.3), and low correlation with FABQ-Phys (r = 0,18). Moderate correlation was found with SBST psychosocial subscale score and Brasil-RM (r = 0.49), also with ODI (r = 0.47), and low correlation with FABQ-Work (r = 0.24) and FABQ-Phys (r = 0.21). After that, the stratification of SBST-Brasil risk groups was compatible with ODI, Brasil-RM and FABQPhys classification for risk of poor prognosis. Conclusion: The SBST-Brasil has shown a reliable and valid tool to screen and identify low back pain patients influenced by psychosocial factors.
3
Hill, Jonathan. "Identifying subgroups among patients with low back pain in primary care: Evaluating the STarT Back Tool." Thesis, Keele University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.491699.
Full textAbstract:
Background: Identification of low back pain subgroups has been highlighted as a .priority for secondary prevention of persistent problems in primary care. The aim of this PhD was to develop and evaluate a new clinical tool (called the STarT Back Tool) to allocate patients with back pain into initial treatment subgroups based on treatmentmodifiable prpgnostic indicators. Methods: The setting was, UK primary care adults consulting with non-specific pack ··pain:Constructs that were independent prognostic indicators for persistence were identified from secondary analysis of 2 existing cohorts and published literature and single screening questions identified. Psychometric properties of the tool, including concli.rrent and discriminant validity, internal consistency, repeatabili~y, were assessed . within a 'development' cohort (n=131) and tool score cut-offs established to enable alloc~tion to three subgrOlJPs ('low', 'medium' and 'high' risk). Predictive and ext~rnal . validity were evaluated within an 'independent external' cohort (n=500). The tool was . compared to an existing musculoskeletal screening tool (Orebro Musr:;uloskeletal Pain Screening Questionnaire) and to clinical acumen using video taped clinical interviews, . reviewed by primary care clinical-experts. Finally, the practical application of the tool was tested in. a pilot study and demonstrated to be feasible and acceptable to both . patients and clinicians. Results: The Tool included nine items: referred leg pain; comorbid pain; disability (two items); bothersomeness; catastr~phising; fear; anxiety, and depression. The latter 5 items were identified as a psychosocial subscale. The Tool demonstrated good reliability and validity and was acceptable to patients and clinicians. Conclusions: Identifying treatment subgroups with distinct clinical characteristics among patients in primary care presenting wi.th low back pain is pospible and feas'ible in clinical practic~. The tool shows potential for enabling early targeted interventions for the prevention of persistent disabling back problems.
4
Tobin, Derek. "An RCT comparison of advice versus usual care in low back pain patients classified as low risk with the start-back tool." Thesis, Glasgow Caledonian University, 2017. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.726788.
Full text
5
Borges, Elisabete Pinto. "Omissão de prescrição de fármacos na população idosa da Beira Interior." Master's thesis, Universidade da Beira Interior, 2010. http://hdl.handle.net/10400.6/754.
Full textAbstract:
Introdução: Os problemas relacionados com medicação (PRMs) são frequentes nos idosos e na maioria dos casos evitáveis. Diversos estudos identificam a prescrição excessiva e/ou inapropriada de medicamentos como causas de PRMs, contudo os estudos sobre omissões de medicação considerada benéfica são escassos.
Objectivo: Quantificar e caracterizar eventuais omissões de prescrição na população idosa internada com doença aguda, utilizando os critérios START (Secreening Tool to Alert Doctors to The Right Treatement) e analisando a utilidade destes na sua detecção e prevenção precoces.
Métodos: Realizou-se um estudo observacional descritivo, na Unidade de Acidentes Vasculares Cerebrais (UAVC) do Centro Hospitalar da Cova da Beira (CHCB). Os processos clínicos de todos os doentes idosos (idade> 65 anos) internados entre 1 de Outubro e 31 de Dezembro de 2009 forma revistos e os critérios START aplicados à medicação nos momentos de admissão e alta clínica.
Resultados: Durante o período de estudo foram admitidos na UAVC 56 doentes idosos. No momento de internamento detectaram-se 67 omissões de prescrição em 66.1% dos idosos (média 1,26 omissões por doente), que em 77,61% (n=52) dos casos foram corrigidas no momento de alta. Nos doentes medicados com 5 ou mais medicamentos diários detectaram-se omissões de prescrição à admissão em 81,0% dos casos. Em 11 doentes, 15 omissões detectadas à entrada, permaneciam por corrigir e em 3 doentes registaram-se 3 novas omissões de prescrição.
Os critérios START identificaram, tanto na entrada hospitalar como na alta clínica, omissões de prescrição sobretudo de medicação do sistema cardiovascular e do sistema endócrino.
Conclusões: A omissão de fármacos em idosos admitidos no hospital com doença aguda é frequente. Os critérios START revelaram-se um instrumento útil de validação da prescrição farmacológica, de acordo com a evidência das normas de orientação clínica actuais, sobretudo em termos de prevenção cardiovascular.Introduction: Drugs related problems (DRPs) are common in elderly patients, the majority being preventable. Several studies identify excessive and/or inappropriate prescribing as major causes of DRPs; however, there are few epidemiological studies about prescribing omissions. Goals: To quantify and characterize prescribing omissions in elderly people hospitalized with acute disease, using START (Screening Tool to Alert Doctors to the Right Treatment) criteria. Methods: A descriptive observational study was conducted in the Stroke Unity of the “Centro Hospitalar da Cova da Beira (CHCB)”. Medical records from elderly patients (age> 65 years) admitted between October and December 2009 were consulted and the START criteria applied to data on prescribed medicines. Results: Our study included 56 elderly in-patients. We detected 67 prescribing omissions in 66.1% of elderly (average of 1.26 omissions by patient); from which 77,61% (n=52) were corrected. Prescribing omissions were also detected in 81.0% of Patients taking 5 or more medications simultaneously. In 11 patients, 15 omissions detected at hospital admission were not corrected and in 3 patients, 3 new prescribing omission were detected. Conclusions: The prevalence of prescribing omission in acutely-ill hospitalized elderly patients is high. START criteria are a useful, evidence-based, instrument to validate essential drug therapy, particularly in relation to cardiovascular disease prevention.
6
Martins, Vera Lúcia Ferreira. "Contributo para a validação do STarT Back 9-item Screening Tool para a População Portuguesa com Dor Lombar." Master's thesis, 2020. http://hdl.handle.net/10400.26/35667.
Full textAbstract:
INTRODUÇÃO: A maioria dos pacientes com dor lombar (DL) têm DL não específica. A elevada incidência e prevalência de DL promove a necessidade de identificar os fatores de prognóstico para o desenvolvimento de dor crónica. O STarT Back 9-item Screening Tool (SBST) surgiu da necessidade de criar um instrumento de medida adequado para estratificar o tratamento destes pacientes. A versão portuguesa do SBST obteve, previamente, equivalência à original e fiabilidade provadas.
OBJECTIVO: Contribuir para a validação psicométrica deste instrumento de medida, através do estudo da consistência interna e validade de constructo – discriminativa e convergente, para a população Portuguesa com DL não específica que recorre aos cuidados de saúde primários em Portugal.
METODOLOGIA: Estudo observacional transversal, de natureza metodológica, com base numa amostra populacional de pacientes pertencentes a 7 Unidades de Saúde Familiar do Agrupamento de Centros de Saúde da Arrábida. Os participantes elegíveis foram diagnosticados com DL, com 18-65 anos de idade que sabiam ler e escrever Português de Portugal, excluindo todos os pacientes com DL de origem específica, que tivessem realizado cirurgia lombar recentemente e mulheres grávidas ou até 6 meses após o parto. Os participantes completaram as versões portuguesas do SBST, do Roland Morris Disability Questionnaire, da EuroQol-5D e da Escala Numérica da Dor.
RESULTADOS: O SBST-PT apresentou uma consistência interna de 0,673 e 0,544 para a pontuação total e subescala psicossocial, respetivamente, sem redundância de itens e correlação moderada destes com as pontuações do instrumento. Apresentou uma validade de constructo discriminativa aceitável a excelente (Área debaixo da Curva de 0,841 comparado com o RMDQ-PT e 0,741 comparado com a END). Demonstrou uma correlação positiva e significativa moderada entre a média das pontuações (total e da subescala psicossocial, respetivamente) do SBST-PT e a média das pontuações do RMDQ (r=0,672) e END (r=0,479; r=0,440) e uma correlação negativa e significativa baixa a moderada na relação com a EQ-5D (r=-0,533; r=-0,483).
CONCLUSÕES: O SBST-PT é um instrumento confiável e válido para o seu propósito.INTRODUCTION: Most patients with low back pain (LBP) have non-specific LBP. The high incidence and prevalence of LBP highlights the need to identify the prognostic factors that lead to chronic pain. The STarT Back 9-item Screening Tool was developed from the importance to create an appropriate outcome measure for the treatment stratification of these patients. The Portuguese version of the SBST had previously proved reliability and equivalence to the original version. OBJECTIVE: Contribute to the psychometric validation of this outcome measure, by studying the internal consistency and construct validity – discriminative and concurrent, for the Portuguese population with non-specific LBP in the primary care of Portugal. METODOLOGY: Observational cross-sectional study, of methodologic nature, based on a populational sample of patients from 7 primary care centres. All included participants were diagnosed with LBP, were 18-65 years old and able to ready and write in Portuguese from Portugal, excluding all the patients with specific LBP, that had recent lumbar surgery and pregnant women/6 months post- partum. The participants completed the Portuguese versions of the SBST, Roland Morris Disability Questionnaire, Euro-Qol-5D and the Numeric Rating Scale. RESULTS: The SBST-PT had internal consistency values of 0,673 and 0,544 for the total and psychological subscale scores, respectively, without item redundancy and moderate correlation between the items and the outcome measure scores. Showed an acceptable to excellent discriminative construct validity (Area under the Curve of 0,841 compared to the RMDQ-PT and 0,741 compared to the END). Demonstrated a moderate positive and significative correlation between the scores means (total and of the psychological subscale, respectively) of the SBST-PT and the scores means of the RMDQ (r=0,672) and NRS (r=0,479; r=0,440), and a low to moderate negative and significative correlation compared to the EQ-5D (r=- 0,533; r=-0,483). CONCLUSION: The SBST-PT is a reliable and valid outcome measure for its purpose.
Books on the topic "Start back screening tool"
1
Lal, Mira. Women’s psychosomatic health promotion and the biopsychosociocultural nexus. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0008.
Full textAbstract:
Chapter 8 discusses the promotion of women's psychosomatic health by prevention or early treatment of cancer and obesity. Health providers have to consider the biological, psychological, social, and cultural factors that alter psychosomatic interactions to generate these health conditions. Primary/secondary prevention need more emphasis than tertiary prevention or treatment. The transition of normal cervical epithelium to cervical-intraepithelial neoplasia (CIN), and the progression of CIN 2/3 to cancer is preventable. Two-thirds of patients with CIN have HPV infection. Cervical screening allows astute clinical decision-making as CIN could revert back to normal epithelium. Colposcopically-directed early treatment of CIN 2/3 is a secondary preventive measure. Cervical screening has reduced cervical cancer in the West but organised screening is unavailable in low-middle income countries where cervical cancer is common. Sociocultural practices promote unsafe sex, such as when minors in these countries acquire HPV infection through marriage to an older infected male or when women/adolescents are war victims. Inebriated party-goers may acquire HPV infection through unsafe sex. HPV vaccines protect against 70% of carcinogenic HPV strains only. Serious adverse effects after vaccination are uncommon. Barrier contraception prevents HPV, and other sexually transmitted diseases. Obesity increases the risk of endometrial cancer. Type-1 endometrial cancer relates to obesity and starts at a younger age, unlike type-2. Obesity also affects fertility. Transgenerational changes in the fetus of the obese gravida can promote obese offspring. Bariatric surgery for obesity is however expensive, with a potential for complications. WHO directives thus advise on prevention of obesity, and the overweight habitus. Primary prevention of obesity through lifestyle changes should start in childhood.
2
Dunlop, Aline-Wendy. The child’s curriculum as a gift: Opening up the early-level curriculum in Scotland. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198747109.003.0012.
Full textAbstract:
Many countries worldwide benefit from a long tradition of early childhood education, some serving the years from birth to seven or eight years old. Determined to provide out-of-home experiences for children before school start, this costly exercise has led to review of location, staffing, pedagogical approaches, and curriculum, while advocating ‘the best interests of the child’. Curriculum reform has often been used as an educational policy tool. There have been shifts in the roles and responsibilities of early educators and consequently in early childhood practices nationally and internationally. The long Scottish early childhood tradition provides a context in which to consider how an understanding of the child’s curriculum may be a gift to ensure an enlightened early childhood educational policy and curriculum interpretation at the beginning of the twenty-first century. By looking back, we can begin to look forward.
Book chapters on the topic "Start back screening tool"
1
Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith. "Confusion." In Oxford Cases in Medicine and Surgery. Oxford University Press, 2015. http://dx.doi.org/10.1093/oso/9780198716228.003.0008.
Full textAbstract:
• Delirium: an acute impairment in cognitive ability together with impaired consciousness. • Dementia: a chronic, progressive impairment in cognitive ability but with intact consciousness. Note that this is different from delirium and that you cannot diagnose dementia from a single mental status assessment. • Mental impairment: a permanent impairment in cognitive ability. • Psychosis: the patient may not be confused, but have a disorder of thought content/perception (e.g. delusions and/or hallucinations). • Receptive dysphasia: the patient may have difficulties comprehending your questions (e.g. due to damage to Wernicke’s area of the brain). • Expressive dysphasia: the patient may be cognitively intact but have difficulties verbalizing an answer to your questions (e.g. due to damage to Broca’s area of the brain). Note that these syndromes may coexist in patients, particularly delirium and dementia which are both very common. Remember to start by checking the patient’s airway, breathing, and circulation (ABC) and whether they are in any pain that requires analgesia. To work out what type of confusion this is, you should start by conducting a quick screen of confusion because if the patient does poorly in your screen, taking a conventional history may prove unhelpful. For example, you may ask: • Are they oriented to time, place, and person? Can they tell you why they are here? The Abbreviated Mental Test Score (AMTS; see Box 2.1) is a simple 10-question screening tool for assessing confusion where a score of less than 6/10 indicates cognitive impairment. An alternative is the 30-question Mini Mental State Exam (MMSE), where a score of less than 26/30 indicates cognitive impairment. Be aware that there are many other scoring systems in routine use, such as the Confusion Assessment Method (CAM), Montreal Cognitive Assessment (MoCA), etc. • If their ability to converse is impaired, can they follow a three-step command? Can they name three common objects? These questions test for receptive and expressive dysphasia respectively. It will be fairly obvious early in your interaction with the patient whether either of these questions is relevant (they do not need to be asked routinely). • Other symptoms? Are they in pain? (even the most confused patient will complain of pain). You should also ask about breathlessness, cough, and urinary symptoms as a chest or urinary tract infection (UTI) is often the cause of confusion.
2
Pournelle, Jerry. "Basic Troubleshooting." In 1001 Computer Words You Need to Know. Oxford University Press, 2004. http://dx.doi.org/10.1093/oso/9780195167757.003.0009.
Full textAbstract:
Is your computer a little problematic? Slowing down? And you’re not ready to call in expert help? Try these tricks. As always, back up important data first. 1. A surprising number of computer problems—inexplicable system crashes, random program shutdowns, “not enough memory” errors—are caused by faulty RAM chips. These errors are normally hard to diagnose by yourself, but on Windows, the free program Memtest86 (http://www.mem test86.com) makes it easy. On Macintosh OS 9, use RAM Check 2.1, which can be downloaded at http://ftp.traffictrak.com/RAMCheck21.sit or http://download.digidesign.com/support/digi/mac/utilities/ RMCheck210.sea.hqx(.) You can also try Techtool Pro for OS 9 or OS X. 2. Four big demons of computers are dust, heat, moisture, and static. You can take some preventive measures, like covering your CPU and monitor when they’re not in use and protecting your computer by drinking your coffee away from the computer, but demons will strike no matter what you do, and they manifest their presence in odd ways. The most common is disk corruption, which shows up as disappearing or corrupt files and folders. Regular disk maintenance is important to keep these demons at bay. The most well-known tool for repairing disk drives is Norton Utilities (http://www.symantec.com), which is included in Norton System Works. You can use it to diagnose and fix already corrupt files, but it is most useful for preventive maintenance. Using these utilities to optimize or defragment your hard drive on a regular basis makes individual files as contiguous as possible, which can increase the speed at which files and programs are opened. However, Norton Utilities can sometimes cause problems of its own, particularly on older computers, if it is installed to run in the background. If you open System Works and click on Options, Norton Utilities, and then the Startup tab, you can uncheck the boxes that would instruct the program to start whenever you boot up. Then it’s up to you to decide how often you need to activate it, perhaps somewhere between once a week and once a month.
Conference papers on the topic "Start back screening tool"
1
Ahmed, Sohail, Reinhard Leithner, Guenter Kosyna, and Detlev Wulff. "Controlling and Monitoring Tool for Reliable and Optimal Operation of Boiler Feed Water Pump." In ASME 2009 Fluids Engineering Division Summer Meeting. ASMEDC, 2009. http://dx.doi.org/10.1115/fedsm2009-78111.
Full textAbstract:
Challenges of operational safety and reliability as well as optimal operation of boiler feed water pump define the requirement of a competent and efficient controlling as well as monitoring tool. The monitoring module of this tool should effectively record the life time consumption of both casings and rotors and also monitor the small gaps between casings and rotors. The controlling module of this tool should ensure the safety and reliability during the operation of the boiler feed water pump based on the feed back from the monitoring module and also should take appropriate actions in order to ensure that the pump operates within the allowable design limits. This tool could enable operators to start up the boiler feed water pump without any unnecessary waiting period and change load rapidly without causing any damage or any life consumption rate getting increased. In this research paper, the methodology of such a tool is explained, having monitoring as well as controlling modules. Similar monitoring and controlling tools, as presented in the paper, can be applied to all turbomachines e.g. gas turbines, steam turbines, compressors etc.
2
Shamsunder, Saritha, Kavita Agarwal, Archana Mishra, and Sunita Malik. "Sample survey of cancer awareness in health care workers." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685266.
Full textAbstract:
Objective: To see the awareness about cancer in women among ASHA workers. Place of Study: Awareness Sessions at Safdarjung Hospital, New Delhi. Background: ASHA workers are the first point of contact for women in the community & bridge the back between the hospital and women. They have been instrumental in the success of the family planning programme & polio eradication program in India. Materials and Methods: A questionnaire about educational status, awareness about breast & cervical cancer statistics, methods of screening and diagnosis was distributed to Accredited Social Health Activists appointed by the government at two educational sessions organized at Safdarjung hospital. Results: Of the 200 ASHA workers attending, 188 completed the questionnaire. Their educational status ranged from 7th standard to post-graduate, majority had studied up to 10th standard. Their sources of information were mostly television and mobile phones, 23% had knowledge about internet, 36% were using Whats app. Only 28% knew about the commonest cancer in Indian women. Regarding breast cancer, 63% were aware of self examination of breasts, 41% knew the frequency of self examination; awareness about symptoms of breast cancer was prevalent in 46%, 24% knew about risk factors of breast cancer. Regarding Cervical Cancer, 28% knew about risk factors, 22% knew about symptoms of cervical cancer; 19% knew about screening methods for cervical cancer, 9.5% knew the screening intervals. Conclusion: Health education about cancer prevention should start at the primary school level. Special educational & motivational sessions for ASHA workers could help in cancer prevention programs.
3
Akhtar, M. Wasy. "Advanced Thermal Measures of Vascular Reactivity." In ASME 2017 Heat Transfer Summer Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/ht2017-4887.
Full textAbstract:
New measures of Digital Thermal Monitoring (DTM), a low cost non-invasive tool to assess vascular health, are developed. Original measures of thermal vascular reactivity tend to be dependent upon the initial vascular state (such as temperature before occlusion). The objective of this study is to identify new measures that will provide a single independent predictor of vascular health. Full three dimensional simulations were carried out to simulate transient finger tip temperature response during brachial occlusion and reperfusion. These numerical results were validated with patient data and then used to simulate a variety of test cases and discern relationships between the thermal measure and the surge in flow rate (reactive hyperemia). Defining the zero-reactivity response as the response to a step change in flow rate from near zero back to the original steady state value before occlusion, a reference signal is constructed which accounts for the finger size, thermo-physical properties, external environment and the start temperature (initial vascular state). This reference is used to normalize the temperature reactivity, forming a new measure called adjusted temperature reactivity that is a function of reactive hyperemia only. It is independent of the initial vascular state and external environment, leading to a more robust and reliable measure of vascular health.
4
La Sorda, Enrico, Francesco Pucci, Benjamin Mauries, Birgitte Storheim, and Giorgio Arcangeletti. "Innovative Energy Storage Concept for Saipem Offshore Wind2Sub™ Application." In Offshore Technology Conference. OTC, 2021. http://dx.doi.org/10.4043/31220-ms.
Full textAbstract:
Abstract Reducing CO2 emissions is becoming one of the core targets for countries after the Paris agreement, which sets out a global framework to avoid dangerous climate change by limiting global warming to below 2°C and pursuing efforts to limit it to 1.5°C. To meet this objective also oil and gas operators have started to engage in an important effort to reduce the CO2 emissions in their plants and facilities. From this perspective Saipem developed its Wind2Sub, a Wind Power for Long Subsea Tie-Back (LSSTB) concept, where its own pendular floating foundation solution, namely Hexafloat, can host a wind turbine generator (WTG), all the utilities needed for subsea field development and operation (power distribution, chemical storage and injection, control system) and a back-up energy system to compensate the intermittent production due to wind persistence, currently a diesel generator (DG). The present paper will explore new solutions to ensure the continuity of the energy supply from Saipem Wins2Sub, based on green technologies. This may be done by collecting the generated surplus energy from a renewable energy system, in this case from WTG to a topside or subsea power storage. By adopting an Energy Storage System (ESS), it will be possible to use this energy when production from wind is low or null. This concept will replace the diesel generators, or any carbon fuel, so that the whole system will become green self-sustaining, as an energy island, without CO2 emissions. The activities performed during the concept development are articulated through the following steps: a selection of two typical oil field scenarios where Wind2Sub solution can be applicable; screening of the current technologies to store energy and a selection of those viable to the two selected scenarios; wind conditions and WTG power analysis with estimation of the amount of the energy to be stored; preliminary design of the ESS; preliminary cost estimation. The study was carried out by using a digital tool developed by Moss Maritime in the context of a Proof of Concept based on Floating energy storage. The tool allows to evaluate the feasibility of a solution through modellization of different renewable energy scenarios, demand profiles, simulation of operation, pre-sizing of the systems and cost estimation (LCOE, LCOS, LCOH). The ESS combined with Saipem Wind2Sub will be described more thoroughly in the present paper through the explanation of the results achieved within the case studies.
5
Oh, Jae-Wook, Hsin-Yu Kuo, Kevin Meyer, Roger Lindle, Howard Weaver, and Jun Ni. "Chip Rebonding in Dry Turning of Nickel Based Alloys." In ASME 2009 International Manufacturing Science and Engineering Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/msec2009-84375.
Full textAbstract:
At some cutting conditions chips formed during high-speed face turning of nickel based alloys are re-bonded to the machined workpiece surface, even when coolant is applied. Unfortunately, chip-rebonding reduces surface quality, which leads to a shorter fatigue lives for machined parts. Although several researchers have documented this phenomenon and its effects, the root causes of this phenomenon is currently unknown. In order to determine the root causes of chip rebonding, past test samples exhibiting chip rebonding were first analyzed. Metallographic analysis revealed that the chip rebonding material is the same as the workpiece material and that the bonding is mechanically driven. Next, screening design of experiments (DOE) were completed to reliably reproduce chip rebonding in dry cutting cases. Chip rebonding detection and severity were measured using multiple equally spaced surface roughness measurements (Rt parameter). In addition, in-process cutting forces and tool wear measurements were recorded and compared. Finally Taguchi methods were applied to identify the key variables their influence on chip-rebonding. In dry cutting tests it was found that decreasing feed-rate while cutting at a constant cutting speed is the most influential factor in obtaining chip rebonding. High-speed video revealed that at lower feed-rates the chip curls back to the surface of workpiece, while at higher feed-rates the chip flows away from the cutting region with minimal curl. Additional testing performed verifies this theory.
6
Cocchi, Stefano, Michele Provenzale, Valerio Cinti, Luciano Carrai, Stefano Sigali, and Davide Cappetti. "Experimental Characterization of a Hydrogen Fuelled Combustor With Reduced NOx Emissions for a 10 MW Class Gas Turbine." In ASME Turbo Expo 2008: Power for Land, Sea, and Air. ASMEDC, 2008. http://dx.doi.org/10.1115/gt2008-51271.
Full textAbstract:
In the frame of a research project launched in 2006 (partly funded by Regione Veneto, a local institution in the North-East of Italy), ENEL and Nuovo Pignone are developing an innovative “zero emission” gas turbine cycle suitable for power generation. The gas turbine, a GE10-1 model, is manufactured by Nuovo Pignone and will be installed at ENEL’s coal-fired Fusina power plant, near Venice. The turbine, rated for 11 MWe, is equipped with a diffusive flame combustor and is suitable for operation with 100% hydrogen as main fuel over the entire load range. Hydrogen is available at Fusina site as by-product of petrochemical plants. Natural gas will be used as start-up and back-up fuel, and NOx emission abatement will be achieved by means of steam injection. Load operation will be possible with hydrogen only, with methane or hydrogen-methane mixtures (in case of reduced availability of hydrogen) and with or without steam injection. In order to support the combustion system’s design, experimental activities have been carried over a prototypical combustor, installed on a combustion test rig at ENEL’s experimental facility, located in Sesta (Tuscany). The test rig has been upgraded in order to permit full-scale combustor operation. Tests have been planned with the aim of providing a complete screening of combustion system’s sensitivity to minor hardware modification (three different burners and two different liners, designed for diffusive combustion, have been available) and operating conditions (sensitivity to cycle parameters and effect of steam injection). Special instrumentations have been installed for a detailed monitoring of hot parts’ metal temperature, combustion-driven pressure oscillations and pollutant emissions. A water-cooled camera has been installed for direct flame visualization. The experimental campaign is still on-going and only the default combustor configuration has been tested so far. However, collected results indicate safe combustor operation in both hydrogen and methane combustion mode: metal temperatures have never exceeded warning limits and pressure pulsation have been extremely quiet. NOx emission during hydrogen operation in dry combustion mode have been proven to be roughly 3 times higher than in dry methane combustion mode. Steam injection has been proven to be effective in reducing NOx emissions down to contractual values. Additional efforts are in progress to obtain a further reduction of emission level. Finally, experimental results have been processed in order to set up a simple NOx emissions’ model, accounting for NOx production in any possible operating mode.
7
Taksaudom, Pongpak, Tim Kelly, Atisuda Meeteerawat, David Carter, Kannappan Swaminathan, Aymeric Lozet, Chee Seong Tan, et al. "First Autonomous Inflow Control Device AICD Deployment in Wassana Field." In IADC/SPE Asia Pacific Drilling Technology Conference. SPE, 2021. http://dx.doi.org/10.2118/201083-ms.
Full textAbstract:
Abstract Wassana oil field is located in the Gulf of Thailand with shallow water depth at approximately 60m. A major challenge is excessive water production which reduces reserves recovery and increases costs associated with produced water handling. The target reservoir is ~20ft thick with active aquifer support. The low oil/ water mobility ratio due to high oil viscosity (≥ 30cp) risks early water coning and high watercuts. All horizontal wells drilled in the Wassana field during the initial development and the first infill campaign were completed as non-ICD openhole standalone screen. For the second infill campaign, the non-ICD simulation showed water breakthrough occurring at the start of production. Once breakthrough occurs, water production rapidly dominates production prompting premature shut-in of production, leaving much unrecovered oil behind. To overcome this problem, Autonomous Inflow Control Devices (AICDs) were introduced to control the production influx profile across the entire horizontal section to delay water coning and to significantly choke back water production when it occurs. With intensive pre-drilled AICD modeling using 3D dynamic time lapse simulation, two wells in the second infill campaign were subsequently chosen to be completed with a configuration of zonal AICDs isolated by swell packers. This design enables isolation across horizontal reservoir section with high water production in tandem with compartmentalization across the contrasting permeability region. Once water breakthrough occurs, the unique autonomous ability of the cyclonic AICD is triggered by exploiting the physics of rotational flow of the vortex-inducing pressure drop principle through a restrictive funnel-type flow-path in a tool with no moving parts. The low viscosity of both water and gas phase promotes higher rotational velocity inducing higher pressure drop or back-pressure of inflow vortex breakdown towards the inlet into the tubing flow, thus helping to further reduce the influx contribution of the high water producing sections. Essentially, the higher watercut zones flowing through the device is restricted more rigorously compared to the oil-prone zones. Both wells were successfully drilled and completed with AICDs in February 2019. Based on actual and early-production history-matched performance, these 2 pilot AICD wells are projecting an improved cumulative oil production gain of up to +7% over 5 years of production. The reduction or delay of water production can benefit the field both in enhancing oil recovery and water handling cost saving.
8
Zander, Andre´, and Carsten Janning. "The NPP Leibstadt Program for the Prevention of Piping Degradation Due to Flow-Accelerated Corrosion Phenomena." In ASME 2009 Pressure Vessels and Piping Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/pvp2009-77763.
Full textAbstract:
Safety-related aspects and the targeted high availability of the power plant as well as the requirements stipulated by Swiss regulatory authorities prompted the operator of NPP Leibstadt (KKL) to introduce a procedure for the early identification of susceptible piping sections and components due to flow-accelerated material degradation mechanism. Flow-accelerated corrosion (FAC) is a degradation process resulting in wall thinning of piping, vessels, heat exchanger and further equipment made of carbon and low alloy steel. The FAC degradation mechanism occurs only locally under specific condition of flow, water chemistry, temperature and materials applied. In order to deal with the flow-accelerated corrosion issue, the NPP Leibstadt (KKL) adopted the computer code COMSY for the preparation of targeted wall thickness inspection programs. In a first step a systematic screening procedure was applied with the intension to reliably identify system areas which may be subject to a flow-accelerated corrosion attack. For system areas sensitive to degradation a detailed lifetime analysis was performed for individual piping elements. Based on the predicted service life, elements were prioritized for inspection programs. The results of examination were fed back to further optimization of the lifetime predictions. Due to systematic approach applied, a significant gain of knowledge be achieved regarding the impact of FAC on a plant-wide basis. The combination of predictions, the measured data and other inspection results (e.g. visual examinations) are used to prepare a catalog of weak points. The weak-point catalog is thus a tool for as-is information and inspection of piping systems / components. It serves to optimize the condition-oriented planning of future measures and inspections and will be revised and updated on an annual basis.
9
Sun, Jason, and Paul Jukes. "From Installation to Operation: A Full-Scale Finite Element Modeling of Deep-Water Pipe-in-Pipe System." In ASME 2009 28th International Conference on Ocean, Offshore and Arctic Engineering. ASMEDC, 2009. http://dx.doi.org/10.1115/omae2009-79519.
Full textAbstract:
Developments of deep water oil reservoirs are presently being considered in the Gulf of Mexico (GoM). Pipe-in-Pipe (PIP) systems are widely used and planned as the tie-back flowline for high pressure and high temperature production (HPHT) due to their exceptional thermal insulation capabilities. The installation of PIP flowline in deep water, disregarding the laying method, can present real challenges because of the PIP string weight. The effect of the lowering displacement as well as the lock-in compressive load acting on the inner pipe for the commonly used un-bonded PIP is also a major concern. Such effects will enhance the total flowline compression when the high temperature and high pressure are applied after start-up; they greatly increase the severity of the global buckling and result in local plastic collapse at a larger bending curvature section or strain localization area. An even greater concern is that industry fails to realize the seriousness of such failure potential, and the PIP is generally treated as a composite single pipe which does not evaluate the PIP load response correctly, especially the inner pipe lock-in compression omitted. It could result in an unsafe design for HPHT production. This paper endeavors to provide a trustworthy solution for the HPHT PIP systems from installation to operation by using the advanced analysis tool — “Simulator”, an ABAQUS based in-house Finite Element Analysis (FEA) engine. “Simulator” allows the PIP pipes being modeled individually with realistic interaction between the pipes. A systematic process was introduced by using a generic deep-water PIP flowline as a working example of J-Lay installation and HPHT production. The load and stress responses of the PIP at all installation stages were calculated with a high level of accuracy, they were then included in the global buckling analysis for the HPHT operation. The study demonstrated the effectiveness of Loadshare, an industry-leading solution; which reduces or eliminates the inner pipe lock-in compression and improves the PIP compressive load capacity for the high temperature operation.
10
Heaney, Frank, Mikhail Mayorov, and John Savage. "Digital Slickline: Case Studies Highlighting Impact of Real-Time Slickline and Efficiency Improvements Compared to Traditional Slickline & E-Line Interventions." In SPE/ICoTA Well Intervention Conference and Exhibition. SPE, 2021. http://dx.doi.org/10.2118/204447-ms.
Full textAbstract:
Abstract Digital Slickline (DSL) using radio frequency (RF) communications has been deployed in the field since late 2016 and has completed more than 600 jobs, and 2000 runs globally. Several papers have been published outlining how DSL has been deployed for eline replacement services such as perforating, explosive and non-explosive plug setting, production logging, and various other services. What has been less discussed are the efficiencies with surface readout (SRO) downhole data during typical slickline (SL) interventions where jarring is the prominent feature. RF DSL was introduced to the market in late 2016, and since this time, the split between SL and eline replacement services has been relatively consistent at 60/40. The separation isn't unreasonable as most interventions start as SL to prepare the well, move to a diagnostic or well repair phase, and close-out with SL to bring the well back onto production. Case histories presented will outline how SRO in-situ data give operations confidence tasks were completed as planned on gas lift change-outs and non-typical functions like a smart hole finder for leak detection. Today, we have an adequate sample size to validate the efficiency improvements deploying RF DSL compared to the traditional SL/eline intervention model. The one rig up setup off a small footprint slickline unit has proven to save multiple hours depending on the intervention complexity, and the number of eline rig up & rig down sequences eliminated. As the technology gains acceptance, the tool portfolio has continuously expanded, and we have started to leverage opportunities on traditional slickline services to minimize deferred production. Efficiency savings are well documented, but the paper will also detail the polymer-coated cable performance, with focus on breaking strength, corrosive parameters, wellbore fluid compatibility and new critical performance indicators completed before each job. We will close out by summarizing some of the newer technologies that will continue the improved efficiency theme.
Reports on the topic "Start back screening tool"
1
Childs, John D. Validation of the STarT Back Tool in the Military Health System. Fort Belvoir, VA: Defense Technical Information Center, March 2014. http://dx.doi.org/10.21236/ada613235.
Full text