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Journal articles on the topic 'Symptom recognition'

Author: Grafiati

Published: 4 June 2021

Last updated: 13 February 2022

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1

Swedo, Susan E., Marjorie Garvey, Lisa Snider, Charlotte Hamilton, and Henrietta L. Leonard. "The PANDAS Subgroup: Recognition and Treatment." CNS Spectrums 6, no. 5 (November 2001): 419–26. http://dx.doi.org/10.1017/s1092852900021799.

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AbstractA subgroup of patients with childhood-onset obsessive-compulsive disorder (OCD) has been identified who share a common clinical course characterized by dramatic symptom exacerbations following Group A beta-hemolytic streptococcal (GABHS) infections. The term PANDAS has been applied to the subgroup, to indicate the postulated etiology of their symptoms: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections. Five clinical characteristics define the PANDAS subgroup: presence of OCD and/or tic disorder, prepubertal symptom onset, sudden onset or abrupt exacerbations (sawtooth course), association with neurological abnormalities (presence of adventitious movements or motoric hyperactivity during exacerbations), and temporal association between symptom exacerbations and GABHS infections. Post-streptococcal symptom exacerbations are typically quite dramatic, with patients reporting that their symptoms “…came on overnight” or “…appeared all of a sudden a few days after I had a sore throat.” The post-streptococcal inflammatory nature of the neuropsychiatric symptoms provides novel opportunities for treatment and prevention, including immunomodulatory therapies such as therapeutic plasma exchange (TPE) and intravenous immunoglobulin (IVIG). A recently completed placebo-controlled trial revealed that both IVIG and TPE were effective in reducing neuropsychiatric symptom severity (40% to 55% reductions, respectively) for a group of severely ill children with OCD and/or tic disorders. Further research is required to determine why the treatments are helpful, as well as to ascertain whether or not antibiotic prophylaxis can help prevent post-streptococcal symptom exacerbations.

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White, Megan M., Jill Howie-Esquivel, and Mary A. Caldwell. "Improving Heart Failure Symptom Recognition." Journal of Cardiovascular Nursing 25, no. 1 (January 2010): 7–12. http://dx.doi.org/10.1097/jcn.0b013e3181b7af9e.

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3

Luan, Shenghua, Yujia Yang, Yuqi Huang, and Michelle McDowell. "Public knowledge of stroke and heart attack symptoms in China: a cross-sectional survey." BMJ Open 11, no. 1 (January 2021): e043220. http://dx.doi.org/10.1136/bmjopen-2020-043220.

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ObjectiveStroke and ischaemic heart disease have become the leading causes of death in China. We evaluated recognition of stroke and heart attack symptoms and stroke treatment-seeking behaviour in a large representative sample of the Chinese adult population and explored characteristics associated with recognition rates.DesignCross-sectional survey.SettingHousehold interviews.Participant3051 Chinese adults aged between 18 and 69 (50.7% female) were interviewed between January and March 2019.Primary and secondary outcome measuresPrimary measures include recognitions of stroke and heart attack symptoms and stroke treatment-seeking behaviour. Secondary measures include numeracy level, sociodemographics and prior history of cardiovascular diseases and high blood pressure.ResultsParticipants on average recognised 5.2 out of 14 stroke symptoms and 2.6 out of 6 heart attack symptoms. In the presence of stroke symptoms, three quarters of participants would take immediate action and call an ambulance, yet the second most common action was to advise the person to see a doctor (59%) rather than to consult a doctor immediately (34%). Recognition of atypical heartattack symptoms, such as nausea and feeling of anxiety, was poor. Symptom recognition rates were higher in females, people with a personal or family/friend history of cardiovascular events, those with higher numeracy scores, and for stroke symptoms, participants with high (versus low) education level. Furthermore, symptom recognition rate was negatively correlated with burden of cardiovascular diseases across the four economic regions of China.ConclusionRecognition of stroke and heart-attack symptoms was moderate and there remains a gap between recognising symptoms and taking immediate action. Interventions focusing on simple symptom detection tools and on building numerical competencies may help reduce the burden of cardiovascular diseases in China.

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LITHELL, M., C. BACKMAN, and Å. NYSTRÖM. "Pattern Recognition In Post-Traumatic Cold Intolerance." Journal of Hand Surgery 22, no. 6 (December 1997): 783–87. http://dx.doi.org/10.1016/s0266-7681(97)80448-2.

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The subjective symptoms called “post-traumatic cold intolerance” were analysed in a study of 40 patients with a history of digital trauma (amputation, neurovascular laceration, or comminuted fracture requiring surgical reconstruction). The patients were individually interviewed to obtain detailed information about perception of each symptom as well as the pattern of symptoms of posttraumatic cold intolerance. The study confirmed the high incidence of the condition and its potentially disabling nature. Although the individual symptoms described by the patients have a limited number of categories, the subjective expression of cold intolerance is too varied to allow an adequate definition or assessment to be based on any single symptom or group of symptoms.

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Tran, Phoebe, and Lam Tran. "Stroke and Heart Attack Symptom Recognition in Older US Adults by Cognitive Impairment Status." Neuroepidemiology 55, no. 3 (2021): 245–52. http://dx.doi.org/10.1159/000516343.

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<b><i>Introduction:</i></b> Cognitive impairment may make stroke and heart attack symptom recognition difficult, potentially resulting in treatment delays for those with these cardiovascular diseases (CVDs). Despite cognitive impairment affecting large numbers of older US adults who are also at increased risk of stroke and heart attack, little is known about stroke and heart attack symptom recognition in this population. As a result, this study sought to determine the impact of cognitive impairment on stroke and heart attack symptom recognition among older US adults. <b><i>Methods:</i></b> Using the 2014 and 2017 National Health Interview Surveys, we compared stroke and heart attack symptom recognition levels in US adults aged ≥65 years with cognitive impairment and those without cognitive impairment. Estimates of stroke and heart attack symptom recognition adjusted for CVD-related factors were assessed by cognitive impairment status. We also conducted analyses stratified by living arrangement and stroke and heart attack history for individuals with and without cognitive impairment. <b><i>Results:</i></b> US adults aged ≥65 years with cognitive impairment were observed to be 3.0–6.7% and 1.6–4.9%, respectively, less likely to recognize an individual stroke and heart attack symptom than similarly aged individuals without cognitive impairment. Recognition of all 5 stroke/heart attack symptoms was also lower among those with cognitive impairment, with this group being 9.7% less likely to recognize all stroke symptoms and 6.7% less likely to recognize all 5 heart attack symptoms compared to people without cognitive impairment. Following adjustment, individuals with cognitive impairment continued to have slightly lower recognition of certain individual stroke and heart attack symptoms as well as of all 5 symptoms of these conditions (stroke OR: 0.70 [95% CI: 0.58–0.85]; heart attack OR: 0.88 [95% CI: 0.75, 1.03]) than those without cognitive impairment. For individuals with cognitive impairment, living with others was linked with slightly better recognition of all individual stroke symptoms and heart attack history with better recognition of all individual heart attack symptoms. <b><i>Conclusions:</i></b> Additional work is needed to address the challenge of improving recognition levels for specific stroke and heart attack symptoms in older US adults with cognitive impairment and especially for members of this group who live alone.

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Selekman, Janice, and Eileen Malloy. "Difficulties in symptom recognition in infants." Journal of Pediatric Nursing 10, no. 2 (April 1995): 89–92. http://dx.doi.org/10.1016/s0882-5963(05)80003-x.

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7

Hunt, Tamerah N. "Video Educational Intervention Improves Reporting of Concussion and Symptom Recognition." Athletic Training Education Journal 10, no. 1 (January 1, 2015): 65–74. http://dx.doi.org/10.4085/100165.

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Context Concussion management is potentially complicated by the lack of reporting due to poor educational intervention in youth athletics. Objective Determine if a concussion-education video developed for high school athletes will increase the reporting of concussive injuries and symptom recognition in this group. Design Cross-sectional, between groups. Setting Athletes participating in South Carolina interscholastic athletics. Patients or Other Participants High school athletes (N = 68; males n = 42; females n = 26; mean age = 14.78 ± 1.38 years) participated in this study. The athletes were randomly assigned into 2 groups: concussion education (n = 34) and control (n = 34). Main Outcome Measures Participants were administered a survey before and after watching a video about concussion incidence, symptoms, and reporting conditions (intervention group) or a nutrition video (control group). Total symptom score and survey items served as dependent variables. Examination of group differences was performed through χ2 analyses and repeated-measures analysis of variance (ANOVA) calculations in SPSS 19.0 (SPSS Inc, Chicago, IL). Significance levels were set a priori at .05. Results Of all participants, 70.5% (48/68) reported not knowing the signs and symptoms of concussion before the study, and 26.5% (n = 18) reported having had at least 1 prior concussion. A statistically significant difference existed between those reporting having vs. not having knowledge of the signs and symptoms of concussion on total symptom score at baseline (t1,66 = 2.17, P = .038). Repeated-measures ANOVA calculated a statistically significant difference for concussion symptom recognition before and after the intervention (F1,66 = 7.47, P = .008) Conclusions A large percentage of high school athletes do not know the signs and symptoms of concussion. After an educational video, participants' symptom knowledge and previous concussions reported increased. Education of those involved in athletics using a standardized tool may increase reporting and aid in the assessment and management of concussion in this population.

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Kempnich, Clare L., Sophie C. Andrews, Fiona Fisher, Dana Wong, Nellie Georgiou-Karistianis, and Julie C. Stout. "Emotion Recognition Correlates With Social-Neuropsychiatric Dysfunction in Huntington’s Disease." Journal of the International Neuropsychological Society 24, no. 5 (December 28, 2017): 417–23. http://dx.doi.org/10.1017/s1355617717001308.

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AbstractObjectives: People with Huntington’s disease (HD) experience poor social quality of life, relationship breakdown, and social withdrawal, which are mediated to some extent by socially debilitating neuropsychiatric symptoms, such as apathy and disinhibition. Social cognitive symptoms, such as impaired emotion recognition, also occur in HD, however, the extent of their association with these socially debilitating neuropsychiatric symptoms is unknown. Our study examined the relationship between emotion recognition and symptom ratings of apathy and disinhibition in HD. Methods: Thirty-two people with premanifest or symptomatic-HD completed Part 1 of The Awareness of Social Inference Test (TASIT), which is a facial emotion recognition task. In addition, we obtained severity ratings for apathy and disinhibition on the Frontal Systems Behavior Scale (FrSBe) from a close family member. Our analyses used motor symptom severity as a proxy for disease progression. Results: Emotion recognition performance was significantly associated with family-ratings of apathy, above and beyond their shared association with disease severity. We found a similar pattern for disinhibition ratings, which fell short of statistical significance. As expected, worse emotion recognition performance was correlated with higher severity in FrSBe symptom ratings. Conclusions: Our findings suggest that emotion recognition abilities relate to key socially debilitating neuropsychiatric symptoms in HD. Our results help to understand the functional significance of emotion recognition impairments in HD, and may have implications for the development of remediation programs aimed at improving patients’ social quality of life. (JINS, 2018, 24, 417–423)

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Bahr, Raymond D. "Prodromal Symptom Recognition of a Heart Attack." Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 1, no. 3 (September 2002): 194–206. http://dx.doi.org/10.1097/00132577-200209000-00006.

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Riegel, Barbara, Victoria Vaughan Dickson, Janette Cameron, Jerry C. Johnson, Stephen Bunker, Karen Page, and Linda Worrall-Carter. "Symptom Recognition in Elders With Heart Failure." Journal of Nursing Scholarship 42, no. 1 (March 2010): 92–100. http://dx.doi.org/10.1111/j.1547-5069.2010.01333.x.

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Bahr, Raymond D. "Prodromal Symptom Recognition of a Heart Attack." Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 1, no. 3 (September 2002): 194–205. http://dx.doi.org/10.1097/01.hpc.0000026669.96329.01.

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Lee, Sang E., and Banghwa Lee Casado. "Assessment of Alzheimer’s Disease Symptom Recognition in Korean Americans and Psychometric Analysis of Alzheimer’s Disease Symptom Recognition Scale (ADSRS)." Journal of Gerontological Social Work 58, no. 3 (March 24, 2015): 289–305. http://dx.doi.org/10.1080/01634372.2015.1005785.

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13

Berrios, G. E., and E. Y. H. Chen. "Recognising Psychiatric Symptoms." British Journal of Psychiatry 163, no. 3 (September 1993): 308–14. http://dx.doi.org/10.1192/bjp.163.3.308.

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Current overemphasis on nosological diagnosis has led to a neglect of the process of symptom recognition. There is evidence, however, that the perception of the symptom alone does not guarantee symptom ascertainment since a decision-making component is also involved. To achieve the latter, additional information must be provided by the contextual cues implicit in the ongoing diagnostic hypothesis. Current diagnostic systems, however, still assume a two-stage model according to which symptom and disease recognition are independent cognitive events. This paper suggests that this model is inadequate and that descriptive psychopathology is nottransparent. It then describes a neural network simulation to make various aspects of the problem explicit. This takes into account the multidimensional and probabilistic aspects of symptom recognition and is, from this point of view, superior to traditional algorithmic models. It also has the capacity to represent the different cognitive styles involved in symptom recognition.

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Vuckovic, Karen M., Rebecca (Schuetz) Bierle, and Catherine J. Ryan. "Navigating Symptom Management in Heart Failure: The Crucial Role of the Critical Care Nurse." Critical Care Nurse 40, no. 2 (April 1, 2020): 55–63. http://dx.doi.org/10.4037/ccn2020685.

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High-acuity, progressive care, and critical care nurses often provide care for patients with heart failure during an exacerbation of acute disease or at the end of life. Identifying and managing heart failure symptoms is complex and requires early recognition and early intervention. Because symptoms of heart failure are not disease specific, patients may not respond to them appropriately, resulting in treatment delays. This article reviews the complexities and issues surrounding the patient’s ability to recognize heart failure symptoms and the critical care nurse’s role in facilitating early intervention. It outlines the many barriers to symptom recognition and response, including multimorbidities, age, symptom intensity, symptom escalation, and health literacy. The influence of self-care on heart failure management is also described. The critical care nurse plays a crucial role in teaching heart failure patients to identify and respond appropriately to their symptoms, thus promoting early intervention.

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Bower, Peter, Robert West, Andre Tylee, and Mark Hann. "Symptom attribution and the recognition of psychiatric morbidity." Journal of Psychosomatic Research 48, no. 2 (February 2000): 157–60. http://dx.doi.org/10.1016/s0022-3999(99)00099-9.

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Kurz, M. W., K. D. Kurz, and E. Farbu. "Acute ischemic stroke - from symptom recognition to thrombolysis." Acta Neurologica Scandinavica 127 (November 29, 2012): 57–64. http://dx.doi.org/10.1111/ane.12051.

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Shrestha, Merina, and Rena Shrestha. "Symptom Recognition to Diagnosis of Autism in Nepal." Journal of Autism and Developmental Disorders 44, no. 6 (November 29, 2013): 1483–85. http://dx.doi.org/10.1007/s10803-013-2005-6.

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Sakai, Mariko, Hiroaki Kazui, Kazue Shigenobu, Kenjiro Komori, Manabu Ikeda, and Takashi Nishikawa. "Gustatory Dysfunction as an Early Symptom of Semantic Dementia." Dementia and Geriatric Cognitive Disorders Extra 7, no. 3 (November 23, 2017): 395–405. http://dx.doi.org/10.1159/000481854.

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Objective: To investigate the gustatory function in patients with semantic dementia (SD). Methods: Detection and recognition thresholds of the 4 basic tastes (sweet, salty, sour, and bitter), taste discrimination, and taste identification were evaluated in 18 patients with SD, 18 patients with Alzheimer disease (AD), and 22 healthy controls. Results: Total detection and recognition threshold values were significantly higher in the SD and AD groups than in the control group. Patients with early-stage SD (Clinical Dementia Rating Scale score 0.5) exhibited significantly higher detection and recognition thresholds relative to controls, while increases in recognition threshold were only noted in patients with AD. Patients with SD exhibited significantly higher thresholds for the detection of sweet and salty tastes and the recognition of salty, sour, and bitter tastes, while patients with AD exhibited significantly higher thresholds only for the recognition of salty and sour tastes. Taste discrimination was preserved, whereas taste identification was disturbed, in both the SD and AD groups. Conclusions: Gustatory dysfunction at both the sensory and semantic levels may be among the early symptoms of SD. Although patients with SD had difficulty detecting sweet tastes, they more easily recognized these tastes than others, which may explain their strong preference for sweets.

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Kong, Fansen. "FUZZY INFORMATION COMBINATION METHOD OF CHATTER SYMPTOM EARLY RECOGNITION." Chinese Journal of Mechanical Engineering 40, no. 02 (2004): 108. http://dx.doi.org/10.3901/jme.2004.02.108.

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Kirk, Julienne K., Joseph G. Grzywacz, Christine Chapman, Thomas A. Arcury, Ronny A. Bell, Edward H. Ip, and Sara A. Quandt. "Blood Glucose Symptom Recognition: Perspectives of Older Rural Adults." Diabetes Educator 37, no. 3 (March 17, 2011): 363–69. http://dx.doi.org/10.1177/0145721711399156.

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Thapa, Ritesh. "Symptom Recognition and Diagnosis of Cerebral Palsy in Nepal." Journal of Autism and Developmental Disorders 47, no. 6 (March 15, 2017): 1739–48. http://dx.doi.org/10.1007/s10803-017-3090-8.

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Comparelli, Anna, Antonella De Carolis, Valentina Corigliano, Simone Di Pietro, Giada Trovini, Carla Granese, Silvia Romano, Daniele Serata, Stefano Ferracuti, and Paolo Girardi. "Symptom Correlates of Facial Emotion Recognition Impairment in Schizophrenia." Psychopathology 47, no. 1 (2014): 65–70. http://dx.doi.org/10.1159/000350453.

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Goodwin, Travis R., Ramon Maldonado, and Sanda M. Harabagiu. "Automatic recognition of symptom severity from psychiatric evaluation records." Journal of Biomedical Informatics 75 (November 2017): S71—S84. http://dx.doi.org/10.1016/j.jbi.2017.05.020.

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Freeman, Roy, Ben M. W. Illigens, Razvan Lapusca, Marta Campagnolo, Ahmad R. Abuzinadah, Istvan Bonyhay, Dong-In Sinn, Mitchell Miglis, Jeffrey White, and Christopher H. Gibbons. "Symptom Recognition Is Impaired in Patients With Orthostatic Hypotension." Hypertension 75, no. 5 (May 2020): 1325–32. http://dx.doi.org/10.1161/hypertensionaha.119.13619.

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Park, Jumin, Debra K. Moser, Kathleen Griffith, Jeffrey R. Harring, and Meg Johantgen. "Exploring Symptom Clusters in People With Heart Failure." Clinical Nursing Research 28, no. 2 (September 5, 2017): 165–81. http://dx.doi.org/10.1177/1054773817729606.

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Patients with heart failure (HF) experience multiple symptoms or symptom clusters. The purposes of this study were to (a) determine if distinct latent classes of HF symptoms could be identified, and (b) explore whether sociodemographic and clinical characteristics influenced symptom cluster membership. A total of 4,011 HF patients recruited from outpatient setting completed the Minnesota Living With Heart Failure Questionnaire (MLHFQ), including five physical symptoms (edema, shortness of breath, fatigue-increased need to rest, fatigue-low energy, and sleep difficulties) and three psychological symptoms (worrying, feeling depressed, and cognitive problems). Four distinct classes using latent class profile analysis were identified: low distress (Class 1), physical distress (Class 2), psychological distress (Class 3), and high distress (Class 4). Significant differences among the four latent classes were found for age, education level, and comorbidities. Symptom clusters are useful for recognition of HF symptoms, allowing for the development of strategies that target symptom groups.

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Goodman, Gail S., Christin M. Ogle, Stephanie D. Block, Latonya S. Harris, Rakel P. Larson, Else-Marie Augusti, Young Il Cho, Jonathan Beber, Susan Timmer, and Anthony Urquiza. "False memory for trauma-related Deese–Roediger–McDermott lists in adolescents and adults with histories of child sexual abuse." Development and Psychopathology 23, no. 2 (April 18, 2011): 423–38. http://dx.doi.org/10.1017/s0954579411000150.

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AbstractThe purpose of the present research was to examine Deese–Roediger–McDermott false memory for trauma-related and nontrauma-related lists in adolescents and adults with and without documented histories of child sexual abuse (CSA). Individual differences in psychopathology and adult attachment were also explored. Participants were administered free recall and recognition tests after hearing CSA, negative, neutral, and positive Deese–Roediger–McDermott lists. In free recall, CSA and negative lists produced the most false memory. In sharp contrast, for recognition, CSA lists enjoyed the highest d′ scores. CSA-group adolescents who evinced greater posttraumatic stress disorder (PTSD) symptoms had higher rates of false memory compared to (a) non-CSA group adolescents with higher PTSD symptom scores (free recall), and (b) CSA-group adolescents with lower PTSD symptom scores (recognition). Regression analyses revealed that individuals with higher PTSD scores and greater fearful-avoidant attachment tendencies showed less proficient memory monitoring for CSA lists. Implications for trauma and memory development and for translational research are discussed.

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Daly, Bobby, Kevin Nicholas, Dmitriy Gorenshteyn, Stefania Sokolowski, Lior Gazit, Lynn Adams, Jennie Matays, et al. "Misery Loves Company: Presenting Symptom Clusters to Urgent Care by Patients Receiving Antineoplastic Therapy." Journal of Oncology Practice 14, no. 8 (August 2018): e484-e495. http://dx.doi.org/10.1200/jop.18.00199.

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Purpose: The Centers for Medicare & Medicaid Services (CMS) identifies suboptimal management of treatment toxicities as a care gap and proposes the measurement of hospital performance on the basis of emergency department visits for 10 common symptoms. Current management strategies do not address symptom co-occurrence. Methods: We evaluated symptom co-occurrence in three patient cohorts that presented to a cancer hospital urgent care center in 2016. We examined both the CMS-identified symptoms and an expanded clinician-identified set defined as symptoms that could be safely managed in the outpatient setting if identified early and managed proactively. The cohorts included patients who presented with a CMS-defined symptom within 30 days of treatment, patients who presented within 30 days of treatment with a symptom from the expanded set, and patients who presented with a symptom from the expanded set within 30 days of treatment start. Symptom co-occurrence was measured by Jaccard index. A community detection algorithm was used to identify symptom clusters on the basis of a random walk process, and network visualizations were used to illustrate symptom dynamics. Results: There were 6,429 presentations in the CMS symptom-defined cohort. The network analysis identified two distinct symptom clusters centered around pain and fever. In the expanded symptom cohort, there were 5,731 visits and six symptom clusters centered around fever, emesis/nausea, fatigue, deep vein thrombosis, pain, and ascites. For patients who newly initiated treatment, there were 1,154 visits and four symptom clusters centered around fever, nausea/emesis, fatigue, and deep vein thrombosis. Conclusion: Uncontrolled symptoms are associated with unplanned acute care. Recognition of the complexity of symptom co-occurrence can drive improved management strategies.

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Mor, Vincent, Susan Masterson-Allen, Richard Goldberg, Edward Guadagnoli, and Margaret S. Wool. "Pre-diagnostic symptom recognition and help seeking among cancer patients." Journal of Community Health 15, no. 4 (August 1990): 253–66. http://dx.doi.org/10.1007/bf01350291.

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Kay, Melissa C., Johna K. Register-Mihalik, Cassie B. Ford, Richelle M. Williams, and Tamara C. Valovich McLeod. "Parents’ and Child’s Concussion History as Predictors of Parental Attitudes and Knowledge of Concussion Recognition and Response." Orthopaedic Journal of Sports Medicine 5, no. 12 (December 1, 2017): 232596711774237. http://dx.doi.org/10.1177/2325967117742370.

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Background: Parents’ knowledge of and attitudes toward concussions are often vital factors that affect care for injured adolescent athletes. It is important to understand the role that parents’ personal experiences with concussions play with regard to current concussion knowledge and attitudes so that clinicians may tailor their educational approaches. Purpose/Hypothesis: The purpose of this study was to determine an association between parents’ personal experiences and their child’s experiences with concussions as well as parental concussion knowledge and attitudes. We hypothesized that parents who have personally experienced symptoms or have a child who has experienced symptoms would have better knowledge and more favorable attitudes toward concussions. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Parents of youth sport athletes (N = 234 [82 male, 144 female, 8 unreported]; mean age, 44.0 ± 6.3 years) completed a prevalidated survey for concussion knowledge (maximum score possible, 29) and attitudes (maximum score possible, 49). Higher scores indicated better knowledge and more favorable attitudes toward concussive injuries. Parents reported the frequency of concussion diagnoses and/or experiences of concussion-related symptoms and whether their child had suffered a diagnosed concussion or experienced concussion symptoms (yes/no). Spearman rank correlation and multivariable regression were used to examine the association between experience of symptom clusters (self or child) and concussion knowledge and attitudes. Results: Knowledge was moderate (mean, 23.3 ± 2.5 of 29), while attitudes prioritized disclosure (mean, 46.3 ± 3.7 of 49). Parents’ experience of the sleep-arousal symptom cluster was positively associated with concussion attitudes ( r = 0.22, P = .002; β = –3.301, P = .011). Parents with children who experienced sleep-arousal and vestibular-somatic symptom clusters were weakly associated with parental concussion knowledge (sleep-arousal: r = 0.15, P = .041; vestibular-somatic: r = 0.17, P = .020; β = 0.540, P = .012). Conclusion: Our findings suggest that parents’ personal experiences with concussion-related symptoms have little effect on parental knowledge and attitudes as a whole. However, clinicians should consider particular symptom clusters that may provide insight into targets for future concussion education. According to these findings, parents of youth sport participants would benefit from increased concussion education focusing on the types of symptoms as well as the consequences of suffering a concussion.

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Vanessa Suárez-Salazar, Johanna, Ana Fresán-Orellana, and Ricardo Arturo Saracco-Álvarez. "Facial emotion recognition and its association with symptom severity, functionality, and cognitive impairment in schizophrenia: preliminary results." Salud mental 43, no. 3 (May 1, 2020): 105–12. http://dx.doi.org/10.17711/sm.0185-3325.2020.015.

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Introduction. There is evidence to suggest that individuals with schizophrenia have greater difficulty in recognizing facial emotions, which has been related to cognitive impairment and higher symptom severity in this disease and seems to lead to a worse functional prognosis. Objective. To determine the association between facial emotion recognition and symptom severity, functionality, and cognitive impairment in a sample of schizophrenic patients. Method. This is an observational, cross-sectional, and correlational study conducted on 72 patients. The following scales: PANSS, MOCA, ERI, and FACT-Sz were used to assess symptom severity in schizophrenia, cognitive functioning, facial emotion recognition, and functionality, respectively. The Pearson Correlation Coefficient was used to measure the linear association between all variables. Results. Overall, moderate symptom severity and mild cognitive and functional disability were found. The most frequently recognized emotion was joy (70%) and the least frequently recognized one was anger. A positive association was also found between anger recognition and severity of the PANSS cognitive subscale (r = - .24, p = .03), sadness recognition and severity of the PANSS negative subscale (r = - .24, p = .03), and the FACT-Sz score and fear recognition (r = .31, p = .008). Discussion and conclusion. The present study yields preliminary results that provide a broader perspective on facial emotion recognition and, indirectly, social interaction and functionality in people with schizophrenia.

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Davies, Hilary, Afrodita Marcu, Peter Vedsted, and Katriina L. Whitaker. "Is lower symptom recognition associated with socioeconomic inequalities in help-seeking for potential breast cancer symptoms?" Psycho-Oncology 27, no. 2 (October 19, 2017): 626–32. http://dx.doi.org/10.1002/pon.4557.

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Withycombe, Janice S., Maureen Haugen, Sue Zupanec, Catherine F. Macpherson, and Wendy Landier. "Consensus Recommendations From the Children’s Oncology Group Nursing Discipline’s State of the Science Symposium: Symptom Assessment During Childhood Cancer Treatment." Journal of Pediatric Oncology Nursing 36, no. 4 (July 2019): 294–99. http://dx.doi.org/10.1177/1043454219854983.

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Background: Recognizing and addressing illness-related distress has long been a priority for pediatric oncology nurses and the Children’s Oncology Group. Although symptoms are known to be highly prevalent during treatment for childhood cancer, there is currently no guidance for how often symptoms should be assessed, which symptoms should be prioritized for assessment, and how the data should be collected. Methods: The Nursing Discipline, within Children’s Oncology Group, hosted a one-day Interprofessional seminar titled “Symptom Assessment During Childhood Cancer Treatment: State of the Science Symposium.” Following the symposium, an expert panel was assembled to review all available evidence, including information presented and collected during the symposium. Consensus-building discussions were held to identify common themes and to produce recommendations for clinical practice. Results: Four recommendations emerged including (1) the identification of priority “core” symptoms for assessment; (2) inclusion of the child’s voice through self-report, when possible; (3) consistent documentation and communication of symptom assessment results; and (4) implementation of patient/family education related to symptoms. Discussion: Symptom recognition, through appropriate assessment, is the first step in symptom management. The goal for developing and sharing these recommendations is to promote consistent and comparable clinical practice across institutions in regard to symptom assessment during childhood cancer therapy. Integration of these recommendations will set the stage for future studies related to the frequency of symptoms across disease groups, projection of anticipated symptom trajectories, development of evidence-based teaching tools for common symptoms, and evaluation of patient outcomes with enhanced symptom assessment and management.

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Sousa, Joana Pereira, Cláudia Oliveira, and Miguel Pais-Vieira. "Symptom perception management education improves self-care in patients with heart failure." Work 69, no. 2 (June 24, 2021): 465–73. http://dx.doi.org/10.3233/wor-213491.

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BACKGROUND: Patients with heart failure often have difficulty recognizing signs and symptoms of the disease, which delays seeking help, and therefore interferes with patient engagement and self-care management. Early detection of these symptoms could lead to care-seeking and avoid hospitalizations. OBJECTIVE: The purpose of this study was to design a complex intervention through a systematic literature review and qualitative study. METHODS: Our design followed the Medical Research Council’s recommendations. To design a complex intervention, we combined a systematic literature review on education, symptom recognition, and self-care management in patients with heart failure, and semi-structured interviews with cardiology healthcare providers and patients with heart failure admitted to a cardiology ward. RESULTS: The systematic literature review identified 582 studies published between 2005 and 2014, of which four were included in the final review. These suggested that patient education focused on symptom recognition, combined with reinforcements, led to better self-care behaviors. Additionally, content analysis of semi-structured interviews revealed three themes: health management, behavior management, and support received. CONCLUSIONS: Combining the findings of the literature review and the themes that emerged from the semi-structured interviews, we proposed the development and implementation of a complex intervention on symptom perception and fluid management.

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Palmeri, Rosanna, Viviana Lo Buono, Lilla Bonanno, Cettina Allone, Nancy Drago, Chiara Sorbera, Vincenzo Cimino, Giuseppe di Lorenzo, Alessia Bramanti, and Silvia Marino. "Impaired Recognition of Facial Emotion in Patients With Parkinson Disease Under Dopamine Therapy." Journal of Geriatric Psychiatry and Neurology 33, no. 5 (October 21, 2019): 265–71. http://dx.doi.org/10.1177/0891988719882094.

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Introduction: Parkinson disease (PD) is a neurodegenerative disorder characterized by motor and nonmotor symptoms. The impaired ability to recognize facial emotion expressions represents an important nonmotor symptom. The aim of this study is to investigate the ability in recognizing facial emotion expressions in patients with PD under dopamine replacement therapy. Methods: Thirty medicated patients with PD and 15 healthy controls (HC) were enrolled. All participants performed the Ekman 60-Faces test for emotional recognition. All patients underwent a neuropsychological evaluation for global cognitive functioning, depression, and anxiety. Results: Patients with PD were impaired in recognizing emotions. Significant differences between PD and HC were found in Ekman 60-Faces test scores ( P < .001), and in Ekman 60-Faces test subscales, in particular, sadness, fear, disgust, anger, and surprise ( P < .001). Conclusions: The nigrostriatal dopaminergic depletion seems to determine emotional information processing dysfunction. This relevant nonmotor symptom could have consequences in daily living reducing interactions and social behavioral competence.

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Benassi, Mariagrazia, Davide Frattini, Sara Garofalo, Roberto Bolzani, and Tony Pansell. "Visuo-motor integration, vision perception and attention in mTBI patients. Preliminary findings." PLOS ONE 16, no. 4 (April 27, 2021): e0250598. http://dx.doi.org/10.1371/journal.pone.0250598.

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Patients with mild traumatic brain injuries (mTBI) often report difficulties in motor coordination and visuo-spatial attention. However, the consequences of mTBI on fine motor and visuo-motor coordination are still not well understood. We aimed to evaluate whether mTBI had a concomitant effect on fine motor ability and visuo-motor integration and whether this is related to visual perception and visuo-spatial attention impairments, including patients at different symptoms stage. Eleven mTBI patients (mean age 22.8 years) and ten healthy controls participated in the study. Visuo-motor integration of fine motor abilities and form recognition were measured with the Beery-Buktenica Developmental Test of Visual-Motor Integration test, motion perception was evaluated with motion coherence test, critical flicker fusion was measured with Pocket CFF tester. Visuo-spatial was assessed with the Ruff 2 & 7 Selection Attention Test. mTBI patients showed reduced visuo-motor integration, form recognition, and motor deficits as well as visuo-spatial attention impairment, while motion perception and critical flicker fusion were not impaired. These preliminary findings suggest that the temporary brain insults deriving from mTBI compromise fine motor skills, visuomotor integration, form recognition, and visuo-spatial attention. The impairment in visuo-motor coordination was associated with speed in visuo-attention and correlated with symptoms severity while motor ability was correlated with time since concussion. Given the strong correlation between visuomotor coordination and symptom severity, further investigation with a larger sample seems warranted. Since there appeared to be differences in motor skills with respect to symptom stage, further research is needed to investigate symptom profiles associated with visuomotor coordination and fine motor deficits in mTBI patients.

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Vora, Haily, Mohamed H. Khalaf, Richard A. Schatz, Puja S. Elias, B. Joseph Elmunzer, and Donald O. Castell. "Tu1187 – Symptom Recognition During Ambulatory Ph-Impedance Monitoring: Our Institution Experience." Gastroenterology 156, no. 6 (May 2019): S—977. http://dx.doi.org/10.1016/s0016-5085(19)39397-7.

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Sneath, Ben. "Improving symptom recognition in heart attack survivors with an avatar app." British Journal of Cardiac Nursing 11, no. 12 (December 2, 2016): 614–15. http://dx.doi.org/10.12968/bjca.2016.11.12.614.

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Daley, Tamara C. "From symptom recognition to diagnosis: children with autism in urban India." Social Science & Medicine 58, no. 7 (April 2004): 1323–35. http://dx.doi.org/10.1016/s0277-9536(03)00330-7.

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Lam, Christina, and Suzanne C. Smeltzer. "Patterns of Symptom Recognition, Interpretation, and Response in Heart Failure Patients." Journal of Cardiovascular Nursing 28, no. 4 (2013): 348–59. http://dx.doi.org/10.1097/jcn.0b013e3182531cf7.

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Eussen, Mart L. J. M., Anneke Louwerse, Catherine M. Herba, Arthur R. Van Gool, Fop Verheij, Frank C. Verhulst, and Kirstin Greaves-Lord. "Childhood Facial Recognition Predicts Adolescent Symptom Severity in Autism Spectrum Disorder." Autism Research 8, no. 3 (January 28, 2015): 261–71. http://dx.doi.org/10.1002/aur.1443.

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Katsumata, Yoshinori, Takehiro Kimura, Shun Kohsaka, Nobuhiro Ikemura, Ikuko Ueda, Taishi Fujisawa, Kazuaki Nakajima, et al. "Discrepancy in recognition of symptom burden among patients with atrial fibrillation." American Heart Journal 226 (August 2020): 240–49. http://dx.doi.org/10.1016/j.ahj.2020.03.024.

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Bazzano, Alessandra N., Betty R. Kirkwood, Charlotte Tawiah-Agyemang, Seth Owusu-Agyei, and Philip Baba Adongo. "Beyond symptom recognition: care-seeking for ill newborns in rural Ghana." Tropical Medicine & International Health 13, no. 1 (February 17, 2008): 123–28. http://dx.doi.org/10.1111/j.1365-3156.2007.01981.x.

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Pickering, Christopher. "Epilepsy: recognition and management of seizures in children and young people." British Journal of Child Health 2, no. 3 (June 2, 2021): 136–42. http://dx.doi.org/10.12968/chhe.2021.2.3.136.

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A seizure describes the signs and symptoms associated with a sudden surge in brain activity. It is a symptom of either acute brain disturbance, or may indicate a diagnosis of epilepsy, which describes an underlying tendency to have seizures. There are many different seizure types, which account for the wide variation in seizure symptoms. The principles of management remain constant for all seizure types: maintain child safety, ABC support, and arrange emergency assistance and hospital transfer for prolonged episodes. In addition to this, tonic-clonic seizures lasting for more than 5 minutes require treatment with benzodiazepines. Buccal midazolam or rectal diazepam are first-line options when intravenous or intraosseous access is not available. Children and young people with epilepsy should have individualised treatment plans which, if available, further simplify emergency treatment decisions.

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Son, Youn-Jung, and Mi Hwa Won. "Symptom Clusters and Their Impacts on Hospital Readmission in Patients With Heart Failure: A Cross-Sectional Study." Research and Theory for Nursing Practice 32, no. 3 (August 2018): 311–27. http://dx.doi.org/10.1891/1541-6577.32.3.311.

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Background and Purpose:Readmissions after hospitalization due to multiple symptoms in heart failure (HF) are common and costly. Patients have difficulty differentiating HF symptoms from comorbid illness or aging. Therefore, early identification of symptom clusters could improve symptom recognition and reduce hospital readmission. However, little is known about the relationship between symptom clusters and readmission in HF patients. This study aimed to identify symptom clusters among Korean patients with HF and the relationship between symptom clusters and hospital readmission.Methods:This cross-sectional study included 306 HF outpatients within 12 months after discharge. Exploratory factor analysis was used to identify the symptom clusters. Multiple logistic regression analysis was used to examine the effect of symptom clusters on readmission, after adjusting for sociodemographic and clinical characteristics.Results:Three symptom clusters were identified in HF patients: the “respiratory distress” cluster, “bodily pain and energy insufficiency” cluster, and “circulatory and gastrointestinal distress” cluster. Patients with class III or IV of HF functional class experienced three symptom clusters at a higher level. This study showed that the “bodily pain and energy insufficiency” cluster was the strongest predictor of hospital readmission in HF patients (adjusted odds ratio = 6.59, 95% confidence interval (CI) [1.29, 32.79]).Implications for Practice:A higher level of “bodily pain and energy insufficiency” cluster was associated with hospital readmission in Korean HF patients. Health-care providers should be encouraged to consider patients’ cultural backgrounds to recognize differences in symptom clusters. Further studies are needed to evaluate symptom clusters across international cohorts and their impacts on patients’ outcomes.

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Nomali, Mahin, Kian Alipasandi, and Ramin Mohammadrezaei. "Knowledge regarding Heart Failure: A Reflection on Current Disease Knowledge State among Iranian Patients with Heart Failure." Journal of Medical Research 5, no. 4 (September 5, 2019): 155–58. http://dx.doi.org/10.31254/jmr.2019.5405.

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Background: Heart failure (HF) is a serious problem with an increasing prevalence globally. Low level of HF knowledge may cause low compliance and low quality of life and, poor self-care. On the other hand, assessing the level of HF knowledge is necessary in order to apply educational programs. Aims and objectives: the aim was to determine knowledge regarding HF among Iranian patients with HF. Study Design: This was a cross sectional study. Setting: We conducted this study at the HF clinic of Tehran Heart Center (THC) affiliated with Tehran University of Medical Sciences (TUMS, Tehran, Iran). Materials and Methods: In this cross-sectional study, 190 patients older than 18 years old, with confirmed diagnosis of HF for at least 3 months by an HF specialist, NYHA function class II to IV and an ability of reading and writing Farsi language were included during June 2017 and January 2018 by consecutive sampling. Data were gathered in a short form, including demographic and clinical variables. Knowledge regarding HF was measured by the Dutch HF knowledge scale (Cronbach’s alpha=0.62) with 15- multiple choice item. The score range varied between 0 (no knowledge) and 15 (optimum knowledge). Scores were reported totally and in 3 areas of knowledge. Scores higher than the median was considered as higher knowledge. Statistics: The SPSS software version 16 was used to describe data. Normality of continuous variables was checked by the Kolmogorov-Smirnoff test. Frequency and partial frequency distribution were used to describe Categorical variables. While, we used mean, median, standard deviation, and IQR for describing continuous variables. Results: From June 2017 to January 2018, 160/190 patients with median age (IQR) of 59 (16) years old participated in the study (response rate of 84.2%). 67.5% of study patients were male (83.5%). 87.5% of then were married. The majority of patients were with NYHA function class II (60.6%), and with an etiology of ischemic heart disease (65.0%). The median and IQR of total, general, HF treatment, and symptoms/ symptom recognition knowledge were 8 (7-10), 12 (9-14), 2 (1.25-3), and 4 (3-5), respectively. Low level of total, general, HF treatment, and symptoms and symptom recognition knowledge among Iranian patients with HF were 55%, 60%, 58.8%, and 71.9%, respectively. Conclusion: Patients with HF had low levels of total, general, HF treatment, and symptoms/symptom recognition knowledge. Thus, there is an essential need to be improved by an appropriate intervention, especially on knowledge of symptoms /symptom recognition.

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Pereira Sousa, Joana, Hugo Neves, and Miguel Pais-Vieira. "Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial." Nursing Reports 11, no. 2 (June 1, 2021): 418–29. http://dx.doi.org/10.3390/nursrep11020040.

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Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).

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Licqurish, S., M. Huynh, A. Qama, and J. Emery. "Improving Cancer Outcomes for Vietnamese Speaking Migrants: A Mixed Methods Study." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 48s. http://dx.doi.org/10.1200/jgo.18.59000.

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Background: Prompt diagnosis of symptomatic cancer has been shown to improve survival and quality of life. The time from noticing a bodily change and seeking medical help has been termed the 'symptom appraisal interval'. The processes people undertake during symptom appraisal are impacted by numerous factors, including culture. Aim: We aimed to explore culturally specific factors that impact symptom appraisal and help seeking for a cancer diagnosis in Vietnamese-speaking Australians and to develop a culturally relevant community-based symptom awareness campaign. Methods: We used a mixed methods approach to survey and interview people who had not experienced cancer and interviewed people with a recent diagnosis of cancer. We also tested campaign materials in focus groups and interviews with community members. Results: 28 people participated in the interview study and 65 completed surveys. We found poor symptom recognition and a prevailing Taoist or traditional Eastern model of health and illness. There was also a strong emphasis on being healthy for your family and fatalistic beliefs. Home remedies and Eastern medicine were commonly used for cancer symptom management and the people with cancer were shocked at their cancer diagnosis. Conclusion: The study findings were used to tailor a symptom awareness campaign for Vietnamese speaking communities to raise awareness of cancer symptoms and to prompt people to discuss symptoms with family and their general practitioner sooner to facilitate timely diagnosis and better outcomes.

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Hauser, Marta, Andrea Pfennig, Seza Özgürdal, Andreas Heinz, Michael Bauer, and Georg Juckel. "Early recognition of bipolar disorder." European Psychiatry 22, no. 2 (March 2007): 92–98. http://dx.doi.org/10.1016/j.eurpsy.2006.08.003.

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AbstractBipolar disorders are frequently not diagnosed until long after their onset, leaving patients with no or correspondingly inadequate treatment. The course of the disorder is all the more severe and the negative repercussions for those affected all the greater. Concerted research effort is therefore going into learning how to recognize bipolar disorders at an early stage. Drawing on current research results, this paper presents considerations for an integrative Early Symptom Scale with which persons at risk can be identified and timely intervention initiated. This will require prospective studies to determine the predictive power of the risk factors integrated into the scale.

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Sigterman, T. A., Kim J. Gorissen, and Dennis E. J. G. J. Dolmans. "Fasciitis Necroticans after Elective Hernia Inguinal Surgery." Case Reports in Surgery 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/981262.

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Necrotising fasciitis is a rare but disastrous complication after elective surgery. We present two patients (both male, 58 and 18 years old) who developed necrotising fasciitis following elective inguinal hernia repair according to Lichtenstein. The importance of both recognition and time interval between symptom occurrence and surgical intervention is illustrated, emphasising the need for immediate action when necrotising fasciitis is suspected. A high index of suspicion of necrotising fasciitis should be maintained when a wound infection is accompanied by disproportional pain, lethargy, or sepsis. Epidermolysis and subcutaneous emphysema are often very late symptoms. Recognition and immediate intervention decrease mortality and morbidity.

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Alipour, Atefeh, Zahra Fotokian, Abbas Shamsalinia, Fatemeh Ghaffari, and Mahmoud Hajiahmadi. "The Relationship between Nurses’ Recognition Regarding Elder Abuse and their Attitudes and Performance in Dealing with Elder Abuse Induced by Iranian Family Caregivers." Open Nursing Journal 13, no. 1 (May 31, 2019): 116–22. http://dx.doi.org/10.2174/1874434601913010116.

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Introduction: Knowledge of nurses regarding elder abuse can be helpful in decisions about on-time and appropriate interventions. Our aim was to assess the relationship between recognition of nursing staff toward elder abuse and their attitudes, and performance in dealing with elder abuse induced by Iranian family caregivers. Methods: In this descriptive study, 400 nurses were selected, using cluster sampling, from nurses working in public or private hospitals in Iran. Data collection was performed using questionnaires measuring elder abuse symptom recognition, attitudes, and performance. Results: There is a significant relationship between the total scores for recognition of symptoms and elder abuse potential risk factors (p=0.05) and the nurses’ attitudes and performance scores (p = 0.001). There was no significant difference between the nurses’ performance and recognition scores (p = 0.14). Conclusion: Interventions to promote nurses’ recognition via in-service educational programs can improve nurses’ performance in different levels of abuse prevention and the quality of nursing care for the elderly.

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