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The "after-hours" phone screener for emergency department physicians: reliability and validity.
To describe the development of a structured in-person screen for physicians who work after hours and conduct emergency department (ED) evaluations. Phone screens were conducted for emergency physicians. Emergency physicians were randomly selected and assessed on 13 dimensions of the after-hours screening tool. Internal reliability was calculated using Cronbach's alpha and inter-rater reliability was calculated using the intraclass correlation coefficient. Phone and in-person responses were compared using a paired t test and correlation coefficient. Of the 143 physicians contacted, 94 were eligible for the study. Internal reliability of the tool for the phone screen was 0.859. Compared with the in-person screen, reliability for the phone screen was 0.902. The intraclass correlation coefficient for the phone and in-person screens was 0.921. Using the tool after hours, 86% of respondents identified they were at risk for alcohol dependence, and 85% correctly identified which symptoms they were most likely to have after using alcohol. Emergency physicians' responses to questions about alcohol and drug use were similar when screened by phone and in person. This valid and reliable tool could be used to screen for alcohol and other substance use disorders at risk for ED evaluation.Mild cognitive impairment in healthy subjects: case report and meta-analysis.
It is widely accepted that the pathogenesis of mild cognitive impairment (MCI) is multifactorial. It is also well-known that the pattern of neurodegenerative processes varies according to the type of cognitive impairment. To establish whether a specific pattern of neurodegenerative processes is responsible for MCI, we compared MCI subjects with healthy subjects of the same gender and age range. The investigation was conducted on 74 healthy subjects (35 females; mean age: 74.8 +/- 4.9 years) who were divided into two groups. The first group included 44 subjects with mild cognitive impairment (MCI) and the second group included 30 healthy subjects with normal memory function (NC group). We used the CAMCOG battery to assess cognitive status. Data on the presence of subclinical brain infarcts, white matter lesions, brain atrophy and cortical thickness were gathered by MRI and cerebral blood flow using single photon emission 0b46394aab
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