Items in AFP with MESH term: Mass Screening

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Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment - Putting Prevention into Practice


Speech and Language Delay in Children - Article

ABSTRACT: Speech and language delay in children is associated with increased difficulty with reading, writing, attention, and socialization. Although physicians should be alert to parental concerns and to whether children are meeting expected developmental milestones, there currently is insufficient evidence to recommend for or against routine use of formal screening instruments in primary care to detect speech and language delay. In children not meeting the expected milestones for speech and language, a comprehensive developmental evaluation is essential, because atypical language development can be a secondary characteristic of other physical and developmental problems that may first manifest as language problems. Types of primary speech and language delay include developmental speech and language delay, expressive language disorder, and receptive language disorder. Secondary speech and language delays are attributable to another condition such as hearing loss, intellectual disability, autism spectrum disorder, physical speech problems, or selective mutism. When speech and language delay is suspected, the primary care physician should discuss this concern with the parents and recommend referral to a speech-language pathologist and an audiologist. There is good evidence that speech-language therapy is helpful, particularly for children with expressive language disorder.


Screening for the Early Detection and Prevention of Oral Cancer - Cochrane for Clinicians


Screening for Obesity in Children and Adolescents - Putting Prevention into Practice


Screening for Developmental Delay - Article

ABSTRACT: According to the literature, 12 to 16 percent of children in the United States have at least one developmental delay, yet as many as one-half of affected children will not be identified by the time they enter kindergarten. If developmental delays are detected too late, opportunities for early intervention may be lost. Empirical literature on clinical recommendations for developmental delay screening in primary care is inconsistent and often insufficient to direct the family physician. In addition, multiple barriers exist, which often prevent physicians from performing initial screening and completing additional evaluation and referrals. Implementing office-based systems for screening and referrals may overcome these barriers and improve outcomes. Recent studies support the use of a validated screening tool at regular, repeated intervals, in addition to physician surveillance, at all well-child visits. The literature also supports screening for developmental delay with parent-completed tools rather than directly administered tools. The most extensively evaluated parent-completed tools are the Parents’ Evaluation of Developmental Status and the Ages and Stages Questionnaire. Family physicians should be familiar with currently available screening tools, as well as their limitations and strengths. Additional evaluations and referrals are recommended if developmental delay is identified or suspected.


Screening for Osteoporosis: Recommendation Statement - U.S. Preventive Services Task Force


Screening for Osteoporosis - Putting Prevention into Practice


Preventing Dementia: Is There Hope for Progress? - Editorials


Management of Bacterial Vaginosis During Pregnancy - Editorials


American Heart Association Issues Guidelines on Imaging in Transient Ischemic Attacks and Stroke - Special Medical Reports


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