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Another example concerns the use of the AUDIT screening instrument for identifying alcohol problems.
Of the 196 interviewed, 68 (35%) scored positive on the AUDIT screening instrument, indicating hazardous, harmful or dependent alcohol use.
Additional questionnaires embedded within adult computerised HCs include the Fagerstrom test for nicotine dependence [ 19], the alcohol use disorders identification test (AUDIT) screening tool for hazardous alcohol use [ 20], and Kessler psychological distress scale (K10) [ 21].
Primary care was the key setting for the major World Health Organization (WHO) collaborative project that developed the Alcohol Use Disorders Identification Test (AUDIT) screening instrument [ 1] and undertook the first cross-national brief intervention trial [ 2].
AUDIT screening was not done as a part of any general health assessment.
Out of 519 TB patients 29 patients were lost for AUDIT screening due to various reasons (Death, out of station, long default, migration etc;) and the remaining 490 TB patients were screened after getting their consent.
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Patients in this medical-surgical ICU continued to acquire the outbreak organism despite review of routine practices, hand hygiene education and auditing, screening to identify colonized patients, and implementation of contact precautions for colonized and infected patients.
Alcohol abuse will be measured using the 3-item Alcohol Uscreeningers Identestcation Test (AUDIT-C), screening test for heavy drinking and/or active alcohol abuse or dependence [ 40 ].
The supplementary questions were asked after the AUDIT screen to avoid influencing the screening tool's results.
The AUDIT screens for hazardous drinking (score ≥7) defined as ingestion of 60 g or more of alcohol per occasion, and for alcohol use disorder (score ≥16) which includes harmful use and alcohol dependency (according to the ICD-10 Classification system) [ 35].
The programmatic implications of this experience are that AUDIT serves as a useful screening tool but that a more careful, personalized assessment should be pursued in cases suspected of having AUDs despite negative AUDIT screens.
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Justyna Jupowicz-Kozak
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