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‣ Diretrizes para projetos de loteamentos urbanos considerando os métodos de avaliação ambiental.; Project guidelines for urban settlements considering environmental assessment methods.

Negreiros, Iara
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/04/2009 Português
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A exemplo dos diversos métodos desenvolvidos mundialmente para avaliação de sustentabilidade no âmbito do edifício isolado e seus sistemas constituintes, surgem no horizonte novos sistemas de avaliação que consideram: o entorno, a vizinhança, o loteamento como um todo, enfatizando aspectos de desenvolvimento sustentável combinados às práticas dos chamados edifícios verdes, tais como o Leadership in Energy and Environmental Design for Neighborhood Developments Rating System (LEED-ND), desenvolvido nos Estados Unidos; o Approche Environnementale de lUrbanisme (AEU), desenvolvido na França; o Global Reporting Initiative (GRI) Sustainability Report Guidelines, desenvolvido pela ONU; entre outros. Enquanto aumenta a legitimidade do paradigma da sustentabilidade e sua pertinência para lidar com a especificidade do urbano, cresce a necessidade de selecionar critérios, estratégias e indicadores mensuráveis para ancorar a formulação, monitorar a implementação e avaliar os resultados das políticas urbanas em bases sustentáveis, de acordo com as diretrizes propostas pelas Agendas 21 Global e Brasileira. Por outro lado, o crescimento urbano das últimas décadas tem ocorrido de forma dispersa, por processos de deslocamento de atividades tipicamente urbanas para o campo...

‣ The need for a more dynamic and ecological assessment of children experiencing barriers to learning to move towards inclusive education: a summary of results of the Daffodil project

Lebeer, Jo; Partanen, Petri; Candeias, Adelinda; Grácio, Maria Luísa; Bohacs, Krisztina; Sønnesyn, Gunvor; Van de Veire, Hugo; Van Trimpont, Inge; Orban, Reka; Schraepen, Beno; Dawson, Lorna; János, R; Demeter, K
Fonte: Universidade de Évora Publicador: Universidade de Évora
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.3012%
Although governments have recognized the need to make education more accessible to children with developmental disabilities and/or learning difficulties, many children remain excluded from participation in regular school settings, let alone receive adequate education. Though every country which ratified the United Nations (UN) 2006 Convention on the Rights of People with Disability has committed itself to inclusive education, there are many obstacles. One of them is the currently preferred way of assessing children with standardized, psychometric diagnostic tests, with a comparative and classifying purpose. This type of assessment, based on a medical impairment model and a static model of intelligence, results in reports which are sometimes not very useful for educational advice. This paper reports an overview of the results of the DAFFODIL project (Dynamic Assessment of Functioning and Oriented at Development and Inclusive Learning), created by a consortium of eight European partners in order to research more inclusive alternatives and suggest reforms to assessment and coaching procedures. It starts with a critical review of current assessment practices; then it presents criteria for good practices for assessing children with additional educational needs in a more dynamic...

‣ The need for a more dynamic and ecological assessment of children experiencing barriers to learning to move towards inclusive education: a summary of results of the Daffodil project.

Lebeer, J.; Partanen, P.; Candeias, A. A.; Birta-Szekely, N.; Demeter, K.; Bohács, K.
Fonte: Universidade de Évora Publicador: Universidade de Évora
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.3012%
Although governments have recognized the need to make education more accessible to children with developmental disabilities and/or learning difficulties, many children remain excluded from participation in regular school settings, let alone receive adequate education. Though every country which ratified the United Nations (UN) 2006 Convention on the Rights of People with Disability has committed itself to inclusive education, there are many obstacles. One of them is the currently preferred way of assessing children with standardized, psychometric diagnostic tests, with a comparative and classifying purpose. This type of assessment, based on a medical impairment model and a static model of intelligence, results in reports which are sometimes not very useful for educational advice. This paper reports an overview of the results of the DAFFODIL project (Dynamic Assessment of Functioning and Oriented at Development and Inclusive Learning), created by a consortium of eight European partners in order to research more inclusive alternatives and suggest reforms to assessment and coaching procedures. It starts with a critical review of current assessment practices; then it presents criteria for good practices for assessing children with additional educational needs in a more dynamic...

‣ Assessment of Cancer-Related Fatigue: Role of the Oncology Nurse in Translating NCCN Assessment Guidelines into Practice

Piper, Barbara F.; Borneman, Tami; Sun, Virginia Chih-Yi; Koczywas, Marianna; Uman, Gwen; Ferrell, Betty; James, Raysenia L.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /10/2008 Português
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Despite the availability of the National Comprehensive Cancer Network’s (NCCN) evidence-based practice guidelines for the assessment and management of Cancer-Related Fatigue (CRF), assessment of CRF still is not routinely performed at many institutions and oncology practice settings. Numerous patient-, provider-, and system-related barriers exist that hinder the translation of these guidelines into practice by oncology nurses and other health care providers. Oncology nurses can play vital roles in decreasing these barriers to promote the translation of these guidelines into practice to insure that CRF is routinely assessed, managed, and documented. This article briefly reviews the NCCN CRF guidelines for CRF assessment and discusses many of the common barriers that exist that hinder the translation of the CRF guidelines into practice settings. Current assessment/screening and measurement scales validated in patients with cancer are highlighted, and case studies reflect the vital roles that oncology nurses can play in the assessment, documentation, and ongoing monitoring of a patient with CRF.

‣ Headed in the Right Direction But at Risk for Miscalculation: A Critical Appraisal of the 2013 ACC/AHA Risk Assessment Guidelines

Amin, Nivee P.; Martin, Seth S.; Blaha, Michael J.; Nasir, Khurram; Blumenthal, Roger S.; Michos, Erin D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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37.439678%
The newly released 2013 ACC/AHA Guidelines for Assessing Cardiovascular Risk makes progress compared with previous cardiovascular risk assessment algorithms. For example, the new focus on total atherosclerotic cardiovascular diseases (ASCVD) is now inclusive of stroke in addition to hard coronary events, and there are now separate equations to facilitate estimation of risk in non-Hispanic white and black individuals and separate equations for women. Physicians may now estimate lifetime risk in addition to 10-year risk. Despite this progress, the new risk equations do not appear to lead to significantly better discrimination than older models. Because the exact same risk factors are incorporated, using the new risk estimators may lead to inaccurate assessment of atherosclerotic cardiovascular risk in special groups such as younger individuals with unique ASCVD risk factors. In general, there appears to be an overestimation of risk when applied to modern populations with greater use of preventive therapy, although the magnitude of overestimation remains unclear. Because absolute risk estimates are directly used for treatment decisions in the new cholesterol guidelines, these issues could result in overuse of pharmacologic management. The guidelines could provide clearer direction on which individuals would benefit from additional testing...

‣ Academy of Medicine-Ministry of Health Clinical Practice Guidelines: Assessment and Management of Infertility at Primary Healthcare Level

Loh, Seong Feei; Agarwal, Rachna; Chan, Jerry; Chia, Sing Joo; Cho, Li Wei; Lim, Lean Huat; Lau, Matthew Sie Kuei; Loh, Sheila Kia Ee; Hendricks, Marianne Sybille; Nair, Suresh; Quah, Joanne Hui Min; Tan, Heng Hao; Wong, PC; Yeong, Cheng Toh; Yu, Su Ling
Fonte: Singapore Medical Association Publicador: Singapore Medical Association
Tipo: Artigo de Revista Científica
Publicado em /02/2014 Português
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The Academy of Medicine (AMS) and Ministry of Health (MOH) have developed the clinical practice guidelines on Assessment and Management of Infertility at Primary Healthcare Level to provide doctors and patients in Singapore with evidence-based treatment for infertility. This article reproduces the introduction and executive summary (with recommendations from the guidelines) from the AMS-MOH clinical practice guidelines on Assessment and Management of Infertility at Primary Healthcare Level, for the information of SMJ readers. Chapters and page numbers mentioned in the reproduced extract refer to the full text of the guidelines, which are available from the Ministry of Health website: http://www.moh.gov.sg/content/moh_web/healthprofessionalsportal/doctors/guidelines/cpg_ medical/2013/cpgmed_infertility.html. The recommendations should be used with reference to the full text of the guidelines. Following this article are multiple choice questions based on the full text of the guidelines.

‣ Republic of Sierra Leone : Assessment of National Public Procurement System Based on OECD/DAC Benchmarking Tool

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Português
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Sierra Leone is a post conflict country with a population of 6 million in an area of 71,740 square kilometers. Since the end of hostilities in 2002, the United Nations Development Program (UNDP), the African Development Bank (AfDB), the Department for International Development UK (DFID), the European Union (EU), and the World Bank (WB) have played significant roles in supporting the Government of Sierra Leone (GoSL) to rebuild the country for a brighter future. With the demobilization process complete and significant progress in terms of reconstruction, rehabilitation, humanitarian relief and the reestablishment of public service delivery, the GoSL has been focusing reforming and strengthening its governance systems. This report takes stock of the progress for reforms in the procurement system since 2004 and sets out the next steps to ensure continued progress towards establishing a modern and efficient and accountable public procurement system. This CPAR is divided into various sections which cover country context...

‣ Assessment of the Non-Motorized Transport Program : Kenya and Tanzania

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Português
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Scott Wilson was appointed by the SSATP/World Bank to undertake a technical assessment of pilot projects implemented in Kenya and Tanzania under Phase II of the Non-Motorized Transport [NMT] Program between 1995 and 1999. This report is submitted in response to the requirements of the Terms of Reference for the assessment. It provides an overview of the various program activities and their strengths and weaknesses. An assessment is made of whether the pilot projects have contributed to achieving the long-term objectives of the (NMT) Program. The assessment of the pilot projects is based on a review of the literature that was made available to the assessment team, and interviews with key informants. An attempt has been made to seek independent views with minimal dependence on input from the NMT Consultants. However, most of the project reports were produced by the consultants, either directly or under close supervision. The Guidelines for Pedestrian and Bicycle Traffic in African Cities, which was written by the consultants and published by Delft University after the project had ended...

‣ Developing the Enabling Context for Student Assessment in Chile, Updated Edition

Ramírez, María-José
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Português
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Developing a strong assessment system is a priority for many countries. But where should they start? This paper describes the journey experienced by Chile to develop the enabling context (policies, institutions, and human and fiscal resources) for its large scale assessment program, its university entrance examinations, and classroom assessment activities. Countries aiming to develop their assessment system may draw valuable lessons from this case study, most importantly the following: (i) developing the right enabling context is a long term process that builds on gradual changes; (ii) stakeholders should be represented in the governance of the assessment unit; (iii) while different institutional arrangements are possible for an assessment unit, it is important that the unit is accountable and autonomous to make technical decisions; (iv) countries need to develop local capacity in assessment; and (v) countries need to anticipate the pressure the expansion of the education system will put in the assessment system...

‣ Venous thromboembolism (VTE) risk assessment and prophylaxis: a comprehensive systematic review of the facilitators and barriers to healthcare worker compliance with clinical practice guidelines in the acute care setting.

Gaston, Sherryl
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013 Português
Relevância na Pesquisa
37.618638%
Background: Even though guidelines for venous thromboembolism (VTE) risk assessment and prophylaxis are available, patients with identifiable risk factors admitted to acute hospitals are not receiving appropriate prophylaxis. The incidence of VTE in hospitalised patients is higher than that of people living in the community who have similar demographics. Knowledge of barriers to clinician compliance with clinical practice guidelines and facilitators to improve compliance will aid appropriate use of VTE clinical practice guidelines. Objectives: The objective of this review was to identify the barriers and facilitators to healthcare professional compliance with clinical practice guidelines for VTE assessment and prophylaxis. Inclusion criteria Types of participants: Studies were considered for inclusion regardless of the designation of the healthcare professional involved in the acute care setting. Focus of the review: The focus of the review was compliance with VTE clinical practice guidelines and identified facilitators and barriers to clinical use of these guidelines in the acute care setting. Types of studies: Any experimental, observational studies or qualitative research studies evaluating healthcare professional compliance with clinical practice guidelines were considered for inclusion in this review. Types of outcomes: The outcomes of interest were percentage of compliance with VTE guidelines and identified barriers and facilitators to that compliance. Search strategy: A comprehensive...

‣ Integrated assessment and decision-support tool for community-based vulnerability and adaptation to storm surges in four coastal areas in Bangladesh

Younus, M.A.; Sharna, S.S.; Rahman, T.B.
Fonte: The University of Canberra and the Australia New Zealand Society of Ecological Economics; Canberra Publicador: The University of Canberra and the Australia New Zealand Society of Ecological Economics; Canberra
Tipo: Conference paper
Publicado em //2014 Português
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Bangladesh has been identified as one of the countries most vulnerable to climate change and rising sea-level. This is because it is located at the northern end of the funnel-shaped Bay of Bengal, and as a consequence it has experienced a number of severe storm surges in the last three decades. The inhabitants of the coastal region are very poor, and the surges have pushed them to a ‘tipping-point’; that is, the point of desperation which is exacerbating the socio-economic threats to their existence. The study reported here aimed to explore the perceptions of coastal communities with regard to vulnerability and adaptation (V & A) strategies in four different areas of Bangladesh in order to reduce their vulnerability to future storm surges. After reviewing the impact assessment guidelines of the Intergovernmental Panel on Climate Change (IPCC), United States Country Studies Program (USCSP) and United Nations Environment Programme (UNEP), the researchers applied the Participatory Rapid Appraisal (PRA) method (a behavioural environmental decisionmaking tool) to survey 160 participants in four case-study areas,with 20 participants in two sessions in each case. The evaluation of V & A was implemented and prioritised in this study by a measuring scale...

‣ Community-based flood vulnerability and adaptation assessment: a case study from Bangladesh

Younus, M.; Harvey, N.
Fonte: Imperial College Press Publicador: Imperial College Press
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
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The Intergovernmental Panel on Climate Change (IPCC) (2007, 2012:11) warned that the mega deltas in South Asia (e.g. the Ganges Brahmaputra Meghna River Basin) will be at great risk due to increased flooding, and the region's poverty would reduce the capacity of the inhabitants to adapt to change. This paper provides a "bottom up" impact approach which focuses on a methodological contribution for assessment of vulnerability and adaptation (V & A) in a riverine flood-prone area, "Islampur" in Bangladesh, where various impact assessment guidelines have been taken into consideration. In this study the evaluation of V & A assessments at community level has been accomplished mainly by a weighted matrix index value derived from two participatory rapid appraisals (PRAs). Based on the distribution pattern of various weighted value indices of V & A issues, the required adaptation techniques can be adopted for immediate policy-making, and appropriate actions should be undertaken through establishing community-based adaptation committees (CBAC).; Md Aboul Fazal Younus and Nick Harvey

‣ Disseminating and Using Student Assessment Information in Chile

Ramírez, María-José
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
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47.04241%
Student assessment plays a key role in improving education. However, many countries do not disseminate and make effective use of their student assessment information. This paper discusses Chile's effective use of its assessment information and draws lessons for other countries. A key lesson from the Chilean experience is that effective use of assessment information is a challenging task that takes time, effort, and resources. Another lesson is that the task requires leadership, long term planning, and consensus building. Countries able to learn from Chile's lessons will be in a better position to make effective use of their student assessments and, ultimately, to contribute to education quality and learning.

‣ Tajikistan : Student Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
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In 2009, Tajikistan joined the Russia Education Aid for Development (READ) trust fund program, the goal of which is to help countries improve their capacity to design, carry out, analyze, and use assessments for improved student learning. As part of the READ trust fund program, and in order to gain a better understanding of the strengths and weaknesses of its existing assessment system, Tajikistan participated in a formal exercise to benchmark its student assessment system under The World Bank's Systems Approach for Better Education Results (SABER) program. SABER is an evidence-based program to help countries systematically examine and strengthen the performance of different aspects of their education systems. SABER-student assessment is a component of the SABER program that focuses specifically on benchmarking student assessment policies and systems. The goal of SABER-student assessment is to promote stronger assessment systems that contribute to improved education quality and learning for all. The importance of assessment is linked to its role in: providing information on levels of student learning and achievement in the system; monitoring trends in education quality over time; supporting educators and students with real-time information to improve teaching and learning; and holding stakeholders accountable for results. The SABER-student assessment framework is built on the available evidence base for what an effective assessment system looks like. The framework provides guidance on how countries can build more effective student assessment systems. The framework is structured around two main dimensions of assessment systems: the types/purposes of assessment activities and the quality of those activities. Assessment systems tend to be comprised of three main types of assessment activities...

‣ Vietnam Student Assessment : SABER Country Report 2009

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
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47.07898%
In 2009, Vietnam joined the Russia Education Aid for Development (READ) trust fund program, the goal of which is to help countries improve their capacity to design, carry out, analyze, and use assessments for improved student learning. As part of the READ trust fund program, and in order to gain a better understanding of the strengths and weaknesses of its existing assessment system, Tajikistan participated in a formal exercise to benchmark its student assessment system under The World Bank's Systems Approach for Better Education Results (SABER) program. SABER is an evidence-based program to help countries systematically examine and strengthen the performance of different aspects of their education systems. SABER-student assessment is a component of the SABER program that focuses specifically on benchmarking student assessment policies and systems. The goal of SABER-student assessment is to promote stronger assessment systems that contribute to improved education quality and learning for all. The importance of assessment is linked to its role in: providing information on levels of student learning and achievement in the system; monitoring trends in education quality over time; supporting educators and students with real-time information to improve teaching and learning; and holding stakeholders accountable for results. The SABER-student assessment framework is built on the available evidence base for what an effective assessment system looks like. The framework provides guidance on how countries can build more effective student assessment systems. The framework is structured around two main dimensions of assessment systems: the types/purposes of assessment activities and the quality of those activities. Assessment systems tend to be comprised of three main types of assessment activities...

‣ Uganda Student Assessment : SABER Country Report 2012

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
47.38168%
In 2012, Uganda joined the Russia Education Aid for Development (READ) trust fund program, the goal of which is to help countries improve their capacity to design, carry out, analyze, and use assessments for improved student learning. As part of the READ trust fund program, and in order to gain a better understanding of the strengths and weaknesses of its existing assessment system, Tajikistan participated in a formal exercise to benchmark its student assessment system under The World Bank's Systems Approach for Better Education Results (SABER) program. SABER is an evidence-based program to help countries systematically examine and strengthen the performance of different aspects of their education systems. SABER-student assessment is a component of the SABER program that focuses specifically on benchmarking student assessment policies and systems. The goal of SABER-student assessment is to promote stronger assessment systems that contribute to improved education quality and learning for all. The importance of assessment is linked to its role in: providing information on levels of student learning and achievement in the system; monitoring trends in education quality over time; supporting educators and students with real-time information to improve teaching and learning; and holding stakeholders accountable for results. The SABER-student assessment framework is built on the available evidence base for what an effective assessment system looks like. The framework provides guidance on how countries can build more effective student assessment systems. The framework is structured around two main dimensions of assessment systems: the types/purposes of assessment activities and the quality of those activities. Assessment systems tend to be comprised of three main types of assessment activities...

‣ Disseminating and Using Student Assessment Information in Jordan

Obeidat, Osamha; Dawani, Zaina
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper
Português
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47.047563%
Student assessment has been increasingly recognized as playing a key role in monitoring and improving student learning and achievement levels. This case study discusses the important steps that Jordan has taken to strengthen its student assessment system and ensure that the information gathered from classroom assessments, examinations, and large-scale assessment activities supports student learning. Countries seeking to strengthen the utilization and dissemination of student assessment data can extract the following lessons from Jordan's experience: they should (i) set clear objectives for their assessment system, based on a well-defined vision of what is being assessed and why; (ii) entrust an external entity with managing system-level assessments in order to ensure impartial evaluation of the strengths and weaknesses of the education system; and (iii) introduce change gradually, coupled with adequate training on new assessment strategies and methods.

‣ An assessment of the integration of the mental health component into the care of women affected by intimate partner violence in Peru

Rondon, Marta Beatriz
Fonte: Universidade Nova de Lisboa Publicador: Universidade Nova de Lisboa
Tipo: Dissertação de Mestrado
Publicado em //2014 Português
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37.411855%
RESUMO: A violência contra as mulheres (VCM) é um problema de saúde pública e uma violação dos direitos humanos. Ele tem uma alta prevalência na América Latina e no Caribe; o Estudo da Violência Contra as Mulheres da Organização Mundial de Saúde (OMS) identificou que as mulheres peruanas sofrem o maior índice de violência. O Perú é signatário da CEDAW e da Convenção de Belém do Pará, com recomendações para resolver este tipo de discriminação e descrever o papel do setor da saúde. A lei peruana define a violência como um problema de saúde mental. Objectivos: As três orientações clínicas do Ministério da Saúde para avaliar a integração da componente de saúde mental no cuidado de mulheres afetadas pela VCM foram revistas. Método: A proteção da saúde mental foi avaliada nas orientações acima mencionadas. A lei peruana relevante para perceber o reconhecimento das consequências de VCM na saúde mental e os cuidados prestados neste contexto foram revistos. Usando esses padrões nacionais e internacionais, foi realizada uma análise de conteúdo dos guias peruanos para a atenção da violência para ver como eles se integram a saúde mental. Resultados: Estas orientações são muito extensas e não definem claramente a responsabilidade dos profissionais de saúde. Não incluem um exame de saúde mental na avaliação da vítima e são vagas na descrição das atividades a serem realizadas pelo prestador dos cuidados de saúde. As orientações recomendam uma triagem universal usando um instrumento com formato antiquado e pesado. Em contrapartida...

‣ Evaluation Guidelines for Ecological Indicators

Jackson, Laura E.; Kurtz, Janis; Fisher, William S.
Fonte: Environmental Protection Agency, Office of Research and Development Publicador: Environmental Protection Agency, Office of Research and Development
Tipo: Relatório Formato: 9499491 bytes; application/pdf
Português
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37.448162%
This document presents fifteen technical guidelines to evaluate the suitability of an ecological indicator for a particular monitoring program. The guidelines are organized within four evaluation phases: conceptual relevance, feasibility of implementation, response variability, and interpretation and utility. The U.S. Environmental Protection Agency's Office of Research and Development has adopted these guidelines as an iterative process for internal and (EPA's) affiliated researchers during the course of indicator development, and as a consistent framework for indicator review. Chapter One describes the guidelines; Chapters Two, Three, and Four illustrate application of the guidelines to three indicators in various stages of development. The example indicators include a direct chemical measure, dissolved oxygen concentration, and two multi-metric biological indices, an index of estuarine benthic condition and one based on stream fish assemblages. The purpose of these illustrations is to demonstrate the evaluation process using real data and working with the limitations of research in progress. Furthermore, these chapters demonstrate that an evaluation may emphasize individual guidelines differently, depending on the type of indicator and the program design. The evaluation process identifies weaknesses that may require further indicator research and modification. This document represents a compilation and expansion of previous efforts...

‣ 2011 Nutritional Assessment Guidelines

Fonte: Journal of the South African Veterinary Association Publicador: Journal of the South African Veterinary Association
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2011 Português
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Careful assessment of nutritional needs of dogs and cats must be taken into consideration in order to maintain optimum health, be part of a treatment regimen for a diseased state, or to maximise the quality of life in all animals. Therefore, the goal of these WSAVA Guidelines is that a nutritional assessment and specific nutritional recommendation be made on every patient on every visit. This will become known as the 5th Vital Assessment (5VA), following the four vital assessments of temperature, pulse, respiration and pain that are already addressed on each patient interaction. Routinely doing a brief screening evaluation of the nutritional status during history taking and the physical examination can be seamlessly performed as part of every patient exam. Nutrition-related risk factors that can be easily identified from the history and physical examination include age (growing or old), suboptimal body condition score (overweight or thin), muscle loss, atypical or homemade diet, medical conditions, or changes in appetite. An extended evaluation would follow, if one or more risk factors is identified on screening. These guidelines provide criteria to evaluate the animal and the diet, as well as key feeding and environmental factors. In addition...