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https://www.readbyqxmd.com/read/29144840/feasibility-of-using-the-general-movements-assessment-of-infants-in-the-united-states
#1
Eileen Ricci, Christa Einspieler, Alexa K Craig
AIMS: To pilot the practicality of administering the Prechtl General Movements Assessment of infants (GMA) in the Neonatal Intensive Care Unit (NICU) setting and at home to infants at risk for developing cerebral palsy (CP). Additional aims included assessing inter-rater reliability and comparing GMA predictions to AIMS motor assessment at 12 months. METHODS: 12 "at risk" infants were recruited by convenience sample. Video recordings were obtained in the NICU and provided by parents after discharge...
November 16, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/29141516/how-to-assess-communication-skills-development-of-the-rating-scale-comon-check
#2
K Radziej, J Loechner, C Engerer, M Niglio de Figueiredo, J Freund, H Sattel, C Bachmann, P O Berberat, A Dinkel, A Wuensch
BACKGROUND: Good communication is a core competency for all physicians. Thus, medical students require adequate preparation in communication skills. For research purposes, as well as for evaluation in teaching, there is a clear need for reliable assessment tools. We analyzed the shortcomings of existing instruments and saw a need for a new rating scale. The aim of this publication is to describe the development process for, and evaluation of, a new rating scale. METHODS: First, we developed the rating scale in 10 steps...
2017: Medical Education Online
https://www.readbyqxmd.com/read/29140898/a-construct-validation-study-of-playfun
#3
John Cairney, Scott Veldhuizen, Jeffrey D Graham, Christine Rodriguez, Chloe Bedard, Emily Bremer, Dean Kriellaars
INTRODUCTION: PLAYfun is a measure of motor competence, comprehension and confidence which is part of a suite of scales used to assess physical literacy in children and youth. However, its measurement properties have not been reported in the published literature. The purpose of this study is to examine the factor structure of PLAYfun, in addition to variations in PLAYfun subscale results by age and sex. METHOD: In this study, we use a sample of children and youth aged 7 to 14 years (n=215) to test a proposed factor structure for the motor competence component of PLAYfun and to examine age and sex differences in subscale and total scores...
November 15, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29133321/can-physical-assessment-techniques-aid-diagnosis-in-people-with-chronic-fatigue-syndrome-myalgic-encephalomyelitis-a-diagnostic-accuracy-study
#4
Lucy Hives, Alice Bradley, Jim Richards, Chris Sutton, James Selfe, Bhaskar Basu, Kerry Maguire, Gail Sumner, Tarek Gaber, Annice Mukherjee, Raymond N Perrin
OBJECTIVE: To assess five physical signs to see whether they can assist in the screening of patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and potentially lead to quicker treatment. METHODS: This was a diagnostic accuracy study with inter-rater agreement assessment. Participants recruited from two National Health Service hospitals, local CFS/ME support groups and the community were examined by three practitioners on the same day in a randomised order...
November 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/29132940/bullseye-s-representation-of-cerebral-white-matter-hyperintensities
#5
Carole H Sudre, Beatriz Gomez Anson, Indran Davagnanamd, Anne Schmitt, Alex F Mendelson, Ferran Prados, Lorna Smith, David Atkinson, Alun David Hughes, Nish Chaturvedi, M Jorge Cardoso, Frederik Barkhof, Hans Rolf Jaeger, Sébastien Ourselin
BACKGROUND AND PURPOSE: Visual rating scales have limited capacities to depict the regional distribution of cerebral white matter hyperintensities (WMH). We present a regional-zonal volumetric analysis alongside a visualization tool to compare and deconstruct visual rating scales. MATERIALS AND METHODS: 3D T1-weighted, T2-weighted spin-echo and FLAIR images were acquired on a 3T system, from 82 elderly participants in a population-based study. Images were automatically segmented for WMH...
November 10, 2017: Journal of Neuroradiology. Journal de Neuroradiologie
https://www.readbyqxmd.com/read/29127018/curriculum-using-the-in-situ-operating-room-setting
#6
Raghavendra Rao, Robert C Caskey, Lily Owei, Kathleen O'Connor, Elijah Riddle, Daniel T Dempsey, Joshua Atkins, Dimitry Baranov, Gregory Motuk, Ari D Brooks, Noel Williams, Jon Morris, Kristoffel Dumon
OBJECTIVE: The American College of Surgeons/Association of Program Directors in Surgery is a comprehensive, simulation-based curriculum for General Surgery residents which exists in 3 phases. While phases 1 and 2 deal with core skills and advanced procedures respectively, phase 3 targets team-based skills. To date, the 3rd phase of this curriculum has not seen wide scale implementation. This is a pilot study to verify the feasibility of implementing the phase 3 curriculum in the in-situ setting...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29126437/framing-the-conversation-use-of-precis-2-ratings-to-advance-understanding-of-pragmatic-trial-design-domains
#7
Paula Darby Lipman, Kirsty Loudon, Leanora Dluzak, Rachael Moloney, Donna Messner, Catherine M Stoney
BACKGROUND: There continues to be debate about what constitutes a pragmatic trial and how it is distinguished from more traditional explanatory trials. The NIH Pragmatic Trials Collaborative Project, which includes five trials and a coordinating unit, has adopted the Pragmatic-Explanatory Continuum Indicator Summary (PRECIS-2) instrument. The purpose of the study was to collect PRECIS-2 ratings at two points in time to assess whether the tool was sensitive to change in trial design, and to explore with investigators the rationale for rating shifts...
November 10, 2017: Trials
https://www.readbyqxmd.com/read/29124407/educational-system-based-on-the-tapp-checklist-improves-the-performance-of-novices-a-multicenter-randomized-trial
#8
Saseem Poudel, Yo Kurashima, Kimitaka Tanaka, Hiroshi Kawase, Yoichi M Ito, Fumitaka Nakamura, Toshiaki Shichinohe, Satoshi Hirano
BACKGROUND: Despite recent developments in surgical education, obstacles including inadequate budget, limited human resources, and a scarcity of time have limited its widespread adoption. To provide systematic training for laparoscopic inguinal hernia repair, we had previously developed and validated a checklist to evaluate the recorded performance of transabdominal preperitoneal (TAPP) repair. We had also developed an educational system that included didactic materials based on the TAPP checklist and incorporated remote evaluation and feedback system...
November 9, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29115210/surgeon-performed-ultrasonography
#9
Tobias Todsen
Surgeons are increasingly using ultrasonography (US) in their clinical management of patients. However, US is a very user-dependent imaging modality and proper skills of the US operator are needed to ensure quality in patient care. This thesis explores the validity evidence for assessment of competence in abdominal and head & neck ultrasonography using the Objective Structured Assessment of Ultrasound Skills (OSAUS) scale. With the use of Messick's unitary framework of validity, five sources of validity evidence were explored: test content, response processes, inter-nal structure, relations to other variables, and consequences...
November 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29111503/are-the-clinical-classifications-for-psychogenic-nonepileptic-seizures-reliable
#10
Coline Duwicquet, Bertrand de Toffol, Philippe Corcia, Maxime Bonnin, Wissam El-Hage, Julien Biberon
BACKGROUND: Psychogenic nonepileptic seizures (PNESs) are episodes that resemble epileptic seizures but are of psychological origin. A few studies have attempted to describe different types of PNES as a combination of clinical signs but their validation and robustness have not yet been reached. The aim of this study was to assess the inter-rater reliability (IRR) of five existing clinical PNES classifications. METHODS: A total of 107 PNESs from 54 patients were retrospectively analyzed independently by two trained epileptologists, who were blinded to each other's findings...
October 27, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29103086/a-novel-public-mr-image-dataset-of-multiple-sclerosis-patients-with-lesion-segmentations-based-on-multi-rater-consensus
#11
Žiga Lesjak, Alfiia Galimzianova, Aleš Koren, Matej Lukin, Franjo Pernuš, Boštjan Likar, Žiga Špiclin
Quantified volume and count of white-matter lesions based on magnetic resonance (MR) images are important biomarkers in several neurodegenerative diseases. For a routine extraction of these biomarkers an accurate and reliable automated lesion segmentation is required. To objectively and reliably determine a standard automated method, however, creation of standard validation datasets is of extremely high importance. Ideally, these datasets should be publicly available in conjunction with standardized evaluation methodology to enable objective validation of novel and existing methods...
November 4, 2017: Neuroinformatics
https://www.readbyqxmd.com/read/29102898/communication-of-health-in-experimentally-sick-men-and-women-a-pilot-study
#12
Julie Lasselin, Mats Lekander, Sofie Paues-Göranson, Mats J Olsson, John Axelsson
The way people communicate their ill-health and the factors involved in ill-health communication remain poorly known. In the present study, we tested how men and women communicate their sickness and assessed whether sickness-related variables (i.e., body temperature, immune response, subjective sickness symptoms) predicted communicative behaviors. Twenty-two participants were filmed during experimentally induced sickness, triggered by lipopolysaccharide administration (2ng/kg body weight), and after placebo administration, in presence of female care providers...
November 2, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29094663/cognitive-behavioural-therapy-competency-pilot-data-from-a-comparison-of-multiple-perspectives
#13
David C Rozek, Jamie L Serrano, Brigid R Marriott, Kelli S Scott, L Brian Hickman, Brittany M Brothers, Cara C Lewis, Anne D Simons
BACKGROUND: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. AIMS: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). METHOD: Patients (n = 12, 75% female, mean age 30...
November 2, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29089289/assessing-therapist-competence-development-of-a-performance-based-measure-and-its-comparison-with-a-web-based-measure
#14
Zafra Cooper, Helen Doll, Suzanne Bailey-Straebler, Kristin Bohn, Dian de Vries, Rebecca Murphy, Marianne E O'Connor, Christopher G Fairburn
BACKGROUND: Recent research interest in how best to train therapists to deliver psychological treatments has highlighted the need for rigorous, but scalable, means of measuring therapist competence. There are at least two components involved in assessing therapist competence: the assessment of their knowledge of the treatment concerned, including how and when to use its strategies and procedures, and an evaluation of their ability to apply such knowledge skillfully in practice. While the assessment of therapists' knowledge has the potential to be completed efficiently on the Web, the assessment of skill has generally involved a labor-intensive process carried out by clinicians, and as such, may not be suitable for assessing training outcome in certain circumstances...
October 31, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29083436/the-mealtime-audit-tool-mat-inter-rater-reliability-testing-of-a-novel-tool-for-the-monitoring-and-assessment-of-food-intake-barriers-in-acute-care-hospital-patients
#15
J McCullough, H Marcus, H Keller
OBJECTIVES: Barriers to food intake (FI) exist in hospital that could exacerbate insufficient FI and malnutrition. The Mealtime Audit Tool (MAT) is a staff-administered clinical assessment tool to identify FI barriers for individual patients. Two studies were completed. The objectives of the first study were to test a draft version of the tool and characterize barriers to food intake in older adults in four diverse hospitals, while the second study aimed to demonstrate the inter-rater reliability of the revised MAT...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29079111/cross-institutional-evaluation-of-a-mastoidectomy-assessment-instrument
#16
Thomas Kerwin, Brad Hittle, Don Stredney, Paul De Boeck, Gregory Wiet
OBJECTIVE: The objective of this work is to obtain validity evidence for an evaluation instrument used to assess the performance level of a mastoidectomy. The instrument has been previously described and had been formulated by a multi-institutional consortium. DESIGN: Mastoidectomies were performed on a virtual temporal bone system and then rated by experts using a previously described 15 element task-based checklist. Based on the results, a second, similar checklist was created and a second round of rating was performed...
October 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29076881/examination-of-the-reliability-of-gait-assessment-and-intervention-tool-in-patients-with-a-stroke
#17
Francisco Molina-Rueda, María Carratalá-Tejada, Roberto Cano de la Cuerda, Isabel M Alguacil-Diego, Juan Carlos Miangolarra Page, Alicia Cuesta-Gómez
The Gait Assessment and Intervention Tool (GAIT) has been recently developed for gait assessment in patients with stroke, and it is considered as a tool that may identify clinically relevant deviations from normal gait and quantifies relevant changes in gait because of an intervention. The objective was to analyze the GAIT psychometric properties in participants with stroke. A convenience sample of 15 adults with stroke was selected (58.15±7.8 years; 5.38±3.3 years from injury). We used the GAIT for evaluating the gait in patients with stroke...
October 25, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29076795/reliability-of-csf-turbulence-and-choroid-plexus-visualization-on-fast-sequence-mri-in-pediatric-hydrocephalus
#18
Curtis J Rozzelle, Casey Madura, Ron W Reeder
OBJECTIVE Endoscopic third ventriculostomy with choroid plexus cauterization for the treatment of neonatal and infant hydrocephalus has gained popularity in the past decade. Identifying treatment failure is critically important. Results of a pilot study of 2 novel imaging markers seen on fast-sequence T2-weighted axial MRI showed potential clinical utility. However, the reliability of multiple raters detecting these markers must be established before a multicenter validation study can be performed. METHODS Two sets of de-identified single-shot T2-weighted turbo spin-echo axial images were prepared from scans of patients before and after they underwent endoscopic third ventriculostomy with choroid plexus cauterization between March 2013 and January 2016...
October 27, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29068935/orthognathic-surgery-has-a-significant-effect-on-perceived-personality-traits-and-emotional-expressions
#19
RANDOMIZED CONTROLLED TRIAL
Daniel M Mazzaferro, Ari M Wes, Sanjay Naran, Rebecca Pearl, Scott P Bartlett, Jesse A Taylor
BACKGROUND: The effects of orthognathic surgery go beyond objective cephalometric correction of facial and dental disproportion and malocclusion, respectively. The authors hypothesized that there is tangible improvement following surgery that alters publicly perceived personality traits and emotions. METHODS: The authors used Amazon.com's Mechanical Turk (MTurk), a crowdsourcing tool, to determine how preoperative and postoperative images of orthognathic surgery patients were perceived on six personality traits and six emotional expressions based on posteroanterior and lateral photographs...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068583/the-reliability-of-three-psoriasis-assessment-tools-psoriasis-area-and-severity-index-body-surface-area-and-physician-global-assessment
#20
Agnieszka Bożek, Adam Reich
BACKGROUND: A wide variety of psoriasis assessment tools have been proposed to evaluate the severity of psoriasis in clinical trials and daily practice. The most frequently used clinical instrument is the psoriasis area and severity index (PASI); however, none of the currently published severity scores used for psoriasis meets all the validation criteria required for an ideal score. OBJECTIVES: The aim of this study was to compare and assess the reliability of 3 commonly used assessment instruments for psoriasis severity: the psoriasis area and severity index (PASI), body surface area (BSA) and physician global assessment (PGA)...
August 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
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