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https://www.readbyqxmd.com/read/29331979/now-you-see-me-a-pragmatic-cohort-study-comparing-first-and-final-radiological-diagnoses-in-the-emergency-department
#1
Björn Mattsson, David Ertman, Aristomenis Konstantinos Exadaktylos, Luca Martinolli, Wolf E Hautz
OBJECTIVES: To (1) compare timely but preliminary and definitive but delayed radiological reports in a large urban level 1 trauma centre, (2) assess the clinical significance of their differences and (3) identify clinical predictors of such differences. DESIGN, SETTING AND PARTICIPANTS: We performed a retrospective record review for all 2914 patients who presented to our university affiliated emergency department (ED) during a 6-week period. In those that underwent radiological imaging, we compared the patients' discharge letter from the ED to the definitive radiological report...
January 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29331406/effect-of-auditory-perceptual-training-with-natural-voice-anchors-on-vocal-quality-evaluation
#2
Priscila Campos Martins Dos Santos, Maurílio Nunes Vieira, João Pedro Hallack Sansão, Ana Cristina Côrtes Gama
PURPOSE: To analyze the effects of auditory-perceptual training with anchor stimuli of natural voices on inter-rater agreement during the assessment of vocal quality. STUDY DESIGN: This is a quantitative nature study. METHODS: An auditory-perceptual training site was developed consisting of Programming Interface A, an auditory training activity, and Programming Interface B, a control activity. Each interface had three stages: pre-training/pre-interval evaluation, training/interval, and post-training/post-interval evaluation...
January 10, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29330169/inter-rater-reliability-in-the-paediatric-observation-priority-score-pops
#3
Lisa Langton, Adam Bonfield, Damian Roland
OBJECTIVE: The primary objective of this study was to determine the level of inter-rater reliability between nursing staff for the Paediatric Observation Priority Score (POPS). DESIGN: Retrospective observational study. SETTING: Single-centre paediatric emergency department. PARTICIPANTS: 12 participants from a convenience sample of 21 nursing staff. INTERVENTIONS: Participants were shown video footage of three pre-recorded paediatric assessments and asked to record their own POPS for each child...
January 12, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29329697/ageing-perceptions-and-non-adherence-to-aromatase-inhibitors-among-breast-cancer-survivors
#4
Moriah J Brier, Dianne L Chambless, Jinbo Chen, Jun J Mao
PURPOSE: Aromatase inhibitors (AIs) are a potentially life-saving treatment for breast cancer survivors, yet poor adherence to treatment is a prevalent problem. A common adverse effect of AI treatment is arthralgia, which is identified by survivors as a major reason for treatment discontinuation. Women who experience arthralgia on AIs often report feeling they have aged rapidly while on the treatment. In the present study, we examined whether arthralgia-associated ageing perceptions predicted non-adherence...
January 9, 2018: European Journal of Cancer
https://www.readbyqxmd.com/read/29327668/impact-of-3-tesla-mri-on-interobserver-agreement-in-clinically-isolated-syndrome-a-magnims-multicentre-study
#5
Marloes Hj Hagens, Jessica Burggraaff, Iris D Kilsdonk, Serena Ruggieri, Sara Collorone, Rosa Cortese, Niamh Cawley, Emilia Sbardella, Michaela Andelova, Michael Amann, Johanna M Lieb, Patrizia Pantano, Birgit I Lissenberg-Witte, Joep Killestein, Celia Oreja-Guevara, Jens Wuerfel, Olga Ciccarelli, Claudio Gasperini, Carsten Lukas, Alex Rovira, Frederik Barkhof, Mike P Wattjes
BACKGROUND: Compared to 1.5 T, 3 T magnetic resonance imaging (MRI) increases signal-to-noise ratio leading to improved image quality. However, its clinical relevance in clinically isolated syndrome suggestive of multiple sclerosis remains uncertain. OBJECTIVES: The purpose of this study was to investigate how 3 T MRI affects the agreement between raters on lesion detection and diagnosis. METHODS: We selected 30 patients and 10 healthy controls from our ongoing prospective multicentre cohort...
January 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/29318107/the-3600child-profile-a-reliable-and-valid-tool-to-visualize-integral-child-information
#6
Miriam Weijers, Frans J M Feron, Caroline H G Bastiaenen
A 3600Child-profile, with theoretically ordered, integral child-information visualized in one image, is designed by the Dutch preventive Child and Youth Health Care (CYHC). The introduction of this new data/information carrier gives an important incentive to enhance a transformation towards personalized health care for children and adolescents by supporting the complex medical thought process of CYHCmedical doctors (MD's). This information tool aims to effectively estimate child's functioning, detect emerging health problems and inform parents and caregivers...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29311563/ensemble-landmarking-of-3d-facial-surface-scans
#7
Markus A de Jong, Pirro Hysi, Tim Spector, Wiro Niessen, Maarten J Koudstaal, Eppo B Wolvius, Manfred Kayser, Stefan Böhringer
Landmarking of 3D facial surface scans is an important analysis step in medical and biological applications, such as genome-wide association studies (GWAS). Manual landmarking is often employed with considerable cost and rater dependent variability. Landmarking automatically with minimal training is therefore desirable. We apply statistical ensemble methods to improve automated landmarking of 3D facial surface scans. Base landmarking algorithms using features derived from 3D surface scans are combined using either bagging or stacking...
January 8, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29306751/simulated-patient-training-using-inter-rater-reliability-to-evaluate-simulated-patient-consistency-in-nursing-education
#8
Sharon MacLean, Fiona Geddes, Michelle Kelly, Phillip Della
BACKGROUND: Simulated patients (SPs) are frequently used for training nursing students in communication skills. An acknowledged benefit of using SPs is the opportunity to provide a standardized approach by which participants can demonstrate and develop communication skills. However, relatively little evidence is available on how to best facilitate and evaluate the reliability and accuracy of SPs' performances. AIM: The aim of this study is to investigate the effectiveness of an evidenced based SP training framework to ensure standardization of SPs...
December 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29303799/open-access-electronic-diary-for-motor-fluctuation-and-dyskinesia-evaluation-in-parkinson-disease-comparison-with-paper-diary
#9
Cinthia Terroba-Chambi, Veronica Bruno, Alex Medina-Escobar, Federico Nanni, Daniel Cerquetti, Malco Rossi, Marcelo Merello
OBJECTIVE: To determine the utility of an electronic diary for registering motor fluctuations and dyskinesia in Parkinson disease (PD). METHODS: Free, open-access touch screen software suitable for Android 4.4 or higher, with medication alarms, adjustable intervals, and medication dose settings was developed to evaluate ON-OFF periods and dyskinesia. Prospective evaluation included a first phase conducted to make adjustments concerning motor limitations when using the tablet, as well as for proper motor complication identification, and a second phase of 3 days of use at home with a prior diary training session comparing a modified paper version of Core Assessment Program for Surgical Interventional Therapies in PD and the electronic diary...
January 5, 2018: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/29303007/active-exercise-interventions-improve-gross-motor-function-of-ambulant-semi-ambulant-children-with-cerebral-palsy-a-systematic-review
#10
Georgina Clutterbuck, Megan Auld, Leanne Johnston
PURPOSE: Evaluate effectiveness of active exercise interventions for improving gross motor activity/participation of school-aged, ambulant/semi-ambulant children with cerebral palsy (CP). METHOD: A systematic review was conducted following PRISMA guidelines. Five databases were searched for papers including school-aged children with CP, participating in active, exercise interventions with gross motor outcomes measured at the Activity/Participation level. Interventions with previous systematic reviews were excluded (e...
January 5, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29291197/reliability-of-sawai-s-classification-for-dental-cervical-abrasions-a-pilot-study
#11
Madhuri A Sawai, Anika Daing, Fazala Adeel, Sakshi Chawla
AIM: To test the reliability of the Sawai's classification for dental cervical abrasions. METHODS: Intraoral photographs of 70 teeth from 23 patients with tooth abrasions were taken by the first examiner MS. The teeth were marked and the photos were maintained in a soft copy sequentially. Two other examiners FA and SC were trained in the use of the classification and any clarifications needed were provided at the beginning of the study. Each examiner was then given the soft copy of the complied photographs and was asked to classify the dental cervical abrasion according to their understanding of the Sawai's classification...
December 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/29286995/the-americleft-project-comparison-of-ratings-using-two-dimensional-versus-three-dimensional-images-for-evaluation-of-nasolabial-appearance-in-patients-with-unilateral-cleft-lip-and-palate
#12
Christine M Jones, Benjamin Roth, Ana M Mercado, Kathy A Russell, John Daskalogiannakis, Thomas D Samson, Ronald R Hathaway, Andrea Smith, Donald R Mackay, Ross E Long
This study was conducted to determine if nasolabial appearance is rated with comparable results and reliability on 3-dimensional stereophotogrammetric facial images versus standard clinical photographs (2-dimensional). Twenty-seven consecutively treated patients with repaired complete unilateral cleft lip and palate were selected. Six trained and calibrated raters assessed cropped 2- and 3-dimensional facial images. Nasolabial profile, nasolabial frontal, and vermillion border esthetics were rated with the 5-point scale described by Asher-McDade using the modified Q-sort method...
January 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29278774/data-driven-assessment-of-structural-image-quality
#13
Adon F G Rosen, David R Roalf, Kosha Ruparel, Jason Blake, Kevin Seelaus, Lakshmi P Villa, Rastko Ciric, Philip A Cook, Christos Davatzikos, Mark A Elliott, Angel Garcia de La Garza, Efstathios D Gennatas, Megan Quarmley, J Eric Schmitt, Russell T Shinohara, M Dylan Tisdall, R Cameron Craddock, Raquel E Gur, Ruben C Gur, Theodore D Satterthwaite
Data quality is increasingly recognized as one of the most important confounding factors in brain imaging research. It is particularly important for studies of brain development, where age is systematically related to in-scanner motion and data quality. Prior work has demonstrated that in-scanner head motion biases estimates of structural neuroimaging measures. However, objective measures of data quality are not available for most structural brain images. Here we sought to identify quantitative measures of data quality for T1-weighted volumes, describe how such measures of quality relate to cortical thickness, and delineate how this in turn may bias inference regarding associations with age in youth...
December 23, 2017: NeuroImage
https://www.readbyqxmd.com/read/29249892/toward-developing-laboratory-based-parent-adolescent-conflict-discussion-tasks-that-consistently-elicit-adolescent-conflict-related-stress-responses-support-from-physiology-and-observed-behavior
#14
Sarah A Thomas, Tristan Wilson, Anjali Jain, Danielle E Deros, Miji Um, Joanna Hurwitz, Irene Jacobs, Lindsay Myerberg, Katherine B Ehrlich, Emily J Dunn, Amelia Aldao, Ryan Stadnik, Andres De Los Reyes
Parent-adolescent conflict poses risk for youth maladjustment. One potential mechanism of this risk is that stress in the form of increased arousal during conflict interactions results in adolescents' impaired decision-making. However, eliciting consistent adolescent stress responses within laboratory-based tasks of parent-adolescent conflict (i.e., conflict discussion tasks) is hindered by task design. This limitation may stem from how conflict topics are assessed and selected for discussion. Within a sample of 47 adolescents (ages 14-17) and parents, we investigated whether a modified version of a conflict discussion task could elicit physiological (i...
December 2017: Journal of Child and Family Studies
https://www.readbyqxmd.com/read/29248959/the-third-molar-maturity-index-in-indicating-the-legal-adult-age-in-kosovar-population
#15
Jeta Kelmendi, Roberto Cameriere, Ferit Koçani, Ivan Galić, Blerim Mehmeti, Marin Vodanović
The third molar tooth, known as the "wisdom tooth," is the only tooth that can be used to determine legal adult age. This study aimed to test the accuracy of Cameriere's third molar maturity index (I3M) in assessing the legal adult age of 18 years in the Kosovar population. Orthopantomographs (OPTs) of 1221 healthy living Kosovar individuals, aged between 12 and 23 years and with no congenital or developmental anomalies, were analyzed. Intra-class correlation coefficients were 0.858 (95% CI, 0.786 to 0.906) and 0...
December 16, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29248322/-can-a-simple-lung-ultrasound-score-predict-length-of-ventilation-for-infants-with-severe-acute-viral-bronchiolitis
#16
M Taveira, N Yousef, J Miatello, C Roy, C Claude, B Boutillier, C Dubois, A-F Pierre, P Tissières, P Durand
BACKGROUND: Lung ultrasound (LU) is a bedside point-of-care technique in critical care and emergency medicine. LU is quick and non-irradiating, and provides accurate diagnostic information when compared with chest radiographs. Specific LU signs have been described for bronchiolitis. This study aimed to evaluate the correlation between severity of LU-diagnosed lung lesions, using a quantitative LU score, and the length of non-invasive ventilation (LOV) for infants diagnosed with severe viral bronchiolitis...
December 13, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29246454/reliability-construct-validity-and-interpretability-of-the-brazilian-version-of-the-rapid-upper-limb-assessment-rula-and-strain-index-si
#17
Daniela Pereira Valentim, Tatiana de Oliveira Sato, Maria Luiza Caíres Comper, Anderson Martins da Silva, Cristiana Villas Boas, Rosimeire Simprini Padula
BACKGROUND: There are very few observational methods for analysis of biomechanical exposure available in Brazilian-Portuguese. OBJECTIVE: This study aimed to cross-culturally adapt and test the measurement properties of the Rapid Upper Limb Assessment (RULA) and Strain Index (SI). METHODS: The cross-cultural adaptation and measurement properties test were established according to Beaton et al. and COSMIN guidelines, respectively. Several tasks that required static posture and/or repetitive motion of upper limbs were evaluated (n>100)...
November 26, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29239899/stroke-severity-quantification-by-critical-care-physicians-in-a-mobile-stroke-unit
#18
Maren R Hov, Jo Røislien, Thomas Lindner, Erik Zakariassen, Kristi C G Bache, Volker M Solyga, David Russell, Christian G Lund
BACKGROUND: Cerebral revascularization in acute stroke requires robust diagnostic tools close to symptom onset. The quantitative National Institute of Health Stroke Scale (NIHSS) is widely used in-hospital, whereas shorter and less specific stroke scales are used in the prehospital field. This study explored the accuracy and potential clinical benefit of using NIHSS prehospitally. PATIENTS AND METHODS: Thirteen anesthesiologists trained in prehospital critical care enrolled patients with suspected acute stroke in a mobile stroke unit...
December 12, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/29228940/communicating-wisely-teaching-residents-to-communicate-effectively-with-patients-and-caregivers-about-unnecessary-tests
#19
Geetha Mukerji, Adina Weinerman, Sarah Schwartz, Adelle Atkinson, Lynfa Stroud, Brian M Wong
BACKGROUND: With rising healthcare costs and a focus on quality, there is a growing need to promote resource stewardship in medical education. Physicians need to be able to communicate effectively with patients/caregivers seeking tests and treatments that are unnecessary. This study aimed to evaluate the impact of an interactive workshop on residents' knowledge of resource stewardship and communication skills when counseling patients/caregivers about requests for unnecessary testing. METHODS: Participants were 83 Internal Medicine and Pediatrics residents at the University of Toronto in 2014-15...
December 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29224992/experience-influences-the-agreement-and-reliability-of-tibial-component-positioning-in-total-knee-arthroplasty
#20
Derek F Amanatullah, Graham D Pallante, Matthieu P Ollivier, Alexander W Hooke, Matthew P Abdel, Michael J Taunton
BACKGROUND: Poor rotation of the tibial component is associated with unfavorable total knee arthroplasty outcomes. Some surgeons utilize the tibial tubercle (TT method), while others utilize the femoral cam (Box method) as a rotational landmark during total knee arthroplasty. Our purpose is to determine the reproducibility of 2 methods for establishing intra-operative tibial component rotation, while also comparing the effect of level of training. METHODS: Twelve surgeons positioned and sized a symmetric tibial component on 7 cadaver knees...
November 13, 2017: Journal of Arthroplasty
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