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https://www.readbyqxmd.com/read/29773567/balanced-steady-state-free-precession-sequence-ciss-fiesta-3d-driven-equilibrium-radiofrequency-reset-pulse-increases-the-diagnostic-yield-for-spinal-drop-metastases-in-children-with-brain-tumors
#1
K Buch, P Caruso, D Ebb, S Rincon
BACKGROUND AND PURPOSE: Identification of spinal drop metastases is important in the staging and management of pediatric patients with primary brain tumors. Our aim was to assess the diagnostic utility of the balanced steady-state free precession (bSSFP) sequence (CISS/FIESTA/3D driven equilibrium radiofrequency reset pulse) for the detection of spinal drop metastases in pediatric patients with primary intracranial tumors. MATERIALS AND METHODS: This was a retrospective study of 44 pediatric patients with primary intracranial tumors undergoing MR imaging spine evaluation for drop metastases before radiation treatment...
May 17, 2018: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29771817/high-value-cost-conscious-communication-skills-in-undergraduate-medical-education-validity-evidence-for-scores-derived-from-two-standardized-patient-scenarios
#2
Neena Natt, Stephanie R Starr, Darcy A Reed, Yoon Soo Park, Liselotte N Dyrbye, Andrea N Leep Hunderfund
INTRODUCTION: Training in high-value, cost-conscious care (HVCCC) is increasingly being incorporated into medical school curricula, but students may have limited opportunities to engage patients in HVCCC conversations. The aim of this study was to develop two standardized patient scenarios with associated checklists, hypothesizing that resulting scores would allow for valid formative assessments of HVCCC communication skills. METHODS: Scenarios were designed to generate a less-is-more conversation (in response to a patient requesting an unnecessary test) and a shared decision-making conversation (in response to a patient choosing between multiple effective treatment options)...
May 15, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29770342/fibular-collateral-ligament-varus-stress-radiographic-analysis-using-3-different-clinical-techniques
#3
Patrick W Kane, Mark E Cinque, Gilbert Moatshe, Jorge Chahla, Nicholas N DePhillipo, Matthew T Provencher, Robert F LaPrade
Background: Fibular collateral ligament (FCL) tears are challenging to diagnose. Left untreated, FCL tears lead to residual ligament instability and increased joint loading on the medial compartment of the knee. Additionally, when a concomitant anterior cruciate ligament (ACL) reconstruction is performed, increased forces on reconstruction grafts occur, which may lead to premature graft failure. Stress radiographs constitute a reliable and validated technique for the objective assessment of a complete grade III FCL tear...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29766744/psychometric-properties-and-factor-structure-of-the-german-version-of-the-clinician-administered-ptsd-scale-for-dsm-5
#4
Meike Müller-Engelmann, Ulrich Schnyder, Clara Dittmann, Kathlen Priebe, Martin Bohus, Janine Thome, Thomas Fydrich, Monique C Pfaltz, Regina Steil
The Clinician-Administered PTSD Scale (CAPS) is a widely used diagnostic interview for posttraumatic stress disorder (PTSD). Following fundamental modifications in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ( DSM-5), the CAPS had to be revised. This study examined the psychometric properties (internal consistency, interrater reliability, convergent and discriminant validity, and structural validity) of the German version of the CAPS-5 in a trauma-exposed sample ( n = 223 with PTSD; n =51 without PTSD)...
May 1, 2018: Assessment
https://www.readbyqxmd.com/read/29766543/assessing-preschoolers-interactive-behaviour-a-validation-study-of-the-coding-system-for-mother-child-interaction
#5
R Baiao, J Baptista, A Carneiro, R Pinto, C Toscano, P Fearon, I Soares, A R Mesquita
BACKGROUND: The preschool years are a period of great developmental achievements, which impact critically on a child's interactive skills. Having valid and reliable measures to assess interactive behaviour at this stage is therefore crucial. The aim of this study was to describe the adaptation and validation of the child coding of the Coding System for Mother-Child Interactions and discuss its applications and implications in future research and practice. METHODS: Two hundred twenty Portuguese preschoolers and their mothers were videotaped during a structured task...
May 15, 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29764411/contrast-enhanced-ultrasonography-of-the-pancreas-shows-impaired-perfusion-in-pancreas-insufficient-cystic-fibrosis-patients
#6
Trond Engjom, Kim Nylund, Friedemann Erchinger, Marcus Stangeland, Birger Norderud Lærum, Martin Mézl, Radovan Jiřík, Odd Helge Gilja, Georg Dimcevski
BACKGROUND: Perfusion assessment of the pancreas is challenging and poorly evaluated. Pancreatic affection is a prevalent feature of cystic fibrosis (CF). Little is known about pancreatic perfusion in CF. We aimed to assess pancreatic perfusion by contrast-enhanced ultrasound (CEUS) analysed in the bolus-and-burst model and software. METHODS: We performed contrast enhanced ultrasound of the pancreas in 25 CF patients and 20 healthy controls. Perfusion data was analysed using a dedicated perfusion model providing the mean capillary transit-time (MTT), blood flow (BF) and blood-volume (BV)...
May 15, 2018: BMC Medical Imaging
https://www.readbyqxmd.com/read/29760012/agreement-between-core-laboratory-and-study-investigators-for-imaging-scores-in-a-thrombectomy-trial
#7
Robert Fahed, Malek Ben Maacha, Célina Ducroux, Naim Khoury, Raphaël Blanc, Michel Piotin, Bertrand Lapergue
PURPOSE: We aimed to assess the agreement between study investigators and the core laboratory (core lab) of a thrombectomy trial for imaging scores. METHODS: The Alberta Stroke Program Early CT Score (ASPECTS), the European Collaborative Acute Stroke Study (ECASS) hemorrhagic transformation (HT) classification, and the Thrombolysis In Cerebral Infarction (TICI) scores as recorded by study investigators were compared with the core lab scores in order to assess interrater agreement, using Cohen's unweighted and weighted kappa statistics...
May 14, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29758557/a-phenomenological-approach-to-psychopathology-of-imagination-development-of-a-descriptive-instrument-examination-of-anomalous-fantasy-and-imagination
#8
Andreas Rosén Rasmussen, Helene Stephensen, Julie Nordgaard, Josef Parnas
This paper serves as an introduction to the Examination of Anomalous Fantasy and Imagination (EAFI) - a novel instrument for a semistructured, phenomenological exploration of psychopathology of imagination. We present an account of the phenomenology of imagination and proceed to a presentation of the disorders of imagination that are addressed in the EAFI. Furthermore, the interrater reliability of the EAFI was examined in a diagnostically heterogeneous sample of 20 in-patients. The interrater agreement ranged from 0...
May 14, 2018: Psychopathology
https://www.readbyqxmd.com/read/29758127/evaluating-the-impact-of-ebp-education-development-of-a-modified-fresno-test-for-acute-care-nursing
#9
Margo A Halm
BACKGROUND: Proficiency in evidence-based practice (EBP) is essential for relevant research findings to be integrated into clinical care when congruent with patient preferences. Few valid and reliable tools are available to evaluate the effectiveness of educational programs in advancing EBP attitudes, knowledge, skills, or behaviors, and ongoing competency. The Fresno test is one objective method to evaluate EBP knowledge and skills; however, the original and modified versions were validated with family physicians, physical therapists, and speech and language therapists...
May 14, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29755851/a-comparison-of-three-methods-for-the-analysis-of-skin-flap-viability-reliability-and-validity
#10
Carla Roberta Tim, Cintia Cristina Santi Martignago, Viviane Ribeiro da Silva, Estefany Camila Bonfim Dos Santos, Fabiana Nascimento Vieira, Nivaldo Antonio Parizotto, Richard Eloin Liebano
Objective: Technological advances have provided new alternatives to the analysis of skin flap viability in animal models; however, the interrater validity and reliability of these techniques have yet to be analyzed. The present study aimed to evaluate the interrater validity and reliability of three different methods: weight of paper template (WPT), paper template area (PTA), and photographic analysis. Approach: Sixteen male Wistar rats had their cranially based dorsal skin flap elevated. On the seventh postoperative day, the viable tissue area and the necrotic area of the skin flap were recorded using the paper template method and photo image...
May 1, 2018: Advances in Wound Care
https://www.readbyqxmd.com/read/29755169/interrater-reliability-of-three-versions-of-the-chedoke-arm-and-hand-activity-inventory
#11
Denise Johnson, Jocelyn E Harris, Paul Stratford, Julie Richardson
Purpose: The purpose of this study was to estimate the interrater reliability of three shortened versions of the Chedoke Arm and Hand Activity Inventory (CAHAI-7, CAHAI-8, CAHAI-9) when used with persons with acquired brain injury (ABI). The CAHAI is an assessment of upper limb function with high reliability in the stroke and ABI populations. In the stroke population, three shortened versions of the measure have established reliability. Clinicians report time constraints as a barrier to using standardized assessments; thus, establishing the reliability of the shortened versions of the CAHAI in the ABI population may increase the use of this measure...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29755167/interrater-reliability-of-the-observable-movement-quality-scale-for-children
#12
Lieke M A Dekkers, Maria W G Nijhuis-van der Sanden, Marianne Jonker, Bert J M de Swart, Anjo J W M Janssen
Purpose: The authors investigated the interrater reliability, the standard deviation of the random measurement error, and the limits of agreement (LoA) of the Observable Movement Quality (OMQ) scale in children. Movement quality is important in the recognition of motor problems, and the OMQ scale, a questionnaire used by paediatric physical therapists, has been developed for use with an age-specific motor test to observe movement quality and score relative to what is expected for a child's age. Method: Paediatric physical therapists ( n =28; 2 men, 26 women) observed video-recorded assessments of age-related motor tests in children ( n =9) aged 6 months to 6 years and filled in the OMQ scale (possible score range 15-75 points)...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29749664/the-role-of-neuroimaging-in-the-determination-of-brain-death
#13
Derek MacDonald, Brandie Stewart-Perrin, Jai Jai Shiva Shankar
BACKGROUND AND PURPOSE: Brain death determination (BDD) is primarily a clinical diagnosis, where death is defined as the permanent loss of brainstem function. In scenarios where clinical examinations are inaccurate, ancillary imaging tests are required. The choice of ancillary imaging test is variable, but the common denominator for all of them is to establish a lack of cerebral blood flow. The purpose of this study was to compare the diagnostic accuracy and interrater reliability of different ancillary imaging tests used for BDD...
May 11, 2018: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
https://www.readbyqxmd.com/read/29743310/comparison-of-the-quantiferon-tb-gold-plus-and-quantiferon-tb-gold-in-tube-interferon-%C3%AE-release-assays-in-patients-at-risk-for-tuberculosis-and-in-healthcare-workers
#14
Elitza S Theel, Heather Hilgart, Margaret Breen-Lyles, Kevin McCoy, Rhiannon Flury, Laura E Breeher, John Wilson, Irene G Sia, Jennifer A Whitaker, Jeremy Clain, Timothy R Aksamit, Patricio Escalante
The QuantiFERON-TB Gold Plus (QFT-Plus; Qiagen, Germantown, MD) interferon-gamma release assay (IGRA) received FDA-clearance in 2017 and will replace the prior version of the assay, the QFT-Gold In Tube (QFT-GIT). Here, we compared performance of the QFT-Plus assay to the QFT-GIT version in a diverse patient population, including patients undergoing evaluation for or follow-up of latent tuberculosis infection (LTBI; n=39) or active TB (n=3), and in healthcare workers (HCWs; n=119) at Mayo Clinic (Rochester, MN)...
May 9, 2018: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/29739339/comparison-of-methodological-quality-rating-of-systematic-reviews-on-neuropathic-pain-using-amstar-and-r-amstar
#15
Svjetlana Dosenovic, Antonia Jelicic Kadic, Katarina Vucic, Nikolina Markovina, Dawid Pieper, Livia Puljak
BACKGROUND: Systematic reviews (SRs) in the field of neuropathic pain (NeuP) are increasingly important for decision-making. However, methodological flaws in SRs can reduce the validity of conclusions. Hence, it is important to assess the methodological quality of NeuP SRs critically. Additionally, it remains unclear which assessment tool should be used. We studied the methodological quality of SRs published in the field of NeuP and compared two assessment tools. METHODS: We systematically searched 5 electronic databases to identify SRs of randomized controlled trials of interventions for NeuP available up to March 2015...
May 8, 2018: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29733492/cognitive-training-for-technical-and-non-technical-skills-in-robotic-surgery-a-randomised-controlled-trial
#16
N Raison, K Ahmed, T Abe, O Brunckhorst, G Novara, N Buffi, C McIlhenny, H Van der Poel, M Van Hemelrijck, A Gavazzi, P Dasgupta
OBJECTIVES: To investigate the effectiveness of motor imagery (MI) for technical and non-technical skills (NTS) training in minimally invasive surgery. MATERIALS AND METHODS: A single blind, parallel group randomised controlled trial was conducted at the Vattikuti Institute of Robotic Surgery, King's College London. Novice surgeons were recruited by open invitation in 2015. Following basic robotic skills training, participants underwent simple randomisation to either MI training or standard training...
May 7, 2018: BJU International
https://www.readbyqxmd.com/read/29729029/laryngeal-precursor-lesions-interrater-and-intrarater-reliability-of-histopathological-assessment
#17
Camilla Slot Mehlum, Stine Rosenkilde Larsen, Katalin Kiss, Aagot Moeller Groentved, Thomas Kjaergaard, Sören Möller, Christian Godballe
OBJECTIVE: The World Health Organization classification (WHOC) 2017 of low-grade versus high-grade laryngeal dysplasia recently replaced the previous WHOC 2005 of mild, moderate, and severe dysplasia and carcinoma in situ. Our objectives were to compare the interrater agreement of the WHOC 2017 with that of the WHOC 2005 and to test the intra-rater agreement of the WHOC 2005. METHODS: Two expert head and neck pathologists rated 211 tissue samples that were initially diagnosed with laryngeal precursor lesions...
May 4, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29723012/rating-motivational-interviewing-fidelity-from-thin-slices
#18
Derek D Caperton, David C Atkins, Zac E Imel
Monitoring fidelity to psychosocial treatments is critical to dissemination, process and outcome research, and internal validity in efficacy trials. However, the costs required to behavior code fidelity to treatments like motivational interviewing (MI) over many therapists and sessions quickly become intractable. Coding less of a session accelerates the process, but it is not clear how much of a session must be evaluated to capture the fidelity of the entire session. The present study used a "thin slice" (Ambady & Rosenthal, 1992) paradigm to explore the degree to which variously sized thin slices of MI fidelity related to fidelity ratings for a full session...
May 3, 2018: Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
https://www.readbyqxmd.com/read/29723005/a-new-coefficient-of-interrater-agreement-the-challenge-of-highly-unequal-category-proportions
#19
Rutger van Oest
We derive a general structure that encompasses important coefficients of interrater agreement such as the S-coefficient, Cohen's kappa, Scott's pi, Fleiss' kappa, Krippendorff's alpha, and Gwet's AC1. We show that these coefficients share the same set of assumptions about rater behavior; they only differ in how the unobserved category proportions are estimated. We incorporate Bayesian estimates of the category proportions and propose a new agreement coefficient with uniform prior beliefs. To correct for guessing in the process of item classification, the new coefficient emphasizes equal category probabilities if the observed frequencies are unstable due to a small sample, and the frequencies increasingly shape the coefficient as they become more stable...
May 3, 2018: Psychological Methods
https://www.readbyqxmd.com/read/29722727/grading-of-total-mesorectal-excision-specimens-assessment-of-interrater-agreement
#20
Emily A Goebel, Melissa Stegmaier, Donald R Gorassini, Matthew Kubica, Jeremy R Parfitt, David K Driman
BACKGROUND: Total mesorectal excision is the standard of care for patients with rectal cancer. Pathological evaluation of the quality of the total mesorectal excision specimen is an important prognostic factor that correlates with local recurrence, but is potentially subjective. OBJECTIVE: This study aimed to determine the degree of variation in grading, both between assessors and between fresh and formalin-fixed specimens. DESIGN: Raters included surgeons, pathologists, pathology residents, pathologists' assistants, and pathologists' assistant trainees...
June 2018: Diseases of the Colon and Rectum
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