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https://www.readbyqxmd.com/read/28915163/do-prehospital-providers-and-emergency-nurses-agree-on-triage-assignment-an-efficacy-study
#1
Helene Skjøt-Arkil, Louise L Pontoppidan, Jens O Laursen, Matthias Giebner, Jesper D Andersen, Christian B Mogensen
OBJECTIVES: The aim of this study was to investigate the agreement on triage level between prehospital providers and emergency department (ED) nurses in clinical practice when using the same triage system. The objectives were as follows: (a) What is the agreement of triage between prehospital providers and ED nurses, when using Danish Emergency Process Triage (DEPT) correctly? (b) Which part of the triage process yields the highest agreement regarding the final triage? METHODS: The study was a prospective and observational efficacy study...
September 14, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28915161/unenhanced-dual-energy-computed-tomography-visualization-of-brain-edema
#2
Mohammed F Mohammed, Olivia Marais, Adam Min, David Ferguson, Sabeena Jalakhan, Faisal Khosa, Michael OʼKeeffe, Tim OʼConnell, Heiko Schmiedeskamp, Bernhard Krauss, Axel Rohr, Savvas Nicolaou
PURPOSE: The aim of this study was to determine whether dual-energy computed tomography (DECT) imaging is superior to conventional noncontrast computed tomography (CT) imaging for the detection of acute ischemic stroke. MATERIALS AND METHODS: This was a retrospective, single-center study of 40 patients who presented to the emergency department (ED) of a major, acute care, teaching center with signs and symptoms of acute stroke. Only those patients who presented to the ED within 4 hours of symptom onset were included in this study...
September 14, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/28905233/gated-thoracic-magnetic-resonance-angiography-at-3t-noncontrast-versus-blood-pool-contrast
#3
Chengcheng Zhu, Henrik Haraldsson, Kimberly Kallianos, Liang Ge, Elaine Tseng, Travis Henry, David Saloner, Michael D Hope
Both noncontrast and contrast-enhanced approaches to gated thoracic magnetic resonance angiography (MRA) for aortic root evaluation have been reported at 3T. We compare qualitative and quantitative image quality measures for the two approaches, and assess the reproducibility of standard aortic measurements. Respiratory and cardiac gated MRA of the chest was performed at 3T in 45 patients: 23 after administration of iron-based blood pool contrast, and 22 without contrast. Image quality was assessed with a 5-point Likert scale, vessel lumen-to-muscle contrast ratios, and vessel wall sharpness...
September 13, 2017: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28901582/prospective-evaluation-on-the-effect-of-interobserver-variability-of-digital-rectal-examination-on-the-performance-of-the-rotterdam-prostate-cancer-risk-calculator
#4
Nuno Pereira-Azevedo, Isaac Braga, Jan Fm Verbeek, Luís Osório, Vítor Cavadas, Avelino Fraga, Eduardo Carrasquinho, Eduardo Cardoso de Oliveira, Daan Nieboer, Monique J Roobol
OBJECTIVES: To assess the level of agreement between digital rectal examination findings of two urologists and its effect on risk prediction using the digital rectal examination-based Rotterdam Prostate Cancer Risk Calculator. METHODS: The study sample consisted of a prospective cohort of asymptomatic unscreened men with prostate-specific antigen ≤50.0 ng/mL and transrectal ultrasound volume ≤110 mL who underwent transrectal ultrasound-guided prostate biopsy...
September 13, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28900520/first-year-medical-students-use-of-ultrasound-or-physical-examination-to-diagnose-hepatomegaly-and-ascites-a-randomized-controlled-trial
#5
Samantha Arora, Angela C Cheung, Usman Tarique, Arnav Agarwal, Mohammed Firdouse, Jonathan Ailon
PURPOSE: To compare point-of-care ultrasound and physical examination (PEx), each performed by first-year medical students after brief teaching, for assessing ascites and hepatomegaly. Ultrasound and PEx were compared on: (1) reliability, validity and performance, (2) diagnostic confidence, ease of use, utility, and applicability. METHODS: A single-center, randomized controlled trial was performed at a tertiary centre. First-year medical students were randomized to use ultrasound or PEx to assess for ascites and hepatomegaly...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28899713/interrater-reliability-of-the-patient-education-materials-assessment-tool-pemat
#6
Julia Vishnevetsky, Chasity Burrows Walters, Kay See Tan
OBJECTIVE: To assess the interrater reliability (IRR) and usability of the Patient Education Materials Assessment Tool (PEMAT) and the relationship between PEMAT scores and readability levels. METHODS: One hundred ten materials (80 print, 30 audiovisual) were evaluated, each by two raters, using the PEMAT. IRR was calculated using Gwet's AC1 and summarized across items in each PEMAT domain (understandability and actionability) and by material type. A survey was conducted to solicit raters' experience using the PEMAT...
September 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28891913/the-assignment-of-american-society-of-anesthesiologists-physical-status-classification-for-adult-polytrauma-patients-results-from-a-survey-and-future-considerations
#7
Catherine M Kuza, George Hatzakis, Jeffry T Nahmias
BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few studies that evaluated the assignment of ASA PS scores in trauma patients and no studies that evaluated ASA PS assignment in severely injured adult polytrauma patients. Our objective was to assess interrater reliability and identify sources of discrepancy among anesthesiologists and trauma surgeons in designating ASA PS scores to adult polytrauma patients...
September 7, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28891331/development-of-an-observational-measure-of-therapy-engagement-for-pediatric-rehabilitation
#8
Gillian King, Lisa A Chiarello, Laura Thompson, Matthew J W McLarnon, Eric Smart, Jenny Ziviani, Madhu Pinto
PURPOSE: The Pediatric Rehabilitation Intervention Measure of Engagement-Observation (PRIME-O) version was designed to capture signs of affective, cognitive and behavioral involvement for clients and service providers and in the client-provider interaction. METHODS: Phase 1 examined interrater consensus and construct validity of a pilot version, using observer ratings of engagement indicators made while viewing videos of therapy sessions differing in high and low engagement (Sample 1)...
September 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28885070/the-nepean-belief-scale-preliminary-reliability-and-validity-in-obsessive-compulsive-disorder
#9
Vlasios Brakoulias, Vladan Starcevic, Denise Milicevic, Anthony Hannan, Kirupamani Viswasam, Christopher Brown
OBJECTIVES: To examine the psychometric characteristics of the Nepean Belief Scale (NBS), a short clinician-administered scale that assesses the characteristics and intensity of beliefs in obsessive-compulsive disorder (OCD). METHODS: The NBS was administered by two clinicians to 27 subjects with OCD as part of a larger study that included a comprehensive assessment using the Yale-Brown Obsessive Compulsive Symptom Scale (Y-BOCS), the Overvalued Ideas Scale (OVIS) and the Symptom Checklist 90-Revised (SCL-90R)...
September 8, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28883676/exclusion-of-non-english-speakers-in-published-emergency-medicine-research-a-comparison-of-2004-and-2014
#10
Michael Brodeur, John Herrick, Jose Guardioloa, Peter Richman
BACKGROUND: Non-English speakers (NES) as a proportion of the United States population have steadily increased in recent years. There remains substantial risk of excluding NES from research. OBJECTIVE: To assess whether the percentage of emergency medicine (EM) studies that exclude Non-English speakers from participation has changed with time. METHODS: In a structured fashion, the lead investigator analyzed all original research articles in Academic Emergency Medicine and Annals of Emergency Medicine retrospectively for 2004 and prospectively for 2014...
June 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/28882521/reliability-of-physical-functioning-tests-in-patients-with-low-back-pain-a-systematic-review
#11
REVIEW
Lenie Denteneer, Ulrike Van Daele, Steven Truijen, Willem De Hertogh, Jill Meirte, Gaetane Stassijns
OBJECTIVE: The aim of this study was to provide a comprehensive overview of physical functioning tests in patients with low back pain (LBP) and to investigate their reliability. DATA SOURCES: A systematic computerized search was finalized in four different databases on the 24th of June 2017: Pubmed, Web of Science, Embase and Medline. STUDY SELECTION: PRISMA guidelines were followed during all stages of this review. Clinical studies that investigate the reliability of physical functioning tests in patients with LBP were eligible...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28877592/the-optimal-location-to-measure-scapholunate-diastasis-on-screening-radiographs
#12
Joseph Said, Kevin Baker, Laviel Fernandez, David E Komatsu, Elaine Gould, Lawrence C Hurst
BACKGROUND: Lack of a universally accepted location and normal value limits the utility of measuring scapholunate diastasis. The primary purpose of this study was to define the optimal location to measure the scapholunate gap throughout sequential ligament transections. Secondary purposes were to compare plain radiographs with fluoroscopy and to evaluate interrater reliability in measuring scapholunate diastasis. METHODS: Five cadaver forearms were imaged with intact carpal ligaments and after sequentially transecting the scapholunate, radioscaphocapitate, and scaphotrapezium-trapezoid ligaments...
September 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28875120/rater-reliability-of-the-hardy-classification-for-pituitary-adenomas-in-the-magnetic-resonance-imaging-era
#13
Michael A Mooney, Douglas A Hardesty, John P Sheehy, C Roger Bird, Kristina Chapple, William L White, Andrew S Little
Objectives  The Hardy classification is used to classify pituitary tumors for clinical and research purposes. The scale was developed using lateral skull radiographs and encephalograms, and its reliability has not been evaluated in the magnetic resonance imaging (MRI) era. Design  Fifty preoperative MRI scans of biopsy-proven pituitary adenomas using the sellar invasion and suprasellar extension components of the Hardy scale were reviewed. Setting  This study was a cohort study set at a single institution...
October 2017: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/28872525/thumb-ossification-composite-index-toci-for-predicting-peripubertal-skeletal-maturity-and-peak-height-velocity-in-idiopathic-scoliosis-a-validation-study-of-premenarchal-girls-with-adolescent-idiopathic-scoliosis-followed-longitudinally-until-skeletal-maturity
#14
Alec L H Hung, W W Chau, B Shi, Simon K Chow, Fiona Y P Yu, T P Lam, Bobby K W Ng, Y Qiu, Jack C Y Cheng
BACKGROUND: Accurate skeletal maturity assessment is important to guide clinical evaluation of idiopathic scoliosis, but commonly used methods are inadequate or too complex for rapid clinical use. The objective of the study was to propose a new simplified staging method, called the thumb ossification composite index (TOCI), based on the ossification pattern of the 2 thumb epiphyses and the adductor sesamoid bone; to determine its accuracy in predicting skeletal maturation when compared with the Sanders simplified skeletal maturity system (SSMS); and to validate its interrater and intrarater reliability...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28872465/increased-reliability-of-quantitative-ultrasound-measures-of-the-supraspinatus-tendon-using-multiple-image-analysts-and-analysis-runs
#15
Elizabeth R Felix, Rachel E Cowan, Tyler S Clark, Diana D Cardenas, Robert W Irwin
Quantitative ultrasound (QUS) is an inexpensive and promising tool for sensitive measurement of tendon pathology. However, few studies have reported the psychometric properties of measurements obtained using this technique for assessments of the supraspinatus tendon. The present study was undertaken to determine the variance contributed by several sources of error (participant, ultrasound operator, image analyst, analysis session) to QUS measures of the supraspinatus tendon. Transverse images of the supraspinatus tendon were captured from eleven subjects (22 shoulders) by two ultrasonographers, and each image was analyzed by two image analysts who each completed two analysis runs...
September 1, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28870394/variability-in-interpretation-of-cardiac-standstill-among-physician-sonographers
#16
Kevin Hu, Nachi Gupta, Felipe Teran, Turandot Saul, Bret P Nelson, Phillip Andrus
STUDY OBJECTIVE: Cardiac standstill on point-of-care ultrasonography has been widely studied as a marker of prognosis in cardiac arrest. Return of spontaneous circulation has been reported in as few as 0% and as many as 45% of patients with cardiac standstill. When explicitly documented, the definition of cardiac activity in these studies varied from any slight change in echogenicity of the myocardium to any kinetic cardiac activity. We hypothesize that the variability in research definitions of cardiac activity may affect interpretation of video clips of patients in cardiac arrest...
September 1, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28864793/impact-of-a-differential-learning-approach-on-practical-exam-performance-a-controlled-study-in-a-preclinical-dental-course
#17
Sven-Olav Pabel, Anne-Kathrin Pabel, Jan Schmickler, Xenia Schulz, Annette Wiegand
The aim of this study was to evaluate if differential learning in a preclinical dental course impacted the performance of dental students in a practical exam (preparation of a gold partial crown) immediately after the training session and 20 weeks later compared to conventional learning. This controlled study was performed in a preclinical course in operative dentistry at a dental school in Germany. Third-year students were trained in preparing gold partial crowns by using either the conventional learning (n=41) or the differential learning approach (n=32)...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28863730/the-challenges-of-identifying-and-classifying-child-sexual-abuse-material
#18
Juliane A Kloess, Jessica Woodhams, Helen Whittle, Tim Grant, Catherine E Hamilton-Giachritsis
The aim of the present study was to (a) assess the reliability with which indecent images of children (IIOC) are classified as being of an indecent versus nonindecent nature, and (b) examine in detail the decision-making process engaged in by law enforcement personnel who undertake the difficult task of identifying and classifying IIOC as per the current legislative offense categories. One experienced researcher and four employees from a police force in the United Kingdom coded an extensive amount of IIOC ( n = 1,212-2,233) to determine if they (a) were deemed to be of an indecent nature, and (b) depicted a child...
August 1, 2017: Sexual Abuse: a Journal of Research and Treatment
https://www.readbyqxmd.com/read/28859953/a-prospective-comparison-of-live-and-video-based-assessments-of-colonoscopy-performance
#19
Michael Scaffidi, Samir C Grover, Heather Carnahan, Jeffrey J Yu, Elaine Yong, Geoffrey C Nguyen, Simon C Ling, Nitin Khanna, Catharine M Walsh
BACKGROUND AND AIMS: Colonoscopy performance is typically assessed by a supervisor in the clinical setting. There are limitations of this approach, however, as it allows for rater bias and increases supervisor workload demand during the procedure. Video-based assessment of recorded procedures has been proposed as a complementary means by which to assess colonoscopy performance. This study sought to investigate the reliability, validity and feasibility of video-based assessments of competence in performing colonoscopy, compared with live assessment...
August 28, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28858422/development-and-psychometric-properties-of-the-basic-amputee-mobility-score-for-use-in-patients-with-a-major-lower-extremity-amputation
#20
Morten Tange Kristensen, Anni Østergaard Nielsen, Ulla Madsen Topp, Jakob Holmehave-Brandt, Charlotte Falkenberg Petterson, Peter Gebuhr
AIM: To develop and examine the psychometric properties, including responsiveness and interrater reliability, of a new outcome measure for the evaluation of basic mobility activities after a major lower extremity amputation - The Basic Amputee Mobility Score (BAMS). METHODS: The four following essential activities were chosen through consensus meetings with experienced amputee physiotherapists: (i) supine in bed to sitting on the edge of the bed; (ii) bed to wheelchair transfer; (iii) indoor wheelchair mobility; and (iv) get up from a wheelchair to standing on the non-amputated leg...
August 31, 2017: Geriatrics & Gerontology International
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