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https://www.readbyqxmd.com/read/28724392/a-prospective-study-assessing-agreement-and-reliability-of-a-geriatric-evaluation
#1
Isabella Locatelli, Stéfanie Monod, Jacques Cornuz, Christophe J Büla, Nicolas Senn
BACKGROUND: The present study takes place within a geriatric program, aiming at improving the diagnosis and management of geriatric syndromes in primary care. Within this program it was of prime importance to be able to rely on a robust and reproducible geriatric consultation to use as a gold standard for evaluating a primary care brief assessment tool. The specific objective of the present study was thus assessing the agreement and reliability of a comprehensive geriatric consultation...
July 19, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28712686/using-touch-surgery-to-improve-surgical-education-in-low-and-middle-income-settings-a-randomized-control-trial
#2
Gisele Juru Bunogerane, Kathryn Taylor, Yihan Lin, Ainhoa Costas-Chavarri
BACKGROUND/OBJECTIVE: There is a severe surgical workforce shortage in Rwanda. Innovative educational tools must be introduced to train more residents and increase surgical capacity. Touch Surgery (TS) is a smartphone application that offers trainees the opportunity to practice operations; however, its effect is unknown in low- and middle-income countries. Our objectives were to determine the training effect of TS and its feasibility for use in surgery education in a low-resource setting...
July 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28712014/do-you-see-what-i-see-mobile-eye-tracker-contextual-analysis-and-inter-rater-reliability
#3
S Stuart, D Hunt, J Nell, A Godfrey, J M Hausdorff, L Rochester, L Alcock
Mobile eye-trackers are currently used during real-world tasks (e.g. gait) to monitor visual and cognitive processes, particularly in ageing and Parkinson's disease (PD). However, contextual analysis involving fixation locations during such tasks is rarely performed due to its complexity. This study adapted a validated algorithm and developed a classification method to semi-automate contextual analysis of mobile eye-tracking data. We further assessed inter-rater reliability of the proposed classification method...
July 15, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/28711177/size-of-facial-port-wine-birthmark-may-predict-neurologic-outcome-in-sturge-weber-syndrome
#4
Malgorzata Dymerska, Anna Y Kirkorian, Elizabeth A Offermann, Doris D Lin, Anne M Comi, Bernard A Cohen
OBJECTIVE: To determine whether the size of the birthmark in patients with Sturge-Weber syndrome (SWS) who have brain involvement can help predict neurologic disability. STUDY DESIGN: Fifty-one patients with SWS with facial birthmarks and brain involvement documented on magnetic resonance imaging were included in this retrospective chart review. A neuroradiologist, blinded to all clinical information, assigned a previously validated SWS neuroimaging score. A pediatric neurologist prospectively assigned previously validated neurologic severity scores, based on seizures, hemiparesis, visual field cut, and cognitive impairments...
July 12, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28705819/mri-of-the-swallow-tail-sign-a-useful-marker-in-the-diagnosis-of-lewy-body-dementia
#5
S Shams, D Fällmar, S Schwarz, L-O Wahlund, D van Westen, O Hansson, E-M Larsson, S Haller
BACKGROUND AND PURPOSE: There are, to date, no MR imaging diagnostic markers for Lewy body dementia. Nigrosome 1, containing dopaminergic cells, in the substantia nigra pars compacta is hyperintense on SWI and has been called the swallow tail sign, disappearing with Parkinson disease. We aimed to study the swallow tail sign and its clinical applicability in Lewy body dementia and hypothesized that the sign would be likewise applicable in Lewy body dementia. MATERIALS AND METHODS: This was a retrospective cross-sectional multicenter study including 97 patients (mean age, 65 ± 10 years; 46% women), consisting of the following: controls (n = 21) and those with Lewy body dementia (n = 19), Alzheimer disease (n = 20), frontotemporal lobe dementia (n = 20), and mild cognitive impairment (n = 17)...
July 13, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28689637/measurement-of-flow-of-thought-in-68-patients-monitored-in-post-emergency-outpatient-consultations-role-of-ideational-turmoil-in-the-anxiety-depressive-symptomatology
#6
J Vandevoorde, A Sanchez Valero, E Baudoin, S Kamar, B Chabert, T Baudoin
INTRODUCTION: Rumination, cognitive control deficits, cognitive saturation, and loss of inhibition are the major hypotheses used to explain depressive disorders. A few studies have nevertheless looked at the form of thought. In this study, we will test a double measurement of the number of thoughts and a double measurement of the flow of thought together with their correlation with well-being, mental pain, and depression. MATERIAL AND METHODS: Between May and September 2015, 68 subjects, initially admitted as emergencies for acute anxiety depressive disorders and/or suicide attempts and subsequently monitored as post-emergency outpatients in medico-psychological consultations agreed to complete a set of Visual Analogue Scales measuring their well-being, their mental pain, their estimated number of thoughts and the how agitated these thoughts are estimated to be...
July 6, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28681649/first-experience-with-multiple-mini-interview-for-medical-school-admission-in-brazil-does-it-work-in-a-different-cultural-scenario
#7
Durval Anibal Daniel-Filho, Elda Maria Stafuzza Gonçalves Pires, Angela Tavares Paes, Eduardo Juan Troster, Simone Cristina Azevedo B S Silva, Mariana Fachini Granato, Thomaz Bittencourt Couto, Joyce Kelly Silva Barreto, Alexandre Holthausen Campos, Julio C Martins Monte, Claudio Schvartsman
PURPOSE: Evaluation of non-cognitive skills never has been used in Brazil. This study aims to evaluate Multiple Mini Interviews (MMI) in the admission process of a School of Medicine in São Paulo, Brazil. METHODS: The population of the study comprised 240 applicants summoned for the interviews, and 96 raters. MMI contributed to 25% of the applicants' final grade. Eight scenarios were created with the aim of evaluating different non-cognitive skills, each one had two raters...
July 6, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28670264/inter-rater-reliability-of-preprocessing-eeg-data-impact-of-subjective-artifact-removal-on-associative-memory-task-erp-results
#8
Steven D Shirk, Donald G McLaren, Jessica S Bloomfield, Alex Powers, Alec Duffy, Meghan B Mitchell, Ali Ezzati, Brandon A Ally, Alireza Atri
The processing of EEG data routinely involves subjective removal of artifacts during a preprocessing stage. Preprocessing inter-rater reliability (IRR) and how differences in preprocessing may affect outcomes of primary event-related potential (ERP) analyses has not been previously assessed. Three raters independently preprocessed EEG data of 16 cognitively healthy adult participants (ages 18-39 years) who performed a memory task. Using intraclass correlations (ICCs), IRR was assessed for Early-frontal, Late-frontal, and Parietal Old/new memory effects contrasts across eight regions of interest (ROIs)...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28647901/in-vivo-visualization-of-the-locus-coeruleus-in-humans-quantifying-the-test-retest-reliability
#9
Klodiana-Daphne Tona, Max C Keuken, Mischa de Rover, Egbert Lakke, Birte U Forstmann, Sander Nieuwenhuis, Matthias J P van Osch
The locus coeruleus (LC) is a brainstem nucleus involved in important cognitive functions. Recent developments in neuroimaging methods and scanning protocols have made it possible to visualize the human LC in vivo by utilizing a T1-weighted turbo spin echo (TSE) scan. Despite its frequent use and its application as a biomarker for tracking the progress of monoaminergic-related neurodegenerative diseases, no study to date has investigated the reproducibility and inter-observer variability of LC identification using this TSE scan sequence...
June 24, 2017: Brain Structure & Function
https://www.readbyqxmd.com/read/28644859/grief-interventions-for-people-bereaved-by-suicide-a-systematic-review
#10
Katja Linde, Julia Treml, Jana Steinig, Michaela Nagl, Anette Kersting
BACKGROUND: Adaption to the loss of a loved one due to suicide can be complicated by feelings of guilt, shame, responsibility, rejection, and stigmatization. Therefore people bereaved by suicide have an increased risk for developing complicated grief which is related to negative physical and mental disorders and an increased risk for suicidal behavior. Grief interventions are needed for this vulnerable population. The aim of this systematic review was to provide an overview of the current state of evidence concerning the effectiveness of interventions that focus on grief for people bereaved by suicide...
2017: PloS One
https://www.readbyqxmd.com/read/28644680/exploring-the-factor-structure-of-the-social-cognition-and-object-relations-global-rating-method-support-for-two-and-three-factor-models
#11
Caleb J Siefert, Michelle Stein, Jenelle Slavin-Mulford, Greg Haggerty, Samuel J Sinclair, Danielle Funke, Mark A Blais
The Social Cognition and Object Relations Scales-Global Rating Method (SCORS-G) contains 8 scales for coding narrative content. This study explores the factor structure of this measure using college (n = 171), outpatient (n = 239), and inpatient (n = 78) samples. Participants told stories to the Thematic Apperception Test (TAT; Murray, 1943) cards. Stories were transcribed and coded by blind raters using the SCORS-G. Cases were randomly assigned to an exploratory or validation group. Exploratory factor analysis with the exploratory group suggested 2- and 3-factor models...
June 23, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28623417/a-validated-clinical-mri-injury-scoring-system-in-neonatal-hypoxic-ischemic-encephalopathy
#12
Shamik B Trivedi, Zachary A Vesoulis, Rakesh Rao, Steve M Liao, Joshua S Shimony, Robert C McKinstry, Amit M Mathur
BACKGROUND: Deep nuclear gray matter injury in neonatal hypoxic-ischemic encephalopathy (HIE) is associated with worse neurodevelopmental outcomes. We previously published a qualitative MRI injury scoring system utilizing serial T1-weighted, T2-weighted and diffusion-weighted imaging (DWI), weighted for deep nuclear gray matter injury. OBJECTIVES: To establish the validity of the MRI scoring system with neurodevelopmental outcome at 18-24 months. MATERIALS AND METHODS: MRI scans from neonates with moderate to severe HIE treated with therapeutic hypothermia were evaluated...
June 16, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28605973/a-comparative-study-on-assessment-procedures-and-metric-properties-of-two-scoring-systems-of-the-coma-recovery-scale-revised-items-standard-and-modified-scores
#13
Davide Sattin, Piergiorgio Lovaglio, Greta Brenna, Venusia Covelli, Davide Rossi Sebastiano, Dunja Duran, Ludovico Minati, Ambra Mara Giovannetti, Cristina Rosazza, Anna Bersano, Anna Nigri, Stefania Ferraro, Matilde Leonardi
OBJECTIVE: The study compared the metric characteristics (discriminant capacity and factorial structure) of two different methods for scoring the items of the Coma Recovery Scale-Revised and it analysed scale scores collected using the standard assessment procedure and a new proposed method. DESIGN: Cross sectional design/methodological study. SETTING: Inpatient, neurological unit. PARTICIPANTS: A total of 153 patients with disorders of consciousness were consecutively enrolled between 2011 and 2013...
March 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28602515/the-impact-of-tai-chi-and-qigong-mind-body-exercises-on-motor-and-non-motor-function-and-quality-of-life-in-parkinson-s-disease-a-systematic-review-and-meta-analysis
#14
REVIEW
R Song, W Grabowska, M Park, K Osypiuk, G P Vergara-Diaz, P Bonato, J M Hausdorff, M Fox, L R Sudarsky, E Macklin, P M Wayne
PURPOSE: To systematically evaluate and quantify the effects of Tai Chi/Qigong (TCQ) on motor (UPDRS III, balance, falls, Timed-Up-and-Go, and 6-Minute Walk) and non-motor (depression and cognition) function, and quality of life (QOL) in patients with Parkinson's disease (PD). METHODS: A systematic search in 7 electronic databases targeted clinical studies evaluating TCQ for individuals with PD published through August 2016. Meta-analysis was used to estimate effect sizes (Hedges's g) and publication bias for randomized controlled trials (RCTs)...
May 25, 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28600442/tracking-and-predicting-disease-progression-in-progressive-supranuclear-palsy-csf-and-blood-biomarkers
#15
REVIEW
Edwin Jabbari, Henrik Zetterberg, Huw R Morris
Progressive supranuclear palsy (PSP) is a rare and progressive neurodegenerative condition characterised pathologically by neuronal cell loss due to abnormal tau deposits. Clinically, the condition manifests as parkinsonism with the addition of progressive balance, speech, swallowing, eye movement and cognitive impairment, ultimately leading to death. Measuring change over time in neurodegenerative conditions is central to defining the effects of therapeutic intervention and disease biology. The current gold standard for measuring clinical disease progression in PSP is the PSP Rating Scale score...
June 9, 2017: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/28587629/efficacy-of-the-ubiquitous-spaced-retrieval-based-memory-advancement-and-rehabilitation-training-usmart-program-among-patients-with-mild-cognitive-impairment-a-randomized-controlled-crossover-trial
#16
Ji Won Han, Kyung Lak Son, Hye Jin Byun, Ji Won Ko, Kayoung Kim, Jong Woo Hong, Tae Hyun Kim, Ki Woong Kim
BACKGROUND: Spaced retrieval training (SRT) is a nonpharmacological intervention for mild cognitive impairment (MCI) and dementia that trains the learning and retention of target information by recalling it over increasingly long intervals. We recently developed the Ubiquitous Spaced Retrieval-based Memory Advancement and Rehabilitation Training (USMART) program as a convenient, self-administered tablet-based SRT program. We also demonstrated the utility of USMART for improving memory in individuals with MCI through an open-label uncontrolled trial...
June 6, 2017: Alzheimer's Research & Therapy
https://www.readbyqxmd.com/read/28584882/increases-in-intrinsic-thalamocortical-connectivity-and-overall-cognition-following-cognitive-remediation-in-chronic-schizophrenia
#17
Ian S Ramsay, Tasha M Nienow, Angus W MacDonald
BACKGROUND: Thalamic projections to the prefrontal cortex (PFC) are critical for cognition, and disruptions in these circuits are thought to underlie the pathophysiology of schizophrenia. Cognitive remediation (REM) is a behavioral intervention that holds promise for improving cognition and functioning in schizophrenia, however the extent to which it affects thalamo-prefrontal connections has not been researched. This study sought to determine whether patients with schizophrenia who undergo a placebo-controlled trial of REM show increased functional connectivity between the thalamus and PFC, and whether these changes correspond to improvements in cognition...
May 2017: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/28580593/refining-the-pediatric-evaluation-of-disability-inventory-patient-reported-outcome-pedi-pro-item-candidates-interpretation-of-a-self-reported-outcome-measure-of-functional-performance-by-young-people-with-neurodevelopmental-disabilities
#18
Jessica M Kramer, Ariel Schwartz
AIM: This study examined the item interpretability and rating scale use of the Pediatric Evaluation of Disability Inventory-Patient-Reported Outcome (PEDI-PRO) by young people with developmental disabilities. The PEDI-PRO assesses the functional performance of discrete functional tasks in the context of everyday life situations. METHOD: A two-phase cognitive interview design was implemented with a convenience sample of 37 young people (mean age 19y, SD 2y 5mo; 13 males and 24 females; 68% with intellectual disability) with developmental disabilities...
June 5, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28574875/augmenting-amyloid-pet-interpretations-with-quantitative-information-improves-consistency-of-early-amyloid-detection
#19
Nicholas R Harn, Suzanne L Hunt, Jacqueline Hill, Eric Vidoni, Mark Perry, Jeffrey M Burns
PURPOSE: Establishing reliable methods for interpreting elevated cerebral amyloid-β plaque on PET scans is increasingly important for radiologists, as availability of PET imaging in clinical practice increases. We examined a 3-step method to detect plaque in cognitively normal older adults, focusing on the additive value of quantitative information during the PET scan interpretation process. METHODS: Fifty-five F-florbetapir PET scans were evaluated by 3 experienced raters...
August 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/28557586/qualitative-study-of-patients-and-caregivers-perceptions-and-information-preferences-about-hospice
#20
Areej El-Jawahri, Lara Traeger, Jennifer A Shin, Helen Knight, Kristina Mirabeau-Beale, Joel Fishbein, Harry H Vandusen, Vicki A Jackson, Angelo E Volandes, Jennifer S Temel
OBJECTIVE: The goal of this study is to assess perceptions about hospice among patients with metastatic cancer and their caregivers (i.e., family and/or friends). DESIGN AND SETTING: We conducted semi-structured interviews with 16 adult patients with a prognosis ≤12 months and 7 of their caregivers. The interviews focused on perceptions, knowledge, and information preferences about hospice. Two raters coded interviews independently (κ > 0.85). We used a framework approach for data analysis...
July 2017: Journal of Palliative Medicine
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