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Objective structured clinical exam

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https://www.readbyqxmd.com/read/28923933/longitudinal-identification-of-clinically-distinct-neurophenotypes-in-young-children-with-fragile-x-syndrome
#1
Jennifer L Bruno, David Romano, Paul Mazaika, Amy A Lightbody, Heather Cody Hazlett, Joseph Piven, Allan L Reiss
Fragile X syndrome (FXS), due to mutations of the FMR1 gene, is the most common known inherited cause of developmental disability. The cognitive, behavioral, and neurological phenotypes observed in affected individuals can vary considerably, making it difficult to predict outcomes and determine the need for interventions. We sought to examine early structural brain growth as a potential marker for identification of clinically meaningful subgroups. Participants included 42 very young boys with FXS who completed a T1-weighted anatomical MRI and cognitive/behavioral assessment at two longitudinal time points, with mean ages of 2...
September 18, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28910892/-study-on-pharyngeal-wall-floppiness-of-patients-with-obstructive-sleep-apnea-hypopnea-syndrome-attributable-to-non-structural-factors
#2
Z Q Lin, K L Jiang, L Zhao, S N Li, S Shao, W Qian, Z Z Tao
Objective: Acoustic pharyngealmetry technology is utilized to evaluate the change and clinical significance of obstructive sleep apnea-hypopnea syndrome (OSAHS) patients caused by non-upper airway structural factor and normal individuals' PWF(pharyngeal wall floppiness). Methods: Acoustic pharyngealmetry instrument of Ecconvision was utilized to examine 102 OSAHS patients and 50 normal individuals, separately recorded their volume of pharyngeal cavity in sit or supine position, calculated PWF in sit or supine position, and SPSS 12...
September 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/28889328/the-work-role-functioning-questionnaire-v2-0-showed-consistent-factor-structure-across-six-working-samples
#3
Femke I Abma, Ute Bültmann, Benjamin C Amick Iii, Iris Arends, Heleen F Dorland, Peter A Flach, Jac J L van der Klink, Hardy A van de Ven, Jakob Bue Bjørner
Objective The Work Role Functioning Questionnaire v2.0 (WRFQ) is an outcome measure linking a persons' health to the ability to meet work demands in the twenty-first century. We aimed to examine the construct validity of the WRFQ in a heterogeneous set of working samples in the Netherlands with mixed clinical conditions and job types to evaluate the comparability of the scale structure. Methods Confirmatory factor and multi-group analyses were conducted in six cross-sectional working samples (total N = 2433) to evaluate and compare a five-factor model structure of the WRFQ (work scheduling demands, output demands, physical demands, mental and social demands, and flexibility demands)...
September 9, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/28889167/does-simulation-based-training-increase-athletic-training-students-clinical-confidence-and-competence-in-performing-a-cardiovascular-screening
#4
Jennifer L Doherty-Restrepo, K Erin Harrelson, Tazjanne Swinnie, Alicia M Montalvo
CONTEXT: The incidence of sudden cardiac death (SCD) in athletes is higher than previously estimated. The need for increased screening to detect cardiac diseases in preparticipation physical examinations (PPE) has become a focus in athletic training. The use of simulation-based training in healthcare professionals' education has increased clinical confidence and competence, but research is limited. OBJECTIVE: To examine if a simulation-based educational intervention can increase athletic training students' self-reported confidence and clinical competence in conducting a cardiovascular screening...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28888646/disparity-in-the-nasopharyngeal-microbiota-between-healthy-cattle-on-feed-at-entry-processing-and-with-respiratory-disease
#5
Mohamed Zeineldin, James Lowe, Maria de Godoy, Nidia Maradiaga, Chelsey Ramirez, Mohamed Ghanem, Yassein Abd El-Raof, Brian Aldridge
Bovine respiratory disease (BRD) is one of the most serious causes of health and economic problems in the beef production industry, especially in recently weaned, intensely raised and newly transported feedlot cattle. While the importance of upper airway structure and function in the susceptibility of the lower respiratory tract to colonization with potential pathogens is well established, the role of the mucosal microbiota in respirtatory health is less well defined. The objective of this study was to characterize the nasopharyngeal microbiota of feedlot cattle at entry into a commercial feedlot, during initial management processing, and to compare the dynamics of change in these microbial communities between clinically healthy calves and those that develop BRD within the first month after entry...
September 2017: Veterinary Microbiology
https://www.readbyqxmd.com/read/28885088/progression-of-trunk-imbalance-in-adolescent-idiopathic-scoliosis-with-a-thoracolumbar-lumbar-curve-is-it-predictable-at-the-initial-visit
#6
Chang Ju Hwang, Choon Sung Lee, Dong-Ho Lee, Jae Hwan Cho
OBJECTIVE Progression of trunk imbalance is an important finding during follow-up of patients with adolescent idiopathic scoliosis (AIS). Nevertheless, no factors that predict progression of trunk imbalance have been identified. The purpose of this study was to identify parameters that predict progression of trunk imbalance in cases of AIS with a structural thoracolumbar/lumbar (TL/L) curve. METHODS This study included 105 patients with AIS and a structural TL/L curve who were followed up at an outpatient clinic...
September 8, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28881560/sequential-osce-based-on-item-response-theory
#7
Sara Mortaz Hejri, Mohammad Jalili
Purpose: In sequential Objective Structured Clinical Examination (OSCE) all students initially take a short screening OSCE. Examinees who pass are excused from further testing, but an additional OSCE will be administered for the remaining examinees. Previous investigations on sequential OSCE were based on the Classical Test Theory. We aimed at designing and evaluating screening OSCEs based on Item Response Theory. Methods: We carried out a retrospective observational study...
September 8, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28881536/-mr-imaging-of-flexor-tendon-and-pulley-system-of-the-fingers-normal-anatomy-and-injury
#8
R J Bai, H L Zhan, Y Liu, H Zhang, Z H Qian, W Ye, Y X Li
Objective: To explore the magnetic resonance imaging (MRI) features of the anatomy and injuries of flexor tendon and pulley system of the fingers. Methods: Clinical and imaging data of 20 healthy volunteers without injuries and 36 patients from Beijing Jishuitan Hospital with flexor tendon and pulley system injuries in the fingers between March 2013 and March 2016 were retrospectively analyzed. All subjects underwent magnetic resonance imaging (MRI) examination. The MRI findings of patients were compared with healthy volunteers...
September 5, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28881510/-clinical-phenotypes-of-hepatocyte-nuclear-factor-1-homeobox-b-associated-disease
#9
F Wang, Y Yao, H X Yang, C Y Shi, X X Zhang, H J Xiao, H W Zhang, B G Su, Y Q Zhang, J F Guo, J Ding
Objective: Hepatocyte nuclear factor 1 homeobox b (HNF1B) -associated disease is an autosomal dominant inherited disorder with a variable, multi-systemic phenotype. In China, five adult probands and one child proband with HNF1B-associated disease had been reported, whereas few fetuses are described. The aims of this retrospective study were to understand about the clinical manifestations of HNF1B-associated disease and to further improve the recognition of this disorder. Method: Four patients (3 males, 1 female) and three fetuses with HNF1B mutations were included in this study...
September 2, 2017: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/28876996/veterinary-curriculum-transformation-at-the-university-of-illinois-2006-2016
#10
Jonathan H Foreman, Dawn E Morin, Thomas K Graves, Mark A Mitchell, Federico A Zuckermann, Herbert E Whiteley
The organization and delivery of a curriculum is the responsibility of the faculty in educational institutions. Curricular revision is often a hotly debated topic in any college faculty. At the University of Illinois, a 2006 mandate for curriculum modernization from the American Veterinary Medical Association Council on Education provided impetus for a long-discussed curricular revision. After two iterations and a lengthy development process, a new curriculum was gradually implemented at Illinois with the August 2009 matriculation of the Class of 2013...
2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28876446/use-of-simulation-to-integrate-cultural-humility-into-advanced-health-assessment-for-nurse-practitioner-students
#11
Abraham N Ndiwane, Nancy C Baker, Antonia Makosky, Patricia Reidy, Anthony J Guarino
BACKGROUND: Increasing cultural humility among nursing students requires the application of knowledge and skills. The integration of an Objective Structured Clinical Examination (OSCE) offered nurse practitioner students practice in simulation. METHOD: This learning activity included pre- and postassessments of knowledge regarding cultural issues and level of student satisfaction. Course content included an exemplar video and a simulation interview with an African American standardized patient...
September 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28874934/emergency-physician-performed-transesophageal-echocardiography-in-simulated-cardiac-arrest
#12
Don V Byars, Jordan Tozer, John M Joyce, Michael J Vitto, Lindsay Taylor, Turan Kayagil, Matt Jones, Matthew Bishop, Barry Knapp, David Evans
INTRODUCTION: Transesophageal echocardiography (TEE) is a well-established method of evaluating cardiac pathology. It has many advantages over transthoracic echocardiography (TTE), including the ability to image the heart during active cardiopulmonary resuscitation. This prospective simulation study aims to evaluate the ability of emergency medicine (EM) residents to learn TEE image acquisition techniques and demonstrate those techniques to identify common pathologic causes of cardiac arrest...
August 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28865187/sustained-release-of-multicomponent-platelet-rich-plasma-proteins-from-hydrolytically-degradable-peg-hydrogels
#13
Era Jain, Saahil Sheth, Andrew Dunn, Silviya P Zustiak, Scott A Sell
Platelet-rich plasma (PRP), an autologous blood derived product is a concentrated mix of multiple growth factors and cytokines. Direct injections of PRP are clinically used for treatment of various musculoskeletal disorders and in wound healing. However, PRP therapy has met with limited clinical success possibly due to unpredictable and premature bolus delivery of PRP growth factors. The objective of this study was to predictably control the bioavailability of PRP growth factors using a hydrolytically degradable polyethylene glycol (PEG) hydrogel...
September 2, 2017: Journal of Biomedical Materials Research. Part A
https://www.readbyqxmd.com/read/28864488/how-does-preclinical-laboratory-training-impact-physical-examination-skills-during-the-first-clinical-year-a-retrospective-analysis-of-routinely-collected-objective-structured-clinical-examination-scores-among-the-first-two-matriculating-classes-of-a-reformed
#14
Jolanta Świerszcz, Agata Stalmach-Przygoda, Marcin Kuźma, Konrad Jabłoński, Tomasz Cegielny, Agnieszka Skrzypek, Ewa Wieczorek-Surdacka, Olga Kruszelnicka, Kaja Chmura, Bernadeta Chyrchel, Andrzej Surdacki, Michał Nowakowski
OBJECTIVE: As a result of a curriculum reform launched in 2012 at our institution, preclinical training was shortened to 2 years instead of the traditional 3 years, creating additional incentives to optimise teaching methods. In accordance with the new curriculum, a semester-long preclinical module of clinical skills (CS) laboratory training takes place in the second year of study, while an introductory clinical course (ie, brief introductory clerkships) is scheduled for the Fall semester of the third year...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28859236/oral-appliances-for-managing-sleep-bruxism-in-adults-a-systematic-review-from-2007-to-2017
#15
REVIEW
Laurynas Jokubauskas, Aušra Baltrušaitytė, Gaivilė Pileičikienė
The review focuses on the last decade of research regarding the use of various oral appliances (OA) in the management of sleep bruxism (SB) in adults. Sixteen (N = 16) papers out of 641 identified citations involving 398 participants were included in the review. Of them, 7 were randomised controlled trials (RCTs), 7 were uncontrolled before-after studies and 2 were crossover trials. Analysis of the included articles revealed a high variability of study designs and findings. Generally, the risk of bias was low-to-unclear for RCTs and high for crossover studies, whilst the before-after studies exhibited several structural limitations...
August 31, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28857593/-psychiatric-disorders-in-smokers-seeking-treatment-for-tobacco-dependence-relations-with-tobacco-dependence-and-cessation-correction-to-piper-et-al-2010
#16
(no author information available yet)
Reports an error in "Psychiatric disorders in smokers seeking treatment for tobacco dependence: Relations with tobacco dependence and cessation" by Megan E. Piper, Stevens S. Smith, Tanya R. Schlam, Michael F. Fleming, Amy A. Bittrich, Jennifer L. Brown, Cathlyn J. Leitzke, Mark E. Zehner, Michael C. Fiore and Timothy B. Baker (Journal of Consulting and Clinical Psychology, 2010[Feb], Vol 78[1], 13-23). There was an error in the Method section in the World Mental Health Survey Initiative version of the CIDI subsection...
September 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28856902/getting-rid-of-the-blues-formulating-a-risk-index-for-depression-rid-using-structural-equation-modeling
#17
Joanna F Dipnall, Julie A Pasco, Michael Berk, Lana J Williams, Seetal Dodd, Felice N Jacka, Denny Meyer
OBJECTIVE: While risk factors for depression are increasingly known, there is no widely utilised depression risk index. Our objective was to develop a method for a flexible, modular, Risk Index for Depression using structural equation models of key determinants identified from previous published research that blended machine-learning with traditional statistical techniques. METHODS: Demographic, clinical and laboratory variables from the National Health and Nutrition Examination Study (2009-2010, N = 5546) were utilised...
August 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28854199/ultrasound-2d-strain-measurement-for-arm-lymphedema-using-deformable-registration-a-feasibility-study
#18
Xiaofeng Yang, Mylin Torres, Stephanie Kirkpatrick, Walter J Curran, Tian Liu
PURPOSE: Lymphedema, a swelling of the extremity, is a debilitating morbidity of cancer treatment. Current clinical evaluation of lymphedema is often based on medical history and physical examinations, which is subjective. In this paper, the authors report an objective, quantitative 2D strain imaging approach using a hybrid deformable registration to measure soft-tissue stiffness and assess the severity of lymphedema. METHODS: The authors have developed a new 2D strain imaging method using registration of pre- and post-compression ultrasound B-mode images, which combines the statistical intensity- and structure-based similarity measures using normalized mutual information (NMI) metric and normalized sum-of-squared-differences (NSSD), with an affine-based global and B-spline-based local transformation model...
2017: PloS One
https://www.readbyqxmd.com/read/28851451/structured-physical-exercise-improves-neuropsychiatric-symptoms-in-acute-dementia-care-a-hospital-based-rct
#19
Tim Fleiner, Hannah Dauth, Marleen Gersie, Wiebren Zijlstra, Peter Haussermann
BACKGROUND: The primary objective of this trial is to investigate the effects of a short-term exercise program on neuropsychiatric signs and symptoms in acute hospital dementia care. METHODS: Within a hospital-based randomized controlled trial, the intervention group conducted a 2-week exercise program with four 20-min exercise sessions on 3 days per week. The control group conducted a social stimulation program. Effects on neuropsychiatric signs and symptoms were measured via the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change, the Neuropsychiatric Inventory, and the Cohen-Mansfield Agitation Inventory...
August 29, 2017: Alzheimer's Research & Therapy
https://www.readbyqxmd.com/read/28843917/subjective-versus-objective-evening-chronotypes-in-bipolar-disorder
#20
Anda Gershon, Christopher N Kaufmann, Colin A Depp, Shefali Miller, Dennis Do, Jamie M Zeitzer, Terence A Ketter
BACKGROUND: Disturbed sleep timing is common in bipolar disorder (BD). However, most research is based upon self-reports. We examined relationships between subjective versus objective assessments of sleep timing in BD patients versus controls. METHODS: We studied 61 individuals with bipolar I or II disorder and 61 healthy controls. Structured clinical interviews assessed psychiatric diagnoses, and clinician-administered scales assessed current mood symptom severity...
August 18, 2017: Journal of Affective Disorders
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