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https://www.readbyqxmd.com/read/28811919/trainee-experiences-of-intellectual-disability-psychiatry-and-an-innovative-leaderless-support-group-a-qualitative-study
#1
Ross Spackman, Hannah Toogood, Jayne Kerridge, Jon Nash, Elizabeth Anderson, Dheeraj Rai
Aims and method There is very little research into the challenges of training in intellectual disability psychiatry or into interventions which may address these challenges. Using focus groups, we explored the experiences of intellectual disability psychiatry trainees, and evaluated a leaderless trainee support group developed in Bristol. Results Five distinct themes were identified via framework analysis: that trainees felt unprepared for the difference from previous posts; the need for support; the value of the group; that trainees were concerned about judgement in supervision; that the group structure was valued...
August 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28806711/the-potential-of-an-automated-system-to-identify-the-upper-limb-component-of-a-controlled-sitting-posture
#2
María B Sánchez, Ian Loram, John Darby, Paul Holmes, Penelope B Butler
Full trunk control in sitting is demonstrated only when the head-trunk are aligned and upper limbs remain free of contact from mechanical support. These components represent a Controlled Kinetic Chain and can be evaluated in people with neuromotor disability using the Segmental Assessment of Trunk Control (SATCo) when a therapist provides manual trunk support at different segmental levels. However, the SATCo, as with other clinical assessments of control, is subjective. The SATCo was translated to objective rules relating the position of the hands and elbows to the head-trunk and then tested to determine the extent to which this automated objective method replicated the clinical judgement...
August 8, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28804806/how-biological-background-assumptions-influence-scientific-risk-evaluation-of-stacked-genetically-modified-plants-an-analysis-of-research-hypotheses-and-argumentations
#3
Elena Rocca, Fredrik Andersen
Scientific risk evaluations are constructed by specific evidence, value judgements and biological background assumptions. The latter are the framework-setting suppositions we apply in order to understand some new phenomenon. That background assumptions co-determine choice of methodology, data interpretation, and choice of relevant evidence is an uncontroversial claim in modern basic science. Furthermore, it is commonly accepted that, unless explicated, disagreements in background assumptions can lead to misunderstanding as well as miscommunication...
August 14, 2017: Life Sciences, Society and Policy
https://www.readbyqxmd.com/read/28797859/valuing-attributes-of-home-palliative-care-with-service-users-a-pilot-discrete-choice-experiment
#4
Barbara Gomes, Maja de Brito, Vera P Sarmento, Deokhee Yi, Duarte Soares, Jacinta Fernandes, Bruno Fonseca, Edna Gonçalves, Pedro L Ferreira, Irene J Higginson
CONTEXT: Discrete choice experiment (DCE) is a quantitative method that helps determine which service attributes are most valued by people and consequently improve their well-being. OBJECTIVES: To test a new DCE on home palliative care (HPC). METHODS: Cross-sectional survey using the DCE method with adult patients and their family caregivers, users of three HPC services in Portugal. Service attributes were based on a Cochrane review, a meta-ethnography, and the few existing DCEs on HPC: 1) team's availability, 2) support for family caregivers, 3) homecare support, 4) information and planning, and 5) waiting time...
August 7, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28797706/prioritisation-of-specialist-health-care-services-not-nice-not-easy-but-it-can-be-done
#5
Pippa Anderson, Philip Webb, Sam Groves
The challenges of delivering healthcare within budget constraints are ever present. Highly specialised technologies (HSTs) have high costs of provision inevitably contributing to NHS cost pressures. Between 2012-2015 the Welsh Health Specialised Services Committee (WHSSC) developed prioritisation methods to make recommendations for HST funding in Wales. Methods adapted as the process continued but was always evidence based and supported by a prioritisation panel of stakeholders. Methods changed from discreet choice to the Portsmouth Score Card, a simple multi-criteria decision analysis (MCDA) method...
June 24, 2017: Health Policy
https://www.readbyqxmd.com/read/28783607/values-in-evaluation-the-use-of-rubrics
#6
Pauline Dickinson, Jeffery Adams
Rubrics are used by evaluators who seek to move evaluations from being mere descriptions of an evaluand (i.e., the programme, project or policy to be evaluated) to determining the quality and success of the evaluand. However, a problem for evaluators interested in using rubrics is the literature relating to rubric development is scattered and mostly located in the education field with a particular focus on teaching and learning. In this short article we review and synthesise key points from the literature about rubrics to identify best practice...
July 18, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28770229/identifying-high-cost-high-risk-patients-using-administrative-databases-in-tuscany-italy
#7
Irene Bellini, Valentina Barletta, Francesco Profili, Alessandro Bussotti, Irene Severi, Maddalena Isoldi, Maria Bimbi, Paolo Francesconi
OBJECTIVE: (1) Assessing the performance of the algorithm in terms of sensitivity and positive predictive value, considering General Practitioners' (GPs) judgement as benchmark, and (2) describing adverse events (hospitalisation, death, and health services' consumption) of complex patients compared to the general population. DATA SOURCES: (i) Tuscany administrative database containing health data (2013-5); (ii) lists of complex patients indicated by GPs; and (iii) annual health registry of Tuscany...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28764280/content-validation-of-total-knee-replacement-rehabilitation-protocol-in-indian-population
#8
P Antony Leo Aseer, G Arun Maiya, M Mohan Kumar, P V Vijayaraghavan
INTRODUCTION: Total knee replacement (TKR) surgery has become the most successful surgery for patients with severe debilitating arthritis. The guidelines for rehabilitation progression should be tailored respecting the tissue healing parameters. Hence, the current literature states a need for protocol to mitigate these impairments and ultimately result in improved functional outcomes. OBJECTIVE: The present study aimed to validate the content of TKR rehabilitation protocol in Indian population...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28745257/-deciding-on-surgery-for-acute-subdural-haematoma-does-a-neurosurgeon-rather-fill-nursing-homes-or-cemeteries
#9
P van Eijsden
Acute subdural haematoma is a life-threatening condition that can sometimes be mitigated by decompressive craniotomy. However, it can also increase misery when patients survive but are left with severe disabilities. A recent publication shows that neurosurgeons in Belgium and the Netherlands vary considerably in their opinion regarding if, and when, to perform this surgery. This may be due to the fact that this type of intervention asks the question whether the life saved is more favourable than the death averted...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28721107/bite-force-and-dental-implant-treatment-a-short-review
#10
REVIEW
Dennis Flanagan
Dental implants are placed endosseously, and the bone is the ultimate bearer of the occlusal load. Patients are not uniform in the maximum bite force they can generate. The occlusal biting load in the posterior jaw is usually about three times of that found in the anterior. It is possible for supporting implants to be overloaded by the patients' biting force, resulting in bone loss and failure of the fixture. Bite force measurement may be an important parameter when planning dental implant treatment. Some patients can generate extreme biting loads that may cause a luxation of the fixture and subsequent loss of osseointegration...
2017: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/28710226/evaluating-the-predictive-strength-of-the-lace-index-in-identifying-patients-at-high-risk-of-hospital-readmission-following-an-inpatient-episode-a-retrospective-cohort-study
#11
Sarah Damery, Gill Combes
OBJECTIVE: To assess how well the LACE index and its constituent elements predict 30-day hospital readmission, and to determine whether other combinations of clinical or sociodemographic variables may enhance prognostic capability. DESIGN: Retrospective cohort study with split sample design for model validation. SETTING: One large hospital Trust in the West Midlands. PARTICIPANTS: All alive-discharge adult inpatient episodes between 1 January 2013 and 31 December 2014...
July 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28707532/a-novel-diagnostic-aid-for-intra-abdominal-adhesion-detection-in-cine-mr-imaging-pilot-study-and-initial-diagnostic-impressions
#12
David Randall, Frank Joosten, Richard ten Broek, Richard Gillott, Karna Dev Bardhan, Chema Strik, Wiesje Prins, Harry van Goor, John Fenner
OBJECTIVES: A non-invasive diagnostic technique for abdominal adhesions is not currently available. Capture of abdominal motion due to respiration in cine-MRI has shown promise, but is difficult to interpret. This article explores the value of a complimentary diagnostic aid to facilitate the non-invasive detection of abdominal adhesions using cine-MRI. METHOD: An image processing technique was developed to quantify the amount of sliding that occurs between the organs of the abdomen and the abdominal wall in sagittal cine-MRI slices...
July 14, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28699815/improving-recruitment-to-healthcare-research-studies-clinician-judgements-explored-for-opting-mental-health-service-users-out-of-the-time-to-change-viewpoint-survey
#13
Vanessa Pinfold, Jessica Cotney, Sarah Hamilton, Craig Weeks, Elizabeth Corker, Sara Evans-Lacko, Diana Rose, Claire Henderson, Graham Thornicroft
BACKGROUND: There are significant challenges across the research pathway, including participant recruitment. This paper aims to explore the impact of clinician recruitment decision-making on sampling for a national mental health survey. METHOD: Clinical teams in 20 English mental healthcare provider organisations screened caseload lists, opting-out people whom, in their judgement, should not be approached to participate in a survey about stigma and discrimination...
July 12, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28699405/cut-off-values-of-the-japanese-orthopaedic-association-score-corresponding-to-constant-scores-for-evaluating-outcomes-in-rotator-cuff-tear
#14
Junichi Kawakami, Masafumi Gotoh, Koumei Matsuura, Kunichika Shin, Ikuhisa Fujito, Aya Tanaka, Saho Matsunaga, Takaki Imai, Takashi Nagamatsu, Kazuya Madokoro, Naoto Shiba
PURPOSE: To clarify the cut-off value of the Japanese Orthopaedic Association (JOA) score corresponding to rotator cuff tear outcome as evaluated by the Constant score. METHODS: The subjects were 230 patients with rotator cuff tear. The Constant and JOA scores on the first examination in our hospital were evaluated. After investigation of the correlation between the Constant and JOA scores, the cut-off JOA score was calculated, corresponding to excellent, good and fair outcomes as evaluated by the Constant score...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28692979/perceptual-biases-in-font-size-as-a-data-encoding
#15
Eric Carlson Alexander, Chih-Ching Chang, Mariana Shimabukuro, Steve Franconeri, Christopher Collins, Michael Gleicher
Many visualizations, including word clouds, cartographic labels, and word trees, encode data within the sizes of fonts. While font size can be an intuitive dimension for the viewer, using it as an encoding can introduce factors that may bias the perception of the underlying values. Viewers might conflate the size of a word's font with a word's length, the number of letters it contains, or with the larger or smaller heights of particular characters ('o' vs. 'p' vs. 'b'). We present a collection of empirical studies showing that such factors-which are irrelevant to the encoded values-can indeed influence comparative judgements of font size, though less than conventional wisdom might suggest...
July 4, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28686946/novel-density-based-and-hierarchical-density-based-clustering-algorithms-for-uncertain-data
#16
Xianchao Zhang, Han Liu, Xiaotong Zhang
Uncertain data has posed a great challenge to traditional clustering algorithms. Recently, several algorithms have been proposed for clustering uncertain data, and among them density-based techniques seem promising for handling data uncertainty. However, some issues like losing uncertain information, high time complexity and nonadaptive threshold have not been addressed well in the previous density-based algorithm FDBSCAN and hierarchical density-based algorithm FOPTICS. In this paper, we firstly propose a novel density-based algorithm PDBSCAN, which improves the previous FDBSCAN from the following aspects: (1) it employs a more accurate method to compute the probability that the distance between two uncertain objects is less than or equal to a boundary value, instead of the sampling-based method in FDBSCAN; (2) it introduces new definitions of probability neighborhood, support degree, core object probability, direct reachability probability, thus reducing the complexity and solving the issue of nonadaptive threshold (for core object judgement) in FDBSCAN...
September 2017: Neural Networks: the Official Journal of the International Neural Network Society
https://www.readbyqxmd.com/read/28664916/geriatric-assessment-is-superior-to-oncologists-clinical-judgement-in-identifying-frailty
#17
Lene Kirkhus, Jūratė Šaltytė Benth, Siri Rostoft, Bjørn Henning Grønberg, Marianne J Hjermstad, Geir Selbæk, Torgeir B Wyller, Magnus Harneshaug, Marit S Jordhøy
BACKGROUND: Frailty is a syndrome associated with increased vulnerability and an important predictor of outcomes in older cancer patients. Systematic assessments to identify frailty are seldom applied, and oncologists' ability to identify frailty is scarcely investigated. METHODS: We compared oncologists' classification of frailty (onc-frail) based on clinical judgement with a modified geriatric assessment (mGA), and investigated associations between frailty and overall survival...
August 8, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28664288/-gerontological-policy-advice-possibilities-and-limits-of-scientific-counseling
#18
REVIEW
Andreas Kruse, Adelheid Kuhlmey, Gerhard Naegele
In the first part of this article a comprehensive understanding of political advice is explicated. In this context reference is made to the value judgement dispute in German sociology and a differentiation between an enlightening and a critical function of scientific policy advice. Development of social scientific policy advice is considered against the background of the distinction between technocratic, decisionistic and pragmatic models of counseling. In the second part of the article, the committee of inquiry on demographic change, the national reports on aging and the reviews on the development of the healthcare system are considered as practical examples of policy advice...
June 29, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28662418/assessing-the-social-brain-in-dementia-applying-tasit-s
#19
Fiona Kumfor, Cynthia Honan, Skye McDonald, Jessica L Hazelton, John R Hodges, Olivier Piguet
The ability to recognise how other people are feeling and make judgements based on their inferred thoughts is essential for successful social interactions, and is thought to depend on a complex network of brain regions, commonly referred to as the "social brain". These abilities, together referred to as social cognition, are increasingly recognised as being compromised in some dementia syndromes, particularly in behavioural-variant frontotemporal dementia (bvFTD), which is characterised by changes in personality and social conduct...
August 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/28657663/next-generation-deep-sequencing-corrects-diagnostic-pitfalls-of-traditional-molecular-approach-in-a-patient-with-prenatal-onset-of-pompe-disease
#20
Anne Chun-Hui Tsai, Yu-Wen Hung, Cary Harding, David M Koeller, Jing Wang, Lee-Jun C Wong
Pompe disease is a rare inherited metabolic disorder of glycogen metabolism caused by mutations in the GAA gene, encoding the acid α-1,4 glucosidase. Successful diagnosis of Pompe disease is achieved by clinical and biochemical evaluation followed by confirmation with DNA testing. Here, we report a male infant with a prenatal onset of cardiac symptoms and enzyme testing consistent with Pompe disease, but DNA testing by Sanger sequencing revealed no pathogenic variants. Due to the strong indication from clinical, enzymatic, and histological studies (despite the absence of molecular confirmation by traditional Sanger sequencing), enzyme replacement therapy (ERT) for Pompe disease was initiated...
June 28, 2017: American Journal of Medical Genetics. Part A
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