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https://www.readbyqxmd.com/read/28435503/ultrasound-guided-radial-artery-compression-to-assess-blood-pressure
#1
Leonard Bunting, Andrew Butki, Ashley Sullivan
INTRODUCTION: We proposed using compression sonography to observe the coaptation and collapse of the radial artery as a surrogate for automated cuff blood pressures (BP). We hypothesize that the pressure required to achieve coaptation and complete collapse of the artery would correlate to the diastolic and systolic BP, respectively. This pilot study was to assess the feasibility of ultrasound-guided radial artery compression (URAC) for BP measurement and compare patient comfort levels during automated cuff with URAC measurements...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28431797/video-education-for-critical-care-nurses-to-assess-pain-with-a-behavioural-pain-assessment-tool-a-descriptive-comparative-study
#2
Annika Björn, Sanna-Mari Pudas-Tähkä, Sanna Salanterä, Anna Axelin
AIM: To evaluate the impact of video education on critical care nurses' knowledge and skills in using a behavioural pain assessment tool for intensive care patients and to explore the nurses' experiences with video education. METHODS: Forty-eight nurses in one intensive care unit watched an educational video on the use of the Critical-Care Pain Observation Tool, then assessed pain in two patients with the tool and took a knowledge test. The researcher made parallel pain assessments...
April 18, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28427332/interrater-and-test-retest-reliability-and-validity-of-the-norwegian-version-of-the-bestest-and-mini-bestest-in-people-with-increased-risk-of-falling
#3
Charlotta Hamre, Pernille Botolfsen, Gro Gujord Tangen, Jorunn L Helbostad
BACKGROUND: The Balance Evaluation Systems Test (BESTest) was developed to assess underlying systems for balance control in order to be able to individually tailor rehabilitation interventions to people with balance disorders. A short form, the Mini-BESTest, was developed as a screening test. The study aimed to assess interrater and test-retest reliability of the Norwegian version of the BESTest and the Mini-BESTest in community-dwelling people with increased risk of falling and to assess concurrent validity with the Fall Efficacy Scale-International (FES-I), and it was an observational study with a cross-sectional design...
April 20, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28422801/interrater-and-test-retest-reliability-of-the-beery-visual-motor-integration-in-schoolchildren
#4
Erin M Harvey, Tina K Leonard-Green, Kathleen M Mohan, Marjean Taylor Kulp, Amy L Davis, Joseph M Miller, J Daniel Twelker, Irene Campus, Leslie K Dennis
PURPOSE: To assess interrater and test-retest reliability of the 6th Edition Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI) and test-retest reliability of the VMI Visual Perception Supplemental Test (VMIp) in school-age children. METHODS: Subjects were 163 Native American third- to eighth-grade students with no significant refractive error (astigmatism <1.00 D, myopia <0.75 D, hyperopia <2.50 D, anisometropia <1.50 D) or ocular abnormalities...
May 2017: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/28412837/reliability-and-validity-of-start-and-lsi-r-assessments-in-mental-health-jail-diversion-clients
#5
Evan M Lowder, Sarah L Desmarais, Candalyn B Rade, Kiersten L Johnson, Richard A Van Dorn
Risk assessment instruments are increasingly used in mental health jail diversion programs. This study examined the reliability and validity of Short-Term Assessment of Risk and Treatability (START) and Level of Service Inventory-Revised (LSI-R) assessments overall and by client race. Research assistants completed START and LSI-R assessments for 95 diversion clients. Arrests and jail days were collected via official records and self-report 3, 6, 9, 12, and 18 months after baseline. Assessments demonstrated good interrater reliability and convergent validity...
April 1, 2017: Assessment
https://www.readbyqxmd.com/read/28412050/-the-correlation-among-the-ramsay-sedation-scale-richmond-agitation-sedation-scale-and-riker-sedation-agitation-scale-during-midazolam-remifentanil-sedation
#6
Turgut Namigar, Karacalar Serap, Akdaş Tekin Esra, Odacılar Özgül, Öztürk Ali Can, Ak Aysel, Ali Achmet
BACKGROUND AND OBJECTIVES: Sedative and analgesic treatment administered to critically ill patients need to be regularly assessed to ensure that previously stated goals are well achieved as the risk of complications of oversedation is minimized. We revised and prospectively tested the Ramsay Sedation Scale (RSS) for interrater reliability and compared it with the Riker Sedation-Agitation Scale (RSAS) and the Richmond Agitation Sedation Scale (RASS) to test construct validity during midazolam-remifentanil sedation...
April 12, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28410172/adolescent-and-young-adult-cancer-survivorship-educational-programming-a-qualitative-evaluation
#7
Deborah Vollmer Dahlke, Kayla Fair, Yan Alicia Hong, Debra Kellstedt, Marcia G Ory
BACKGROUND: This program evaluation considers the need for increased professional and patient education for adolescent and young adult (AYA) cancer survivorship. Due to the high incidence of late effects of cancer treatment among AYA cancer survivors, knowledge sharing and communications are needed throughout the transition from cancer care into community care. AYA survivors are likely to need developmentally appropriate psychosocial care as well as extensive follow-on surveillance by physicians who are educated and aware of the likely chronic conditions and late effects that may occur in these patients...
February 10, 2017: JMIR Cancer
https://www.readbyqxmd.com/read/28409648/assessment-of-simulated-emergency-scenarios-are-trained-observers-necessary
#8
Juliane Noveanu, Felix Amsler, Wolfgang Ummenhofer, Thomas von Wyl, Mathias Zuercher
OBJECTIVES: Simulation-based medical training is associated with superior educational outcomes and improved cost efficiency. Self- and peer-assessment may be a cost-effective and flexible alternative to expert-led assessment. We compared accuracy of self- and peer-assessment of untrained raters using basic evaluation tools to expert assessment using advanced validation tools including validated questionnaires and post hoc video-based analysis. METHODS: Twenty-eight simulated emergency airway management scenarios were observed and video-recorded for further assessment...
April 14, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28403330/dental-management-survey-brazil-dms-br-creation-and-validation-of-a-management-instrument
#9
Paola Sampaio Gonzales, Ismar Eduardo Martins, Maria Gabriela Haye Biazevic, Paulo Roberto da Silva, Edgard Michel-Crosato
Questionnaires for the assessment of knowledge and self-perception can be useful to diagnose what a dentist knows about management and administration. The aim of the present study was to create and validate the Dental Management Survey Brazil (DMS-BR) scale, based on meetings with experts in the field. After having elaborated the first version, 10 audits were performed in dental offices in order to produce the final version, which included nine dimensions: location, patient, finance, marketing, competition, quality, staff, career, and productivity...
April 10, 2017: Brazilian Oral Research
https://www.readbyqxmd.com/read/28401132/comparing-diagnostic-classification-of-neurobehavioral-disorder-associated-with-prenatal-alcohol-exposure-with-the-canadian-fetal-alcohol-spectrum-disorder-guidelines-a-cohort-study
#10
James L Sanders, Rebecca E Hudson Breen, Nicole Netelenbos
BACKGROUND: Diagnostic criteria have recently been introduced in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), for neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE). The purpose of this study is to assess the classification of this condition using the Canadian fetal alcohol spectrum disorder (FASD) multidisciplinary diagnostic guidelines as the standard of comparison. First, classification of ND-PAE was compared with Canadian FASD diagnoses of fetal alcohol syndrome (FAS), partial FAS and alcohol-related neurodevelopmental disorder...
January 2017: CMAJ Open
https://www.readbyqxmd.com/read/28399314/portuguese-older-adults-presenting-at-the-emergency-department-predictive-validity-of-the-identification-of-seniors-at-risk-isar-tool
#11
João Paulo de Almeida Tavares, Pedro Sa-Couto, Marie Boltz, Elizabeth Capezuti
Following an emergency department (ED) visit, older adults are more likely to experience poorer outcomes than younger adults. It is crucial to identify older patients using a validated tool. One of the most studied tools is the Identification of Seniors at Risk (ISAR), which is used to identify older adults at risk of adverse outcomes after ED admission. The purpose of the current study was to examine the sensitivity, specificity, and interrater reliability of the Portuguese version of the ISAR when considering early (30 days) and late (180 days) outcomes...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28398938/pediatric-anaphylaxis-in-the-emergency-department-clinical-presentation-quality-of-care-and-reliability-of-consensus-criteria
#12
Viginia L Goetz, Kelly Kim, Antonia S Stang
OBJECTIVES: The objective of this study was to describe the quality of emergency department (ED) care for pediatric patients with anaphylaxis. The secondary objectives were to describe (1) the clinical presentation of pediatric patients with anaphylaxis including the proportion of patients meeting each of the National Institute of Allergy and Infectious Diseases (NIAID) consensus criteria and subcriteria and (2) the Interrater reliability (IRR) for applying the NIAID criteria. METHODS: We conducted a retrospective cross-sectional chart review of patients seen in a pediatric ED during a 2-year period...
April 11, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28398192/an-interventionist-adherence-scale-for-a-specialized-brief-negotiation-interview-focused-on-treatment-engagement-for-opioid-use-disorders
#13
Michael V Pantalon, James Dziura, Fang-Yong Li, Patricia H Owens, Patrick G O'Connor, Gail D'Onofrio
BACKGROUND: No psychometrically validated instrument for evaluating the extent to which interventionists correctly implement brief interventions designed to motivate treatment engagement for opioid use disorders has been reported in the literature. The objective of this study was to develop and examine the psychometric properties of the Brief Negotiation Interview (BNI) Adherence Scale for Opioid Use Disorders (BAS-O). METHODS: In the context of a randomized controlled trial evaluating the efficacy of 3 models of emergency department care for opioid use disorders, the authors developed and subsequently examined the psychometric properties of the BAS-O, a 38-item scale that required raters to answer whether or not ("Yes" or "No") each of the critical actions of the BNI was correctly implemented by the research interventionist...
February 23, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28398084/the-reliability-of-assessing-radiographic-healing-of-osteochondritis-dissecans-of-the-knee
#14
Eric J Wall, Matthew D Milewski, James L Carey, Kevin G Shea, Theodore J Ganley, John D Polousky, Nathan L Grimm, Emily A Eismann, Jake C Jacobs, Lucas Murnaghan, Carl W Nissen, Gregory D Myer, Jennifer Weiss, Eric W Edmonds, Allen F Anderson, Roger M Lyon, Benton E Heyworth, Peter D Fabricant, Andy Zbojniewicz
BACKGROUND: The reliability of assessing healing on plain radiographs has not been well-established for knee osteochondritis dissecans (OCD). PURPOSE: To determine the inter- and intrarater reliability of specific radiographic criteria in judging healing of femoral condyle OCD. STUDY DESIGN: Cohort study (Diagnosis); Level of evidence, 3. METHODS: Ten orthopedic sports surgeons rated the radiographic healing of 30 knee OCD lesions at 2 time points, a minimum of 1 month apart...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28396034/optimizing-physician-skill-development-for-medical-students-the-four-part-assessment
#15
Justin J J Watson, Phillip M Kemp Bohan, Katrina Ramsey, John D Yonge, Christopher R Connelly, Richard J Mullins, Jennifer M Watters, Martin A Schreiber, Laszlo N Kiraly
BACKGROUND: Medical student performance has been poorly correlated with residency performance and warrants further investigation. We propose a novel surgical assessment tool to determine correlations with clinical aptitude. METHODS: Retrospective review of medical student assessments from 2013 to 2015. Faculty rating of student performance was evaluated by: 1) case presentation, 2) problem definition, 3) question response and 4) use of literature and correlated to final exam assessment...
April 5, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28391753/viability-of-hand-and-wrist-photogoniometry
#16
Clifton G Meals, Rebecca J Saunders, Sameer Desale, Kenneth R Means
BACKGROUND: No goniometric technique is both maximally convenient and completely accurate, although photogoniometry (ie, picture taking to facilitate digital angle measurement) shows promise in this regard. Our purpose was to test the feasibility and reliability of a photogoniometric protocol designed to measure wrist and digit range of motion in general. METHODS: Two independent observers examined a sample of joints in both normal and abnormal hands according to a photogoniometric protocol...
April 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28388222/clinician-guided-assessment-of-personality-using-the-structural-interview-and-the-structured-interview-of-personality-organization-stipo
#17
Susanne Hörz-Sagstetter, Eve Caligor, Emanuele Preti, Barry L Stern, Chiara De Panfilis, John F Clarkin
This article demonstrates the utility of a theory-guided psychodynamic approach to the assessment of personality and personality pathology based on the object relations model developed by Kernberg (1984). We describe a clinical interview, the Structural Interview (SI; Kernberg, 1984), and also a semistructured approach, the Structured Interview of Personality Organization (STIPO; Clarkin, Caligor, Stern, & Kernberg, 2004) based on this theoretical model. Both interviews focus on the assessment of consolidated identity versus identity disturbance, the use of adaptive versus lower level defensive operations, and intact versus loss of reality testing...
April 7, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28385887/determining-the-orientation-of-directional-deep-brain-stimulation-electrodes-using-3d-rotational-fluoroscopy
#18
P C Reinacher, M T Krüger, V A Coenen, M Shah, R Roelz, C Jenkner, K Egger
BACKGROUND AND PURPOSE: New deep brain stimulation leads with electrode contacts that are split along their circumference allow steering of the electrical field in a predefined direction. However, imaging-assisted directional stimulation requires detailed knowledge of the exact orientation of the electrode array. The purpose of this study was to evaluate whether this information can be obtained by rotational 3D fluoroscopy. MATERIALS AND METHODS: Two directional leads were inserted into a 3D-printed plaster skull filled with gelatin...
April 6, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28385168/inferior-reliability-of-vas-scoring-compared-with-international-society-of-the-knee-reporting-system-for-abstract-assessment
#19
Ole Rahbek, Steen L Jensen, Martin Lind, Jeannette Ø Penny, Thomas Kallemose, Thomas Jakobsen, Anders Troelsen
INTRODUCTION: Knowledge of how abstracts may be se-lected for medical conferences in an efficient and reliable manner is sparse. To improve abstract selection, the Danish Orthopaedic Society implemented the International Society of the Knee (ISK) quality-of-reporting system and visual analogue scale (VAS) scoring for abstract evaluation at its 2014 Annual Congress. We sought to find out if a simple VAS score was more reliable than a multiple-question system for assessment of over-all abstract quality...
April 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28382809/the-italian-version-of-the-trunk-impairment-scale-development-and-psychometric-properties
#20
Bruna Lombardi, Annalisa Orioli, Davide Casavola, Matteo Paci
BACKGROUND: The Trunk Impairment Scale (TIS) is a widely used tool aimed to evaluate trunk motor impairment for stroke patients. A validation trial of a translated form of the TIS was never conducted within an Italian population. AIM: To describe translation, cultural adaptation, and validation (internal consistency, reliability, and validity) of the Italian version of the TIS (TIS-I). DESIGN: Evaluation of the psychometric properties of a translated, culturally adapted questionnaire...
April 4, 2017: European Journal of Physical and Rehabilitation Medicine
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