Use of Telehealth as a New Model for Following Intermittent Claudication and Promoting Patient Expertise

2018 ◽  
Vol 24 (10) ◽  
pp. 773-781 ◽  
Author(s):  
Meritxell Davins Riu ◽  
Xavier Borràs Pérez ◽  
Vicenç Artigas Raventós ◽  
Elisabet Palomera Fanegas ◽  
Mateu Serra Prat ◽  
...  
Author(s):  
H. Akabori ◽  
K. Nishiwaki ◽  
K. Yoneta

By improving the predecessor Model HS- 7 electron microscope for the purpose of easier operation, we have recently completed new Model HS-8 electron microscope featuring higher performance and ease of operation.


2005 ◽  
Vol 173 (4S) ◽  
pp. 140-141
Author(s):  
Mariana Lima ◽  
Celso D. Ramos ◽  
Sérgio Q. Brunetto ◽  
Marcelo Lopes de Lima ◽  
Carla R.M. Sansana ◽  
...  

VASA ◽  
2013 ◽  
Vol 42 (4) ◽  
pp. 237-238
Author(s):  
Pavel Poredos

VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 275-281 ◽  
Author(s):  
da Rocha Chehuen ◽  
G. Cucato ◽  
P. dos Anjos Souza Barbosa ◽  
A. R. Costa ◽  
M. Ritti-Dias ◽  
...  

Background: This study assessed the relationship between lower limb hemodynamics and metabolic parameters with walking tolerance in patients with intermittent claudication (IC). Patients and methods: Resting ankle-brachial index (ABI), baseline blood flow (BF), BF response to reactive hyperemia (BFRH), oxygen uptake (VO2), initial claudication distance (ICD) and total walking distance (TWD) were measured in 28 IC patients. Pearson and Spearman correlations were calculated. Results: ABI, baseline BF and BF response to RH did not correlate with ICD or TWD. VO2 at first ventilatory threshold and VO2peak were significantly and positively correlated with ICD (r = 0.41 and 0.54, respectively) and TWD (r = 0.65 and 0.71, respectively). Conclusions: VO2peak and VO2 at first ventilatory threshold, but not ABI, baseline BF and BFHR were associated with walking tolerance in IC patients. These results suggest that VO2 at first ventilatory threshold may be useful to evaluate walking tolerance and improvements in IC patients.


VASA ◽  
2012 ◽  
Vol 41 (5) ◽  
pp. 333-342 ◽  
Author(s):  
Kirchberger ◽  
Finger ◽  
Müller-Bühl

Background: The Intermittent Claudication Questionnaire (ICQ) is a short questionnaire for the assessment of health-related quality of life (HRQOL) in patients with intermittent claudication (IC). The objective of this study was to translate the ICQ into German and to investigate the psychometric properties of the German ICQ version in patients with IC. Patients and methods: The original English version was translated using a forward-backward method. The resulting German version was reviewed by the author of the original version and an experienced clinician. Finally, it was tested for clarity with 5 German patients with IC. A sample of 81 patients were administered the German ICQ. The sample consisted of 58.0 % male patients with a median age of 71 years and a median IC duration of 36 months. Test of feasibility included completeness of questionnaires, completion time, and ratings of clarity, length and relevance. Reliability was assessed through a retest in 13 patients at 14 days, and analysis of Cronbach’s alpha for internal consistency. Construct validity was investigated using principal component analysis. Concurrent validity was assessed by correlating the ICQ scores with the Short Form 36 Health Survey (SF-36) as well as clinical measures. Results: The ICQ was completely filled in by 73 subjects (90.1 %) with an average completion time of 6.3 minutes. Cronbach’s alpha coefficient reached 0.75. Intra-class correlation for test-retest reliability was r = 0.88. Principal component analysis resulted in a 3 factor solution. The first factor explained 51.5 of the total variation and all items had loadings of at least 0.65 on it. The ICQ was significantly associated with the SF-36 and treadmill-walking distances whereas no association was found for resting ABPI. Conclusions: The German version of the ICQ demonstrated good feasibility, satisfactory reliability and good validity. Responsiveness should be investigated in further validation studies.


VASA ◽  
2015 ◽  
Vol 44 (2) ◽  
pp. 85-91
Author(s):  
Erich Minar

The generally accepted first-line treatment in patients with intermittent claudication is risk factor modification, medical treatment and exercise training. In an era of reduced resources, the benefit of any further invasive intervention must be weighted against best conservative therapy for patients with claudication. According to some recent trials an integrative therapeutic concept combining best conservative treatment - including (supervised) exercise therapy - with endovascular therapy gives the best midterm results concerning walking distance and health-related quality of life. The improved mid- and long-term patency rate with use of modern technology further supports this concept. The conservative and interventional treatment strategy are more complimentary than competitive. The current main challenge is to overcome the economic barriers concerning the availability of exercise programmes.


Author(s):  
Thorsten Meiser

Stochastic dependence among cognitive processes can be modeled in different ways, and the family of multinomial processing tree models provides a flexible framework for analyzing stochastic dependence among discrete cognitive states. This article presents a multinomial model of multidimensional source recognition that specifies stochastic dependence by a parameter for the joint retrieval of multiple source attributes together with parameters for stochastically independent retrieval. The new model is equivalent to a previous multinomial model of multidimensional source memory for a subset of the parameter space. An empirical application illustrates the advantages of the new multinomial model of joint source recognition. The new model allows for a direct comparison of joint source retrieval across conditions, it avoids statistical problems due to inflated confidence intervals and does not imply a conceptual imbalance between source dimensions. Model selection criteria that take model complexity into account corroborate the new model of joint source recognition.


1986 ◽  
Vol 31 (2) ◽  
pp. 108-109
Author(s):  
Alexandra G. Kaplan
Keyword(s):  

PsycCRITIQUES ◽  
2004 ◽  
Vol 49 (Supplement 13) ◽  
Author(s):  
Paul E. Priester
Keyword(s):  

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