Objective Assessment of Snoring Before and After Laser-Assisted Uvulopalatoplasty

1996 ◽  
Vol 106 (11) ◽  
pp. 1372-1377 ◽  
Author(s):  
Regina Paloyan Walker ◽  
William M. Gatti ◽  
Nancy Poirier ◽  
Jason S. Davis
Keyword(s):  
Objective Assessment ◽  
Before And After

scholarly journals Effects of nonlinear error correction of measurements obtained by peak flowmeter using the Wright scale to assess asthma attack severity in children

2007 ◽  
Vol 135 (5-6) ◽  
pp. 310-316
Author(s):  
Dragana Stamatovic ◽  
Nada Bokan-Erdeljan
Keyword(s):  
Objective Assessment ◽  
Airflow Obstruction ◽  
Persistent Asthma ◽  
Percentage Error ◽  
British Thoracic Society ◽  
Asthma Attack ◽  
Calibration Methods ◽  
Measurement Results ◽  
Before And After ◽  
Severe Degree

Introduction: Monitoring of peak expiratory flow (PEF) is recommended in numerous guidelines for management of asthma. Improvements in calibration methods have demonstrated the inaccuracy of original Wright scale of peak flowmeter. A new standard, EN 13826 that was applied to peak flowmeter was adopted on 1st September 2004 by some European countries. Correction of PEF readings obtained with old type devices for measurement is possible by Dr M. Miller?s original predictive equation. Objective. Assessment of PEF correction effect on the interpretation of measurement results and management decisions. Method. In children with intermittent (35) or stable persistent asthma (75) aged 6-16 years, there were performed 8393 measurements of PEF by Vitalograph normal-range peak flowmeter with traditional Wright scale. Readings were expressed as percentage of individual best values (PB) before and after correction. The effect of correction was analyzed based on The British Thoracic Society guidelines for asthma attack treatment. Results. In general, correction reduced the values of PEF (p<0.01). The highest mean percentage error (20.70%) in the measured values was found in the subgroup in which PB ranged between 250 and 350 l/min. Nevertheless, the interpretation of PEF after the correction in this subgroup changed in only 2.41% of measurements. The lowest mean percentage error (15.72%), and, at the same time, the highest effect of correction on measurement results interpretation (in 22.65% readings) were in children with PB above 450 l/min. In 73 (66.37%) subjects, the correction changed the clinical interpretation of some values of PEF after correction. In 13 (11.8%) patients, some corrected values indicated the absence or a milder degree of airflow obstruction. In 27 (24.54%) children, more than 10%, and in 12 (10.93%), more than 20% of the corrected readings indicated a severe degree of asthma exacerbation that needed more aggressive treatment. Conclusion. Correction of PEF values obtained by peak flowmeters with traditional Wright scale shows a possibility of overtreatment in younger or short stature children and undertreatment in older or taller ones if we use old type of metres. The correction of peak flowmeter for non-linear error is a prerequisite in the application of asthma guidelines in PEF measurements. .

Comparative analysis of ultrasound biomicroscopy between femto-assisted and ultrasound cataract removal in case of lens subluxation

2021 ◽  
pp. 7-9
Author(s):  
K. Ait Ahmed ◽  
◽  
V. Maksimov ◽  
M. Maksimov ◽  
G. Akchurin ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Objective Assessment ◽  
Ultrasound Biomicroscopy ◽  
The State ◽  
Success Factor ◽  
Lens Subluxation ◽  
Age Related ◽  
Significant Difference ◽  
Before And After ◽  
Lens Surgery

Purpose of the study to carry out a comparative analysis of the state of the zonular fibers before and after surgery on UBM between femtolaser assisted and classical ultrasound cataract removal. Material and methods. 19 patients (38 eyes) with age-related cataracts. 22 eyes were with pseudo-exfoliative syndrome. All patients were examined with grade 1 lens subluxation. The first group of 19 eyes underwent cataract femto-phacoemulsification. The second group included 19 eyes without using a femtolaser. The state of the fibers was determined on the UBM on the fifth day after the operation at the end of antibiotic therapy. Results. The data showed the presence of a statistically significant difference between the group with femto-assistance and the group without it. In the first group, UBM analysis showed that the state of the zonular fibers remained in the same state in 16 of 19 eyes. In the second group, 11 of 19 eyes required ring implantation with suturing to the sclera and 3 required IOL implantation with seamless fixation to the sclera and vitrectomy. Conclusions. The appropriate path to surgery depends on the most accurate objective assessment of the condition of the lens ligaments, since the position of the IOL is one of the main factors for a good result expected by the patient after surgery. Reducing the «trauma» of the eye with lens surgery has been a key success factor and femtolaser guidance provides valuable assistance in obtaining it. Key words: lens subluxation, femtosecond laser, UBM.

scholarly journals Analysis of Physical Therapy in Psoriasis

2019 ◽  
Vol 61 (2) ◽  
pp. 87-94
Author(s):  
Włodzisław Kuliński ◽  
Barbara Zielińska
Keyword(s):  
Physical Therapy ◽  
Hydrogen Sulphide ◽  
Skin Diseases ◽  
Objective Assessment ◽  
Skin Lesions ◽  
Hospital Treatment ◽  
Puva Therapy ◽  
Before And After ◽  
Common Skin ◽  
The Mean

Introduction: Psoriasis is one of the most common skin diseases. It is a chronic and recurrent disorder that constitutes both a clinical and a social problem. Psoriasis can be effectively treated with comprehensive balneophysiotherapy (sulphide/hydrogen sulphide baths, PUVA therapy, cryotherapy). Aim: To analyse physical therapy in patients with psoriasis treated at a thermal resort. Material and Methods: The study was conducted at the “Jasna” thermal resort in Solec-Zdrój. The patients underwent balneophysiotherapy in the form of sulphide/hydrogen sulphide baths, PUVA therapy, and cryotherapy. The study group consisted of 40 subjects (28 females and 12 males) with psoriasis. The mean age was 43 years (range: 21 to 65 years). Subjective (a 21-item questionnaire) and objective assessment of the patients’ status was performed both before and after a series of physical therapy procedures. Results: After 3 weeks of treatment, the patients’ physical status was remarkably improved; skin lesions, pain, and burning resolved. The mental status of the subjects was improved as well. The results confirm that physical therapy is highly effective in psoriatic patients. Conclusions: The procedures performed at the thermal resort had a beneficial influence on the subjects’ health. Remarkable improvements were found using both subjective and objective methods of assessment. Thermal hospital treatment is an optimal form of management in psoriatic patients.

scholarly journals Development of mathematical models of print quality by Box-Wilson

2021 ◽  
Vol 304 ◽  
pp. 03023
Author(s):  
Ulbosin Eshbaev ◽  
Akbarjon Nishonov ◽  
Aziz Saodatov
Keyword(s):  
Objective Assessment ◽  
Color Perception ◽  
Paint Layer ◽  
Synthetic Polymers ◽  
Optimal Choice ◽  
Print Quality ◽  
Offset Printing ◽  
Before And After ◽  
Static Modeling ◽  
Printed Materials

The transfer coefficient of ink to the printed material was determined by comparing the mass of the printed material before and after printing. The specifics of the interaction of the printed surface with the surface of the paint layer and the influence of technological factors on the graphic distortion of the image when printing on paper also affect the gradation characteristic of the image. This article states about static modeling, preliminary analysis of the color perception of offset printing on papers including synthetic polymers. On the basis of the model of color perception obtained as a result of research in offset printing on printed materials, the optimal choice is developed, which allows to make an objective assessment and predict the color perception of the printed materials.

A central review of resectability of optimally unresectable colorectal liver metastases following neoadjuvant chemotherapy (KSCC0802).

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e14633-e14633
Author(s):  
Mitsuhisa Takatsuki ◽  
Susumu Eguchi ◽  
Shoji Tokunaga ◽  
Yasunori Emi ◽  
Eiji Oki ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Phase Ii Study ◽  
Objective Assessment ◽  
Exploratory Laparotomy ◽  
Borderline Resectable ◽  
Radiological Images ◽  
Before And After ◽  
Unresectable Colorectal Liver Metastases ◽  
Clinical Trial Information

e14633 Background: Kyushu Study group of Clinical Cancer (KSCC) conducted the phase II study that evaluated the neoadjuvant chemotherapy for optimally-unresectable colorectal liver-limited metastases (KSCC0802, Samura et al, J Clin Oncol 30:4s, 2012). We carried out a central review for the purpose of obtaining an objective assessment of how resectability changed during treatment. Methods: We reviewed the CT or MRI images before and after protocol treatment, according to the method of CELIM study. A surgical review was done by five independent hepatobiliary special surgeons from five different centers. A resectability was reviewed based on radiological images only. Individual surgeons were blinded to the time when the CT scan was taken. The surgeons voted for (1) curative resection, (2) exploratory laparotomy with aim of resection (3) borderline resectable with chemotherapy preferred first, (4) unresectable, (5) non-evaluable. Patients were considered resectable if 50% (non-evaluable is excluded) or more of surgeons voted for categories (1) and (2), and images were considered evaluable if more than three surgeons voted with categories (1)–(4). Results: In KSCC0802 study, of the 40 pts. enrolled from Sept. 9 2008 to Aug. 10 2010. The number of cases to intent operation after chemotherapy was 17 (42.5%), and the actual liver resectability was 16/40 (40.0 %). The number of R0 cases was 10 pts. . In total, 77 images were presented for this central review. Only three follow-up scans were not available. Following review, 17 (42.5%) of 40 patients were judged to be resectable after chemotherapy, compared with 14 (35.0%) patients at baseline. Of 36 cases in which both imaging studies were available to be evaluated before and after chemotherapy, 7 cases (19.4%) judged as unresectable before chemotherapy were finally determined as resectable after chemothrerapy. Conclusions: With the central review by 5 independent liver surgeons, the resectability was fairly determined before and after chemotherapy. mFOLFOX6 with Bevacizumab regimen is safe and effective for unresectable liver limited-metastases from colorectal cancer, and might be to lead the liver resectability. Clinical trial information: UMIN000001308.

Objective Assessment of Students Performance before and After Joining Medical College

2016 ◽  
Vol 5 (3) ◽  
pp. 293-297
Author(s):  
Surya Kumari N. ◽  
◽  
Amit Singh Bharati ◽  
V. Subashini Rani ◽  
Srinivas C.H. ◽  
...  
Keyword(s):  
Objective Assessment ◽  
Medical College ◽  
Before And After

scholarly journals Objective Assessment of the Immediate Postoperative Analgesia Using Pupillary Reflex Measurement

2012 ◽  
Vol 116 (5) ◽  
pp. 1006-1012 ◽  
Author(s):  
Mourad Aissou ◽  
Aurelie Snauwaert ◽  
Claire Dupuis ◽  
Arthur Atchabahian ◽  
Frederic Aubrun ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Postoperative Period ◽  
Rating Scale ◽  
Objective Assessment ◽  
Threshold Value ◽  
Receiver Operating Curve ◽  
Pupillary Reflex ◽  
Morphine Administration ◽  
Before And After ◽  
Intravenous Morphine

Background The evaluation of pain intensity during the immediate postoperative period is a key factor for pain management. However, this evaluation may be difficult in some circumstances. The pupillary dilatation reflex (PDR) has been successfully used to assess the analgesic component of a balanced anesthetic regimen. We hypothesized that PDR could be a reliable index of pain intensity and could guide morphine administration in the immediate postoperative period. Methods One hundred patients scheduled to undergo general surgery were included in this prospective observational study. Pain intensity was assessed by using a simple five-item verbal rating scale (VRS). After patients awoke from general anesthesia, those experiencing mild or more severe pain (VRS more than 1) received intravenous morphine titration. Before and after intravenous morphine titration, the PDR induced by a standardized noxious stimulus was measured with a portable pupillometer. A receiver-operating curve was built to estimate the accuracy of PDR in objectively detecting patients requiring morphine titration. Results are given as median (95% CI). Results On the initial evaluation, a correlation was found between VRS and PDR (ρ = 0.88 [0.83-0.92], P &lt; 0.0001). In the 39 patients that had a VRS more than 1, PDR before and after morphine titration was respectively 35% (31-43) versus 12% (10-14); P &lt; 0.0001. The PDR threshold value corresponding to the highest accuracy to have VRS more than 1 was 23%, with 91% and 94% sensitivity and specificity, respectively. Conclusion In the immediate postoperative period, the PDR is significantly correlated with the VRS. The pupillometer could be a valuable tool to guide morphine administration in the immediate postoperative period.

The Effect of Submarine Wastewater Discharge on the Bacterial Quality of Surf Waters

1982 ◽  
Vol 14 (4-5) ◽  
pp. 1-11 ◽  
Author(s):  
D J Livingstone
Keyword(s):  
Escherichia Coli ◽  
South Africa ◽  
Water Quality ◽  
Objective Assessment ◽  
Wastewater Discharge ◽  
Before And After

A system involving enumeration of Escherichia coli I, parasite units, staphylococci and salmonellas, and determination of salinity, was developed for the objective assessment of bacterial water quality in the sea off Durban, South Africa. The system was used to measure the quality of the surf waters before and after the construction of two submarine outfalls. Significant improvement in the quality of the surf along the bathing beaches has been noted since the outfalls became operational.

Tussometry: An Objective Assessment of Vocal Cord Function

1993 ◽  
Vol 102 (10) ◽  
pp. 743-747 ◽  
Author(s):  
George E. Murty ◽  
Peter J. Kelly ◽  
Patrick J. Bradley
Keyword(s):  
Vocal Cord ◽  
Objective Assessment ◽  
Accurate Assessment ◽  
Vocal Cords ◽  
Noninvasive Technique ◽  
Laryngeal Function ◽  
Vocal Cord Function ◽  
Structural Framework ◽  
Before And After ◽  
Peak Value

A number of techniques have recently been developed for altering laryngeal function, including structural framework surgery, reinnervation procedures, augmentation of the vocal cords, electrical stimulation, and pharmacologic intervention. The application of such procedures to appropriate disorders would be facilitated by better objective measures of the outcome. This study describes the new technique of tussometry, which investigates the airflow pattern produced during coughing. The value of 1 parameter, peak value time, is shown by a study of 35 vocal cord palsies versus a control, and of 17 vocal cord palsies before and after augmentation, to be an accurate assessment of vocal cord position. The technique is independent of lung function parameters and intraoral pressures. It is truly objective, having an interobserver variation of 0%, and is eminently reproducible, with an intrasubject coefficient of variation of 3.1% to 5.7%. Tussometry is a rapid, noninvasive technique providing inexpensive objective assessment of vocal cord function in the office setting.

scholarly journals Specific perception of the problem of tuberculosis by physicians from primary medical care

2020 ◽  
Vol 98 (1) ◽  
pp. 41-45
Author(s):  
O. G. Chelnokova ◽  
M. N. Golovanova ◽  
I. G. Senin
Keyword(s):  
Medical Care ◽  
Questionnaire Survey ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
The Self ◽  
Tuberculosis Control ◽  
Self Assessment ◽  
Primary Medical Care ◽  
Before And After

The objective: to study the perception of the problem of tuberculosis in physicians working in primary medical care and enhance motivation to implement tuberculosis control activities.Subjects and methods. A questionnaire survey was conducted in 114 physicians from primary medical care before and after the lecture on phthisiology. A subjective assessment of the knowledge on tuberculosis (self-assessment) and results of an objective assessment were studied and compared.Results. 30% of physicians had the fear of getting infected and developing tuberculosis. The level of theoretical phthisiologic knowledge among physicians from primary medical care is insufficient; the self-assessment of this knowledge is overstated in 58.8%.

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