Get Comfortable Being Uncomfortable: Variability in the Assessment of Perceived Comfort During Clothing and Individual Equipment Evaluations

2018 ◽  
Vol 62 (1) ◽  
pp. 2023-2027
Author(s):  
Stephanie A. T. Brown ◽  
Linda DeSimone ◽  
Todd N. Garlie ◽  
K. Blake Mitchell
Keyword(s):  
Visual Analog Scale ◽  
Personal Protective Equipment ◽  
Cross Validation ◽  
Likert Scale ◽  
Protective Equipment ◽  
Product Evaluations ◽  
Analog Scale ◽  
Negative Direction ◽  
Product Assessment ◽  
The Right

Assessing comfort of personal protective equipment (PPE) and clothing and individual equipment (CIE) is challenging due to the variety of factors that influence perceived comfort. Comfort constructs are not standardized across domain areas and are inconsistently used. This research looks at the use of four different scales of comfort during a helmet product assessment, finding inconsistencies in responsiveness across the construct types. As compared to a visual analog scale (VAS), a 7-pt Likert scale with negative responses on the left and positive on the right, can potentially skew responses in the negative manner. Similarly, when presented with a discomfort-only scale as compared to a comfort-discomfort continuum, responses appear to be skewed in the negative direction as well. In an effort to promote standardization and consistency of use, particularly in PPE and military CIE product evaluations, it is recommended that additional exploration and cross-validation of comfort scales in practice be undertaken.

Physical Exertion Diminishes Static and Dynamic Balance in Firefighters

2020 ◽  
Vol 25 (6) ◽  
pp. 318-322
Author(s):  
Kenneth E. Games ◽  
Zachary K. Winkelmann ◽  
Lindsey E. Eberman
Keyword(s):  
Personal Protective Equipment ◽  
Dynamic Balance ◽  
Physical Exertion ◽  
Fire Service ◽  
Lower Extremity Injury ◽  
Protective Equipment ◽  
Extremity Injury ◽  
Work Related ◽  
Short Bout ◽  
The Right

Half of all work-related injuries in the fire service are musculoskeletal-based due to slips, trips, and overexertion. This study evaluated the effects of physical exertion on balance in firefighters. Forty-one firefighters completed a physical exertion protocol with static and dynamic balance assessments while in personal protective equipment. Following the physical exertion protocol, we identified a significant decrease in anterior reach of the right limb, and significant increases in rectangular displacement area in both double- and single-legged stances. Balance is diminished in firefighters wearing personal protective equipment after engaging in a short bout of physical activity, suggesting a potential risk factor for lower extremity injury in the fire service.

Likert scale vs visual analog scale for assessing facial pleasantness

2021 ◽  
Author(s):  
Gregório Bonfim Dourado ◽  
Graziela Hernandes Volpato ◽  
Renata Rodrigues de Almeida-Pedrin ◽  
Paula Vanessa Pedron Oltramari ◽  
Thaís Maria Freire Fernandes ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Likert Scale ◽  
Analog Scale

scholarly journals Analisis Nilai Visual Analog Scale (VAS) terhadap Penggunaan Analgetik pada Pasien pasca Seksio Sesarea di RSUD Kota Kendari

MEDULA ◽  
2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Agussalim Ali
Keyword(s):  
Visual Analog Scale ◽  
Mean Value ◽  
Drop Out ◽  
Analog Scale ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Post Operation ◽  
Inflammatory Processes ◽  
Analytic Design ◽  
The Right

ABSTRACT Background: Sectio caesarean is one of choices for pregnant mother for her baby birth. The procedure of section caesarean has duration between 30-60 minutes. The procedure of section caesarean may induce moderate-severe pain in the surgical incision. This occurs because of the injury and the onset of inflammatory processes that secrete pain mediators, thus inducing pain. It must take the right analgesia choice. Research Purpose: This study was aimed at determining the value of Visual Analog Scale (VAS) on the use of analgesic in post-cesarean patients in RSUD Kendari. Method: Observational analytic design was used cross sectional approach. Dependent variable in this research were VAS T2, VAS T4 dan VAS T6 post operation. The independent variables of this study were analgesic (Ketorolak, Tramadol and Dexketoprofen). The location of this research was in RSUD Kendari with purposive sampling, 32 were covered samples. Data were obtained through interviews of VAS value with VAS card, blood pressure measurements with sphygmomanometer and stethoscope, pulse measurement with hold down arteri radialis and data from medical records. Kruskal-Wallis test was applied for data analysis, and if significant different followed by probability value/ sig <0,05 using Shapiro Wilk as normality test. After passing the inclusion, exclusion and drop out criteria, 32 patient samples were obtained. The number of patients for each analgesic were 10 (n = 10). This research showed the significancy value in the VAS T2 = 0,158, the significancy value in the VAS T4 = 0,350 and the significancy value in the VAS T6 = 0,679. Result: Result of the research showed that there were differences mean value between VAS T2, VAS T4 and VAS T6. Ketorolac 30 mg was the lowest mean of VAS T2 between another analgetic, the value was 12,15. Dexketoprofen 50 mg was the lowest mean of VAS T4 between another analgesc, the value was 13,85. Ketorolak 30 mg was the lowest mean of VAS T6 between another analgetic, the value is 13,75. But there was no meaningful difference in statistical counting (sig >0,05) between Ketorolac 30 mg, Tramadol 100 mg and Dexketoprofen 50 mg in post-cesarean patients in RSUD Kendari. Keywords: Section Cesarean, VAS, Ketorolak, Tramadol, Dexketoprofen

Coronal balance with circumferential minimally invasive spinal deformity surgery for the treatment of degenerative scoliosis: are we leaning in the right direction?

2021 ◽  
pp. 1-9
Author(s):  
Corey T. Walker ◽  
Jakub Godzik ◽  
Santiago Angel ◽  
Juan Pedro Giraldo ◽  
Jay D. Turner ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Visual Analog Scale ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Type A ◽  
Type B ◽  
Analog Scale ◽  
Degenerative Scoliosis ◽  
Type C ◽  
The Right

OBJECTIVE Coronal malalignment (CM) in adult spinal deformity is associated with poor outcomes and remains underappreciated in the literature. Recent attempts at classifying CM indicate that some coronal shifts may be more difficult to treat than others. To date, outcomes for circumferential minimally invasive surgery (cMIS) of the spine in the context of these new CM classifications are unreported. METHODS A retrospective evaluation of patients with degenerative scoliosis (Cobb angle > 20°) consecutively treated with cMIS at a single institution was performed. Preoperative and 1-year postoperative standing radiographs were used to make the comparisons. Clinical outcome measures were compared. Patients were subgrouped according to the preoperative distance between their C7 plumb line and central sacral vertical line (C7-CSVL) as either coronally aligned (type A, C7-CSVL < 3 cm); shifted ≥ 3 cm toward the concavity (type B); or shifted ≥ 3 cm toward the convexity (type C) of the main lumbar curve. RESULTS Forty-two patients were included (mean age 67.7 years). Twenty-six patients (62%) were classified as type A, 5 patients (12%) as type B, and 11 patients (26%) as type C. An average of 4.9 segments were treated. No type A patients developed postoperative CM. All type B patients had CM correction. Six of the 11 type C patients had CM after surgery. Overall, there was an improvement in the C7-CSVL (from 2.4 to 1.8 cm, p = 0.04). Among subgroups, only type B patients improved (from 4.5 to 0.8 cm, p = 0.002); no difference was seen for type A patients (from 1.2 to 1.4 cm, p = 0.32) or type C patients (from 4.3 to 3.1 cm, p = 0.11). Comparing type C patients with postoperative CM versus those without postoperative CM, patients with CM had worse visual analog scale back scores at 1 year (5 vs 1, p = 0.01). Moreover, they had higher postoperative L4 tilt angles (11° vs 5°, p = 0.01), indicating inadequate correction of the lumbosacral fractional curve. CONCLUSIONS cMIS improved coronal alignment, curve magnitudes, and clinical outcomes among patients with degenerative scoliosis. It did not result in CM in type A patients and was successful at improving the C7-CSVL in type B patients. Type C patients remain the most difficult to treat coronally, with worse visual analog scale back pain scores in those with postoperative CM. Regional coronal restoration of the lumbosacral fracture curve should be the focus of correction in cMIS for these patients.

scholarly journals The Effect of Various Concentrations of Nitrous Oxide and Oxygen on the Hypersensitive Gag Reflex

2016 ◽  
Vol 63 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Candace K. E. De Veaux ◽  
Thomas A. Montagnese ◽  
Masahiro Heima ◽  
Anita Aminoshariae ◽  
Andre Mickel
Keyword(s):  
Nitrous Oxide ◽  
Visual Analog Scale ◽  
Statistical Tests ◽  
Analog Scale ◽  
Subjective Responses ◽  
X Ray ◽  
Dental Radiograph ◽  
Mandibular Molar ◽  
Gag Reflex ◽  
The Right

The purpose of this study was to compare the effectiveness of various concentrations of N2O/O2 on obtunding a hypersensitive gag reflex. We hypothesized that the administration of nitrous oxide and oxygen would obtund a hypersensitive gag reflex enough to allow a patient to tolerate the placement and holding of a digital x-ray sensor long enough to obtain a dental radiograph. Volunteers claiming to have a hypersensitive gag reflex were first screened to validate their claim and then tested by placing a size 2 digital x-ray sensor in the position for a periapical radiograph of the right mandibular molar area and holding it in place for 10 seconds. Subjects were first tested using room air only, then 30%, 50%, or 70% nitrous oxide until they were able to tolerate the sensor without gagging or discomfort. A visual analog scale was used for subjective responses, and other statistical tests were used to analyze the results. We found that for some subjects, 30% nitrous oxide was sufficient; for others, 50% was needed; and for the remainder of the subjects, 70% was sufficient to tolerate the test. Using a combination of 70% nitrous oxide and 30% oxygen allowed all patients claiming to have a hypersensitive gag reflex to tolerate the placement and holding of a digital x-ray sensor long enough to take a periapical radiograph.

scholarly journals FAKTOR YANG MEMPENGARUHI KADAR KOLINESTERASE DALAM DARAH PADA BURUH TANI

2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Indah Tawakkalni ◽  
Winarko . ◽  
Nur Haidah
Keyword(s):  
Personal Protective Equipment ◽  
Environmental Damage ◽  
Protective Equipment ◽  
Pesticide Poisoning ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Fisher’S Exact Test ◽  
Laboratory Examinations ◽  
The Right

Pesticides in the agricultural sphere play an important role in controlling pests and weeds to protect agricultural products. Pesticides are toxic and dangerous materials, which can cause poisoning and environmental damage. This study aims to determine the effect of pesticide poisoning on farm workers.This study is an observational study that is analytical in nature using a cross sectional approach. The location used in this study was conducted in Takerharjo Village, Solokuro District, Lamongan Regency. The sample size in this study was 40 people who used pesticides and were willing to take blood. Data were collected through interviews and laboratory examinations and then processed and analyzed using the Fisher's exact test with the help of the SPSS statistical program.The results of the examination of cholinesterase levels in the blood of farm workers showed that 92.5% were normal or did not experience pesticide poisoning. The results of the Fisher's exact test showed that there was an influence on the level of knowledge of pesticide poisoning and there was an effect of using personal protective equipment on pesticide poisoning, whereas for other variables there was no effect on pesticide poisoning which included dosage use, spraying time, spraying frequency, working period.Suggestions for the community to hold discussions or outreach, use complete personal protective equipment, use the right dosage of pesticides, improve self-safety against symptoms of poisoning, hold periodic petroleum health checks, improve supervision of the use of pesticidesand need to do further research on other factors affect pesticide poisoning. Keywords: Factors, Pesticide, Poisoning, Farmer Labor

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