Validation of the cultural adaptation of the Kujala score in Arabic

Abstract Background Patellofemoral pain is a common condition. The Kujala score is a well-established scoring system to assess anterior knee pain and has been translated into many languages including Arabic. The purpose of this cross-sectional study is to culturally adapt the Arabic version of the Kujala score and determine its validity. Methods The Kujala score is composed of 13 multiple-choice questions. We modified two questions in the score; running and squatting, and were replaced with questions related to walking on different terrain and prostration, each with the same number of answer choices as the original questions so as not to affect the final score. These modifications were written in Arabic by the same group who translated and validated the original score into Arabic. The original and modified Kujala scores was printed and given to patients complaining of patellofemoral pain to be filled during their visit to the orthopedic outpatient clinics. Final scores for the original and modified questionnaires were calculated. Data was analyzed using SPSS statistics version 21.0 measuring Cronbach’s alpha, intraclass correlation coefficient, and Pearson correlation. Results Ninety-four patients were included in the study, 28 (29.8%) men and 66 (70.2%) women. The mean age for the included patients was 43.67 (± 14.46) years. The mean score for the modified initial questionnaire was 63.91 (± 16.32), and the mean score for the modified re-test questionnaire was 66.52 (± 17.50). There was a statistically significant difference between the mean scores (p = 0.041), with a mean difference of 1.97 (95% CI 0.08 to 3.856). We found a significant strong correlation between the score before and after changing the questions with a p value of < 0.001. Conclusions The culturally modified Arabic Kujala questionnaire is shown to be a valid, well-designed tool and an appropriate method of measuring patellofemoral pain.

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Evaluation of Dentists' Practice in Obtaining and Recording Medical and Pharmacological History of Patients in Yazd City in 2020

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v29i10.8212 ◽

2022 ◽

Author(s):

Samira Hajimaghsoodi ◽

Ozra Mohiti ◽

Shadi Paknejad

Keyword(s):

Patient Care ◽

Clinical Experience ◽

Pearson Correlation ◽

Legal Responsibility ◽

P Value ◽

Cross Sectional ◽

Significant Difference ◽

History Of ◽

The Mean ◽

Yazd City

Introduction: Dental profession has an ethical and legal responsibility in patient care. A properly maintained patient record is a very important aspect of this patient care. The aim of this study was to evaluate dentists' practice in obtaining and recording the medical and pharmacological history of patients in Yazd City in 2020. Methods: In this descriptive cross-sectional study, 197 dentists working in Yazd City were selected during the study and their practice in obtaining and recording medical history was evaluated using a valid questionnaire. Data were analyzed by SPSS23 statistical software t-test and Pearson correlation coefficient. Results: Out of 197 dentists participating in this study, 93 (52.8%) were male and 104 (47.2%) were female. Their mean age was 39.37± 8.36 years and their mean clinical experience was 6.5± 9.25 years. The mean score of dentists' practice in obtaining and recording the medical and pharmacological history was 61.30±4.95 (range 45-72) out of 72 points. There was no statistically significant difference between the mean score of dentists' practice by gender, clinical experience, university of study and degree (P-value>0.05), but there was a statistically significant relationship between dentists' age and their practice score (P-value=0.040). Conclusion: Based on the results of the present study, the mean practice source of dentists in obtaining and recording the medical and pharmacological history of patients was good. The effect of gender, university of study and degree on dentists' practice was not significant. However, with increasing age and experience in dentistry, the practice score of dentists was lower.

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Assessment of health-promoting lifestyle profile and its relation with well-being of medical students: A cross sectional.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.06.6000 ◽

2021 ◽

Vol 28 (06) ◽

pp. 921-927

Author(s):

Subhan Ullah ◽

Mubarak Ali Anjum ◽

Khalid Parvez ◽

Uzma Sagheer ◽

Ghulam Abbas Sheikh ◽

...

Keyword(s):

Medical Students ◽

Pearson Correlation ◽

Well Being ◽

P Value ◽

Cross Sectional ◽

Study Results ◽

Significant Difference ◽

Health Promoting ◽

The Mean ◽

Health Promoting Lifestyle

Objectives: The aim of our study was to determine the importance and assessment of a health-promoting lifestyle and its possible association with well-being of medical students. Study Design: Cross Sectional Study. Setting: Aziz Fatima Medical and Dental College Faisalabad. Period: June to July 2020. Material & Methods: The English version of Health-Promoting Lifestyle Profile, and WHO-5 Well-Being Index were used in our study. Results: The research was conducted with 205 medical students. From which 102(49.8%) belongs from 4-year class and 103(50.2%) from 5-year class. Based on the table, the mean age of the total participants was 22.45(±1.03) years. Among the participants, the mean score of a health-promoting lifestyle was 133.36 ±18.90, which is interpreted as moderate. Lifestyle mean score is greater in 5th-year class as compare to 4th-year class but no significant difference was found because p value is greater than 0.05 there was a significant relationship between well-being and health-promoting lifestyle. Age and gender, were associated with students lifestyles. Independent t test is used to compare the mean difference in gender and MBBS class. Chi square test is used to find the significant association between well-being categories with gender and MBBS class. Pearson correlation coefficient method is used to measure the correlation between well being and healthy lifestyles. Conclusion: A health-promoting lifestyle of students in this study was moderate and they did not have an acceptable level of physical activity. The medical students’ curriculums need to be improved to enhance health promoting lifestyles.

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The pattern of central corneal thickness in patients attending a Tertiary Hospital in Dar-Es-Salaam

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.9.2.0056 ◽

2021 ◽

Vol 9 (2) ◽

pp. 127-133

Author(s):

Annamary Stanislaus ◽

Ntsilane Susan Mosenene ◽

Celina Mhina ◽

John Stanslaus Kisimbi ◽

Frederick Robert Burgess ◽

...

Keyword(s):

Central Corneal Thickness ◽

Corneal Thickness ◽

Dar Es Salaam ◽

Applanation Tonometry ◽

P Value ◽

Muhimbili National Hospital ◽

National Hospital ◽

Cross Sectional ◽

Significant Difference ◽

The Mean

Background: Central Corneal Thickness (CCT) is an indicator of corneal health status as well as being an essential tool in assessment and management of corneal diseases. It is an important factor in the diagnosis and management of glaucoma as it affects the measurement of intraocular pressure. However, the pattern of central corneal thickness in our population is not known. Our study aimed to describe the CCT measurements and their variation with age and sex among patients attending the eye clinic at Muhimbili National Hospital (MNH), in Dar es Salaam, Tanzania. Methodology: A hospital-based descriptive, cross-sectional study used convenient sampling to recruit adult patients aged 18 years and above, presenting to the MNH between August 2016 and January 2017.Visual acuity assessment, Goldman applanation tonometry and CCT assessment using an ultrasound pachymeter were performed. Patients with previous intraocular surgery were excluded. Results: A total of 398 patients (208 males and 190 females) were recruited. The mean CCT was 526.64±38.30 µm; being 523.99±38.20 µm for males and 529.7±38.3 µm for females. 226 (56.85%) had CCT of less than 520 µm.There was no statistically significant difference in CCT between gender. The proportion of patients with thinner CCT increased with increasing age from 25.8% in those < 30 years to 75% in those aged 71years and above. The mean CCT decreased with increasing age with P-value<0.001. Conclusion: The average CCT in patients attending Muhimbili National Hospital is 526.64 µm (SD 38.30) which is generally thin, inversely proportion to age and similar that of other Africans and African-Americans. This finding has implications for the management of glaucoma in this population.

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A Quantitative Comparison of Multispectral Refraction Topography and Autorefractometer in Young Adults

Frontiers in Medicine ◽

10.3389/fmed.2021.715640 ◽

2021 ◽

Vol 8 ◽

Author(s):

Yunru Liao ◽

Zhenlan Yang ◽

Zijing Li ◽

Rui Zeng ◽

Jing Wang ◽

...

Keyword(s):

Correlation Coefficient ◽

Pearson Correlation ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Cross Sectional Study ◽

Cross Sectional ◽

High Agreement ◽

Intraclass Correlation Coefficients ◽

Repeatability And Reproducibility ◽

The Mean

Purpose: Purpose of this study is to evaluate the measuring consistency of central refraction between multispectral refraction topography (MRT) and autorefractometry.Methods: This was a descriptive cross-sectional study including subjects in Sun Yat-sen Memorial Hospital from September 1, 2020, to December 31, 2020, ages 20 to 35 years with a best corrected visual acuity of 20/20 or better. All patients underwent cycloplegia, and the refractive status was estimated with autorefractometer, experienced optometrist and MRT. We analyzed the central refraction of the autorefractometer and MRT. The repeatability and reproducibility of values measured using both devices were evaluated using intraclass correlation coefficients (ICCs).Results: A total of 145 subjects ages 20 to 35 (290 eyes) were enrolled. The mean central refraction of the autorefractometer was −4.69 ± 2.64 diopters (D) (range −9.50 to +4.75 D), while the mean central refraction of MRT was −4.49 ± 2.61 diopters (D) (range −8.79 to +5.02 D). Pearson correlation analysis revealed a high correlation between the two devices. The intraclass correlation coefficient (ICC) also showed high agreement. The intrarater and interrater ICC values of central refraction were more than 0.90 in both devices and conditions. At the same time, the mean central refraction of experienced optometrist was −4.74 ± 2.66 diopters (D) (range −9.50 to +4.75D). The intra-class correlation coefficient of central refraction measured by MRT and subjective refraction was 0.939.Conclusions: Results revealed that autorefractometry, experienced optometrist and MRT show high agreement in measuring central refraction. MRT could provide a potential objective method to assess peripheral refraction.

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Difference of Procalcitonin Levels in Gram-Positive and Gram-Negative Bacterial Sepsis Patients of Indonesia Army Central Hospital Gatot Soebroto in 2016

JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ◽

10.20473/juxta.v13i12022.38-41 ◽

2022 ◽

Vol 13 (1) ◽

pp. 38

Author(s):

Nindy Handayani ◽

Soroy Lardo ◽

Nunuk Nugrohowati

Keyword(s):

Mean Difference ◽

P Value ◽

Central Hospital ◽

Bacterial Sepsis ◽

Gram Positive ◽

Cross Sectional ◽

Gram Negative ◽

Gram Positive Bacteria ◽

Significant Difference ◽

The Mean

Introduction: Procalcitonin is known as a marker of infection and indicator for severity of infections. In sepsis, elevated procalcitonin levels in blood have a significant value that can be used as a sepsis biomarker. The aim of this study was to determine the mean difference of procalcitonin levels in Gram-positive and Gram-negative bacterial sepsis patients.Methods: This study used quantitative method with cross sectional approach. The sample of this study were bacterial sepsis patients of Indonesia Army Central Hospital Gatot Soebroto in 2016 which were divided into two groups: Gram-positive and Gram-negative bacterial sepsis patients with the number of each group was 30 samples. The data were analyzed by using independent t test.Results: This study showed that mean levels of procalcitonin in Gram-positive bacterial sepsis patients was 6.47 ng/ml and Gram-negative was 66.04 ng/ml. There was a significant difference between mean levels of procalcitonin in Gram-positive and Gram-negative bacterial sepsis patients of Indonesia Army Central Hospital Gatot Soebroto in 2016 with p value = 0.000 (p < 0.05).Conclusion: The mean difference of procalcitonin levels in Gram-negative bacterial sepsis patients were higher than Gram-positive bacterial sepsis patients, because Gram-negative bacteria have lipopolysaccharide which is a strong immunostimulator and increases TNF-α production higher than Gram-positive bacteria.

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Orthodontic Treatment Knowledge among General Dentists and Non-orthodontic Specialists

Orthodontic Journal of Nepal ◽

10.3126/ojn.v9i1.25689 ◽

2019 ◽

Vol 9 (1) ◽

pp. 40-44

Author(s):

Asal Acharya ◽

Praveen Mishra ◽

Rabindra Man Shrestha ◽

Pooja Shah

Keyword(s):

Orthodontic Treatment ◽

Cross Sectional Study ◽

Sectional Study ◽

Multiple Choice Questions ◽

Cross Sectional ◽

Significant Difference ◽

Treatment Knowledge ◽

Treatment Concepts ◽

The Mean ◽

General Dentists

Introduction: General dentists and specialists other than orthodontist may encounter patient requiring orthodontic treatment. For proper counseling and referral, it is important that general dentists and non-orthodontic specialists have adequate level of orthodontic knowledge. Objective: To assess the knowledge of orthodontic treatment among general dentists and non-orthodontic specialists and to compare the knowledge between the two groups. Materials & Method: A descriptive cross sectional study using questionnaire was performed among 185 actively practicing general dentists and non-orthodontic specialists of Nepal. The questionnaire comprised of three parts. The first part included demographic details, second part contained 5 multiple choice questions regarding orthodontic counseling and third part integrated 18 questions for evaluating knowledge of orthodontic treatment. Each correct answer was given score 1 and every incorrect answer was scored zero in the third part of the questionnaire. Result: Among total participants, 60.5% think first orthodontic evaluation of a child should be carried out within 7 to 8 years of age and 44.3% think orthodontic treatment can even be started after 40 years of age. Around 66% of the participants think that orthodontic treatment cannot be performed in periodontally compromised cases. No significant difference was found between the mean scores of knowledge among general dentists and non-orthodontic specialists (p=0.891), or among dentists with different years of experience (p=0.644). Conclusion: There is a need for more education of orthodontic treatment concepts to the dentists who do not belong to orthodontic field for proper counseling and referral.

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Correlation between Occurrence of Psychosomatic Disorders and Age during COVID-19 Lockdown

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/46716.15093 ◽

2021 ◽

Author(s):

Hetvi Bharatbhai Jethloja ◽

Priyanka Birjubhai Unadkat ◽

Radhika Kanaiyalal Raichura ◽

Janvi Narendrasinh Rana ◽

Nidhi Sudhir Ved

Keyword(s):

Significant Positive Correlation ◽

Pearson Correlation ◽

P Value ◽

Psychosomatic Disorders ◽

Psychosomatic Disorder ◽

Cross Sectional ◽

Positive Correlation ◽

Scale Scores ◽

The Mean ◽

Group 2

Introduction: The Coronavirus Disease-2019 (COVID-19) has caused a serious threat to people’s mental health causing psychosomatic disorders such as panic disorder, anxiety, and depression. Aim: To find out the correlation between the occurrence of psychosomatic disorders and age during the COVID-19 lockdown phase. Materials and Methods: This cross-sectional, observational study was conducted in Department of Physiotherapy at RK University, Rajkot, Gujarat, India. Males and females of age ≥21 years, with an ability to understand and fill Google form were recruited for the study. The subjects were divided into four groups according to age 21-34 years, 35-54 years, 55-64 years, and 65 years and older. There were 250 participants in each group. The subjects were asked to fill the COVID-19 Peritraumatic Distress Index (CPDI). Data were analysed by using software Statistical Package for the Social Science (SPSS) version 20. The normality of data was checked by the Shapiro Wilk test. Data followed parametric type so; Pearson correlation test was applied to find out the correlation between age and CPDI score. Results: The mean age of the population was 49.24±18.14 years. The mean CPDI scale scores were 27.572, 31.948, 31.364, and 35.328, respectively from groups 1 to 4. There was a significant positive correlation (p-value=0.031) in group 4, while no significance was found in group 1 (p-value=0.074), group 2 (p-value=0.067), and group 3 (p-value=0.062) Conclusion: There was a significant positive correlation between age and psychosomatic disorder occurrence in the geriatric age group (65 years and older) in the Rajkot city.

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Comparison of Trunk Flexion Proprioception Between Healthy Athletes and Athletes With Patellofemoral Pain

Journal of Sport Rehabilitation ◽

10.1123/jsr.2019-0369 ◽

2020 ◽

pp. 1-7

Author(s):

Reza Heydari Armaki ◽

Keramatollah Abbasnia ◽

Alireza Motealleh

Keyword(s):

Patellofemoral Pain ◽

Control Group ◽

Trunk Flexion ◽

Isokinetic Dynamometry ◽

Cross Sectional ◽

Significant Difference ◽

Eta Squared ◽

The Mean ◽

Rehabilitation Sciences ◽

Control Study

Objective: Patellofemoral pain (PFP) is the most commonly reported musculoskeletal overuse injury in active individuals, such as athletes, and is a multifactorial problem with no definite cause identified to date. Some studies have shown a relationship between impaired core and trunk sensorimotor control and knee disorders, especially PFP. The aim of this study was to evaluate trunk flexion proprioception by comparing the repositioning error between healthy athletes and athletes with PFP. Design: Cross-sectional case–control study. Setting: Rehabilitation sciences research center. Participants: Twenty healthy athletes and 20 athletes with PFP. Main Outcome Measures: To examine proprioception of trunk flexors, the absolute active and passive repositioning error at 30° and 60° trunk flexion were evaluated with isokinetic dynamometry. The results were compared between the two groups. Results: In the PFP group, the active trunk repositioning error at 30° flexion was significantly greater than in the healthy individuals (P < .001). The mean absolute active repositioning error at 30° flexion was 3.04° (1.37°) in the PFP group and 1.50° (0.70°) in the control group. There was no significant difference between groups in the active trunk repositioning error at 60° flexion (P = .066). The mean absolute active repositioning error at 60° flexion was 2.96° (1.26°) in the PFP group and 2.18° (0.99°) in the control group. The passive trunk repositioning error at 30° and 60° flexion was significantly greater in the PFP group (P = .013 and P = .004, respectively). The mean absolute passive repositioning error at 30° and 60° flexion in the PFP group was 2.94° (0.80°) and 3.13° (1.19°), respectively, and was 2.08° (1.08°) and 1.96° (0.71°), respectively, in the control group. The calculated eta-squared value showed that joint repositioning errors had large effect sizes (0.15–0.32). Conclusion: Trunk proprioception in the flexion direction may be impaired in patients with PFP. This finding suggests that trunk proprioception training may be important in rehabilitation for athletes with PFP.

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Knowledge, Attitude and Practice of General Dentists and Dental Students of Isfahan University about the Principles of Biopsy

Journal of Isfahan Dental School ◽

10.18502/ijds.v17i3.7531 ◽

2021 ◽

Author(s):

Forouz Keshani ◽

Seyed Mohammad Razavi ◽

Negar Jalalpour

Keyword(s):

Treatment Plan ◽

Pearson Correlation ◽

Dental Students ◽

P Value ◽

Cross Sectional ◽

Significance Level ◽

Attitude And Practice ◽

The Mean ◽

General Dentists ◽

Knowledge Attitude And Practice

Introduction: Biopsy is the most accurate way to make a definitive diagnosis, based on which the prognosis and treatment plan can be determined. This study aimed to evaluate the knowledge, attitude, and practice of general dentists and dental students about the principles of biopsy. Materials & Methods: This descriptive-analytical and cross-sectional study conducted on 188 general dentists and 93 senior dental students of Isfahan University of Medical Sciences using a questionnaire. Then data were analyzed using Pearson correlation coefficient, T-test) in all tests, the significance level is considered 0.05). Results: The mean score of dentists’ knowledge was 4.62 ± 1.42 and, the mean score of students’ knowledge was 4.96 ± 1.77 out of 8 points. The knowledge of dentists who had participated in retraining courses was higher than that of dentists who had not attended any biopsy retraining and was statistically significant (p value > 0.001).The mean score of dentists’ attitude (39.6 ± 4.06) was higher than the students’ (37.05 ± 3.06). Conclusion: Level of knowledge and attitude of dentists and students about the principles of biopsy was moderate. Their performance was also poor and most of the dentists expressed a lack of necessary skills for not doing a biopsy. This study shows the need for educational programs related to the principles of biopsy, in the form of retraining courses and more emphasis on the student curriculum.

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Comparison between clinical estimated fetal weights (CEFW) Versus Ultrasonographic estimated fetal weight (UEFW) for co-relation with actual birth weight (ABW) in 3rd Trimester of Pregnancy

Annals of Gulf Medicine ◽

10.37978/gulf.v3i1.81 ◽

2020 ◽

Vol 3 (1) ◽

pp. e1-e4

Author(s):

Rabia Razaq

Keyword(s):

Birth Weight ◽

Pearson Correlation ◽

Tertiary Care ◽

Fetal Weight ◽

P Value ◽

Cross Sectional ◽

Positive Correlation ◽

Study Results ◽

The Mean ◽

Estimated Fetal Weight

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.

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