scholarly journals Treatment indicators influence speech therapy discharge time

CoDAS ◽  
2021 ◽  
Vol 33 (5) ◽  
Author(s):  
Marianna Avelino Tavares ◽  
Patrícia Pupin Mandrá ◽  
Thaís Cristina da Freiria Moretti ◽  
Carla Manfredi dos Santos ◽  
Letícia Brunelli Wolf ◽  
...  
Keyword(s):  
Medical Records ◽  
Speech Therapy ◽  
Treatment Time ◽  
Care Service ◽  
Communication Disorders ◽  
Significant Difference ◽  
Before And After ◽  
Hearing Therapy ◽  
Second Period ◽  
Therapy Treatment

ABSTRACT Purpose To compare the treatment time for acquired neurological disorders of communication and the reason for discharge of users of a medium complexity care service for two periods: before and after implementation of treatment indicators. Methods A retrospective cohort study was carried out involving the analysis of medical records of users of the Adult Language Sector of the Speech and Hearing Therapy Service of the Integrated Rehabilitation Center, seen before and after treatment indicators implementation. Results 129 electronic medical records of users who remained under treatment until discharge from speech therapy in the two studied periods were analyzed. The mean duration of speech therapy for these users was 10.9 months for the first period and 7.8 months for the second period. After implementation of the indicators with regular reassessments, 72 out of the 89 users continued with treatment. There was a statistically significant difference in the therapy average time and reason for discharge before and after treatment indicators implementation. Conclusion After treatment indicators implementation, there was a reduction of the average speech therapy treatment time for communication disorders and an increase of speech therapy discharge percentage of users seen in a Brazilian service of medium complexity.

scholarly journals Characteristics of no-scalpel vasectomy patients in Jakarta, Indonesia

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 2086
Author(s):  
Fakhri Rahman ◽  
Ponco Birowo ◽  
Akmal Taher ◽  
Nur Rasyid
Keyword(s):  
High School ◽  
Junior High School ◽  
Medical Records ◽  
Educational Background ◽  
Local Infiltration ◽  
Number Of Children ◽  
Significant Difference ◽  
Before And After ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

Background: This study aims to learn the demographic and surgical characteristics of patients who underwent no-scalpel vasectomy in Indonesia and to compare patient’s demographic characteristics before and after legal pronouncement/fatwa issued by Indonesia Ulema Council in July 2012. Methods: This is a retrospective study that collected data from the vasectomy medical records of patients who underwent no-scalpel vasectomy between January 2010 and May 2017. A total of 1497 patients were included in this study. Results: The study found that patients’ age of 40-49 years old (42.8%), wives’ age of ≥ 35 years old (65.0%), having three children (34.3%), being Moslem (85.8%), high school graduated for patients (32.3%) and junior high school graduated for patients’ wives (25.7%), casual laborer (40.7%), and guided by family planning program officer (40.6%) were the most frequent characteristics found in patients undergoing no-scalpel vasectomy. There was a significant difference in certain characteristics before and after fatwa issuance, namely wives’ age, number of children, religion, patients’ and wives’ educational background and the person who guided patients to undergo vasectomy procedure. All no-scalpel vasectomy procedures were done using “Dr. Li’s three finger technique” with local infiltration anesthesia; the median length of procedure was 10 (7 – 90) minutes. This study also found that surgeon felt that more than 95% patients were easy to perform no-scalpel vasectomy procedure and this procedure had low complication rate. Conclusions: Even though there were significant proportional difference in some characteristics, this study considers that the fatwa was not the only factor that affected patients’ choice of no-scalpel vasectomy.

scholarly journals Over-the-scope clip (OTSC) reduces surgery rate in the management of iatrogenic gastrointestinal perforations

2017 ◽  
Vol 05 (05) ◽  
pp. E389-E394 ◽  
Author(s):  
Sherine Khater ◽  
Gabriel Rahmi ◽  
Guillaume Perrod ◽  
Elia Samaha ◽  
Hedi Benosman ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Mortality Rate ◽  
Ureteral Obstruction ◽  
Mortality Rates ◽  
The Other ◽  
Significant Difference ◽  
Before And After ◽  
Over The Scope Clip ◽  
Time Periods ◽  
Second Period

Abstract Background and study aims Over-the-scope clip (OTSC) has been recently used in management of gastrointestinal perforations, but data on it are still limited. The aim of this study was to compare management of iatrogenic perforations before and after the OTSC was available in our endoscopy unit. Patients and methods We conducted a monocentric retrospective study from June 2007 to June 2015. All iatrogenic gastrointestinal perforations detected during endoscopy were included. Two time periods were compared in terms of surgery and mortality rates: before use of OTSC (June 2007 to June 2011) and after OTSC became available (June 2011 to June 2015). Results During the first period, 24 perforations were recorded. Fifteen (62.5 %) were managed with surgery. The mortality rate was 8 %. During the second period, 16 perforations occurred. In 11 patients (68.7 %), an OTSC was used to close the perforation, with complete sealing of the perforation in 100 % of cases. However, 2 patients with sigmoid perforation had to undergo surgery due to right ureteral obstruction by the clip in 1 case and to presence of a localized peritonitis in the other. The surgery rate during this period was 12.5 % (2 /16), with a statistically significant difference compared to the first period (P = 0.002). There was no mortality in the second period versus 8 % in the first one (P = 0.23). Conclusions OTSC is effective for endoluminal closure of iatrogenic perforations and results in a significant decrease in surgery rate.

scholarly journals The Use of Virtual Reality Technologies to Reduce Anxiety and Improve Experience in Chemotherapy Patients During Treatment

2021 ◽  
Vol 2 ◽  
Author(s):  
Kaylie Wilson ◽  
Grace Scorsone
Keyword(s):  
Virtual Reality ◽  
Positive Emotions ◽  
Treatment Time ◽  
Psychological Intervention ◽  
Treatment Session ◽  
Chemotherapy Treatment ◽  
Treatment Area ◽  
Significant Difference ◽  
Before And After ◽  
Chemotherapy Patients

The study explored the potential benefits of virtual reality as a psychological intervention to induce positive emotions and reduce pain levels in participants receiving IV chemotherapy treatment. Participants in the study had the opportunity to select a nature theme of their choosing during their treatment session. The study provided a noninvasive solution that promoted relaxation to reduce anxiety by shifting an individual’s mood positively during treatment. The objective was met by measuring participants' mood and pain levels before and after the virtual reality experience and participant satisfaction with the use of the technology. The study was conducted in the chemotherapy treatment area at the INTEGRIS Cancer Institute and consisted of a mixed demographic of cancer diagnosed patients. Results of this study showed that participants felt more calm, relaxed, and content, as well as less tense after the use of VR. Participants showed high ratings of feeling immersed and distracted by feeling like they were visiting the places displayed and paid more attention to the said environment than their own thoughts. There was no significant difference in blood pressure, pain levels, feeling upset, or worried. A majority of participants preferred to have VR as part of their future experiences during treatment time.

scholarly journals Safety of Radiotherapy in Patients with Cardiac Implantable Electronic Devices

2021 ◽  
Author(s):  
Donghoon Han ◽  
Ji Hyun Lee ◽  
Youngjin Cho ◽  
Il-Young Oh
Keyword(s):  
Cumulative Dose ◽  
Medical Records ◽  
Beam Energy ◽  
Electronic Devices ◽  
Cardiac Implantable Electronic Devices ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
The Relationship

Abstract Background: Patients with cardiac implantable electronic devices (CIEDs) usually have multiple comorbidities, and some require radiotherapy (RTx) for cancer treatment. However, the effect of RTx in patients with CIEDs is unclear. We aimed to examine the effectiveness of RTx in patients with CIEDs, and share our real-world clinical experience in this population.Methods: We recruited patients with a pacemaker or implantable cardioverter-defibrillator who underwent RTx between April 2009 and August 2019. RTx and CIED interrogation data were collected from electronic medical records. Patients who received an RTx cardiology consultation and CIED interrogation before and after RTx were assigned to the proper consultation (PC) group. All others were enrolled in the no-consultation (NC) group. Results: Out of 23 patients, 3 (13.0%) and 20 (87.0%) patients were assigned to the PC and NC groups, respectively. The most common RTx sites were the abdomen and pelvis (34.8%). The mean cumulative dose was 50.1 ± 11.7 Gy, and the mean beam energy was 10.3 ± 4.01 mV. The PC and NC groups showed no significant difference in cumulative dose (51.5 ± 12.1 vs. 45.3 ± 3.9, p=0.19) or beam energy (10.4 ± 4.03 vs. 7.0 ± 1.41, p=0.08). There was no significant between-group difference in any pre-RTx CIED parameter. Two patients died during the study period; both were in the NC group. The relationship between death and device malfunction was not clear in either case.Conclusions: Patients with CIEDs frequently do not receive a cardiology consultation before RTx. Although radiotherapy-related CIED complications occur stochastically and are difficult to predict, cooperation between the cardiology and radiation therapy departments, and regular device follow-up are necessary for the safety of these patients.

scholarly journals Surface electromyography in orofacial and cervical musculature in mouth breathing children: an integrative literature review

Revista CEFAC ◽  
2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Daniella Priscila Ferracioli Batista ◽  
Maria Fernanda Bagarollo
Keyword(s):  
Surface Electromyography ◽  
Speech Therapy ◽  
Mouth Breathing ◽  
Scientific Methodology ◽  
Initial Assessment ◽  
Inclusion Criteria ◽  
Before And After ◽  
Physical Therapy Treatment ◽  
Cervical Musculature ◽  
Therapy Treatment

ABSTRACT Purpose: to review, in an integrative manner, studies using surface electromyography in the orofacial and cervical musculature in mouth breathing children aged from three to 11 years and 11 months old. Methods: the survey was conducted in national and international databases, from 1998 to 2018, in Portuguese, English and Spanish. Review articles, dissertations, book chapters, case studies and editorials were excluded. Results: 86 articles were found, 14 of which met the inclusion criteria. Most of these studies used surface electromyography to assess and describe the muscle condition of the mouth breathing population. Only one study addressed the influence of myofunctional speech therapy and two studies included physical therapy treatment, using electromyographic evaluation before and after the intervention. Given the main categories of analysis, the discussion was based on the year, state of publication and journal, sample size, scientific methodology, muscles assessed, assessment protocols used and the results of the publications. Conclusions: surface electromyography has been used mainly in the initial assessment of orofacial and postural myofunctional changes caused by mouth breathing and not as a therapeutic biofeedback, thus, it is important to conduct longitudinal studies using this instrument in mouth breathers.

scholarly journals The Effect of a Virtual Grand Round on Satisfaction and the Level of Learning of Physiotherapy and Speech Therapy Students During the Coronavirus Pandemic

2021 ◽  
Author(s):  
M Saadat ◽  
N Moradi ◽  
M.J Shaterrzadeh Yazdi ◽  
N Orakifar ◽  
M Hosseini Beydokhti ◽  
...  
Keyword(s):  
Clinical Education ◽  
Clinical Training ◽  
Speech Therapy ◽  
Therapy Group ◽  
Training Data ◽  
Grand Round ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
Before And After ◽  
Rehabilitation Sciences

Introduction: With the Coronavirus pandemic, disability and the students’ absence in clinical settings, the educational system of the Faculty of Rehabilitation Sciences of Jundishapur University of Medical Sciences decided to hold a virtual grand round, teaching the clinical courses to address the shortcomings of clinical education. This study aimed to investigate the level of satisfaction and learning of students from holding the Grand Round. Methods: The present study was quasi-experimental study. The study population consisted of 36 undergraduate students in physiotherapy and speech therapy; The Grand Round in specific cases of the disease was presented to students, in the clinical training. Data were collected using a researcher-made questionnaire to assess the level of satisfaction with the virtual grand round and an electronic test to assess learning from the topics. Results: The majority of students were moderate to highly satisfied (more than 70%) with the virtual grand round in speech therapy and physiotherapy groups. There was a significant difference between test scores before and after the grand round of the speech therapy group (P= 0.002), whereas, in the physiotherapy group there was no significant difference between the scores before and after the test (P= 0.3). Discussion: Regarding the level of students' satisfaction retaining the Grand Round and increasing their level of knowledge, it is suggested that virtual group discussions be held in clinical education courses in other faculties of rehabilitation sciences and related fields, especially during pandemic conditions of coronavirus and the impossibility of face-to-face training.

scholarly journals Comparison between an Acrylic Splint Herbst and an Acrylic Splint Miniscrew-Herbst for Mandibular Incisors Proclination Control

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Antonio Manni ◽  
Marco Pasini ◽  
Laura Mazzotta ◽  
Sabrina Mutinelli ◽  
Claudio Nuzzo ◽  
...  
Keyword(s):  
Treatment Time ◽  
Test Group ◽  
Class Ii Malocclusion ◽  
Herbst Appliance ◽  
Base Position ◽  
Several Variables ◽  
Significant Difference ◽  
Before And After ◽  
Skeletal Effects ◽  
Cephalometric Measurements

Aim. The aim of this study is to compare dental and skeletal effects produced by an acrylic splint Herbst with and without skeletal anchorage for correction of dental class II malocclusion.Methods. The test group was formed by 14 patients that were treated with an acrylic splint miniscrew-Herbst; miniscrews were placed between mandibular second premolars and first molars; controls also consisted of 14 subjects that were treated with an acrylic splint Herbst and no miniscrews. Cephalometric measurements before and after Herbst treatment were compared. The value ofαfor significance was set at 0.05.Results. All subjects from both groups were successfully treated to a bilateral Class I relationship; mean treatment time was 8,1 months in the test group and 7.8 in the controls. Several variables did not have a statistical significant difference between the two groups. Some of the variables, instead, presented a significant difference such as incisor flaring, mandibular bone base position, and skeletal discrepancy.Conclusions. This study showed that the Herbst appliance associated to miniscrews allowed a better control of the incisor flaring with a greater mandibular skeletal effect.

scholarly journals Statistical Analysis of Outpatients Trends at Korean Medicine Hospitals of Daejeon University by Region before and after COVID-19

2021 ◽  
Vol 42 (3) ◽  
pp. 26-43
Author(s):  
Hyun Ji Cha ◽  
Beom Seok Kim ◽  
Ki Jung Sung ◽  
Young Rok Lee ◽  
Hyeon Kyu Choi ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Medical Records ◽  
Statistical Difference ◽  
Care Utilization ◽  
Korean Medicine ◽  
Number Of Patients ◽  
Significant Difference ◽  
Before And After ◽  
The Difference ◽  
Analyze Data

Objectives: This study is designed to statistically analyze data of outpatients visiting for recent 3 years. The purpose is to identify tendencies of patients who visit the hospitals before and after COVID-19. Methods: This study retrospectively analyzed the medical records of 452,487 patients who visited to the Daejeon·Cheonan·Cheongju Korean Medicine Hospital of Daejeon University from January 1, 2018 to August 31, 2020. The data is classified according to year, month, gender, age, and visit type. The statistical analysis was performed using IBM SPSS 25.0. Results: The total number of patients decreased in 2020 compared to before 2020, and the number of patients in each hospital also decreased from the previous year. According to the year of each hospital, the difference by year was not statistically significant at Daejeon Hospital, but Cheonan and Cheongju Hospital showed statistical difference. The change in monthly according to the year by hospital has continued to decrease from January to March in 2020, unlike the previous year, which recovered from a decline in March. In the analysis of patients by age, there was no statistically significant difference in the number of patients in the above 60s according to the year, while those under 60s have a tendency to significantly decrease.. Conclusion: We expect that the results of this study will be used as reference materials in analyzing effects of COVID-19 at health care utilization.

Does the Start of Dialysis Initiate a Period of Increased Risk of Ulceration or Amputation?

2018 ◽  
Vol 108 (1) ◽  
pp. 1-5
Author(s):  
Lawrence A. Lavery ◽  
David C. Lavery ◽  
Nathan A. Hunt ◽  
Javier La Fontaine ◽  
Ryan D. Lavery
Keyword(s):  
Medical Records ◽  
Claims Data ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Dialysis Therapy ◽  
Foot Complications ◽  
Increased Risk ◽  
Significant Difference ◽  
Before And After ◽  
Over Time

Background: Dialysis therapy is associated with an increased incidence of lower-extremity wounds and amputations. We compared the incidence of foot ulcers and amputations before and after the start of dialysis. Methods: We evaluated 150 consecutive diabetic patients receiving dialysis and compared the incidence of foot complications 30 months before and after initiation of hemodialysis. We used claims data for diabetes, ulceration, and dialysis and abstracted medical records to verify diagnoses and dates of ulcers and amputations. We compared initial and cumulative ulcer/amputation incidence to account for multiple events in the same person over time. We used the same formula to determine the incidence rate difference and 95% confidence intervals (CIs) to compare new ulcers and amputations during the study. Results: There was no significant difference in the incidence of first foot ulcers before (91.7 per 1,000 patient-years; 95% CI, 73.7–112.3 per 1,000 patient-years) and after (82.7; 95% CI, 65.7–102.3) the start of hemodialysis. The incidence of cumulative ulcers was significantly higher before (304.0 per 1,000 patient-years; 95% CI, 270.8–340.2) compared with after (210.7 per 1,000 patient-years; 95% CI, 183.0–240.9) dialysis. There was no difference in the incidence of first amputation before (29.3 per 1,000 patient-years; 95% CI, 1 9.4–41.7 per 1,000 patient-years) and after (37.3 per 1,000 patient-years; 95% CI, 19.4–41.7 per 1,000 patient-years) dialysis or in the cumulative incidence of amputations before (61.3 per 1,000 patient-years; 95% CI, 46.7–8.4 per 1,000 patient-years) and after (58.7 per 1,000 patient-years; 95% CI, 44.5–75.5 per 1,000 patient-years) dialysis. Conclusions: There was no increase in the incidence of ulcers or amputations after beginning hemodialysis.

scholarly journals Effects of Spider Cage Therapy in Combination with Conventional Speech Therapy on Speech and Language Function in Children with Cerebral Palsy of Age between 05 and 15 Years

2021 ◽  
pp. 145-149
Author(s):  
Fahad Masood ◽  
Muhammad Sikander Ghayas Khan ◽  
Farjad Afzal ◽  
Amna Rashid ◽  
Saba Mubarak
Keyword(s):  
Cerebral Palsy ◽  
Speech Therapy ◽  
Baseline Score ◽  
Language Function ◽  
Speech And Language ◽  
Post Intervention ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
The Mean

Objective: The objective of study was to determine the effects of spider cage therapy in combination with conventional speech therapy on speech and language function in children with cerebral palsy of age between 05 And 15 Years. Materials and Methods: A total of 20 children from a special institute with cerebral palsy who were provided with spider cage therapy in combination with conventional speech therapy were evaluated from January 2017 to June 2017. Effect of spider cage therapy in combination with conventional speech therapy was determined by applying dysarthric profile revised before and after the treatment. Results: Baseline score on dysarthric profile was 34.76±2.67 and post intervention score was 69.93±8.14. Result indicated that out of 20 children with cerebral palsy, there was a statistically significant difference in total score. Conclusion: The findings suggested that the Mean score of spider cage therapy in combination with conventional speech therapy post treatment in children with cerebral palsy was improved. On the basis of this study it is concluded that speech therapy in combination with conventional speech therapy is more effective in children with cerebral palsy.

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