scholarly journals Inter- and Intra-observer Reliability of the “assessment of Motor Repertoire- 3 to 5 Months” Based on Video Recordings of Infants With PWS

2021 ◽  
Author(s):  
Jun Wang ◽  
Xiushu Shen ◽  
Hong Yang ◽  
Wei Shi ◽  
Xiaoyun Zhu ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Cross Sectional Study ◽  
Observer Agreement ◽  
Complete Agreement ◽  
Cross Sectional ◽  
Observer Reliability ◽  
Video Recordings ◽  
Movement Assessment ◽  
General Movement

Abstract BackgroundThe “Assessment of Motor Repertoire - 3 to 5 Months”, which is part of Prechtl's General Movement Assessment (GMA), has been gradually applied to infants with genetic metabolic disorders. However, there still have been no studies on the application of GMA for infants with Prader-Williams Syndrome (PWS).Aimsthe purpose of this study was to determine inter- and intra-observer reliability of the assessment tool in PWS population.Study designReliability and agreement study.SubjectsThis was a cross-sectional study of 15 infants with PWS born at average gestational age 38 weeks.Outcome measuresStandardized video recordings of 15 infants with PWS (corrected ages 3 to 5 months) were independently assessed by three observers. Kappa and ICC statistics were applied in inter- and intra-observer reliability analysis.ResultsThe overall reliability ICCs values of “Motor Optimality Score” (MOS) ranged from 0.84 to 0.98 and the regarding pairwise agreement ranged between 0.86 and 0.95 in inter- observe reliability. In addition, ICC values for MOS ranged between 0.95 and 0.98 for respectively testers agreement in intra-observer reliability.The complete agreement reliability (100%) was achieved in subcategories of “Fidgety Movements” and “Movement Character” for the inter- and intra-observer. Moderate to high inter- and intra-observer reliability were found in subcategories of “Repertoire of Co-Existent Other Movements”, “Quality of Other Movements” and “Posture”, with kappa values ranging between 0.63 and 1.00. Conclusionhere were high levels of inter-and intra-observer agreement in the “Assessment of Motor Repertoire - 3 to 5 Months” for infants with PWS. It will be possible to carry out standardized quantitative assessment on the motor performance infants with PWS.

OSCE: An Effective Tool of Assessment for Medical Students

2021 ◽  
Vol 15 (8) ◽  
pp. 2235-2239
Author(s):  
Farrukh Sarfraz ◽  
Fahad Sarfraz ◽  
Imran Jawad ◽  
Mohammad Zia-Ul-Miraj ◽  
Rizwan Zafar Ahmad ◽  
...  
Keyword(s):  
Medical Students ◽  
Time Allocation ◽  
Assessment Tool ◽  
Clinical Skills ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Medical College ◽  
Data Collection Procedure

Background: To assess the competency of a student different tools are used. Since its introduction in 1975 by Dr. Harden and his team, OSCE has gained tremendous strides to assess the clinical competencies. Since 1975 onward OSCE has been very successfully used to assess the clinical competencies of medical student globally. OSCE is an assessment tool in which student is observed for performance of different tasks at specified stations. In the current study perception of medical students about OSCE examination was done which shall give room for positive criticism and further improvement of the system where ever required. Objective: To expedite view of final year MBBS students of Azra Naheed College about OSCE Material and Method Study design: Quantitative, cross sectional study. Settings: Azra Naheed College, Lahore. Duration: Six months i.e. 1st July2020 to 31st December 2020 Data Collection procedure: After an informed consent and appropriate briefing, the questionnaire was distributed among the final year medical students of Azra Naheed Medical College. Questionnaire developed by Russell et al was used. Results: Out of 148 students who participated in the study, 66(45%) students were females and 82(55%) were male. Majority of the students were satisfied with the quality of the exam. Consensus about the quality of exam was that, 29.7% were aware about the nature of the exam, 52.7% were satisfied that the syllabus taught was asked in the exam, 58.1% were satisfied about the time allocation for each station. Majority i.e. 60% considered OSCE an exam of practical nature which is not biased by gender or ethnicity. More than 50% of the students were satisfied with the standard of the exam. At the same time more than 50% students considered essay exam the easiest format of assessment. However, OSCE was considered to be fairest form of assessment 73%. 68.9% perceived that learning is enhanced by MCQs rather than other formats of assessment. Conclusion: To conclude this study, it is very much clear that the perception of students about OSCE as an assessment tool was very encouraging, as it not only provided them the opportunity to highlight their weaknesses but also helped them to perform well in the exam, manage time during exam and to overcome them stress which influenced their results. Key words: OSCE, Objective, Examinations, Clinical skills, qualitative analysis

scholarly journals Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Practice ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

scholarly journals Multiple children in the context of an analysis of the quality of life, satisfaction and further procreative plans of women - cross-sectional study

2021 ◽  
Vol 47 (3) ◽  
pp. 60-71
Author(s):  
Grażyna Bączek ◽  
Monika Szyszka ◽  
Sylwia Rychlewicz
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Religious Beliefs ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Multiple Choice Questions ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Huge Impact

Introduction: The definition of motherhood is manifold. The responsibilities of motherhood should be considered biologically, psychologically and socially. Conscious motherhood is characterized amongst others by the responsibility of parents for procreative decisions, care for the health, development and safety of the child. In Poland, the model of a woman as mother, who dedicates her life to birthing and raising her offspring, dominates. This has a huge impact on the future functioning of the offspring as citizens of Poland. Materials and method: Study was conducted through a diagnostic survey in a group of 365 women (284 of which are mothers of three or more children, the remaining 81 being mothers of one child). A self-developed survey containing 29 multiple choice questions with a single correct response as well as a standardized assessment tool SWLS- Life Satisfaction Scale E. Diener, R.A. Emmons, R.J. Larson, S. Griffin (adaptation: Z. Juczyński) were used as a research tool. Results: The vast majority of respondents are satisfied with their role as mother (97.1%). Many of the women do not plan to have more children (44.1%). In the respondents' opinion, childbirth is a social privilege of a woman (p<0.05). Mothers of more than one child have definitively declared that having multiple children does not decrease the quality of life of women, is a source of life satisfaction, aids in the fulfillment of societal roles and does not impede professional development (p<0.05). A constant partner, religious beliefs and relations with other women having more than two children are important factors for respondents when deciding to expand their family (p<0.05). Women who have given birth to three or more children have greater life satisfaction as compared to mothers of a single child (p<0.05). Conclusion: Women are happy to be mothers. Motherhood is not a factor hindering their social and private functioning. Women's procreative decisions are influenced by fixed income, formal relationships and religious beliefs. Mothers of large families have greater life satisfaction in comparison to mothers of one child who do not desire more children.

Dysphagia related quality of life (QoL) following total laryngectomy (TL)

2017 ◽  
Vol 16 (1) ◽  
pp. 115-121 ◽  
Author(s):  
Anastasios M. Georgiou ◽  
Maria Kambanaros
Keyword(s):  
Quality Of Life ◽  
Laryngeal Cancer ◽  
Total Laryngectomy ◽  
Assessment Tool ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
Starting Point

Abstract Purpose: This cross-sectional study evaluated the relationship between dysphagia post-total laryngectomy (TL) and quality of life (QoL) of people who reside in Greece. This is the first such report to be undertaken on the topic. Methods: Speech and language therapists typically use patient judgement to identify difficulties with swallowing. The Greek adaptations of the M.D. Anderson Dysphagia Inventory (MDADI) and the Eating Assessment Tool (EAT-10) were completed by members of the Hellenic Association of Laryngectomees (HAL). More than 400 questionnaires were sent, but only 23 were returned (18 males and 5 females). Results: The results revealed that dysphagia has a negative impact on the QoL of people who have undergone TL for treatment of laryngeal cancer. Conclusion: It appears that not only treatment (i.e. TL) of the primary disease, but also secondary problems as a result of the treatment, such as dysphagia, have a significant impact on the QoL of patients and must be taken into consideration when therapeutic decisions for laryngeal cancer are made. The qualitative measures used here provide a starting point to objectively describe QoL as perceived by TL patients. This is particularly pertinent in Greece where access to delivery and quality of health services has been challenging because of recent fiscal constraints.

scholarly journals Qualidade de vida de pacientes durante terapia antineoplásica: estudo descritivo

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Joselany Afio Caetano ◽  
Julianna Freitas Siqueira ◽  
Andrea Bezerra Rodrigues ◽  
Maria Dalva Santos Alves ◽  
Ana Virgínia Melo Fialho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Social Relations ◽  
Assessment Tool ◽  
Life Quality ◽  
Cross Sectional Study ◽  
World Health ◽  
Insurance Company ◽  
Cross Sectional

Aim:  To  evaluate  the  quality  of  life  of  cancer  patients  using the device  for  antineoplastic  continuous  infusion.  Method:  This  is  a  cross-sectional  study conducted  with  28  patients in  a  health  insurance  company  of Fortaleza/CE in  2013,  by applying  the  life  quality  assessment  tool  of  the  World  Health  Organization  (WHOQOL-BREF). Results: The domain most affected was health satisfaction, which was negative in both  antineoplastic  administration  cycles,  while  the  perception  regarding  quality  of  life was  considered  regular.  The  highest  average  domain  was  social  relations;  the  lowest average  was  the  psychological  domain  for  both  cycles.  Conclusion:  It  is  important  to know the determinants that influence the quality of life of cancer patients, allowing the improvement of multidisciplinary interventions to increase adaptation to the experience of the disease.

Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

2020 ◽  
Vol 26 (1) ◽  
pp. 31-36
Author(s):  
Md Zakaria Sarkar ◽  
AHM Ferdows Nur ◽  
Utpal Kumar Dutta ◽  
Muhammad Rafiqul Islam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cross Sectional Study ◽  
Surgical Trauma ◽  
Group 14 ◽  
Progressive Hearing Loss ◽  
Cross Sectional ◽  
Hearing Gain ◽  
Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

The impact of the use of a footrest on the quality of chest compressions. A prospective, randomized, cross-sectional study

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Jolanta Majer ◽  
Sandra Pyda ◽  
Jerzy Robert Ladny ◽  
Antonio Rodriguez-Nunez ◽  
Lukasz Szarpak
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Chest Compressions ◽  
Cross Sectional ◽  
The Impact
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