scholarly journals Validation of an Electronic Visual Analog Scale mHealth Tool for Acute Pain Assessment: Prospective Cross-Sectional Study

10.2196/13468 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e13468 ◽  
Author(s):  
Carles Escalona-Marfil ◽  
Andrea Coda ◽  
Jorge Ruiz-Moreno ◽  
Lluís Miquel Riu-Gispert ◽  
Xavier Gironès
Keyword(s):  
Confidence Interval ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Pain Level ◽  
Sectional Study ◽  
Analog Scale ◽  
Good Reliability ◽  
Cross Sectional ◽  
Paper Format ◽  
Simple Economic

Background Accurate measurement of pain is required to improve its management and in research. The visual analog scale (VAS) on paper format has been shown to be an accurate, valid, reliable, and reproducible way to measure pain intensity. However, some limitations should be considered, some of which can be implemented with the introduction of an electronic VAS version, suitable to be used both in a tablet and a smartphone. Objective This study aimed to validate a new method of recording pain level by comparing the traditional paper VAS with the pain level module on the newly designed Interactive Clinics app. Methods A prospective observational cross-sectional study was designed. The sample consisted of 102 participants aged 18 to 65 years. A Force Dial FDK 20 algometer (Wagner Instruments) was employed to induce mild pressure symptoms on the participants’ thumbs. Pain was measured using a paper VAS (10 cm line) and the app. Results Intermethod reliability estimated by ICC(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, indicating good reliability. Intramethod reliability estimated by ICCa(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, also indicating good reliability. Bland-Altman analysis showed a difference of 0.175 (0.49), and limits of agreement ranged from –0.79 to 1.14. Conclusions The pain level module on the app is highly reliable and interchangeable with the paper VAS version. This tool could potentially help clinicians and researchers precisely assess pain in a simple, economic way with the use of a ubiquitous technology.

scholarly journals Validation of an Electronic Visual Analog Scale mHealth Tool for Acute Pain Assessment: Prospective Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Carles Escalona-Marfil ◽  
Andrea Coda ◽  
Jorge Ruiz-Moreno ◽  
Lluís Miquel Riu-Gispert ◽  
Xavier Gironès
Keyword(s):  
Confidence Interval ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Pain Level ◽  
Sectional Study ◽  
Analog Scale ◽  
Good Reliability ◽  
Cross Sectional ◽  
Paper Format ◽  
Simple Economic

BACKGROUND Accurate measurement of pain is required to improve its management and in research. The visual analog scale (VAS) on paper format has been shown to be an accurate, valid, reliable, and reproducible way to measure pain intensity. However, some limitations should be considered, some of which can be implemented with the introduction of an electronic VAS version, suitable to be used both in a tablet and a smartphone. OBJECTIVE This study aimed to validate a new method of recording pain level by comparing the traditional paper VAS with the pain level module on the newly designed Interactive Clinics app. METHODS A prospective observational cross-sectional study was designed. The sample consisted of 102 participants aged 18 to 65 years. A Force Dial FDK 20 algometer (Wagner Instruments) was employed to induce mild pressure symptoms on the participants’ thumbs. Pain was measured using a paper VAS (10 cm line) and the app. RESULTS Intermethod reliability estimated by ICC(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, indicating good reliability. Intramethod reliability estimated by ICC<sub>a</sub>(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, also indicating good reliability. Bland-Altman analysis showed a difference of 0.175 (0.49), and limits of agreement ranged from –0.79 to 1.14. CONCLUSIONS The pain level module on the app is highly reliable and interchangeable with the paper VAS version. This tool could potentially help clinicians and researchers precisely assess pain in a simple, economic way with the use of a ubiquitous technology.

Reducing visual analog scale (VAS) in circumcision patient by the additional of topical anesthesia agent in local anesthesia procedures

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
M. Fadel Dikaprio ◽  
Muhammad Fadhol Romdhoni ◽  
Refni Riyanto Riyanto ◽  
Susiyadi
Keyword(s):  
Local Anesthesia ◽  
Visual Analog Scale ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Topical Anesthesia ◽  
Sectional Study ◽  
Pain Sensation ◽  
Analog Scale ◽  
Cross Sectional ◽  
Central Java

Circumcision could be painful before, during, and after the surgery. The local anesthesia is often used in medical practice in order to reduce pain during circumcision. Topical anesthesia works by eliminating pain sensation after direct application on skin. This study aimed to investigate the effect of additional of topical anesthesia agent for circumcision on the visual analog scale (VAS). It was a cross sectional study using the data of medical records from a Circumcision Clinic (Rumah Sunatan) in Purwokerto, Central Java conducted from July 2019 to March 2020. As a result, there were 127 subjects (70.6%) belong to Mild Category VAS, while 26 subjects (14.4%) got Moderate, and 27 subjects (15.0%) fall under Severe Category. The application of topical anesthesia for circumcision could reduce the VAS value by 70.6 %.

Usefulness of a Visual Analog Scale for Measuring Anxiety in Hospitalized Patients Experiencing Pain: A Multicenter Cross-Sectional Study

2020 ◽  
Vol 21 (6) ◽  
pp. 572-578
Author(s):  
Vincent Ducoulombier ◽  
Roman Chiquet ◽  
Sahara Graf ◽  
Bernard Leroy ◽  
Guillaume Bouquet ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Analog Scale ◽  
Cross Sectional

scholarly journals HUBUNGAN GLENOHUMERAL INSTABILITY TERHADAP TERJADINYA SWIMMER’S SHOULDER PADA KLUB RENANG DI KABUPATEN BADUNG

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Dewa Ayu Diah Agung Maheswari ◽  
Anak Ayu Nyoman Trisna Narta Dewi ◽  
Ni Luh Putu Gita Karunia Saraswati ◽  
Ni Wayan Tianing
Keyword(s):  
Rotator Cuff ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Sign Test ◽  
Sectional Study ◽  
Analog Scale ◽  
Glenohumeral Instability ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Western Ontario Rotator Cuff

Swimmer’s Shoulder menggambarkan kondisi nyeri bahu yang dialami oleh perenang, salah satu faktor resikonya yaitu glenohumeral instability yang merupakan kondisi ketidakstabilan bahu. Kondisi bahu yang tidak stabil dapat menurunkan performa atlet yang dapat meningkatkan resiko terjadinya swimmer’s shoulder. Penelitian ini bertujuan untuk mengetahui hubungan glenohumeral instability terhadap terjadinya swimmer’s shoulder pada klub renang di Kabupaten Badung. Penelitian ini menggunakan rancangan observasional analytic dengan pendekatan metode cross sectional study dan teknik nonprobability sampling dengan jenis purposive sampling dalam. Sampel berjumlah 67 orang, yang diukur glenohumeral instability nya menggunakan tes spesifik yaitu apprehension test dan sulcus sign test dengan skala Visual Analog Scale (VAS) dan  swimmer’s shoulder menggunakan kuesioner Western Ontario Rotator Cuff (WORC). Analisis data yang digunakan yaitu teknik spearman’s rho dengan nilai p=0,001, sampel dengan kondisi bahu yang stabil berjumlah 50 orang (74,6%) dan dominan berpotensi rendah terjadinya swimmer’s shoulder (74,6%) sedangkan kondisi bahu yang tidak stabil 17 orang (25,4%) dan dominan berpotensi sedang terjadinya swimmer’s shoulder (25,4%). Hasil analisis data ini menunjukkan bahwa terdapat hubungan yang signifikan antara glenohumeral instability dengan swimmer’s shoulder pada klub renang di Kabupaten Badung. Kata Kunci: perenang, swimmer’s shoulder, glenohumeral instability

scholarly journals Does the Lag Time Between Injury and Treatment Affect Recovery of Infraorbital Nerve Disturbances in Zygomaticomaxillary Complex Fractures?

2020 ◽  
Vol 13 (2) ◽  
pp. 105-108
Author(s):  
Reza Tabrizi ◽  
Majid Neamati ◽  
Sara Rajabloo ◽  
Fatemeh Latifi
Keyword(s):  
Lag Time ◽  
Cross Sectional Study ◽  
Open Reduction Internal Fixation ◽  
The Self ◽  
Infraorbital Nerve ◽  
Sectional Study ◽  
Analog Scale ◽  
Cross Sectional ◽  
Zygomaticomaxillary Complex ◽  
Delay In Treatment

Study Design: A cross-sectional study. Objective: Neurosensory disturbances (NSDs) of the infraorbital nerve (ION) are common following orbito-zygomaticomaxillary complex (ZMC) fractures. This study aimed to evaluate the effect of lag time between injury and treatment on recovery of NSDs of the ION following open reduction internal fixation. Methods: Subjects who had ZMC fracture and paresthesia were studied. The lag time between injury and treatment was considered as the predictive factor. The level of NSDs according to the brush test and two-point discrimination (TPD) test and self-reported NSD were the outcomes of this study. Self-reported NSD was quantified using a visual analog scale. Results: Forty patients were studied. The lag time between injury and treatment had a significant correlation with the result of the TPD test and the self-reported level of NSD. In 73.6% of patients who had NSD following ZMC fracture, every 1-day delay in treatment increased the incidence of self-reported paresthesia by 0.44. Conclusions: It seems, a delay in treatment of ZMC fractures increased the risk of NSD.

scholarly journals Association of cleft lip and palate on mother-to-infant bonding: a cross-sectional study in the Japan Environment and Children’s Study (JECS)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Shinobu Tsuchiya ◽  
◽  
Masahiro Tsuchiya ◽  
Haruki Momma ◽  
Takeyoshi Koseki ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Maternal Depression ◽  
Odds Ratio ◽  
Maternal Age ◽  
Cleft Lip ◽  
Cross Sectional Study ◽  
Advanced Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk

Abstract Background Cleft lip and/or palate is among the most prevalent congenital birth defects, and negatively affects maternal psychological status and may consequently result in higher prevalence of child maltreatment. However, the association of childbirths of infants with cleft lip and/or palate with maternal emotional involvement still remains unclear. We examined the association between childbirths of infants with cleft lip and/or palate and mother-to-infant bonding, using data from the Japan Environment and Children’s Study, a nationwide birth cohort study. Methods A cross-sectional study using the jecs-an-20,180,131 dataset was performed. A total 104,065 fetuses in 15 regional centres in Japan were enrolled after obtaining informed written consent. The Mother-to-Infant Bonding Scale, a self-report scale consisting of 10 items, was used to evaluate maternal bonding at one year after childbirth. Finally, the participants consisted of 79,140 mother-infant pairs, of which 211 mothers of infants with cleft lip and/or palate were included in our analyses. Multivariable logistic regression analysis using multiple imputation for missing data was performed to calculate the odds ratio and 95% confidence interval in the estimation of the association between bonding disorders and childbirths with cleft lip and/or palate. Results No increased risk of bonding disorders was observed among all the mothers of infants with cleft lip and/or palate (odds ratio [95% confidence interval]; 0.97 [0.63–1.48], p = 0.880), however, advanced maternal age or multiple parity may adversely affect the associations between bonding disorders and cleft lip and/or palate, respectively. After stratification with a combination of maternal age and parity, a significant association of cleft lip and/or palate with bonding disorders was found only among advanced-age multiparae (odds ratio [95% confidence interval] = 2.51 [1.17–5.37], p = 0.018), but it was weakened after additional adjustment for maternal depression. Conclusions Childbirths of infants with cleft lip and/or palate may increase the risk of bonding disorders among advanced-age multiparae, possibly through maternal depression. This finding provides valuable information for the provision of multidisciplinary cleft care.

scholarly journals The association of gout with an increased risk of hypertension and diabetes mellitus among stroke survivors in New Zealand: A cross-sectional study using routinely collected electronic health data

2019 ◽  
Vol 8 ◽  
pp. 204800401986323 ◽  
Author(s):  
Dina Eufemia D San Gabriel ◽  
Julia Slark
Keyword(s):  
Diabetes Mellitus ◽  
New Zealand ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Stroke Survivors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk

Background There is a paucity of data relating to the association of gout with the occurrence of hypertension and diabetes mellitus in patients with stroke. This study aimed to determine the association of gout with the risk of hypertension and diabetes mellitus in a cohort of stroke patients from Auckland, Aotearoa New Zealand. Methods A cross-sectional study was conducted among stroke survivors in South and East Auckland, New Zealand from the years 2010 to 2014. Electronic health record data were collected and analysed using Statistical Package for Social Science version 23. Multivariate logistic regression modelling adjusted for age, gender, and ethnicity was conducted to determine the association of gout with the risk of hypertension and diabetes mellitus in patients discharged with a diagnosis of stroke. Results The age-, gender-, and ethnicity-adjusted odds ratio for having hypertension and diabetes mellitus among stroke survivors with gout history were 3.25 (95% confidence interval 1.32–8.03) and 1.94 (95% confidence interval 1.12–3.36), respectively. Māori stroke survivors with gout history had the highest risk of having diabetes mellitus with age- and gender-adjusted odds ratio of 5.10 (95% confidence interval 1.90–18.93). Conclusion The findings from this study suggest gout may be independently associated with an increased risk of hypertension and diabetes mellitus in patients with stroke. Māori who are the indigenous population of New Zealand show a greater risk of diabetes mellitus associated with a gout diagnosis compared to other populations. This finding highlights the importance of the need for further research with Māori stroke survivors and other indigenous populations.

scholarly journals Prevalence of vulvovaginitis and bacterial vaginosis in patients with koilocytosis

2008 ◽  
Vol 126 (6) ◽  
pp. 333-336 ◽  
Author(s):  
Ana Claudia Camargo Campos ◽  
Ruffo Freitas-Junior ◽  
Luiz Fernando Jubé Ribeiro ◽  
Régis Resende Paulinelli ◽  
Cleomenes Reis
Keyword(s):  
Confidence Interval ◽  
Bacterial Vaginosis ◽  
Odds Ratio ◽  
Bacterial Colonization ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
P Values ◽  
The City

CONTEXT AND OBJECTIVE: Empirical discussion regarding an association between koilocytosis and vulvovaginitis often occurs. Thus, the objective of this study was to assess the prevalence of microorganisms associated with bacterial vaginosis and vulvovaginitis in women with and without koilocytosis. DESIGN AND SETTING: Analytical cross-sectional study including two cohorts of women (with and without koilocytosis) who attended a cancer hospital in the city of Goiânia, state of Goiás. METHODS: A total of 102 patients entered the study. The whiff test, Gram and Papanicolaou staining and bacterial and fungal culturing were performed. The results were observed using univariate analysis. The odds ratio and confidence interval (CI) of the variables were calculated; P-values < 0.05 were considered significant. RESULTS: The prevalence of bacterial colonization was similar in patients with and without koilocytosis. The odds ratio for candidiasis was 1.43 (CI 1.05-1.95) and the odds ratio for trichomoniasis was 1.78 (CI 1.49-2.12), in patients with koilocytosis. CONCLUSIONS: The prevalence of candidiasis and trichomoniasis seems to be higher in patients with koilocytosis.

scholarly journals Awareness and attitudes towards external auditory canal exostosis and its preventability in surfers in the UK: cross-sectional study

2016 ◽  
Vol 130 (7) ◽  
pp. 628-634 ◽  
Author(s):  
S Morris ◽  
T Martin ◽  
D Mccahon ◽  
S Bennett
Keyword(s):  
Confidence Interval ◽  
External Auditory Canal ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Uk

AbstractObjectives:To determine the proportion of UK surfers aware of external auditory canal exostosis, to identify surfer characteristics associated with knowledge of the condition and to explore attitudes to earplug use.Method:An online, cross-sectional survey of UK-based surfers.Results:Of 375 surfers, 86.1 per cent (n = 323; 95 per cent confidence interval = 82.3–89.3) reported awareness of external auditory canal exostosis. Further investigation revealed that, despite their awareness of the condition, 23.4 per cent of these surfers (88 out of 323; 95 per cent confidence interval = 19.5–28.0) had little or no knowledge about external auditory canal exostosis. Predictors of knowledge included: distance from nearest surfing beach (p = 0.001), surfing standard (ability) (p = 0.008), earplug use (p = 0.024) and positive external auditory canal exostosis diagnosis (p = 0.009).Conclusion:The findings suggest that a significant minority of UK surfers have no knowledge about this condition. Knowledge of external auditory canal exostosis was significantly associated with earplug use when surfing. Efforts to improve surfers’ knowledge are required to enable surfers to better protect themselves, which could reduce the incidence of external auditory canal exostosis.

scholarly journals Excessive Daytime Sleepiness among First to Fourth Year Undergraduate Students of a Medical College in Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Kumar Roka ◽  
Sabina Khadka ◽  
Sanju Dahal ◽  
Meenakshi Yadav ◽  
Puja Thapa ◽  
...  
Keyword(s):  
Medical Students ◽  
Confidence Interval ◽  
Undergraduate Students ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Binary Data ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Excessive Daytime Sleepiness is a significant health problem among medical students worldwide which can impair their cognitive and academic performances. Our study aims to determine the prevalence of Excessive Daytime Sleepiness among the first to fourth year undergraduate students of the Nepalese Army Institute of Health Sciences-College of Medicine. Methods: Following the ethical approval from the Institutional Review Committee with registration no. 317, a descriptive cross-sectional study was conducted among the first to fourth year medical students of the Nepalese Army Institute of Health Sciences-College of Medicine from 4" to 10" August 2020. Two hundred and thirty-two students were selected for the study using the stratified random sampling technique. Epworth Sleepiness Scale was used to obtain data on daytime sleepiness among the study participants. The data were entered into Google spreadsheets and later analyzed. Point estimate at 95% Confidence Interval was calculated along with the frequency and proportion for binary data. Results: The prevalence of Excessive Daytime Sleepiness among the first to fourth year undergraduate students of the Nepalese Army Institute of Health Sciences-College of Medicine is found to be 67 (31.02%) at 95% Confidence Interval (24.85-37.19). It was found to be highly prevalent among the fourth year undergraduate medical students 20 (35.09%) and least prevalent among the first year students 13 (26.00%). Excessive Daytime Sleepiness was found to be slightly higher among females 23 (34.85%) than males 44 (29.33%). Conclusions: Excessive Daytime Sleepinessis highly prevalent among medical students in our study as suggested by various international studies.

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