scholarly journals Verifying the Accuracy of Digital Goniometer Range of Motion Measurements for In-Person and Telemedicine Visits

2020 ◽  
Vol 3 (S3) ◽  
pp. 31-39
Author(s):  
Langton Zack ◽  
◽  
Johnson Mari ◽  
Reed Zach ◽  
Alchemy John ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Clinical Setting ◽  
Interrater Reliability ◽  
Error Tolerance ◽  
Clinical Settings ◽  
Average Difference ◽  
Average Standard Deviation ◽  
Motion Measurements ◽  
The Difference ◽  
Flexion And Extension

INTRODUCTION This paper offers empirical evidence of the accuracy of the clinical application of the RateFast Goniometer smartphone app. Using multiple comparative measures and interrater reliability measures, this paper investigates the effective ness of this digital goniometer app for physicians practicing in both the office and in telemedicine clinical settings. METHODS Three experiments were performed to test the reliability of the RateFast Goniometer app. The first involved measuring preset angles to test its accuracy. The second experiment involved measuring randomly drawn angles to determine if switching users has any effect on the results. The last experiment measured shoulder angles (flexion and extension planes) of 53 volunteers to determine the accuracy of the RateFast Goniometer app in both haptic mode (for use in an in -person clinical setting) and camera mode (for use in a telemedicine clinical setting). RESULT In the first experiment, the average difference between measurements was 0.6° and the average standard deviation was 0.3°. In the second experiment, the angles measured with the RateFast goniometer were less than those measured with a protractor, averaging to a difference of 0.9°. In the third experiment, the haptic mode measurements and the camera mode measurements had an average difference of 1.2° and the standard deviation of the difference between haptic and camera measurements was determined to be 4.7° across all volunteers. CONCLUSION In all three experiments, the error rate found using the RateFast Goniometer app which is within the error tolerance according to the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition (AMA Guides), which stipulates that measurements of shoulder angles must be within 10% of one another. The RateFast Goniometer app and similar digital goniometer applications can be used to accurately measure angles in both in -person and telemedicine settings according to the standards of accuracy set forth in the AMA Guides.

scholarly journals Difference in the salivary pH before and after consumption of vitamin C lozenge on preclinical student of Faculty of Dentistry Universitas Padjadjaran

2010 ◽  
Vol 22 (2) ◽  
Author(s):  
Nirmala Trihasmana Sopannata ◽  
Edeh Roletta Haroen ◽  
Tuty Sutini Richata
Keyword(s):  
Standard Deviation ◽  
Vitamin C ◽  
Sampling Method ◽  
Research Result ◽  
Average Difference ◽  
Significant Difference ◽  
Salivary Ph ◽  
Before And After ◽  
The Difference ◽  
Paired T Test

Introduction: Vitamin C lozenge can increase pH saliva. Increasing saliva pH is cause saliva works as a buffer that can neutralize the acidity of vitamin C. The purpose of this research was to find  the difference saliva pH before and after sucking vitamin C tablet. Methods: The research was carried out with quasi-experiment, using purposive sampling method and Paired t Test. This research was conducted on 30 students of the Faculty of Dentistry of Padjadjaran University, ranging 18-23 years of age. The research was carried out by measuring salivary pH before and after sucking vitamin C tablet. Results: Research result indicates that the average difference of salivary pH after sucking vitamin C tablet is 0.42 with standard deviation ±0,189. From statistic results   T calc 12,282 > T table 2,05  Ho is rejected, H1 is accepted. Conclusion: The research conclusion shows that there is a significant difference on saliva pH before and after sucking  vitamin C tablet lozenge on preclinical student of Faculty of Dentistry Padjadjaran University.

Theory-Practice Gap: The Experiences of Nigerian Nursing Students

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Titilayo Dorothy Odetola ◽  
Olusola Oluwasola ◽  
Christoph Pimmer ◽  
Oluwafemi Dipeolu ◽  
Samson Oluwayemi Akande ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Developing Country ◽  
The Body ◽  
Clinical Staff ◽  
Clinical Settings ◽  
Practice Gap ◽  
The Difference ◽  
Analyse Data ◽  
Theory Practice Gap

The “disconnect” between the body of knowledge acquired in classroom settings and the application of this knowledge in clinical practice is one of the main reasons for professional fear, anxiety and feelings of incompetence among freshly graduated nurses. While the phenomenon of the theory-to-practice gap has been researched quite extensively in high-income country settings much less is known about nursing students’ experiences in a developing country context. To rectify this shortcoming, the qualitative study investigated the experiences of nursing students in their attempt to apply what they learn in classrooms in clinical learning contexts in seven sites in Nigeria. Thematic content analysis was used to analyse data gained from eight focus group discussions (n = 80) with the students. The findings reveal a multifaceted theory-practice gap which plays out along four tensions: (1) procedural, i.e. the difference between practices from education institutions and the ones enacted in clinical wards – and contradictions that emerge even within one clinical setting; (2) political, i.e. conflicts that arise between students and clinical staff, especially personnel with a lower qualification profile than the degree that students pursue; (3) material, i.e. the disconnect between contemporary instruments and equipment available in schools and the lack thereof in clinical settings; and (4) temporal, i.e. restricted opportunities for supervised practice owing to time constraints in clinical settings in which education tends to be undervalued. Many of these aspects are linked to and aggravated by infrastructural limitations, which are typical for the setting of a developing country. Nursing students need to be prepared regarding how to deal with the identified procedural, political, material and temporal tensions before and while being immersed in clinical practice, and, in so doing, they need to be supported by educationally better qualified clinical staff.

scholarly journals 913. Distribution of Respiratory Viral Pathogens in Infants Across Different Clinical Settings from December 2019 to April 2020

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S491-S492
Author(s):  
Zaid Haddadin ◽  
Danielle A Rankin ◽  
loren lipworth ◽  
Jon Fryzek ◽  
Mina Suh ◽  
...  
Keyword(s):  
Clinical Setting ◽  
Respiratory Viruses ◽  
Clinical Settings ◽  
Research Support ◽  
Viral Pathogens ◽  
Abrupt Decrease ◽  
Nasal Swabs ◽  
Viral Testing ◽  
Support Research ◽  
Research Grant

Abstract Background Acute respiratory infections (ARI) are a major cause of morbidity and mortality in young children, with viral pathogens being the most common etiologies. However, due to limited and inconsistent clinical diagnostic viral testing in the outpatient (OP) setting compared to the inpatient (IP) setting, the actual burden and distribution of viral pathogens across these clinical settings remain largely underreported. We aimed to evaluate the frequency of common respiratory viruses in medically attended ARI in infants. Methods We conducted a prospective viral surveillance study in Davidson County, TN. Eligible infants under one year presenting with fever and/or respiratory symptoms were enrolled from OP, emergency department (ED), or IP settings. Nasal swabs were collected and tested for common viral pathogens using Luminex® NxTAG Respiratory Pathogen Panel and for SARS-CoV-2 using Luminex® NxTAG CoV extended panel. Results From 12/16/2019 to 4/30/2020, 364 infants were enrolled, and 361 (99%) had nasal swabs collected and tested. Of those, 295 (82%) had at least one virus detected; rhinovirus/enterovirus (RV/EV) [124 (42%)], respiratory syncytial virus (RSV) [101 (32%)], and influenza (flu) [44 (15%)] were the three most common pathogens detected. No samples tested positive for SARS-CoV-2. Overall, the mean age was 6.1 months, 50% were male, 45% White and 27% Hispanic. Figure 1 shows the total number of PCR viral testing results by month. RSV was the most frequent virus detected in the IP (63%) and ED (37%) settings, while RV/EV was the most common in the OP setting (Figure 2). Figure 3 displays viral seasonality by clinical setting, showing an abrupt decrease in virus-positive cases following the implementation of a stay-at-home order on March 23, 2020 in Nashville, TN. Distribution of Respiratory Viruses in Different Settings Distribution of Respiratory Viruses in Different Settings by Season Conclusion Most medical encounters in infants are due to viral pathogens, with RSV, RV/EV, and flu being the most common. However, distributions differed by clinical setting, with RSV being the most frequently detected in the IP and ED settings, and second to RV/EV in the OP setting. Continued active viral ARI surveillance in various clinical settings is warranted. Preventative measures such as vaccines and infection control measures deserve study to reduce viral ARI burden. Disclosures Zaid Haddadin, MD, CDC (Grant/Research Support, Research Grant or Support)Quidel Corporation (Grant/Research Support, Research Grant or Support)sanofi pasteur (Grant/Research Support, Research Grant or Support) Danielle A. Rankin, MPH, CIC, Sanofi Pasteur (Grant/Research Support, Research Grant or Support) Jon Fryzek, PhD, MPH, EpidStrategies (Employee) Mina Suh, MPH, International Health, EpidStrategies (Employee) Donald S. Shepard, PhD, Sanofi Pasteur (Grant/Research Support) Natasha B. Halasa, MD, MPH, Genentech (Other Financial or Material Support, I receive an honorarium for lectures - it’s a education grant, supported by genetech)Karius (Consultant)Moderna (Consultant)Quidel (Grant/Research Support, Research Grant or Support)Sanofi (Grant/Research Support, Research Grant or Support)

Detection of effort maximality in adults performing isokinetic wrist flexion and extension

2021 ◽  
pp. 1-7
Author(s):  
Mercè Torra ◽  
Eduard Pujol ◽  
Anna Maiques ◽  
Salvador Quintana ◽  
Roser Garreta ◽  
...  
Keyword(s):  
High Velocity ◽  
Healthy Male ◽  
Wrist Flexion ◽  
Low Velocity ◽  
Wrist Extensor ◽  
Submaximal Effort ◽  
The Difference ◽  
Muscle Groups ◽  
Maximal Effort ◽  
Flexion And Extension

BACKGROUND: The difference between isokinetic eccentric to concentric strength ratios at high and low velocities (DEC) is a powerful tool for identifying submaximal effort in other muscle groups but its efficiency in terms of the wrist extensors (WE) and flexors (WF) isokinetic effort has hitherto not been studied. OBJECTIVE: The objective of the present study is to examine the usefulness of the DEC for identifying suboptimal wrist extensor and flexor isokinetic efforts. METHODS: Twenty healthy male volunteers aged 20–40 years (28.5 ± 3.2) were recruited. Participants were instructed to exert maximal and feigned efforts, using a range of motion of 20∘ in concentric (C) and eccentric (E) WE and WF modes at two velocities: 10 and 40∘/s. E/C ratios (E/CR) where then calculated and finally DEC by subtracting low velocity E/CR from high velocity ones. RESULTS: Feigned maximal effort DEC values were significantly higher than their maximal effort counterparts, both for WF and WE. For both actions, a DEC cutoff level to detect submaximal effort could be defined. The sensitivity of the DEC was 71.43% and 62.5% for WE ad WF respectively. The specificity was 100% in both cases. CONCLUSION: The DEC may be a valuable parameter for detecting feigned maximal WF and WE isokinetic effort in healthy adults.

Limits to the Control of the Human Thumb and Fingers in Flexion and Extension

2010 ◽  
Vol 103 (1) ◽  
pp. 278-289 ◽  
Author(s):  
W. S. Yu ◽  
H. van Duinen ◽  
S. C. Gandevia
Keyword(s):  
Control System ◽  
Healthy Subjects ◽  
Neural Control ◽  
Force Production ◽  
Total Force ◽  
Neural Drive ◽  
Antagonist Muscles ◽  
Hand Performance ◽  
The Difference ◽  
Flexion And Extension

In humans, hand performance has evolved from a crude multidigit grasp to skilled individuated finger movements. However, control of the fingers is not completely independent. Although musculotendinous factors can limit independent movements, constraints in supraspinal control are more important. Most previous studies examined either flexion or extension of the digits. We studied differences in voluntary force production by the five digits, in both flexion and extension tasks. Eleven healthy subjects were instructed either to maximally flex or extend their digits, in all single- and multidigit combinations. They received visual feedback of total force produced by “instructed” digits and had to ignore “noninstructed” digits. Despite attempts to maximally flex or extend instructed digits, subjects rarely generated their “maximal” force, resulting in a “force deficit,” and produced forces with noninstructed digits (“enslavement”). Subjects performed differently in flexion and extension tasks. Enslavement was greater in extension than in flexion tasks ( P = 0.019), whereas the force deficit in multidigit tasks was smaller in extension ( P = 0.035). The difference between flexion and extension in the relationships between the enslavement and force deficit suggests a difference in balance of spillover of neural drive to agonists acting on neighboring digits and focal neural drive to antagonist muscles. An increase in drive to antagonists would lead to more individualized movements. The pattern of force production matches the daily use of the digits. These results reveal a neural control system that preferentially lifts fingers together by extension but allows an individual digit to flex so that the finger pads can explore and grasp.

Rational-Emotive Therapy and Depression: A Clinical Case Study

1980 ◽  
Vol 51 (3) ◽  
pp. 853-854
Author(s):  
Arthur Mac Neill Horton ◽  
Carl H. Johnson
Keyword(s):  
Depressed Patient ◽  
Test Data ◽  
Clinical Setting ◽  
Clinical Case ◽  
Clinical Settings ◽  
Dramatic Improvement ◽  
Rational Emotive Therapy ◽  
Clinical Case Study ◽  
Rational Emotive

Rational-emotive group and bibliotherapy were used to treat a depressed patient in a clinical setting. Psychological test data document a dramatic improvement. It is suggested that rational-emotive therapy may prove efficacious for the treatment of some depressed patients in clinical settings.

The Interrater Reliability of the Autism Diagnostic Interview-Revised (ADI-R) in Clinical Settings

2017 ◽  
Vol 50 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Eric Zander ◽  
Charlotte Willfors ◽  
Steve Berggren ◽  
Christina Coco ◽  
Anette Holm ◽  
...  
Keyword(s):  
Interrater Reliability ◽  
Diagnostic Interview ◽  
Clinical Settings ◽  
Autism Diagnostic Interview

scholarly journals Body Composition in Various Age Groups Among Individual and Team Sport

2021 ◽  
Vol 6 (2) ◽  
pp. 304-309
Author(s):  
Manzoor Ahmad Bhat
Keyword(s):  
Standard Deviation ◽  
Age Groups ◽  
Team Sports ◽  
Team Sport ◽  
Age Group ◽  
Average Difference ◽  
Fat Percentage ◽  
The Mean ◽  
Game Players ◽  
Individual Sports

The study aimed to compare the Body Composition in Various Age Groups among Individual and Team Sport. A total of one hundred twenty (120) subjects, comprising 60 Individual and 60 Team sport of district Kulgam J&K, further out of 60 individual sports players 20 players were of the age group between 20-25, ( 20 ) players were of the age group between 25- 30 and 20 players were of the age group between 30-35. the same procedure was followed for 60 team sports players. The Subjects were selected by using purposive sampling. The age of the subjects ranged between 20-25, the second group 25-30, and the third group 30-35. To analyze and compare the Body Composition and fat percentage in three different age groups among individual sports and team sports, the Following equipment and test were used: the data related to Fat Percentage was measured by Skinfold Calipers. BMI: it was estimated by Stadiometer and weighing machine. ).the data that was collected after applying standard testing kits were written in separate columns and was cross-checked for all three different age groups. Individual and team sports of district kulgam. Then the analysis of data was carried out by applying various statistical techniques like average., standard deviation and through the application of formula of t-test to find out the significant difference of all selected physical variables I,e BMI and fat percentage in various age groups among individual and team sports players of kulgam district the level of significance as per norm was kept as (p<0.05). the mean and standard deviation of BMI in 20-25 age group individual game players is ( 22.02 ±2.20) respectively, and the mean and standard deviation of BMI in 20-25 age group of team sports players is (18.01 ±1.81), with an average difference of 4.01. ). Hence individual sports players were found with a higher BMI than team sports players under the 20-25 age group. BMI in the 25-30 age group individual game players is (23.09±1.76) respectively, and the mean and standard deviation of BMI in 25-30 age group of team sports players is (20.07±3.36), with an average difference of 3.02. ). Hence under this age group, the individual sports players were found with a higher BMI than team sports groups. The mean and standard deviation of BMI in 30-35 age group individual game players is (19.30±2.07) respectively, and the mean and standard deviation of BMI in 30-35 age group of team sports players is (22.17 ±3.47), with an average difference of 2.87. Hence, team sports players were found with a higher BMI under the age group than individual sports players. The mean and standard deviation of fat percentage in 20-25 age group individual game players is (11.09±4.83) respectively, and the mean and standard deviation of fat percentage in 20-25 age group of team sports players is (9.02±4.18), with an average difference of 2.17.).Hence under this age group, individual sports players were found fatty as compared to team sports players. The mean and standard deviation of fat percentage in 25-30 age group individual game players is (10.01±3.53) respectively, and the mean and standard deviation of BMI in 25-30 age group of team sports players is (14.04±7.48), with an average difference of 4.13. ). Hence under this age group, team sports players were found fatty as compared to individual sports players. The mean and standard deviation of BMI in 30-35 age group individual game players is (14.08±2.81) respectively, and the mean and standard deviation of fat percentage in 30-35 age group of team sports players is (18.01±5.64), with an average difference of 3.64. Hence under this age group, team sports players were found fatty as compared to individual sports players

scholarly journals Examination of attitudes of secondary school 6th classstudents related to their attitudes towards maths in the frame of several variables

2016 ◽  
Vol 13 (1) ◽  
pp. 1937
Author(s):  
Kerim Karabacak ◽  
Subhan Eksioglu ◽  
Nesibe Karakıs
Keyword(s):  
Standard Deviation ◽  
Secondary School ◽  
Analysis Of Variance ◽  
Educational Status ◽  
Sixth Grade ◽  
T Test ◽  
Average Standard Deviation ◽  
Statistical Process ◽  
Several Variables ◽  
Purposeful Sampling

This research, which is carried out in Kinik, İzmir, aims at determining the reasons of students’ attitude towards Maths. Sixth class students from Kinik town make up population of the research which has been carried out as the model of survey. The sample of the research has been determined by the method of “purposeful sampling”. It is constituted of 152 students at the sixth grade. Collected data has been transferred into SPSS and the statistical process such as, analysis of average, standard deviation, T-test and one way analysis of variance procedures have been realized. It has been identified that the students who gets higher grades at Maths have got better attitude towards Maths than the ones who got lower grades at Maths. It has been identified that there has been no relationship between the students’ attitude towards Maths and their families’ income, their parents’ educational status, their parents’ occupation and the teachers’ way of teaching.

scholarly journals Synthesis of Plans to Increase the Results of Ordinary National Education Test by All-Round Tutoring Process for Primary School Grade 6

2021 ◽  
Vol 14 (2) ◽  
pp. 63
Author(s):  
Nuttakan Pakprod ◽  
Kanokrat Jirasatjanukul ◽  
Damrong Tumthong ◽  
Prapa Amklad ◽  
Wipa Lekchom
Keyword(s):  
Standard Deviation ◽  
Primary School ◽  
Target Group ◽  
Educational Testing ◽  
School Grade ◽  
National Education ◽  
Standard Deviations ◽  
The Difference ◽  
High Level ◽  
Basic Level

The objective of this research is to study the results of activities to increase the scores of Ordinary National Education Test. Cluster; teachers of Phetchaburi Rajabhat University comparing the results of Ordinary National Education Test in 2017-2018 and studying the satisfaction of the activities. The target group is 49 schools in Phetchaburi and Prachuap Khiri Khan Provinces, data were analyzed using mean and standard deviation. The study found that the difference of the scores of the Ordinary National Education Test was higher in 32 schools and there is a difference in scores of Ordinary National Education Test tests lower by 2 schools, representing 94.12, with the satisfaction of the participation in the activity of increasing the basic educational testing at the basic level is at a high level with an average of 4.22, standard deviations 0.73, which the participants are satisfied with the process. The process of organizing activities was at the highest with an average of 4.28, standard deviations 0.76 and continues organizing activities to increase the scores of Ordinary National Education Test.

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