Search results for "STANDARD"

showing 10 items of 3299 documents

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

2016

Acute appendicitis is common in an Emergency Surgery Unit. Although the laparoscopic approach is a method accepted for its treatment, no strong data are available for determining how many procedures must an experienced surgeon carry out for obtaining all the advantages of this technique and if this approach can become the gold standard in the activity of a general emergency unit with senior surgeons variously skilled on the basic laparoscopy. 142 patients that underwent appendectomy (90 laparoscopic, 52 conventional) for acute appendicitis were enrolled in this institutional retrospective cohort study. The surgeons were classified with a descriptor-based grading and divided in two groups re…

AdultMalemedicine.medical_specialtyClinical PracticeCohort Studies03 medical and health sciences0302 clinical medicineEmergency surgeryRetrospective StudieHumansAppendectomyMedicineAppendicitiGrading (education)LaparoscopyRetrospective StudiesEmergencie030219 obstetrics & reproductive medicinemedicine.diagnostic_testbusiness.industryGeneral surgeryGold standardRetrospective cohort studyMiddle AgedLength of StayAppendicitismedicine.diseaseAppendicitisTreatment Outcome030220 oncology & carcinogenesisAcute appendicitisFemaleLaparoscopyEmergenciesCohort StudieEmergency Service HospitalbusinessHumanCohort studyGiornale di Chirurgia - Journal of Surgery
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Comparison of running kinematics between elite and national-standard 1500-m runners.

2009

The aim of this study was to determine whether elite 1500-m runners differ in their running kinematics from national-standard 1500-m runners. Six national-standard male runners (seasonal best: 3 min 49.2 s +/- 3.2 s) were assessed during the second lap of a 1500-m race. Their running kinematics was then compared with those of five elite runners (seasonal best: 3 min 35.6 s +/- 2.6 s) analysed during the second lap of the men's 1500-m final at the 2005 World Championships. Data were collected using two high-speed cameras operating at 200 Hz with a three-dimensional pan and tilt system. Running speed was the same for both groups. Despite the similar contact times, the minimum knee angle durin…

AdultMalemedicine.medical_specialtyCompetitive BehaviorKnee JointStance phaseKnee anglePhysical Therapy Sports Therapy and RehabilitationKinematicsBiomechanical PhenomenaRunningYoung AdultEliteTask Performance and AnalysisPhysical therapymedicineImage Processing Computer-AssistedHumansOrthopedics and Sports MedicineHip JointNational standardRange of Motion ArticularMathematicsSports biomechanics
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Reliability of the Dynamic Gait Index (Finnish version) in individuals with neurological disorders

2012

To produce a Finnish version of the Dynamic Gait Index (DGI) and establish its reliability in people with neurological disorders affecting balance.A consecutive sample of 33 participants in inter-rater and 30 participants in intra-rater sample were tested. The DGI was administered in two testing sessions 1-2 h apart. Reliability was assessed with the intra-class correlation coefficient (ICC), Bland-Altman 95% limits of agreement, coefficient of reproducibility (CR), and standard error of the mean (SEM).The instructions from the original DGI were preserved during the translation process with no need for cultural adaptations. The relative reliability of the total scores proved to be high in i…

AdultMalemedicine.medical_specialtyCorrelation coefficientStatistics NonparametricCONSECUTIVE SAMPLEDisability EvaluationPhysical medicine and rehabilitationmedicineHumansPostural BalanceFinlandGait Disorders NeurologicReliability (statistics)AgedBalance (ability)Aged 80 and overObserver VariationReproducibilityDynamic gait indexRehabilitationReproducibility of Resultsta3141Middle AgedGaitStandard errorPhysical therapyFemalePsychologyDisability and Rehabilitation
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Psychometric properties of non-specific electrodermal response frequency for a sample of male students.

1990

In the present study data on the frequency of non-specific electrodermal responses (NSRs) are presented for a large and, with regard to sex, age and educational level, homogeneous sample of male students (n = 590). These data were obtained in 9 independent experiments in which NSRs were recorded under equivalent conditions. NSRs were scored as skin conductance changes greater than 0.02 muSiemens. A recording period of 5 min prior to experimental manipulations was chosen. A systematic comparison between the 9 studies, the distribution of NSRs for the total sample, as well as descriptive data for stabile and labile subgroups are presented. For 213 subjects NSR-frequency was recorded twice, wi…

AdultMalemedicine.medical_specialtyDescriptive statisticsPsychometricsGeneral NeuroscienceRestScoring criteriaIndividualitySample (statistics)Galvanic Skin ResponseAudiologyReference StandardsDevelopmental psychologyNeuropsychology and Physiological PsychologyNon specificMicrocomputersHomogeneousResearch DesignPhysiology (medical)Electrodermal responsemedicineHumansSkin conductancePsychologyInternational journal of psychophysiology : official journal of the International Organization of Psychophysiology
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Individualizing Standardized Tests

2013

Author's version of an article in the journal: Qualitative Health Research. Also available from the publisher at: http://dx.doi.org/10.1177/1049732313499073 In assessing geriatric patients' functional status, health care professionals use a number of standardized tests. These tests have defined administration procedures that restrict communication and interaction with patients. In this article, we explore the experiences of occupational therapists and physiotherapists acting as standardized test administrators. Drawing on fieldwork, interviews with physiotherapists and occupational therapists, and observations of test situations on acute geriatric wards, we suggest that the test situation g…

AdultMalemedicine.medical_specialtyEvidence-based practiceinterviewsStandardizationIndividualityStandardized testSocial EnvironmentJudgmentYoung AdultOccupational TherapyNursingrelationship health careHealth careHumansMedicineGeriatric AssessmentCompetence (human resources)Physical Therapy Modalitieshealth care economics and organizationsAgedGeriatricsNorwaybusiness.industryCommunicationHealth carePublic Health Environmental and Occupational HealthPatient PreferenceProfessional-Patient RelationsEvidence-based practiceHealth care professionalsTest (assessment)HospitalizationObservational Studies as TopicGeriatricsrestrictVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808FemaleRelationshipsOlder peoplebusinesshuman activitiesQualitative Health Research
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Individualized treatment duration for hepatitis C genotype 1 patients: a randomized controlled trial

2008

It was hypothesized that in hepatitis C virus (HCV) genotype 1 patients, variable treatment duration individualized by first undetectable HCV RNA is as effective as standard 48-week treatment. Patients (n_696) received peginterferon alfa-2a, 180 mg/week, or peginterferon alfa-2b, 1.5 mg/kg/week, plus ribavirin, 1000-1200 mg/day, for 48 weeks (standard, n _237) or for 24, 48, or 72 weeks if HCV-RNA–negative at weeks 4, 8, or 12, respectively (variable, n _ 459). Sustained virologic response (SVR) was achieved in 45.1% [95% confidence interval (CI) 38.8-51.4] of the patients in the standard group and in 48.8% (CI 44.2-53.3) of the patients in the variable group (P _ 0.37). The percentages of …

AdultMalemedicine.medical_specialtyGenotypeHepatitis C virusAlpha interferonHepacivirusInterferon alpha-2medicine.disease_causeAntiviral AgentsGastroenterologyDrug Administration SchedulePolyethylene Glycolslaw.inventionchemistry.chemical_compoundRandomized controlled triallawInternal medicineRibavirinmedicineHumansProspective StudiesRapid Virologic Responsegenotype 1Hepatologybusiness.industryRibavirinStandard treatmentInterferon-alphavirus diseasesHepatitis CMiddle Agedmedicine.diseaseRecombinant Proteinsdigestive system diseasesConfidence intervalSurgeryTreatment OutcomechemistryRNA ViralDrug Therapy CombinationFemalehepatitis Cbusiness
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Enhancing the efficacy of treatment for temporomandibular patients with muscular diagnosis through cognitive-behavioral intervention, including hypno…

2011

Objective This study evaluated the efficacy of a cognitive-behavioral therapy (CBT), including hypnosis, in patients with temporomandibular disorders (TMDs) with muscular diagnosis. Study Design Seventy-two patients (65 women and 7 men with an average age of 39 years) were selected according to the Research Diagnostic Criteria for TMD, and assigned to the experimental group (n = 41), receiving the 6-session CBT program, and the control group (n = 31). All patients received conservative standard treatment for TMD. The assessment included pain variables and psychologic distress. Results There were significant differences between the groups, the experimental group showing a higher improvement …

AdultMalemedicine.medical_specialtyHypnosismedicine.medical_treatmentResearch Diagnostic CriteriaRelaxation TherapyPathology and Forensic Medicinelaw.inventionYoung AdultRandomized controlled trialFacial PainlawHumansMedicineRadiology Nuclear Medicine and imagingDentistry (miscellaneous)Physical Therapy ModalitiesAgedChi-Square DistributionCognitive Behavioral Therapybusiness.industryStandard treatmentChronic painMiddle AgedTemporomandibular Joint Dysfunction Syndromemedicine.diseaseCombined Modality TherapyCognitive behavioral therapyTreatment OutcomeMultivariate AnalysisPhysical therapyCognitive therapyFemaleSurgeryChronic PainOral SurgerybusinessChi-squared distributionHypnosisOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
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Deaths Associated with Ankylosing Spondylitis in France from 1969 to 2009.

2017

Objective.To describe deaths for which ankylosing spondylitis (AS) was on death certificates in France.Methods.Death certificates in which AS was indicated were evaluated. Standard mortality ratio (SMR) was assessed.Results.AS appeared in 2940 death certificates. The mortality rate of AS seemed stable. The most frequent initial causes were diseases of the circulatory system [28.3% in the International Classification of Diseases, 10th ed (ICD-10)]. SMR adjusted for age and sex were 2.1 (95% CI 1.45–2.91) for infections and 0.43 (0.36–0.5) for cancers (ICD-10 period).Conclusion.This study found an increase in mortality from infectious and external causes of death; conversely, patients with AS…

AdultMalemedicine.medical_specialtyImmunologyAge and sexDeath Certificates03 medical and health sciences0302 clinical medicineRheumatologyInternal medicineCause of DeathmedicineImmunology and AllergyHumansSpondylitis Ankylosing030212 general & internal medicineAged030203 arthritis & rheumatologyAged 80 and overAnkylosing spondylitisbusiness.industryMortality rateCancerMiddle Agedmedicine.diseaseSurgeryStandardized mortality ratioFemaleDeath certificateFrancebusinessThe Journal of rheumatology
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Towards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global …

2018

Background Incontinence-associated dermatitis (IAD) is a specific type of irritant contact dermatitis with different levels of severity. An internationally accepted instrument to assess the severity of IAD in adults with established diagnostic accuracy, agreement, and reliability is needed to support clinical practice and research.Objectives To design and psychometrically evaluate the Ghent Global IAD Categorisation Tool (GLOBIAD).Methods The design was based on expert consultation using a three-round Delphi procedure with 34 experts from 13 countries. The instrument was tested using IAD photographs reflecting different severity levels in a sample of 823 health professionals in 30 countries…

AdultMalemedicine.medical_specialtyInternationalityPsychometricsPsychometricsFleiss' kappaDermatologySensitivity and SpecificitySeverity of Illness Index030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicineTerminology as TopicSeverity of illnessMedicineHumans030212 general & internal medicineLanguageObserver Variationbusiness.industryIntra-rater reliabilityReference StandardsConfidence interval3. Good healthInter-rater reliabilityUrinary IncontinenceCategorization030220 oncology & carcinogenesisPhysical therapyDermatitis IrritantFemalebusinessKappa
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Systemic chemotherapy and pressurized intraperitoneal aerosol chemotherapy (PIPAC): A bidirectional approach for gastric cancer peritoneal metastasis

2019

Abstract Background Few patients affected by gastric cancer peritoneal metastasis (GCPM) are offered locoregional treatment, despite several proof-of-efficacy trials. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has emerged in recent years as a promising tool to control peritoneal carcinomatosis. The combination of PIPAC with systemic chemotherapy may offer a greater clinical benefit than standard treatment alone. Methods A single-center cohort of 28 consecutive patients affected by GCPM was scheduled for bidirectional treatment, comprising PIPAC and systemic chemotherapy, from September 2017 to September 2019. Data recorded included safety, efficacy and survival outcomes. Ascit…

AdultMalemedicine.medical_specialtyIntraoperative Complicationmedicine.medical_treatmentPopulation03 medical and health sciences0302 clinical medicineStomach NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsmedicinePressureHumansProspective StudieseducationPeritoneal NeoplasmsAgedRetrospective StudiesAerosolseducation.field_of_studyChemotherapyPressurized intraperitoneal aerosol chemotherapy (PIPAC)business.industryStandard treatmentCommon Terminology Criteria for Adverse EventsMiddle AgedPrognosisSurgerySurvival RateOncologyDoxorubicin030220 oncology & carcinogenesisCohortConventional PCIPeritoneal metastasisPeritoneal Cancer Index030211 gastroenterology & hepatologySurgeryFemaleCisplatinbusinessGastric cancerFollow-Up Studies
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