Search results for "assessment"
showing 10 items of 5125 documents
Urethral Reconstruction in Anterolateral Thigh Flap Phalloplasty: A 93-Case Experience
2019
BACKGROUND: Urethral reconstruction in anterolateral thigh flap phalloplasty cannot always be accomplished with one flap, and the ideal technique has not been established yet. In this article, the authors' experience with urethral reconstruction in 93 anterolateral thigh flap phalloplasties is reported. METHODS: Ninety-three anterolateral thigh phalloplasties performed over 13 years at a single center were retrospectively reviewed to evaluate outcomes of the different urethral reconstruction techniques used: anterolateral thigh alone without urethral reconstruction (n = 7), tube-in-tube anterolateral thigh flap (n = 5), prelaminated anterolateral thigh flap with a skin graft (n = 8), antero…
Assessing Single Joints in Arthritis Clinical Trials
2009
The need to develop validated outcome measures to assess response to therapies in single joints has been recognized. In 2004, a task force was established to assess established and novel outcome measures in accordance with the OMERACT filter (truth, discrimination, and feasibility) for single joint assessment. This report describes the proceedings of the single joint assessment special interest group (SIG) at OMERACT 9, including an updated literature review of imaging of the knee joints, with a focus on the extent to which these modalities fulfill the OMERACT filter. A series of studies are reported that examine patient reported, clinical examination, and imaging outcomes in therapeutic st…
Nonadherence in outpatient thrombosis prophylaxis with low molecular weight heparins after major orthopaedic surgery
2010
Background: According to some current guidelines, extended thromboprophylaxis after hip and knee arthroplasties is recommended. Outpatient prophylaxis with low molecular weight heparins (LMWH) is an important part of this prophylaxis, although the rates of adherence to these regimens is not known. Questions/purposes: We determined (1) the degree of nonadherence (NA) of patients with LMWH outpatient prophylaxis, and (2) whether specific independent factors explain NA. Methods: NA was determined by syringe count and by indirect and direct questions to patients. We defined six different NA indicators. To identify factors explaining LMWH NA, we used three different logistic regression models. R…
Correlation of Tibial Low-Frequency Ultrasound Velocity with Femoral Radiographic Measurements and BMD in Elderly Women
2009
The ultrasonic axial transmission technique has been proposed as a method for cortical bone characterization. Using a low enough center frequency, Lamb modes can be excited in long bones. Lamb waves propagate throughout the cortical bone layer, which makes them appealing for characterizing bone material and geometrical properties. In the present study, a prototype low-frequency quantitative ultrasonic axial transmission device was used on elderly women (n = 132) to investigate the relationships between upper femur geometry and bone mineral density (BMD) and tibial speed of sound. Ultrasonic velocities (V) were recorded using a two-directional measurement set-up on the midtibia and compared …
Inter- and intra-tester reliability of selected clinical tests in examining patients with early phase lumbar spine and sacroiliac joint pain and dysf…
2010
AbstractOf all patients with low back pain (LBP), 85% are diagnosed as “non-specific lumbar pain”. It has been postulated that the only reliable test is a straight leg raise test for detecting sciatic pain, and for other diagnostic subgroups, tests are of varying value. Only a few standardized tests exist to test function, inspection, mobility, pain, muscle flexibility or stability for patients with early phase lumbar spine and sacroiliac joint pain and dysfunction in the non-laboratory setting. The aim of this study was therefore to examine the inter- and intra-tester reliability of selected standardized clinical tests. Fifteen eligible, consecutive and voluntary LBP patients (aged 18–56 y…
RIED. Revista iberoamericana de educación a distancia
2015
Los Massive Online Open Courses (MOOC) son una modalidad de formación virtual que está ya presente en el panorama educativo actual y que responde a una concepción determinada de e-learning. Las universidades están integrando como parte de su oferta formativa este tipo de formación o, al menos, se está debatiendo si se integra o no. Ante esto, se hace necesario calibrar cuáles deben ser sus características con el fin de configurar un tipo de formación virtual de calidad. Se considera que son necesarios instrumentos que avalen la calidad de los MOOC desde diferentes perspectivas, en este caso la pedagógica, ya que de ello dependerá el éxito y la consolidación de este tipo de e-learning. El ob…
Niedożywienie szpitalne i jego następstwa
2015
Odżywianie jest jedną z podstawowych funkcji organizmu. Brak pokarmu doprowadza do śmierci tak samo jak brak tlenu lub wody, lecz trwa znacznie wolniej. Przedłużające się głodzenie lub nadmierne nasilenie procesów metabolicznych może doprowadzić do stanu niedożywienia. Charakteryzuje się ono obniżeniem odporności oraz zwiększoną podatnością na choroby, powoduje także wzrost umieralności. Niedożywienie jest obecnie problemem zdrowia publicznego w krajach rozwiniętych i rozwijających się. Niedożywienie szpitalne jest zjawiskiem powszechnym, sprzyja występowaniu powikłań, wydłuża hospitalizację i zwiększa koszty leczenia. Następstwa niedożywienia dotyczą wszystkich narządów i układów, także sf…
EVOLUZIONE DELLA LAGUNA DI TONNARELLA (MAZARA DEL VALLO, TRAPANI) E SUO ATTUALE VALORE ORNITOLOGICO
2016
Temporal changing of Tonnarella lagoon (Mazara del Vallo, Trapani) and its current ornithological value. Aims of this work were to highlight the importance of a small and artificial recently formed wetland area, that presents different interesting ornithological peculiarities. The Tonnarella lagoon is a breeding site of Little Tern Sternula albifrons and Kentish Plover Charadrius alexandrinus, both classified as “endangered” species in 2011 by the Red List of breeding birds in Italy; the site is considered of “national importance“ for Kentish Plover and “recorded site“ for the Sandwich Tern Sterna sandvicensis, due to the consistency of its wintering populations. Besides, the ornithological…
Praca wychowawcza nauczyciela edukacji wczesnoszkolnej z uczniami z nietrafną samooceną
2016
Nauczyciel edukacji wczesnoszkolnej to postać, która w rozwoju i wychowaniu dziecka odgrywa istotną rolę. Pojawienie się nauczyciela w życiu młodego człowieka nie tylko naturalnie wzbogaca jego kontakty społeczne, ale też stwarza możliwości zdobywania doświadczeń o charakterze korektywnym, gdyż pierwszy nauczyciel staje się dla dziecka osobą znaczącą. Jest sprawą oczywistą, że społeczność klasową tworzy zbiór rozmaitych osobowości. Jak wiadomo również, uczniowie pochodzą z różnych środowisk wychowawczych i - pomijając inne tego konsekwencje - mogą zdarzać się u nich rozmaite problemy rozwojowe. Tak więc zadaniem nauczyciela edukacji wczesnoszkolnej jest umiejętnie je zdiagnozować i skompens…
A basic need theory approach to problematic Internet use and the mediating effect of psychological distress
2015
The Internet provides an easily accessible way to meet certain needs. Over-reliance on it leads to problematic use, which studies show can be predicted by psychological distress. Self-determination theory proposes that we all have the basic need for autonomy, competency, and relatedness. This has been shown to explain the motivations behind problematic Internet use. This study hypothesizes that individuals who are psychologically disturbed because their basic needs are not being met are more vulnerable to becoming reliant on the Internet when they seek such needs satisfaction from online activities, and tests a model in which basic needs predict problematic Internet use, fully mediated by p…