6,267 results match your criteria subjective assessments

Assessment of apathy in neurological patients using the Apathy Motivation Index caregiver version.

J Neuropsychol 2021 Sep 16. Epub 2021 Sep 16.

Department of Experimental Psychology, University of Oxford, UK.

Apathy is a common, disabling neuropsychiatric syndrome that occurs across many brain disorders and may be associated with diminished motivation in behavioural, cognitive, emotional and social domains. Assessment is complicated by the variability of symptoms across apathy domains and self-report from patients, which can be misleading due to their lack of insight. Independent evaluation by clinicians also has limitations though if it has to be performed with limited time. Read More

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September 2021

Diagnosis of acute respiratory distress syndrome (DARTS) by bedside exhaled breath octane measurements in invasively ventilated patients: protocol of a multicentre observational cohort study.

Ann Transl Med 2021 Aug;9(15):1262

Department of Intensive Care, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: Acute respiratory distress syndrome (ARDS) is currently diagnosed by the Berlin Definition. Diagnosis is subjective and often late. Untargeted metabolomics analysis of exhaled breath with gas chromatography and mass spectrometry (GC-MS) showed that the breath concentration of octane has a high diagnostic accuracy for ARDS. Read More

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Prospective, Randomized Clinical Trial Comparing a Novel Motion-Assistive Device to Standard Physical Therapy for Initial Management of Knee Range of Motion after Primary Total Knee Arthroplasty.

J Knee Surg 2021 Sep 16. Epub 2021 Sep 16.

Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.

This prospective randomized clinical trial assessed a novel device for initial management of knee range of motion (ROM), pain, and function after total knee arthroplasty (TKA). Primary TKA patients with preoperative ROM of at least 5° to 115° were randomized to initial knee motion management: Mizzou BioJoint Flex-novel motion-assistive device with prescribed physical therapy or standard physical therapy-prescribed physical therapy. ROM, pain score, and knee injury and osteoarthritis score for joint replacement (KOOSjr) were obtained preoperatively and 2 weeks, 6 weeks, and 3 months postoperatively. Read More

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September 2021

Exploratory fall risk and preventive intervention in acute vestibular neuritis.

J Int Med Res 2021 Sep;49(9):3000605211044207

Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Republic of Korea.

Objective: To analyze recovery from dizziness in patients with acute vestibular neuritis (AVN) after applying the "Dizziness & Fall Risk Assessment and Intervention (DFRAI)".

Methods: This prospective study involved patients with AVN who underwent a survey of dizziness and fall risk. The patients received medical treatment and customized vestibular rehabilitation, and vestibular function was evaluated at the initial attack and 3 months later. Read More

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September 2021

Seasonal Variations in Obsessive-Compulsive Disorder: Analysis of Prospective-Clinical Data.

Noro Psikiyatr Ars 2021 26;58(3):193-199. Epub 2021 Aug 26.

Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey.

Introduction: Few studies have investigated potential seasonal changes in anxiety disorders. This study aimed to evaluate whether seasonal changes influence the severity of obsessive and compulsive symptoms in obsessive-compulsive disorder (OCD). The relationship between comorbid anxiety and depression symptoms and the seasons was also investigated. Read More

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Good subjective outcome and low risk of revision surgery with a novel customized metal implant for focal femoral chondral lesions at a follow-up after a minimum of 5 years.

Arch Orthop Trauma Surg 2021 Sep 14. Epub 2021 Sep 14.

MMK, Stockholm Sports Trauma Research Center, Karolinska Institutet, Solna, Sweden.

Background And Purpose: Patients with focal cartilage lesions experience functional impairment. Results for biological treatments in the middle-aged patient is poor. Previous studies with focal prosthetic inlay resurfacing have shown a higher risk of conversion to total knee replacement at mid-term follow-up. Read More

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September 2021

Stereotactic-EEG-guided radiofrequency multiple hippocampal transection (SEEG-guided-RF-MHT) for the treatment of mesial temporal lobe epilepsy: a minimally invasive method for diagnosis and treatment.

Epileptic Disord 2021 Sep 14. Epub 2021 Sep 14.

Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio, Case Western Reserve University, School of Medicine, Cleveland, Ohio.

For the treatment of mesial temporal lobe epilepsy on the language-dominant side in patients at high risk of memory decline, we propose a minimally invasive diagnostic and treatment technique, adopting the principles of multiple hippocampal transections (MHT) using stereo-electroencephalography-guided radiofrequency (SEEG-guided-RF-MHT). This new technique allows targeting of the longitudinal fibers in the hippocampus critical for seizure spreading, while sparing the transverse circuits which are considered important for memory processing and avoiding discomfort and longer post-operatory recovery time associated with craniotomies. We report the efficacy and safety of this procedure in a preliminary observational study of cases. Read More

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September 2021

When Alterations in Social Cognition Meet Subjective Complaints in Autism Spectrum Disorder: Evaluation With the "ClaCoS" Battery.

Front Psychiatry 2021 26;12:643551. Epub 2021 Aug 26.

Centre Universitaire de Pédopsychiatrie, CHRU de Tours, Centre d'Excellence Autisme et Troubles du Neuro-développement-Tours exac.t, Tours, France.

Deficit in social communication is a core feature in Autism Spectrum Disorder but remains poorly assessed in classical clinical practice, especially in adult populations. This gap between needs and practice is partly due to a lack of standardized evaluation tools. The multicentric Research group in psychiatry GDR3557 (Institut de Psychiatrie) developed a new battery for social cognitive evaluation named "ClaCoS," which allows testing the main components of social cognition: Emotion Recognition, Theory of Mind, Attributional Style, and Social Perception and Knowledge. Read More

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Commercial application of flow cytometry for evaluating bull sperm.

Anim Reprod Sci 2021 Sep 3:106838. Epub 2021 Sep 3.

Select Sires, Incorporated, 11740 US 42N, Plain City, OH 43064, USA.

Artificial insemination using semen from genetically superior sires remains one of the most effective biotechnologies ever commercialized for animal breeding purposes. Genetic progress, however, cannot begin until conception occurs. Processing laboratories that provide cryopreserved bull semen for commercial use depend on in vitro assays of semen quality to identify samples that are expected to result in less than desirable conception rates. Read More

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September 2021

Subjective cognitive assessments and N-back are not correlated, and they are differentially affected by anxiety and depression.

Appl Neuropsychol Adult 2021 Sep 10:1-11. Epub 2021 Sep 10.

Department of Psychiatry, School of Medicine, Manisa Celal Bayar University, Manisa, Turkey.

Cognitive function (CF) is a core feature related to all psychiatric disorders. However, self-report scales of CF (SRSC) may not always correlate with CF's objective measures and may have different mediators. Tools to select for evaluating CF in diverse psychiatric populations and their determinants need to be studied. Read More

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September 2021

Quality of Life and Physical Activity of Persons with Spinal Cord Injury.

Int J Environ Res Public Health 2021 Aug 30;18(17). Epub 2021 Aug 30.

Faculty of Education, University of Ljubljana, Kardeljeva Ploščad 16, 1000 Ljubljana, Slovenia.

The higher quality of life of people with spinal cord injury is closely related with their reintegration into the social environment. Social reintegration is a demanding and complex process, requiring individuals to become active again and acquire age-, gender-, and culture-appropriate roles and social status. It also involves independence and productive behavior as part of multiple interpersonal relationships with family, friends, and others. Read More

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PRACTITIONER APPLICATION: Alignment Between Objective and Subjective Assessments of Health System Performance: Findings From a Mixed-Methods Study.

J Healthc Manag 2021 Sep-Oct 01;66(5):394-395

division manager, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, New York.

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September 2021

Alignment Between Objective and Subjective Assessments of Health System Performance: Findings From a Mixed-Methods Study.

J Healthc Manag 2021 Sep-Oct 01;66(5):380-394

RAND Corporation, Santa Monica, California.

Executive Summary: The article examines whether subjective performance assessments from health system executives match objective performance assessments and qualitatively explores ways to achieve high performance. We interviewed 138 C-suite executives of 24 health systems in California, Minnesota, Washington, and Wisconsin between 2017 and 2019. We used maximum variation sampling to select health systems to achieve diversity in performance on objective measures of clinical performance. Read More

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September 2021

The Effectiveness of Self-Guided Virtual-Reality Exposure Therapy for Public-Speaking Anxiety.

Front Psychiatry 2021 19;12:694610. Epub 2021 Aug 19.

Department of Psychology, University of British Columbia, Vancouver, BC, Canada.

Self-guided virtual-reality exposure therapy (VRET) is a psychological intervention that enables a person to increase their own exposure to perceived threat. Public-speaking anxiety (PSA) is an anxiety-provoking social situation that is characterized by fear of negative evaluation from an audience. This pilot study aimed to determine whether self-guided VRET (1) increases exposure to PSA-specific virtual social threats, and (2) reduces anxiety, arousal, heartrate and PSA over repeated exposure. Read More

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[Life, mental, and social functional factors associated with a decreased activity in elderly requiring support/care].

Nihon Ronen Igakkai Zasshi 2021 ;58(3):436-445

Kanagawa University of Human Services.

Aim: To clarify the factors associated with a decreased activity in elderly requiring support/care.

Methods: We included 340 of the 671 people receiving outpatient rehabilitation services under the long-term care insurance system in the present study. These subjects were classified as the favorable motor function group, based on the findings from previous studies, as they required ≤12 seconds to complete the Timed Up & Go test (TUG) task. Read More

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September 2021

Wearable inertial sensors are highly sensitive in the detection of gait disturbances and fatigue at early stages of multiple sclerosis.

BMC Neurol 2021 Sep 4;21(1):337. Epub 2021 Sep 4.

Department of Neurology, Klinikum Bayreuth GmbH, Bayreuth, Germany.

Background: The aim of the current study was to examine multiple gait parameters obtained by wearable inertial sensors and their sensitivity to clinical status in early multiple sclerosis (MS). Further, a potential correlation between gait parameters and subjective fatigue was explored.

Methods: Automated gait analyses were carried out on 88 MS patients and 31 healthy participants. Read More

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September 2021

Surgery of congenital breast asymmetry-which objective parameter influences the subjective satisfaction with long-term results.

Arch Gynecol Obstet 2021 Sep 3. Epub 2021 Sep 3.

University Centre for Plastic, Aesthetic, Hand and Reconstructive Surgery, University Hospital Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Purpose: Congenital breast asymmetry is a serious gynecological malformation for affected patients. The condition hits young women in puberty and is associated with socio-esthetic handicap, depression, and psychosexual problems. Surgical treatment is usually early in the patient's lifetime, so a long-term sustainable solution is important. Read More

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September 2021

Subjective and objective nutritional assessment: nurses' role and the effect of cultural differences.

BMC Nurs 2021 Sep 3;20(1):157. Epub 2021 Sep 3.

Nursing Department, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Health Professions building, room 310, Ramat Aviv, 6997801, Tel Aviv, Israel.

Background: Even though the nutritional assessment of chronically ill patients has a significant effect on outcomes, nurses' time constraints in clinical encounters may make the process impractical. Also, cultural background has an effect on nutritional assessment. Patient nutritional self-assessment can ease some of the nurses' workload. Read More

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September 2021

Subjective assessment of frequency distribution histograms and consequences on reference interval accuracy for small sample sizes: A computer-simulated study.

Vet Clin Pathol 2021 Sep 2. Epub 2021 Sep 2.

Internal Medicine Unit, CHV Fregis, Arcueil, France.

Background: Inaccuracy in estimating reference intervals (RIs) is a problem with small sample sizes.

Objectives: This study aimed to identify the most accurate statistical methods to estimate RIs based on sample size and population distribution shape. We also studied the accuracy of sample frequency distribution histograms to retrieve the original population distribution and compared strategies based on the histogram and goodness-of-fit test. Read More

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September 2021

Effectiveness of low-dose amitriptyline and mirtazapine for insomnia disorder: study protocol of a randomised, double-blind, placebo-controlled trial in general practice (the DREAMING study).

BMJ Open 2021 09 2;11(9):e047142. Epub 2021 Sep 2.

General Practice, Amsterdam UMC Location VUmc, Amsterdam, Netherlands.

Introduction: For over more than a decade, low-dose amitriptyline and mirtazapine are prescribed off-label for insomnia. However, placebo-controlled evidence on these antidepressants for insomnia is still lacking. Therefore, the present trial aims to assess the effectiveness of low-dose amitriptyline (10-20 mg/day) and mirtazapine (7. Read More

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September 2021

Qualitative examination of simultaneous alcohol and cannabis use reasons, evaluations, and patterns among heavy drinking young adults.

Psychol Addict Behav 2021 Sep 2. Epub 2021 Sep 2.

Department of Behavioral and Social Sciences.

Use of alcohol and cannabis together so their effects overlap (simultaneous use) is common among college students and associated with numerous negative consequences. The aim of this study was to gain insight into college students' recent simultaneous use events in order to inform future studies (i.e. Read More

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September 2021

Visual outcome and optical quality of a wavefront-engineered extended depth-of-focus intraocular lens.

J Cataract Refract Surg 2021 Sep;47(9):1139-1146

From the Department of Ophthalmology, Vivantes Neukölln, Berlin, Germany (Greve); Department of Ophthalmology, Charité-Medical University, Berlin, Germany (Bertelmann, Pilger, von Sonnleithner).

Purpose: To evaluate visual performance and optical quality of an extended depth-of-focus intraocular lens (EDoF IOL) compared with a monofocal aspheric IOL.

Setting: Department of Ophthalmology, Charité-Medical University Berlin, Germany.

Design: Prospective case series. Read More

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September 2021

Predicting post-operative right ventricular failure using video-based deep learning.

Nat Commun 2021 08 31;12(1):5192. Epub 2021 Aug 31.

Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA.

Despite progressive improvements over the decades, the rich temporally resolved data in an echocardiogram remain underutilized. Human assessments reduce the complex patterns of cardiac wall motion, to a small list of measurements of heart function. All modern echocardiography artificial intelligence (AI) systems are similarly limited by design - automating measurements of the same reductionist metrics rather than utilizing the embedded wealth of data. Read More

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Visual perceptual deficit screening in stroke survivors: evaluation of current practice in the United Kingdom and Republic of Ireland.

Disabil Rehabil 2021 Aug 29:1-13. Epub 2021 Aug 29.

Department of Experimental Psychology, University of Oxford, Oxford, UK.

Purpose: Visual perceptual deficits are frequently underdiagnosed in stroke survivors compared to sensory vision deficits or visual neglect. To better understand this imparity, we evaluated current practice for screening post-stroke visual perceptual deficits.

Methods: We conducted a survey targeted at professionals working with stroke survivors involved in screening visual perceptual deficits across the United Kingdom and the Republic of Ireland. Read More

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Clinical Performance of a Gene-Based Machine Learning Classifier in Assessing Risk of Developing OUD in Subjects Taking Oral Opioids: A Prospective Observational Study.

Ann Clin Lab Sci 2021 Jul;51(4):451-460

Autogenomics Inc., Carlsbad, CA, USA.

Objective: To reduce the incidence of Opioid Use Disorder (OUD), multiple guidelines recommend assessing the risk of OUD prior to prescribing oral opioids. Although subjective risk assessments are available to help classify subjects at risk for OUD, we are aware of no clinically validated objective risk assessment tools. An objective risk assessment based on genetics may help inform shared decision-making prior to prescribing short-duration oral opioids. Read More

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Review of Wearable Devices and Data Collection Considerations for Connected Health.

Sensors (Basel) 2021 Aug 19;21(16). Epub 2021 Aug 19.

Rheumatology Department, Altnagelvin Hospital, Glenshane Road, BT47 6SB Londonderry, Ireland.

Wearable sensor technology has gradually extended its usability into a wide range of well-known applications. Wearable sensors can typically assess and quantify the wearer's physiology and are commonly employed for human activity detection and quantified self-assessment. Wearable sensors are increasingly utilised to monitor patient health, rapidly assist with disease diagnosis, and help predict and often improve patient outcomes. Read More

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Evaluating the Consistency of Subjective Activity Assessments and Their Relation to Cognition in Older Adults.

Geriatrics (Basel) 2021 Jul 28;6(3). Epub 2021 Jul 28.

Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO 80523, USA.

(1) Background: Research examining whether activity engagement is related to cognitive functioning in older adults has been limited to using retrospective reports of activity which may be affected by biases. This study compared two measurements (estimated weekly versus reported daily), and whether these activity assessments were related to cognition in older adults; (2) Methods: Participants from US ( = 199) and Australian ( = 170) samples completed a weekly estimate of activity, followed by 7 consecutive days of daily reporting. Differences between weekly estimates and daily reports were found, such that estimations at the weekly level were lower than self-reported daily information. Read More

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Dexmedetomidine oromucosal gel reduces fear and anxiety in dogs during veterinary visits: A randomised, double-blind, placebo-controlled clinical pilot study.

Vet Rec 2021 Aug 26:e832. Epub 2021 Aug 26.

Department of Health Management, University of Prince Edward Island, Charlottetown, Canada.

Introduction: Many dogs are anxious and/or fearful in veterinary clinics and exhibit avoidant and/or defensive behaviour. The purpose of pharmacological interventions is to reduce anxiety and to enable patient-friendly, low stress physical examination and procedures.

Materials And Methods: This was a randomised, double-blind, placebo-controlled, parallel-group, multicentre, clinical-field study. Read More

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Environmental Health Risk Perception: Adaptation of a Population-Based Questionnaire from Latin America.

Int J Environ Res Public Health 2021 08 14;18(16). Epub 2021 Aug 14.

Johns Hopkins Bloomberg School of Public Health, Department of Environmental Health and Engineering, Johns Hopkins University, Baltimore, MD 21218, USA.

Background: Environmental risk assessments and interventions to mitigate environmental risks are essential to protect public health. While the objective measurement of environmental hazards is important, it is also critical to address the subjective perception of health risks. A population's perception of environmental health hazards is a powerful driving force for action and engagement in safety and health behaviors and can also inform the development of effective and more sustainable environmental health policies. Read More

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