scholarly journals Internal Nasal Valve Incompetence Is Effectively Treated Using Batten Graft Functional Rhinoplasty

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
J. C. Bewick ◽  
M. A. Buchanan ◽  
A. C. Frosh
Keyword(s):  
Case Series ◽  
Preoperative Assessment ◽  
Senior Author ◽  
Rank Test ◽  
Symptom Improvement ◽  
Nasal Valve ◽  
Signed Rank ◽  
Surgical Methods ◽  
Signed Rank Test

Introduction. Internal nasal valve incompetence (INVI) has been treated with various surgical methods. Large, single surgeon case series are lacking, meaning that the evidence supporting a particular technique has been deficient. We present a case series using alar batten grafts to reconstruct the internal nasal valve, all performed by the senior author.Methods. Over a 7-year period, 107 patients with nasal obstruction caused by INVI underwent alar batten grafting. Preoperative assessment included the use of nasal strips to evaluate symptom improvement. Visual analogue scale (VAS) assessment of nasal blockage (NB) and quality of life (QOL) both pre- and postoperatively were performed and analysed with the Wilcoxon signed rank test.Results. Sixty-seven patients responded to both pre- and postoperative questionnaires. Ninety-one percent reported an improvement in NB and 88% an improvement in QOL. The greatest improvement was seen at 6 months (median VAS 15 mm and 88 mm resp., with aPvalue of <0.05 for both). Nasal strips were used preoperatively and are a useful tool in predicting patient operative success in both NB and QOL (odds ratio 2.15 and 2.58, resp.).Conclusions. Alar batten graft insertion as a single technique is a valid technique in treating INVI and produces good outcomes.

Long-term outcome of children undergoing surgery for suspected perilymph fistula

2008 ◽  
Vol 123 (3) ◽  
pp. 298-302 ◽  
Author(s):  
R J Sim ◽  
A H Jardine ◽  
E J Beckenham
Keyword(s):  
Hearing Loss ◽  
Case Series ◽  
Outcome Data ◽  
Rank Test ◽  
Short Term ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Signed Rank ◽  
Signed Rank Test

AbstractA number of authors have suggested that surgery for suspected perilymph fistula is effective in preventing deterioration of hearing and in improving hearing in some cases in the short term. We present long-term hearing outcome data from 35 children who underwent exploration for presumed perilymph fistula at The Children's Hospital, Sydney, Australia, between 1985 and 1992.Methods:The pre-operative audiological data (mean of 500, 1000, 2000 and 4000 Hz results) were compared with the most recently available data (range two to 15 years) and the six-month post-operative data.Results:The short-term results showed no significant change in hearing at six months, with a subsequent, statistically significant progression of hearing loss in both operated and non-operated ears (Wilcoxon signed rank test: operated ear, p < 0.017; non-operated ear, p < 0.009).Conclusion:In this case series, exploratory surgery for correction of suspected perilymph fistula did not prevent progression of long-term hearing loss.

scholarly journals A Large Randomized Trial: Effects of Mindfulness-Based Stress Reduction (MBSR) for Breast Cancer (BC) Survivors on Salivary Cortisol and IL-6

2018 ◽  
Vol 21 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Cecile A. Lengacher ◽  
Richard R. Reich ◽  
Carly L. Paterson ◽  
Melissa Shelton ◽  
Steve Shivers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Stress Reduction ◽  
Salivary Cortisol ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Mindfulness Based Stress Reduction

Breast cancer survivors (BCS) often experience psychological and physiological symptoms after cancer treatment. Mindfulness-based stress reduction (MBSR), a complementary and alternative therapy, has reduced subjective measures of stress, anxiety, and fatigue among BCS. Little is known, however, about how MBSR affects objective markers of stress, specifically the stress hormone cortisol and the pro-inflammatory cytokine interleukin-6 (IL-6). In the present study, BCS ( N = 322) were randomly assigned to a 6-week MBSR program for BC or usual-care control. Measurements of cortisol, IL-6, symptoms, and quality of life were obtained at orientation and 6 weeks. Cortisol and IL-6 were also measured prior to and after the MBSR(BC) class Weeks 1 and 6. The mean age of participants was 56.6 years and 69.4% were White non-Hispanic. Most had Stage I (33.8%) or II (35.7%) BC, and 35.7% had received chemotherapy and radiation. Cortisol levels were reduced immediately following MBSR(BC) class compared to before the class Weeks 1 and 6 (Wilcoxon-signed rank test; p < .01, d = .52–.56). IL-6 was significantly reduced from pre- to postclass at Week 6 (Wilcoxon-signed rank test; p < .01, d = .21). No differences were observed between the MBSR(BC) and control groups from baseline to Week 6 using linear mixed models. Significant relationships with small effect sizes were observed between IL-6 and both symptoms and quality of life in both groups. Results support the use of MBSR(BC) to reduce salivary cortisol and IL-6 levels in the short term in BCS.

scholarly journals The Incidence and Severity of Drug Interactions Before and After Antiretroviral Therapy Simplification in Treatment-Experienced Patients With HIV Infection

2019 ◽  
Vol 54 (1) ◽  
pp. 36-42
Author(s):  
Nicholas V. Hastain ◽  
Aleena Santana ◽  
Jason J. Schafer
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Drug Interactions ◽  
Patient Adherence ◽  
Potential Interaction ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test

Background: Current guidelines advocate for antiretroviral therapy (ART) simplification in patients on complicated regimens. Simplifying ART improves patient adherence and quality of life, but changes in drug interactions (DIs) are uncertain. Objective: This study assessed changes in DIs following ART simplification in patients with HIV. Methods: This was an observational, retrospective cohort study of patients attending an urban HIV clinic. Patients were included if they had ART simplification (a decreased number of daily tablets) and ≥1 concomitant medication (CM). Total DI scores were generated for each patient pre–ART simplification and post–ART simplification using an online DI database. Each ART-CM pair labeled as “do not co-administer” was given a score of 2, “potential interaction” a score of 1, or “no interaction” a score of 0. Differences in total DI scores following simplification were analyzed with a Wilcoxon Signed-Rank test. Predictors of DI score reductions were examined with linear regression. Results: A total of 99 patients were included. Their median age was 54 years, and 79% were male. The median durations of HIV infection and ART were 16 and 10 years, respectively. Patients were receiving an average of 4.5 CMs. Median interaction scores presimplification and postsimplification were 3 (interquartile range [IQR], 1-6) and 1 (IQR, 0-2) respectively ( P < 0.001). Predictors of score reductions were the patient’s number of CMs, discontinuing a protease inhibitor, and switching to a dolutegravir-based regimen. Conclusion and Relevance: ART simplification decreased the incidence of DIs in this analysis of patients with advanced age who had ART experience and polypharmacy.

Efficacy of the “Cooperative Assessment” Diagnostic Procedure to Early Improve Acute Symptoms in a Sample of Adolescents with Anxiety and Mood Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S122-S123
Author(s):  
M. Biagiarelli ◽  
M. Curto ◽  
M.P. Andraos ◽  
V. Aprile ◽  
S. Pelaccia ◽  
...  
Keyword(s):  
Mood Disorders ◽  
Repeated Measures ◽  
Poor Mental Health ◽  
Rank Test ◽  
Therapeutic Assessment ◽  
Test Results ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Competing Interest

IntroductionAnxiety and mood disorders are common in adolescence and predict poor mental health outcomes and low quality of life in adulthood. Although early intervention seems to be critical, dropouts in the early stages of treatment are frequent and associated with low insight and severe symptoms. Therefore, a diagnostic assessment phase aimed to increase insight and early reduce symptoms appears to be essential in adolescents.ObjectivesThe objective of this study is to demonstrate that the diagnostic method Cooperative Assessment is able to early reduce symptoms in adolescents with anxiety and mood disorders.MethodsA sample of 88 patients, aged 14–19 years were included. All were recruited at the first visit and evaluated with the Cooperative Assessment. This manualized procedure was created from principles of collaborative and therapeutic assessment and aim to involve the patient in a co-developed diagnosis thorough the collaborative use of test results. Patients were evaluated before (T0), in the middle (T1) and after (T2) the assessment using CGI, GAF, HAM-A, HAM-D and MRS scales.ResultsEighty-eight adolescents, 56.8% females, diagnosed with anxiety (47.7%) and mood disorders (52.3%) completed the protocol. HAM-A, HAM-D, MRS, CGI and GAF significantly improved at T1 and T2 with respect to T0 (T0: HAM-A 17.31 ± 8.22; HAM-D 16.97 ± 8.37; MRS5.78 ± 6.17; GAF 59.3 ± 11.06; CGI 3.63 ± 1.35; T2: HAM-A 11.41 ± 6.82; HAM-D 11.1 ± 6.91; MRS3.82 ± 3.87; GAF 67.5 ± 10.76; CGI 3.03 ± 1.26; P < 0.001; Wilcoxon signed-rank test for repeated measures).ConclusionsCooperative assessment is able to early improve symptoms in adolescents with mood and anxiety disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Diseño y validación de un cuestionario sobre la usabilidad y la calidad técnica de un software deportivo (Design and validation of a questionnaire on the usability and technical quality of a sport software)

Retos ◽  
2019 ◽  
pp. 386-392
Author(s):  
María del Carmen Juan Llamas
Keyword(s):  
External Validation ◽  
Rank Test ◽  
Technical Quality ◽  
Spearman Correlation ◽  
Clear Trend ◽  
Final Version ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Analysis Of Results

En la sociedad actual, en la que existe una clara tendencia al uso constante de tecnologías, se ha observado un escaso número de herramientas para la medición de la calidad de software deportivo. A través de la creación, validación y administración del cuestionario CUPEA, se pretende valorar dicha característica, además de verificar el nivel de aceptación de la aplicación entre los usuarios y su utilidad real. La validación del contenido, redacción y pertinencia de los ítems creados se consiguió a través de las valoraciones realizadas por 14 jueces expertos. La validación externa se obtuvo mediante la aplicación de la prueba test-retest a una muestra de 23 participantes de la Comunidad de Madrid. Posteriormente, se procedió a la comprobación de la fiabilidad del cuestionario mediante el coeficiente de correlación de Spearman; y para saber si existían diferencias significativas entre las respuestas dadas por el mismo sujeto se utilizó la prueba de los rangos con signo de Wilcoxon. Una vez diseñado y validado el cuestionario final, se procedió a efectuar una prueba experimental con 42 participantes para un software concreto, Easy_Aerobics. Del análisis e interpretación de los resultados obtenidos del cuestionario se ha podido concluir que se han respetado los criterios de fiabilidad, funcionalidad y usabilidad en su implementación, y CUPEA se ha mostrado como una herramienta válida para la medición de la usabilidad y de la calidad técnica del software.Abstract. Nowadays, in a society with a clear trend towards a wide use of technologies, only few tools to measure the quality of sports software have been developed. This study seeks to assess the quality and also to verify the usefulness and acceptance of a sports software, by means of creating and validating the CUPEA questionnaire to be administered to real users. Validation of content and relevance was achieved through the assessment of 14 expert referees. External validation was obtained by a test-retest procedure applied to a sample of 23 participants from the region of Madrid (Spain). Reliability of the questionnaire was verified using the Spearman correlation, while the Wilcoxon signed-rank test was emplyed to look for significant differences between test and retest. After its design and validation, the final version of the questionnaire CUPEA was obtained. An experimental test was carried out with 42 users of Easy_Aerobics. Analysis of results allows us to conclude that criteria of reliability and usability have been observed, and CUPEA has proven to be a valid tool for measuring usability and technical quality of the software.

scholarly journals Pengaruh Program Empathic Caring Consultation terhadap Professional Quality of Life Pada Psikolog

2020 ◽  
Vol 12 (2) ◽  
pp. 97-106
Author(s):  
Anya Asbar ◽  
Maya Khairani ◽  
Marty Mawarpury
Keyword(s):  
Quality Of Life ◽  
Sampling Method ◽  
Rank Test ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Signed Rank ◽  
Before And After ◽  
Post Test ◽  
Signed Rank Test

This study aims to determine the effect of the Empathic Caring Consultation (ECC) program on Professional Quality of Life (ProQOL) in psychologists. This study involved seven psychologists. The research sample was taken using purposive sampling method. The research method used was one group pretest-post test design. ProQOL is measured using the Professional Quality of Life Version V scale, while the implementation of ECC training refers to the concept of Prawitasari. Analysis using Wilcoxon signed-rank test with a significant value (p) = 0.340 (BO); 0.932 (STS); 0.496 (CS) (p> 0.05). The results of the study showed that there was no effect of the ECC program on ProQOL on psychologists. This is because there are several variations of the three ProQOL components before and after treatment.

scholarly journals Effectiveness of surgical management of malignant glaucoma in phakic eyes

2022 ◽  
Vol 15 (1) ◽  
pp. 65-70
Author(s):  
Qi-Wei Wang ◽  
◽  
Xiao-Shan Lin ◽  
Wan Chen ◽  
Qiao-Lin Zhu ◽  
...  
Keyword(s):  
Anterior Chamber Depth ◽  
Case Series ◽  
Rank Test ◽  
Test Results ◽  
Iol Implantation ◽  
Signed Rank ◽  
Malignant Glaucoma ◽  
Long Time ◽  
Signed Rank Test ◽  
Phakic Eyes

AIM: To assess the effectiveness of core vitrectomy-phacoemulsification-intraocular lens (IOL) implantation-capsulo-hyaloidotomy in treating phakic eye at least 1mo after the onset of malignant glaucoma. METHODS: A retrospective analysis were performed on malignant glaucoma patients treated in Zhongshan Ophthalmic Center between 2016 and 2018. Demographic and clinical data were described. The preoperative and postoperative visual acuity (VA), intraocular pressure (IOP), number of IOP-lowering medications used, and anterior chamber depth (ACD) of the case series were compared by Wilcoxon signed-rank test. RESULTS: Thirteen phakic eyes with long time intervals between onset and surgery were identified in this case series. Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy reduced the IOP (P=0.046) and the number of IOP-lowering medications used (P=0.004), deepened the ACD (P=0.005). Complete success was achieved in 38.5% of the eyes, and anatomical success was achieved in 100% of the eyes without any recurrence. The only postoperative complication observed is corneal endothelial decompensation. It occurred in two cases. CONCLUSION: Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy is safe and effective for treatment of long onset phakic malignant glaucoma.

scholarly journals Analisis Tingkat Kepuasan Konsumen Berdasarkan Kualitas Pelayanan pada Pengunjung Objek Wisata Pantai Pulau Merah Kabupaten Banyuwangi

2018 ◽  
Vol 5 (2) ◽  
pp. 189
Author(s):  
Mohamad Jajang I ◽  
Diah Yulisetiarini ◽  
Hadi P
Keyword(s):  
Consumer Satisfaction ◽  
Sampling Method ◽  
Quality Of Services ◽  
Rank Test ◽  
Physical Evidence ◽  
Level Of Satisfaction ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test

This article aim to anayze the level of satisfaction of customer on the quality of services that includes physical evidence, dependability, responsiveness, assurance, and empathy on subjects tourist Red Island Beach. The population in this research was visitors of The Red Island Beach. Sampling method used was non-probability sampling namely purposive sampling with the number of respondents as much as 108 people. Variables used the quality of services. The analysis methode uses Service Quality (SERVQUAL).The results demonstrates  that 1) physical evidence has eight indicator which all indicators showed satisfaction visitors of Red Island Beach.2) dependability indicator having two roomates they showed satisfaction visitors of Red Island Beach. 3) responsiveness indicator having two roomates they showed satisfaction visitors of Red Island Beach. 4) assurance indicator having two roomates they showed satisfaction visitors of Red Island Beach .5) empathy have five indicator roomates showed satisfaction reviews those five visitors of coastal islands red. Keyword: Consumer Satisfaction, Quality of Service, Servqual, Wilcoxon Signed Rank Test. 

scholarly journals Parent-assessed quality of life among adolescents undergoing orthodontic treatment: a 12-month follow-up

2015 ◽  
Vol 20 (5) ◽  
pp. 94-100 ◽  
Author(s):  
Lucas Guimarães Abreu ◽  
Camilo Aquino Melgaço ◽  
Mauro Henrique Nogueira Guimaraes Abreu ◽  
Elizabeth Maria Bastos Lages ◽  
Saul Martins Paiva
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Well Being ◽  
Rank Test ◽  
Brazilian Version ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Fixed Appliances ◽  
Parents And Caregivers

Objective: To assess parents' and caregivers' view of the first twelve months of adolescents' orthodontic treatment with fixed appliances and to assess the evaluative properties of the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) in the orthodontic setting.Methods:Data from a sample of 96 parents and caregivers of adolescents undergoing orthodontic treatment with fixed appliances were collected by means of P-CPQ. Assessments were performed before banding and bracket bonding (T1) and 12 months after placement of fixed appliances (T2). Statistical analysis included Wilcoxon signed-rank test for the overall P-CPQ score and Bonferroni correction for P-CPQ subscales. The evaluative properties of the P-CPQ were assessed through responsiveness calculation and the minimally clinical important difference (MCID).Results: Among the 96 participants, 76 were mothers of patients, 16 were fathers, and four were other family members. Adolescents' mean age was 11.49 ± 0.50 years. Most families earned equal to or less than three times the Brazilian monthly minimum wage. There was significant improvement in the emotional and social well-being subscales (p< 0.001), which contributed to improve patient's overall quality of life (p< 0.001). Reductions in scores were associated with clinically meaningful moderate changes in the overall score as well as in the emotional and social well-being subscales. The MCID was 6.16 for the P-CPQ overall score.Conclusion:Parents and caregivers reported significant improvement in the quality of life of adolescents undergoing orthodontic treatment with fixed appliances.

scholarly journals Clinical Evaluation of Artificial Intelligence based Preoperative Plans for Total Knee Arthroplasty

10.29007/9c6c ◽  
2020 ◽  
Author(s):  
Adriaan Lambrechts ◽  
Muthu Ganapathi ◽  
Roel Wirix-Speetjens
Keyword(s):  
Artificial Intelligence ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Rank Test ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Total Knee ◽  
Position And Orientation ◽  
Preoperative Plan

A preoperative plan is a virtual plan that defines the implant position and orientation allowing a surgeon to prepare for surgery. However, the default preoperative plan for total knee arthroplasty proposed by the manufacturer requires changes to be made by the surgeon in more than 90% of the cases. Previous studies have shown that artificial intelligence can be used to create better preoperative plans compared to manufacturer’s default plans. However, the quality of artificial intelligence based preoperative plans has not yet been compared to surgeon approved preoperative plans. The purpose of this study is to compare default, artificial intelligence and surgeon approved preoperative plans, by having them scored on a range from 1 (totally unacceptable plan) to 5 (no corrections needed) by an experienced surgeon, while being blinded to the plan type. Through a Wilcoxon signed rank test with α=0.05, AI based preoperative plans were found to be a significant improvement upon the default plans (p-val=0.000136), while the differences in score between AI and surgeon approved preoperative plans were insignificant (p-val= 0.083). Consequently these results indicate that AI generated preoperative plans for TKA are an improvement upon current default plans, which could increase the surgeon’s planning efficiency when applied in clinical practice.

Sign in / Sign up

Export Citation Format

Share Document