scholarly journals A qualitative evaluation of an mHealth application to support patients with psoriasis in relation to follow-up consultations (Preprint)

10.2196/28882 ◽  
2021 ◽  
Author(s):  
Bettina Trettin ◽  
Dorthe Boe Danbjørg ◽  
Flemming Andersen ◽  
Steven Feldman ◽  
Hanne Agerskov
2016 ◽  
Vol 54 (3) ◽  
pp. 173-186 ◽  
Author(s):  
Gerben J. Westerhof ◽  
Janny Beernink ◽  
Anneke Sools

Abstract This article describes an innovative intervention based on narrative and life review therapy that is tailored to people with intellectual disability (ID) and psychiatric problems. The current study provides a first evaluation of the intervention. A symptom checklist (SCL-90) was used in a pre- and post-follow-up design, and a qualitative evaluation of the intervention was carried out with 25 participants. Results showed large changes in psychiatric symptoms, in particular on depression, anxiety, obsessive-compulsive disorder, and interpersonal sensitivity. Participants were mainly positive in their general explicit evaluations of the therapy as well as on personal learning points, intervention-specific, group-related, and therapist-related aspects. It is concluded that the intervention is promising for the treatment of people with ID and psychiatric complaints.


2005 ◽  
Vol 83 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Anne Belzil ◽  
Carmen Parent

Carbonic anhydrase was immobilized on a polymer thermoplastic to promote gaseous CO2 hydration into bicarbonate ions. Catalyst immobilization was realized through a series of chemical reactions enabling enzyme covalent binding to polyamide support. Different initial enzyme concentrations of 0.25, 0.50, 0.75, 1, and 2 mg/ml were verified. Different techniques were developed to assess enzyme attachment. The amount of bound protein was determined using Bradford dosage of proteins remaining in solution following CA II incubation with solid support. ELISA has given a qualitative evaluation of the protein, enabling a follow up of enzyme binding robustness as a function of time. p-nitrophenyl acetate hydrolysis and CO2 hydration were assessed by spectrophotometry and electrometry, respectively. The percentage of active enzyme following immobilization was measured using an esterase linear model. Catalytic transformation rates for gaseous CO2 hydration were calculated for each type of immobilization.Key words: immobilization, enzyme, esterase, hydration.[Journal translation]


Author(s):  
John Connolly ◽  
Garth Reid ◽  
Monja Knoll ◽  
Wendy Halliday ◽  
Shirley Windsor

This is a follow-up study to Reid et al (2017) which considered the barriers and facilitators of getting knowledge into policy when using a knowledge brokering approach. The previous study analysed the use of strategies to reduce barriers to the use of evidence in mental health strategy planning in Scotland using outcome frameworks. The main facilitators highlighted were the importance of local champions, cooperation within partnership networks, and national-level support. The barriers were local implementation cultures, local time pressures, perceived complexities of the framework, and timeliness of the framework. The present article details the results of a follow-up qualitative evaluation of the sustainability of the mental health improvement outcomes framework with local planners. There is a dearth of literature which focuses on the sustainability of outcome frameworks and the findings of this study suggest that the barriers highlighted by Reid et al (2017) remain acute issues. However, there are further aspects for learning for knowledge brokers themselves in terms of national and local relations and the wider challenges and opportunities relating to network governance and policy reform agendas.


2020 ◽  
Vol 42 (6) ◽  
pp. 619-625
Author(s):  
Cristina R Exposto ◽  
Peter Stoustrup ◽  
Kasper D Kristensen ◽  
Michel Dalstra ◽  
Thomas K Pedersen

Summary Objectives To compare condylar development and changes in condylar radiological appearance in patients with idiopathic condylar resorption (ICR) to a healthy, age- and gender matched, control group. Materials and methods This case-control study included 16 ICR patients [mean age: 15years, 9 months; standard deviation (SD): 4 years) and 16 controls (mean age: 16 years, 8 months; SD: 4 years, 7 months), with diagnostic (T0) and 2-year follow-up (T1) CBCT examinations. Condylar changes were evaluated through changes in condylar neck angle (CNA), and the transversal, vertical and anteroposterior displacement of five condylar points between T0 and T1. The magnitude and direction of condylar changes were evaluated using vector analyses. A qualitative radiological evaluation of the TMJ was performed based on healthy, erosive and repaired morphological appearance. Linear and angular measurements were assessed using ANOVA and a Tukey post-hoc test, and vectors were tested using an independent-sample 2-tailed t-test. Fisher’s exact test was used for the qualitative evaluation. Results At T0, ICR patients exhibited decreased condylar height, smaller condylar width and posteriorly inclined CNA compared with the control group (P < 0.05). During observation, condylar vertical growth was smaller in the ICR group than in the control group (P < 0.05). Vector analysis showed an upward direction of vertical displacement for all condylar points in the control group; the ICR group showed a downward direction (P < 0.003). The radiological appearance of 75% of the ICR condyles and 94% of the control condyles did not change during the 2-year follow-up period. Conclusions ICR condyles displayed reduced vertical development compared with control condyles. The radiological appearance remained unchanged for most joints. Observed changes in radiological appearance did not always follow a progressive model of degenerative joint disease.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1670
Author(s):  
Sawsan T. Abu Zeid ◽  
Ruaa A. Alamoudi ◽  
Osama S. Alothmani ◽  
Abeer A. Mokeem Saleh ◽  
Amna Y. Siddiqui

For the management of necrotic immature teeth, regenerative endodontics offers the advantage of further root lengthening, thickening of dentin wall, and apical closure. This prospective study aimed to evaluate the long-term outcome of regenerative endodontics in immature necrotic permanent teeth. A total of 23 immature roots were medicated by triple antibiotic paste. After 21 days, bleeding was induced by over-instrumentation, and then mineral trioxide aggregate and coronal restoration were applied. Patients were scheduled for clinical and radiographic follow-up for 8 years. The radiographic changes of root dimensions were assessed using the ImageJ Plugin and statistically analyzed by Kruskal–Wallis test at a 95% confidence level. For qualitative evaluation, images were overlapped and analyzed using Photoshop software. All teeth were asymptomatic one month after the treatment. All teeth (n = 18) with preoperative periapical radiolucency showed complete resolution within 6–9 months. Recall rate at two, three, and eight years was 69.6%, 56.5%, and 34.8%, respectively. Continuous root development with a significant increase in root length and thickening of dentin wall accompanied by a significant decrease in apical canal diameter was seen at the end of the observation period (p < 0.001). In conclusion, the long-term outcome of regenerative endodontics revealed successful clinical and radiographic results with appropriate case selection.


Aquichan ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 1-10
Author(s):  
María Cristina Sierras-Davó ◽  
Manuel Lillo-Crespo ◽  
Patricia Verdú Rodríguez

Objective: To explore the meaning of the experience and knowledge acquired by nursing students trained in healthcare improvement. Material and methods: A phenomenological approach based on the Giorgi method was made through a group discussion of 21 European students from four countries in July 2019. The data was triangulated with the testimonies of key informants and with the use of an evaluation tool specific to this topic. The analysis was also triangulated with three experienced researchers who reduced the data by consensus to eight units of meaning. Results: Nursing empowerment and horizontal health organizations were two of the most recurrent units of meaning along with professional values such as teamwork and humanization of care. Conclusions: The knowledge, attitudes and values acquired are evidence of the shortcomings in the training of future nursing professionals in Europe. The theoretical and practical approach of the sessions, as well as the mixture of cultures, were strengths for the students. It is necessary to follow up on more cases that show the return on the training investment in substantial improvements in real contexts and its impact on the quality of care.


2020 ◽  
Vol 10 (12) ◽  
pp. 4114 ◽  
Author(s):  
Gian Luca Sfasciotti ◽  
Francesca Zara ◽  
Miriam Fioravanti ◽  
Mariana Guaragna ◽  
Gaspare Palaia ◽  
...  

Background: Ankyloglossia is an anatomical alteration of the frenulum length, volume, compactness, and insertion. It can lead to alterations in the ability to swallow and chewing, and dysfunctional coordination amongst cranio-facial muscles; these alterations are often responsible for respiratory alterations, skeletal malocclusions and dyslalia or the delay of speech. The aim of this study is to estimate the efficacy of lingual frenulectomy with diode-laser technology through a qualitative and quantitative evaluation. Methods: One hundred and twenty-five pediatric patients were recruited: 100 with a lingual pathological frenulum were randomly divided into four operating groups; the other 25 with a borderline pathological frenulum were recruited as a control group. Each patient was included in a follow-up program (T0-T1-T2-T3-T4) for a quantitative and qualitative evaluation: the first through an accurate measurement of Kotlow’s free tongue measurement (≥16), Mouth Opening with Tongue Tip to incisive papilla (MOTTIP), Maximal Intercisal Mouth Opening (MIO) and Protrusion; and the second using the Assessment Tool for Lingual Frenulum Function (ATLFF), Bristol Tongue Assessment Tool (BTAT), and grade of tongue functionality. Results: The increase of the aforementioned quantitative parameters was circa 10 mm, and all patients reacquired full functionality of the tongue. Conclusions: Diode-laser technology is efficient and innovative in the treatment of pathological lingual frenulums.


2020 ◽  
Vol 196 (10) ◽  
pp. 888-899 ◽  
Author(s):  
Constantin Dreher ◽  
Philipp Linde ◽  
Judit Boda-Heggemann ◽  
Bettina Baessler

Abstract Current research, especially in oncology, increasingly focuses on the integration of quantitative, multiparametric and functional imaging data. In this fast-growing field of research, radiomics may allow for a more sophisticated analysis of imaging data, far beyond the qualitative evaluation of visible tissue changes. Through use of quantitative imaging data, more tailored and tumour-specific diagnostic work-up and individualized treatment concepts may be applied for oncologic patients in the future. This is of special importance in cross-sectional disciplines such as radiology and radiation oncology, with already high and still further increasing use of imaging data in daily clinical practice. Liver targets are generally treated with stereotactic body radiotherapy (SBRT), allowing for local dose escalation while preserving surrounding normal tissue. With the introduction of online target surveillance with implanted markers, 3D-ultrasound on conventional linacs and hybrid magnetic resonance imaging (MRI)-linear accelerators, individualized adaptive radiotherapy is heading towards realization. The use of big data such as radiomics and the integration of artificial intelligence techniques have the potential to further improve image-based treatment planning and structured follow-up, with outcome/toxicity prediction and immediate detection of (oligo)progression. The scope of current research in this innovative field is to identify and critically discuss possible application forms of radiomics, which is why this review tries to summarize current knowledge about interdisciplinary integration of radiomics in oncologic patients, with a focus on investigations of radiotherapy in patients with liver cancer or oligometastases including multiparametric, quantitative data into (radio)-oncologic workflow from disease diagnosis, treatment planning, delivery and patient follow-up.


2018 ◽  
Vol 6 (2) ◽  
pp. 139
Author(s):  
Kamal Fuadi ◽  
Bedjo Sudjanto ◽  
Kamaluddin Kamaluddin

Penelitian ini bertujuan untuk mengevaluasi (1) lingkungan strategis implementasi kebijakan, (2) proses implementasi kebijakan, dan (3) hasil implementasi kebijakan sertifikasi guru di Kementerian Agama RI. Penelitian menggunakan pendekatan kualitatif dengan model evaluasi Countenance yang dikembangkan oleh Stake. Lingkungan strategis implementasi kebijakan sertifikasi guru di Kementerian Agama RI cukup mendukung keterlaksanaan dan pencapaian hasil kebijakan namun masih ditemui beberapa kelemahan dan kendala yaitu peserta mengundurkan diri, belum ada rencana induk pengembangan, belum ada evaluasi diri dan penjaminan mutu kelembagaan LPTK. Kementerian Agama RI melakukan proses pengawasan dan evaluasi namun kurang terdokumentasikan sehingga proses tindak lanjut tidak dilaksanakan. Implementasi kebijakan menghasilkan lulusan guru profesional namun terdapat kelemahan dan kendala yang menyebabkan banyaknya peserta yang mengundurkan diri dan tidak lulus. Pada angkatan I seluruh peserta sertifikasi guru lulus. Pada angkatan II dari 947 peserta jumlah yang lulus sebanyak 945 (99,79%) dan yang tidak lulus sebanyak 2 (0,21%).Kata kunci: kebijakan, evaluasi, guru, sertifikasi EVALUATION OF IMPLEMENTATION OF TEACHER CERTIFICATION POLICY IN THE MINISTRY OF RELIGIOUS AFFAIRSAbstractThis study aims to evaluate (1) the strategic environment of the policy implementation; (2) the process of the policy implementation; and (3) the results of the policy implementation of teacher certification on the Ministry of Religious Affairs (MORA). The research method was a qualitative evaluation approach based on a model of evaluation developed by Stake. The strategic environment in the MORA is sufficient to support the implementation and achievement of the policy result although there are still weaknesses and obstacles follows that the participants resign, there is no PPG development master plan, no self-evaluation, and institutional quality assurance. The MORA has conducted a process of monitoring and evaluation although it is not documented so that the follow-up process is not implemented. Implementation of the policy shows the results of graduates of professional teachers despite the weaknesses and obstacles that caused many participants who resigned and did not pass. In the first batch of all teacher, certification participants passed all. In the second batch of 947 participants, the number passed as 945 (99.79%) and who did not pass as much as 2 (0.21%).Keywords: policy, evaluation, teacher, certification


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