Academic literature on the topic 'Patient perceived changes'
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Journal articles on the topic "Patient perceived changes"
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Vehling, Sigrun, Karin Oechsle, Michael Hartmann, Carsten Bokemeyer, and Anja Mehnert-Theuerkauf. "Perceived Positive and Negative Life Changes in Testicular Cancer Survivors." Medicina 57, no. 9 (September 20, 2021): 993. http://dx.doi.org/10.3390/medicina57090993.
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Background and objectives: Despite a generally good prognosis, testicular cancer can be a life-altering event. We explored perceived positive and negative life changes after testicular cancer in terms of frequency, demographic and disease-related predictors, and associations with depression and anxiety. Materials and methods: All testicular cancer survivors receiving follow-up care at two specialized outpatient treatment facilities were approached at follow-up visits or via mail. We assessed a total of N = 164 patients (66% participation rate, mean time since diagnosis: 11.6 years, SD = 7.4) by the Posttraumatic Growth Inventory (PTGI, modified version assessing positive and negative changes for each of 21 items), Patient-Health-Questionnaire-9 (PHQ-9), and Generalized-Anxiety-Disorder-Scale-7 (GAD-7). We conducted controlled multivariate regression analyses. Results: Most survivors (87%) reported at least one positive change (mean number: 7.2, SD = 5.0, possible range: 0–21). The most frequent perceived positive changes were greater appreciation of life (62%), changed priorities in life (62%), and ability rely on others (51%). At least one negative change was perceived by 33% (mean number of changes: 1.1, SD = 2.5). Negative changes were most frequent for decreases in self-reliance (14%), personal strength (11%), and ability to express emotions (9%). A higher socioeconomic status was associated with more positive changes (β = 0.25, 95% CI 0.08 to 0.42); no other association with demographic and disease-related predictors emerged. While positive life changes were not associated with depression (β = −0.05, 95% CI −0.17 to 0.07) and anxiety (β = 0.00, 95% CI −0.13 to 0.13), more negative life changes were significantly associated with higher depression (β = 0.15, 95% CI −0.03 to 0.27) and anxiety (β = 0.23, 95% CI 0.11 to 0.36). There was no significant interaction of positive and negative changes on depression or anxiety. Conclusions: Although positive life changes after testicular cancer are common, a significant number of survivors perceive negative changes in life domains that have been primarily investigated in terms of personal growth. Early identification of and psychosocial support for patients who perceive predominantly negative changes may contribute to prevention of prolonged symptoms of anxiety and depression.
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Greszta, Elżbieta, and Maria J. Siemińska. "Patient-Perceived Changes in the System of Values After Cancer Diagnosis." Journal of Clinical Psychology in Medical Settings 18, no. 1 (March 2011): 55–64. http://dx.doi.org/10.1007/s10880-011-9221-z.
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Behrman, Alison, Mark J. Shikowitz, and Seth Dailey. "The Effect of Upper Airway Surgery on Voice." Otolaryngology–Head and Neck Surgery 127, no. 1 (July 2002): 36–42. http://dx.doi.org/10.1067/mhn.2002.126589.
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OBJECTIVE: Our goal was to assess patient perception and acoustic characteristics of voice before and after upper airway surgery. STUDY DESIGN AND SETTING: We conducted a prospective assessment of 44 surgical patients preoperatively and postoperatively at a tertiary care, academic hospital. Operations included septoplasty and turbinectomy (n = 28) and septoplasty, turbinectomy, uvulopalatopharyngoplasty, and tonsillectomy (n = 16). Patient opinion measures included Voice Handicap Index score, perception of vocal resonance, and change in voice. Acoustic measures included assessment of the relative amplitude of selected formants (resonances) of the vocal tract. RESULTS: Mean Voice Handicap Index scores were unchanged after surgery. Nine patients (20%) perceived their voice to be improved after surgery. None perceived the voice to be worse. Postoperative changes in relative formant amplitudes were statistically significant. These changes caused the acoustic features to become more representative of normative data than the preoperative values. CONCLUSION: Upper airway oeprations can affect acoustics and perception of voice. SIGNIFICANCE: Patients are unlikely to perceive a change in voice as a result of upper airway surgeries, but in those cases where a difference is perceived, it is likely to be a positive change.
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Kelly, Timothy A., and Hans H. Strupp. "Patient and therapist values in psychotherapy: Perceived changes, assimilation, similarity, and outcome." Journal of Consulting and Clinical Psychology 60, no. 1 (1992): 34–40. http://dx.doi.org/10.1037/0022-006x.60.1.34.
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Philpot, Lindsey M., Sunni A. Barnes, Rachel M. Brown, Jessica A. Austin, Cameron S. James, Richard H. Stanford, and Jon O. Ebbert. "Barriers and Benefits to the Use of Patient-Reported Outcome Measures in Routine Clinical Care: A Qualitative Study." American Journal of Medical Quality 33, no. 4 (December 19, 2017): 359–64. http://dx.doi.org/10.1177/1062860617745986.
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Patient-reported outcomes (PROs) provide information on how health care affects patient health and well-being and represent a patient-centered approach. Despite this potential, PROs are not widely used in clinical settings. Semi-structured focus groups were conducted with 3 stakeholder groups (patients, providers, and health care administrators) to determine the top 5 perceived barriers and benefits of PRO implementation. The Delphi technique was employed to obtain consensus and rank order responses. Patients perceived survey length to be important, whereas providers and administrators perceived time to collect data and patient health literacy, respectively, as the greatest barriers to PRO implementation. The greatest perceived benefits were the ability to track changes in clinical symptoms over time, improved quality of care, and better disease control among patients, providers, and administrators, respectively. These results may guide the development of novel frameworks for PRO implementation by addressing perceived barriers and building on the perceived benefits to encourage adoption of PROs.
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Büel-Drabe, Natalie, Hans Steinert, Hanspeter Moergeli, Steffi Weidt, Annina Seiler, and Josef Jenewein. "Thyroid cancer has a small impact on patient–partner relationships and their frequency of sexual activity." Palliative and Supportive Care 16, no. 3 (May 31, 2017): 335–46. http://dx.doi.org/10.1017/s1478951517000384.
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ABSTRACTObjective:This cross-sectional survey examined changes in perceived relationships and sexual activity in a sample of thyroid cancer patients and their partners, taking into account sociodemographic and disease-related variables, as well as such outcome measures as anxiety, depression, fatigue, and quality of life (QoL).Method:A total of 38 patients with thyroid cancer who were being treated at the department of nuclear medicine in Zürich or Lucerne over the preceding seven years, as well as their partners, completed questionnaires about the quality of their relationships (RQ), about perceptions of changes in their relationships, and about their frequency of sexual activity. They also filled out prevalidated questionnaires related to anxiety, depression, fatigue, and QoL.Results:Some 17 patients (44.7%) and 16 partners (42.1 %) reported that the cancer diagnosis had changed their relationships. Of these, 10 (26.3%) patients and 9 (23.7%) partners reported positive changes only, while 7 patients (18.4%) and 7 partners (18.4%) reported mixed or negative changes. A perceived mixed/negative relationship change was associated with increased depression and lower RQ in patients and partners, as well as with increased anxiety in patients. While the frequency of sexual activity only changed in roughly half of patients and partners (16 patients [42.1%] and 20 partners [52.6%]), increased sexual activity was associated with lower physical QoL scores and a higher depression score than in counterparts who reported no change.Significance of Results:Compared to other cancer sites, in our sample thyroid cancer had a relatively small impact on patient–partner relationships and levels of intimacy. We found that screening patients and their partners with a simple question—“Did the diagnosis of cancer change your relationship?”—can lead to early detection of couples who are potentially at risk for perceived negative relationship changes and can facilitate timely psychosocial referral for couple's therapy.
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Levine, Mitchell, Kathryn Gaebel, and Michael Spino. "A Study of Patient Responses to a Perceived Change in Salbutamol Metered Dose Inhalers." Journal of Generic Medicines: The Business Journal for the Generic Medicines Sector 2, no. 3 (April 2005): 201–8. http://dx.doi.org/10.1057/palgrave.jgm.4940070.
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Experience in the clinic reveals that some patients have attributed negative changes in their respiratory health status to generic substitution of inhaled medications, even though — from a pharmacological perspective — therapeutic equivalence would be expected. The objective of this study was to evaluate patient-reported changes in efficacy or toxicity following a perceived switch of an inhaled drug product. Forty-eight patients with air flow limitation had their usual brand of salbutamol metered-dose inhaler (MDI) replaced for one week with a new MDI. Patients were not informed that the replacement MDI was exactly the same brand as their usual MDI, and the product identity was disguised by a label. Forced expiratory volume in one second, respiratory symptoms and MDI use were compared between the week when the patients knew they were using their usual brand of MDI and the week they were using the perceived new MDI. Patient MDI preference was assessed at the end of the study. Even though there was no change in the brand of salbutamol MDI, 46 per cent of patients thought that the new MDI was better at managing their symptoms, 27 per cent thought that the new MDI was worse and 27 per cent perceived no difference (p<0.05 for rejecting the null hypothesis that all responses would be for no difference). Seventy per cent of patients stated that they had a preference for one MDI over the other, even though there had been no change in inhaler. Factors other than product differences are likely to be responsible for patient claims of changes in respiratory health status subsequent to generics substitution with inhaled medications when equivalent products are used. If such changes are reported following the introduction of a new generic product, the changes may be incorrectly attributed to the new product, confounding the ability to assess the quality of the new product in post-marketing evaluation.
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Robertson, Derrick, Angela Aungst, Ryan Collier, Jhulianna Vivar, Natalie Moreo, Lise Casady, and Tuan Vu. "Patient perceived changes in sexual dysfunction after initiation of natalizumab for multiple sclerosis." Multiple Sclerosis Journal - Experimental, Translational and Clinical 4, no. 2 (April 2018): 205521731878198. http://dx.doi.org/10.1177/2055217318781989.
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Purpose Sexual dysfunction is a common but often overlooked secondary symptom of multiple sclerosis (MS) and can be associated with a decreased health-related quality of life (HRQoL). Natalizumab is a disease-modifying therapy approved for the treatment of relapsing forms of MS. In addition to its efficacy, those using natalizumab have shown improvement in HRQoL parameters, including fatigue and cognition. The idea that improvement in fatigue may also correlate with improvement in sexual dysfunction is the impetus for this study. Methods A single-center, open-label, single-arm, 24-week study was performed to evaluate perceived change in sexual dysfunction in MS patients treated with natalizumab. Adults with relapsing MS initiating natalizumab treatment and had a baseline level of sexual dysfunction were enrolled. The primary endpoint was change in the MS Intimacy and Sexuality Questionnaire-19 (MSISQ-19) score from baseline to week 24. Mean age of patients was 41 years, median disease duration was 7 years, and 73% of patients used at least one prior MS disease-modifying therapy. Results Natalizumab-treated patients experienced improvement in sexual dysfunction within the first 24 weeks of starting therapy, as demonstrated by the primary subscale of the MSISQ-19 questionnaire (–0.6976, p = 0.02). Conclusions Given the high prevalence of sexual dysfunction in MS patients and the significant impact it has on HRQoL, more research on this often overlooked symptom of MS could be very informative for patients that are deciding to initiate a new disease modifying therapy.
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Brouillard, Cynthia, Véronique Pepin, Sally Singh, Sue Revill, Yves Lacasse, and François Maltais. "Interpreting Changes in Endurance Shuttle Walking Performance." Clinical & Investigative Medicine 30, no. 3 (June 1, 2007): 28. http://dx.doi.org/10.25011/cim.v30i3.1722.
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Rationale: The endurance shuttle walk has recently been shown to be highly responsive to both bronchodilation and pulmonary rehabilitation. The degree to which changes in endurance shuttle walking performance are perceptible to patients is unknown.
Objective: To evaluate the relationship between objective and subjective measures of change in endurance shuttle walking performance.
Methods: 129 comparison points were obtained from 69 patients with COPD (FEV1: 47±16%) who completed two or more endurance shuttle walking tests as part of a bronchodilation study. Patients were asked to rate their performance of the day in comparison to their previous performance on a 7&S209; point scale ranging from -3 (large deterioration) to +3 (large improvement). These ratings were related to changes in walking distance and endurance time, expressed both as delta and percent change.
Results: Patient ratings of change were significantly correlated with delta walking distance (r=0.44, P < 0.001), delta endurance time (r=0.46, P < 0.001), percent change in walking distance (r=0.54, P < 0.001), and percent change in endurance time (r=0.55, P < 0.001). Deteriorations in walking performance were perceived in 34% of cases, while improvements were detected in 81% of cases.
Conclusion: Changes in endurance shuttle walking performance, especially improvements, are well perceived by patients with COPD. From this set of data, it should be possible to identify the smallest change in walking performance with a high likelihood of being perceived by the patients (MCID).
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Wang, Judy J., Jessica R. Levi, and Heather A. Edwards. "Changes in Care Provision During COVID-19 Impact Patient Well-Being." Journal of Patient Experience 8 (January 1, 2021): 237437352110340. http://dx.doi.org/10.1177/23743735211034068.
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The fast onset and extensive impact of COVID-19 necessitated strict public health measures and temporary diversion of personnel and resources from other types of medical care. This study examined the prevalence of such disruptions and their impacts on patient-perceived well-being using an untargeted survey. The majority of surveyed patients experienced changes in their routine medical care. Of those whose appointments were postponed or canceled, most patients indicated an overall negative impact on their emotional and physical well-being. We highlighted the impact of disruptions in nonurgent medical care during a large-scale public health emergency.
Dissertations / Theses on the topic "Patient perceived changes"
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Lu, Shao-chen, and ILLEGIBLE. "Acupuncture for Quality of Life in Patients Having Pain Associated with the Spine: a Systematic Review." RMIT University. Health Science, 2008. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080724.122432.
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Background: Pain associated with the spine (PAWS) refers to pain in the neck, thorax, lower back or sacrum. It impacts on patients' Quality of Life (QoL), including working ability, daily functioning, sleep and psychological well-being. A number of clinical trials have demonstrated that acupuncture was beneficial for patients with PAWS. However the overall effect of acupuncture on these patients' QoL is unknown. Aims: The current study aimed to conduct a systematic review (SR) of clinical trials to determine the effect of acupuncture on QoL and pain for patients with PAWS. In addition, a narrative review (NR) was conducted to compare patients' perceived changes (PCC) with the standard QoL instruments used in acupuncture clinical trials for pain. Methods: For the SR, PubMed, Embase (via ScienceDirect), CINAHL (Via EBSCO) and Cochrane Central Register of Controlled Trials were searched. Randomised controlled trials (RCTs) of acupuncture for PAWS condition(s) that include both QoL and pain assessments with a Jadad score of three or greater were included. For the NR, PubMed was searched to identify studies reporting PPC after acupuncture and/or traditional Chinese medicine. Extracted data were grouped and compared with domains of the QoL instruments. Results: In total, 21 RCTs were included and 17 of them had sufficient data for analysis. QoL was measured using 15 different instruments. Randomisation procedures and dropouts were adequately reported in all 17 studies. Four studies compared acupuncture with wait-list or usual-care. Two demonstrated that acupuncture had a superior effect on improving physical and mental components of QoL measured by Short Form-36 health survey questionnaire and pain at the three month follow-up. Studies comparing acupuncture with sham/placebo acupuncture or placebo-TENS found either no difference between the treatments or conflicting results. When acupuncture was compared with active interventions, there was no difference except that at the intermediate-term follow-up massage was better for disability and pain and physiotherapy was better for Northwick Park Neck Pain Questionnaire. Acupuncture was also better than TENS for pain. The combined therapy of acupuncture and an active intervention showed a superior result than the latter alone in the short-term. Six studies were identified for the NR. Patients reported 11 categories of changes after acupuncture, such as reduced reliance on other therapies, enhanced spirituality, prevention of disease. However, these clinical outcomes were not included in any of the QoL instruments used in the included RCTs. Conclusion: There is moderate to strong evidence that acupuncture is more effective than wait-list or usual-care at the short-term follow-up in improving QoL of patients with PAWS. When acupuncture is combined with another therapy, the combined therapy seems to produce a better outcome. Acupuncture is not better than sham/placebo acupuncture or placebo-TENS. Surprisingly, the commonly used QoL instruments do not measure all the changes perceived by patients as a result of acupuncture and/or traditional Chinese medicine. There is a pressing need to design QoL assessments that are suitable for acupuncture research. Further studies should have larger sample sizes and additional validated outcome assessments are required to detect effects of acupuncture.
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Fernandes, Elisabete. "Curso clínico da dor lombar crónica após alta da fisioterapia : trajetórias de dor no follow-up aos quatro e seis meses." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2013. http://hdl.handle.net/10400.26/6201.
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Fernandes, Elisabete. "Curso clínico da dor lombar crónica após alta da fisioterapia : trajetórias de dor no follow-up aos quatro e seis meses." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2013. http://hdl.handle.net/10362/15211.
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RESUMO:Introdução: O conhecimento acerca da influência das características dos indivíduos
com dor cervical crónica (DCC) no prognóstico dos resultados alcançados com a
Fisioterapia é ainda inconsistente, sendo escassos os estudos desenvolvidos neste
âmbito. Objetivo: Este relatório pretende determinar se um modelo baseado em fatores
de prognóstico é capaz de prever os resultados de sucesso da Fisioterapia, a curto prazo,
em utentes com DCC, ao nível da incapacidade funcional, intensidade da dor e perceção
global de melhoria. Metodologia: Trata-se de estudo de coorte prospetivo com 112
participantes. Os utentes foram avaliados na primeira semana de tratamento e sete
semanas após o início da intervenção. Os instrumentos utilizados foram o Neck
Disability Index–Versão Portuguesa (NDI-PT) e a Escala Numérica da Dor (END) nos
dois momentos de avaliação, um Questionário de Caracterização Sociodemográfica e
Clínica da Amostra na baseline e a Patient Global Impression Change Scale–Versão
Portuguesa (PGIC-PT) no follow-up. As características sociodemográficas e clínicas
foram incluídas como potenciais fatores de prognóstico e estes foram definidos com
base nas diferenças mínimas clinicamente importantes (DMCI) dos instrumentos NDIPT
(DMCI≥6) e END (DMCI≥2) e no critério de pontuação ≥5 na PGIC-PT. A análise
dos dados foi realizada através do método de regressão logística (backward conditional
procedure) para identificar as associações entre os indicadores e as variáveis de
resultado (p<0.05). Resultados: Dos 112 participantes incluídos no estudo, 108
completaram o follow-up (média de idade: 51.76±10.19). No modelo multivariado
relativo à incapacidade funcional, os resultados de sucesso encontram-se associados a
elevados níveis de incapacidade na baseline (OR=1.123; 95% IC 1.056–1.194) e a
duração da dor inferior a 12 meses (OR=2.704; 95% IC 1.138–6.424). Este modelo
explica 30.0% da variância da melhoria da funcionalidade e classifica corretamente
74.1% dos utentes (sensibilidade: 75.9%; especificidade: 72.0%). O modelo relativo à
intensidade da dor identificou apenas a associação do outcome com níveis elevados de
intensidade da dor na baseline (OR=1.321; 95% IC 1.047–1.668), explicando 7.5% da
variância da redução da mesma e classificando corretamente 68.2% dos utentes
(sensibilidade: 94.4%; especificidade: 16.7%). O modelo final referente à perceção
global de melhoria apresentou uma associação com a intensidade da dor na baseline
(OR=0.621; 95% IC 0.465–0.829), com a presença de cefaleias e/ou tonturas
(OR=2.538; 95% IC 0.987–6.526) e com a duração da dor superior a 12 meses
(OR=0.279; 95% IC 0.109–0.719). Este modelo explica 27.5% da variância dos
resultados de sucesso para este outcome e classifica corretamente 73.1% dos utentes
(sensibilidade: 81.8%; especificidade: 59.5%). Conclusões: Utentes com DCC com
elevada incapacidade na baseline e queixas de dor há menos de 12 meses apresentam
maior probabilidade de obter melhorias ao nível da incapacidade funcional. Elevados
níveis de intensidade da dor na baseline predizem resultados de sucesso na redução da
dor após sete semanas de tratamento. Utentes com DCC com baixos níveis de dor na
baseline, com cefaleias e/ou tonturas e com queixas de dor há mais de 12 meses
apresentam maior probabilidade de obter uma melhor perceção de melhoria.-----------ABSTRACT: Introduction: The influence of the characteristics of individuals with chronic neck pain
(CNP) on the prognosis of physiotherapy outcomes is still inconsistent, there being few
studies developed in this context. Aim: This study seeks to determine whether a model
based on prognostic factors can predict the short-term physiotherapy successful
outcomes in CNP patients, regarding functional disability, pain intensity and perceived
recovery. Methodology: This is a prospective cohort study with 112 participants.
Patients were assessed during the first week of treatment and seven weeks after the start
of the intervention. The instruments used were the Neck Disability Index–Portuguese
Version (NDI-PT) and the Numerical Rating Scale (NRS) at both moments of
assessment, a Sample Sociodemographic and Clinical Characterization Questionnaire at
baseline and Patient Global Impression Change Scale–Portuguese Version (PGIC-PT)
at the follow-up. The sociodemographic and clinical characteristics were included as
potential predictors of successful outcomes, and these were defined on the basis of
minimal clinically important differences (MCID) of NDI-PT (MCID≥6) and END
(MCID≥2) and the criteria score ≥5 on the PGIC-PT. Data analysis was performed
using logistic regression (backward conditional procedure) to identify associations
between predictors and outcomes (p<0.05). Results: Of the 112 participants included in
the study, 108 completed the follow-up (mean age: 51.76±10.19). In the multivariate
model of functional disability, the successful outcomes are associated with high levels
of disability at baseline (OR = 1.123; 95% CI 1.056-1.194), and pain duration shorter
than 12 months (OR=2.704; 95% CI 1.138–6.424). This model explains 30.0% of the
variance of improved functional capacity and correctly classifies 74.1% of the patients
(sensitivity: 75.9%, specificity: 72.0%). The model for pain intensity solely identified
an outcome association with high pain intensity at baseline (OR=1.321; 95% CI 1.047-
1.668), explaining 7.5% of the variance of pain reduction and correctly classifying
68.2% of the patients (sensitivity: 94.4%, specificity: 16.7%). The final model of
perceived recovery showed an association with pain intensity at baseline (OR=0.621;
95% CI 0465-0829), with the presence of headache and/or dizziness (OR=2.538; 95%
CI 0.987-6.526) and the duration of pain over 12 months (OR=0.279; 95% CI 0.109-
0.719). This model explains 27.5% of the variance of successful outcomes and correctly
classifies 73.1% of the patients (sensitivity: 81.8%, specificity: 59.5%). Conclusions:
Patients with CNP with high disability at baseline and complaints of pain for less than
12 months are more likely to obtain improvements in functional disability. High levels
of pain intensity at baseline predict successful outcomes in pain reduction after seven
weeks of treatment. Patients with CNP with low levels of pain at baseline, with
headache and/or dizziness and with pain complaints for more than 12 months are more
likely to get a better perceived recovery.
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Lai, Yen Feng, and 賴妍鳳. "The current status and changes in pain, activity of daily living, and perceived energy among elderly osteoarthritis patients undergoing unilateral total knee replacement surgery." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/7btffw.
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碩士高雄醫學大學
護理學研究所
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This study aimed to explore the current status and changes in pain, activity of daily living (ADL), and perceived energy among elderly osteoarthritis patients before and after unilateral total knee replacement surgery. A prospective, longitudinal, quasi-experimental research design was used. A convenience sample of 58 patients undergoing unilateral total knee replacement surgery was recruited. A 10-cm numerical rating scale (NRS) with face rating scale was used to measure the level of pain; the Index of Self-Report ADL was used to measure the level of ADL; the Well-Being Picture Scale (WPS) was used to measure the level of perceived energy. All participants were measured at three time points: the day before surgery, 48 hours after surgery, and the day before discharge. The results of this study showed that most of the polled participants, with a mean age of 74 years, were female, married, and had an education level below elementary school and lived with family. The mean total score of preoperative ADL was 93.76 ± 6.10, indicating partial independence in ADL; that of preoperative pain was 6.36 ± 1.88, indicating a moderate level of pain; that of preoperative perceived energy was 59.93 ± 9.44, indicating a moderate to high level of energy. The pain in elderly osteoarthritis patients significantly improved after surgery and before discharge. The highest level of ADL was reported before surgery, while a significant reduction and the lowest level of ADL were reported after surgery; the level of ADL gradually elevated before discharge. There were only slight differences in perceived energy between before and after surgery; however, a significant increase was detected before discharge. The pain scores were significantly higher (indicating greater pain) in the elderly who used assistive devices than in those who did not no matter before or after surgery or before discharge. The levels of ADL were higher in the elderly who lived in a detached dwelling than in those who lived in a bungalow at all three time points. The study findings provided an in-depth understanding of the current status and changes in pain, ADL, and perceived energy among elderly osteoarthritis patients undergoing unilateral total knee replacement surgery. The results could help medical professionals screen high-risk individuals, provide timely intervention strategies, and assist patients to return to their community as smoothly as possible.
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"A discovery process-outcome study: the roles of perceived significant events in the changes of anorexia nervosa patients and their families in family treatment." 2003. http://library.cuhk.edu.hk/record=b6073547.
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Chan Chung Yee Zenobia."August 2003."
Thesis (Ph.D.)--Chinese University of Hong Kong, 2003.
Includes bibliographical references (p. 407-438).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Mode of access: World Wide Web.
Abstracts in English and Chinese.
Books on the topic "Patient perceived changes"
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Griggs, Marcella J. HOME CARE FOLLOWING HOSPITALIZATION OF ELDERLY RURAL PATIENTS WITH CHRONIC DISEASES: AN EVALUATION OF CHANGES IN PERCEIVED HEALTH STATUS ON FLUCTUATIONS IN UTILIZATION AND COST OF FORMAL AND INFORMAL SERVICES. 1995.
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King, Daniel. Diagnosis and Pain. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198810513.003.0005.
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This chapter concludes the discussion of Greek rational medicine. It draws together some of the ways in which pain experience constituted one of the fault lines of Imperial medical culture, helping to define and solidify doctors’ understanding of themselves and their profession in a crowded marketplace of ideas and practices. Both Galen and Aretaios start from a notion of the physical perception of pain, in which patients perceive changes in their body; they then integrate this sense of physical perception into a broader sense of embodied pain experience. While Galen and Aretaios demonstrate very different approaches to this issue, what is consistent across both authors is their understanding of the relationship between pain and language, their need to navigate the way in which pain is incorporated into the clinical scenario, and the importance of understanding the experience of pain from a holistic perspective.
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Crerand, Canice E., David B. Sarwer, and Margaret Ryan. Cosmetic Medical and Surgical Treatments and Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0030.
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This chapter reviews the topic of body dysmorphic disorder (BDD) and cosmetic medical (including surgical) treatments. One of the most concerning aspects of BDD from a clinical perspective is these individuals’ pursuit of non-mental health treatments—such as surgery, dermatologic treatment, and dental treatment—for a mental health problem. The prevalence of BDD among individuals who seek cosmetic surgical and nonsurgical treatments—especially rhinoplasty—is consistently higher than BDD’s estimated prevalence in the general population. Conversely, a high proportion of persons with BDD seek aesthetic procedures to improve their perceived appearance defects. The limited literature on changes in BDD symptoms and psychosocial functioning after these treatments suggest that outcomes appear to often be poor. BDD symptom improvement is rare and, at best, temporary; there also is risk for symptom exacerbation. Provision of cosmetic treatment for BDD concerns may also involve risks for both patients and clinicians. Taken together, these findings suggest that BDD is a contraindication for cosmetic procedures. The chapter concludes with directions for future research.
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Schachter, Steven C. Non-Epileptic Seizures in Our Experience. Edited by Markus Reuber and Gregg H. Rawlings. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190927752.001.0001.
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To an outside observer, Psychogenic Non-Epileptic Seizures (PNES) look like epileptic seizures. The manifestations of PNES include collapses, impaired consciousness, and seizure-related injuries. However, unlike epileptic seizures, which are the result of abnormal electrical discharges in the brain, most PNES are an automatic psychological response to a trigger perceived as threatening. Not least because the changes in the brain that underpin PNES cannot be visualized easily with clinical tests (such as the EEG), there are many uncertainties and controversies surrounding the condition. Patients often provoke a mixture of emotions in healthcare professionals. In the authors’ previous book, In Our Words: Personal Accounts of Living with Non-Epileptic Seizures, over 100 individuals with PNES and their families wrote about their experiences with the condition. While some had positive care experiences, most were left feeling confused, angry, and abandoned by the clinicians they had encountered. Non-Epileptic Seizures in Our Experience: Accounts of Healthcare Professionals complements the previous book by presenting the perspectives of over ninety healthcare professionals from around the world. The anonymous publication format enabled many not only to share success stories but also to be open about difficulties and failures. There will be something to learn from this book for highly experienced professionals as well as for relative novices and those experiencing PNES. The hope is that this book will challenge negative attitudes surrounding the condition, improve understanding between healthcare professionals and patients, and, ultimately, advance the quality of care provided for those with PNES.
Book chapters on the topic "Patient perceived changes"
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Cheung, Elaine O., Frank J. Penedo, Judith T. Moskowitz, Betina Yanez, Sheetal M. Kircher, Shilajit D. Kundu, Sarah C. Flury, and Patricia I. Moreno. "Prospectively Examining the Effects of a Cancer Diagnosis on Patients, Spouses/Partners, and Their Relationship." In Redesigning Research on Post-Traumatic Growth, 123–46. Oxford University Press, 2021. http://dx.doi.org/10.1093/med-psych/9780197507407.003.0008.
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Patients and their caregivers commonly report positive psychological change following the diagnosis and treatment of cancer, a phenomenon referred to as perceived growth. However, most studies have examined patient and caregiver growth as separate, parallel processes, without considering their dynamic interplay or the shared interpersonal context. Furthermore, previous research is limited by cross-sectional designs that use retrospective self-report measures to capture perceived change following cancer, rather than prospective designs to capture actual, measured changes in positive traits such as character strengths (i.e., character growth). This chapter discusses the challenges involved in examining post-traumatic growth in cancer patient populations and the advantages of incorporating a dyadic process approach as opposed to solely focusing on individual-level change. A dyadic process approach will permit examination of whether disclosure, support, empathy, and cognitive processing operate as mechanisms of character growth and will discuss the need for longitudinal data to fully examine post-traumatic growth as a dyadic outcome. To further elaborate on this dyadic approach, the authors propose an expanded theoretical model to delineate the intrapersonal and shared dyadic processes that underlie character and couple growth among cancer patients and caregivers.
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Braun, Patrice. "Clever Health." In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care, 69–87. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-3990-4.ch004.
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This chapter reports on the evaluation of Clever Health, an Australian e-health project. The evaluation took place from mid-2007 through 2010 and consisted of both qualitative and quantitative approaches to capture awareness, expectations, and use of Clever Health components—which included video-conferencing for patient care, professional development, and peer support—and to compare initial perceptions and expectations to perceived changes in awareness and uptake of Clever Health components. The study found that while use of components increased at a satisfactory pace, health services and professionals struggled with change management issues, which, in turn, impacted changing work practices. Findings suggest that it is imperative to address and integrate the human factors of e-health delivery in the rollout of future e-health programs. The study proposes a robust evaluation framework for future telemedicine projects that uses a patient-centred unit of analysis and examines the costs and benefits that accrue for different stakeholders.
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Braun, Patrice. "Clever Health." In Professional Development and Workplace Learning, 1005–23. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8632-8.ch056.
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This chapter reports on the evaluation of Clever Health, an Australian e-health project. The evaluation took place from mid-2007 through 2010 and consisted of both qualitative and quantitative approaches to capture awareness, expectations, and use of Clever Health components—which included video-conferencing for patient care, professional development, and peer support—and to compare initial perceptions and expectations to perceived changes in awareness and uptake of Clever Health components. The study found that while use of components increased at a satisfactory pace, health services and professionals struggled with change management issues, which, in turn, impacted changing work practices. Findings suggest that it is imperative to address and integrate the human factors of e-health delivery in the rollout of future e-health programs. The study proposes a robust evaluation framework for future telemedicine projects that uses a patient-centred unit of analysis and examines the costs and benefits that accrue for different stakeholders.
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Hartman, Ashley, and Susannah Brown. "Synergism through Therapeutic Visual Arts." In Healthcare Community Synergism between Patients, Practitioners, and Researchers, 29–48. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0640-9.ch002.
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Oncology patients experience significant psychological distress in addition to physical symptoms associated with illness. Overwhelming emotions, negative moods, and other forms of psychological stressors are present due to uncertain future. Shock experienced after receiving diagnosis, distress associated with medical decision-making, lack of control over one's environment, and fears related to changes in lifestyle within the course of the illness are a few examples of the challenges faced by patients. Art therapy is a therapeutic treatment modality that accommodates the opportunity for patients to make autonomous decisions, organize and structure these choices, and obtain a sense of control over personal artwork as well as the therapeutic experience. In this paper, the authors explore the literature surrounding the impact of perceived control on psychological distress in oncology patients, the connection between decision-making and perceived control, and the potential for art therapy to increase perceived control through decision-making opportunities for oncology patients.
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Clark, David M. "Cognitive behaviour therapy for anxiety disorders." In New Oxford Textbook of Psychiatry, 1285–98. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0165.
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Cognitive behaviour therapy for anxiety disorders is a brief psychological treatment (1 to 16 sessions), based on the cognitive model of emotional disorders. Within this model, it is assumed that it is not events per se, but rather people's expectations and interpretations of events, which are responsible for the production of negative emotions such as anxiety, anger, guilt, or sadness. In anxiety, the important interpretations, or cognitions, concern perceived physical or psychosocial danger. In everyday life, many situations are objectively dangerous. In such situations, individuals’ perceptions are often realistic appraisals of the inherent danger. However, Beck argues that in anxiety disorders, patients systematically overestimate the danger inherent in certain situations, bodily sensations, or mental processes. Overestimates of danger can arise from distorted estimates of the likelihood of a feared event, distorted estimates of the severity of the event, and/or distorted estimates of one's coping resources and the availability of rescue factors. Once a stimulus is interpreted as a source of danger, an ‘anxiety programme’ is activated. This is a pattern of responses that is probably inherited from our evolutionary past and originally served to protect us from harm in objectively dangerous primitive environments (such as attack from a predator). The programme includes changes in autonomic arousal as preparation for flight/fight/fainting and increased scanning of the environment for possible sources of danger. In modern life, there are also situations in which these responses are adaptive (such as getting out of the path of a speeding car). However, when, as in anxiety disorders, the danger is more imagined than real, these anxiety responses are largely inappropriate. Instead of serving a useful function, they contribute to a series of vicious circles that tend to maintain or exacerbate the anxiety disorder. Two types of vicious circle are common in anxiety disorders. First, the reflexively elicited somatic and cognitive symptoms of anxiety become further sources of perceived danger. For example, blushing can be taken as an indication that one has made a fool of oneself, and this may lead to further embarrassment and blushing; or a racing heart may be taken as evidence of an impending heart attack and this may produce further anxiety and cardiac symptoms. Second, patients often engage in behavioural and cognitive strategies that are intended to prevent the feared events from occurring. However, because the fears are unrealistic, the main effect of these strategies is to prevent patients from disconfirming their negative beliefs. For example, patients who fear that the unusual and racing thoughts experienced during panic attacks indicate that they are in danger of going mad and often try to control their thoughts and (erroneously) believe that if they had not done so, they would have gone mad. Within cognitive models of anxiety disorders, at least two different levels of disturbed thinking are distinguished. First, negative automatic thoughts are those thoughts or images that are present in specific situations when an individual is anxious. For example, someone concerned about social evaluation might have the negative thought, ‘They think I'm boring’, while talking to a group of acquaintances. Second, dysfunctional assumptions are general beliefs, which individuals hold about the world and themselves which are said to make them prone to interpret specific situations in an excessively negative and dysfunctional fashion. For example, a rule involving an extreme equation of self-worth with social approval (‘Unless I am liked by everyone, I am worthless’) might make an individual particularly likely to interpret silent spells in conversation as an indication that others think one is boring. Cognitive behaviour therapy attempts to treat anxiety disorders by (a) helping patients identify their negative danger-related thoughts and beliefs, and (b) modifying these cognitions and the behavioural and cognitive processes that normally maintain them. A wide range of procedures are used to achieve these aims, including education, discussion of evidence for and against the beliefs, imagery modification, attentional manipulations, exposure to feared stimuli, and numerous other behavioural assignments. Within sessions there is a strong emphasis on experiential work and on working with high affect. Between sessions, patients follow extensive homework assignments. As in cognitive behaviour therapy for other disorders, the general approach is one of collaborative empiricism in which patient and therapist view the patient's fearful thoughts as hypotheses to be critically examined and tested.
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Doleys, Daniel M., and Nicholas D. Doleys. "The Easy but Harmful Solution." In Psychological and Psychiatric Issues in Patients with Chronic Pain, edited by Daniel M. Doleys and Nicholas D. Doleys, 127–34. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197544631.003.0015.
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This case may represent one of the common problems faced by clinicians involved in treatment patients with chronic pain. There appears to be a growing number of patients with a sense of entitlement, which manifests itself in requests to medications to address a plethora of problems. They often resist, if not resent, suggestions for lifestyle changes, (eg, exercise, diet, smoking reduction, use of nutritional supplements, stress management, etc.). They perceive and prefer pharmacological therapy (ie, chemical coping). This helps to dissolver them of any responsibility for the problems and encourages iatrogenic dependence on the medical system. Sometimes writing a prescription is the most efficient way to end on office-based consultation. This approach, however, may be detrimental to the patient in the long run.
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Mottura, Stefano, Luca Fontana, Sara Arlati, Claudia Redaelli, Andrea Zangiacomi, and Marco Sacco. "Focus on Patient in Virtual Reality-Assisted Rehabilitation." In Advances in Medical Technologies and Clinical Practice, 85–113. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9740-9.ch006.
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Since several years scientists are carrying on research about innovative systems, based on robotics, mechatronics devices and IT tools – especially the graphical ones – to support patients in rehabilitation programs for rescuing from various brain damages due to adverse events as stroke. Training sessions with a combination of robot and virtual reality (VR) lead to better rehabilitation outcomes than using only a robot and evidence from the field proved the importance of the use of VR interfaces in rehabilitation. The main aim of such a kind of environments is to monitor, motivate and drive the patient during the rehabilitation sessions. These systems mainly provide motor guidance and multimedia communication channels also measuring patients' performance and other observable variables. The approach implemented is usually based on gaming, where the patient has the key role to perform certain tasks or movements for controlling the game in the correct way and exercise the injured part. According to daily experience from physiotherapists, different aspects related to the physical and self-perceived patients' state revealed to have a fundamental role in influencing the rehabilitation session. Indeed, the treatment result depends not only on motor skills but also on patient's personal behavior and feelings that are not directly investigable, observable and measurable from outside. In other words this kind of elements can only be assessed by subjective measurements (as questions, interviews, narratives) revealing the point of view of the patient. Moreover, the emotional state has implications at different levels: on one hand, it is important to evaluate if the single rehabilitation session affects the emotional state of the patient, on the other, if the performance was influenced by this state. Some answers of a questionnaire administrated to post-stroke patients in a previous study underlined also the need for the patient to focus his/her attention on the trained body portion and the relevance of a visual feedback on movements to increase self-awareness on the action performed, avoiding any possible distraction derived from other kind of tasks and related visual/auditory stimuli. Patient-centered models of care are actually becoming increasingly common among rehabilitation clinical settings. They help to focus the therapy on improving the treatment of those deficiencies that most influence the quality of life of the patient. Another important aspect is represented by the relationship with the caregiver that in virtually assisted rehabilitation would not be direct anymore and will need to be mediated without completely loosing natural interaction. According to this patient centered vision, and in order to reduce possible side effects related to semi-automatic rehabilitation systems, it has been studied and developed a system which has not the aim of merely entertain the patient but to focalize the rehabilitation on him/her as a proactive character aware of what is happening and of the quality of the work performed.
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Andrew, Marion I., and Allan M. Cyna. "The obstetric patient." In Handbook of Communication in Anaesthesia & Critical Care. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780199577286.003.0017.
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The obstetric anaesthetist’s clinical practice is concerned with the safety of not one, but two intricately interwoven individuals, and much of this takes place in the presence of a third party—partner, friend or relative. Pregnancy and birth are natural and normal processes in the lives of most people. In this context, communication might be expected to be a matter of common sense and somewhat intuitive. How we communicate with women is a pivotal factor in determining their experience and, although recognized as such by many within the midwifery community , this is perhaps less so by doctors. Advances in medicine and changes in society over the last 100 years have resulted in a safer but, socially and technologically, a more complex experience for both women and their babies. Communication in childbirth originally occurred between women caring for each other, but this subsequently became dominated by an authoritarian medical machine, which has left some women feeling vulnerable and ‘processed’. Recognition of the importance and value of patient rights and satisfaction has been responsible for a cultural shift in many maternity units. However, the medicalization of childbirth continues to take over even when labour is proceeding normally. Anaesthetists are perfectly positioned as providers of analgesia and anaesthesia, within a multidisciplinary team, to communicate with women in a way that empowers them and supports their autonomy. Women become highly focused on the pregnancy and labour as the evidence looms ever larger in front of them. Pregnancy and childbirth usually represent a challenging psychological and physiological experience. This focus of attention on the pregnancy makes women highly suggestible to subconscious communications. For this reason, messages received can function as powerful determinants of how women perceive their pregnancy, and respond during childbirth. Central nervous system (CNS) changes occur that reduce anaesthesia requirements during pregnancy and increase hypnotizability, dissociation, daydreaming and an ability to use imagery to experience labour in a fulfilling way. There is a range of emotional responses to pregnancy. For some, there is joy and excitement, while for others there is no excitement—just fear and anxiety. Overlaying this, there may be pre-existing generalized anxiety, social concerns, obstetric problems and other complications.
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Shareef, Mahmud Akhter, Jashim Uddin Ahmed, Vinod Kumar, and Uma Kumar. "Effect of Mobile Phone SMS on M-Health." In Handbook of Research on Cultural and Economic Impacts of the Information Society, 284–96. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-8598-7.ch012.
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This chapter is engaged in identifying consumer perceptions regarding short message service (SMS) of the mobile phone as an alternative service delivery channel for Mobile-health (M-health) and studying the cultural impact of this change. In this connection, the Unified Theory of Acceptance and Use of Technology (UTAUT) model was used as the theoretical base to perceive consumer perceptions about M-health. The authors have performed an empirical study of diabetic patients in Bangladesh and Canada. Path analysis was conducted on the results of both samples. Analysis results confirmed that the UTAUT model fits quite nicely in predicting consumer perceptions of M-health-driven mobile technology. It also acknowledged that differences in cultural traits have an impact on consumer behavior.
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Cockburn, Tom, and Peter A. C. Smith. "Epilogue." In Global Business Leadership Development for the Fourth Industrial Revolution, 359–71. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-4861-5.ch015.
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This chapter presents a brief reflection on emergent themes, issues, and problematic areas chapter authors have drawn to readers' attention to and tentatively indicates some potential future directions for research and development whilst recognizing rapidly changing social mores and culture is a deep river running through diverse channels in the Lifeworlds and Workworlds of leaders today. The heroic actions of medical personnel under severely stressed hospital and patient care systems in the current Covid-19 pandemic is noted. The authors have pointed to perceived gaps in leadership regarding the uptake and understanding of digital technologies and suggested that implications include new ways of thinking and new competences for changed ways of working in the networked world of business. Crucially, the authors reiterate that these are deeply human endeavors, and the complexity of the technology does not negate or overwhelm the interactive dynamic complexity of human relations between leaders and others who inhabit and view these conjoined worlds through many cultural windows.
Conference papers on the topic "Patient perceived changes"
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Hacıoğlu Deniz, Müjgan, and Elif Haykır Hobikoğlu. "Perceived Service Quality in Public and Private Health Sector in Turkey in the Context of." In International Conference on Eurasian Economies. Eurasian Economists Association, 2011. http://dx.doi.org/10.36880/c02.00328.
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As a result of the fast and radical changes in Turkish health sector during the last ten years, a dual structure has emerged in Turkey. In this study we have tried to point out basic variables on which patient preferences towards getting health care from public or private sector depends, and also by what percentage these variables provide satisfaction to patients in the context of value-based health care system. By taking a poll we have measured the magnitude of health expenditures goes to public and private hospitals and in return of these expenditures, the level of satisfaction people get in the context of value-based health system. We have also tried to compare these two different kinds of hospitals by considering service quality and different prices. In health sector which is one of the biggest and basic sectors of Turkey, in order to achieve efficiency in using resources, we can benefit from the "value-based healthsystem" which will pave the way for optimum allocation of resources. Around the globe and especially in developed and rich countries like UK and USA, the "value-based health system" is getting more and more importance and having a crucial role in optimising resources in health industry. Considering the dual structure of health sector, people’s satisfaction level in comparison with their health expenditures was searched and end up with a conclusion about the satisfaction level according to prices charged by different hospitals.
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Knop, Michael, Marius Mueller, Henrik Freude, Caroline Ressing, and Bjoern Niehaves. "Perceived limitations of telemedicine from a phenomenological perspective." In Enabling Technology for a Sustainable Society. University of Maribor Press, 2020. http://dx.doi.org/10.18690/978-961-286-362-3.9.
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In the course of healthcare digitization, the roles of therapists and patients are likely to change. To shape a theoretical based process of technological transformation, a phenomenological perspective on Information and Communication Technology (ICT) is introduced. Therefore, this paper illustrates the benefit of a holistic view on patients and therapists to describe and explain phenomena concerning Human Technology Interaction (HTI). The differentiation between a measurable objective body and a habitual subjective body helps to evaluate and anticipate constituting factors of accepting telemedicine systems. Taking into account findings from a secondary analysis of semi-structured interviews we conducted with primary care physicians, we develop a phenomenological framework for HTI in healthcare. Our aim is to structure future research concerning design implications for ICT and the implementation of telemedicine systems in clinical and primary care.
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Schmidt, Márcia, Karine Schmidt, Vitória Silva, Filipa Waihrich, and Alexandre Quadros. "PERCEIVED STRESS IN PATIENTS WITH CORONARY ARTERY DISEASE DURING THE COVID-19 PANDEMIC." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact023.
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"Introduction: The COVID-19 pandemic has brought many routine changes to the entire Brazilian population. On mental health, individuals were observed to be increasingly susceptible to developing symptoms such as psychological stress, anxiety, and depression due to social restrictions. The psychosocial factors exerted a fundamental role in the etiology and evolution of cardiovascular diseases (CVDs), with stress being one of these factors. Objective: To evaluate the self-perceived stress on arterial coronary disease patients during the COVID-19 pandemic. Methods: Coronary artery disease patients undergoing percutaneous coronary intervention in the period between February and May 2020 at a reference hospital in cardiology were considered eligible. The patients were interviewed about their self-perceived stress through phone calls from August to December 2020. The clinical characteristics were obtained through the electronic record. The stress was evaluated using a Perceived Stress Scale – PSS-10. Those patients with a score higher than the PSS-10 average (16 points) were considered stressed. The patients were divided into groups with and without stress. The categorical variables were expressed through the frequency and percentage and analyzed by the chi-square test, and the continuous variables were described by average and standard deviation, then compared using a Student's t test. Results: A total of 501 patients were assessed for eligibility, and 200 were included. Forty-nine percent of the patients presented stress symptoms. The stressed patients were frequently younger and had a family history of premature coronary artery disease. The women were more often stressed than the men, even though both groups had a higher prevalence of stressed patients than non-stressed patients. Concerning the PSS-10 questions, the patients with stress were more frequently upset with something unexpected; they felt more often unable to control important matters in their lives, more nervous, and irritated than those without stress. They also referred to the greater difficulty they faced in controlling irritations in their lives. Finally, 50% of the stressed patients also felt very frequently that their problems had accumulated in such a manner that they could not solve them anymore, in comparison to 0.98% in the without-stress group. Conclusion: The patients with arterial coronary disease and self-perceived stress were younger and presented a family history of premature coronary disease. They had less control over their irritations and important issues in their lives, feeling overloaded and incapable of solving their problems compared to those without stress."
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Chang, Susan, Shiuann Sheng Lee, Hsieh Ching Chen, Jen Suh Chern, and Shih Shan Chen. "Performance While Crossing Obstacles in Patients With Total Hip Replacement: Comparing Pre-Operation and Post-Operation Performance." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206235.
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This study investigated the performance the patients with total hip replacement (THR) and healthy adult whiling crossing obstacles. By using a 3D motion analysis system and force plates, we measured the parameters of: (1) toe-obstacle clearance, (2) heel-obstacle clearance, (3) distance between toe and obstacle before crossing, and (4) between heel and obstacle after crossing. In the healthy adult, the results revealed that except the TD of the trailing leg (p = 0.001), other parameters were no significant difference in every crossing condition. Although the THR-patient also showed insignificant different before operation, but in the phase of 2 weeks after the operation, he could only execute the 10 cm crossing condition because of the self-perceived range of motion limitation of the hip surgery, and the performance was unsatisfied. Until the recovery stage in 6 weeks after the operation, the subject could execute all crossing activities, and there was significant difference in toe-obstacle clearance (p = 0.006) while the obstacle height changed, but the other parameters did not show difference significant, and the performances were almost near the healthy adult, with a stable crossing pattern. This study was the initial study on THR-patient, we hope that we can understand the recovery stage of these groups, and base on these results to set up better rehabilitation program after operation, and finally prevent fall in daily life.
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Bissoto, Alceu, and Sandra Avila. "Improving Skin Lesion Analysis with Generative Adversarial Networks." In Conference on Graphics, Patterns and Images. Sociedade Brasileira de Computação, 2020. http://dx.doi.org/10.5753/sibgrapi.est.2020.12986.
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Melanoma is the most lethal type of skin cancer. Early diagnosis is crucial to increase the survival rate of those patients due to the possibility of metastasis. Automated skin lesion analysis can play an essential role by reaching people that do not have access to a specialist. However, since deep learning became the state-of-the-art for skin lesion analysis, data became a decisive factor in pushing the solutions further. The core objective of this M.Sc. dissertation is to tackle the problems that arise by having limited datasets. In the first part, we use generative adversarial networks to generate synthetic data to augment our classification model’s training datasets to boost performance. Our method generates high-resolution clinically-meaningful skin lesion images, that when compound our classification model’s training dataset, consistently improved the performance in different scenarios, for distinct datasets. We also investigate how our classification models perceived the synthetic samples and how they can aid the model’s generalization. Finally, we investigate a problem that usually arises by having few, relatively small datasets that are thoroughly re-used in the literature: bias. For this, we designed experiments to study how our models’ use data, verifying how it exploits correct (based on medical algorithms), and spurious (based on artifacts introduced during image acquisition) correlations. Disturbingly, even in the absence of any clinical information regarding the lesion being diagnosed, our classification models presented much better performance than chance (even competing with specialists benchmarks), highly suggesting inflated performances.
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"Virtual Pathology Learning Resource is proving to be an effective strategy in teaching Pathology to allied health science students." In InSITE 2018: Informing Science + IT Education Conferences: La Verne California. Informing Science Institute, 2018. http://dx.doi.org/10.28945/3972.
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Aim/Purpose: [This Proceedings paper was revised and published in the 2018 issue of the journal Issues in Informing Science and Information Technology, Volume 15] The aim of this study was to concept test a novel instructional aid called Virtual Pathology Learning Resource (VPLR), which was used as a vehicle to communicate information, and enhance teaching and learning of basic sciences (Anatomy, Physiology and Pathology) to allied health science students at a South Australian university. Background: Pathology was traditionally taught using potted specimens to independently review macroscopic features of disease. However, this approach alone was found inadequate and ineffective. For one, the potted specimens were not easily accessible for all students. VPLR is a new teaching platform comprising of digitised human normal and human pathology specimens (histology, histopathology), patient case studies, short answer and critical thinking questions, and self-assessment quizzes. Using authentic learning theory as an educational approach, this learning resource was developed to enhance the teaching and learning of Pathology. Methodology: A cross-sectional study design was used. A survey, administered at the conclusion of the course, gathered qualitative and quantitative data concerning the perceptions and experiences of the students about VPLR. The online tool SurveyMonkey was utilised so that students could respond anonymously to a web link that displayed the questionnaire. The effectiveness of the program and its perceived impact on students was assessed using a 18-item questionnaire seeking agreement or disagreement with statements about VPLR, and open-ended questions querying the best things about VPLR, benefits to be derived, and areas for improvement. Descriptive and frequency analyses were performed. Contribution: The VPLR approach involved rich learning situations, contextualised content, and facilitated greater understanding of disease concepts and problems. Findings: In a sample of 103 Medical Radiation students, 42% of students (N=43) responded to the post-intervention survey. The majority of students reported highly positive effects for each component of the VPLR. The overall results indicated that this tool was an effective strategy in teaching Pathology as it assisted students' gaining knowledge and developing professional imaging skills. Recommendations for Practitioners: As students found VLPR to be beneficial, it is recommended that the same approach be applied for teaching of Pathology to other allied health students, such as Nursing. Other universities might consider adopting this innovation for their courses. Recommendation for Researchers: Applying VPLR to other allied health science students will be undertaken next. This innovation will be appropriate for other health science students with particular emphasis on case-based or problem-based learning, and combined with clinical experiences. Impact on Society: In reshaping the way of teaching a science course, students are benefited by a greater depth of understanding of content, and increase motivation with study. These are important to keep students engaged and prepared for practice. VPLR may impact on education and technology trends so that continuous exploration and possibilities of initiatives are ongoing to help students be successful learners. Other impacts are the new forms of learning discovered, and the renewed focus on group work and collaboration and the use of technology in innovation. Future Research: Future directions of this research would be to conduct a follow-up of this cohort of students to determine if the impacts of the innovation were durable, that means the change in perceptions and behaviour are sustained over time.