Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SCALE”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 991 records · Page 55Linked to original sources
PubMed1996

Instruments and methods for the quantitative measurement of factors affecting hygienist/dentist efforts during scaling and root planing of the teeth.

Manual calculus debridement through scaling accounts for a significant proportion of hygienist efforts in dental and periodontal practices. Despite this, little is quantitatively known concerning the effects of instruments, technique and treatments on debridement (scaling) efficiency or efficacy. The total work effort expended by therapists in calculus debridement results from the sum of the efforts associated with each scaling stroke. Each scaling stroke, in turn, is affected by a variety of physical forces, including those in the control of the therapist and those intrinsic to the calculus substrate. The development of procedures and treatments to facilitate easier calculus removal requires consideration of the physical and technique-related factors which contribute to hygienist effort. Instruments have recently been developed which can quantitatively measure force dynamics associated with scaling procedures, including both therapist-applied forces and forces developed due to the extreme hardness and tenacity of supra- and subgingival calculus deposits. The scaling instrument developed to quantitatively record developed forces in scaling, the Quanticalc, can be used for the assessment of techniques and treatments which can soften calculus, facilitating easier debridement. The device can also be used to instruct therapists on factors contributing to surface roughness and tactile response to these factors. The scaling instrument developed to quantitatively measure therapist applied forces in scaling, the Zappa device, can be used for assessment of techniques which can increase the efficiency of calculus removal with minimal damage to sound root substance. In this paper, the force dynamics associated with manual scaling procedures of dental professionals are defined. These force dynamics account for the total work expended by hygienists and other professionals in the important task of calculus removal. Using this as a foundation, the design, use, calibration and clinical applications of these newly developed scaling-force measurement systems are described.

Algorithms↗
PubMed2005

Development and validation of the effectiveness of [corrected] auditory rehabilitation scale.

OBJECTIVE: To develop a new scale of hearing-related function and quality of life in patients with hearing aids that addresses overlooked concerns, such as hearing-aid comfort, convenience, and cosmetic appearance, that may influence hearing-aid adherence while maintaining brevity and sensitivity to clinical change. DESIGN: Prospective, multicenter instrument validation. SETTING: Four diverse sites in Washington State, including 2 private practices, 1 university setting, and 1 Veterans Affairs hospital. PATIENTS: Seventy-eight patients with hearing aids. INTERVENTIONS: We created 2 modules in the Effectiveness of Auditory Rehabilitation (EAR) scale. The first module (Inner EAR) covers intrinsic hearing issues such as hearing in quiet and hearing in noise and is administered both before and after treatment. The second module (Outer EAR) covers extrinsic (hearing-aid related) issues such as comfort, appearance, and convenience and is administered after hearing-aid fitting. MAIN OUTCOME MEASURES: Both scales were developed and validated in 3 stages. Stage 1 used a qualitative approach from multiple data sources to develop preliminary instruments. Stage 2 used approaches from classic test theory to reduce the number of items and psychometrically validate the instruments. Stage 3 examined the responsiveness or sensitivity to clinical change. RESULTS: A 10-item Inner EAR module and a 10-item Outer EAR module were created and validated. Internal consistency of individual domains (Cronbach alpha = 0.85 and 0.72, respectively) and test-retest reliability (intraclass correlation coefficients = 0.76 and 0.81, respectively) were excellent. Evidence of construct validity included concurrent validity with other hearing scales and global visual analog scales, discriminant validity with dizziness handicap, correlation with hearing-aid adherence, and confirmatory factor analyses. Both scales had strong evidence of responsiveness (sensitivity to change), with higher effect sizes and Guyatt responsiveness statistics than the 2 widely used hearing scales in this study. The scales took an average of 5 minutes to complete. CONCLUSIONS: The EAR scale is a valid and reliable measure of the effectiveness of amplification in the treatment of sensorineural hearing loss. It addresses the range of issues that are of importance to hearing-aid patients. The scales have excellent psychometric properties, are more responsive than several widely used hearing scales, and are minimally burdensome for patients to complete. The EAR may be a valuable outcome measure in future studies of both existing hearing aids and newer hearing-aid technologies, such as bone-anchored aids or middle ear implants.

Factor Analysis, Statistical↗
PubMed1994

Measurement of quality of life in patients with lung cancer in multicenter trials of new therapies. Psychometric assessment of the Lung Cancer Symptom Scale.

BACKGROUND: This study continued the development and psychometric testing of the Lung Cancer Symptom Scale (LCSS), a disease- and site-specific instrument primarily measuring the physical and functional dimensions of quality of life for individuals with lung cancer. The instrument contains two scales, one for patients and a counterpart for health professionals as observers. METHODS: Feasibility, reliability, construct validity, and criterion-related validity were evaluated with 207 patients with non-small cell lung cancer (NSCLC) from six cancer centers. Within an interview with an observer, patients completed part of a battery of instruments by self-report and were interviewed for the remaining measures. Observers also completed measures after the interview. RESULTS: Feasibility, reliability, and validity were well supported for this lung cancer population. Feasibility was demonstrated by patient and staff compliance in completion at all six cancer centers. Internal consistency was good, with coefficient alphas of 0.82 for the patient scale and 0.75 for the observer scale. Construct validity was supported by 1. contrasted groups approach: regression lines (with 95% confidence bands) were obtained between the Karnofsky performance scale (KPS) and each of the two LCSS scales; 2. as a refinement, relationship testing: significant correlations between the LCSS and KPS for each item (except hemoptysis for the patient scale); and 3. multitrait-multimethod approach: good reliability (alphas ranging from 0.75 to 0.93), good convergent validity for the two LCSS scales (r = 0.77), and a good discriminant validity pattern from the Brief Symptom Inventory (BSI). Criterion-related validity with relevant gold standard measures (American Thoracic Society Questionnaire [ATS] and McGill Pain questionnaire, KPS, Profiles of Mood States [POMS], and Sickness Impact Profile [SIP]) was supported with significant correlations (0.40-0.67 for the LCSS patient scale; 0.54-0.65 for the LCSS observer scale). CONCLUSIONS: These psychometric properties demonstrate that the LCSS patient and observer scales are feasible, reliable, and valid quality of life measures that are ready for research and clinical use with lung cancer populations.

Adult↗
PubMed2001

Reliability and validity of a new global dyskinesia rating scale in the MPTP-lesioned non-human primate.

Behavioral rating scales for dyskinesia in the non-human primate are frequently used to assess the efficacy of new treatments and to provide a clinical correlative with neurochemical and neuropathological changes. Although a large variety of different scales have been used in non-human primate studies, there is no single standardized scale, and none have been evaluated for reliability and validity. We are reporting a new global non-human primate dyskinesia rating scale (GPDRS) for the squirrel monkey, developed in the context of an independent study of dyskinesia. In this report we demonstrate the reliability and validity of this scale. The GPDRS is a single-item scale with well-defined points and brevity allowing for rapid and easy application for assessing the overall degree of dyskinesia. In this study, seven MPTP-lesioned and four non-lesioned (control) non-human primates were videotaped following treatment with either levodopa or water. To test inter- and intra-rater reliability, three examiners rated the videotape independently at two different time points and these assessments were compared. The validity of the scale was tested in two phases. First, examiners rated the videotape using the GPDRS and the Abnormal Involuntary Movement Scale (AIMS), a scale commonly used to rate dyskinesia in the non-human primate, and the ratings from each scale were compared. Second, validity was tested in the context of an independent dyskinesia study, in which the scale was used to distinguish between two treatment groups. The GPDRS was shown to have high inter- and intra-rater reliability and to be valid for the assessment of dyskinesia in the squirrel monkey. In this report we also demonstrate the inter- and intra-rater reliability of the AIMS.

1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine↗
PubMed2006

Cosmetic outcomes following breast conservation therapy: in search of a reliable scale.

INTRODUCTION: Multiple scales to evaluate breast cosmesis following breast conserving treatment (BCT) have been developed, however reliability is a problem. Panel scores, where scores from two or more individuals are combined, were assessed to examine their effect on reliability for two different cosmetic scales. METHODS: Women, two or more years following BCT, were recruited from a single breast centre. Photographs of each participant were evaluated independently by six health care professionals on two separate occasions. A simple four-point scale and more involved multi-item scale were used to assess cosmetic outcome. Reliability was assessed with the weighted kappa statistic for increasing panel sizes. RESULTS: Ninety-nine women were evaluated. Intra rater reliability increased from 0.73 to 0.83 for the four-point scale, for increasing panel sizes, however 95% confidence intervals generally overlapped. A smaller and more unpredictable effect was seen on the multi-item subscale, range 0.69 to 0.73. Inter rater reliability increased from 0.68 to 0.93 for the four-point scale, and 0.75 to 0.96 for the multi-item scale, for increasing panel sizes; 95% confidence intervals did not overlap. A panel of three for either scale provided almost perfect kappa values with only small improvements with larger panel sizes. CONCLUSIONS: Care should be used in interpreting results where cosmetic outcomes have been obtained from a single evaluator. Panel scores can be used to significantly improve inter-rater, but not intra rater reliability, for the scales studied. Comparable reliability, in combination with simplicity of use and interpretation, would favour the four-point scale for breast cosmetic evaluation over the multi-item scale.

Breast Neoplasms↗
PubMed1995

Fine-to-coarse scale disambiguation in stereopsis.

Spatial frequency selectivity has been incorporated into various theories of stereo matching, along with spatial scale interactions operating from coarse-to-fine spatial scales. We concentrate here on the role of fine scale information in the stereo matching process and show that fine scale information is capable of disambiguating matches made at coarser scales. An ambiguous coarse scale stimulus was created by presenting a low frequency (2 c/deg) sine wave in anti-phase to the two eyes, whose endpoints betrayed no information about which way the sine waves should be matched. It could be seen with crossed or uncrossed disparity equally validly and at chance from trial to trial. To this was added a fine scale (8 c/deg) filtered random dot stimulus specifying unambiguously a certain disparity. Observers judged the apparent depth of the two stimuli as the disparity of the fine scale stimulus was varied. The sine wave was usually perceived to have the same sign disparity as the fine scale stimulus. Depth matching with the two superimposed stimuli confirmed that the coarse scale stimulus was actually disambiguated, and seen with disparities equal to half its spatial period. The results suggest the operation of a cross-spatial scale matching disambiguation process, which can operate in a fine-to-coarse fashion.

Contrast Sensitivity↗
PubMed1992

Validity of the Sickness Impact Profile Roland scale as a measure of dysfunction in chronic pain patients.

This study examined the reliability and validity of the Roland scale (taken from the Sickness Impact Profile: SIP) as a measure of dysfunction among chronic pain patients. One hundred forty-four subjects completed the SIP when they were screened for admission to an inpatient pain management program. One hundred sixteen subjects were subsequently re-administered the SIP at admission to inpatient treatment. A 3-month post-treatment administration of the SIP was performed for 52 of these subjects. Roland scale scores were calculated from the SIP for each patient. Test-retest stability coefficients indicated that the SIP Roland scale was generally as reliable as the SIP Total, Physical, and Psychosocial scale scores. Consistent with previous research, correlational analyses indicated that the SIP Roland scale is strongly associated with the SIP Physical but not the SIP Psychosocial scale. The SIP Roland scale and the other SIP scales demonstrated similar sensitivity to changes associated with multidisciplinary inpatient treatment for chronic pain. Finally, the pattern of relationships between the SIP Roland scale and several pain-related measures supported the concurrent validity of the SIP Roland scale. The results of the analyses were very similar for patients presenting with and without low back pain. The study supports the reliability and validity of the SIP Roland scale items for assessing dysfunction of chronic pain patients with pain in sites other than the low back as well as those with low back pain.

Adult↗
PubMed2006

Psychometric evaluation of the original and Canadian French version of the activities-specific balance confidence scale among people with stroke.

OBJECTIVE: To evaluate the internal and absolute reliability and construct validity of the Activities-Specific Balance Confidence (ABC) scale and a new Canadian French version (ABC-CF) of it among people with stroke. DESIGN: Cross-sectional data from a randomized controlled trial. SETTING: Community. PARTICIPANTS: Ninety-one people with a residual walking deficit between 57 and 386 days poststroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The ABC and ABC-CF scales, Berg Balance Scale (BBS), comfortable and maximum gait speeds, Timed Up & Go (TUG) test, 6-minute walk test (6MWT), Barthel Index, physical function scale of the Medical Outcomes Study 36-Item Short-Form Health Survey, Geriatric Depression Scale (GDS), and the EQ-5D visual analog scale (EQ VAS). RESULTS: Internal consistency (Cronbach alpha) was .94 and .93 and the standard error of measurement was 5.05 and 5.13 for the ABC (n=51) and the ABC-CF (n=35) scales, respectively. Spearman rho values ranged from .30 to .60 for the ABC scale and from .45 to .68 on the ABC-CF scale for associations with scores on the BBS, comfortable and maximum gait speeds, TUG, 6MWT, Barthel Index, physical function scale, GDS, and EQ VAS. CONCLUSIONS: Evidence of internal and absolute reliability and of construct validity of the ABC and the ABC-CF scales supports their use for cross-sectional measurements of balance self-efficacy among community-dwelling people in the first year poststroke.

Adult↗
PubMed2005

Predicting pressure ulcer risk with the modified Braden, Braden, and Norton scales in acute care hospitals in Mainland China.

The aim of this study was to develop a modified Braden scale, to evaluate its predictive validity, and to identify a more valid pressure ulcer risk calculator for application in acute care hospitals in Mainland China among the modified Braden, Braden, and Norton scales. The initial modified Braden scale, with the addition of skin type and body build for height, was proposed in this study. Four hundred twenty-nine subjects who were admitted to two acute care hospitals in Mainland China within 24 hr and free of pressure ulcers upon admission were assessed with the initial modified Braden, Braden, and Norton scales by three nurse assessors. This was followed by a daily skin assessment to note any pressure ulcer by a nurse assessor. Nine subjects had pressure ulcers detected at Stages I (89%) and II (11%) after an average stay of 11 days. The descriptive analysis of each subscale scoring item in the initial modified Braden scale indicated that skin type and body build for height were the most distinct predictive factors whereas nutrition was the least distinct factor for predicting pressure ulcer development. Based on these findings, the modified Braden scale was further developed with the addition of skin type and body build for height and by exclusion of nutrition. The predictive validity test reported that the modified Braden scale demonstrated a better balance of sensitivity (89%) and specificity (75%) at a cutoff score of 16, with a higher positive predictive value (7%), than the Braden and Norton scales. This finding revealed that for this sample, the modified Braden scale is more effective in pressure ulcer risk prediction than the other two scales. Because the modified Braden scale is not 100% sensitive and specific, to increase clinical efficacy in the prevention of pressure ulcer, it is recommended that it be adopted combined with nursing judgment to predict pressure ulcer development in acute care settings in Mainland China.

Activities of Daily Living↗
PubMed2004

Development and testing of a labeled magnitude scale of perceived satiety.

Satiety ratings are often made using VAS or simple category scales. In order to establish a simple, more quantitative technique to index perceived hunger and/or fullness, research was undertaken to develop and test a labeled magnitude scale of satiety. Thirty-seven subjects rated the semantic meaning of 47 phrases describing different levels of hunger/fullness using magnitude estimation. Eleven phrases were then selected using criteria of response consistency, symmetry, bipolarity, and inclusion of the end-point anchors of 'greatest imaginable hunger (fullness)'. These phrases were placed along a vertical line scale at positions corresponding to their geometric mean magnitude estimates to create a labeled magnitude scale of satiety. This Satiety Labeled Intensity Magnitude (SLIM) scale was compared to VAS scales for sensitivity and reliability in two studies. In one image-based study, ANOVA with post-hoc tests showed the SLIM scale to have greater sensitivity and to have an average reliability coefficient of 0.90. In a second study using three different foods replicated on two consecutive weeks, reliability was found to be highest for the SLIM scale. It is concluded that the SLIM scale is a sensitive, reliable, and easy-to-use scale for measuring perceived satiety that has several advantages over other, more commonly used satiety scales.

Female↗
PubMed2005

Molar scaling in strepsirrhine primates.

We examined how maxillary molar dimensions change with body and skull size estimates among 54 species of living and subfossil strepsirrhine primates. Strepsirrhine maxillary molar areas tend to scale with negative allometry, or possibly isometry, relative to body mass. This observation supports several previous scaling analyses showing that primate molar areas scale at or slightly below geometric similarity relative to body mass. Strepsirrhine molar areas do not change relative to body mass(0.75), as predicted by the metabolic scaling hypothesis. Relative to basicranial length, maxillary molar areas tend to scale with positive allometry. Previous claims that primate molar areas scale with positive allometry relative to body mass appear to rest on the incorrect assumption that skull dimensions scale isometrically with body mass. We identified specific factors that help us to better understand these observed scaling patterns. Lorisiform and lemuriform maxillary molar scaling patterns did not differ significantly, suggesting that the two infraorders had little independent influence on strepsirrhine scaling patterns. Contrary to many previous studies of primate dental allometry, we found little evidence for significant differences in molar area scaling patterns among frugivorous, folivorous, and insectivorous groups. We were able to distinguish folivorous species from frugivorous and insectivorous taxa by comparing M1 lengths and widths. Folivores tend to have a mesiodistally elongated M1 for a given buccolingual M1 width when compared to the other two dietary groups. It has recently been shown that brain mass has a strong influence on primate dental eruption rates. We extended this comparison to relative maxillary molar sizes, but found that brain mass appears to have little influence on the size of strepsirrhine molars. Alternatively, we observed a strong correlation between the relative size of the facial skull and relative molar areas among strepsirrhines. We hypothesize that this association may be underlain by a partial sharing of the patterning of development between molar and facial skull elements.

Animals↗
PubMed2006

Brief and distinct empirical sleepiness and fatigue scales.

OBJECTIVE: Sleepiness and fatigue are conceptually distinct but pervasively confounded in research, measurement instruments, clinical settings, and everyday spoken language. The purpose of the present study was to construct two scales that represent unconfounded measures of sleepiness and fatigue, using widely used questionnaires. METHOD: Four questionnaires purporting to measure sleepiness [Stanford Sleepiness Scale (SSS); Epworth Sleepiness Scale (ESS)] or fatigue [Fatigue Severity Scale (FSS); Chalder Fatigue Scale (CFS)] were administered, as well as a battery measuring sleep, psychological, and health functioning variables, to three samples: 19 individuals with chronic fatigue syndrome, 14 with narcolepsy, and 11 normal control subjects. RESULTS: Analyses revealed two distinct sets of items (six sleepiness and three fatigue items) that were combined into two scales. These newly formed scales are only minimally correlated and represent separate constructs that have reasonably distinctive patterns of association. Findings were replicated and validated in a sample of 128 older individuals complaining of daytime sleepiness and/or fatigue. CONCLUSIONS: We conclude that (a) it is possible to derive empirically distinct sleepiness and fatigue scales from existing, commonly used self-report instruments, (b) the Empirical Sleepiness Scale is limited to the experience of daytime sleep tendency, while (c) the Empirical Fatigue Scale is associated more broadly with insomnia, psychological maladjustment, and poorer perceived health function. The important clinical implication of the new Empirical Sleepiness and Fatigue Scales is in the ability to identify "sleepiness which is not fatigue," a construct closely related to primary sleep disorders, such as sleep apnea/hypopnea syndrome, for which there is both available and effective treatment.

Adult↗
PubMed2005

Phosphorus dynamics observed through increasing scales in a nested headwater-to-river channel study.

The hypothesis that the dynamic patterns of phosphorus (P) transport at plot scale are similar to the patterns that could be observed quasi-simultaneously (i.e., approximately at the same time) at a river basin scale, in terms of inputs and dilution of P, across a range of rainfall and runoff conditions, was tested. From this information, it was hoped to be able to make some simple inferences about the connectivity or mass flux of P transport between the different scales of observation. An intensive study using 30-m2 plots, 1-ha plots and nested river channel sites ranging in scale from 20 ha up to a maximum of 834 km2 in the River Taw basin, South West England, UK, was conducted with three campaigns under differing flow conditions: (1) a zero rainfall base flow period, (2) a 10-mm rainfall residual flow period, and (3) a 42-mm rainfall storm flow period. The mass flux of total P ranged from 49 kg during base flow to 4 tonnes during the storm period at the largest 834 km2 scale. During base flow conditions, total phosphorus (TP) concentrations from diffuse sources were low (26 microg L-1 in the upper catchment) and reactive P forms dominated the fractions filtered <0.45 microm. During storm flow, concentrations of TP increased at all scales within the drainage basin, to a maximum of 500 microg L-1 and were sufficient to override the effect of any point source inputs of P. Unreactive (i.e., mostly 'organic') forms of P dominated the fractions that were >0.45 microm during residual flows and storm flows. Spatially normalised discharge apparently decreased with increasing scale, most notably during storm flow conditions and this implies that there is some storage of water through the catchment and in part may reflect varying velocities of water in different pathways. Most attenuation and dilution of P appeared to occur at larger scales, whilst the hydrological connectivity between source areas and receiving waters was greatest at smaller scales (<20 ha), and during the highest flows. The importance of diffuse agricultural sources in contributing to P export through the basin was dominated by dynamic temporal changes in hydrological activity, with a 'piston pushing' effect of particulate associated P through the basin as it wets up in response to rainfall input. We concluded that the processes of P transfer are different at different scales. However, some uncertainties of spatial heterogeneity around the catchment underlie the difficulties in dealing with scale and thus more data and studies of this nature are required.

Agriculture↗
PubMed2006

Sorption of phosphorous to Filtralite-P--the effect of different scales.

Sorption of P to the filter material Filtralite-P was examined at a small, medium and large scale. In the small- and meso-scale laboratory models, the sorbed amount of total phosphorus (P) was heterogeneously distributed with more P sorbed in the inlet zone and the bottom layers. The full-scale system had, on the other hand, the highest sorbed concentration in the outlet region. The overall P sorption capacity of the material was 8030, 4990 and 521 mg P kg(-1) Filtralite-P for Box 1, Box 2 and meso scale, respectively. This equals 4.4, 2.8 and 0.29 kg P m(-3) material, respectively. However, the maximum sorption capacities found were 2500, 3887 and 4500 mg P kg(-1) Filtralite-P for the two small-scale box systems and the meso-scale container, respectively. In the full-scale system the overall P sorption capacity of the material was 52 mg P kg(-1) Filtralite-P (0.029 kg P m(-3) Filtralite-P with a maximum sorbed amount of P of 249 mg P kg(-1). Results from both the small- and meso-scale system show that when a constructed wetland (CW) is saturated, i.e. when the outlet concentration has reached its maximum allowed concentration of 1.0 mg P l(-1), only parts of the filter material will have reached the sorption capacity. Sequential extractions of Filtralite-P showed that the loosely bound P, Ca-P and Al-P were the primary P sorption pools both in the small-scale models and in the full-scale CW. However, the proportion of these three fractions varied with time and change in pH. A white product precipitated in the outlet zone of both the small-scale box models as well as the onsite CW. The surface of these precipitation particles was identified by X-ray diffraction and SEM method as CaCO3 and precipitated Ca- and Mg-phosphates.

Filtration↗
PubMed1991

The initial expression and patterned appearance of tenascin in scutate scales is absent from the dermis of the scaleless (sc/sc) chicken.

Morphogenesis of the anterior metatarsal skin (scutate scale region), from 9.5 to 12 days of development, results in the formation of orderly patterned scale ridges. It is after the initial formation of the Definitive Scale Ridge that the characteristic outer and inner epidermal surfaces differentiate. The hard, plate-like beta stratum, with its unique beta keratins, characterizes the epidermis of the outer surface, while the epidermis of the inner surface elaborates an alpha stratum. The anterior metatarsal region of the scaleless mutant does not undergo scale morphogenesis. Therefore, scale ridges do not form nor do the outer and inner epidermal surfaces with their characteristic beta and alpha strata. We have found that the extracellular matrix molecule, tenascin, first appears in the scutate scale dermis at 12 days of development when the scale ridge is established. Tenascin is found in the dermis only under the scale ridge and is not associated with the dermal-epidermal junction. Tenascin is not found in scaleless anterior metatarsal dermis at this time. As outgrowth of the Definitive Scale Ridge takes place, tenascin distribution correlates closely with the formation of the outer epidermal surface of each scale ridge. By 16 days of development tenascin is also found in close association with the dermal-epidermal junction. Tenascin does not appear in scaleless anterior metatarsal dermis until 16 days of development and then it is randomly and sparsely distributed at the dermal-epidermal junction. Tenascin's initial appearance and pattern of distribution in the scutate scale dermis and its abnormal expression in the scaleless dermis suggest that morphogenesis plays a significant role in regulation of its expression.

Animals↗
PubMed2000

Validity and reliability of the braden scale and the influence of other risk factors: a multi-centre prospective study.

The Braden scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sores. However, not all studies show that the sensitivity and specificity of this scale is sufficient. This study, therefore, investigated whether adding new risk factors can enhance the sensitivity and specificity of the Braden scale. The Braden scale was tested in a prospective multi-centre design. The nurses of 11 wards filled in the Braden scale every 5 days for each patient who was admitted without pressure sores and who had a probable stay of at least 10 days. Based on a literature study and in-depth interviews with experts, the Braden scale was extended by the risk factor blood circulation. In addition, other risk factors, which are more or less stable patient characteristics, were measured during the admission of the patient. Independent research assistants measured the presence of pressure sores twice a week. As the external criterion for the risk of developing pressure sores, the presence of pressure sores and/or the use of preventive activities was used. Results showed that the original Braden scale was a reliable instrument and that the sensitivity and specificity was sufficient. However, reformulating the factors moisture and nutrition, and adding the risk factor age could enhance the sensitivity and specificity. Furthermore, results showed that the factors sensory perception, and friction and shear were especially important risk factors for the Braden scale. In fact, using only the factors sensory perception, friction and shear, moisture (a reformulated factor) and age give the highest explained variance of the risk of developing pressure sores. The added risk factor blood circulation, did not enhance the sensitivity and specificity of the original Braden scale. Suggestions are given on how to use risk assessment scales in practice.

Analysis of Variance↗
PubMed2003

Scaling of letter size and contrast equalises perception across eccentricities and set sizes.

Double E(2)N(2) scaling, i.e. magnifying size and contrast, allows modelling of the deterioration of face recognition performance with increasing eccentricity (E) and the size (N) of the set from which a target face has to be identified. E(2) and N(2) values represent the eccentricities and set sizes at which stimulus size and contrast must double in order to keep performance unchanged, whilst parameter K represents the multiplicative interaction between E and N. In the current study we investigated whether double E(2)N(2) scaling can model performance deterioration with increasing eccentricity and set size in letter perception too. Contrast sensitivity for letter perception was investigated as a function of letter size at N=1-8 and E=0 degrees -10 degrees. The superimposition of contrast sensitivity functions produced two scaling surfaces, one for letter size and another for contrast, which allowed modelling of the changes in letter perception with increasing E and N. With increasing eccentricity/set size the change of scale was much faster for contrast than letter size. Thus, in letter perception, contrast scaling was more important than spatial scaling. When compared with face perception, the change of spatial scale with increasing eccentricity was slower for letters whereas the change of contrast scale was similar for both. With increasing set size the changes of both spatial and contrast scales are faster for faces. In spatial scaling the interaction between eccentricity and set size was similar for letters and faces whereas in contrast scaling letters showed no interaction. Thus, letter perception was less affected by eccentricity and set size than face perception.

Adult↗
PubMedDate not supplied

Validation of the French version of the Fecal Incontinence Quality-of-Life (FIQL) scale.

INTRODUCTION: The aim of this multicenter study was to validate the French version of the fecal incontinence quality-of-life scale (FIQL scale) developed in the Unites States of America. PATIENTS AND METHODS: The FIQL scale has 29 items in four scales: lifestyle, coping/behavior, depression/self-perception and embarrassment. Each item is scored from 1 to 4, with poorest quality-of-life scored 1. An average is calculated for each scale. After linguistic validation of the questionnaire, the French version of the FIQL scale was tested twice, at day 0 and day 7, by 100 patients with fecal incontinence (FI). Construction validity, internal reliability, clinical validity and reproducibility were analysed. RESULTS: Analysis of convergent validity of the French version of the FIQL scale showed very good correlation between items and the corresponding scale for lifestyle (0.50-0.79) and depression/self-perception (0.44-0.74), good correlation for coping/behavior (0.31-0.70) and weak correlation for embarrassment (0.30-0.40). Valid discrimination was observed for 24 of the 29 items. Internal reliability was good for each scale (alpha Cronbach between 0.78 and 0.92). Scores determined with the FIQL scale were significantly correlated with Wexner FI scores, demonstrating the clinical validity of the instrument. Reproducibility, evaluated in patients whose FI was unchanged between day 0 and day 7, was good with intraclass correlation coefficients ranging from 0.80 (embarrassment) to 0.93 (lifestyle). CONCLUSIONS: The linguistic and psychometric evaluation demonstrated the validity of the French version of the FIQL scale. This standardized instrument is now available for clinical use in France for quality-of-life assessment in patients with FI.

Adult↗