The Relation of Caregiver Demand to Adjustment Outcomes in Children With Cancer: The Moderating Role of Parenting Stress

This study investigated the relation of caregiver demand (CD) and parenting stress (PS) to child adjustment in a pediatric cancer sample. Mothers of children with cancer completed measures of PS and CD and rated their child's emotional, behavioral, and social adjustment. PS emerged as an independent predictor of the child's emotional, behavioral, and social adjustment; and moderated the relation between CD and child internalizing problems (IP). Contrary to expectations, children evidenced fewer IP under conditions of high CD and low PS, and more IP under conditions of low CD and low PS.     

The effect of monocular deprivation on unihemispheric sleep in light and dark incubated/reared domestic chicks

Unihemispheric sleep is an aspect of the cerebral lateralization of certain species of birds. During sleep, domestic chicks (Gallus gallus) show brief periods of monocular-unihemispheric sleep (Mo-Un sleep): one eye is open and the connected hemisphere is awaken while the other eye remains shut and the connected hemisphere sleeps. The time spent in Mo-Un sleep was investigated following a brief monocular deprivation (MD) in chicks hatched from eggs incubated in darkness and reared in light (D-L), incubated in light and reared in light (L-L) and incubated in darkness and reared in darkness (D-D). The right eye occluded for 12?h in half of chicks and the left eye in the other half. At the end of MD, the Mo-Un sleep was recorded. The effect of MD (total time and time bias) prevailed in determining the pattern of Mo-Un sleep. Chicks showed more time sleeping with the eye/hemisphere that was in control of visual behaviour during MD and opened more time the eye and awake the hemisphere visually deprived. The Mo-Un pattern was not influenced by incubation, rearing, symmetry/asymmetry of visual pathways and imprinting thereby indicating that Mo-Un sleep pattern depends only on the kind of visual experience during wakefulness.     

Visual estimation of shoulder posture: accuracy and reliability across five planes of motion

Background: Visual estimation is still widely used by physiotherapists in clinical practice. The accuracy and reliability of visual estimation are under question and vary with the joint being evaluated. The utility of using visual estimation to evaluate shoulder angular posture is inconclusive and has yet to be evaluated across a comprehensive range of planes and postures.

Objective: The purpose of this observational, cross-sectional study was to determine whether visual estimation is an accurate and reliable procedure for determining shoulder angular postures in a range of shoulder motions.

Methods: Sixty-three physical therapy students viewed digital photographs of an asymptomatic volunteer to visually estimate degrees of arm abduction, flexion, extension, internal rotation, and external rotation. Six photographs from each plane of movement were shown, at positions spanning the available range of motion, and participants were asked to estimate the angular posture. Estimates were averaged, and errors from computer measurements were calculated. Differences between estimates and measurements were determined with t-tests.

Results: The overall accuracy of the visual estimates is considered poor to fair. Root mean square errors were reasonable, from 5° to 17°, but the 95% spread of the data reached a maximum of 53°. Estimates were most accurate at the abduction and flexion postures closest to 90°. Most estimates for extension were underestimated, while more internal rotation estimates were overestimated. Reliability ranged from poor to fair (0.12–0.63).

Conclusions: Using visual estimation to evaluate shoulder planar postures results in a wide range of error. Physiotherapy students should be encouraged to use more objective measurement methods.