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Sara Rosenblum Sarina Goldstand Shula Parush 《The American journal of occupational therapy》2006,60(1):28-39
OBJECTIVES: Handwriting is a work activity for children, hence it may be evaluated based on ergonomic factors. This study investigated whether nonproficient handwriters could be distinguished by biomechanical ergonomic factors during handwriting, as well as by measures of handwriting efficiency. Furthermore, the relationships among ergonomic factors, handwriting quality, efficiency, and measures of the handwriting process were examined. METHODS: Fifty proficient and 50 nonproficient third-grade handwriters performed a handwriting task on an electronic tablet. Biomechanical ergonomic factors, measures of handwriting quality, and efficiency were rated using the Hebrew Handwriting Evaluation. Handwriting process measures were obtained from a computerized system. RESULTS: Biomechanical ergonomic factors and handwriting efficiency measures significantly differentiated between the study groups. Significant correlations were found among ergonomic factors and handwriting quality, efficiency, and process measures. CONCLUSION: Nonproficient handwriting is a work activity that is often characterized by inferior biomechanical ergonomics, handwriting quality, efficiency, and significantly different handwriting process measures. Results provide insights that can assist in planning intervention. 相似文献
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Sarina R. Isenberg Rebecca A. Aslakson James N. Dionne-Odom Katherine Clegg Smith Sarabdeep Singh Susan Larson John F.P. Bridges Thomas J. Smith Jennifer L. Wolff Debra L. Roter 《Patient education and counseling》2018,101(6):1066-1074
Objective
To examine the association between family companion presence during pre-surgical visits to discuss major cancer surgery and patient-provider communication and satisfaction.Methods
Secondary analysis of 61 pre-surgical visit recordings with eight surgical oncologists at an academic tertiary care hospital using the Roter Interaction Analysis System (RIAS). Surgeons, patients, and companions completed post-visit satisfaction questionnaires. Poisson and logistic regression models assessed differences in communication and satisfaction when companions were present vs. absent.Results
There were 46 visits (75%) in which companions were present, and 15 (25%) in which companions were absent. Companion communication was largely emotional and facilitative, as measured by RIAS. Companion presence was associated with more surgeon talk (IRR 1.29, p?=?0.006), and medical information-giving (IRR 1.41, p?=?0.001). Companion presence was associated with less disclosure of lifestyle/psychosocial topics by patients (IRR 0.55, p?=?0.037). In adjusted analyses, companions’ presence was associated with lower levels of patient-centeredness (IRR 0.77, p 0.004). There were no differences in patient or surgeon satisfaction based on companion presence.Conclusion
Companions’ presence during pre-surgical visits was associated with patient-surgeon communication but was not associated with patient or surgeon satisfaction.Practice implications
Future work is needed to develop interventions to enhance patient-companion-provider interactions in this setting. 相似文献38.
Prospective transfrontal sheep model of skull‐base reconstruction using vascularized mucosa
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Sarina K. Mueller MD George Scangas MD Mansor M. Amiji PhD Benjamin S. Bleier MD 《International forum of allergy & rhinology》2018,8(5):614-619
Background
No high‐fidelity animal model exists to examine prospective wound healing following vascularized reconstruction of the skull base. Such a model would require the ability to study the prospective behavior of vascularized mucosal repairs of large dural and arachnoid defects within the intranasal environment. The objective of this study was to therefore develop and validate a novel, in vivo, transfrontal sheep model of cranial base repair using vascularized sinonasal mucosa.Methods
Twelve transfrontal craniotomy and 1.5‐cm durotomy reconstructions were performed in 60‐kg to 70‐kg Dorset/Ovis Aries sheep using vascularized mucosa with or without an adjunctive Biodesign? underlay graft (n = 6 per group). Histologic outcomes were graded (scale, 0 to 4) by a blinded veterinary histopathologist after 7, 14, and 28 days for a range of wound healing parameters.Results
All sheep tolerated the surgery, which required 148 ± 33 minutes. By day 7, the mucosa was fully adherent with complete partitioning of the sinus and intracranial compartments. Fibroblast infiltration and flap neovascularization scores significantly increased between day 7 (0.3 ± 0.5 and 0.0 ± 0.0) and day 28 (4.0 ± 0.0, p = 0.01 and 2.0 ± 0.8, p = 0.01; respectively), while hemorrhage scores significantly decreased from 2.5 ± 0.6 to 0.0 ± 0.0 (p = 0.01). The inflammatory scores were not significantly different between the heterologous graft and control sides.Conclusion
The described sheep model accurately reflects prospective intranasal wound healing following vascularized mucosal reconstruction of dural defects. This model can be used in future studies to examine novel reconstructive materials, tissue glues, and transmucosal drug delivery to the central nervous system.39.
Intelligence quotient improves after antiepileptic drug withdrawal following pediatric epilepsy surgery
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![点击此处可从《Annals of neurology》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Kim Boshuisen MD Monique M. J. van Schooneveld MSc Cuno S. P. M. Uiterwaal MD PhD J. Helen Cross MD PhD Sue Harrison MSc Tilman Polster MD Marion Daehn MSc Sarina Djimjadi MSc Dilek Yalnizoglu MD Guzide Turanli MD Robert Sassen MD Christian Hoppe MSc PhD Stefan Kuczaty MD Carmen Barba MD PhD Philippe Kahane MD PhD Susanne Schubert‐Bast MD Gitta Reuner MSc PhD Thomas Bast MD PhD Karl Strobl MD Hans Mayer PhD Anne de Saint‐Martin MD Caroline Seegmuller MD Agathe Laurent MSc Alexis Arzimanoglou MD PhD Kees P. J. Braun MD PhD for the TimeToStop cognitive outcome study group 《Annals of neurology》2015,78(1):104-114
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Filip Janku Philipp Angenendt Apostolia M. Tsimberidou Siqing Fu Aung Naing Gerald S. Falchook David S. Hong Veronica R. Holley Goran Cabrilo Jennifer J. Wheler Sarina A. Piha-Paul Ralph G. Zinner Agop Y. Bedikian Michael J. Overman Bryan K. Kee Kevin B. Kim E. Scott Kopetz Rajyalakshmi Luthra Frank Diehl Funda Meric-Bernstam Razelle Kurzrock 《Oncotarget》2015,6(27):24581