118 research outputs found
sj-pdf-1-arr-10.1177_20584601211062078 – Supplemental Material for Intra- and inter-rater reliability of compressed breast thickness, applied force, and pressure distribution in screening mammography
No full textSupplemental Material, sj-pdf-1-arr-10.1177_20584601211062078 for Intra- and inter-rater reliability of compressed breast thickness, applied force, and pressure distribution in screening mammography by Martina Voigt, Anetta Bolejko and Magnus Dustler in Acta Radiologica Open</p
Psychosocial consequences of false-positive mammography among women attending breast cancer screening. Assessment, prediction, and coping.
No full textOne side-effect of breast cancer (BC) screening is a false-positive mammogram among healthy women. That is, finding(s) on a screening mammogram that lead to additional breast examinations but where the woman is eventually considered free from BC. There is evidence of short-term psychosocial consequences of false-positive BC screening. Regarding long-term consequences, research findings are inconsistent. Lack of validated condition-specific questionnaires targeting such consequences has been postulated as a potential reason for the inconsistencies. Therefore, the Consequences of Screening - Breast Cancer (COS-BC) questionnaire was developed in Denmark. However, before the COS-BC can be used for studying psychosocial consequences of false-positive BC screening across countries, it needs to be adapted and psychometrically (validity and reliability) tested therein. Furthermore, studies of prediction of long-term psychosocial consequences of false-positive BC screening and coping with such consequences might identify women at risk as well as interventions to prevent consequences of screening. Thus, the aim of this thesis was to validate measures of and study the psychosocial consequences of false-positive mammography among women in a Swedish breast cancer screening programme, and to explore how women cope with such a situation. Interviews with 26 women experiencing false-positive screening mammography (Paper I) provided support for the content validity of a Swedish version of the COS-BC; questionnaire items were generally found relevant, understandable, and covering the psychosocial consequences of false-positive BC screening. Psychometric tests (Paper II) of the COS-BC among 1442 women with false-positive or negative mammography demonstrated support for five COS-BC scales (Sense of dejection, Anxiety, Behavioural, Sleep, and Existential values) for cross-sectional and longitudinal group assessments. The remaining seven COS-BC scales should be used more cautiously. One year follow-up study (Paper III, framework) of 399 recalled women and 449 controls showed that women experience psychosocial consequences targeted by the COS-BC scales, except for breast self-examination consequences. Early recall for subsequent mammography demonstrated the strongest prediction of long-term consequences. Dissatisfaction with information at recall, worry about BC, lack of social support, and being foreign-born were also identified as potential predictors. Interviews with 13 women (Paper IV) experiencing psychosocial consequences of false-positive screening mammography revealed that coping with the situation implied a roller coaster of emotions and sense. Social support, sisterhood, and being professionally taken care of were identified as important aspects of coping with the perceived psychosocial consequences of false-positive BC screening (Paper IV). In conclusion, findings of this thesis confirm the occurrence of short-term psychosocial consequences and demonstrated long-term consequences of false-positive screening mammography among women. Early recall should be avoided and personalized information and communication could be of value in order to diminish the risk of long-term psychosocial consequences of false-positive BC screening. Further research is needed to investigate adequate communication styles, especially in order to face multicultural populations in the context of BC screening
Use of Stabilometric Platform and Visual Feedback in Physiotherapy of Patients after the Brain Injury
No full textAuthor: Anetta Prokopenková Tutor: MUDr. Markéta Janatová Abstract: This bachelor's thesis is focused on use of visual feedback with stabilometric platform for therapy of patients after the brain injury. Theoretical part of this thesis includes basic facts about the brain injury, shows therapeutic methods with use of modern methods as visual feedback is. In practical part are processed two protocols, described the therapy and evaluated use of standardized tests Timed Up and Go test and Berg Balance Scale together with the reference exercise on the stabilometric platform. There were two women patients chosen for this therapy, both former KRL 1. LF UK clients. At the end of this work, we evaluate and comment this type of therapy which was practically examined. Key words: stabilometric platform, Nintendo Wii Balance Board, postural stability, visual feedback, virtual realit
Navigating the future of mammography: How women’s perceptions of AI may guide tomorrow’s screening practice
No full textDeux tableaux inédits de Claude Vignon
No full textTwo unpublished paintings by Claude Vignon.
The author recently had the opportunity to discover two unsigned canvasses which, owing to their facture and subject, might be ascribed to Claude Vignon : an Adoration of the Magi in the parish church of Saint-Martin in Rouez (Sarthe), and a Saint Paul in the convent of the Visitation in La Flèche (at present a hospital). The first painting is very close to an Adoration of the Magi kept in the church of Fère en Tardenois (Aisne), signed and dated 1643. The identification of the Saint Paul is more difficult. Strongly influenced by Caravaggio’s style, its facture looks close to the saints painted by Vignon during his Roman period (before 1643).Palonka-Lavenant Anetta. Deux tableaux inédits de Claude Vignon. In: Histoire de l'art, N°42-43, 1998. Architecture et décor. pp. 127-129
Person-centred care – radiographers’ perceptions of the framework and its performance in radiography. A phenomenographic study
No full textIntroduction: Person-centred care is being implemented in healthcare to facilitate co-created care and patients' participation in their own care. This is a new practice, also among radiographers. The aim of the study was to explore radiographers' perceptions of the framework of person-centred care and its performance in radiography.Methods: Phenomenography was the study design. Focus group discussions and interviews were performed within a period of three months with a group of five radiographers in clinical practice. The discussions were part of a training programme on the theory and practice of person-centred care. The programme included three modules, and after each, an interview was performed, also when the programme finished.Results: Person-centred care in radiography was perceived as a complex "skewed balancing act" requiring responsible and knowledgeable decision-making throughout the radiographic examination. Two descriptive categories emerged: "Awareness of one's professional responsibility for the performance of the radiographic examination" and "Awareness of one's professional responsibility for establishing the relationship with the patient". The quality of radiographic images was a priority. Radiographers were aware of the importance of including the patient in shared decision-making in the performance of care. Still, the patient-radiographer relationship was secondary in the outcome of the examination. The shift to person-centred radiography was an endeavour to attach equal value to the quality of the radiographic examination and the partnership with the patient during the examination.Conclusions: The radiographers perceived an unequal power distribution between the patient and the radiographer. The norm of person-centred radiography requires a re-evaluation of professional values, individually and in the workforce; in addition, person-centred leadership is needed.Implications for practice: The findings are expected to guide the development of person-centred practice in radiography
Parents’ Perceptions of the Impact of Information at a Voiding Cystourethrogram of Their Child: An Example of Person-Centered Care in Radiography
No full textEffects of an information booklet on patient anxiety and satisfaction with information in magnetic resonance imaging : A randomized, single-blind, placebo-controlled trial
No full textIntroduction: Magnetic resonance imaging (MRI) is an important modality in diagnostics and treatment follow-up. However, MRI can be perceived as unpleasant even though the examination is non-invasive. Patients' knowledge of the MRI procedure is usually scarce, which may enhance patient anxiety at examination. We investigated the effects on anxiety and satisfaction with an information booklet on MRI compared to a placebo booklet delivered to adult patients prior to their first MRI examination. Methods: This randomized, single-blind, placebo-controlled trial included 197 patients. The intervention group (n = 95) received a booklet about MRI prior to the examination, whereas the control group (n = 102) received a placebo booklet of the same size and layout but containing general information. The State Trait Anxiety Inventory with supplementary questions from the Quality from the Patient's Perspective questionnaire were used as patient-reported outcome measures. Results: Anxiety did not differ between the groups, either prior to MRI or during the examination, but those who received the placebo booklet were at higher risk of experiencing high anxiety prior to the MRI examination (odds ratio 2.64; P = 0.029). The intervention group was more satisfied with the information received (P = 0.044), and a majority of participants in both groups (≥87%) considered it important to obtain information on the MRI procedure. Conclusion: Written MRI information decreases the risk of high anxiety levels before MRI and improves patient satisfaction with the information. Further research is needed to investigate whether written information prior to MRI is beneficial not only from the perspective of the patient but may also be cost-effective. Implications for practice: Written MRI information prior to the examination is recommended in radiography care
Meeting Patient Information Needs Before Magnetic Resonance Imaging : Development and Evaluation of an Information Booklet
No full textThe aim was to develop and evaluate a preparatory information booklet for adult patients undergoing magnetic resonance imaging (MRI). The booklet was developed based on pertinent literature and clinical experience. After ethical approval, it was then evaluated qualitatively in 10 people who had received the booklet before their first ever MRI scan. All patients expressed the need for written preparatory information and seven had experienced prescan anxiety and discomfort. Participants found the booklet informative and easily understood, and expressed appreciation related to procedural, behavioral, and sensory information. A few minor misunderstandings were revealed. The impressions by previously MRI-naive participants in this study indicate that the information booklet was successful in providing procedural, behavioral, and sensory information. Minor booklet modifications should provide means to circumvent current misunderstandings. The process used to develop and evaluate the information booklet for this study illustrates an easily implemented strategy to meet patients' needs for preparatory information in clinical practice
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