International Journal of Medical and Health Sciences Research

Published by: Asian Medical Journals
Online ISSN: 2313-2752
Print ISSN: 2313-7746
Quick Submission    Login/Submit/Track

No. 6

The Value of Nuclear Medicine Versus Ultrasonography in Diagnosing Renal Disease

Pages: 118-125
Find References

Finding References


The Value of Nuclear Medicine Versus Ultrasonography in Diagnosing Renal Disease

Search :
Google Scholor
Search :
Microsoft Academic Search
Cite

DOI: 10.18488/journal.9.2017.46.118.125

Salman A. Mohammed , Omar M Alamoudi , Saeed M Bafaraj

Export to    BibTeX   |   EndNote   |   RIS

[1]         A. Prigent and P. Chaumet-Riffaud, "Clinical problems in renovascular disease and the role of nuclear medicine," Seminars in Nuclear Medicine, vol. 44, pp. 110-122, 2014. View at Google Scholar | View at Publisher

[2]         R. M. D. Mahboob, F. Shad, and M. C. Smith, "Acute kidney injury: A guide to diagnosis and management," American Family Physician, vol. 86, pp. 631-639, 2012. View at Google Scholar 

[3]         P. W. Veenboer, M. G. Hobbelink, B. J. L. H. Ruud, P. Dik, F. W. Van Asbeck, F. J. Beek, and L. M. de Kort, "Diagnostic accuracy of Tc-99m DMSA scintigraphy and renal ultrasonography for detecting renal scarring and relative function in patients with spinal dysraphism," Neurourology and Urodynamics, vol. 34, pp. 513-518, 2015. View at Google Scholar | View at Publisher

[4]         K. Abrahamsson, E. Stokland, R. Sixt, and U. Jodal, "Ultrasonography and renography to visualize upper urinary tract in children with meningomyelocele–A prospective study," Journal of Pediatric Urology, vol. 8, pp. 174-176, 2012. View at Google Scholar | View at Publisher

[5]         T. Tarcan, C. A. Sekerci, C. Akbal, I. Tinay, Y. Tanidir, A. Sahan, and F. Simsek, "Is 40 cm H2O detrusor leak point pressure cut-off reliable for upper urinary tract protection in children with myelodysplasia?," Neurourology and Urodynamics, vol. 36, pp. 759-763, 2017.View at Google Scholar | View at Publisher

[6]         K. Kalantarinia, "Novel imaging techniques in acute kidney injury," Current Drug Targets, vol. 10, pp. 1184-1189, 2009. View at Google Scholar | View at Publisher

[7]         C. E. Hobson, S. Yavas, M. S. Segal, J. D. Schold, C. G. Tribble, A. J. Layon, and A. Bihorac, "Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery," Circulation, vol. 119, pp. 2444-2453, 2009. View at Google Scholar | View at Publisher

[8]         K. Bouchelouche, "Diagnostic applications of nuclear medicine: Kidney and bladder cancer," Nuclear Oncology: From Pathophysiology to Clinical Applications, pp. 1-43, 2016. View at Google Scholar | View at Publisher

[9]         E. Jonasch, P. A. Futreal, I. J. Davis, S. T. Bailey, W. Y. Kim, J. Brugarolas, and A. J. Zurita, "State of the science: An update on renal cell carcinoma," Molecular Cancer Research, vol. 10, pp. 859-880, 2012. View at Google Scholar 

[10]       A. L. Baert, Diagnostic nuclear medicine: Springer Science & Business Media, 2013.

[11]       M. P. Sandler, Diagnostic nuclear medicine. Lippincott Williams & Wilkins, 2003.

[12]       S. E. Haufe, K. Riedmüller, and U. Haberkorn, "Nuclear medicine procedures for the diagnosis of acute and chronic renal failure," Nephron Clinical Practice, vol. 103, pp. c77-c84, 2006. View at Google Scholar | View at Publisher

[13]       J. Radermacher, A. Chavan, J. Bleck, A. Vitzthum, B. Stoess, M. J. Gebel, and H. Haller, "Use of Doppler ultrasonography to predict the outcome of therapy for renal-artery stenosis," New England Journal of Medicine, vol. 344, pp. 410-417, 2001. View at Google Scholar | View at Publisher

[14]       J. Radermacher, A. Chavan, J. Schaffer, B. Stoess, A. Vitzthum, V. Kliem, and R. Brunkhorst, "Detection of significant renal artery stenosis with color Doppler sonography: Combining extrarenal and intrarenal approaches to minimize technical failure," Clinical Nephrology, vol. 53, pp. 333-343, 2000. View at Google Scholar 

[15]       J. D. Harper, B. Dunmire, Y. N. Wang, J. C. Simon, D. Liggitt, M. Paun, and F. C. Lee, "Preclinical safety and effectiveness studies of ultrasonic propulsion of kidney stones," Urology, vol. 84, pp. 484-489, 2014. View at Google Scholar | View at Publisher

[16]       M. H. Ather, A. H. Jafri, and M. N. Sulaiman, "Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure," BMC Medical Imaging, vol. 4, p. 2, 2004. View at Google Scholar | View at Publisher

[17]       A. M. Hammad and S. M. Nasir, "Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure," BMC Medical Imaging, vol. 4, pp. 2-2, 2004. View at Google Scholar 

[18]       V. Loveless, "Nuclear medicine imaging in the pediatric patient," Journal of Pediatric Pharmacology and Therapeutics, vol. 11, pp. 200-211, 2006. View at Google Scholar | View at Publisher

Salman A. Mohammed , Omar M Alamoudi , Saeed M Bafaraj (2017). The Value of Nuclear Medicine Versus Ultrasonography in Diagnosing Renal Disease. International Journal of Medical and Health Sciences Research, 4(6): 118-125. DOI: 10.18488/journal.9.2017.46.118.125
Objective: The study aims to assess the value of nuclear medicine and ultrasonography for diagnosing renal diseases among patients of different ages. Method: Quantitative analysis has been opted for evaluating the effectiveness of both imaging modalities for the diagnosis of renal diseases. 80 patients were targeted, who were having renal disease indications and they were diagnosed through modalities. The outcomes of both imaging techniques were compared through data analysis. Results: Positive findings of the nuclear medicine were observed between the age groups 0-12 years (58.1%), 13-24 years (16.1%), 25-36 years (1.6%), 37-48 years (9.7%), 61-72 years (3.1%) and 73-84 (8.1%) years of patients. Concerning the ultrasonography technique, positive effects were observed among the patients of age-group 0-12 years (58.7%), 13-24 years (17.5%), 25-36 years (3.2%), 49-60 years (3.2%) and 73-84 years (3.2%). The sensitivity rate for nuclear medicine was 100% as compared to ultrasonography, which was 93.6%. However, the specificity and accuracy rates for nuclear medicine were 78.4%, and 21.5%; however, similar rates for ultrasonography were 79.7%, and 13.92%, which showed better outcomes of ultrasonography. Conclusion: Ultrasonography was observed showing positive results among all age groups as compared to nuclear medicine imaging modalities. Future studies must focus on other imaging techniques to timely diagnose the disease and initiate the treatment before it get worse.
Contribution/ Originality
The study contributes to assess the efficiency difference between the nuclear medicine and ultrasonography to effectively analyze the case of the renal patients, before it gets severe. The study further documents the value of nuclear medicine in comparison with ultrasonography for the early diagnosis of renal mortal and morbid complications.

Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

Pages: 102-117
Find References

Finding References


Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

Search :
Google Scholor
Search :
Microsoft Academic Search
Cite

DOI: 10.18488/journal.9.2017.46.102.117

Citation: 2

Joseph A. Balogun , Chidozie E. Mbada , Adetutu O. Balogun , Udoka A.C. Okafor

Export to    BibTeX   |   EndNote   |   RIS

[1]          C. Nath, R. Schmidt, and E. Gunel, "Perception of professionalism vary most with educational rank and age," Journal of Dental Education, vol. 70, pp. 825-834, 2006. View at Google Scholar 

[2]          J. A. Balogun, "The path to our destiny: The transitioning of physiotherapy from a semi-profession to a true-profession," presented at the A Key Note Speech Delivered at the Third Christopher Agboola Ajao’s Lecture on the Occasion of the 55th Annual Conference of the Nigeria Society of Physiotherapy held at Lokoja, Kogi State, Nigeria, 2015.

[3]          J. A. Balogun, "Brief on the proposed national postgraduate physiotherapy college of Nigeria." Retrieved from https://www.researchgate.net/publication/310473802_BRIEF_ON_THE_PROPOSED_NATIONAL_POSTGRADUATE_PHYSIOTHERAPY_COLLEGE_OF_NIGERIA_NPPCN, n.d.

[4]          American Physical Therapy Association (APTA), Professionalism in physical therapy: Core values. Alexandria, VA: American Physical Therapy Association, 2003.

[5]          J. Perry, "Professionalism in physical therapy," Physical Therapy, vol. 44, pp. 429-434, 1964. View at Google Scholar 

[6]         J. Sim, "Physiotherapy: A professional profile," Journal of Physiotherapy Practice, vol. 1, pp. 14-22, 1985. View at Google Scholar | View at Publisher

[7]          D. K. Anderson and K. E. Irwin, "Self-assessment of professionalism in physical therapy education," Work, vol. 44, pp. 275-281, 2013. View at Google Scholar 

[8]          J. Denton, D. S. Fike, and M. E. Walk, "Construct validity of the proposed societal outreach subset of the professionalism in physical therapy: Core values self assessment tool," Physical Therapy Journal of Policy, Administration and Leadership, vol. 15, pp. J22-J31, 2015. View at Google Scholar 

[9]          L. A. Guenther, P. McGinnis, M. Romen, and K. Patel, "Self assessment of professional core values among physical therapists," Physical Therapy Journal of Policy, Administration and Leadership, vol. 14, pp. J15-J24, 2014. View at Google Scholar 

[10]        L. M. Hayward and B. Blackmer, "A model for teaching and assessing core values development in doctor of physical therapy students," Journal of Physical Therapy Education, vol. 28, pp. 16-25, 2010. View at Google Scholar 

[11]        L. M. Hayward and A. L. Charrette, "Integrating cultural competence and core values: An international service-learning model," Journal of Physical Therapy Education, vol. 26, pp. 78-89, 2012. View at Google Scholar 

[12]        K. A. Kelly, L. D. Stanke, S. M. Rabi, S. E. Kuba, and K. K. Janke, "Cross-validation of an instrument for measuring professionalism behaviors," American Journal of Pharmaceutical Education, vol. 75, pp. 1-10, 2011. View at Google Scholar | View at Publisher

[13]        D. S. Davis, "Teaching professionalism: Asurvey of physical therapy educators," Journal of Allied Health, vol. 38, pp. 74-80, 2009. View at Google Scholar 

[14]        P. Haidet, "Where we’re headed: Anew wave of scholarship on educating medical professionalism," Journal of General Internal Medicine, vol. 23, pp. 1118-1119, 2008. View at Google Scholar | View at Publisher

[15]        O. William, "William Osler papers father of modern medicine: The Johns Hopkins school of medicine, 1889-1905. Retrieved from https://profiles.nlm.nih.gov/ps/retrieve/Narrative/GF/p-nid/363/p-docs/true. [Accessed January 31, 2017]," 1903.

[16]        A. Salam, C. O. Song, N. F. Mazlan, H. Hass, L. S. Lee, and M. H. Abdullah, "Professionalism of future medical professionals in Universiti Kebangsaan Malaysia (UKM) medical centre," International Medical Journal, vol. 19, pp. 224-228, 2012. View at Google Scholar 

[17]        R. L. Cruess and S. R. Cruess, "Teaching professionalism: why, what and how." Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987476/ . [Accessed November 23, 2016], 2016.

[18]        Registered Nurses Association of Ontario (RNAO), "Professionalism in nursing: Healthy work environments best practice guidelines." Retrieved from http://rnao.ca/sites/rnao-ca/files/Professionalism_in_Nursing.pdf . [Accessed January 20, 2017], 2007.

[19]        A. Fantahun, A. Demessie, K. Gebrekirstos, A. Zemene, and G. Yetayeh, "A cross sectional study on factors influencing professionalism in nursing among nurses in Mekelle public hospitals, North Ethiopia," BMC Nursing, vol. 13, p. 10, 2014. View at Google Scholar | View at Publisher

[20]        S. Kim and S. Choi, "The medical professionalism of Korean physicians: Present and future," BMC Medical Ethics, vol. 16, p. 56, 2015. View at Google Scholar | View at Publisher

[21]        D. Al-Sudani, F. Al-Abbas, Z. Al-Bannawi, and A. Al-Ramadhanb, "Professional attitudes and behaviors acquired during undergraduate education in the College of Dentistry, King Saud University," Saudi Dental Journal, vol. 25, pp. 69–74, 2013. View at Google Scholar | View at Publisher

[22]        A. A. Haghdoost and M. R. Shakibi, "Medical students and academic staff perceptions of role models: An analytical cross sectional study," BMC Med Education, vol. 6, p. 9, 2006 View at Google Scholar | View at Publisher

[23]        F. Trede, R. Macklin, and D. Bridges, "Professional identity development: A review of the higher education literature," Studies in Higher Education, vol. 37, pp. 365-384, 2012. View at Google Scholar | View at Publisher

[24]        L. Lingard, P. Reznick, I. DeVito, and P. Espin, "Forming professional identities on the health care team: Discursive construction of the ‘other’ in the operating room," Medical Education, vol. 36, pp. 728–734, 2002. View at Google Scholar | View at Publisher

[25]        C. Miles-Tapping, G. Rennie, M. Duffy, L. Rooke, and S. Holstein, "Canadian physiotherapists’ professional identity: An exploratory survey," Physiotherapy Canada, vol. 44, pp. 31-35, 1993.

[26]        Readable, "Measures text readability. Retrieved from https://readability-score.com/. [Accessed November 23, 2016]," 2016.

[27]        I. Lindquist, M. Engardt, L. Garnham, F. Poland, and B. Richardson, "Physiotherapy students' professional identity on the edge of working life," Journal Medical Teacher, vol. 28, pp. 270-276, 2006. View at Google Scholar | View at Publisher

[28]        L. G. Portney and M. P. Watkins, Foundations of clinical research: Applications to practice. Appleton: Lange, 1993.

[29]        Minitab 17 Support, "Using kappa statistics and Kendall's coefficients." Retrieved from http://support.minitab.com/en-us/minitab/17/topic-library/basic-statistics-and-graphs/tables/other-statistics-and-tests/using-kappa-statistics-and-kendall-s-coefficients/, 2016.

[30]        J. R. Landis and G. G. Koch, "The measurement of observer agreement for categorical data," Biometrics, vol. 33, pp. 159–174, 1977. View at Publisher

[31]        America International School, Retrieved from: https://www.ais.edu.hk/age-grade-guide, 2016

[32]        L. Cronbach, "Coefficient alpha and the internal structure of tests," Psychometrika, vol. 16, pp. 297-333, 1951. View at Google Scholar | View at Publisher

[33]        Lohr, K. N., "Assessing health status and quality-of-life instruments: Attributes and review criteria," Quality of Life Research, vol. 11, pp. 193-205, 2002. View at Google Scholar 

[34]        Federal Ministry of Health Nigeria, "List of all federal teaching hospitals." Retrieved from http://www.health.gov.ng/index.php/parastatals/teaching-hospitals . [Accessed November 23, 2016], 2016.

[35]        E. Lambo, Chairman’s opening remark at the celebration of the 50th years of physiotherapy training in Ibadan. Nigeria: University of Ibadan, 2016.

No any video found for this article.
Joseph A. Balogun , Chidozie E. Mbada , Adetutu O. Balogun , Udoka A.C. Okafor (2017). Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism. International Journal of Medical and Health Sciences Research, 4(6): 102-117. DOI: 10.18488/journal.9.2017.46.102.117
Background and Purpose: There is currently no culturally appropriate instrument to assess Nigerian physiotherapists’ knowledge and attributes of professionalism.  This study sets out to develop a psychometric instrument to assess the knowledge and attributes of professionalism of Nigerian physiotherapists, and to investigate the instrument's readability, stability, and internal consistency. Methods: A Professionalism Inventory with eight demographic questions, ten knowledge of professionalism questions and sixteen attributes of professionalism perception-based statements was developed. The attributes of professionalism scale assess clinical competence, a spirit of inquiry, accountability, autonomy, advocacy, innovation and visionary, collegiality and collaboration, and ethics and values. The Inventory was completed on two occasions, after two-week interval, by 91 Nigerian physiotherapists. Results: The Inventory’s average grade reading level was 10. The intra class correlation coefficient (ICC 3, 1)  for the knowledge of professionalism scale ranged from “moderate” (0.421, p<0.001) to “substantial” (0.770, p<0.001). The Kendall's coefficient of concordance for the attributes of professionalism scale ranged from “fair” (0.368, p<0.001) to “moderate” (0.547, p<0.001). The Cronbach alpha for the knowledge of professionalism scale was “almost perfect” (0.813, p<0.0001); and “substantial” (0.780, p<0.001) for professionalism attributes scale.  Conclusion: The knowledge and attributes of professionalism scales are stable and internally consistent. The availability of this psychometric instrument will promote studies of professionalism in physiotherapy.

Contribution/ Originality
This study is the first psychometric instrument developed to assess Nigerian physiotherapists’ knowledge and attributes of professionalism and also the first to document the instrument's readability, stability, and internal consistency statistical properties.