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.
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
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.
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.