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Mariscotti G, Durando M, Houssami N, Zuiani C, Martincich L, Londero V, Caramia E, Clauser P, Campanino PP, Regini E, Luparia A, Castellano I, Bergamasco L, Sapino A, Fonio P, Bazzocchi M, Gandini G. Digital breast tomosynthesis as an adjunct to digital mammography for detecting and characterising invasive lobular cancers: a multi-reader study. Clin Radiol 2016; 71:889-95. [DOI: 10.1016/j.crad.2016.04.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 03/07/2016] [Accepted: 04/04/2016] [Indexed: 10/21/2022]
Affiliation(s)
- G Mariscotti
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy.
| | - M Durando
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy
| | - N Houssami
- Screening and Test Evaluation Program, School of Public Health, Sydney Medical School, University of Sydney, Sydney 2006, NSW, Australia
| | - C Zuiani
- Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, 33100 Udine, Italy
| | - L Martincich
- Department of Radiology, Candiolo Cancer Institute - FPO, IRCCS, 10060 Candiolo, Torino, Italy
| | - V Londero
- Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, 33100 Udine, Italy
| | - E Caramia
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy
| | - P Clauser
- Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, 33100 Udine, Italy
| | - P P Campanino
- Breast Imaging Service, Ospedale Koelliker, C.so Galileo Ferraris 256, 10100 Torino, Italy
| | - E Regini
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy
| | - A Luparia
- U.O. Senologia Clinica e Screening Mammografico, Department of Diagnostics, Azienda Provinciale Servizi Sanitari (APSS), 38100 Trento, Italy
| | - I Castellano
- Department of Biomedical Sciences and Human Oncology, A. O. U. Città della Salute e della Scienza of Turin, University of Turin, Via Santena,7, Torino, Italy
| | - L Bergamasco
- Department of Surgical Sciences, University of Torino, Azienda Ospedaliera Città della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, 10126 Torino, Italy
| | - A Sapino
- Department of Biomedical Sciences and Human Oncology, A. O. U. Città della Salute e della Scienza of Turin, University of Turin, Via Santena,7, Torino, Italy
| | - P Fonio
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy
| | - M Bazzocchi
- Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, 33100 Udine, Italy
| | - G Gandini
- Department of Diagnostic Imaging and Radiotherapy, Radiology Institute, University of Turin, A. O. U. Cittá della Salute e della Scienza di Torino - Presidio Ospedaliero Molinette, Via Genova 3, 10126 Torino, Italy
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Rosa-Rizzotto M, Visonà Dalla Pozza L, Corlatti A, Luparia A, Marchi A, Molteni F, Facchin P, Pagliano E, Fedrizzi E. A new scale for the assessment of performance and capacity of hand function in children with hemiplegic cerebral palsy: reliability and validity studies. Eur J Phys Rehabil Med 2014; 50:543-556. [PMID: 24732444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND In hemiplegic children, the recognition of the activity limitation pattern and the possibility of grading its severity are relevant for clinicians while planning interventions, monitoring results, predicting outcomes. OBJECTIVE Aim of the study is to examine the reliability and validity of Besta Scale, an instrument used to measure in hemiplegic children from 18 months to 12 years of age both grasp on request (capacity) and spontaneous use of upper limb (performance) in bimanual play activities and in ADL. DESIGN Psychometric analysis of reliability and of validity of the Besta scale was performed. SETTING Outpatient study sample METHODS Reliability study: A sample of 39 patients was enrolled. The administration of Besta scale was video-recorded in a standardized manner. All videos were scored by 20 independent raters on subsequent viewing. 3 raters randomly selected from the 20-raters group rescored the same video two years later for intra-rater reliability. Intra and inter-rater reliability were calculated using Intraclass Correlation Coefficient (ICC) and Kendall's coefficient (K), respectively. Internal consistency reliability was assessed using Alpha's Chronbach coefficient. Validity study: a sample of 105 children was assessed 5 times (at t0 and 2, 3, 6 and 12 months later) by 20 independent raters. Each patient underwent at the same time to QUEST and Besta scale administration and assessment. Criterion validity was calculated using rho-Pearson coefficient. RESULTS Reliability study: The inter-rater reliability calculated with Kendall's coefficient resulted moderate K=0.47. The intra-rater (or test-retest) reliability for 3 raters was excellent (ICC=0.927). The Cronbach's alpha for internal consistency was 0.972. Validity study: Besta scale showed a good criterion validity compared to QUEST increasing by age and severity of impairment. Rho Pearson's correlation coefficient r was 0.81 (P<0.0001). Limitations. Besta scales in infants finds hard to distinguish between mild to moderately impaired hand function. CONCLUSIONS Besta scale scoring system is a valid and reliable tool, utilizable in a clinical setting to monitor evolution of unimanual and bimanual manipulation and to distinguish hand's capacity from performance.
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Affiliation(s)
- M Rosa-Rizzotto
- Epidemiology and Community Medicine Unit Department of Pediatrics, University of Padua, Padua, Italy -
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Bourhaleb F, Cirio R, Cirrone G, Cuttone G, Donetti M, Garella M, Giordanengo S, Givechi N, La Rosa A, Luparia A, Marchetto F, Peroni C, Pitta G, Raffaele L, Sabini M, Valastro L. 121 On-line monitoring of the CATANA protontherapy beam with the strip ionization chamber MOPI. Radiother Oncol 2005. [DOI: 10.1016/s0167-8140(05)81098-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
Stereotyped behaviours occur frequently in blind children. Most authors attribute stereotyped mannerisms to factors such as hospitalisation, motor limitations, and reduced capacity for exploration. There seems to be a specific association between blindness and behavioural mannerisms, such as eye pressing and eye poking, which have been observed in children with peripheral blindness. We studied the prevalence of stereotyped motor behaviours in a sample of congenitally blind children with and without other neurodevelopmental disabilities in order to assess the types and features of such stereotyped behavioural traits. Twenty-six congenitally blind children (11 male and 15 female) were assessed through videotape recording and through a questionnaire focusing on the type, frequency, form of manifestation and duration of the children's stereotyped behaviours. Stereotyped behavioural traits were observed in 19 (73%) of the patients. Stereotyped behaviours most frequently observed were body rocking (8; 30.7%), repetitive handling of objects (8; 30.7%), hand and finger movements (7; 26.9%), eye pressing and eye poking (8; 30.7%), and lying face downwards (6; 22.8%) and jumping (3; 11.4%). We found that a reduction in stereotyped behavioural traits could be obtained by stimulating appropriate adaptive behaviour in children, while these behaviours were increased by restricted environmental conditions, reduced sensory stimulation and reduced motility.
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Affiliation(s)
- E Fazzi
- Department IRCCS C. Mondino Foundation, Faculty of Medicine, University of Pavia, Italy
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