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Biomedical subjects

J L Boes

Publications and source records attributed to J L Boes.

5 recordsLinked to original sources

Agreement between patient self-report and clinician rating: concurrence between the BSI and the GAF among psychiatric inpatients.

Two rating scales were compared for 200 adult psychiatric inpatients at admission to, and discharge from, the hospital. Patients rated their own psychological symptoms on the Brief Symptom Inventory (BSI), and clinicians rated patients' psychological, social, and occupational functioning on the Global Assessment of Functioning (GAF) Scale. Analyses indicated no significant relationships between symptom distress reported by patients and global functioning rated by clinicians. These findings support previous research that has shown minimal congruence among criterion measures that differ in rating source.

Adolescent

The Brief Symptom Inventory (BSI) as an outcome measure for adult psychiatric inpatients.

In this study the Brief Symptom Inventory (BSI; Derogatis & Spencer, 1982) was administered to 89 males and 128 females at admission and discharge from a private psychiatric hospital. For mean scores, statistically significant decreases were observed on all BSI scales and global indices. Effect sizes ranged from high medium to large. Also, when clinical significance indices were calculated with regard to changes made by individual patients, we found that approximately 50% of all inpatients evidenced a decrease on the Global Severity Index (GSI), which meets the dual criteria of significant change and posttreatment functioning in the normal range. Compared with inpatient norms (Derogatis & Spencer, 1982), our sample generally scored higher at admission and lower at discharge.

Adjustment Disorders

Generating a normalized geometric liver model using warping.

RATIONALE AND OBJECTIVES: Automated liver surface determination in abdominal computed tomography scans, currently difficult to achieve, is of interest to determine liver location and size for various medical applications, including radiation therapy treatment planning, surgical planning, and oncologic monitoring. The authors propose to facilitate automation by the addition of a priori shape information in the form of a liver model. METHODS: The normalized geometric liver model is generated by averaging outlines from a set of normal liver studies previously registered using thin-plate spline warping. The model consists of an averaged liver surface, a set of anatomic landmarks, and a deformation function. RESULTS: A liver model is presented and its ability to represent normal liver shapes is demonstrated. CONCLUSIONS: Liver surface warping provides a means of data normalization for model construction and a means of model deformation for representation of liver organ shapes.

Computer Simulation

Unidimensionality of the Brief Symptom Inventory (BSI) in adult and adolescent inpatients.

This study investigated the factor structure of the Brief Symptom Inventory (BSI; Derogatis, 1992) for adult and adolescent psychiatric inpatients. The BSI was administered to 217 adults and 188 adolescents at admission and discharge from a private psychiatric hospital. Principal components factor analyses revealed that most variance among dimension scores was accounted for by one unrotated factor. Factorial invariance was evident across adult and adolescent samples for admission and discharge scores. Our findings are consistent with previous research on the BSI and Symptom Checklist-90-R (Derogatis, 1977), suggesting that both instruments measure primarily a unidimensional construct of general psychological distress.

Adolescent

Method for measuring three-dimensional motion with tagged MR imaging.

Recent methods of magnetic resonance imaging involve the placement of a grid of planes of saturation over the imaging plane; distortion of the grid corresponds to tissue displacement in two dimensions. An extension to this method that allows measurement of motion in the third dimension involves a second acquisition that tilts the grid, allowing analysis of motion normal to the imaging plane. A rotating phantom was used to verify the accuracy of the motion measurements, and the technique was applied to the heart wall and skeletal muscle. Phantom results show that the measure of z motion can be as accurate as that of x and y motion. Three-dimensional displacements of heart-wall and skeletal muscle are shown. With an accurate measure of three-dimensional motion, more complete analysis of heart-wall motion and contraction is possible.

Humans