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PubMed1990

Behavior, production, and well-being of the laying hen. 1. Effects of movable roosts, relationship of cage mates, and genetic stock.

The effects of movable roosts, relationship of cage mates (siblings versus nonsiblings), and genetic stock on measures of behavior, production, and physical condition were investigated. Sibling and nonsibling pairs of hens derived from two male parental stocks (designated MPS1 and MPS2) were randomly assigned to two cage batteries (384 hens total). The batteries were identical except that the cages of one had individual wood roosts, which were automatically raised at night and lowered the next morning. The laying phase comprised 13 28-day periods. On the first 4 days of Periods 1, 3, 5, 7, 9, and 11, video recordings were made of 8 cages per day. Video-recorded data for Period 5 were discarded, however, because equipment failure caused an unplanned photoperiod ratio. Direct visual observations were carried out in Period 13. Egg production and feed consumption were recorded in each period. Feather scores were determined in Periods 3, 6, 9, and 12, and in Periods 6 and 13, hens were weighed and the number of lesions to the feet counted. Overall, roosts appeared to improve well-being. Resting occurred more in cages with roosts, feathering was better initially, body weights were slightly higher, and foot lesions were were fewer. Egg production was not affected except that egg cracks were more frequent in roosts cages. Relationship of cage mates had relatively little influence. However, in conventional cages, nonsiblings manifested more bobbing behavior, and in MPS1, nonsiblings had higher feed consumed per dozen eggs. Hens of MPS1 performed more head flicking, drinking, physical displacement, aggression, and cage wall climbing than MPS2 hens. They also had higher egg production, weaker egg shells, poorer feathering, and more lesions to the feet. The genetic stock differences suggest that hens of MPS1 experienced poorer well-being. None of the treatments significantly affected mortality.

Animals↗

PubMed2002

Carers' interactions with patients suffering from severe dementia: a difficult balance to facilitate mutual togetherness.

1. A phenomenological-hermeneutic approach was used to illuminate carers' video-recorded interactions in connection with supervision for individualized nursing care. 2. In order to disclose any changes in the carers' interactions with patients suffering from severe dementia the video recordings were conducted before, during and after the intervention. 3. The content of the videos was transcribed as a text, mainly verbal communication. Due to the rich data the videos and text were kept together as a whole in every step of the analysis. 4. After an initial naïve understanding, different subthemes emerged in the structural analyses: promoting competence, struggling for co-operation, deep communication for communion, showing respect for the unique person, skills in balancing power, distance in a negative point of view, and fragmentary nursing situations. 5. The overall theme was 'Carers' balancing in their interactions, verbal as well as non-verbal, to promote a sense of mutual togetherness with the patient'. 6. The supervision intervention contributed to an improvement in carers' skills in balancing in their interactions. In the caring process carers' and patients' shared experiences and, due to patients' disabilities, interactions depended mainly on carers' qualities and capabilities for this confirming nursing care.

Activities of Daily Living↗

PubMed2001

A comparison of videotape and audiotape assessment of patient-centredness in family physicians' consultations.

The aim of this study was to compare videotape and audiotape assessments of doctors' patient-centred behaviour in primary care consultations. The patient-centredness scale of Henbest and Stewart was used to measure the quality of 856 doctor-patient interactions in 258 consultations performed by 47 primary care physicians recorded on videotape. Assessments were performed once using only the sound track and a second time using both the sound and video-tracks. On a nominal quality scale of 0-3, the average score for all consultations was 1.94 (S.D. 0.63) by audio assessment, and 1.94 (S.D. 0.59) by video assessment (P<0.8). There was excellent agreement between audio and video scores over a wide range of scores. Little information (<5%) was lost when using audiotape compared to videotape. It was technically easier to assess the video recordings. Audio recording is equivalent to video recording for the assessment of patient-centredness using the scale of Henbest and Stewart in primary care consultations.

Data Collection↗

PubMed2000

Factors influencing discussion of smoking between general practitioners and patients who smoke: a qualitative study.

BACKGROUND: Anti-smoking advice from general practitioners (GPs) is effective and recent evidence-based guidelines urge GPs to advise all patients against smoking at every opportunity. GPs do not exploit many opportunities to discuss smoking with patients and the reasons for this are unclear. AIM: To elicit, relate, and interpret GPs' accounts of why they discuss smoking with some patients and not others. METHOD: Thirty-nine Leicestershire GPs were purposively selected so as to have a range of attitudes towards discussing smoking with patients. Each GP had one surgery session video-recorded and afterwards participated in a qualitative, semi-structured interview. Prior to each interview, GPs were shown a video-recording of one of their consultations with a smoker to enhance their recall of events. RESULTS: Being aware of patients' smoking status did not necessarily result in GPs discussing smoking with patients. GPs were keen to preserve good doctor-patient relationships and avoid negative responses from patients once the topic of smoking had been raised, and this was felt to be best achieved by restricting most discussions about smoking to situations where patients presented with smoking-related problems and in circumstances where the doctors perceived the doctor-patient relationship was strong. Doctors also thought it important to address patients' agendas relating to the current consultation before discussing smoking. CONCLUSIONS: General practitioners have strong reasons for preferring to discuss smoking when patients present with smoking-related problems. Those wishing to increase the amount of advice-giving by GPs might be more successful if they encouraged GPs to make greater use of problem-orientated opportunities to discuss smoking.

Attitude of Health Personnel↗

PubMed1996

The contribution of videostroboscopy in daily ENT practice.

Videostroboscopy has now left specialized voice laboratories and must be made available to general ENT practice. It is based on an optical illusion giving the impression of slow motion from a series of successive vocal cycles but it is the least awkward system to examine the movement of vocal folds while waiting for the development of very high speed video recordings which would enable to visualize a real single cycle. The equipment comprises a stroboscope, a CCD type of camera, a video recorder, a microphone, a monitor or television screen and rigid optics and/or a fiberscope. An examination lasts about 1/2 an hour and must follow a protocol for which we have developed a simplified index card based on the one proposed by HIRANO and B less. This simplified version has the advantage of being easily integrated into daily ENT practice. A visual examination of the larynx was carried out on 732 patients. Videostroboscopy was undertaken in 69.2% of cases and was found to be useful or essential in 68% of the cases where it was carried out. Furthermore, it enabled to correct a diagnosis in 13% of these cases. It was especially performed in the assessment of benign organic pathologies where associated pathologies have to be looked for (nodules--87.7%; REINKE's edema--72.2%; mucosal cysts--92.6%; sulcus and scars--83.3%), as well as for tumors (73.7%). Among the dysfunctional pathologies, it was principally carried in cases of hypokinetic dysphonia (87.7%). Videostroboscopy is a pertinent examination because, when it was used, it enabled to modify the initial diagnosis in 17% of dysfunctional dysphonias, 20% of nodules, 23% of REINKE's edemas and 17% of granulomas.

Fiber Optic Technology↗

PubMed2003

Reliability of a road test after stroke.

OBJECTIVE: To determine the reliability of the road test performed by stroke patients. DESIGN: Prospective study of a 6-month predriving evaluation. SETTING: Driving safety center in Belgium. PARTICIPANTS: Thirty patients with sequelae of stroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Results of driving performance as judged by 2 assessors from the Center for Determination of Fitness to Drive and Car Adaptations (CARA), in a car fitted with a video camera. A third assessor also evaluated all the video recordings. Interrater reliability was evaluated by comparing results from real-life performance and video recording, as judged by the CARA assessors and video judgments between CARA assessors and the third assessor. RESULTS: Most subitems of the road test showed more than 80% scoring agreement between the various evaluations. Intraclass correlation coefficients (ICCs) of the items varied from -.08 to 1.0. The ICC of the overall performance was.62 when real-life scores were compared with video evaluations and.80 in video versus video comparison. CONCLUSION: The reliability of assessing overall performance of stroke patients in the road test is moderately high and better when assessed using the same evidence. Yet, the reliability of some items needs further attention.

Automobile Driver Examination↗

PubMed1986

Knee moments in Duchenne muscular dystrophy.

The gait of 7 boys with Duchenne muscular dystrophy (DMD) who could walk unaided and 21 normal boys was analysed by means of a video recording technique linked to a Kistler force plate. An electronic device was used to superimpose the patient's ground reaction vector on the video recording of their walking. This recording was analysed to obtain sequential values for the moments developed around the knee during the walking cycle. The equinus gait of boys with DMD is shown to be a necessary adaptation to keep the forces about proximal joints, particularly the knee, within limits controllable by weakened muscles. These findings explain the observation that elongation of the Achilles tendon to correct contracture at the ankle can have irrevocably damaging effects on gait.

Adaptation, Physiological↗

PubMed1988

Quantification of choroidal blood-flow parameters using indocyanine green video-fluorescence angiography and statistical picture analysis.

A method for indocyanine green video-fluorescence angiography of the human choroid is described using a 30 degrees fundus camera (C. Zeiss) with external light supply, a low-light-level TV camera, and a video recorder. Bloodflow parameters for the choroid were obtained from the video recording using a picture-analysis system (IBAS, Kontron). These included: the mean time for arterial, capillary and venous filling and a parameter corresponding to the amount of perfused capillaries in the choroid. Angiograms were performed on normal, healthy subjects at normal and increased intraocular pressures and on patients with dry senile macular degeneration. Examples of the results are shown and discussed.

Aged↗

PubMed2005

What is being assessed in the MRCGP oral examination? A qualitative study.

BACKGROUND: Oral examinations are a popular method of assessment within medicine, being capable of measuring candidates' ability to carry out tasks or develop skills (operational knowledge). One example of this is the oral examination for membership of the Royal College of General Practitioners (RCGP), which is designed to assess candidates' decision-making skills and the professional values that underpin these decisions. While the reliability of oral examinations has been investigated, to date, little is known about their ability to measure what they set out to measure (validity). AIM: To investigate the content validity of the MRCGP oral examination, with particular focus on its ability to assess the process of decision-making. DESIGN OF STUDY: An evaluation of oral examination video recordings, using qualitative methods. METHOD: The MRCGP oral examinations are video recorded as part of an ongoing quality assurance programme. Fifty of the recordings carried out in 2002 were selected randomly and analysed for content and dialogue patterns reflecting the assessment of the decisionmaking process. RESULTS: All examiners used the specified contexts outlined in the examination objectives to present candidates with dilemmas. The assessment of decision-making skills, however, was limited by a tendency among examiners to present the candidate with new, more complex dilemmas rather than giving them the opportunity to discuss the implications, make choices and ultimately, justify their decision. Moreover, while examiners frequently asked candidates questions relating to professional values, they rarely asked them to demonstrate how those values support their decisions. CONCLUSION: In order that the benefits of oral examination can be fully realised, questions need to be structured in a way that encourages candidates to discuss all stages of the decision-making process.

Clinical Competence↗

PubMed2005

Motor patterns and propulsion in the rat intestine in vivo recorded by spatio-temporal maps.

We have used spatio-temporal maps derived from video images to investigate propagated contractions of the rat small intestine in vivo. The abdomen, including an exteriorized segment of jejunum, was housed in a humid chamber with a viewing window. Video records were converted to spatio-temporal maps of jejunal diameter changes. Intraluminal pressure and fluid outflow were measured. Contractions occupied 3.8 +/- 0.2 cm of intestine and propagated anally at 3.1 +/- 0.2 mm s(-1) when baseline pressure was 4 mmHg. Contractions at any one point lasted 8.7 +/- 0.6 s. Contractions often occurred in clusters; within cluster frequencies were 2.28 +/- 0.04 min(-1). Pressure waves, with amplitudes greater than about 9 mmHg, expelled fluid when the baseline pressure was 4 mmHg. In the presence of L-NAME, circular muscle contractions occurred at a high frequency, but they were not propagated. We conclude that video recording methods give good spatio-temporal resolution of intestinal movement when applied in vivo. They reveal neurally-mediated propulsive contractions, similar to those previously recorded from intestinal segments in vitro. The propagated contractions had speeds of propagation that were slower and frequencies of occurrence that were less than speeds and frequencies of slow waves in the rat small intestine.

Anal Canal↗

PubMed2003

Focused Assessment with Sonography for Trauma in weightlessness: a feasibility study.

BACKGROUND: The Focused Assessment with Sonography for Trauma (FAST) examines for fluid in gravitationally dependent regions. There is no prior experience with this technique in weightlessness, such as on the International Space Station, where sonography is currently the only diagnostic imaging tool. STUDY DESIGN: A ground-based (1 g) porcine model for sonography was developed. We examined both the feasibility and the comparative performance of the FAST examination in parabolic flight. Sonographic detection and fluid behavior were evaluated in four animals during alternating weightlessness (0 g) and hypergravity (1.8 g) periods. During flight, boluses of fluid were incrementally introduced into the peritoneal cavity. Standardized sonographic windows were recorded. Postflight, the video recordings were divided into 169 20-second segments for subsequent interpretation by 12 blinded ultrasonography experts. Reviewers first decided whether a video segment was of sufficient diagnostic quality to analyze (determinate). Determinate segments were then analyzed as containing or not containing fluid. A probit regression model compared the probability of a positive fluid diagnosis to actual fluid levels (0 to 500 mL) under both 0-g and 1.8-g conditions. RESULTS: The in-flight sonographers found real-time scanning and interpretation technically similar to that of terrestrial conditions, as long as restraint was maintained. On blinded review, 80% of the recorded ultrasound segments were considered determinate. The best sensitivity for diagnosis in 0 g was found to be from the subhepatic space, with probability of a positive fluid diagnosis ranging from 9% (no fluid) to 51% (500 mL fluid). CONCLUSIONS: The FAST examination is technically feasible in weightlessness, and merits operational consideration for clinical contingencies in space.

Aerospace Medicine↗

PubMed2001

Maternal analgesia during labor disturbs newborn behavior: effects on breastfeeding, temperature, and crying.

BACKGROUND: Newborns not exposed to analgesia, when placed on the mother's chest, exhibit an inborn prefeeding behavior. This study was performed to assess the effects of different types of analgesia during labor on the development of spontaneous breastfeeding movements, crying behavior, and skin temperature during the first hours of life in healthy term newborns. METHODS: Video recordings were made of 28 newborns who had been dried and placed in skin-to-skin contact between their mother's breasts immediately after delivery. The video recordings were analyzed blindly with respect to infant exposure to analgesia. Defined infant behaviors were assessed every 30 seconds. Group 1 mothers (n = 10) had received no analgesia during labor, group 2 mothers (n = 6) had received mepivacaine via pudendal block, and group 3 mothers (n = 12) had received pethidine or bupivacaine or more than one type of analgesia during labor. RESULTS: All infants made finger and hand movements, but the infant's massagelike hand movements were less frequent in infants whose mothers had received labor analgesia. A significantly lower proportion of group 3 infants made hand-to-mouth movements (p < 0.001), and a significantly lower proportion of the infants in groups 2 and 3 touched the nipple with their hands before suckling (p < 0.01), made licking movements (p < 0.01), and sucked the breast (p < 0.01). Nearly one-half of the infants, all in groups 2 or 3, did not breastfeed within the first 2.5 hour of life. The infants whose mothers had received analgesia during labor had higher temperatures (p = 0.03) and they cried more (p = 0.05) than infants whose mothers had not received any analgesia. CONCLUSIONS: The present data indicate that several types of analgesia given to the mother during labor may interfere with the newborn's spontaneous breast-seeking and breastfeeding behaviors and increase the newborn's temperature and crying.

Adult↗

PubMed1997

Spatial reconstruction of marker trajectories from high-speed video image sequences.

A novel method is presented for the spatial reconstruction of marker trajectories, which describe the motion of articulating segments of the human or animal body or of a technical construction. In human motion analysis, such markers may be attached to landmark points defining the configuration of the subject. A high-speed video-recording system comprising two cameras is used for motion data acquisition. The particular images are composed of the synchronous recordings of both cameras; the resolution of one image is 239 x 192 pixels, which is comparatively low. To obtain high precision, a new centre estimation method has been developed to calculate the image coordinates of the centres of the recorded spherical markers to subpixel precision. Image coordinates of the centres in subsequent frames are obtained by first applying a tracing algorithm, which calculates the position of a marker to pixel precision, and then using the new centre estimation method. The reconstruction of the spatial coordinates from the image coordinates is based on a three-dimensional photogrammetric calibration and results in deviations of about 0.1%. The instantaneous acceleration of a falling ball has been calculated. The average deviation from the gravitational constant was comparatively small. From the accuracy of the results, it can be concluded that the novel method is applicable in connection with the high-speed video-recording system presently used. Moreover, the techniques are suitable for reconstructing three-dimensional marker trajectories from any low-resolution video image sequences recorded simultaneous with at least two cameras.

Algorithms↗

PubMed2005

Perceived contra observed physical work load in Swedish dentists.

In an earlier questionnaire study, dentists reported high experienced physical work load in their profession, but low to moderate complaints from their musculoskeletal system. The correlation between reported physical work load and pain from the musculoskeletal system was weak. This discrepancy could not be satisfactorily explained. Therefore, a second study was undertaken, in which the same 27 dentists who reported musculoskeletal problems were video recorded during one hour of clinical work, and the records were later analyzed using PEO (Portable Ergonomic Observation). PEO is a frequency analysis method which allows observation of work in real time using a portable computer or video recordings. PEO can be adjusted for registration of single or multiple work operations. Output data are presented as frequency, duration, and sequence of the various work operations. The aim of the present study was to investigate if there was a relation between observed work load recorded with PEO, and subjectively estimated work load and musculoskeletal complaints recorded with a questionnaire based on Visual Analogue Scales. Sitting and standing postures, and head, trunk and arm movements were analyzed. The PEO observations showed that dentists generally perform their clinical work in a sitting position, with the head bent forward almost half of the time. Only weak to moderate correlations (r =0.0-0.6) were found between observed physical work load and subjective estimations of experienced physical work load and musculoskeletal complaints. These findings support the results in our previous study, but they do not explain the large difference between the observed low work load and the subjectively experienced high work load. The study will be followed up by EMG measurements and free interviews, where both muscular load and psychosocial factors will be evaluated.

Adult↗

PubMed2006

Automated detection of videotaped neonatal seizures based on motion tracking methods.

This study was carried out during the second phase of the project "Video Technologies for Neonatal Seizures" and aimed at the development of a seizure detection system by training neural networks, using quantitative motion information extracted by motion tracking methods from short video segments of infants monitored for seizures. The motion of the infants' body parts was quantified by temporal motion trajectory signals extracted from video recordings by robust motion trackers, based on block motion models. These motion trackers were developed to autonomously adjust to illumination and contrast changes that may occur during the video frame sequence. The computational tools and procedures developed for automated seizure detection were evaluated on short video segments selected and labeled by physicians from a set of 240 video recordings of 54 patients exhibiting myoclonic seizures (80 segments), focal clonic seizures (80 segments), and random infant movements (80 segments). This evaluation provided the basis for selecting the most effective strategy for training neural networks to detect neonatal seizures as well as the decision scheme used for interpreting the responses of the trained neural networks. The best neural networks exhibited sensitivity and specificity above 90%. The best among the motion trackers developed in this study produced quantitative features that constitute a reliable basis for detecting myoclonic and focal clonic neonatal seizures. The performance targets of the second phase of the project may be achieved by combining the quantitative features described in this paper with those obtained by analyzing motion strength signals produced by motion segmentation methods.

Diagnosis, Computer-Assisted↗

PubMed2001

Arytenoid appearance and vertical level difference between the paralyzed and innervated vocal cords.

OBJECTIVES/HYPOTHESIS: In unilateral vocal fold paralysis, it has been generally accepted that the paralyzed vocal fold presents at a higher level than a normally innervated vocal fold. In this study, we correlate the appearances of the paralyzed arytenoid and the differences in level between the paralyzed and innervated vocal folds. STUDY DESIGN: Retrospective review using video-recorded images of larynx. METHODS: A total of 38 patients were selected for this study who reported symptoms of voice change attributable to a paralyzed vocal fold unilaterally. Video recordings were obtained using the laryngeal telescope. The heights were assessed according to the paralyzed positions, status (inspiration or phonation), and appearances of the paralyzed arytenoid. The appearances of paralyzed arytenoid were further clarified as the portions of the medial surface of the arytenoid that were visualized. RESULTS: In medial paralysis, the paralyzed vocal fold appeared mainly as being at an equal vertical level or as having no distinct difference from normal vocal fold during phonation. However, a few cases of medial paralysis showed a lower than normal or higher than normal vocal fold during phonation, depending on the appearance of the paralyzed arytenoid. In lateral paralysis, most of the paralyzed vocal folds were not higher than the innervated vocal folds during phonation. CONCLUSIONS: The heights of paralyzed vocal folds were variable depending on the paralyzed positions, the status of the larynx, and appearances of the paralyzed arytenoid. The fact that the paralyzed vocal fold is at a higher level than the normal vocal fold should be reconsidered.

Adolescent↗

PubMed1999

Information acquisition from audio-video-data sources: an experimental study on remote diagnosis. The LOTAS Group.

OBJECTIVE: To determine what information sources are used during a remote diagnosis task. MATERIALS AND METHODS: Experienced trauma care providers viewed segments of videotaped initial trauma patient resuscitation and airway management. Experiment 1 collected responses from anesthesiologists to probing questions during and after the presentation of recorded video materials. Experiment 2 collected the responses from three types of care providers (anesthesiologists, nurses, and surgeons). Written and verbal responses were scored according to detection of critical events in video materials and categorized according to their content. Experiment 3 collected visual scanning data using an eyetracker during the viewing of recorded video materials from the three types of care providers. Eye-gaze data were analyzed in terms of focus on various parts of the videotaped materials. RESULTS: Care providers were found to be unable to detect several critical events. The three groups of subjects studied (anesthesiologists, nurses, and surgeons) focused on different aspects of videotaped materials. CONCLUSION: When the remote events and activities are multidisciplinary and rapidly changing, experts linked with audio-video-data connections may encounter difficulties in comprehending remote activities, and their information usage may be biased. Special training is needed for the remote decision-maker to appreciate tasks outside his or her speciality and beyond the boundaries of traditional divisions of labor.

Anesthesiology↗

PubMed1988

Continuous observations of daytime EEG patterns in normal subjects under restrained conditions while sitting in armchair or on stool. Part 1. Sleep state.

While stabilizing both behavioral and environmental factors as far as possible, continuous EEG observations were made on the level of consciousness of 32 normal healthy subjects aged 19-23. The experiment started at 11 p.m. by obtaining the sleep record for each subject. After spontaneous awakening in the morning, each subject was requested to maintain the same posture while sitting in an armchair or on a stool until the end of the experiment, and was asked not to fall asleep in the daytime. The behaviors of each subject were continuously video-recorded throughout the period of the experiment. From inspection of the EEG records, simultaneous video monitoring and recording of the subjects' daytime behavior, and the subsequent data analysis, the following conclusions were drawn: 1) The subjects had a strong tendency to fall asleep in the restrained armchair-sitting posture during the daytime. The EEG and video records of the subjects showed that sleep accounted for about 25-55% (average 37.6%) of the daytime period. 2) In 23 recordings of the subjects sitting in an armchair, 109 sleep blocks were observed, in comparison with 42 sleep blocks while sitting on a stool. On the basis of their characteristics, the sleep blocks could be divided into five categories. All the five types of sleep blocks were observed in the armchair-sitting posture, but only NREM-REM and SOREMP types of a short duration were observed in the stool-sitting posture. SOREMPs were observed in the daytime in both postures. 3) The REM cycle found in nocturnal sleep did not appear in the daytime. However, another rhythm, a 4-hour waking-sleep cycle after spontaneous awakening, was observed.

Adult↗