The client satisfaction with device: a Rasch validation of the Arabic version in patients with upper and lower limb amputation

BACKGROUND: The Client Satisfaction with Devices (CSD) module of the Orthotics and Prosthetics Users' Survey is an extensively used questionnaire that measures patients' satisfaction with orthosis and prosthesis. However, the validated version for Arabic speakers (CSD-Ar) is only applicable for orthosis users. OBJECTIVES: The aim of this study was to evaluate the psychometric proprieties of the CSD-Ar for prosthetics users. METHODS: The study used a convenience sample of prosthesis users from Saudi Arabia and Turkey (N\u2009=\u2009183), who completed the CSD-Ar. The collected data were analysed using Rasch analysis to evaluate item fit, reliability indices, item difficulty, local item dependency, and differential item functioning (DIF) using WINSTEPS version 4.6.1. RESULTS: Based on the analysis, the four-response Likert-scale was acceptable, as shown by the category functioning test, All eight items did achieve a fit to the Rasch Model [(infit) and (outfit) mean-square 0.75 to 1.3]. Person separation reliability was 0.76, and item separation reliability was 0.94. A principal component analysis (PCA) showed satisfactory unidimensionality and no local item dependency. The DIF analysis showed no notable dependency among items on participant characteristics in terms of age, gender, duration of use, country, and level of amputation. CONCLUSION: This study contributes to the confidence of using CSD-Ar to evaluate users' satisfaction with different prostheses, affirming the need for further refinement of the quality of the outcome measure

Comparison of health-related quality of life after percutaneous coronary intervention and coronary artery bypass surgery

BACKGROUND: Health-related quality of life (HRQOL) evaluation is an important measure of the impact of the disease. As more people with coronary heart disease (CHD) live longer, doctors and researchers want to know how they manage in day to day life. It looked like adults with CHD had a decrease QOL. The aim of this study was to comparison of HRQOL of patients who underwent percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) and to assess its main determinants in the whole sample of coronary artery disease (CAD) patients. METHODS: The study was carried out to estimate HRQOL of 109 patients who underwent invasive coronary revascularization PCI (n = 75) and CABG (n = 34). We applied HRQOL after 6 months and 2 years in both groups and scores were compared. The HRQOL data were obtained using MacNew Heart Disease questionnaire with dimensions emotional, physical and social that estimated. Data entry and analysis were performed by SPSS 16.0. RESULTS: A total MacNew scale in CABG and PCI group in 6 months after treatment were 45.32 ± 13.75 and 53.52 ± 15.63, respectively (P = 0.0100). After 2 years HRQOL mean changed to 51.176 ± 14.80 and 49.55 ± 16.22, respectively, in CABG and PCI group (P = 0.4280). Our results in within-group analysis showed total MacNew scale and its subscales were changed significantly after 2 years in CABG and PCI group�s scores were detected. We found in the whole sample of CAD patients those who had a higher level of income and education and were not either overweight or obese experienced better HRQOL. CONCLUSION: Our results showed that patients who underwent PCI experienced significantly higher HRQOL in 6 months after revascularization but over 24 months follow-up no difference was observed between the two groups. © 2016, Isfahan University of Medical Sciences(IUMS). All rights reserved

On the Mechanism of Drag Reduction in Fully-Developed Turbulent Channel Flow with a Streamwise Micro-featured Superhydrophobic Wall

The superhydrophobic drag reduction changes the structures of turbulent flow. However, the underlying mechanism is not clear. The aim of this study is to determine the alternations of turbulent flow due to applying a streamwise micro-featured superhydrophobic wall. Large eddy simulations are performed to explore the effect of micro-features on near-wall behaviors. The results indicate that the outward motion of the lifted low-speed streaks is restricted to the lower wall layers, and the region of maximum production of streamwise vorticities is shifted toward the micro-featured wall. The quadrant analysis of Reynolds stress shows that there is a stronger increase in outward motion of high-speed fluid and inward motion of low-speed fluid than ejection and sweep

Studies on biology and antibiosis resistance in mango (Mangiferae indica) varieties against mango mealy bug, Drosicha mangiferae green (Hemiptera: Margarodidae)

Mango is known as king of fruits. Among mango pests, mango mealy bug, Drosicha mangiferae (MMB), is considered one of the most destructive pests of mango orchards and other plantations. Whenever it enters in any orchards it is difficult to eradicate it from those orchards. The experiment was conducted at Entomological Research Sub Station, Multan-Punjab, Pakistan, during 2009 and 2010, to evaluate fitness of mango mealy bug on different varieties of mango and biology on ‘Chaunsa’ variety. Mango mealy bug, Drosicha mangiferae Green (Hemiptera: Coccoidea: Margarodidae), is matter of concern, as it is widespread pest of woody plants even in urban areas. A study was conducted on cultivar resistance and fecundity of mango mealy bug. The ‘Chaunsa’ cultivar of mango proved highly susceptible to mango mealy bug with maximum number of eggs laid, i.e. 335.90, and maximum weight, i.e. 0.239 g of the female, was recorded on the cultivar ‘Chaunsa’. The maximum length, i.e. 1.63 cm, and width, i.e. 0.80 cm of female, was observed on ‘Chaunsa’, which showed a susceptible response and did not differ significantly with the width of female on ‘Black Chaunsa’. Regarding biology, the 1st instar male and female duration on an average is 56.3 days, whereas the 2nd instar has 26 days. In case of the 3rd instar, female has duration 19.5 days and male has three days. Male has pupal stage, while it is absent in female. On an average two study years, the ranking of susceptibility of mango cultivars was as under: ‘Chaunsa’ > ‘Black Chaunsa’ > ‘Malda’ > ‘Fajri’ > ‘Retaul-12’ > ‘Langra’ > ‘Sensation’ > ‘Sindhri’ > ‘Dusehri’ > ‘Sufaid Chaunsa’ > ‘Anwar Reutul’ and > ‘Tukhmi’

Comparison of the marginal adaptation of direct and indirect composite inlay restorations with optical coherence tomography

OBJECTIVE: The purpose of the study was to use the photonic imaging modality of optical coherence tomography (OCT) to compare the marginal adaptation of composite inlays fabricated by direct and indirect techniques. MATERIAL AND METHODS: Class II cavities were prepared on 34 extracted human molar teeth. The cavities were randomly divided into two groups according to the inlay fabrication technique. The first group was directly restored on cavities with a composite (Esthet X HD, Dentsply, Germany) after isolating. The second group was indirectly restored with the same composite material. Marginal adaptations were scanned before cementation with an invisible infrared light beam of OCT (Thorlabs), allowing measurement in 200 µm intervals. Restorations were cemented with a self-adhesive cement resin (SmartCem2, Dentsply), and then marginal adaptations were again measured with OCT. Mean values were statistically compared by using independent-samples t-test and paired samples t-test (p<0.05), before and after cementation. RESULTS: Direct inlays presented statistically smaller marginal discrepancy values than indirect inlays, before (p=0.00001442) and after (p=0.00001466) cementation. Marginal discrepancy values were increased for all restorations after cementation (p=0.00008839, p=0.000000952 for direct and indirect inlays, respectively). The mean marginal discrepancy value of the direct group increased from 56.88±20.04 µm to 91.88±31.7 µm, whereas the indirect group increased from 107.54±35.63 µm to 170.29±54.83 µm. Different techniques are available to detect marginal adaptation of restorations, but the OCT system can give quantitative information about resin cement thickness and its interaction between tooth and restoration in a nondestructive manner. CONCLUSIONS: Direct inlays presented smaller marginal discrepancy than indirect inlays. The marginal discrepancy values were increased for all restorations that refer to cement thickness after cementation