Attitudes of patients toward adoption of 3D technology in pain assessment: Qualitative perspective

This article is made available through the Brunel Open Access Publishing Fund. © Fotios Spyridonis, Gheorghita Ghinea, Andrew O Frank. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 10.04.2013. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.This article has been made available through the Brunel Open Access Publishing Fund.Background: Past research has revealed that insufficient pain assessment could, and often, has negative implications on the provision of quality health care. While current available clinical approaches have proven to be valid interventions, they are expensive and can often fail in providing efficient pain measurements. The increase in the prevalence of pain calls for more intuitive pain assessment solutions. Computerized alternatives have already been proposed both in the literature and in commerce, but may lack essential qualities such as accuracy of the collected clinical information and effective patient-clinician interaction. In response to this concern, 3-dimensional (3D) technology could become the innovative intervention needed to support and improve the pain assessment process. Objective: The purpose of this analysis was to describe qualitative findings from a study which was designed to explore patients’ perceptions of adopting 3D technology in the assessment of their pain experience related to important themes that might positively or negatively influence the quality of the pain assessment process. Methods: The perceptions of 60 individuals with some form of pain in the area of Greater London were collected through semi-structured interviews. Of the 60 respondents, 24 (43%) produced usable responses and were analyzed for content using principles of the grounded theory approach and thematic analysis, in order to gain insight into the participants’ beliefs and attitudes towards adopting 3D technology in pain assessment. Results: The analysis identified 4 high-level core themes that were representative of the participants’ responses. These themes indicated that most respondents valued “the potential of 3D technology to facilitate better assessment of pain” as the most useful outcome of adopting a 3D approach. Respondents also expressed their opinions on the usability of the 3D approach, with no important concerns reported about its perceived ease of use. Our findings finally, showed that respondents appreciated the perceived clinical utility of the proposed approach, which could further have an influence on their intention to use it. Conclusions: These findings highlighted factors that are seen as essential for improving the assessment of pain, and demonstrated the need for a strong focus on patient-clinician communication. The participants of this analysis believed that the introduction of 3D technology in the process might be a useful mechanism for such a positive health care outcome. The study’s findings could also be used to make recommendations concerning the potential for inclusion of 3D technology in current clinical pain tools for the purpose of improving the quality of health care

3-D pain drawings-mobile data collection using a PDA

A large number of the adult population suffers from some kind of back pain during their lifetime. Part of the process of diagnosing and treating such back pain is for a clinician to collect information as to the type and location of the pain that is being suffered.Traditional approaches to gathering and visualizing this pain data have relied on simple 2-D representations of the human body, where different types of sensation are recorded with various monochrome symbols. Although patients have been shown to prefer such drawings to traditional questionnaires, these pain drawings can be limited in their ability to accurately record pain. The work described in this paper proposes an alternative that uses a 3-D representation of the human body, which can be marked in color to visualize and record the pain data. This study has shown that the new approach is a promising development in this area of medical practice and has been positively received by patients and clinicians alike

Pain management following new and long-standing spinal cord injury: A pilot study of changes in pain intensity experienced during the day

The aim of the study was to examine variations in pain intensity during the day experienced by patients with spinal cord injury. Fourteen consecutive patients had clinical and demographic data recorded. Pain intensity was recorded using a Graphic Rating Scale (GRS) at 2-3-h intervals. Patients were grouped according to maximum GRS into mild and severe groups at assessment (T0). Changes of one-third in GRS were deemed clinically significant. Eight men and six women (mean age 53.1; SD 16.5; range 28-75) were studied. Seven patients with mild pain tended to deteriorate and those with severe pain to improve. Eight patients demonstrated clinically significant changes. These findings suggest inadequate pain control early morning for one group and increasing pain during the day for another. Use of such simple scores over time would enhance pain rehabilitation for all spinal cord injury patients. Usual GRS reporting may mask clinically significant, treatable, changes in pain

Motion of Vacancies in a Pinned Vortex Lattice: Origin of the Hall Anomaly

Physical arguments are presented to show that the Hall anomaly is an effect of the vortex many-body correlation rather than that of an individual vortex. Quantitatively, the characteristic energy scale in the problem, the vortex vacancy formation energy, is obtained for thin films. At low temperatures a scaling relation between the Hall and longitudinal resistivities is found, with the power depending on sample details. Near the superconducting transition temperature and for small magnetic fields the Hall conductivity is found to be proportional to the inverse of the magnetic field and to the quadratic of the difference between the measured and the transition temperatures.Comment: minor change

Microscopic Oscillations in the Quantum Nucleation of Vortices Subject to Periodic Pinning Potential in a Thin Superconductor

We present a theory for the decay of a supercurrent through nucleation of vortex-antivortex pairs in a two-dimensional superconductor in the presence of dissipation and of a periodic pinning potential. Through a powerful quantum electrodynamics formulation of the problem we show that the nucleation rate develops oscillations in its current-density dependence which are connected to the pinning periodicity. A remnant of the dissipation-driven localization transition is present, and an estimate of the nucleation rate suggests that these effects might be observable in real thin superconductors.Comment: REVTeX file, 4 pages in two-column mode, 1 Postscript figure, to appear in Phys.Rev.B (Rapid Communications

Enhanced stability of hydrogen atoms at the graphene/graphane interface of nanoribbons

The thermal stability of graphene/graphane nanoribbons (GGNRs) is investigated using density functional theory. It is found that the energy barriers for the diffusion of hydrogen atoms on the zigzag and armchair interfaces of GGNRs are 2.86 and 3.17 eV, respectively, while the diffusion barrier of an isolated H atom on pristine graphene was only ~0.3 eV. These results unambiguously demonstrate that the thermal stability of GGNRs can be enhanced significantly by increasing the hydrogen diffusion barriers through graphene/graphane interface engineering. This may provide new insights for viable applications of GGNRs.Comment: 13 pages, 1 figure, 2 tables to appear in Appl. Phys. Let

Effective Vortex Mass from Microscopic Theory

We calculate the effective mass of a single quantized vortex in the BCS superconductor at finite temperature. Based on effective action approach, we arrive at the effective mass of a vortex as integral of the spectral function $J(\omega)$ divided by $\omega^3$ over frequency. The spectral function is given in terms of the quantum-mechanical transition elements of the gradient of the Hamiltonian between two Bogoliubov-deGennes (BdG) eigenstates. Based on self-consistent numerical diagonalization of the BdG equation we find that the effective mass per unit length of vortex at zero temperature is of order $m (k_f \xi_0)^2$ ($k_f$=Fermi momentum, $\xi_0$=coherence length), essentially equaling the electron mass displaced within the coherence length from the vortex core. Transitions between the core states are responsible for most of the mass. The mass reaches a maximum value at $T\approx 0.5 T_c$ and decreases continuously to zero at $T_c$.Comment: Supercedes prior version, cond-mat/990312

Idealized Slab Plasma approach for the study of Warm Dense Matter

Recently, warm dense matter (WDM) has emerged as an interdisciplinary field that draws increasing interest in plasma physics, condensed matter physics, high pressure science, astrophysics, inertial confinement fusion, as well as materials science under extreme conditions. To allow the study of well-defined WDM states, we have introduced the concept of idealized-slab plasmas that can be realized in the laboratory via (i) the isochoric heating of a solid and (ii) the propagation of a shock wave in a solid. The application of this concept provides new means for probing the dynamic conductivity, equation of state, ionization and opacity. These approaches are presented here using results derived from first-principles (density-functional type) theory, Thomas-Fermi type theory, and numerical simulations.Comment: 37 pages, 21 figures, available, pdf file only. To appear in: Laser and Particle beams. To appear more or less in this form in Laser and Particle beam

Large-scale diversity estimation through surname origin inference

The study of surnames as both linguistic and geographical markers of the past has proven valuable in several research fields spanning from biology and genetics to demography and social mobility. This article builds upon the existing literature to conceive and develop a surname origin classifier based on a data-driven typology. This enables us to explore a methodology to describe large-scale estimates of the relative diversity of social groups, especially when such data is scarcely available. We subsequently analyze the representativeness of surname origins for 15 socio-professional groups in France

ZIRCON U-PB AND HF ISOTOPIC STUDY OF THE KAWABULAKE OPHIOLITE EASTERN TIANSHAN: IMPLICATION FOR THE TECTONIC EVOLUTION OF CAOB

The Eastern Tianshan belt, located in the southern CAOB, played an important role in the crustal evolution, particularly because it links the Southern Tianshan suture to the west with the Inner Mongolia Solonker suture to the east. However, some critical issues, such as the exact position and formation age of the final suture zone of the Paleo-Asian ocean are still obscure or in controversy. Thus, here we have performed detailed studies of the Kwabulake ophiolit zone, a key part of the southern suture of the CAOB. New LA- ICPMS zircon U–Pb ages, Hf isotopic values, and whole-rock geochemical data have been presented to: (1) constrain the age of the Kawabulake ophiolite, (2) understand the petrogenesis of the granodiorites and their tectonic setting, and (3) reveal their implications for geodynamics of the Eastern Tianshan belt.The Eastern Tianshan belt, located in the southern CAOB, played an important role in the crustal evolution, particularly because it links the Southern Tianshan suture to the west with the Inner Mongolia Solonker suture to the east. However, some critical issues, such as the exact position and formation age of the final suture zone of the Paleo-Asian ocean are still obscure or in controversy. Thus, here we have performed detailed studies of the Kwabulake ophiolit zone, a key part of the southern suture of the CAOB. New LA- ICPMS zircon U–Pb ages, Hf isotopic values, and whole-rock geochemical data have been presented to: (1) constrain the age of the Kawabulake ophiolite, (2) understand the petrogenesis of the granodiorites and their tectonic setting, and (3) reveal their implications for geodynamics of the Eastern Tianshan belt