Vessey J.,Boston College |
Strout T.D.,Tufts University |
Difazio R.L.,Orthopedics Center |
Walker A.,Beth Israel Deaconess Medical Center
Journal of School Health | Year: 2014
BACKGROUND: Bullying is a significant problem in schools and measuring this concept remains problematic. The purposes of this study were to (1) identify the published self-report measures developed to assess youth bullying; (2) evaluate their psychometric properties and instrument characteristics; and (3) evaluate the quality of identified psychometric papers evaluating youth bullying measures. METHODS: A systematic review of the literature was conducted using 4 electronic databases. Data extraction and appraisal of identified instruments were completed using a standardized method and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS: Thirty-one articles describing 27 self-report instruments were evaluated in our analysis. Quality assessments ranged from 18% to 91%, with 6 papers reaching or exceeding a quality score of 75%. Limited evidence supporting the reliability, validity, and responsiveness of existing youth bullying measures was identified. CONCLUSIONS: Evidence supporting the psychometric soundness of the instruments identified was limited. Many measures were in early development and additional evaluation is necessary to validate their psychometric properties. A pool of instruments possesses acceptable initial psychometric dependability for selected assessment purposes. These findings have significant implications for assessing youth bullying and designing and evaluating school-based interventions. © 2014, American School Health Association.
DiFazio R.L.,Orthopedics Center |
Harris M.,Orthopedics Center |
Vessey J.A.,Orthopedics Center |
Vessey J.A.,Boston College |
And 3 more authors.
Journal of Pediatric Rehabilitation Medicine | Year: 2014
PURPOSE: To describe and define the experiences of adults with cerebral palsy (CP) and parents of adults with CP who have been involved in a transfer of physiatry care from pediatric to adult healthcare and to explore their experiences more generally in the transition from pediatric to adult services. METHODS: A qualitative research approach was used. Semi-structured focus group interviews were conducted with adults with CP (n=5) and parents of adults with CP (n=8) to explore the health care transition (HCT) process from pediatric to adult healthcare. Four key content domains were used to facilitate the focus groups; 1) Transition Planning, 2) Accessibility of Services, 3) Experience with Adult Providers, and 4) Recommendations for Improving the Transition Process. Conventional content analysis was used to analyze the data. RESULTS: Four themes emerged from the focus groups; Lost in Transition, Roadmap to Care, List of None, and One Stop Shopping. Participants felt lost in the HCT process, requested a transparent transition plan, expressed concern regarding access to adult healthcare, and made recommendations for improvements. CONCLUSION: Challenges in transitioning from pediatric to adult health care were identified by all participants and several strategies were recommended for improvement. © 2014 - IOS Press and the authors.
Liu X.-W.,Orthopedics Center |
Kang J.,Orthopedics Center |
Fan X.-D.,Orthopedics Center |
Sun L.-F.,Orthopedics Center
Asian Pacific Journal of Tropical Medicine | Year: 2013
Objective: To discuss the expression and significance of vascular endothelial growth factor (VEGF) and p53 expression in rat degenerated intervertebral disc (IVD) tissues. Methods: A total of 78 even-aged Sprague-Dawley (SD) rats (observation group) were chosen to establish a rat IVD degeneration model with anterior limbs and tail-removing method. Three months after modeling, rats were executed and degenerated IVD tissues were obtained for pathological biopsy so as to observe VEGF and p53 expression thereof. Meanwhile, IVD tissues from 8 healthy rats were gained for comparison. Results: Capillary infiltration was found in 62.8% of cases in observation group. Positive expression of VEGF and p53 was seen in 74.4% and 59.0% of cases respectively with a co-expression rate of 53.8%. VEGF and p53 expression in degenerated IVD tissues with capillary infiltration was higher than that in non-infiltration group (P<0.05). Conclusions: A coordinate expression of VEGF and p53 in rat degenerated IVD tissues is demonstrated, indicating that they are both involved in neovascularization and infiltration, which accelerates IVD degeneration. © 2013 Hainan Medical College.
Wang F.-D.,Orthopedics Center |
Zhang Z.,Orthopedics Center |
Zheng J.-Z.,Orthopedics Center |
Chen Y.,Orthopedics Center |
Cai Q.-L.,Orthopedics Center
Chinese Journal of Tissue Engineering Research | Year: 2015
BACKGROUND: Clinical resection of thoracolumbar spinal tumor has a great impact on the spinal stability. Positive internal fixation is required clinically in order to maintain the spinal stability. The use of titanium mesh implantation can provide a firm internal fixation following resection of tumors. OBJECTIVE: To explore the spinal stability undergoing titanium mesh implantation with internal fixation following thoracolumbar tumor resection. METHODS: Twenty-four patients with thoracolumbar tumor admitted at the Central Hospital of Suining City from September 2013 to September 2014 were randomly selected and given tumor resection followed by titanium mesh implantation with internal fixation. After treatment, patients were followed up for 1-12 months to observe and analyze the neural functional recovery and spinal stability of the patients. RESULTS AND CONCLUSION: All the 24 patients successfully completed the operation treatment, and there was no case of death at the end of follow-up. During the follow-up, patient’s clinical symptoms and neural function were significantly relieved, and Frankel classification was significantly improved after treatment. Regular X-ray examination showed that there was no change in the position of titanium mesh and anterior internal fixation system. There was also no titanium mesh collapse, internal fixation fracture and loosening, and the spinal stability was still excellent. These findings indicate that patients were not changed, and did not appear because the amount of loose, good spinal stability. Resection of thoracolumbar tumors showed that the thoracolumbar spinal reconstruction with titanium mesh implantation combined with internal fixation following tumor resection can obtain good clinical effect and excellent biocompatiblity. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.