Faculty Bibliography
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The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain – a Randomized, Placebo-Controlled, Clinical Trial
[S.l. : s.n.], 2022
ISBN: n/a
CID: 5232662
Expiratory Airflow Limitations on Lung Flute Effectiveness in Secretion Clearance: An Observational Cross-sectional Pilot Study
Purpose:The purpose of this observational study was to assess the validity of the Lung Flute (LF) manufacturer's criterion for effective use of the device.
Method(s):Peak expiratory flow (PEF) and the ability to activate the oscillatory mechanism in the LF were assessed and compared. The diagnostic accuracy of the manufacturer's PEF threshold value of >=128.4 L/min was determined, and an optimized threshold was derived.
Result(s):The LF manufacturer's PEF threshold value of >=128.4 L/min had a sensitivity of 100%, a specificity of 55%, and overall diagnostic accuracy of 83%. Nine (45%) of the twenty subjects that were not capable of activating the oscillatory device had a PEF >=128.4 L/min. The optimal threshold value, with a sensitivity and specificity of 100%, for our sample was 167.5 L/min.
Conclusion(s):The manufacturer's PEF threshold value of >=128.4 L/min demonstrated high sensitivity but low specificity for predicting a patient's ability to use the LF device effectively. The optimized threshold value derived from our study was markedly higher. Clinicians should be aware that the LF manufacturer's specifications for the minimum PEF required for effective use of the device may not be evidence-based or accurate and consider this when prescribing this oscillatory positive expiratory pressure device.
Copyright
Method(s):Peak expiratory flow (PEF) and the ability to activate the oscillatory mechanism in the LF were assessed and compared. The diagnostic accuracy of the manufacturer's PEF threshold value of >=128.4 L/min was determined, and an optimized threshold was derived.
Result(s):The LF manufacturer's PEF threshold value of >=128.4 L/min had a sensitivity of 100%, a specificity of 55%, and overall diagnostic accuracy of 83%. Nine (45%) of the twenty subjects that were not capable of activating the oscillatory device had a PEF >=128.4 L/min. The optimal threshold value, with a sensitivity and specificity of 100%, for our sample was 167.5 L/min.
Conclusion(s):The manufacturer's PEF threshold value of >=128.4 L/min demonstrated high sensitivity but low specificity for predicting a patient's ability to use the LF device effectively. The optimized threshold value derived from our study was markedly higher. Clinicians should be aware that the LF manufacturer's specifications for the minimum PEF required for effective use of the device may not be evidence-based or accurate and consider this when prescribing this oscillatory positive expiratory pressure device.
Copyright
EMBASE:2018441250
ISSN: 2374-8907
CID: 5250592
Early Mobilization in the Pediatric Intensive Care Unit: A Quality Improvement Initiative
Mobilizing patients during an intensive care unit admission results in improved clinical and functional outcomes. The goal of this quality improvement project was to increase the percentage of patients in the pediatric intensive care unit (PICU) mobilized early from 62% to 80%. Early mobilization was within 18 hours of admission for nonmechanically ventilated (non-MV) patients and 48 hours for mechanically ventilated (MV) patients.
PMCID:7056284
PMID: 32190800
ISSN: 2472-0054
CID: 4352892
