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Record W2942371821 · doi:10.22371/07.2019.023

Nurse Practitioner Led Identification and Treatment of Knee Pain Severity Based on Evidence Classification Protocols

2019· dissertation· en· W2942371821 on OpenAlexaboutno aff
Mayra Padilla Arechiga

Bibliographic record

Venuenot available
Typedissertation
Languageen
FieldMedicine
TopicOsteoarthritis Treatment and Mechanisms
Canadian institutionsnot available
Fundersnot available
KeywordsIdentification (biology)MedicineKnee painNurse practitionersPhysical therapyNursingAlternative medicineOsteoarthritisHealth carePolitical sciencePathology

Abstract

fetched live from OpenAlex

Title: Nurse Practitioner Led Identification and Treatment of Knee Pain Severity Based on Evidence Classification Protocols Background: Knee pain has become the 10th leading office visit in the United States. Prevalence of knee pain has increased 65% in the past 20 years accounting for approximately 4 million clinic visits every year. One out of five men and one out of four women in the United States suffers from knee pain. Treatment protocols in actuality are based on physical therapy, pharmacological treatment, or surgical management. However, research has demonstrated that knee pain and progression of knee related illnesses may be prevented by diet, weight control, knee exercises, and early treatment intervention. Purpose of Project: a) To determine the level of knee pain severity after administration of the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire; b) To increase knee pain management knowledge by at least 50% in a 2-month period. EBP Model/ Framework: The John Hopkins Model was used to guide this project. Evidence Based Intervention(s): The WOMAC questionnaire was provided to every patient presenting to the clinic with a complaint of knee pain. Printed material on knee pain management and resources were provided based on WOMAC Scores. Evaluation/ Results: A total of eighteen patients received knee pain management educational material. Fourteen respondents expressed an increase in knowledge on how to properly manage knee pain. One respondent expressed no benefit, and three respondents were not able to be reached by phone. Implications on Practice: Early non-surgical interventions may contribute to prevention and a better management of knee pain. Early detection and management will improve quality of life, decrease progression, and decrease clinic visits. Conclusion: The WOMAC instrument is a reliable and validated tool that has been utilized in numerous research trials as an assessment tool for different knee conditions. Implementation of the WOMAC tool on a primary care facility will assist on obtaining specific information related to knee pain to ensure that patients are provided with the most up to date research information.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.097
metaresearch head score (Gemma)0.244
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.097
Threshold uncertainty score0.515

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0970.244
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0030.005
Bibliometrics0.0110.006
Science and technology studies0.0020.001
Scholarly communication0.0050.005
Open science0.0040.006
Research integrity0.0050.005
Insufficient payload (model declined to judge)0.0230.006

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.041
GPT teacher head0.349
Teacher spread0.308 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractyes

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