Background Auscultation is one of the first examinations that a patient is subjected to in a GP’s office, especially in relation to diseases of the respiratory system. However it is a highly subjective process and depends on the physician’s ability to interpret the sounds as determined by his/her psychoacoustical characteristics. Here, we present a cross-sectional assessment of the skills of physicians of different specializations and medical students in the classification of respiratory sounds in children. Methods and findings 185 participants representing different medical specializations took part in the experiment. The experiment comprised 24 respiratory system auscultation sounds. The participants were tasked with listening to, and matching the sounds with provided descriptions of specific sound classes. The results revealed difficulties in both the recognition and description of respiratory sounds. The pulmonologist group was found to perform significantly better than other groups in terms of number of correct answers. We also found that performance significantly improved when similar sound classes were grouped together into wider, more general classes. Conclusions These results confirm that ambiguous identification and interpretation of sounds in auscultation is a generic issue which should not be neglected as it can potentially lead to inaccurate diagnosis and mistreatment. Our results lend further support to the already widespread acknowledgment of the need to standardize the nomenclature of auscultation sounds (according to European Respiratory Society, International Lung Sounds Association and American Thoracic Society). In particular, our findings point towards important educational challenges in both theory (nomenclature) and practice (training).

This paper concerns the psychometric evaluation of the Polish version of a self-report

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The main aim of the study was to assess the psychometric properties of the Polish version of the task and ego orientation in sport questionnaire (TEOSQ). The study covered 651 athletes aged 19.2 years, SD (Standard deviation) = 2.21. The task and ego orientation in sport questionnaire (TEOSQ) and sport motivation scale (SMS-28) were used. Cronbach’s Alpha for the ego subscale was 0.84, and for the task subscale 0.81 (McDonald’s omega was 0.84, 0.82 respectively). The reliability of the test-retest with two weeks interval was ICC (Intraclass correlation coefficient) = 0.86 for ego and ICC = 0.86 for task. Initially, the two-factor model was not fully fitted (CFI (Comparative fit index) = 0.84), however the model with correlated errors for selected test items was well fitted to data (CFI = 0.95). Statistically significant, positive correlations between the task orientation and the intrinsic motivation components were obtained. Additionally, individual athletes had higher scores on the ego factor and lower scores on the task factor than the team athletes. These effects were moderated by the level of participation and occurred among high-performance athletes. Due to satisfactory reliability and validity indicators the Polish version of the task and ego orientation in sport questionnaire (TEOSQ) can be used both for scientific research and in the individual diagnostics of athletes.

IntroductionEvaluation of the quality of life of patients with osteoporosis concerns the physical, emotional, social and pain quality of life domains. The aim of the research was to describe the psychometric properties of the Polish version of QUALEFFO-41 in 253 Polish postmenopausal women with osteopenia or osteoporosis and in 132 postmenopausal women with normal BMD.Material and methodsThe internal reliability of QUALEFFO-41 was studied using Cronbach’s alpha coefficient. The reproducibility of the QUALEFFO-41 scales was assessed using Pearson’s correlation. The capacity of questions to discriminate between women with reduced bone mineral density (BMD) and normal subjects was assessed by conditional logistic regression to derive an odds ratio with 95% confidence intervals. The discriminative power, which measures the ability of the questionnaire to discriminate between patients, was assessed by clinical validity. Additionally, receiver operating characteristic (ROC) curves were constructed to assess the ability of QUALEFFO-41.ResultsCronbach’s α coefficient reflecting the reliability and repeatability of the instrument for all domains was satisfactory. Results of scores for domains of QUALEFFO-41 and the score for total QUALEFFO-41 demonstrate a significant difference (p < 0.001) among all groups; only in the case of the pain domain was there a significant difference at the level of p < 0.01 between normal subjects and osteoporotic patients. Receiver operating characteristic curve analysis demonstrated a good discriminating capacity of individual domains and total QUALEFFO-41 score.ConclusionsThe Polish version of QUALEFFO-41 can be used among patients with reduced BMD compared to normal subjects, independently of vertebral fractures, as it is coherent and discriminates well between women with reduced BMD and normal subjects.