Assessing the Safety Component of the Federal Safe Routes to School Program: A Quasi-Experimental Pilot Study in Urban Areas of Washington State

Abstract Background Right ventricular (RV) failure is a common complication in moderate-to-severe acute respiratory distress syndrome (ARDS). RV failure is exacerbated by hypercapnic acidosis and overdistension induced by mechanical ventilation. Veno-venous extracorporeal CO2 removal (ECCO2R) might allow ultraprotective ventilation with lower tidal volume (VT) and plateau pressure (Pplat). This study investigated whether ECCO2R therapy could affect RV function. Methods This was a quasi-experimental prospective observational pilot study performed in a French medical ICU. Patients with moderate-to-severe ARDS with PaO2/FiO2 ratio between 80 and 150 mmHg were enrolled. An ultraprotective ventilation strategy was used with VT at 4 mL/kg of predicted body weight during the 24 h following the start of a low-flow ECCO2R device. RV function was assessed by transthoracic echocardiography (TTE) during the study protocol. Results The efficacy of ECCO2R facilitated an ultraprotective strategy in all 18 patients included. We observed a significant improvement in RV systolic function parameters. Tricuspid annular plane systolic excursion (TAPSE) increased significantly under ultraprotective ventilation compared to baseline (from 22.8 to 25.4 mm; p < 0.05). Systolic excursion velocity (S’ wave) also increased after the 1-day protocol (from 13.8 m/s to 15.1 m/s; p < 0.05). A significant improvement in the aortic velocity time integral (VTIAo) under ultraprotective ventilation settings was observed (p = 0.05). There were no significant differences in the values of systolic pulmonary arterial pressure (sPAP) and RV preload. Conclusion Low-flow ECCO2R facilitates an ultraprotective ventilation strategy thatwould improve RV function in moderate-to-severe ARDS patients. Improvement in RV contractility appears to be mainly due to a decrease in intrathoracic pressure allowed by ultraprotective ventilation, rather than a reduction of PaCO2.

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The Best Method to Predict Easy Intubation: A Quasi-Experimental Pilot Study

Journal of PeriAnesthesia Nursing ◽

10.1016/j.jopan.2013.05.015 ◽

2014 ◽

Vol 29 (4) ◽

pp. 292-297 ◽

Cited By ~ 5

Author(s):

Kati Knudsen ◽

Marieann Högman ◽

Anders Larsson ◽

Ulrica Nilsson

Keyword(s):

Pilot Study ◽

Quasi Experimental

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Estudio piloto sobre las respuestas motrices y psicológicas de jugadores y entrenadores durante la competición a la propuesta de reglas para mini-balonmano playa (Pilot study on players’ and coaches’ motor and psychological responses during competition t

Retos ◽

10.47197/retos.v43i0.89294 ◽

2021 ◽

Vol 43 ◽

pp. 623-633

Author(s):

Juan Antonio Sánchez-Sáez ◽

Juan Pablo Morillo-Baro ◽

José Miguel Sánchez Malia ◽

Daniel Lara Cobos ◽

Jose Luis Arias-Estero

Keyword(s):

Mixed Methods ◽

Pilot Study ◽

Perceived Competence ◽

Psychological Responses ◽

Mixed Methods Approach ◽

Dependent Variables ◽

The Future ◽

Post Test ◽

Quasi Experimental

Recientemente se ha planteado una propuesta de reglamento de mini-balonmano playa para adaptar el juego adulto a los jugadores en formación de hasta 11 años. El objetivo del estudio fue conocer las respuestas motrices y psicológicas de jugadores y entrenadores tras haber entrenado y jugado con el reglamento propuesto para mini-balonmano playa. Participaron 35 jugadores (16 niños y 19 niñas, edad: 8-11 años, M = 10.06, SD = 0.91) y cinco entrenadores (4 hombres y 1 mujer). El estudio siguió un enfoque de métodos mixtos, cuantitativo y cualitativo. El diseño fue cuasi-experimental con medidas post-test. La intervención siguió tres procesos: (a) la presentación del reglamento a los entrenadores, (b) el entrenamiento aprovechando las ventajas del nuevo reglamento, (c) la competición en un torneo de mini-balonmano playa. Cuantitativamente, las variables dependientes fueron motrices y psicológicas. Cualitativamente, se preguntó a los participantes por sus experiencias habiendo entrenado y jugado con el nuevo reglamento. Se obtuvieron valores elevados en cuanto a la igualdad en la participación, roles desempeñados, decisiones adecuadas en pase, giro y shoot-outs, competencia percibida, disfrute e intención de práctica futura. En conclusión, el reglamento propuesto para mini-balonmano playa parece que estuvo adaptado para los jugadores en formación del presente trabajo (hasta 11 años), dado que, en general, favoreció la participación de los jugadores por igual, sin especializarse en un rol, la equidad entre niños y niñas, las decisiones adecuadas y la adherencia hacia la actividad. Abstract. A proposal for a mini-beach handball regulation has recently been put forward to adapt the adult game to children up to 11 years of age. The aim of the study was to find out the motor and psychological responses of players and coaches after training and playing with the proposed mini-beach handball rules. Thirty-five players (16 boys and 19 girls, age: 8-11 years, M = 10.06, SD = 0.91) and five coaches (4 males and 1 female) participated. The study followed a mixed methods approach, quantitative and qualitative. The design was quasi-experimental with post-test measures. The intervention consisted of three procedures: (a) the presentation of the regulation to the coaches, (b) to train taking advantage of the new regulations, (c) to compete in a mini-beach handball tournament. Quantitatively, the dependent variables were motor and psychological. Qualitatively, participants were asked about their experiences training and playing with the new rules. High values were obtained in terms of equality in participation, roles played, appropriate decisions in passing, turning and shoot-outs, perceived competence, enjoyment, and intention to practice in the future. In conclusion, the proposed rules for mini-beach handball seem to be adapted for participants in the present study (up to 11 years of age), given that, in general, it favoured equal participation of players, without specialising in one role, equity between boys and girls, appropriate decisions and adherence to the activity.

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Pilot Study Protocol: Cervical Spine Joint Pain and Stiffness - Accuracy of Physical Assessment in Nursing (Preprint)

10.2196/preprints.31878 ◽

2021 ◽

Author(s):

Bruno Garrido Soares ◽

Fatima Raquel Fonseca ◽

Patrícia Fonseca ◽

Paulo Jorge Alves

Keyword(s):

Cervical Spine ◽

Pilot Study ◽

Data Collection ◽

Study Protocol ◽

Joint Stiffness ◽

Upper Cervical Spine ◽

Physical Assessment ◽

Stomatognathic System ◽

Upper Cervical ◽

Quasi Experimental

BACKGROUND Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. OBJECTIVE Describe the pilot study protocol of the influence of SS and RV on cervical structures. METHODS Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System® and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. RESULTS Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. CONCLUSIONS The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.

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Professional Notes and Comment

PMLA ◽

10.1632/s0030812900081645 ◽

1971 ◽

Vol 86 (2) ◽

pp. 284-356

Keyword(s):

New York ◽

Pilot Study ◽

Washington State ◽

Cumulative Index ◽

Accessible Information ◽

The World ◽

Available Information ◽

Information Bank ◽

London Stage

London Stage Index and Information Bank. A pilot study is underway at Lawrence Univ. to determine the best way of providing for The London Stage 1660–1800 a cumulative index and computer-accessible information bank. This series, edited by William B. van Lennep (late of Harvard), Emmett L. Avery (Washington State), Arthur H. Scouten (Pennsylvania), Geo. Winchester Stone, Jr. (New York Univ.), and Charles Beecher Hogan (Yale), is an exhaustive calendar of plays, entertainments, after pieces, dancing, and singing, together with casts, box receipts, advertising, contemporary comment, and all available information about scenery, theatre construction, costuming, audiences, management, and production, compiled from the playbills, newspapers, and theatrical diaries of the period. Until its publication, these records, scattered all over the world, were virtually inaccessible. Now, a scholar may turn to this 11-volume, 8,000-page, 3-million-word reference work with the confidence that whatever information is missing concerning the performance of plays in London during this period is not likely to exist.

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