Emotion Valence for Social Communication During Story Retells

Purpose: Children's narratives may differ based on whether they are describing events that elicit positive versus negative emotions and may be more detailed when talking about negative emotions. Understanding how children retell stories representing varied emotions may guide educators in providing opportunities for children to develop social communication. This study examined retells of stories depicting positive versus negative emotions and responses to follow-up questions relating to facets of social communication. Method: Video stories depicting positive versus negative emotions were presented to 22 preschool children (ages 4;1–5;3 [years;months]). Macrostructure in the retells (measured by the Index of Narrative Complexity) and talk about emotions (measured by number and variety of emotion words) and action/attempts (rated by a rubric for quality of response) were analyzed. Results: The only significant result was the difference between the number of times the macro element, complication, was included in retells, with a greater number in the negative condition. Conclusion: The consistent quality of retells across emotion valence suggests that positive and negative emotions may both be used in fictional stories depicting social scenarios to develop opportunities to assess and talk about facets of social communication.

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THE DISCRIMINATE ABILITY OF THE PEDIATRIC ADOLESCENT SHOULDER SURVEY (PASS)

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00181 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0018

Author(s):

Tracey Bastrom ◽

Andrew Pennock ◽

Eric W. Edmonds

Keyword(s):

Surgical Treatment ◽

Shoulder Instability ◽

Shoulder Function ◽

Compensatory Mechanisms ◽

Minimal Impact ◽

Shoulder Dysfunction ◽

Operative Outcomes ◽

The Difference

Purpose: The purpose of this study was to examine whether improvements in the Pediatric and Adolescent Shoulder Survey (PASS) are seen at 3 months following surgical treatment for shoulder instability and whether the PASS can discriminate between patients with differing outcomes based on clinical exam and the single assessment numeric evaluation (SANE). Performance of the PASS was contrasted with an adult validated tool, the quickDASH. Methods: Patients who underwent surgical treatment for shoulder instability with completed PASS forms available at pre-operative and 3 months post-operative (range 2.5-4.5mos) were included in this review. The PASS consists of 13 questions that assess (in child friendly language) symptoms, limitations, need for compensatory mechanisms, and emotional distress related to shoulder dysfunction. Responses are on a 0-5 or 0-10 scale with a score calculation based on percentage of total possible points (100% indicates no/minimal impact on quality of life from shoulder dysfunction). Patients were grouped based on range of motion or strength (within 10 degrees to contralateral extremity or no discrepancy in strength score was considered no deficit) and SANE score (=80% vs <80%) at the 3-month visit. Alpha was set at p<0.05 to declare significance. Results: 50 patients with a mean age of 16 years (range 13.5-18 yrs) were identified in this review with a mean post-operative follow-up of 3.2 ± 0.5 months. Scores on the PASS improved significantly from pre-operative (57 ± 16%) to post-operative (74 ± 16%, p<0.001). The quickDASH similarly showed improvement (27 ± 16 pre vs 18 ± 16 post, p=0.003) although the magnitude of the effect for the PASS was larger (f=0.84 for PASS vs f=0.48 for quickDASH). Ceiling effect (>15% reporting the highest score) was observed at 3 months with the quickDASH (16% with top score), but not with the PASS (4%, p=0.03). While both tools were able to discriminate between patients with SANE score =80% vs <80%, the difference in quickDASH score between patients with/without diminished motion did not reach significance (p=0.07, Table). Conclusion: The PASS shows anticipated improvements in shoulder function following surgical intervention for instability without ceiling effects. The PASS is able to discriminate between patients with differing post-operative outcomes at 3 months following surgery. [Table: see text]

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Identifying Effectors of Outcomes in Patients with Large Umbilical Hernias

The American Surgeon ◽

10.1177/000313481608200727 ◽

2016 ◽

Vol 82 (7) ◽

pp. 613-621 ◽

Cited By ~ 3

Author(s):

Steven A. Groene ◽

Davis W. Heniford ◽

Tanushree Prasad ◽

Amy E. Lincourt ◽

Vedra A. Augenstein

Keyword(s):

Umbilical Hernia ◽

Defect Size ◽

Long Term Outcomes ◽

Preoperative Pain ◽

The Mean ◽

The Difference ◽

One Year

Quality of life (QOL) has become an important focus of hernia repair outcomes. This study aims to identify factors which lead to ideal outcomes (asymptomatic and without recurrence) in large umbilical hernias (defect size ≥9 cm2). Review of the prospective International Hernia Mesh Registry was performed. The Carolinas Comfort Scale was used to measure QOL at 1-, 6-, and 12-month follow-up. Demographics, operative details, complications, and QOL data were evaluated using standard statistical methods. Forty-four large umbilical hernia repairs were analyzed. Demographics included: average age 53.6 ± 12.0 and body mass index 34.9 ± 7.2 kg/m2. The mean defect size was 21.7 ± 16.9 cm2, and 72.7 per cent were performed laparoscopically. Complications included hematoma (2.3%), seroma (12.6%), and recurrence (9.1%). Follow-up and ideal outcomes were one month = 28.2 per cent, six months = 42.9 per cent, one year = 55.6 per cent. All patients who remained symptomatic at one and two years were significantly symptomatic before surgery. Symptomatic preoperative activity limitation was a significant predictor of nonideal outcomes at one year ( P = 0.02). Symptomatic preoperative pain was associated with nonideal outcomes at one year, though the difference was not statistically significant ( P = 0.06). Operative technique, mesh choice, and fixation technique did not impact recurrence or QOL. Repair of umbilical hernia with defects ≥9 cm2 had a surprising low rate of ideal outcomes (asymptomatic and no recurrence). All patients with nonideal long-term outcomes had preoperative pain and activity limitations. These data may suggest that umbilical hernia should be repaired when they are small and asymptomatic.

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Evaluation of User Behavior and Acceptance of an On-Bike System

10.31234/osf.io/s3rgc ◽

2019 ◽

Author(s):

Gabriele Prati ◽

Víctor Marín Puchades ◽

Marco De Angelis ◽

Luca Pietrantoni ◽

Federico Fraboni ◽

...

Keyword(s):

Field Study ◽

User Behavior ◽

Negative Emotions ◽

Bicycle Safety ◽

The Third ◽

Warning Message ◽

System P ◽

The Difference ◽

Motorized Vehicles

In this study, users’ acceptance of an on-bike system that warns about potential collisions with motorized vehicles as well as its influence on cyclists’ behavior was evaluated. Twenty-five participants took part in a field study that consisted of three different experimental tasks. All participants also completed a follow-up questionnaire at the completion of the three-task series to elicit information about the acceptance of the on-bike system. In the experiment phase, participants were asked to ride the bicycle throughout a circuit and to interact with a car at an intersection. Participants completed three laps of the circuit. The first lap involved no interaction with the car and served the purpose of habituation. In the second and third laps participants experienced a conflict with an incoming car at an intersection. In the second lap, the on-bike device was not activated, while in the third lap, participants received a warning message signaling the imminent conflict with the car. We compared the difference in user’s behavior between the second lap (conflict with a car without the warning of the on-bike system) and the third lap (conflict with a car with the warning of the on-bike system). Results showed that, when entering the crossroad, participants were more likely to decrease their speed in case of warning of the on-bike system. Further, the on-bike system was relatively well accepted by the participants. In particular, participants did not report negative emotions when using the system, while they trusted it and believed that using such technology would be free from effort. Participants were willing to spend on average 57.83€ for the system. This study highlights the potential of the on-bike system for promoting bicycle safety.

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Patients with psychiatric diagnoses have lower quality of life than other patients with juvenile rheumatic disease: a prospective study

Rheumatology ◽

10.1093/rheumatology/keab150 ◽

2021 ◽

Author(s):

Silja Kosola ◽

Heikki Relas

Keyword(s):

Quality Of Life ◽

Disease Activity ◽

Transition Phase ◽

University Hospital ◽

Psychiatric Diagnoses ◽

Adult Care ◽

The Difference ◽

Lower Hrqol

Abstract Introduction Transition of adolescents with chronic diseases from pediatric healthcare to adult care requires attention to maintain optimal treatment results. We examined changes in health-related quality of life (HRQoL) and disease activity among juvenile idiopathic arthritis (JIA) patients with or without concomitant psychiatric diagnoses after transfer to an adult clinic. Methods We prospectively followed 106 consecutive patients who were transferred from the New Children’s Hospital to the Helsinki University Hospital Rheumatology outpatient clinic between April 2015 and August 2019 and who had at least one follow-up visit. HRQoL was measured using 15D, a generic instrument. Results The patients’ median age at transfer was 16 years and disease duration 4.0 years. Patients were followed for a median of 1.8 years. Disease activity and overall HRQoL remained stable, but distress (dimension 13 of 15D) increased during follow up (P=0.03). At baseline, patients with at least one psychiatric diagnosis had lower overall 15D scores (0.89±0.14 vs. 0.95±0.05, P<0.01) and higher disease activity (Disease Activity Score 28; 1.88±0.66 vs. 1.61±0.31, P=0.01) than patients without psychiatric diagnoses. The difference in overall 15D persisted over the study period. Conclusions Transition phase JIA patients with psychiatric diagnoses had lower HRQoL than other JIA patients. Despite reduced disease activity and pain, HRQoL of patients with psychiatric diagnoses remained suboptimal at the end of follow-up. Our results highlight the necessity of comprehensive care and support for transition phase JIA patients.

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Symptoms and Quality of Life Changes after Hysteroscopic Treatment in Patients with Symptomatic Isthmocele—Preliminary Results

Journal of Clinical Medicine ◽

10.3390/jcm10132928 ◽

2021 ◽

Vol 10 (13) ◽

pp. 2928

Author(s):

Monika Szafarowska ◽

Magdalena Biela ◽

Joanna Wichowska ◽

Kamil Sobociński ◽

Agnieszka Segiet-Święcicka ◽

...

Keyword(s):

Quality Of Life ◽

Abnormal Uterine Bleeding ◽

Life Changes ◽

Social Psychological ◽

Operative Hysteroscopy ◽

Health Domains ◽

The Difference ◽

Positive Effect

Due to an increasing number of cesarean section deliveries, the common consequences of that surgery are observed more often in the population. One of them is the uterine cesarean scar defect known as niche or isthmocele. Most patients with that aliment are asymptomatic, but some of them can report abnormal uterine bleeding, pelvic pain, subfertility which can be the reason for reduced quality of life (QoL) of the patients. In our study, we analyzed the subjective feelings of changes in the severity of symptoms and quality of life of women with niche after diagnostic and operative hysteroscopy. The patients n = 85 included in the study group completed a follow up questionnaire six months after the procedure. Patients after operative hysteroscopy in comparison to patients after diagnostic procedure reported statistically significant reduction in post-menstruation bleeding/spotting and improvement in the quality of sexual activity. We have also noticed a higher pregnancy rate in the operative group, however, the difference was not statistically significant. According to our study, most women reported a positive effect of hysteroscopy on their QoL in social, psychological, environmental, and health domains.

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Efficacy of a Traditional Herbal Formula, Banha-Sasim-Tang in Functional Dyspepsia Classified as Excess Pattern

Frontiers in Pharmacology ◽

10.3389/fphar.2021.698887 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yun Hee Kim ◽

Jun Young Kim ◽

O-Jin Kwon ◽

So Young Jung ◽

Jin-Yong Joung ◽

...

Keyword(s):

Placebo Group ◽

Functional Dyspepsia ◽

Control Group ◽

Medication Regimen ◽

Clinical Trial Registration ◽

Vas Score ◽

Treatment Administration ◽

The Difference

This study evaluated the efficacy and safety of Banha-sasim-tang (BST) in patients with functional dyspepsia (FD). BST (Banxia-xiexin-tang in traditional Chinese medicine and Hange-shashin-to in Kampo medicine) is traditionally prescribed for the treatment of dyspepsia with epigastric stiffness and gastric fullness in China, Japan, and Korea. Patients with FD were randomly administered an oral dose (10 g) of BST syrup or placebo, twice a day for 4 weeks. The primary outcome was the symptom checklist part of the Nepean dyspepsia index (NDI). The secondary outcomes were the quality of life (QoL) part of the NDI, functional dyspepsia-related QoL (FD-QoL), and visual analog scale (VAS). A total of 60 patients with FD were screened, and 50 were randomized into BST group (n = 25) and placebo group (n = 25). Two patients in the placebo group withdrew before the start of the treatment. Administration of BST syrup resulted in improvement in the symptom-related NDI score in the BST group compared with that in the control group; however, the difference was not significant. BST syrup significantly improved “fullness after eating” index of NDI at follow-up time point (2.88 ± 2.65 vs 4.78 ± 2.69, p = 0.0081). In the total score of the QoL section of the NDI and FD-QoL scales, there was no significant improvement in the BST group compared to that in the placebo group. With regard to improvement in overall FD symptoms, the VAS scale showed improvement in both groups, but the difference was not significant. Interestingly, follow-up investigation showed a significantly beneficial effect of BST on FD symptoms, when compared to placebo. Significant improvement observed in VAS score (39.60 ± 22.29 vs 52.17 ± 20.55, p = 0.048). This indicated that the effect of BST lasted even after the completion of the medication regimen. Overall, our data suggest that while BST showed no significant improvement in the symptom-related NDI score and the QoL related scores in NDI and FD-QoL after 4 weeks of treatment, it effectively improved the VAS score and fullness after eating-related symptoms in the follow-up visit.Clinical Trial Registration:https://cris.nih.go.kr; Identifier KCT 0002013

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Therapeutic Management of Trauma-related Acute Pancreatitis in a Heart Transplant Recipient

Revista de Chimie ◽

10.37358/rc.19.9.7496 ◽

2019 ◽

Vol 70 (9) ◽

pp. 3100-3102

Author(s):

Cosmin Banceu ◽

Simona Gurzu ◽

Marius Harpa ◽

Klara Brinzaniuc ◽

Mihaela Ispas ◽

...

Keyword(s):

Acute Pancreatitis ◽

Heart Transplant ◽

Immunosuppressive Treatment ◽

Heart Transplant Recipient ◽

Cardiac Transplant ◽

Life And Death ◽

Disease Mortality ◽

The Difference

Acute pancreatitis is a very mortal disease, mortality that increases even more in patients with cardiac transplantation. Medical-surgical management of acute pancreatitis in transplanted patients can make the difference between life and death. The aim of this paper was to highlight the severity of this pathology especially because the patient is immunosuppressed after cardiac transplant. A case of 36-year-old man, known with heart transplant, immunosuppressive treatment and chronic renal frailer, who arrived to Emergency Department, with severe abdominal pain and abdominal distention which started after a traumatic accident. Investigations revealed acute pancreatitis that needed three surgeries for acute necrotic hemorrhagic pancreatitis, acute bleeding, left subphrenic abscess and intensive care therapy. With favorable postoperative evolution, patient is discharged 60 days later He�s follow up reveled no gastrointestinal or cardiac complication with an improved quality of life.

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Clinical Features of Graves' Ophthalmopathy and Impact of Enalapril on the Course of Mild Graves’ Ophthalmopathy: A Pilot Study

Endocrine Metabolic & Immune Disorders - Drug Targets ◽

10.2174/1389201020666190725113816 ◽

2020 ◽

Vol 20 (1) ◽

pp. 139-148 ◽

Cited By ~ 1

Author(s):

Ghazal Ataabadi ◽

Mohammad H. Dabbaghmanesh ◽

Naser Owji ◽

Marzieh Bakhshayeshkaram ◽

Nima Montazeri-Najafabady

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Clinical Activity ◽

Ophthalmological Examination ◽

Graves Ophthalmopathy ◽

Eye Examination ◽

The Difference ◽

Enalapril Treatment

Background: Inflammation, oxidative stress, and adipogenesis are associated with Graves’ ophthalmopathy (GO) progression. Objective: We conducted a pilot study to investigate the effect of Enalapril on patients with mild ophthalmopathy. Method: Based on the comprehensive eye examination, 12 patients with mild ophthalmopathy were selected from referred Graves’ patients and treated with Enalapril (5 mg daily) for 6 months. Clinical and ophthalmological examination [IOP (Intraocular Pressure), vision, Margin reflex distance and exophthalmia measurement, CAS (clinical activity score) and VISA [V (vision); I (inflammation/ congestion); S (strabismus/motility restriction); and A (appearance/exposure] score assessment) was performed at the beginning, 3 months and 6 months of the study period. Quality of life was also evaluated using a standard questionnaire. Results: Mean exophthalmia at the first visit was 18.75 ± 2.39, 3 months later 18.53 ± 2.39 and 6 months later was 17.92 ± 2.31, respectively. Mean CAS was 0.71 ± 0.82 (first visit), 0.57 ± 0.54 (3 months) and 0.14 ± 0.36 (6 months), respectively. Mean Margin reflex distance was 9.09 ± 4.36 (first visit) and 9.60 ± 4.40 (6 months), respectively. There were significant differences in the case of exophthalmia (P=0.002), CAS (P=0.006), and Margin reflex distance (P=0.029) between the first visit and 6 months after treatment. The difference between the score of quality of life in patients with GO after 6 months of follow up was statistically significant (P = 0.006). Conclusion: Our results showed that Enalapril treatment could ameliorate the clinical course of GO according to the ophthalmologic examinations and subjective parameters of disease progression. However, further studies should be performed to determine the efficacy of Enalapril in Graves’ ophthalmopathy treatment.

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‘State of the Nation’ – The Society for Acute Medicine’s Benchmarking Audit 2013 (SAMBA ’13)

Acute Medicine Journal ◽

10.52964/amja.0321 ◽

2013 ◽

Vol 12 (4) ◽

pp. 214-219

Author(s):

Ivan Le Jeune ◽

◽

Charlotte Masterton-Smith ◽

Christian P Subbe ◽

David Ward ◽

...

Keyword(s):

Quality Of Care ◽

Quality Standards ◽

Improve Quality ◽

Acute Medicine ◽

Opportunities For Learning ◽

Early Warning Scores ◽

The Difference ◽

Better Than

Background: Benchmarking is important to improve quality of care. Aim: To audit the performance of Acute Medical Units (AMUs) against the clinical quality indicators published by the Society for Acute Medicine (SAM). Methods: 24-hour data collection on the 20th of June 2013 with follow-up data at 72 hours. Results: 43 units submitted data on 1425 patients. 76% of patients had early warning scores recorded within 30 minutes of admission, 95% of patients had been seen by a competent decision maker within four hours. 79% of patients were seen by a consultant physicians within the appropriate period of time. Conclusion: The difference in compliance with quality standards between UK units opens opportunities for learning. The reasons why some units perform better than others require further investigation.

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Reduction of routine use of radiography in patients with ankle fractures leads to lower costs and has no impact on clinical outcome: an economic evaluation

BMC Health Services Research ◽

10.1186/s12913-020-05725-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

P. van Gerven ◽

◽

J. M. van Dongen ◽

S. M. Rubinstein ◽

M. F. Termaat ◽

...

Keyword(s):

Economic Evaluation ◽

Cost Effectiveness ◽

Usual Care ◽

Functional Outcome ◽

Ankle Fractures ◽

Clinical Indication ◽

Imaging Protocol ◽

The Difference

Abstract Background To evaluate the cost-effectiveness of a reduction in the number of routine radiographs in the follow-up of patients with ankle fractures. Methods We performed an economic evaluation alongside the multicentre, randomised WARRIOR trial. Participants were randomised to a reduced imaging follow-up protocol (i.e. radiographs at week 6 and 12 follow-up obtained on clinical indication) or usual care (i.e. routine radiography at weeks 6 and 12). The Olerud & Molander Ankle Score (OMAS) was used to assess ankle function and the EQ-5D-3L was used to estimate Quality-Adjusted Life Years (QALYs). Costs and resource use were assessed using self-reported questionnaires and medical records, and analysed from a societal perspective. Multiple imputation was used for missing data, and data were analysed using seemingly unrelated regression analysis and bootstrapping. Results In total, 246 patients had data available for analysis (reduced imaging = 118; usual care = 128). Fewer radiographs were obtained in the reduced imaging group (median = 4) compared with the usual-care group (median = 5). Functional outcome was comparable in both groups. The difference in QALYs was − 0.008 (95% CI:-0.06 to 0.04) and the difference in OMAS was 0.73 (95% CI:-5.29 to 6.76). Imaging costs were lower in the reduced imaging group (−€48; 95% CI:- €72 to -€25). All other cost categories did not statistically differ between the groups. The probability of the reduced imaging protocol being cost-effectiveness was 0.45 at a wiliness-to-pay of €20,000 per QALY. Conclusions Reducing the number of routine follow-up radiographs has a low probability of being cost-effective compared with usual care. Functional outcome, health-related quality of life and societal costs were comparable in both groups, whereas imaging costs were marginally lower in the reduced imaging group. Given this, adherence to a reduced imaging follow-up protocol for those with routine ankle fractures can be followed without sacrificing quality of care, and may result in reduced costs. Trial registration The trial was registered on 26-05-2014 in the Netherlands Trial Registry, with reference number NL4477 (www.trialregister.nl/trial/4477).

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