scholarly journals A-233 Incremental Utility of the Montreal Cognitive Assessment (MoCA) Memory Index Score (MIS) for Detection of Cognitive Impairment

2020 ◽  
Vol 35 (6) ◽  
pp. 1028-1028
Author(s):  
Bain K ◽  
Marceaux J ◽  
Kruzelock A
Keyword(s):  
Cognitive Impairment ◽  
Classification Accuracy ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Index Score ◽  
Neurocognitive Disorder ◽  
Chi Square ◽  
Cross Sectional ◽  
Neuropsychological Evaluations ◽  
Chi Square Analysis

Abstract Objective To investigate the incremental utility of the optional MoCA Memory Index Score (MIS) for detection of cognitive impairment. Method This cross-sectional study utilized data collected from a mixed clinical sample of 153 veterans referred for clinical neuropsychological evaluations at a VA hospital. The sample was 87% male (n = 133), with an average age of 63.23 years (range 20–91) and average education level of 13.6 years (range 6–20). All participants completed the MoCA, including the MIS items. Participants meeting criteria for mild (n = 66) or major neurocognitive disorder (n = 24) were classified as cognitively impaired (CI). Sixty-three participants who did not meet criteria for a neurocognitive disorder were classified as having no cognitive impairment (NCI). Chi square analysis and logistic regression were utilized to determine the sensitivity of the MoCA total score for detection of cognitive impairment, and to determine whether the MIS significantly improved classification accuracy. Results The MoCA total score was a significant predictor of cognitive impairment status (X2 = 40.92, p < .001), with 73% sensitivity, 67% specificity, and 71% classification accuracy. When the MIS was added, the model retained significance (X2 = 41.13, p < .001), but overall sensitivity, specificity, and classification accuracy were unchanged; MIS was not a significant predictor in the combined model. Conclusions The optional MIS score did not significantly improve the sensitivity of the MoCA for detection of cognitive impairment.

scholarly journals Symmetry Dimension in Obsessive–Compulsive Disorder: Prevalence, Severity and Clinical Correlates

2021 ◽  
Vol 10 (2) ◽  
pp. 274
Author(s):  
Aline P. Vellozo ◽  
Leonardo F. Fontenelle ◽  
Ricardo C. Torresan ◽  
Roseli G. Shavitt ◽  
Ygor A. Ferrão ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Obsessive Compulsive Disorder ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Obsessive Compulsive ◽  
Chi Square ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Clinical Correlates ◽  
Axis I

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.

scholarly journals PREDICTORS OF INSOMNIA IN INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S464-S464
Author(s):  
Meghan Mattos ◽  
Eric M Davis ◽  
Carol Manning
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Data Set ◽  
Specialized Care ◽  
Using Data ◽  
Cognitive Problems

Abstract Insomnia is a common disorder that affects up to 40% of people age 65 and older. Untreated insomnia can decrease quality of life, increase healthcare use, and exacerbate cognitive problems. Individuals with cognitive impairment experience more sleep disorders than those without cognitive concerns, yet little is known about insomnia and mild cognitive impairment (MCI). Our objective was to examine predictors of insomnia in persons with MCI (PwMCI). Using data from the National Alzheimer’s Coordinating Center Uniform Data Set, a cross-sectional study of older PwMCI was conducted. Independent sample t-tests and contingency tables with chi-square tests of independence were used to examine differences between PwMCI with and without insomnia. Multivariate binary logistic modeling was performed. The total sample (N=1543) was comprised of 234 (15.1%) with clinician-reported insomnia and 1309 (84.9%) without insomnia. PwMCI and insomnia were more likely to be younger, take more medications, and smoke cigarettes (p.05). Three variables significantly predicted insomnia in PwMCI subjects in a multivariate model: active depression (OR 1.66, 95%CI 1.21, 2.27), active anxiety (OR 2.16, 95%CI 1.57, 2.99) and arthritis (OR 1.78, 95%CI 1.33, 2.39). Differences in predictors of insomnia in PwMCI highlight the need for geriatric and mental health specialists to provide specialized care to this population. Future studies should examine conversion of PwMCI with insomnia to dementia and the compounding effects of insomnia on cognition.

scholarly journals Acceptability and Attitude towards a Mobile-Based Home Exercise Program among Stroke Survivors and Caregivers: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Amreen Mahmood ◽  
Vevita Blaizy ◽  
Aparajita Verma ◽  
Joel Stephen Sequeira ◽  
Dola Saha ◽  
...  
Keyword(s):  
Exercise Program ◽  
Cross Sectional Study ◽  
Home Exercise ◽  
Stroke Survivors ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Home Exercise Program ◽  
Chi Square Analysis ◽  
The Cost

Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90% of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p>0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.

scholarly journals HUBUNGAN PERAN KELUARGA TERHADAP KESEMBUHAN PADA PASIEN RAWAT JALAN SKIZOFRENIA DI RUMAH SAKIT JIWA BANDA ACEH TAHUN 2019

2020 ◽  
Vol 7 (2) ◽  
pp. 61-69
Author(s):  
Bagus Laksono Samudro ◽  
M. Hendro Mustaqim ◽  
Fuadi Fuadi
Keyword(s):  
Patient Care ◽  
Family Support ◽  
Common Mental Disorder ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Analysis ◽  
The Mind ◽  
Banda Aceh

Skizofrenia merupakan sekelompok gangguan psikotik, dengan gangguan dasar pada kepribadian, distorsi khas pada proses pikir. Kadang–kadang mempunyai perasaan bahwa dirinya sedang di kendalikan kekuatan dari luar. Gangguan skizofrenia pada umumnya ditandai dengan adanya gangguan pada pikiran dan persepsi yang salah dan khas, dan efek yang tidak serasi atau tumpul. Skizofrenia merupakan gangguan jiwa yang umum terjadi dengan karakteristik adanya kerusakan pada pikiran, persepsi, emosi, pergerakan dan perilaku. Dukungan keluarga menjadi faktor penting dalam upaya meningkatkan motivasi sehingga dapat berpengaruh positif terhadap kesehatan psikologis. Keluarga yang berhubungan dengan pasien skizofrenia memerlukan lebih banyak informasi tentang gangguan skizofrenia dan cara memperlakukan pasien dengan lebih baik. Tujuan penelitian ini adalah untuk mendapatkan bukti emperis tentang: hubungan dukungan keluarga dengan kesembuhan pasien penderita skizofrenia di Instalasi Rawat Jalan Rumah Sakit Jiwa Banda Aceh. Jenis penelitian yang dilakukan adalah deskriptif observasional menggunakan desain cross sectional study dengan metode chi-square. Jumlah sampel dalam penelitian ini sebanyak 150 orang. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan peran dukungan keluarga terhadap kesembuhan pada pasien penderita skizofrenia dengan nilai p = 0,01 (< 0,05) di Instalasi Rawat Jalan Rumah Sakit Jiwa Banda Aceh. Keluarga diharapkan dapat mendampingi pasien Skizofrenia dengan mendampingi dan memberi dukungan emosional sehingga pasien skizofrenia merasa diperdulikan untuk kesembuhan pasien.   Schizophrenia is a common mental disorder with charcteristics of damage to the mind, perception, emotions, movement and behavior.This type of research is descriptive observational using a cross sectional study design with one observation at a certain time.The problem of this study is to see: (1) the relation  of Family Support, with Skizoprenia’s Patient recovery  in  Patient care Instalation of Psichiatric Hospital Banda Aceh. The purpose of this study was to obtain empirical evidence of: Family Support, with Skizoprenia’s Patient recovery  in  Patient care Instalation  Psichiatric Hospital of Banda Aceh. In connection with the research objectives, the population of this study is side family of is 150 peoples. Data analysis method with Chi Square Analysis ( X² ).The results showed that: Family Support have a relation with Skizoprenia’s Patient recovery  in  Patient care Instalation of Psichiatric Hospital of Banda Aceh with X²  value ≤ 0,005 84 in Patient care Instalation  Psichiatric Hospital of Banda Aceh Keywords: Schizophrenia, Family Support, Skizofrenia’s Recovery.

When Time is of the Essence: Preliminary Findings for a Quick Administration of the Dot Counting Test

2019 ◽  
Author(s):  
K Chase Bailey ◽  
Troy A Webber ◽  
Jacob I Phillips ◽  
Lindsay D R Kraemer ◽  
Janice C Marceaux ◽  
...  
Keyword(s):  
Classification Accuracy ◽  
Clinical Sample ◽  
Characteristic Curve ◽  
Cross Sectional Study ◽  
Receiver Operator Characteristic Curve ◽  
Performance Validity ◽  
Free Standing ◽  
Cross Sectional ◽  
Validity Measures ◽  
Sensitivity Specificity

Abstract Objective Performance validity research has emphasized the need for briefer measures and, more recently, abbreviated versions of established free-standing tests to minimize neuropsychological evaluation costs/time burden. This study examined the accuracy of multiple abbreviated versions of the Dot Counting Test (“quick” DCT) for detecting invalid performance in isolation and in combination with the Test of Memory Malingering Trial 1 (TOMMT1). Method Data from a mixed clinical sample of 107 veterans (80 valid/27 invalid per independent validity measures and structured criteria) were included in this cross-sectional study; 47% of valid participants were cognitively impaired. Sensitivities/specificities of various 6- and 4-card DCT combinations were calculated and compared to the full, 12-card DCT. Combined models with the most accurate 6- and 4-card combinations and TOMMT1 were then examined. Results Receiver operator characteristic curve analyses were significant for all 6- and 4-card DCT combinations with areas under the curve of .868–.897. The best 6-card combination (cards, 1-3-5-8-11-12) had 56% sensitivity/90% specificity (E-score cut-off, ≥14.5), and the best 4-card combination (cards, 3-4-8-11) had 63% sensitivity/94% specificity (cut-off, ≥16.75). The full DCT had 70% sensitivity/90% specificity (cut-off, ≥16.00). Logistic regression revealed 95% classification accuracy when 6-card or 4-card “quick” combinations were combined with TOMMT1, with the DCT combinations and TOMMT1 both emerging as significant predictors. Conclusions Abbreviated DCT versions utilizing 6- and 4-card combinations yielded comparable sensitivity/specificity as the full DCT. When these “quick” DCT combinations were further combined with an abbreviated memory-based performance validity test (i.e., TOMMT1), overall classification accuracy for identifying invalid performance was 95%.

Role of Parental and Friend Support to Prevent Suicide Attempts in French Sexual Minority Adolescents

2021 ◽  
Author(s):  
Xavier wang ◽  
Mireille Cosquer ◽  
Min Zhuang ◽  
Aminata Ali ◽  
Bruno Falissard ◽  
...  
Keyword(s):  
Parental Support ◽  
Protective Factor ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Friend Support ◽  
Minority Adolescents ◽  
And Bisexual ◽  
Chi Square Analysis

This present study aimed to search for parental and friend support roles to prevent suicide attempts among adolescents who identify as lesbian, gay, and bisexual (LGB) in France. Data were drawn from a French cross-sectional study entitled “Portrait d’Adolescents”. An anonymous self-questionnaire was fulfilled by 14,265 French adolescents (ages from 13 to 20) in 2013, and 637 (4.47%) were identified as LGB. Chi-square analysis was used to estimate statistical differences between self-reported suicide and non-suicide attempters in the whole sample and then in LGB and heterosexual subgroups separately. Multiple logistic regression analyses were then performed to examine the associations of self-reported suicide attempts (dependent variable) with the effects of parental and friend support and other factors based on the whole data and further on the data subsets among the LGB and the heterosexual subjects. Suicide attempt was independently associated with sexual orientation (30.7% vs 10.6%; OR=2.04 [1.62-2.56]; p&lt;0.0001). Both parental and friend support appeared protective factors in the heterosexuals (OR=0.52 [0.45-0.60] and OR=0.75 [0.61-0.93]), whereas only parental support was significant in the LGB group (OR=0.51 [0.31-0.82]), independently of other variables. French adolescents who identify as LGB have a higher risk for suicidality than their heterosexual peers. Special attention needs to be given to this vulnerable population when developing suicide prevention programs. Parental support identified as an effective protective factor should be systematically searched to prevent suicidality among LGB.

scholarly journals The Duration of Reading the Qur'an with the Stress Levels in Medical Faculty Students in Palembang

2021 ◽  
Vol 21 (1) ◽  
pp. 15-19
Author(s):  
Ahmad Ghiffari ◽  
Syahrul Muhammad ◽  
M. Avif Ababil
Keyword(s):  
Medical Students ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Depression Anxiety Stress Scale ◽  
Chi Square ◽  
Cross Sectional ◽  
Stress Scale ◽  
Chi Square Analysis ◽  
The Relationship

The level of stress in each education programs differ between medical students and other scholars. Students should able to cope to normalize their stress. The study aims to determine the relationship between the duration of reading the Qur'an with the level of stress on students. The study design was a cross-sectional study, with a simple random sampling. The collecting data technique was using the Depression Anxiety Stress Scale (DASS) questionnaires and duration questionnaires followed by the chi-square analysis. The respondents are 90 medical students of Universitas Muhammadiyah Palembang. The results showed that the duration of reading the Qur'an among students is poor, and the moderate duration is correlated with a good stress level (p=0,002). Concluded that there is a relation to the duration of reading The Qur'an with the level of stress in medical students.

scholarly journals FAKTOR RISIKO STUNTING PADA BALITA (24—59 BULAN) DI SUMATERA

2014 ◽  
Vol 8 (3) ◽  
pp. 177 ◽  
Author(s):  
Zilda Oktarina ◽  
Trini Sudiarti
Keyword(s):  
Risk Factors ◽  
Family Size ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Dominant Factor ◽  
Chi Square ◽  
Cross Sectional ◽  
Drinking Water Resources ◽  
Chi Square Analysis ◽  
Anthropometric Assessment

This study was aimed to analyze risk factors of stunting in underfive children aged 24—59 months in Sumatera. A cross sectional study was conducted in 1 239 children at Aceh, North Sumatera, South Sumatera, and Lampung Provinces who have complete variable data of the National Basic Health Research 2010. The data were collected by questionnaires and anthropometric assessment. Chi square analysis and logistic regression were used to assess the association between risk factors and stunting in children. The result showed that prevalence of stunting among children were 44.1%. The significant risk factors of stunting among subjects (p&lt;0.05) were mother’s height (OR=1.36), fat intake (OR=1.30), family size (OR=1.38), and drinking water resources (OR=1.36). The dominant factor that associated with stunting in children was family size (OR=1.38). Researcher suggest that family can control total children with family planning program.<br /><br /><br />

scholarly journals HUBUNGAN KEBIASAAN ANAK MENJAGA KESEHATAN DAN KEBERSIHAN GIGI DENGAN KARIES MOLAR PERTAMA PERMANEN PADA MURID SEKOLAH DASAR DI KECAMATAN PADANG TIMUR KOTA PADANG

2019 ◽  
Vol 1 (1) ◽  
pp. 49-57
Author(s):  
Susi Susi ◽  
Didin Kustantiningtyastuti ◽  
Yona Ladyventini
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Elementary School District ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Analysis ◽  
Relationship Of ◽  
The Relationship ◽  
Class Iv ◽  
Gum Disease

Dental caries and gum disease (gingivitis) is a disease which are often found in elementary school’s student in Indonesia. One of the cause of the oral and dental problems  is behavior factor or neglect of oral hygiene. This study aims to determine the relationship of children's behaviors to health and dental hygiene with caries incidence in permanent first molars in SDN 15 Eastern District of  Padang. The design of this study is the Cross Sectional Study. The research was conducted at the Elementary School District 15 East Padang Padang Padang in January 2012. This study sample was a student of class IV, V, VI amounted to 80 people. The data was collected through questionnaires and dental examinations by chi-square analysis.

scholarly journals COVID-19 Seroepidemiology Study of Yazd Province, First Peak, Spring 2020: A Population-Based Cross-Sectional Study

2021 ◽  
Author(s):  
Mohammad Reza Mirjalili ◽  
Seyedeh Mahdieh Namayandeh ◽  
Mohammad Hasan Lotfi ◽  
Mohammad Reza Dehghani ◽  
Mohsen Mirzaei ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Population Based ◽  
Cross Sectional Study ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
First Case ◽  
History Of ◽  
Health Organization ◽  
Chi Square Analysis

Introduction: SARS-COV 19 is a new coronavirus that was reported first time in 30 December 2019 in Wuhan, China. The first case of coronary heart disease in Iran was reported with a definitive test on February 18 in Qom province and the first case in Yazd province on 24 February. The World Health Organization (WHO) declared a Covid infection on March 11 a pandemic. The aim of this study was to investigate the seroepidemiology of COVID 19 in Yazd province. Methods: The present study was a cross-sectional population-based study of seroepidemiological type that was conducted to investigate the serological prevalence of Covid-19 in the period of 3 to 20 May 2020 in Yazd Province. Sampling was clustered and it was without age and sex restrictions. Information was collected including demographic information, adherence to health protocols, and history of clinical symptoms of COVID 19."Pishtaz ELISA Kit" was used to evaluate the IgG and IgM antibody titers against Covid 19. Chi-square, analysis of variance and T tests were used via SPSS.version.16 software Results: Mean age of the participants was 34.3± 17.5. Among the study participants, 507 (54.5%) were women. The serological prevalence of definite cases was 14.91% (95% CI: 12.91-16.91%) and suspicious cases were 2.85% (95% CI:1.85-3.85%). Ardakan City with 32% had the highest and Taft, Mehriz, Khatam with 7% had the lowest prevalence of COVID 19 (P <0.05). Conclusion: By June 2020, nearly 18% of the population of the province was definitively or suspiciously infected with COVID 19. Unfortunately, up to 25% of the population does not follow the early prevention protocols of COVID 19.

Sign in / Sign up

Export Citation Format

Share Document