Impact of PICU Admission on Neurocognitive Function in Children

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rasha Hussein Aly ◽  
Ahmed Rezk Ahmed ◽  
Raghda Zaitoun ◽  
Sarah Mohamed Nabil Ai-Saeed
Keyword(s):  
Pediatric Intensive Care ◽  
Scoring Systems ◽  
Cognitive Outcome ◽  
Neurocognitive Performance ◽  
Iq Testing ◽  
Significant Difference ◽  
Iq Scores ◽  
And Performance ◽  
And Gender ◽  
The Impact

Abstract Objective To study the impact of admission to a pediatric intensive care unit (PICU) on children's neurocognitive performance. Methods A case–control observational study including 50 children & adolescents and 75 age and gender matched children and adolescents.The study subjects underwent formative IQ testing using the Stanford Binet IQ test 3 months after discharge from the PICU. Results 27 males and 23 females with a mean age of 6.98 years were included in the study. Almost two thirds of the cases were admitted to the PICU post operatively (surgical causes). More than half of the cases needed sedation, 38% needed mechanical ventilation and 12% needed inotropic support. There was no statistically significant difference between cases and controls are regard IQ scores (total, verbal and performance IQ scores), neither was there a difference between medical and surgical cases. Data from similar pediatric cohorts is conflicting. Conclusion PICU does not seem to affect cognitive outcome in pediatric survivors. Further long term studies using standard scoring systems and time points of assessment are required.

The Role of Concussion History and Gender in Recovery from Soccer-Related Concussion

2009 ◽  
Vol 37 (9) ◽  
pp. 1699-1704 ◽  
Author(s):  
Alexis Chiang Colvin ◽  
Jimmy Mullen ◽  
Mark R. Lovell ◽  
Robin Vereeke West ◽  
Micky W. Collins ◽  
...  
Keyword(s):  
Female Athletes ◽  
Soccer Players ◽  
Neurocognitive Testing ◽  
Neurocognitive Performance ◽  
Level Of Evidence ◽  
Male And Female ◽  
Significant Difference ◽  
History Of ◽  
And Gender ◽  
The Impact

Background This study was designed to investigate differences in recovery in male and female soccer athletes. Hypotheses Soccer players with a history of concussion will perform worse on neurocognitive testing than players without a history of concussion. Furthermore, female athletes will demonstrate poorer performance on neurocognitive testing than male athletes. Study Design Cohort study (prognosis): Level of evidence, 2. Methods Computer-based neuropsychological testing using reaction time, memory, and visual motor-speed composite scores of the ImPACT test battery was performed postconcussion in soccer players ranging in age from 8 to 24 years (N = 234; 141 females, 93 males). A multivariate analysis of variance was conducted to examine group differences in neurocognitive performance between male and female athletes with and without a history of concussion. Results Soccer players with a history of at least 1 previous concussion performed significantly worse on ImPACT than those who had not sustained a prior concussion (F = 2.92, P = .03). In addition, female soccer players performed worse on neurocognitive testing (F = 2.72, P = .05) and also reported more symptoms (F = 20.1, P = .00001) than male soccer players. There was no significant difference in body mass index between male and female players (F = .04, P = .85). Conclusion A history of concussion and gender may account for significant differences in postconcussive neurocognitive test scores in soccer players and may play a role in determining recovery. These differences do not appear to reflect differences in mass between genders and may be related to other gender-specific factors that deserve further study.

scholarly journals The impact of image and performance enhancing drugs on bi-ventricular structure and function in strength-trained athletes and the association to fat-free mass

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
B Morrison ◽  
N Chester ◽  
R Mcgregor-Cheers ◽  
G Kleinnibbelink ◽  
C Johnson ◽  
...  
Keyword(s):  
Allometric Scaling ◽  
Strain Imaging ◽  
Fat Free Mass ◽  
Composition Analysis ◽  
Lv Mass ◽  
Significant Difference ◽  
And Performance ◽  
Performance Enhancing Drugs ◽  
The Impact ◽  
Performance Enhancing

Abstract Funding Acknowledgements Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): Canadian Institute of Health Research Michael Smith Foreign Study Supplement Background Image and performance enhancing drugs (IPED) cause cardiac enlargement and dysfunction. Previous work has not assessed impact of user status (current [CU] vs. past [PU]) or allometric scaling cardiac dimensions for individual differences in fat-free mass (FFM). Purpose To investigate CU and PU of IPED and allometric scaling on LV and RV remodeling in strength-trained athletes. Methods Thirty-four (29 ± 6 years; 82% male) strength-trained athletes were recruited. Fourteen were CU, 9 PU and 11 non-users (NU) of IPEDs.  Participants underwent bioelectric impedance body composition analysis, IPED and training questionnaire and 2D echocardiography with strain imaging. All structural data was allometrically scaled to FFM according to the laws of geometric similarity. Results CU and PU had significantly higher FFM compared to NU (82.4 ± 10.1 kg vs. 72.0 ± 6.3 kg vs. 58.2 ± 14.0 kg). Absolute values of all RV and LV size were larger between CU and NU. LV mean wall thickness (MWT) was larger in CU compared to PU but there were no differences between PU and NU. Allometric scaling eliminated all differences with exception of LV mass and LVMWT. LVEF was significantly lower in CU and PU compared to NU (55 ± 3 vs. 57 ± 4 vs. 61 ± 4) whilst LV GLS was lower in CU compared to PU and NU and LV GCS was lower in CU compared to NU but not PU. There was no significant difference between groups for RV functional indices. Conclusion  Strength-trained athletes currently using IPEDs have bi-ventricular enlargement as well as reduced LV function. Allometric scaling highlights that increased size is partially associated with a larger FFM, with exception of LVMWT which is independently increased through IPED use. PUs demonstrate reverse structural remodeling whilst functional differences partially remain. CU PU NU RVD1 (mm) 45 ± 5* 43 ± 6 37 ± 6 Scaled RVD1 (mm/kg^0.33) 10.5 ± 0.9 10.4 ± 1.5 9.7 ± 1.0 LVd (mm) 58 ± 7* 55 ± 4 50 ± 4 Scaled LVd (mm/kg^0.33) 13.4 ± 1.2 13.3 ± 0.7 13.1 ± 0.6 MWT (mm) 10 ± 1*” 8 ± 1 8 ± 1 Scaled MWT (mm/kg^0.33) 2.3 ± 0.2*” 2.0 ± 0.1 2.0 ± 0.2 LVEDV (ml) 169 ± 42* 135 ± 28 116 ± 28 Scaled LVEDV (ml/kg) 2.0 ± 0.4 1.9 ± 0.3 2.0 ± 0.2 LV Mass (g) 255 ± 85*” 179 ± 30 137 ± 40 LV mass index (g/kg) 3.1 ± 0.8* 2.5 ± 0.3 2.4 ± 0.4 * CU and NU “ CU and PU ^ PU and NU Abstract Figure. Myocardial strain imaging

The Eye of the Storm: Preston Sturges and Performance

2015 ◽  
Author(s):  
Diane Carson
Keyword(s):  
Gender Representation ◽  
Physical Attributes ◽  
And Performance ◽  
And Gender ◽  
The Impact

This chapter analyses performance in The Lady Eve and The Palm Beach Story with comparisons and contrasts to several other Sturges comedies. It examines performative choices by Barbara Stanwyck, Henry Fonda, and Charles Coburn in The Lady Eve and acting choices by Claudette Colbert, Joel McCrea, Mary Astor, and Rudy Vallee in The Palm Beach Story. Using Laban methodology, it describes the affective qualities of expressions, gestures, and voices as well as the impact of costuming. Consideration is given to Sturges’s cinematic presentation of actors’ movements and physical attributes with particular attention to how differences in gesture and expression shape audiences’ perception of characters. The essay also considers characteristics of screwball comedies and gender representation within them.

scholarly journals Intelligence Deficits in Chinese Patients with Brain Tumor: The Impact of Tumor Resection

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Chao Shen ◽  
Rong Xie ◽  
Xiaoyun Cao ◽  
Weimin Bao ◽  
Bojie Yang ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Pituitary Adenoma ◽  
Tumor Resection ◽  
Chinese Patients ◽  
Adult Intelligence Scale ◽  
Wechsler Adult Intelligence Scale ◽  
Significant Difference ◽  
And Performance ◽  
The Right ◽  
The Impact

Background. Intelligence is much important for brain tumor patients after their operation, while the reports about surgical related intelligence deficits are not frequent. It is not only theoretically important but also meaningful for clinical practice.Methods. Wechsler Adult Intelligence Scale was employed to evaluate the intelligence of 103 patients with intracranial tumor and to compare the intelligence quotient (IQ), verbal IQ (VIQ), and performance IQ (PIQ) between the intracerebral and extracerebral subgroups.Results. Although preoperative intelligence deficits appeared in all subgroups, IQ, VIQ, and PIQ were not found to have any significant difference between the intracerebral and extracerebral subgroups, but with VIQ lower than PIQ in all the subgroups. An immediate postoperative follow-up demonstrated a decline of IQ and PIQ in the extracerebral subgroup, but an improvement of VIQ in the right intracerebral subgroup. Pituitary adenoma resection exerted no effect on intelligence. In addition, age, years of education, and tumor size were found to play important roles.Conclusions. Brain tumors will impair IQ, VIQ, and PIQ. The extracerebral tumor resection can deteriorate IQ and PIQ. However, right intracerebral tumor resection is beneficial to VIQ, and transsphenoidal pituitary adenoma resection performs no effect on intelligence.

scholarly journals Foot-Strike Pattern and Performance in a Marathon

2013 ◽  
Vol 8 (3) ◽  
pp. 286-292 ◽  
Author(s):  
Mark E. Kasmer ◽  
Xue-cheng Liu ◽  
Kyle G. Roberts ◽  
Jason M. Valadao
Keyword(s):  
Heel Strike ◽  
Fisher Exact Test ◽  
Distance Runners ◽  
Long Distance ◽  
Exact Test ◽  
Significant Difference ◽  
High Prevalence ◽  
Foot Strike ◽  
And Performance ◽  
And Gender

Purpose:To determine prevalence of heel strike in a midsize city marathon, if there is an association between foot-strike classification and race performance, and if there is an association between foot-strike classification and gender.Methods:Foot-strike classification (forefoot, midfoot, heel, or split strike), gender, and rank (position in race) were recorded at the 8.1-km mark for 2112 runners at the 2011 Milwaukee Lakefront Marathon.Results:1991 runners were classified by foot-strike pattern, revealing a heel-strike prevalence of 93.67% (n = 1865). A significant difference between foot-strike classification and performance was found using a Kruskal-Wallis test (P < .0001), with more elite performers being less likely to heel strike. No significant difference between foot-strike classification and gender was found using a Fisher exact test. In addition, subgroup analysis of the 126 non-heel strikers found no significant difference between shoe wear and performance using a Kruskal-Wallis test.Conclusions:The high prevalence of heel striking observed in this study reflects the foot-strike pattern of most mid-distance to long-distance runners and, more important, may predict their injury profile based on the biomechanics of a heel-strike running pattern. This knowledge can help clinicians appropriately diagnose, manage, and train modifications of injured runners.

The impact of other customers and gender on consumer complaint behaviour in the Ecuadorian restaurant setting

2016 ◽  
Vol 7 (1) ◽  
pp. 21-29
Author(s):  
Alei (Aileen) Fan ◽  
Hubert B. Van Hoof ◽  
Sandra Pesantez Loyola ◽  
Sebastián Calle Lituma ◽  
Marlene Jaramillo Granda
Keyword(s):  
Impression Management ◽  
Public Image ◽  
Specific Reference ◽  
Service Failures ◽  
Customer Complaint ◽  
Significant Difference ◽  
Concern For Others ◽  
Gender Based ◽  
And Gender ◽  
The Impact

Abstract Customer complaint behaviour, in response to service failures, has been shown to vary based on numerous factors, such as the nature of the service encounter, the setting, culture, gender and the presence of others. The gender-based study reported in this paper demonstrates the impact of two of these factors, i.e. the presence of others and gender, on the intent of Ecuadorian customers to voice their complaints about service failures in a restaurant setting. Employing a theoretical framework of impression management and cultural orientation, and with specific reference to Hofstede’s work on cultural differences, this study found that Ecuadorian customers were less likely to complain in the presence of other customers than when they were alone. Impression management and concern for others were shown to be more significant among women than men. Women were found to be more motivated to manage their public image and create positive impressions in other people’s minds, leading to less intent to complain in the presence of other customers than when they were alone. Male customers, on the other hand, exhibited less concern for others and did not show any significant difference in their complaint intentions, whether they were alone or in the presence of others.

scholarly journals IMPACT OF WORKPLACE BULLYING ON THE ATTITUDE AND PERFORMANCE OF UNIVERSITY TEACHERS

2021 ◽  
Vol 8 (2) ◽  
pp. 10-15
Author(s):  
Muhammad Naveed Khalid ◽  
Asif Iqbal ◽  
Farah Shafiq
Keyword(s):  
Workplace Bullying ◽  
Freedom Of Expression ◽  
Negative Attitude ◽  
Faculty Members ◽  
University Teachers ◽  
Female Teachers ◽  
Significant Difference ◽  
Aggressive Attitude ◽  
And Performance ◽  
The Impact

Workplace Bullying is a form of cognitive extremism at work. It revealed in misbehavior, activities, and verbal remarks, often deceptive, used to destabilize the person. This behavior results in mental surrender. Bullying leads to the victim’s withdrawal from an institute. It often happens in the form of deleterious remarks, unjustified blame, and submitted abuses. It destabilizes the freedom of expression, isolate the victims, querying them personally and professionally, and deny their access to resources to perform their task. It threatens the victims’ health and make them insecure. The current study is designed to investigate the impact of workplace bullying on the attitude and performance of university teachers. One hundred teachers (38 males and 62 females) were selected randomly from a total of 700 faculty members. Data were collected with the help of self-developed instrument, Teachers Workplace Bullying Attitude and Performance Survey (TWBAPS) with Cronbach Alpha reliability .965. Mean, standard deviation, ANOVA and t-test were applied to analyze the results. There was a significant difference between male and female teachers’ attitude and performance. Female teachers were victimized by their colleagues and heads. They showed a more aggressive attitude and low performance. Male teachers showed more violent behaviors than females. It is recommended to stabilize the academic environment at university level by discouraging the negative attitude among faculty members. Key words: Academic bullying, aggressive attitude, teachers’ performance

scholarly journals Investigating the relationship between leadership style of nursing department managers and work engagement in faculty members of Iranian universities of medical sciences

2021 ◽  
Author(s):  
S KhoshKesht ◽  
A Yaghoobzadeh ◽  
N Dehghan-nayeri‏
Keyword(s):  
Transformational Leadership ◽  
Leadership Style ◽  
Work Engagement ◽  
Work Experience ◽  
Faculty Members ◽  
Validity And Reliability ◽  
Significant Difference ◽  
And Performance ◽  
The Impact ◽  
The Relationship

Introduction: The success of an organization is determined by its human ‎resources. Work engagement leads to higher productivity and performance of the organization. Leaders seek to understand the impact of ‎their leadership style on work engagement. This is even more important in educational organizations but research in this area is insufficient. This study aimed to investigate the relationship between department ‎manager’s leadership styles and faculty member’s work engagement in some Iranian universities of medical ‎sciences‎. Methods: This was a descriptive-analytical correlational study. 149 people including faculty members and department managers with at least 6 months of work experience were selected through the convenience sampling method. Data collection tools included ‎a demographic questionnaire, a multi-factor leadership questionnaire, and a Schaufeli & Bakker work engagement questionnaire whose validity and reliability were examined. ‎Data were analyzed using SPSS software version 16. Result: A total of 114 faculty members with 13.42 ± 9.75 and 35 department managers with 19.91 ± 8.67 work experience participated in this study. Faculty members reported high work engagement. There was a positive and significant relationship between work engagement and interactional (P = 0.010) and transformational leadership (P = 0.001). ‎There was a significant difference between manager’s and employee’s views on the interactional ‎and transformational leadership (P < 0.001). Conclusion: Managers can promote job engagement by selecting the proper leadership style, and the advantages can be leveraged to boost organizational productivity.

scholarly journals ANALISIS DAMPAK REMUNERASI DAN LINGKUNGAN KERJA TERHADAP KINERJA DOKTER SPESIALIS DENGAN MOTIVASI KERJA SEBAGAI VARIABEL MEDIASI

2019 ◽  
Vol 8 (1) ◽  
pp. 48
Author(s):  
Hartati Hartati ◽  
Rima Semiarty ◽  
Verinita Verinita
Keyword(s):  
Work Motivation ◽  
Partial Least Square ◽  
Least Square ◽  
Working Environment ◽  
P Value ◽  
Hospital Organization ◽  
Significant Difference ◽  
And Performance ◽  
The Impact ◽  
Motivation To Work

Performance specialists is something that is very important in order to achieve the objectives Hospital Organization for specialists is the frontline in the service of clients in the hospital so important to know the factors that influence it. The purpose of this study is to describe the impact / influence of the system of remuneration and working environment on the performance and motivation as an intervening or mediating variable in the installation department of obstetrics and child XYZ Hospital Padang. This study uses a quantitative approach to research explanatori. Sampling in the Census, ie as many as 36 people obstetricians and children. Data analysis technique used in this study using the approach Partial Least Square (PLS). The results showed that there was no significant effect between remuneration and the performance of the T statistics amounted to 0.549 (less than 1.96) and the p value 0.002 (greater than 0.05) so the hypothesis is rejected. No significant difference between the work environment and performance statisticsT is smaller than TTable and p value is greater than alpha so the hypothesis is rejected. No significant difference between the motivation to work on performance because the hypothesis is rejected. A significant difference between the remuneration and motivation to work as much as 2.8%. No significant difference between the working environment on work motivation for the hypothesis is rejected. While remuneration on performance mediated by labor motivation does not have a significant effect.

scholarly journals Effect of face mask use on cardioventilatoryand performance parameters: a systematic review

2021 ◽  
Author(s):  
Mayara Jeronymo Uébe Mansur ◽  
Bárbara Vieira Bolckau Miranda ◽  
Paloma Priscila Porreca ◽  
Victor Paes Dias Gonçalves ◽  
Anderson Pontes Morales ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Face Mask ◽  
Performance Parameters ◽  
Public Places ◽  
Surgical Masks ◽  
Significant Difference ◽  
Physiological Impact ◽  
And Performance ◽  
The Impact

The main way to combat and prevent the spread of COVID-19 is through the use of face masksin all situations, whether in public places or workspaces and also during physical activity or exercise. However, recommendations for the use of face masks during exercise vary globally and the physiological impact of using tissue or surgical masks duringthis activity is not well understood. Thus, the objective of this work is to carry out a systematic review to investigate the impact of using a mask during physical activity or exercise in the parameters: ventilatory, physiological, and performance. A structured search was performed following the guidelines of the Preferred Reporting Items for Systematic Review (PRISMA) in the Medline / PubMed and Web of Science, Scopus and Bireme / Lilacs / BVS databases until May 2021. Seven published studies were included in the systematic review. All studies were randomized controlled and crossover clinical trials, seven studies used a surgical mask in their analysis, three studies used a P95 mask, and two studies used a cloth mask. When analyzing the results, four studies showed no significant difference in the use of surgical masks in relation to performance, ventilatory and hemodynamic function parameters; three studies showed a significant worsening with the condition of using a mask in ventilatory, cardiorespiratoryand performance parameters. It was concluded that the findings of the evaluated studies showed divergences in ventilatory, physiological and performance parameters. It is believed that it may be related to the types of exercise protocols used in the assessment. In addition, the study methods had a low risk of bia

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