Short- and Long-Term Psychological Status Following Stroke Short Form MMPI Results

1991 ◽  
Vol 179 (5) ◽  
pp. 274-278 ◽  
Author(s):  
C. MUNRO CULLUM ◽  
ERIN D. BIGLER
Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Janet Bray ◽  
Stuart Howell ◽  
Stephen Bernard ◽  
Karen L Smith ◽  
Judith Finn ◽  
...  

Introduction: The majority of research has examined out-of-hospital cardiac arrest (OHCA) patients admitted to intensive care units (ICU). Little is known about patients who are admitted to non-ICU wards. Our study aims to describe short and long term outcomes in OHCA patients admitted directly to medical wards from the emergency department. Methods: Data were obtained from the Victorian Ambulance Cardiac Arrest Registry and 12 hospitals for adult, non-traumatic OHCA cases transported to ED between 2014 and 2016. Results: Of 1578 OHCAs, 213 (13.5%) were admitted to medical or cardiac wards -only four were admitted for palliation. The majority were witnessed (38% bystander, 58% paramedic), received bystander CPR (91%, n=81/89), median downtime was 4 minutes (IQR 2-12), 179 (84%) were in a shockable rhythm, and 15 received public access defibrillation. Most had ROSC on arrival at ED (99%) and were conscious in ED (91%). Re-arrest inhospital occurred in 16 cases, the majority had a cardiac aetiology (85%) and underwent angiography (75%, 112/160 proceeded to PCI). The majority were discharged alive (n=194, 91%) and most survivors were discharged home (n=176/194, 84%) with good neurological outcomes (CPC 0-2 =94%, CPC 3= 4%). Survivors from the wards made up 30% of the overall OHCA survivors. Of survivors, 175 were alive at 12 months and 159 completed follow-up. The majority of those working prior were working at 12-months (78/92, 85%), 87% in the same role. The mean EuroQol index score for respondents was 0.77 (SD, 0.15). The mean 12-item short form Mental Component Summary score for patients was 55.0 (SD, 8.1), whereas the mean Physical Component Summary score was 49.1 (SD, 9.1). Conclusion: In our region OHCA patients admitted to wards have favourable arrest characteristics, and have good short- and long-term outcomes which are similar to regular acute coronary syndrome patients.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ana Kozina ◽  
Diego Gomez-Baya ◽  
Margarida Gaspar de Matos ◽  
Gina Tome ◽  
Nora Wiium

Several of the most frequent psychological difficulties in childhood and adolescence are related to anxiety and lead to numerous short- and long-term negative outcomes in emotional, social, and academic domains. Empirical evidence consistently shows that the 5Cs (competence, caring, confidence, connection, and character) of Positive Youth Development (PYD) are positively related to adolescents’ contribution to self, family, and society as well as negatively related to risky behaviors and emotional difficulties, such as anxiety. Thus, the PYD can be one of the models that informs prevention programs. To provide contextualized, data-driven support for prevention efforts, we have analyzed the predictive value of the 5Cs for anxiety and anxiety dimensions using three different convenience youth samples from Portugal (N = 384, 46.6% female), Slovenia (N = 449, 69% females), and Spain (N = 768; 60.5% females). To assess the 5Cs, we used the same short form of the PYD scale in all samples (Geldhof et al., 2013) and different anxiety measures across samples: the Multidimensional Anxiety Scale for Children (MASC) in Portugal, the Lestvica anksioznosti za otroke in mladostnike anxiety scale (LAOM) in Slovenia and the Generalized Anxiety Disorder-7 (GAD-7) in Spain. The findings show significant associations of PYD and anxiety across all three contexts with all three different anxiety measures used. The associations vary across countries emphasizing the need to further research the role of contexts in anxiety prevention. Despite variations the results do indicate that connection is negatively associated with anxiety in all three contexts using the three anxiety measures, while confidence is a negative predictor and caring is a positive predictor of anxiety in Slovenia and Spain. Implications for practice within an educational framework for adolescents and youth are discussed, together with public policy recommendations.


2018 ◽  
Vol 1 (80) ◽  
Author(s):  
Renata Rutkauskaitė ◽  
Arūnas Emeljanovas ◽  
Vida Volbekienė ◽  
Rita Sadzevičienė ◽  
Edita Maciulevičienė ◽  
...  

Research background and hypothesis. It is well established that regular physical activity (PA) has many short- and long-term benefi ts for children’s health. Physically active children are more physically fi t than their physically inactive counterparts. Insuffi cient physical fi tness of adolescents is one of the risk factors for chronic diseases and has a tendency to be carried over into adulthood. Research aim was to examine health-related physical fi tness in low, moderate and vigorous physical activity categories among 16-year-old schoolboys.Research methods. The participants were 155 healthy schoolboys of the 10 th  grade from secondary schools of Kaunas (Lithuania). Their physical activity was measured by a modifi ed short form of the International PA Questionnaire (IPAQ) (Craig et al., 2003). The respondents were divided in three PA categories: high (vigorous) (VPA) (n = 43), moderate (MPA) (n = 63), and low (LPA) (n = 49). Physical fi tness tests were performed to measure participants’ fl exibility (by sit-and-reach test) (Eurofi t, 1993), power (by vertical jump test), and muscular strength and endurance (by modifi ed push-up test) (Suni et al., 1994). Research results. There were no signifi cant differences between the boys in different PA groups in respect of anthropometrical and body composition parameters (p > 0.05). The results of health-related physical fi tness tests were signifi cantly better of the VPA group boys (p < 0.05). The total volume of PA correlated with all health-related physical fi tness components that were measured (r = 0.23–0.38, p < 0.01). Discusion and conclussions. We may conclude that health-related physical fi tness is positively related to the total amount of physical activity in 16-year-old schoolboys.Keywords: frequency, duration, intensity, volume, physical activity, physical fitness.


2020 ◽  
Vol 22 (12) ◽  
Author(s):  
Stefan Salzmann ◽  
Miriam Salzmann-Djufri ◽  
Marcel Wilhelm ◽  
Frank Euteneuer

Abstract Purpose of Review To review the current state of preoperative psychological preparation to improve outcomes after cardiac surgery. Recent Findings Preoperative psychosocial factors are associated with short- and long-term outcomes after cardiac surgery. There are several approaches to optimize patients’ preoperative psychological status with promising effects on postoperative outcomes (e.g., less complications, improved quality of life). Preoperative psychological preparation often aims to improve patients’ knowledge or social support and to modify and optimize expectations and illness beliefs. Summary Preoperative psychological preparation is gaining importance for cardiac surgery. However, patients’ psychological status still does not get as much attention as it deserves. Preoperative psychological preparation seems to have positive effects on postoperative outcomes. Since overall evidence is still weak, further studies are warranted to understand which intervention works best for whom and why.


Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.


Author(s):  
Ian Neath ◽  
Jean Saint-Aubin ◽  
Tamra J. Bireta ◽  
Andrew J. Gabel ◽  
Chelsea G. Hudson ◽  
...  

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