Delirium – Does it Matter?

2008 ◽  
Vol 9 (3) ◽  
pp. 248-249 ◽  
Author(s):  
Valerie Page
Keyword(s):  
Critical Care ◽  
Cognitive Impairment ◽  
Icu Patients ◽  
Current State ◽  
Disturbance Of Consciousness ◽  
State Of Research ◽  
New Onset

Delirium is a disturbance of consciousness associated with new-onset changes in cognition. It is associated with increased mortality and long-term cognitive impairment for ICU patients. This article reviews the current state of research in delirium in critical care.

scholarly journals Long-Term Cognitive Impairment After Critical Illness

2018 ◽  
pp. 86-90
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cognitive Impairment ◽  
Critical Illness ◽  
Cognitive Outcomes ◽  
Adult Patients ◽  
Illness Experience ◽  
Icu Patients ◽  
Global Cognition

This case focuses on long-term cognitive impairment after critical illness by asking the question: What is the prevalence of long-term cognitive impairment after critical illness, and does the duration of delirium and use of sedative or analgesic medications affect cognitive outcomes? This study demonstrated that 74% of adult patients with critical illness experience delirium during their hospital course. Furthermore, patients in the intensive care unit (ICU) setting commonly experience global cognition and executive function deficits at 3 and 12 months following hospitalization. These findings highlight the importance of careful delirium surveillance in ICU patients.

Intellectual Potential of a Complex-Structured Region as an Object of Management in the Period of Digitalization

2020 ◽  
Vol 9 (4) ◽  
pp. 5-7
Author(s):  
Muhabbat Mahmudova
Keyword(s):  
Regional Economy ◽  
The State ◽  
Current State ◽  
Scientific Organizations ◽  
Regional Trends ◽  
Research Sector ◽  
State Of Research ◽  
Intellectual Potential ◽  
Term Maintenance

Objective: to assess the state of research potential of the Tyumen region in the conditions of digitalization of the regional economy. Methods: on the basis of comparative analysis and graphical interpretation of data, modern regional trends in the state and development of intellectual potential are identified. Results: during the analyzed period, the scientific sector of the regional economy showed trends in increasing the level of activation, as a result of stimulating the growth of the effectiveness of research institutions on the part of local authorities. Conclusions: the current state of the regional research sector, the intensity and direction of its development, as well as the effectiveness of the functioning of scientific organizations correspond to the level and specialization of the Tyumen region; and for the long-term maintenance of digital transformation, it is necessary to properly support the implementation of the digitalization policy in an unstable economic environment.

scholarly journals Survival and new-onset morbidity after critical care admission for acute pancreatitis in Scotland: a national electronic healthcare record linkage cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023853 ◽  
Author(s):  
Chiara Ventre ◽  
Sian Nowell ◽  
Catriona Graham ◽  
Doug Kidd ◽  
Christos Skouras ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Pancreatitis ◽  
Critical Care ◽  
Cohort Study ◽  
General Population ◽  
Record Linkage ◽  
Factors Associated ◽  
Critical Care Admission ◽  
New Onset

IntroductionSevere acute pancreatitis (AP) requiring critical care admission (ccAP) impacts negatively on long-term survival.ObjectiveTo document organ-specific new morbidity and identify risk factors associated with premature mortality after an episode of ccAP.DesignCohort study.SettingElectronic healthcare registries in Scotland.ParticipantsThe ccAP cohort included 1471 patients admitted to critical care with AP between 1 January 2008 and 31 December 2010 followed up until 31 December 2014. The population cohort included 3450 individuals from the general population of Scotland frequency-matched for age, sex and social deprivation.MethodsRecord linkage of routinely collected electronic health data with population matching.Primary and secondary outcome measuresPatient demographics, comorbidity (Charlson Comorbidity Index), acute physiology, organ support and other critical care data were linked to records of mortality (death certificate data) and new-onset morbidity. Kaplan-Meier and Cox regression analyses were used to identify risk factors associated with mortality.Results310 patients with AP died during the index admission. Outcomes were not ascertained for five patients, and the deprivation quintile was not known for six patients. 340 of 1150 patients in the resulting postdischarge ccAP cohort died during the follow-up period. Greater comorbidity measured by the Charlson score, prior to ccAP, negatively influenced survival in the hospital and after discharge. The odds of developing new-onset diabetes mellitus after ccAP compared with the general population were 10.70 (95% CI 5.74 to 19.94). A new diagnosis of myocardial infarction, stroke, heart failure, liver disease, peptic ulcer, renal failure, cancer, peripheral vascular disease and lung disease was more frequent in the ccAP cohort than in the general population.ConclusionsThe persistent deleterious impact of severe AP on long-term outcome and survival is multifactorial in origin, influenced by pre-existing patient characteristics and acute episode features. Further mechanistic and epidemiological investigation is warranted.

scholarly journals Extra Care Housing: The Current State of Research and Prospects for the Future

2021 ◽  
pp. 1-12
Author(s):  
Robin A. Darton
Keyword(s):  
Care Needs ◽  
Eligibility Criteria ◽  
Supportive Environment ◽  
Current State ◽  
People With Dementia ◽  
Care And Support ◽  
Balance Of Care ◽  
State Of Research ◽  
Extra Care Housing

Extra care housing aims to meet the housing, care and support needs of older people, while maintaining their independence in self-contained accommodation. Evidence from several studies suggests that it has benefits for residents in terms of costs and outcomes, and can provide a supportive environment for people with dementia, although the benefits for residents with greater care needs are less clear. Budgetary pressures and increasing eligibility criteria are altering the balance of care between residents and resulting in more task-focused, less personalised care. An increasing shortfall in provision and incentives for developers to concentrate on ‘lifestyle’ provision raise questions about the long-term viability of the model for supporting local authority-funded residents. Responses to the coronavirus pandemic also raise questions about future housing and care arrangements, and these need to be addressed in the government’s long-delayed plans for social care.

scholarly journals La responsabilidad social corporativa y los eventos deportivos. Una revisión sistemática de la producción científica

2022 ◽  
Vol 11 ◽  
pp. 8
Author(s):  
Ingrid Fonseca ◽  
Jayson Bernate ◽  
Diego Tuay
Keyword(s):  
Environmental Damage ◽  
Sporting Events ◽  
Current State ◽  
Revisión Sistemática ◽  
State Of Research ◽  
The Moment ◽  
Corporate Social ◽  
The Impact ◽  
Los Grupos

The impact of sporting events is related to social, economic, environmental and political aspects that affect the development of communities through social integration. The aim of the study was to examine the current state of research on sporting events and corporate social responsibility. The research design is a systematic review of the scientific literature (SLR) of 268 documents in the Scopus, SportDiscus, Proquest and Dialnet databases. After the filtering process, 26 articles were selected that met the inclusion criteria. According to this review, it is concluded that in sporting events it is necessary to have the interest groups from the moment of planning the event, generate initiatives to avoid environmental damage in the construction of stages, seek economic sustainability, and give conscious use to the sports infrastructure built and leave a long-term positive legacy. El impacto de los eventos deportivos está relacionado con aspectos sociales, económicos, ambientales y políticos que inciden en el desarrollo de las comunidades por medio de la integración social. El objetivo del estudio fue examinar el estado actual de las investigaciones sobre los eventos deportivos y la responsabilidad social corporativa. El diseño de investigación es una revisión sistemática de la literatura científica (SLR) de 268 documentos en las bases de datos Scopus, SportDiscus, Proquest y Dialnet, posterior al proceso de filtrado se seleccionaron 26 artículos que cumplieron con los criterios de inclusión. La principal conclusión de este estudio es que en los eventos deportivos se debe contar con los grupos de interés desde el momento de planificación del evento, generar iniciativas para evitar daños ambientales en la construcción de escenarios, buscar sostenibilidad económica, dar uso consiente a la infraestructura deportiva construida y dejar un legado positivo a largo plazo.

Attitude change and social influence on the net

2012 ◽  
Author(s):  
Kai Sassenberg ◽  
Kai J. Jonas
Keyword(s):  
Social Influence ◽  
Attitude Change ◽  
Computer Mediated Communication ◽  
Long Term Effects ◽  
Mediated Communication ◽  
Model Following ◽  
Current State ◽  
Computer Mediated ◽  
State Of Research

This article summarizes how social influence can be exerted in computer-mediated communication (CMC). It outlines research on short-term effects of CMC on attitudes and behaviour, rather than on long-term effects of social influence. The article first presents a model of three types of social influence that can be discerned in groups, representing the current state of research on social influence. Subsequently, the characteristics of CMC relevant to social influence are described and related to this model. Following this, classical and contemporary research is reviewed. The final section outlines a model summarizing the knowledge on social influence in CMC and identifies topics for further research.

Culturally Responsive Pedagogy in Mathematics

2020 ◽  
Vol 2 ◽  
pp. 145-158
Author(s):  
Kenta Nagasawa
Keyword(s):  
Professional Development ◽  
Teacher Education ◽  
Culturally Responsive ◽  
Latino Students ◽  
Culturally Responsive Pedagogy ◽  
Mathematics Teacher Education ◽  
Development Program ◽  
Current State ◽  
Responsive Pedagogy ◽  
State Of Research

Purpose: This paper is a thematic literature review to examine the current state of research about Culturally Responsive Pedagogy in mathematics. The main themes are students’ perception, teacher education for pre-service teacher and professional development for teachers. Research methods/ approach: Literature was collected from Eric, which is a research engine of the education field. Also, Google Scholar is used to find articles of major scholars introduced by Dr. Rich Milner, who is the instructor of this course. Findings: Students faced microaggressions in mathematics class, which discouraged them to learn mathematics. The effect of teacher education was inconsistent in terms of the awareness of culturally responsive pedagogy and lesson plans. Research of professional development mentioned that mathematics was cultural. Implications for research and practice: It is more interesting to conduct long term or follow-up research to find the teacher’s practice after a taking professional development program. Also, it is critical to expand research scope besides African American and Latino students. Finally, evidence-based research is needed to change the political situation. Keywords: culturally responsive teaching, mathematics, teacher education, professional development, student’s perception

CURRENT STATE AND DEVELOPMENT PERSPECTIVES OF THE CASPIAN SPRAT FISHERIES

2018 ◽  
pp. 69-75
Author(s):  
Tatiana Vasilievna Pomogaeva ◽  
Aliya Ahmetovna Aseinova ◽  
Yuriy Aleksandrovich Paritskiy ◽  
Vjacheslav Petrovich Razinkov
Keyword(s):  
Food Item ◽  
Growth Potential ◽  
North West ◽  
Marine Fishery ◽  
The North ◽  
Current State ◽  
West Part ◽  
Eggs And Larvae ◽  
Intensive Growth

The article presents annual statistical data of the Caspian Research Institute of Fishery. There has been kept track of the long term dynamics of the stocks of three species of Caspian sprat (anchovy, big-eyed kilka, sprat) and investigated a process of substituting a food item of sprats Eurytemora grimmi to a small-celled copepod species Acartia tonsa Dana. According to the research results, there has been determined growth potential of stocks of each species. Ctenophoran-Mnemiopsis has an adverse effect on sprat population by eating fish eggs and larvae. Ctenophoram - Mnemiopsis is a nutritional competitor to the full-grown fishes. The article gives recommendations on reclamation of stocks of the most perspective species - common sprat, whose biological characteristics helped not to suffer during Ctenophoram outburst and to increase its population during change of the main food item. Hydroacoustic survey data prove the intensive growth of common sprat biomass in the north-west part of the Middle Caspian. According to the results of the research it may be concluded that to realize the volumes of recommended sprat catch it is necessary to organize the marine fishery of common sprat at the Russian Middle Caspian shelf.

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