scholarly journals ACADEMIC CONCERNS, REQUESTED AND RECEIVED SUPPORT AMONG ADOLESCENTS IN THE FOUR WEEKS FOLLOWING CONCUSSION: A PILOT STUDY

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0027
Author(s):  
Traci Snedden ◽  
Eric Post ◽  
Christian Schmidt ◽  
Alison Brooks
Keyword(s):  
Academic Success ◽  
Pilot Study ◽  
Longitudinal Design ◽  
Academic Support ◽  
Legal Guardian ◽  
Academic Effects ◽  
Time Points ◽  
Community Based Design ◽  
Prospective Longitudinal ◽  
Over Time

Background: Even short-term cognitive challenges place adolescents at risk for successful achievement of academic success and attainment of career goals. Studies that have examined subjects receiving follow-up at a concussion or other specialty clinic have noted cognitive issues that cause learning problems upon return to the classroom. However, a gap exists specific to the types of academic concerns and needs for academic support using a prospective longitudinal design in a general sample. Purpose: The purpose of this pilot study was to describe the scope of academic concerns, requested and received academic support over time among adolescents in the four weeks following a concussion injury. Methods: Prospective longitudinal pilot study. Adolescents, aged 13-18 years, and their parent/legal guardian were enrolled within 7 days of concussion injury using a community-based design. Academic effects, requested and received support were assessed by electronic completion of the Concussion Learning Assessment and School Survey (CLASS) of both adolescent and their parent/legal guardian at 4 time points across 28 days, each one week apart. Results: Overall, 37 adolescents (51.4% female, mean age: 16.4±1.4 years) and their parent/legal guardian, provided sufficient data for analysis. A decrease in the frequency of academic concerns over time was noted across the 4 weeks following injury with 37.8% (n=14) reporting challenges in one or more of their classes in the first week after their concussion, compared to 10.8% (n=4) at 28 days. A decrease in requested supports was also noted, with 48.6% (n=18) requesting some form of academic support in the first week compared to 13.5% (n=5) at 28 days. Most commonly requested supports across all time points included extra time to complete work, reduced homework, reduced or waived makeup work, and a shortened school day. Received academic support was also greatest in the first week following concussion (40.5%, n=15) and declined to 16.2% (n=6) at 28 days. Grades were reported as worse since their concussion across all time points with 18.9% reporting this concern at 14 and 21 days. Conclusion: High rates of academic concerns and requested supports were reported in the first week following concussion. In addition, a consistent proportion of students reported a worsening of grades and continued to report academic concerns and needs for academic support four weeks after they sustained a concussion. These pilot findings support the need for greater attention to the academic effects of concussion and related support needs in the classroom for all students. [Table: see text][Table: see text]

scholarly journals Academic concerns, requested and received support among adolescents in the four weeks following a concussion injury: A pilot study

Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S30.1-S30
Author(s):  
Traci Snedden ◽  
Eric Post ◽  
Christian Schmidt ◽  
M. Alison Brooks
Keyword(s):  
Pilot Study ◽  
Academic Support ◽  
Academic Effects ◽  
Time Points ◽  
Complete Work ◽  
School Day ◽  
Return To Learn ◽  
Learning Issues ◽  
Prospective Longitudinal ◽  
Over Time

ObjectiveTo describe the scope of academic concerns, requested and received support among adolescents in the four weeks following a concussion injury.BackgroundRecent studies have found alterations in cognitive ability after concussion that cause learning issues upon return to the classroom. Findings have prompted guidelines for supporting return to learn post-concussion in recent statements from the CDC and the AAP. However, a gap exists specific to academic concerns and needs across the recovery timeline.Design/MethodsProspective longitudinal pilot study. Adolescents, 13-18 years, were enrolled within 7 days of diagnosed concussion injury. Academic effects, requested and received support were assessed by e-survey at 4 time points across 28 days, each one week apart.ResultsOverall, 37 adolescents (51.4% female, mean age: 16.4 ± 1.4 years) provided sufficient data for analysis. A decrease in the frequency of academic concerns over time was noted across the 4 weeks following injury with 37.8% (n = 14) reporting challenges in one or more of their classes in the first week after their concussion, compared to 10.8% (n = 4) at 28 days. A decrease in requested supports was also noted, with 48.6% (n = 18) requesting some form of academic support in the first week compared to 13.5% (n = 5) at 28 days.Most commonly requested supports across all time points included extra time to complete work, reduced homework, reduced or waived makeup work, and a shortened school day. Received academic support was also greatest in the first week following concussion (40.5%, n = 15) and declined to 16.2% (n = 6) at 28 days.ConclusionsHigh rates of academic concerns, requested and received supports were reported in the first week following concussion. A concerning proportion continued to report academic concerns and needs for academic support four weeks after injury. These pilot findings support the need for greater attention to academic effects of concussion and related support in the classroom.

Perfectionism shapes the way adolescents perceive family acceptance over time

2022 ◽  
pp. 026540752110565
Author(s):  
Iulia M. Domocus ◽  
Lavinia E. Damian ◽  
Oana Benga
Keyword(s):  
Longitudinal Design ◽  
Previous Theory ◽  
Research And Practice ◽  
Time Points ◽  
The Family ◽  
Family Acceptance ◽  
Self Worth ◽  
Conditional Acceptance ◽  
Over Time

Previous theory and research linked perfectionism to contingent self-worth and conditional acceptance, but little research directly investigated how adolescents’ perfectionism and their perceived family acceptance shape each other over time. The present study is the first to investigate the reciprocal longitudinal relations between adolescents’ perfectionism and their perceived family acceptance. The study examined a sample of 264 adolescents (aged 14–19 years) over a period of 3 months, using a cross-lagged longitudinal design with two time points. Results showed that perfectionistic standards predict relative increases, whereas perfectionistic concerns predict relative decreases in adolescents’ perceived mother, father, and family acceptance. However, perceived family acceptance did not predict significant changes in perfectionistic standards nor in perfectionistic concerns. Considering this, the results emphasize the role of perfectionism as a predictor for perceptions of mother, father, and family acceptance and capture how perfectionism may shape interpersonal experiences within the family. Implications of these findings for both research and practice are discussed.

Predictors of Post-concussive Symptoms in Young Children: InjuryversusNon-injury Related Factors

2016 ◽  
Vol 22 (8) ◽  
pp. 793-803 ◽  
Author(s):  
Coco O. Bernard ◽  
Jennie A. Ponsford ◽  
Audrey McKinlay ◽  
Dean McKenzie ◽  
David Krieser
Keyword(s):  
Young Children ◽  
Parental Stress ◽  
Longitudinal Design ◽  
Strong Association ◽  
Family Factors ◽  
Relative Influence ◽  
Post Injury ◽  
Related Factors ◽  
Prospective Longitudinal ◽  
Over Time

AbstractObjectives:A notable minority of children will experience persistent post-concussive symptoms (PCS) following mild traumatic brain injury (mTBI), likely maintained by a combination of injury and non-injury related factors. Adopting a prospective longitudinal design, this study aimed to investigate the relative influence of child, family, and injury factors on both acute and persistent PCS in young children.Methods:Participants were 101 children aged 2–12 who presented to an Emergency Department, with either mTBI or minor bodily trauma (control). PCS were assessed at time of injury, 1 week, and 1, 2, and 3 months post-injury. Predictors included injury and demographic variables, premorbid child behavior, sleep hygiene, and parental stress. Random effects ordinal logistic regression models were used to analyze the relative influence of these predictors on PCS at early (acute – 1 week) and late (1–3 month) post-injury phases.Results:Presence of mTBI was a stronger predictor of PCS in the early [odds ratio (OR)=18.2] compared with late (OR=7.3) post-injury phase. Older age at injury and pre-existing learning difficulties were significant predictors of PCS beyond 1 month post-injury. Family factors, including higher levels of parental stress, higher socio-economic status, and being of Anglo-Saxon descent, consistently predicted greater PCS.Conclusions:Injury characteristics were significantly associated with PCS for 3 months following mTBI but the association weakened over time. On the other hand, pre-existing child and family factors displayed an increasingly strong association with PCS over time. Follow-up for these “at-risk” children which also addresses family stress may minimize longer-term complications. (JINS, 2016,22, 793–803)

A longitudinal assessment of treatment-related differences in quality of life among prostate cancer patients

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 15605-15605
Author(s):  
A. Giedzinska-Simons ◽  
K. M. Christie ◽  
B. E. Meyerowitz ◽  
M. Gross ◽  
D. B. Agus
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Negative Affect ◽  
Disease Severity ◽  
Longitudinal Design ◽  
Gradual Decline ◽  
Prospective Longitudinal ◽  
The Impact ◽  
Over Time

15605 Background: Physicians increasingly are asked about changes in quality of life (QOL) following treatment. This is especially relevant for prostate cancer (PC), a disease for which different primary treatments expose patients to differing risks of adverse effect with similar expected benefits in terms of survival. Few studies have compared QOL for the major treatment approaches in a prospective, longitudinal design. Methods: 53 PC patients completed mailed questionnaires assessing general, emotional, social, functional, physical, and prostate-specific QOL with the FACT; stress with the Impact of Events Scale-R (IES-R); and mood with the Positive and Negative Affect Schedule. Data were collected prior to treatment and at 1 month and 6 months post-primary disease treatment. Patients’ primary treatments were radical prostatectomy (RP; N=22), radiation (N=16), or conservative therapy (androgen deprivation treatment only (ADT); N=15). Responses were compared in a mixed-factorial ANCOVA design, controlling for disease severity (Gleason score) and age. Results: Although there were no main effect differences by treatment group, treatment by time interactions emerged for physical QOL (p=.002), stress (p=.04), and negative affect (p=.01). Examination of patterns of response indicated that physical difficulties remained fairly consistent for RP and radiation patients over time, whereas ADT patients showed a gradual decline in physical QOL. For stress and negative affect, RP patients reported highest levels of distress prior to treatment and experienced a gradual recovery over time. Radiation patients followed a similar, although less dramatic, trajectory for stress but showed little change in negative affect. ADT patients had relatively low levels of stress at each time point. Their levels of negative affect were similar to those of radiation patients. Conclusions: Even after controlling for age and disease severity, this examination of patient QOL over time suggests the pre-treatment period is especially stressful for RP patients, and that ADT patients exhibit a gradual decline in physical QOL over time. These results may help physicians anticipate and discuss treatment-specific trends in QOL with their patients, thus enhancing patient care. No significant financial relationships to disclose.

Kategorisierung der Schädelform des Cavalier King Charles Spaniels

2019 ◽  
Vol 47 (02) ◽  
pp. 133-133
Keyword(s):  
Pilot Study ◽  
Cavalier King Charles Spaniel ◽  
Conformation Changes ◽  
Veterinary Record ◽  
Changes Over Time ◽  
Over Time

Knowler SP, Gillstedt L, Mitchell TJ et al. Pilot study of head conformation changes over time in the Cavalier King Charles spaniel breed. Veterinary Record 2019. doi:10.1136/vr.105135.

Measuring Agency Change Across the Domain of Hypnosis

2019 ◽  
Author(s):  
Vince Polito ◽  
Amanda Barnier ◽  
Erik Woody
Keyword(s):  
Rating Scale ◽  
Sense Of Agency ◽  
Pass Rates ◽  
Current Experiment ◽  
Multidimensional Construct ◽  
Time Points ◽  
Hypnotic Induction ◽  
Different Types ◽  
Over Time ◽  
Postexperimental Inquiry

Building on Hilgard’s (1965) classic work, the domain of hypnosis has been conceptualised by Barnier, Dienes, and Mitchell (2008) as comprising three levels: (1) classic hypnotic items, (2) responding between and within items, and (3) state and trait. The current experiment investigates sense of agency across each of these three levels. Forty-six high hypnotisable participants completed an ideomotor (arm levitation), a challenge (arm rigidity) and a cognitive (anosmia) item either following a hypnotic induction (hypnosis condition) or without a hypnotic induction (wake condition). In a postexperimental inquiry, participants rated their feelings of control at three time points for each item: during the suggestion, test and cancellation phases. They also completed the Sense of Agency Rating Scale (Polito, Barnier, & Woody, 2013) for each item. Pass rates, control ratings, and agency scores fluctuated across the different types of items and for the three phases of each item; also, control ratings and agency scores often differed across participants who passed versus failed each item. Interestingly, whereas a hypnotic induction influenced the likelihood of passing items, it had no direct effect on agentive experiences. These results suggest that altered sense of agency is not a unidimensional or static quality “switched on” by hypnotic induction, but a dynamic multidimensional construct that varies across items, over time and according to whether individuals pass or fail suggestions.

scholarly journals Two Auxinic Herbicides Affect Brassica napus Plant Hormone Levels and Induce Molecular Changes in Transcription

Biomolecules ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1153
Author(s):  
Jutta Ludwig-Müller ◽  
Roman Rattunde ◽  
Sabine Rößler ◽  
Katja Liedel ◽  
Freia Benade ◽  
...  
Keyword(s):  
Brassica Napus ◽  
Expression Patterns ◽  
Growth Conditions ◽  
Growth Stages ◽  
Auxin Response ◽  
Time Points ◽  
Genes Encoding ◽  
Different Temperatures ◽  
Indigenous Plant ◽  
Over Time

With the introduction of the new auxinic herbicide halauxifen-methyl into the oilseed rape (Brassica napus) market, there is a need to understand how this new molecule interacts with indigenous plant hormones (e.g., IAA) in terms of crop response. The aim of this study was to investigate the molecular background by using different growth conditions under which three different auxinic herbicides were administered. These were halauxifen-methyl (Hal), alone and together with aminopyralid (AP) as well as picloram (Pic). Three different hormone classes were determined, free and conjugated indole-3-acetic acid (IAA), aminocyclopropane carboxylic acid (ACC) as a precursor for ethylene, and abscisic acid (ABA) at two different temperatures and growth stages as well as over time (2–168 h after treatment). At 15 °C growth temperature, the effect was more pronounced than at 9 °C, and generally, the younger leaves independent of the developmental stage showed a larger effect on the alterations of hormones. IAA and ACC showed reproducible alterations after auxinic herbicide treatments over time, while ABA did not. Finally, a transcriptome analysis after treatment with two auxinic herbicides, Hal and Pic, showed different expression patterns. Hal treatment leads to the upregulation of auxin and hormone responses at 48 h and 96 h. Pic treatment induced the hormone/auxin response already after 2 h, and this continued for the other time points. The more detailed analysis of the auxin response in the datasets indicate a role for GH3 genes and genes encoding auxin efflux proteins. The upregulation of the GH3 genes correlates with the increase in conjugated IAA at the same time points and treatments. Also, genes for were found that confirm the upregulation of the ethylene pathway.

scholarly journals The Chicken and Egg of Pride and Social Rank

2021 ◽  
pp. 194855062110236
Author(s):  
Zachary Witkower ◽  
Eric Mercadante ◽  
Jessica L. Tracy
Keyword(s):  
Longitudinal Design ◽  
Social Rank ◽  
Causal Direction ◽  
Authentic Pride ◽  
Longitudinal Relationships ◽  
Over Time

Prior research has found an association between pride experiences and social rank outcomes. However, the causal direction of this relationship remains unclear. The current research used a longitudinal design ( N = 1,653) to investigate whether pride experiences are likely to be a cause, consequence, or both, of social rank outcomes, by tracking changes in individuals’ pride and social rank over time. Prior research also has uncovered distinct correlational relationships between the two facets of pride, authentic and hubristic, and two forms of social rank, prestige and dominance, respectively. We therefore separately examined longitudinal relationships between each pride facet and each form of social rank. Results reveal distinct bidirectional relationships between authentic pride and prestige and hubristic pride and dominance, suggesting that specific kinds of pride experiences and specific forms of social rank are both an antecedent and a consequence of one another.

scholarly journals Levels of physical activity in four domains and affective wellbeing before and during the Covid-19 pandemic

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Eliane S. Engels ◽  
Michael Mutz ◽  
Yolanda Demetriou ◽  
Anne K. Reimers
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Protective Factor ◽  
Total Sample ◽  
Poor Mental Health ◽  
German Population ◽  
Time Points ◽  
Sport And Exercise ◽  
Over Time ◽  
Time Point

Abstract Background Latest studies indicated that the general mental health level is low during the pandemic. Probably, this deterioration of the mental health situation is partly due to declines in physical activity. The aim of this study was to investigate differences in and the association between affective wellbeing and levels of different domains of physical activity at three time points before and during the pandemic. Method We used a nationwide online panel with a trend data design encompassing a total sample of N = 3517, representing the German population (> 14 years). Four different activity domains (sport and exercise, light outdoor activity, housework/gardening, active travel) and affective wellbeing (positive and negative affect) were assessed at three time points before and during the Covid-19 pandemic (October 2019, March 2020, October 2020). Results Multivariate analyses of variance (MANOVA) indicate differences regarding affective wellbeing over the three time points with the lowest values at the second time point. Levels of activity in the four domains differed significantly over time with the strongest decrease for sport and exercise from the first to the second time point. Partial correlations indicated that the relationships between sport and exercise and positive affect were most consistent over time. Conclusions Overall, our findings suggest that physical activity plays a particularly important role in the pandemic period as a protective factor against poor mental health. Especially sports and exercise seem to be supportive and should be encouraged, e.g. by providing additional support in finding adequate outdoor, home-based or digital substitutes.

scholarly journals 152. Applying A Difference-in-Difference Analysis to Assess Effect of Antimicrobial Stewardship Strategies on Changes in Antimicrobial Use

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S86-S86
Author(s):  
Ann F Chou ◽  
Yue Zhang ◽  
Makoto M Jones ◽  
Christopher J Graber ◽  
Matthew B Goetz ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Clinical Pharmacist ◽  
Antibiotic Use ◽  
Feedback Mechanism ◽  
Health Care Facilities ◽  
Antimicrobial Use ◽  
Time Points ◽  
The Difference ◽  
The Impact ◽  
Over Time

Abstract Background About 30–50% of inpatient antimicrobial therapy is sub-optimal. Health care facilities have utilized various antimicrobial stewardship (AS) strategies to optimize appropriate antimicrobial use, improve health outcomes, and promote patient safety. However, little evidence exists to assess relationships between AS strategies and antimicrobial use. This study examined the impact of changes in AS strategies on antimicrobial use over time. Methods This study used data from the Veterans Affairs (VA) Healthcare Analysis & Informatics Group (HAIG) AS survey, administered at 130 VA facilities in 2012 and 2015, and antimicrobial utilization from VA Corporate Data Warehouse. Four AS strategies were examined: having an AS team, feedback mechanism on antimicrobial use, infectious diseases (ID) attending physicians, and clinical pharmacist on wards. Change in AS strategies were computed by taking the difference in the presence of a given strategy in a facility between 2012–2015. The outcome was the difference between antimicrobial use per 1000 patient days in 2012–2013 and 2015–2016. Employing multiple regression analysis, changes in antimicrobial use was estimated as a function of changes in AS strategies, controlling for ID human resources in and organizational complexity. Results Of the 4 strategies, only change in availability of AS teams had an impact on antimicrobial use. Compared to facilities with no AS teams at both time points, antibiotic use decreased by 63.9 uses per 1000 patient days in facilities that did not have a AS team in 2012 but implemented one in 2015 (p=0.0183). Facilities that had an AS team at both time points decreased use by 62.2 per 1000 patient days (p=0.0324). Conclusion The findings showed that AS teams reduced inpatient antibiotic use over time. While changes in having feedback on antimicrobial use and clinical pharmacist on wards showed reduced antimicrobial use between 2012–2015, the differences were not statistically significant. These strategies may already be a part of a comprehensive AS program and employed by AS teams. In further development of stewardship programs within healthcare organizations, the association between AS teams and antibiotic use should inform program design and implementation. Disclosures All Authors: No reported disclosures

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