scholarly journals Factors affecting rehabilitation of infants with Central Coordination Disorders during a three-month-long observation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Malgorzata Andrzejewska ◽  
Katarzyna Hap ◽  
Karolina Biernat ◽  
Edyta Sutkowska ◽  
Iwona Demczyszak ◽  
...  
Keyword(s):  
Early Therapy ◽  
Factors Affecting ◽  
Coordination Disorders ◽  
Craniosacral Therapy ◽  
Early Results ◽  
Study Results ◽  
Effect Of Therapy ◽  
Central Coordination ◽  
Mother’S Age ◽  
Duration Of Breastfeeding

Abstract Background Central coordination disorders (CCD) encompass various abnormalities observed in infants but early therapy may have an impact on their condition. The aim was to seek factors that may affect the early results of therapy of infants with CCD. Methods We analyzed the outcomes of a three-month period of rehabilitation of infants living with CCD. Children were treated at Non-public Specialist Healthcare Institution Medi-Reh in Kalisz in the period from 1 Jan 2014 to 31 Nov 2019. In our retrospective study results of three-month therapy of infants, aged 1 to 6 months, with CCD were analysed regards to the effectiveness and the potential impact of different factors. Therapy and assessment of children were conducted with the use of the Vojta method, which was performed during the first visit (WW) and the follow-up visit (after 3 months- 1WK). The analysis of the influence of various factors on the effect of therapy included: mother's age at the time of delivery, duration of breastfeeding, child APGAR, gestational age in which the child was born, sex of the child, birth weight, age of the child at WW, type of delivery, craniosacral therapy as an additive treatment. Results Based on the examination results from 66 medical records it was demonstrated that after active period of the therapy, improvement was observed in 54 (81.81%) (p=0.48) children (condition during WW versus 1WK among the group). The sole factor impacting improvement after 3 months was the age of the child at WW, when the child started therapy. This factor significantly (p=0.002) increased the chance of achieving improvement - by 3.2 times (OR= 3,2; CI= 95). No statistically significant differences were shown for the other studied factors. Conclusions Prompt implementation of rehabilitation in children with CCD provides a better chance of improving their motor function. The rehabilitation should be started as soon as possible after the diagnosis is constituted.

scholarly journals Factors Affecting Rehabilitation of Infants With Central Coordination Disorders During a Three-month-long Observation

2021 ◽  
Author(s):  
Malgorzata Andrzejewska ◽  
Katarzyna Hap ◽  
Karolina Biernat ◽  
Edyta Sutkowska ◽  
Iwona Demczyszak ◽  
...  
Keyword(s):  
Early Therapy ◽  
Factors Affecting ◽  
Coordination Disorders ◽  
Craniosacral Therapy ◽  
Early Results ◽  
Study Results ◽  
Effect Of Therapy ◽  
Central Coordination ◽  
Mother’S Age ◽  
Duration Of Breastfeeding

Abstract Background:Central coordination disorders (CCD) encompass various abnormalities observed in infants but early therapy may have an impact on their condition.The aim was to seek factors that may affect the early results of therapy of infants with CCD.Methods: In our retrospective study results of three-month therapy of infants, aged 1 to 6 months, with CCD were analysed regards to the effectiveness and the potential impact of different factors. Therapy and assessment of children were conducted with the use of the Vojta method, which was performed during the first (WW) and the follow-up visit (after 3 months- 1WK). The analysis of the influence of various factors on the effect of therapy included: mother's age at the time of delivery, duration of breastfeeding, child APGAR, gestational age in which the child was born, sex of the child, birth weight, age of the child at WW, type of delivery, craniosacral therapy as an additive treatment.Results:Based on the examination results from 66 medical records it was demonstrated that after 3 months of therapy, improvement was observed in 54 (81.81%) children. The sole factor impacting improvement after 3 months was the age of the child at WW, when the child started therapy. This factor significantly (p=0.002) increased the chance of achieving improvement - by 3.2 times. No statistical differences were shown for the other studied factors.ConclusionsThe age of the child at the beginning of the treatment had a significant impact on early (3 mo) improvement.

Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Proper Time ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Factors Affecting ◽  
Early Results ◽  
Medical Evaluation ◽  
Nerve Recovery ◽  
Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

scholarly journals A Quantitative Analysis of Factors Influencing Organic Matter Concentration in the Topsoil of Black Soil in Northeast China Based on Spatial Heterogeneous Patterns

2021 ◽  
Vol 10 (5) ◽  
pp. 348
Author(s):  
Zhenbo Du ◽  
Bingbo Gao ◽  
Cong Ou ◽  
Zhenrong Du ◽  
Jianyu Yang ◽  
...  
Keyword(s):  
Land Use ◽  
Organic Matter ◽  
Soil Erosion ◽  
Soil Type ◽  
Northeast China ◽  
Black Soil ◽  
Factors Affecting ◽  
Soil Zone ◽  
Rainfed Farming ◽  
Study Results

Black soil is fertile, abundant with organic matter (OM) and is exceptional for farming. The black soil zone in northeast China is the third-largest black soil zone globally and produces a quarter of China’s commodity grain. However, the soil organic matter (SOM) in this zone is declining, and the quality of cultivated land is falling off rapidly due to overexploitation and unsustainable management practices. To help develop an integrated protection strategy for black soil, this study aimed to identify the primary factors contributing to SOM degradation. The geographic detector, which can detect both linear and nonlinear relationships and the interactions based on spatial heterogeneous patterns, was used to quantitatively analyze the natural and anthropogenic factors affecting SOM concentration in northeast China. In descending order, the nine factors affecting SOM are temperature, gross domestic product (GDP), elevation, population, soil type, precipitation, soil erosion, land use, and geomorphology. The influence of all factors is significant, and the interaction of any two factors enhances their impact. The SOM concentration decreases with increased temperature, population, soil erosion, elevation and terrain undulation. SOM rises with increased precipitation, initially decreases with increasing GDP but then increases, and varies by soil type and land use. Conclusions about detailed impacts are presented in this paper. For example, wind erosion has a more significant effect than water erosion, and irrigated land has a lower SOM content than dry land. Based on the study results, protection measures, including conservation tillage, farmland shelterbelts, cross-slope ridges, terraces, and rainfed farming are recommended. The conversion of high-quality farmland to non-farm uses should be prohibited.

Coronary endarterectomy in coronary artery disease: Factors affecting graft patency and survival

2021 ◽  
pp. 021849232110068
Author(s):  
Simon CY Chow ◽  
Jacky YK Ho ◽  
Micky WT Kwok ◽  
Takuya Fujikawa ◽  
Kevin Lim ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Graft Patency ◽  
Complete Revascularization ◽  
Coronary Endarterectomy ◽  
Factors Affecting ◽  
Early Results ◽  
Cerebrovascular Events ◽  
Obtuse Marginal ◽  
One Year

Background Coronary endarterectomy aims to improve completeness of revascularization in patients with occluded coronary vessels. The benefits of coronary endarterectomy remain uncertain. The aim of this study was to evaluate short-term surgical outcomes and factors affecting graft patency post-coronary endarterectomy. Methods Between 2009 and 2019, 81 consecutive patients who had coronary endarterectomy done were evaluated for their perioperative and early results. A total of 36 patients with follow-up coronary studies were included in patency analysis. Mortality rates, major adverse cardiac and cerebrovascular events, and graft patency were outcomes of interest. Survival and risk factor analysis were performed with Kaplan–Meier and logistic regression analysis. Results The average age of the cohort was 61.9 ± 9.29 years. Complete revascularization rate was 95.4% post-coronary endarterectomy. The 30-day and 1-year mortality was 2.5 and 6.2%, respectively. One-year major adverse cardiac and cerebrovascular events rate was 11.1%. Periprocedural myocardial infarction rate was 7.4%. Three patients required repeat revascularization within a mean follow-up duration of 49.6 ± 36.5 months. Overall graft patency was 89.2% at 20.2 months and graft patency post-coronary endarterectomy was 85.4%. Arterial grafts showed 100% patency. Vein grafts to endarterectomized obtuse marginal branch had patency rates of 33.3%. Multiple endarterectomies were associated with worse one-year major adverse cardiac and cerebrovascular events (OR: 28.6 ± 1.16; P = 0.003). Conclusions Coronary endarterectomy facilitates completeness of revascularization and does not increase early mortality. Graft patency post-coronary endarterectomy on obtuse marginal artery was suboptimal. Judicious use of coronary endarterectomy should be practiced to balance the need of completeness of revascularization against the risk of myocardial infarction.

scholarly journals Sustainability Reporting as Mediation of Factors Affecting Financial Performance: Case in the Mining Sector in Indonesia

2020 ◽  
pp. 30-37
Author(s):  
Septiana Jumita ◽  
◽  
Taufiq Taufiq ◽  
Yusnaini Yusnaini ◽  
◽  
...  
Keyword(s):  
Financial Performance ◽  
Environmental Sustainability ◽  
Stock Exchange ◽  
Social Performance ◽  
Sustainability Reporting ◽  
Mining Sector ◽  
Report Generation ◽  
Factors Affecting ◽  
Management Personnel ◽  
Study Results

The problem of global warming due to environmental pollution has made it necessary for companies to be widely accountable to society about their performance. Therefore, today companies must not only report on the financial performance, but also report on all non-financial aspects of their activities, such as social and environmental. Sustainability reporting enables companies to report on environmental and social performance. It is not just report generation from collected data; instead it is a method to internalize and improve an company’s commitment to sustainable development in a way that can be demonstrated to both internal and external stakeholders. The study examines the factors influencing the company's financial performance through sustainability reporting in mining sector companies in Indonesia. The object of the study is a sample of 6 mining companies listed on the Indonesia Stock Exchange in 2014-2018. In this study, the authors use the Path Analysis – a form of multiple regression statistical analysis that is used to evaluate causal models by examining the relationships between a dependent variable and two or more independent variables. The study results show that sustainability reporting has a positive and significant impact on the financial performance of mining companies.In particular, the results of the analysis show that the company size and its liquidity have a positive and significant effect on the sustainability reporting. Leverage has a negative and significant effect on sustainability reporting. At the same time, the factors disclosed in the sustainability reporting have a significant impact on the financial performance of the companies. The results of this study can be useful for management personnel in the process of preparing a sustainability report by companies that want to attract the attention of investors.

scholarly journals A psychological analysis of factors affecting acute pain in postoperative patients

2019 ◽  
Vol 129 (1) ◽  
pp. 9-12
Author(s):  
Lilia Suchocka ◽  
Kazimierz Popielski ◽  
Małgorzata Pasek
Keyword(s):  
Acute Pain ◽  
Subjective Experience ◽  
Test Methods ◽  
Mcgill Pain Questionnaire ◽  
Factors Affecting ◽  
Future Goals ◽  
Psychological Analysis ◽  
Preoperative Stage ◽  
Experienced Pain ◽  
Study Results

Abstract Introduction. The most frequent type of acute pain is the postoperative pain. The postoperative situation consists of three stages: the preoperative stage, the surgical phase, and the postoperative stage. Each of the stages is equally important, and it is crucial that medical staff should minimize the stress and discomfort related to hospitalization. Specialists suggest that the preparation to surgery should correspond to the patient’s style of responding to stress. The level of individually experienced pain depends not only on the type of surgery, but also on psychological factors and the patient’s personality traits. Aim. The aim of the study was to analyze the factors that affect the experience of acute pain in postoperative patients. Material and methods. The study was conducted in Lublin, Poland, and comprised 100 patients of the local surgical wards. After incomplete tests were excluded, the group of 68 patients (37 women and 31 men, aged 20-73) was selected. The following test methods were used: The McGill Pain Questionnaire (MPQ) by R. Melzack, Test Noo-dynamiki [The Test of Noo-Dynamics] (T.N-D) by K. Popielski, Kwestionariusz Poczucia Odpowiedzialności [The Sense of Responsibility Questionnaire] (KPO) by L. Suchocka, The IPAT Anxiety Scale Questionnaire (Self Analysis Form) by R.B. Cattell. Results. The study results show that the evaluation of pain is affected, at the statistically significant level, by the patients’ subjective experience of feeling ill, their surgery-related discomfort, and the intensity of pain. The patients who are not oriented towards future goals and tasks, closing upon themselves, evaluate the postoperative situation as difficult and distressing. The orientation towards new goals motivates the patients to fast recovery. Conclusion. The test results confirmed the research hypotheses. The study findings may be useful for medical professionals interested in the functioning of an individual in the situation of disease.

scholarly journals An empirical investigation of physical literacy-based adolescent health promotion

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Minmin Du ◽  
Yimin Liu ◽  
Lei Li
Keyword(s):  
Health Promotion ◽  
Adolescent Health ◽  
Panel Survey ◽  
Physical Literacy ◽  
Factors Affecting ◽  
Training Models ◽  
Study Results ◽  
Main Factors ◽  
Physical Elements

Abstract A reexamination of the health problems of Chinese adolescents based on the concept of physical literacy (PL) was necessary. Through the use of follow-up data collected from the China Education Panel Survey 2014–2015, the main factors affecting the health of adolescents were identified, and possible explanations were investigated after cluster and inductive analyses were conducted. The results showed that (1) the 10 main factors identified as affecting adolescent health promotion are in line with the four main elements of PL (emotional, cognitive, social and physical elements) and (2) the three major categories of influencing factors identified through a cluster analysis were aligned with the three main factors of PL (endogeneity, fundamentality and permeability). These findings suggest that the factors influencing adolescent health promotion are closely associated with PL. The study results can provide empirical evidence for adolescent health promotion research and a reference for the development of evidence-based PL training models.

scholarly journals Factors Affecting Tramadol-Associated Seizure

2020 ◽  
Vol 10 (4) ◽  
pp. 26674.1-26674.5
Author(s):  
Maryam Zaare Nahandi ◽  
◽  
Sayna Abbaszadeh ◽  
Mostafa Mansouri ◽  
Haniyeh Elahifard ◽  
...  
Keyword(s):  
Previous History ◽  
Health Concern ◽  
Affecting Factors ◽  
Public Health Concern ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Study Results ◽  
History Of ◽  
The Mean ◽  
Higher Doses

Background: Tramadol is a widely prescribed analgesic and due to its opioid-like effects, the potential for abuse of tramadol is noticeable. Besides, the complications of tramadol abuse have become a public health concern. This study aimed to investigate the affecting factors on the seizure, as one of the most common complications of tramadol consumption. Methods: A total number of 64 patients from 315 patients who were referred to Sina Hospital, Tabriz, Iran because of tramadol toxicity were included in this 9 months cross-sectional retrospective study. Results: There were 52 males and 12 females in the study. The seizure happened in 53.1% of the subjects and the Mean±SD time between tramadol consumption and seizure was 5.9±7.36 hours. There was no significant association between seizure and sex, age, the dose of tramadol, and previous tramadol consumption history. A significant association was seen between the dose of tramadol and the time of seizure. Conclusion: Seizure that happens due to tramadol overdose is not dependent on sex, age, and previous history of tramadol consumption. As the dose of tramadol is higher, the seizure happens later. More research is needed to understand why the seizure occurs later in higher doses.

scholarly journals An empirical investigation of workplace factors affecting lean performance

2018 ◽  
Vol 67 (2) ◽  
pp. 278-296 ◽  
Author(s):  
Ilias Vlachos ◽  
Evangelia Siachou
Keyword(s):  
Organizational Culture ◽  
Knowledge Acquisition ◽  
Continuous Improvement ◽  
Negative Impact ◽  
Hierarchical Regression ◽  
Content Type ◽  
Factors Affecting ◽  
Study Results ◽  
Workplace Factors ◽  
The Impact

Purpose The purpose of this paper is to identify workplace factors with an impact on lean performance (LP). This can lead to better LP outcomes, thus facilitating organizations to smoothly move from the conventional to lean management. Design/methodology/approach The direct effects of training, knowledge acquisition and organizational culture are empirically investigated using data from 126 managers employed at a global company, which recently has improved its LP. Study’s hypotheses were analyzed with hierarchical regression models. Findings The findings suggest that not all of the aforementioned workplace factors holistically affect LP. Only organizational culture is associated to the four LP variables (i.e. continuous improvement, waste, ergonomy and product quality). Training and knowledge acquisition offer partially effects on LP with training to contribute mostly to predicting continuous improvements. Knowledge acquisition alone, has significant yet negative impact on both continuous improvement and ergonomy. Even more, when training is combined with knowledge acquisition the results are different. Originality/value As this study highlights the impact of workplace practices on LP, attributes mainly importance to the distinct effects that each of the aforementioned factors has on the four distinct LP variables. Although the study results reflect a particular case, its recommendations could facilitate practitioners to achieve better lean outcomes.

Effect of a Prenatal Nutritional Intervention Program On Initiation and Duration of Breastfeeding

2008 ◽  
Vol 69 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Gisèle Léger-Leblanc ◽  
France M. Rioux
Keyword(s):  
Intervention Program ◽  
Nutritional Intervention ◽  
Hemoglobin Level ◽  
Breastfeeding Initiation ◽  
Initiation Rate ◽  
Factors Affecting ◽  
Modifiable Factors ◽  
Duration Of Breastfeeding ◽  
Early Childhood Initiative ◽  
Intention To Breastfeed

Purpose: To evaluate initiation and duration of breastfeeding of infants born to mothers who participated in the Early Childhood Initiative (ECI) program. Factors affecting the initiation and the early cessation of breastfeeding were also explored. Methods: Twenty-five pregnant women participating in the ECI program completed this prospective study. At 36 weeks’ gestation, a questionnaire was administered to assess socioeconomic status, intention to breastfeed and breastfeeding experience. When the infants were three and six months of age, feeding practices were assessed with a questionnaire. Results: The breastfeeding initiation rate was 62.5%. At one and three months postpartum, exclusive breastfeeding rates were 39% and 4%, respectively. At six months, none of the women was exclusively breastfeeding. Primiparity, prenatal classes, having been breastfed and intention to breastfeed at 36 weeks’ gestation were positively associated with breastfeeding initiation. Father’s education, intention to breastfeed at 36 weeks’ gestation, no water or formula given to the infant during hospitalization and higher maternal hemoglobin level at 36 weeks’ gestation were positively associated with the duration of breastfeeding. Conclusions: The rate of initiation and duration of breastfeeding for ECI participants were low. To achieve successful interventions, it is important to target modifiable factors known to influence the initiation and duration of breastfeeding within this population.

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