Examining the Relationship Between Heart Rate and Problem Behavior: A Case Study of Severe Skin Picking in Prader-Willi Syndrome

2013 ◽  
Vol 118 (6) ◽  
pp. 460-474 ◽  
Author(s):  
Scott S. Hall ◽  
Jennifer L. Hammond ◽  
Kristin M. Hustyi
Keyword(s):  
Heart Rate ◽  
Functional Analysis ◽  
Single Case ◽  
Automatic Reinforcement ◽  
Activity Level ◽  
Prader Willi Syndrome ◽  
Activity Levels ◽  
Skin Picking ◽  
The Relationship

Abstract Few studies have examined the relationship between heart rate and self-injurious behavior (SIB) shown by individuals with IDD (intellectual and developmental disabilities). In this single-case study, we simultaneously monitored heart rate and activity levels during a functional analysis of severe skin picking behavior exhibited by a young man with Prader-Willi syndrome (PWS). Results of the functional analysis indicated that the participant's skin picking was maintained by automatic reinforcement. A within-session analysis of the data indicated that skin picking bouts resulted in an increase in heart rate, suggesting a positive- automatic reinforcement function. These data indicate that inclusion of heart rate and activity-level monitoring during a functional analysis may provide important additional information concerning the determinants of SIB.

Maximal Oxygen Uptake and Daily Physical Activity in 7- to 12-Year-Old Boys

1993 ◽  
Vol 5 (4) ◽  
pp. 357-366 ◽  
Author(s):  
Hazzaa M. Al-Hazzaa ◽  
Mohammed A. Sulaiman
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Oxygen Uptake ◽  
Maximal Oxygen Uptake ◽  
Open Circuit ◽  
Daily Physical Activity ◽  
Activity Level ◽  
Activity Levels ◽  
School Time ◽  
The Relationship

The present study examined the relationship between maximal oxygen uptake (V̇O2max) and daily physical activity in a group of 7- to 12-year-old boys. V̇O2max was assessed through the incremental treadmill test using an open circuit system. Physical activity level was obtained from heart rate telemetry outside of school time for 8 hrs during weekdays and during 40 min of physical education classes. The findings indicated that the absolute value of V̇O2max increased with age, while relative to body weight it remained almost the same across age, with a mean of 48.4 ml · kg−1 · min−1. Moreover, heart rate telemetry showed that the boys spent a limited amount of time on activities that raise the heart rate to a level above 160 bpm (an average of 1.9%). In addition, V̇O2max was found to be significantly related to the percentage of time spent at activity levels at or above a heart rate of 140 bpm, but not with activity levels at or above a heart rate of 160 bpm.

scholarly journals Beyond the mask of deference: exploring the relationship between ruptures and transference in a single-case study

2016 ◽  
Vol 19 (2) ◽  
Author(s):  
Francesca Locati ◽  
Pietro De Carli ◽  
Emanuele Tarasconi ◽  
Margherita Lang ◽  
Laura Parolin
Keyword(s):  
Sequential Analysis ◽  
Rating Scales ◽  
Rating Scale ◽  
Defense Mechanism ◽  
Single Case ◽  
Assessment Procedure ◽  
Single Case Study ◽  
Alliance Ruptures ◽  
The Relationship

The relationship between transference and therapeutic alliance has been long discussed. It is only recently, however, that empirical evidence has provided support for a tight correspondence between several transference dimensions and rupture and resolution processes. In the present single-case study, we used alliance ruptures as a key dimension to understand patient’s transference dynamics. This was achieved in a particular form of patient’s behavior, i.e., patient’s deference and acquiescent behavior, which describes a significant submission to assertions, skills, judgments and point of views of another person. Therapeutic process was measured by means of the Rupture Resolution Rating Scale, the Core Conflictual Relationship Theme and the Defense Mechanism Rating Scales, whereas therapeutic outcome was measured by means of the Shedler-Westen Assessment Procedure-200. Results of sequential analysis yielded a significant correspondence between rupture markers, characterized by avoidance and shifting of session’s topic, and patient’s narrations. Furthermore, a systematic correspondence between alliance ruptures and patient’s avoidant functioning, which emerged both in transference relationship and in the quality of the defense structure, was found. Together, these findings indicate that patient’s deference inhibits the expression of relational themes, with ruptures in alliance that seem to be supported by a strong defensive structure. In particular, patient’s avoidance played a double role in the treatment. On the one hand, avoidance was the main characteristic of her transference structure, based on extreme intellectualization and emotional closure. On the other hand, it contributed to create an impasse in the treatment, based on a withdrawal ruptures model and on obsessive level defences.

scholarly journals Mindsets Predict Physical Activity and Relate to Chosen Management Strategies in Individuals with Knee Osteoarthritis

2021 ◽  
Author(s):  
Melissa A. Boswell ◽  
Kris M. Evans ◽  
Sean R. Zion ◽  
Danielle Z. Boles ◽  
Jennifer L. Hicks ◽  
...  
Keyword(s):  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Online Survey ◽  
Management Strategies ◽  
The Elderly ◽  
Activity Level ◽  
Activity Levels ◽  
Group A ◽  
Test Retest Reliability ◽  
The Relationship

Objectives. We compared mindsets about physical activity among those with and without knee osteoarthritis and investigated if these mindsets relate to physical activity level and symptom management. Methods. Participants with (n=150) and without (n=152) knee osteoarthritis completed an online survey at study enrollment (T1). Participants with knee osteoarthritis repeated the survey three weeks later (T2; n=62). The mindset questionnaire, scored from 1-4, assessed the extent to which individuals associate the process of exercising with less appeal-focused qualities (e.g., boring, painful, isolating, and depriving) vs. appeal-focused (e.g., fun, pleasurable, social, and indulgent) versus. Using linear regression, we examined the relationship between mindset and having knee osteoarthritis, and, in the subgroup of participants with knee osteoarthritis, the relationship between mindset at T1 and physical activity (via the Physical Activity Scale for the Elderly) at T2. We also compared mindsets between those who use medication for management and those who use exercise. Results. A less appeal-focused mindset regarding physical activity was marginally associated with having knee osteoarthritis (β=-0.125, P=0.096). Within the knee osteoarthritis group, a more appeal-focused mindset predicted higher future physical activity (β=20.68, P=0.039), controlling for current physical activity, demographics, and health. Individuals that used exercise with or without pain medication or injections had more appeal-focused process mindsets than those who used medication or injections without exercise (P<0.001). Further, the process mindset inventory demonstrated strong internal consistency (α=0.92 at T1 for n=150 and α=0.92 at T2 for n=62) and test-retest reliability (ICC>0.841, P<0.001) within the knee osteoarthritis population. Conclusion. In individuals with knee osteoarthritis, mindsets predict future physical activity levels and relate to an individual's management strategy. Mindsets are a reliable and malleable construct and may be a valuable target for increasing physical activity and improving adherence to rehabilitation strategies involving exercise among individuals with knee osteoarthritis.

scholarly journals Relationship between habitat distribution, growth rate, and plasticity in congeneric larval dragonflies

2005 ◽  
Vol 83 (8) ◽  
pp. 1128-1133 ◽  
Author(s):  
S J McCauley
Keyword(s):  
Growth Rate ◽  
Predation Risk ◽  
Growth Rates ◽  
Lepomis Macrochirus ◽  
Negative Relationship ◽  
Activity Level ◽  
Activity Levels ◽  
Habitat Distribution ◽  
Invertebrate Predators ◽  
The Relationship

The relationship between habitat distribution, growth rate, and plasticity was examined in the larvae of three species of dragonfly in the genus Libellula L., 1758. Growth rates were compared under three conditions: in the absence of predation risk, in the presence of sunfish (Lepomis macrochirus Rafinesque, 1819; Pisciformes: Centrachidae), and in the presence of invertebrate predators. I assessed how the habitat distributions of the three species of dragonfly, specifically how commonly they occur with fish, were related to growth rates and to the level of growth plasticity under different levels of perceived predation risk. There was a negative relationship between growth rate and the frequency with which species coexist with sunfish. Growth-rate plasticity was limited and does not appear to be important in determining the ability of species to coexist with alternative top predator types. Only one species exhibited growth-rate plasticity, decreasing growth in response to the predator with which it most commonly coexists but not to the species which poses the greatest predation risk. A comparison of growth rates and activity levels in the presence and absence of these predators suggests that growth and activity level parallel each other in these species.

Experimental functional analysis of severe skin-picking behavior in Prader–Willi syndrome

2014 ◽  
Vol 35 (10) ◽  
pp. 2284-2292 ◽  
Author(s):  
Scott S. Hall ◽  
Kristin M. Hustyi ◽  
Clara Chui ◽  
Jennifer L. Hammond
Keyword(s):  
Functional Analysis ◽  
Prader Willi Syndrome ◽  
Skin Picking

Critical and Inhibiting Success Factors in Interorganizational Networks

2020 ◽  
pp. 63-86
Author(s):  
Viviana Durão ◽  
António Carrizo Moreira
Keyword(s):  
Success Factors ◽  
Single Case ◽  
Interorganizational Networks ◽  
Single Case Study ◽  
Strategic Partnerships ◽  
Structured Interviews ◽  
Organizational Network ◽  
The Relationship

This chapter, based on a single case study, has as its main objective to analyze a real example of creating an inter-organizational network and to perceive what was done for the selection and creation of the strategic partnerships and inter-organizational network and what factors or conditions can inhibit these partnerships from having long-term success and throughout its life cycle. For this, a qualitative study based on action research and semi-structured interviews was conducted. Results show although many companies settle in inter-organizational networks to gain competitive advantage, cases of failure are still quite high. In this case, upstream partnerships have not been based on long-term trust and commitment, which has jeopardized the continuity of the network, although there is an express desire to re-establish contacts. The partnership established downstream did not show the same commitment to continue the partnership with a total termination of the relationship.

Intervention for co-occurring speech and language difficulties: Addressing the relationship between the two domains

2012 ◽  
Vol 28 (1) ◽  
pp. 123-135 ◽  
Author(s):  
Belinda Seeff-Gabriel ◽  
Shula Chiat ◽  
Tim Pring
Keyword(s):  
Single Case ◽  
Speech And Language ◽  
Similar Treatment ◽  
The Past ◽  
Language Difficulties ◽  
Potential Impact ◽  
Irregular Verbs ◽  
Past Tenses ◽  
The Relationship

Although many children are referred with difficulties in both their speech and their language, the literature offers relatively little guidance on their therapy. Should clinicians treat these difficulties independently? Or should treatment depend on the potential impact of one domain on the other? This study aimed to investigate the relationship between speech and morphosyntax in treatment for a 5-year-old boy, B, with speech and language difficulties. Therapy targeted the production of regular past tenses and plurals. B had the necessary phonology for the former but not the latter. Therapy therefore directly targeted production of the past tense but targeted plurals by treating the production of the necessary phonology. After therapy, B successfully produced regular past tenses for both treated and untreated verbs. Irregular verbs did not improve. Treatment for production of word-final /s/ was successful and generalized to untreated words but not to the production of /s/ in initial or medial positions. Plurals formed by adding /s/ but not those by adding /z/ benefited. Similar treatment for production of word-final /z/ was also successful and appeared to generalize to words with /z/ in initial and medial positions. However, although plurals were now marked, they were usually realized as [dz]. The results of this single-case study demonstrate that intervention for children with speech and language impairments should take account of the aspects of speech and morphology that are impaired, and the ways these may impact on each other.

First-Year Community College Students' Perceptions of and Attitudes Toward Intrusive Academic Advising

2016 ◽  
Vol 36 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Paul Donaldson ◽  
Lyle McKinney ◽  
Mimi Lee ◽  
Diana Pino
Keyword(s):  
Community College ◽  
Academic Advising ◽  
Single Case ◽  
Community College Student ◽  
First Year ◽  
College Student Success ◽  
Intrusive Advising ◽  
The Impact ◽  
The Relationship

For this study, we analyzed the relationship between intrusive academic advising and community college student success. Utilizing a qualitative, single-case study design, we conducted interviews with 12 students who participated in an intrusive advising program at a large, urban community college in Texas. Analysis of the interview data revealed the benefits, limitations, and contributions to success of intrusive advising. This study addresses a notable gap in the extant literature, as few researchers have published empirical examinations on the impact of intrusive academic advising within the community college context. The findings can be used to improve the delivery of academic advising and student support services at community colleges.

scholarly journals Influence of portofolio management in decision-making

2018 ◽  
Vol 11 (3) ◽  
pp. 406
Author(s):  
Rolney Baptestone ◽  
Roque Rabechini
Keyword(s):  
Decision Making ◽  
Strategic Management ◽  
Portfolio Management ◽  
Single Case ◽  
Case Study Method ◽  
Financial Organization ◽  
The Subject ◽  
The Relationship ◽  
Practical Implications

This research aims to demonstrate how portfolio management influences the decision-making process in the projects of a financial organization. And to achieve this goal was used the single case study method. In order to reach this goal, the study began by means of bibliometric research on the subject of portfolio management and subsequent bibliographic research on the theme, decision making. Next, the relationships between portfolio management and decision making were studied. The results of the data collected confirmed the relationship between "the use of the project identification process in portfolio management to influence decision making" in order to add value to the business. It is also possible to demonstrate moderately that "the use of criteria for project selection influences the consequences of decision making", helping in the strategic management of the organization. One of the academic contributions was to note a migration of the portfolio management process, such as a tool that only controls the projects that will compose the portfolio of an organization, for a process that aims at a direct alignment with the strategic management of the organization. Regarding the practical implications, it was verified the importance of portfolio analysis for decision making, to the detriment of the evaluation of only one project. Taking into account the profitability and the return on investment of the projects, as the most important aspects for a decision making.

scholarly journals Low ADAMTS13 Activity Correlates with Increased Mortality in COVID-19 Patients

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S6-S7
Author(s):  
Joseph Sweeney ◽  
Mohammad Barouqa ◽  
Gregory Krause ◽  
Jesus Gonzalez Lugo ◽  
Shafia Rahman ◽  
...  
Keyword(s):  
Von Willebrand Factor ◽  
Hospitalized Patients ◽  
Activity Level ◽  
Activity Levels ◽  
Adamts13 Activity ◽  
Cut Point ◽  
Von Willebrand ◽  
The Relationship ◽  
Willebrand Factor ◽  
D Dimer

Abstract Systemic inflammation and coagulopathy are characteristic hallmarks of COVID19. “COVID coagulopathy” manifests mainly as a prothrombotic state affecting both large and small blood vessels, and presenting as arterial, venous, and microangiopathic thrombotic events with von Willebrand factor (VWF) and soluble thrombomodulin increased in hospitalized patients. The causes of coagulopathy are poorly understood. Aim: To investigate the relationship between von Willebrand factor (VWF) biomarkers, intravascular hemolysis, coagulation, and organ damage in COVID19 patients and to study their association with disease severity and mortality. Methods: 181 hospitalized adult COVID19 patients were randomly selected with a balanced distribution of survivors and non-survivors during the period of March 26th 2020 to May 5th 2020. The medical records and laboratory values were reviewed. Statistical analysis was performed using R studio V.3.6.2. Results: Patients who died (n=90) had significantly lower ADAMTS13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13) activity, elevated lactate dehydrogenase levels, increased schistocyte/RBC fragment counts, and elevated VWF antigen and activity levels compared to patients discharged alive (n=91). In 31 patients, we measured several of these biomarkers on two or more occasions. The trending of ADAMTS13 activity illustrated that it is not steady throughout the hospitalization course. ADAMTS13 activity levels tended to improve and/or reach normal levels in patients that survived, yet ADAMTS13 activity levels worsened in most patients that died. Likewise, the VWF antigen and activity levels tended to decrease in patients that survived whereas tended to increase well above the normal range (2-3 folds) in patients that died. D-Dimer levels trended downwards in survivors, sometimes to levels less than 1 µg/ml, yet tended to increase in patients who died. Given the relationship between ADAMTS13 activity and mortality, we wanted to determine a cut-point of initial ADAMTS13 activity (within 72 hours from admission) to predict mortality. 102 patients in our cohort had an ADAMTS13 activity measurement within this timeframe. We determined that this optimal cut-point of initial ADAMTS13 activity was 43% using Youden’s J statistic. Only 30% of patients who had an ADAMTS13 activity level of less than 43% on admission survived, yet 60% of patients survived who had an ADAMTS13 activity level of greater than 43% on admission. Conclusions: COVID-19 may present with low ADAMTS13 activity in a subset of hospitalized patients. Presence of schistocytes/RBC fragment and elevated D-dimer levels on admission may warrant a work-up for ADAMTS13 activity and VWF antigen and activity levels. These findings indicate the need for future investigation to study the relationship between endothelial and coagulation activation and the efficacy of treatments aimed at prevention and/or amelioration of microangiopathy in COVID-19.

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