Multifactorial analysis of fatigue scale among nurses in Poland

AbstractSignificant progress in the field of nursing has contributed to the widening of range of functions and professional duties of nurses. More frequent lack of nursing personnel has an impact on negative reception of work, it decreases sense of professional satisfaction and increases the level of burden and fatigue. Methods. The study applied the non-experimental method – a descriptive comparative study without a control group. The data was collected on the basis of Polish-language version of a Japanese questionnaire. In order to evaluate the level of physical fatigue the pedometer was used. Results.158 respondents of a group of 160 were included in the statistical analysis. The study group was internally diversified. The research project assessed the usefulness of the multifactorial analysis in evaluating the main components of nursing fatigue. Multifactorial analysis has shown that mental fatigue concentrated with changes in activeness, motivation and physical fatigue are strongly correlated with age, professional experience and education. Conclusion. Nursing is a profession of a special character and mission. Regardless of the place of work, nursing staff should be given the possibility of pursuing their profession under conditions ensuring the sense of security and protecting them from harmful effects on health.

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Polish Adaptation of Sexual Addiction Screening Test Revised (SAST-PL)

Klinička psihologija ◽

10.21465/2016-kp-p-0019 ◽

2016 ◽

Vol 9 (1) ◽

pp. 150-150

Author(s):

E. Kowalewska ◽

◽

M. Gola ◽

Keyword(s):

Sexual Behaviors ◽

Screening Test ◽

Psychological Treatment ◽

High Reliability ◽

Sexual Addiction ◽

Control Group ◽

Language Version ◽

Clinical Interviews ◽

Polish Language ◽

Polish Adaptation

Objective: Addictive sexual behaviors are being identified with increasing frequency in the practices of psychology and psychiatry, and are gaining more and more attention from researchers. There are actually 25 different questionnaires for assessing the level of loss of control over sexual behaviors (LoCoSB). None of them have been adapted and validated in a Polish language version. The aim of our work was to make such an adaptation of the Sexual Addiction Screening Test – Revised (SAST-R). Design and Method: For the purpose of psychometric features examination and validation of the Polish version of SAST-R for males (SAST-PL-M), we recruited 116 heterosexual men receiving psychological treatment due to LoCoSB and meeting the criteria for hypersexual disorder. The control group consisted of 442 heterosexual males using internet pornography but having never looked for any psychological help due to LoCoSB. Psychometrical characteristic of SAST-R for females (SAST-PL-W) was examined in the study with 423 women. Validation was performed on the group of 34 females (17 women receiving psychological treatment due to LoCoSB). Results: Both SAST-PL-M and SAST-PL-W have high reliability (α = .904 for SAST-PL-M and α = .762 for SAST-PL-W), and good filtering characteristics for identification of people who are potentially experiencing difficulty with control over sexual behaviors. Conclusions: SAST-PL can be used as an efficient screening test for symptoms of LoCoSB in clinical and research setups. Results below 6 points indicate a high probability of no problems, while more than 5 points can indicate the need for additional clinical interviews.

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Multifactorial analysis of clinical laboratory signs, the levels of IL-17A, IL-23, IL-33, IL-35, and specific antibodies in the serum of patients with Lyme borreliosis without erythema migrans

Russian Medical Inquiry ◽

10.32364/2587-6821-2020-4-11-676-681 ◽

2020 ◽

Vol 4 (11) ◽

pp. 676-681

Author(s):

V.V. Sapozhnikova ◽

◽

A.L. Bondarenko ◽

Keyword(s):

Principal Component Analysis ◽

Lyme Borreliosis ◽

Clinical Laboratory ◽

Acute Infection ◽

Erythema Migrans ◽

Principal Component ◽

Component Analysis ◽

Control Group ◽

Multifactorial Analysis ◽

Specific Antibodies

Aim: to determine the association between clinical laboratory parameters, the production of cytokines (IL-17A, -23, -33, -35), and specific IgM and IgG in the serum of patients with Lyme borreliosis without erythema migrans. Patients and Methods: complete blood count, the concentrations of IL-17A, -23, -33, -35, and the levels of specific IgM and IgG were measured during acute infection and convalescence (n=30). The control group included age- and sex-matched healthy individuals (n=30). Statistical analysis was performed using the StatSoft Statistica v 10.0 software (parametric and non-parametric methods and multifactorial analysis, i.e., principal component analysis). Results: most (80%) patients with Lyme borreliosis without erythema migrans are the people of working age. In most patients, the combination of the specific antibodies against Borrelia afzelii and Borrelia garinii (76.7%) and severe intoxication and inflammatory process (100%) were detected. Moderate and severe disease associated with meningism was diagnosed in 90% and 10%, respectively. The mean duration of hectic period was 8.3±1.27 days. Abnormal ECG was reported in 40% of patients, i.e., conduction abnormalities in 20%, sinus bradycardia in 16.7%,and sinus tachycardia in 3.3%. The clinical laboratory signs of hepatitis without jaundice were identified in 26.7%. During treatment, the significant reduction in band and segmented neutrophil counts as well as the significant increase in platelet count were revealed compared to these parameters at admission. Abnormal cytokine levels (i.e., the increase in IL-17A, -23, -33 and the deficiency of IL-35) were detected. Conclusions: multifactorial analysis has demonstrated that the severity of immunological abnormalities in patients with Lyme borreliosis without erythema migrans is associated with fever, cardiac and liver disorders, the high levels of IL-23 and IL-33, and the lack of IL-35 and specific IgM and IgG. KEYWORDS: tick-borne borreliosis, Lyme disease without erythema migrans, clinical laboratory signs, cytokines, specific antibodies, multifactorial analysis, principal component analysis. FOR CITATION: Sapozhnikova V.V., Bondarenko A.L. Multifactorial analysis of clinical laboratory signs, the levels of IL-17A, IL-23, IL-33, IL-35, and specific antibodies in the serum of patients with Lyme borreliosis without erythema migrans. Russian Medical Inquiry. 2020;4(11):676–681. DOI: 10.32364/2587-6821-2020-4-11-676-681.

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Effects of exercise in breast cancer patients: implications of the trials within cohorts (TwiCs) design in the UMBRELLA Fit trial

Breast Cancer Research and Treatment ◽

10.1007/s10549-021-06363-9 ◽

2021 ◽

Author(s):

Roxanne Gal ◽

Evelyn M. Monninkhof ◽

Carla H. van Gils ◽

Rolf H. H. Groenwold ◽

Sjoerd G. Elias ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Beneficial Effect ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Exercise Intervention ◽

Intervention Group ◽

Control Group ◽

Physical Fatigue ◽

Trials Within Cohorts

Abstract Purpose The Trials within Cohorts (TwiCs) design aims to overcome problems faced in conventional RCTs. We evaluated the TwiCs design when estimating the effect of exercise on quality of life (QoL) and fatigue in inactive breast cancer survivors. Methods UMBRELLA Fit was conducted within the prospective UMBRELLA breast cancer cohort. Patients provided consent for future randomization at cohort entry. We randomized inactive patients 12–18 months after cohort enrollment. The intervention group (n = 130) was offered a 12-week supervised exercise intervention. The control group (n = 130) was not informed and received usual care. Six-month exercise effects on QoL and fatigue as measured in the cohort were analyzed with intention-to-treat (ITT), instrumental variable (IV), and propensity scores (PS) analyses. Results Fifty-two percent (n = 68) of inactive patients accepted the intervention. Physical activity increased in patients in the intervention group, but not in the control group. We found no benefit of exercise for dimensions of QoL (ITT difference global QoL: 0.8, 95% CI = − 2.2; 3.8) and fatigue, except for a small beneficial effect on physical fatigue (ITT difference: − 1.1, 95% CI = − 1.8; − 0.3; IV: − 1.9, 95% CI = − 3.3; − 0.5, PS: − 1.2, 95% CI = − 2.3; − 0.2). Conclusion TwiCs gave insight into exercise intervention acceptance: about half of inactive breast cancer survivors accepted the offer and increased physical activity levels. The offer resulted in no improvement on QoL, and a small beneficial effect on physical fatigue. Trial registration Netherlands Trial Register (NTR5482/NL.52062.041.15), date of registration: December 07, 2015.

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Construction and Evaluation of a Rat Model of Postpartum Fatigue

Gynecologic and Obstetric Investigation ◽

10.1159/000517997 ◽

2021 ◽

pp. 1-9

Author(s):

Ting Bai ◽

Fan Wu ◽

Shuhan Yan ◽

Feng Zhang ◽

Xujuan Xu

Keyword(s):

Lactic Acid ◽

Rat Model ◽

Water Maze ◽

Acid Level ◽

Model Building ◽

Small Sample ◽

Control Group ◽

Lactic Acid Level ◽

Physical Fatigue ◽

Postpartum Fatigue

Objectives: The aim of the study was to construct and evaluate a rat model of postpartum fatigue. Design: This is an article about animal model building. Methods: Sprague-Dawley rats on the 1st day after delivery were randomized into control group and fatigue group. The deep sleep of rats was interfered with by forcing them to stand in water, to make the rats experience mental and physical fatigue. To maintain galactosis and lactation, rats and pups were caged for 90 min after every 3 h of separation. The control group was separated routinely without any stimulus. The model was evaluated from mental and physical fatigue on the 8th day and 15th day. The mental fatigue was evaluated by a water maze test and the rat’s 5-hydroxytryptamine (5-HT) level in hippocampus, while the physical fatigue was evaluated using lactic acid level in serum and duration of weight-loaded forced swimming. Results: Among the 7-day and 14-day modeling groups, compared with the control group, the success rate of water maze landing was significantly decreased, the time for water maze landing was significantly prolonged and 5-HT level in hippocampus significantly decreased in the fatigue group. With respect to physical fatigue, among the 7-day and 14-day modeling groups, the lactic acid level in serum in the fatigue group was significantly increased, and the duration of exhaustive swimming of rats was significantly shortened. Limitations: A small sample size was the main limitation of this study. Conclusions: We have successfully constructed a rat model of postpartum fatigue by forcing postpartum rats to stand in water, which was similar to a level of stress that contributes to the development of postpartum fatigue. Our model opens the door for future studies evaluating the effectiveness of pharmacological and behavioral therapies.

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(Trans)fusions of Conrad’s darkness: Selected adaptations of Heart of Darkness

Journal of Adaptation in Film & Performance ◽

10.1386/jafp_00043_1 ◽

2021 ◽

Vol 14 (1) ◽

pp. 65-86 ◽

Cited By ~ 1

Author(s):

Ewa Kujawska-Lis

Keyword(s):

Chamber Opera ◽

Original Text ◽

Source Text ◽

Cultural Backgrounds ◽

Language Version ◽

The United Kingdom ◽

Heart Of Darkness ◽

The Us ◽

Polish Language ◽

Radio Broadcast

Heart of Darkness, due to its semantic complexity, interpretative openness and universal thematic interests, has been frequently intersemiotically adapted in a variety of media, encompassing radio broadcast, films, opera, graphic narratives and video games, as well as rewritten in the form of interlingual translations and refracted, with refractions including reviews and critical assessments, but also textual versions radically different from the source text. This article considers selected reinterpretations of Conrad’s text and comments briefly on how in each case the adaptation illustrates a fusion of Conrad’s vision with that of the adapter, hence (trans)fusion, and how this may give a new life to the source text via interpretative shifts. The article presents case studies: the film adaptation – Francis Ford Coppola’s Apocalypse Now (1979), Tarik O’Regan’s one-act chamber opera (both the United Kingdom in 2011 and the US staging in 2015), the graphic narrative by Catherine Anyango and David Zane Mairowitz (2010) and Jacek Dukaj’s Polish language version Serce ciemności (2017). This selection is governed by the variety of media and by the dissimilar approaches of the adapters to their source text. What is evident based on these variants is the role of the adapter as a creative participant in the process of transmitting the ideas of the original text, often updating them to make them relevant to new recipients of various cultural backgrounds. Additionally, reinterpretations and recontextualizations of the novella result directly from adaptive strategies specific to a given medium.

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The Polish COVID Stress Scales: Considerations of psychometric functioning, measurement invariance, and validity

PLoS ONE ◽

10.1371/journal.pone.0260459 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260459

Author(s):

Katarzyna Adamczyk ◽

D. Angus Clark ◽

Julia Pradelok

Keyword(s):

Measurement Invariance ◽

Health Anxiety ◽

Time Lags ◽

Obsessive Compulsive ◽

Language Version ◽

Structure Reliability ◽

Level Measurement ◽

Polish Language ◽

Different Populations ◽

Anxiety Depression

The COVID Stress Scales (CSS) were developed to measure stress in response to the COVID-19 pandemic. To further investigate the psychometric properties of the CSS, we used data collected in Poland across two waves of assessment (N = 556 at T1 and N = 264 at T2) to evaluate the factor structure, reliability (at the item and scale level), measurement invariance (across the Polish and Dutch translations of the CSS, and time), over time stability, and external associations of the Polish-language version of the CSS (CSS-PL). Overall, results suggest that the CSS-PL is psychometrically robust, largely invariant across the countries and time-lags considered. The CSS-PL was also positively related to other measures of COVID-19 fear, health anxiety, obsessive compulsive symptoms, anxiety, depression, and intent to receive a COVID-19 vaccine. This study thus provides considerable information about the CSS’s items and scales, and lays the foundation for future investigations into COVID stress across time and different populations.

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Psychological Adjustment in the Context of Perinatal Cancer

Psycho-Oncologie ◽

10.3166/pson-2021-0146 ◽

2021 ◽

Author(s):

R. Ferrere ◽

J. Wendland

Keyword(s):

Breast Cancer ◽

Psychological Adjustment ◽

Cancer Diagnosis ◽

Defense Mechanisms ◽

Metastatic Breast ◽

Psychological Adaptation ◽

Structured Interview ◽

Control Group ◽

Strongly Correlated ◽

Quantitative And Qualitative Methods

Aims: To assess the influence of pregnancy and recent motherhood on the psychological adjustment to cancer in women diagnosed with a perinatal cancer. Procedure: ECHOCALG is an exploratory and comparative study combining quantitative and qualitative methods. Twenty-four women who had received a perinatal cancer diagnosis (75% had breast cancer, 25% had brain or colon cancer, Hodgkin or melanoma) completed the MAC44 scale and responded to a semi-structured clinical interview to identify the psychological adjustment to cancer. Eighteen of them responded to a semi-structured interview to identify the conditions of psychological adaptation to the disease, as well as the defense mechanisms used. The data were compared with that of a control group of nineteen women diagnosed with non-perinatal and non-metastatic breast cancer, aged less than 45. Results: Women diagnosed with perinatal cancer showed more difficulty adjusting to the disease than control women. Denial and avoidance are strongly correlated with a negative adjustment to cancer. The interviews showed at the start of treatment the presence of defense mechanisms such as denial and trivialization as well as a suspension of the process of psychological adaptation to the disease and the treatments. The distress of a mother is linked to the feeling of being unable to take care of the baby and to cope concomitantly with motherhood and illness, as well as difficulties related to sexuality and emotional and social support. Conclusion: Pregnancy and recent motherhood have an impact on the adjustment to cancer. Women with perinatal cancer show a negative adjustment and an important psychological distress linked to difficulties of mothering and physical and emotional consequences of treatment.

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P1321PLASMATIC OSTEOPONTIN: A PREDICTOR OF VASCULAR ACCESS DYSFUNCTION IN HEMODIALYSIS PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p1321 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Nirvana Sadaghianloo ◽

CONTENTI Julie ◽

Vido Sandor ◽

Carboni Joseph ◽

Bonnet Sophie ◽

...

Keyword(s):

Biological Marker ◽

Duplex Ultrasound ◽

Hemodialysis Patients ◽

Control Group ◽

Strongly Correlated ◽

Arteriovenous Fistulas ◽

Significant Difference ◽

Patients At Risk ◽

Elisa Technique

Abstract Background and Aims Despite recommendations for a close follow-up of arteriovenous fistulas (AVF), thombosis rate reaches 10% each year. Conventional follow-up modalities remain a burden for hemodialysis patients. We tested the hypothesis that osteopontin (OPN), a pro-inflammatory molecule related to intimal hyperplasia, could be a biological marker of stenosis, and could thereby allow a screening of patients at risk for AVF dysfunction. Method Our prospective study (NCT03270358) compared the rate of plasmatic OPN between patients with a good-functioning AVF (control group, N= 39) and patients who required surgical or endovascular revision of their AVF because of a stenosis (stenosis group, N= 37). Blood samples were taken in the AVF, at the time of AVF cannulation in control patients, and at the time of AVF revision in stenosis patients. For each patient, blood from the contralateral arm was also analyzed as a between-subject control (paired t test). Cardiovascular risk factors, ongoing medications, and OPN rates (ELISA technique) were compared among the groups (uni- and multivariate analysis). The ROC curve determined sensitivity and specificity of the marker for the detection of stenosis. Results Patients' characteristics were similar between the 2 groups (mean age, 70 years; men, 63%; AVF duration; 39 months), apart from diabetes (control group, 33%; stenosis group, 57%; p=0.04). The rate of OPN was similar between the AVF arm and the contralateral arm (p=0.11), but significantly increased in the stenosis group compared to the control group (655 vs. 452 ng/mL, respectively, p=0.02). There was no statistically significant difference in OPN rate for diabetics and non diabetics (two-way ANOVA, p= 0.50). Sensitivity was 89% for a threshold >293ng/mL and specificity was 80% for a threshold >567ng/mL (AUC: 0.70; 95%CI: 0.57-0.81; p=0.004). Patients with an OPN rate ≥293ng/mL and those with an OPN rate ≥567ng/mL had respectively 8.87 and 15.62 higher odds to have a stenosis than patients with an OPN rate <293ng/mL (binomial regression, p<0.01). Conclusion Plasmatic OPN rate in hemodialysis patients can be measured simply, in a blood sample taken at the time of AVF cannulation, and is strongly correlated to the presence of a symptomatic AVF stenosis. This biomarker could help the physician choose which patient need a comprehensive examination of his/her AVF with duplex ultrasound or fistulogram.

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Assessing Morphological Development Within Special Education Settings

Australasian Journal of Special Education ◽

10.1017/s1030011200022259 ◽

1990 ◽

Vol 14 (1) ◽

pp. 3-9

Author(s):

Judith A. Bowey ◽

Dolour M. Mathews

Keyword(s):

Special Education ◽

Nonsense Word ◽

Control Group ◽

Morphological Development ◽

Strongly Correlated ◽

Real Word ◽

Teaching Program ◽

Experimental Group

This study was designed both to evaluate the Biks and Gutches test as a measure of morphological development in children within special education settings, and to determine whether or not these children have acquired a generative morphology. Two groups of children were pretested on the Biks and Gutches test. An experimental group received a short teaching program designed to familiarize them with concepts underlying the Berko procedure. Both the experimental and the control group were then retested on the Biks and Gutches test. The teaching program enhanced performance, indicating that this test might in part reflect abilities other than morphological development. Children experienced greater difficulty with nonsense word than with real word items. However, performance on comparable real word and nonsense word items was strongly correlated, indicating that these children have acquired a generative morphology.

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The Personality of Female Prisoners

The British Journal of Psychiatry ◽

10.1192/bjp.123.6.693 ◽

1973 ◽

Vol 123 (577) ◽

pp. 693-698 ◽

Cited By ~ 26

Author(s):

Sybil B. G. Eysenck ◽

Hans J. Eysenck

Keyword(s):

Personality Traits ◽

Control Group ◽

Control Groups ◽

Female Prisoners ◽

Third Dimension ◽

Main Components ◽

Male Prisoners

The theory has been put forward inCrime and Personality(Eysenck, 1964) that criminals are characterized by a combination of extraverted and neurotic personality traits; put in operational terms, it was suggested that compared with a control group of normal (non-criminal) subjects they would have higher scores on the N and E scales of the MPI or the EPI (Eysenck, 1959; Eysenck and Eysenck, 1964). In the second edition of the book the further hypothesis was added that prisoners would also be characterized by high P scores; the letter P refers to a third dimension of personality provisionally entitled ‘psychoticism’. Earlier investigations of the N x E hypothesis have been reviewed in the second edition ofCrime and Personality(Eysenck, 1970) and by Passingham (1972); the most recent study of both hypotheses is contained in two papers dealing with the personality makeup of male prisoners (Eysenck and Eysenck, 1970, 1971). The conclusions to be drawn from an examination of the literature are as follows: (1) As far as P is concerned, prisoners undoubtedly have much higher scores than do various types of control groups. (2) As far as N is concerned, most studies show prisoners to have significantly higher scores than controls. (3) As far as E is concerned, it appears that scores sometimes do and sometimes do not separate prisoners and controls in the predicted direction; it seems that we must distinguish between the two main components of E, i.e. sociability and impulsivity (Eysenck and Eysenck, 1969). Prisoners are significantly more impulsive, but less sociable, than controls.

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