scholarly journals Effect of fatigue on cognitive performance in neurology residents of faculty of medicine Universitas Sumatera Utara

Author(s):  
Eka Mahendrayana ◽  
Fasihah Irfani Fitri ◽  
Aldy S. Ramber

Background: Fatigue is a general term used to describe an overall feeling of tiredness. It is one of the most common complaints of people seen in primary health care. Several previous studies have evaluated the effects of fatigue on cognitive function in various clinical and population settings and yielded different results. This study aimed to investigate the effect of fatigue on cognitive performance in neurology residents of Faculty of Medicine of Universitas Sumatera UtaraMethods: This was a crosssectional study involving all of the neurology residents of faculty of medicine universitas Sumatera Utara who fulfilled the inclusion criteria. This study was conducted on November until December 2020. Fatigue was assessed using fatigue severity scale and cognitive performance was assessed using Stroop test. The data was analyse using regression linear testResults: Total subject in this study was 42 subjects consisted of 26 female and 16 male with mean age of 32.02±3.45 years. The mean of FSS score was 33.71±7.41 and the mean of Stroop test score was 46.37±9.16 second. Using regression linear test we found fatigue affect cognitive function with p=0.002; R=0.470 and R2=0.221 and after stratification analysis based on sex of the subjects found that fatigue affect cognitive function in female subjects with p=0.013; R=0.482 and R2=0.232. According to age of the subject, fatigue affect cognitive function in subject >30 years old with p=0.001; R=0.635; R2=0.403Conclusions: There is significant effect of fatigue on cognitive performance. Particularly in women and age >30 years old.

2019 ◽  
Vol 149 (8) ◽  
pp. 1424-1433
Author(s):  
Xuanxia Mao ◽  
Cheng Chen ◽  
Pengcheng Xun ◽  
Martha L Daviglus ◽  
Lyn M Steffen ◽  
...  

ABSTRACT Background Vegetables and fruits (VF) may differentially affect cognitive functions, presumably due to their various nutrient contents, but evidence from epidemiologic studies is limited. Objectives The aim of this study was to examine the long-term association between VF intakes, including VF subgroups, in young adulthood and cognitive function in midlife. Methods A biracial cohort of 3231 men and women aged 18–30 y at baseline in 1985–1986 were followed up for 25 y in the Coronary Artery Risk Development in Young Adults Study. Diet was measured at baseline, and in examination years 7 and 20. Cognitive function was assessed at examination year 25 through the use of 3 tests: the Rey Auditory Verbal Learning Test (RAVLT), the Digit Symbol Substitution Test (DSST), and the Stroop test. The mean differences (MDs) with 95% CIs in cognitive scores across intake categories were estimated through the use of the multivariable-adjusted general linear regression model. Results Excluding potatoes, intake of whole vegetables was significantly associated with a better cognitive performance after adjustment for potential confounders in all 3 cognitive tests (quintile 5 compared with quintile 1—RAVLT, MD: 0.33; 95% CI: 0.01, 0.64; P-trend = 0.08; DSST, MD: 2.84; 95% CI: 0.93, 4.75; P-trend < 0.01; Stroop test, MD: −2.87; 95% CI: −4.24, −1.50; P-trend < 0.01]. Similarly, intake of fruits, except fruit juices, was significantly related to a better cognitive performance (quintile 5 compared with quintile 1—DSST, MD: 2.41; 95% CI: 0.70, 4.12; P-trend = 0.03). Conclusions This study supports the long-term benefits of VF consumption on cognitive performance, except those VF with relatively low fiber content such as potatoes and fruit juices, among the middle-aged US general population.


2017 ◽  
Vol 54 (4) ◽  
pp. 344-348 ◽  
Author(s):  
Danusa ROSSI ◽  
Lucas Homercher GALANT ◽  
Claudio Augusto MARRONI

ABSTRACT BACKGROUND: Fatigue is a common complaint in cirrhotic patients and may be considered a debilitating symptom with negative impact on quality of life. Research on its etiology and treatment has been hampered by the lack of relevant and reproducible measures of fatigue. OBJECTIVE: To evaluate the psychometric properties of the Fatigue Severity Scale (FSS) in cirrhotic patients and to correlate with depressive symptomatology and quality of life. METHODS: Cross-sectional study with a convenience sample of 106 cirrhotic patients, aged between 18 and 70 years, both genders, literate, pre and post liver transplantation in outpatient follow-up. Internal consistency, reproducibility, discriminant validity, criterion validity, construct validity, responsiveness criterion, depressive symptomatology and quality of life were evaluated through questionnaires between January and October 2015. RESULTS: The mean age was 54.75±9.9 years, 65.1% male and 32.1% of the sample had cirrhosis due to hepatitis C virus. The mean FSS score was 4.74±1.64. Cronbach’s alpha was 0.93, and the Intraclass Correlation Coefficient was 0.905 (95% CI: 0.813-0.952). For discriminant validity, FSS differentiated scores from different groups (P=0.009) and presented a correlation with the Modified Fatigue Impact Scale (r=0.606, P=0.002). FSS correlated significantly and positively with depressive symptomatology and correlated negatively with the SF-36 domains for construct validity. For responsiveness, no significant changes were observed in the fatigue scores in the pre and post-liver transplantation periods (P=0.327). CONCLUSION: FSS showed good psychometric performance in the evaluation of fatigue in patients with cirrhosis. Fatigue presented a strong correlation with depressive symptomatology and quality of life.


2013 ◽  
Vol 39 (4) ◽  
pp. 427-433 ◽  
Author(s):  
Silvia Valderramas ◽  
Aquiles Assuncao Camelier ◽  
Sinara Alves da Silva ◽  
Renata Mallmann ◽  
Hanna Karine de Paulo ◽  
...  

OBJECTIVE: To describe the intra-rater and inter-rater reliability of the Brazilian Portuguese version of the fatigue severity scale (FSS) in patients with COPD and to identify the presence of its association with parameters of pulmonary function, dyspnea, and functional capacity. METHODS: This was an observational cross-sectional study involving 50 patients with COPD, who completed the FSS in interviews with two researchers in two visits. The FSS scores were correlated with those of the Medical Research Council (MRC) scale, as well as with FEV1, FVC, and six-minute walk distance (6MWD). RESULTS: The mean age of the patients was 69.4 ± 8.23 years, whereas the mean FEV1 was 46.5 ± 20.4% of the predicted value. The scale was reliable, with an intraclass correlation coefficient of 0.90 (95% CI, 0.81-0.94; p < 0.01). The FSS scores showed significant correlations with those of MRC scale (r = 0.70; p < 0.01), as well as with 6MWD (r = –0.77; p < 0.01), FEV1 (r = –0.38; p < 0.01), FVC (r = –0.35; p < 0.01), and stage of the disease in accordance with the Global Initiative for Chronic Obstructive Lung Disease criteria (r = 0.37; p < 0.01). CONCLUSIONS: The Brazilian Portuguese version of the FSS proved reliable for use in COPD patients in Brazil and showed significant correlations with sensation of dyspnea, functional capacity, pulmonary function, and stage of the disease.


2015 ◽  
Vol 6 (6) ◽  
pp. 66-69
Author(s):  
Parthasarathi Debray ◽  
Susanta Biswas ◽  
Prasanta Biswas ◽  
Tapasi Saha ◽  
Madhu Sudan Pal

Introduction: A beneficial influence of exercise on cognitive and brain functions has been established. Exercise is drawing increasing research attention for improving neurocognitive functions.Aims: The aim of the present study is to examine the effect of step up exercise on mental attention with strop test in Bengali male college students.Methodology: Twenty eight (28) apparently healthy male sedentary college students from the same socio-economic background, having mean age of 22.4 ± 1.02 years, body height of 165.3 ± 6.34 cm  and body weight of 55.5 ± 9.01 kg were recruited for the present study on the basis of random sampling from the undergraduate students of the NS Mahavidyalaya of Tripura. A computer based modified ‘Stroop color word’ test based on the original Stroop test (Stroop, 1935) to identify cognitive performance. After completion of stroop test in resting sitting condition participants were asked to complete Queen College Step Test to measure VO2 max. After completion of 3 mins step up exercise a recovery time of 5-15 seconds were taken for VO2 measurement and immediately after taking recovery pulse participants were asked to perform stroop III subtask to see the effect of exercise on the cognitive performance of the college students of Tripura.Results: The mean VO2 max to be found 49.1 ± 6.25 ml.kg-1.min-1.  The mean time to complete Stroop sub task Tasks III was found 194.3 (±46.34) sec.  After 3 minutes step-up exercise it has been shown that the mean stroop III score was improved from 194.3 (±46.34) to 160.4 (± 31.42) sec. Conclusion: It is observed in the present study that the speed of performance (i.e., stoop tasks) is improved after short term moderate exercise. DOI: http://dx.doi.org/10.3126/ajms.v6i6.12602  Asian Journal of Medical Sciences Vol.6(6) 2015 66-69


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
C. Solaro ◽  
E. Trabucco ◽  
A. Signori ◽  
M. Cella ◽  
M. Messmer Uccelli ◽  
...  

Objective. Gait impairment is commonly in people with multiple sclerosis (MS). The 12-item MS walking scale (MSWS-12) assesses patients’ measurement of walking quality. The aim of this study was to cross-culturally adapt and validate the MSWS-12 for the Italian population with MS.Methods. Six MS out-patient clinics across Italy enrolled subjects between June 2013 and December 2013. Construct validity of MSWS-12 was determined by examining correlations with the Italian version of the EDSS, the timed 25-foot walk (T25FW), and the Fatigue Severity Scale (FSS).Results. 321 MS subjects were enrolled. Mean age was 47.55 years and mean disease duration was 13.8 years. Mean EDSS score was 4.46. 185 subjects had a relapsing-remitting course, 92 were secondary progressive, 43 were primary progressive, and 1 had a clinically isolated syndrome. The mean total score of the MSWS-12 was 49.6 (SD: 31) with values ranging between 0 and 100. Correlations between the MSWS-12 with age, disease duration, and disease course were found but not with gender. Values of the MSWS-12/IT were significantly related to EDSS (0.71), to the T25FW (0.65), and to the FSS (0.51).Conclusion. MSWS-12/IT has been adapted and validated, it is a reliable and reproducible scale for Italian patients with MS.


Author(s):  
Alireza Rezaee Ashtiani ◽  
Latifi Seied Amirhossein ◽  
Ali Jadidi ◽  
Keyvan Ghasami ◽  
Ali Khanmohamadi Hezave ◽  
...  

AbstractObjectivesMultiple sclerosis (MS) is a progressive and often debilitating neurological disorder. This chronic disease has a high prevalence in the world and also in Iran. Fatigue is a common symptom of the disease, which causes serious mental and psychological discomfort. Simple saffron syrup, contains some compounds that can be effective in relieving the symptom. The object of this study is to investigate the effect of simple saffron syrup on fatigue in patients with MS.MethodsThis study is a pre-post study which evaluates the fatigue rate of MS patients (30 participants) according to the FSS scale. The participants were given a saffron simple syrup to consume a tablespoon (7.5 cc) every 8 h for two months. After 60 days of prescribing, patients are assessed for fatigue based on fatigue severity scale (FSS) criteria.ResultsOne-way ANOVA showed that there was a notable difference between the mean score of fatigue in MS patients before and after the intervention (p<0.001). So, the fatigue severity of the subjects after saffron syrup consumption dropped dramatically for two months. (p<00.01).ConclusionsAccording to the outcomes of this study, simple saffron syrup can be effective as an adjunct therapy for fatigue reduction in patients with MS due to effectiveness besides no significant side effects.


GeroPsych ◽  
2011 ◽  
Vol 24 (2) ◽  
pp. 83-92 ◽  
Author(s):  
Valentina A. Tesky ◽  
Christian Thiel ◽  
Winfried Banzer ◽  
Johannes Pantel

To investigate the effects of leisure activities on cognitive performance of healthy older subjects, an innovative intervention program was developed. Frequent participation in cognitively stimulating activities (i.e., reading, playing chess, or playing music) is associated with reduced risk of dementia. AKTIVA (active cognitive stimulation – prevention in the elderly) is an intervention program designed to enhance cognitive stimulation in everyday life by increasing cognitive stimulating leisure activities. The present study determines the effects of AKTIVA on cognitive function, mood and attitude toward aging in a sample of older participants from the general population. Several measurement instruments were used including the Alzheimer’s Disease Assessment Scale (ADAS-Cog), the Trail-Making Test (TMT), and the Memory Complaint Questionnaire (MAC-Q). Initially, the sample consisted of 307 older persons (170 female, 72 ± 7 years). The intervention was evaluated with a randomized, controlled pre-post follow-up design. Participants were randomly assigned to one of three conditions: AKTIVA intervention (n = 126), AKTIVA intervention plus nutrition and exercise counseling (n = 84), no-intervention control group (n = 97). The AKTIVA intervention consisted of 8 weekly sessions and two booster sessions after a break of 4 months. Participation in the group program resulted in positive effects on cognitive function and attitude toward aging for subassembly groups. Older persons (≥ 75 years) showed enhanced speed of information processing (by TMT Version A) (F = 4.17*, p < .05); younger participants (< 75 years) showed an improvement in subjective memory decline (by MAC-Q) (F = 2.55*, p < .05). Additionally, AKTIVA enhanced the frequency of activities for leisure activities for subassembly groups. The results of this study suggest that the AKTIVA program can be used to increase cognitively stimulating leisure activities in the elderly. Further research is necessary to identify the long-term effects of this intervention particularly with respect to the prevention of dementia.


Author(s):  
Putri Denaya Side Ayu ◽  
Heri Hidayatullah ◽  
Sri Ariani

This Collaborative Classroom Action Research aimed at enhancing students’ speaking skill through the application of Circle Game. It was conducted in one cycle consisting of two meetings. The subject was the seventh of C class of SMPN 2 Alas Barat consisting of 22 students. The types of data were qualitative (acquiring observation during the learning process) and quantitative (speaking tests). The results qualitatively showed that the implementation of Circle Game enhanced the students’ speaking skills. Such improvement could be seen from their enthusiasm, their interesting feeling in various materials presented by the teacher, their active involvement. In the quantitative findings, the result also showed a higher value of the mean score of the post-test (77.34) rather than the pre-test (75.75). In conclusion, the use of Circle Game can improve students’ speaking skill.


2015 ◽  
Vol 8 (2) ◽  
pp. 93
Author(s):  
Juniar Siregar

This study presents a research report on improving students’ Learning results on IPA through Video. The objective was to find out whether students’ learning result improved when they are taught by using Video. It was conducted using classroom action research method. The subject of the study was the Grade IV students of SDN 187/IV Kota Jambi which is located on Jln. Adi Sucipto RT 05 Kecamatan Jambi Selatan, and the number of the students were 21 persons. The instruments used were test. In analyzing the data, the mean of the students’ score for the on fisrt sycle was 65,4 (42,85%) and the mean on cycle two was 68,5 (37,15%) and the mean of the third cycle was 81,4 (100%). Then it can be concluded that the use of video on learning IPA can improve the students’ learning result. It is suggested that teachers should use video as one of the media to improve students’ learning result on IPA.Keywords : IPA, students’ learning result, video


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