scholarly journals Positive Behavior Management: Assessment of Rugby Referees in Children Sport

2021 ◽  
Vol 18 (20) ◽  
pp. 10949
Author(s):  
Katarzyna Płoszaj ◽  
Wiesław Firek ◽  
Paweł Gąsior ◽  
Ewa Malchrowicz-Mośko
Keyword(s):  
Behavioral Problems ◽  
Behavior Management ◽  
Rugby Union ◽  
Positive Behavior ◽  
Rank Test ◽  
Special Role ◽  
Negative Behavior ◽  
Chi Squared ◽  
Signed Rank Test

During children’s sports competitions, the referees play a special role. The referees are expected to be able to identify behavioral problems (of players, coaches, and fans), applying specific techniques to prevent negative behavior of players. Adapting these actions to the specifics of the group or individuals is crucial in providing a safe educational environment that promotes child development. The main objective of this research was to assess the quality of referees’ interactions with players in terms of positive behavior management and proficiency during rugby matches of children aged 6–12 years. Twenty-three rugby referees officiating matches organized by the Polish Rugby Union in Poland participated in the study. The research used the Referee–Players’ Interaction Assessment Scoring System tool. Additionally, referee–player interactions were recorded with a GoPro 8 camera along with audio from a wireless intercom. The significance of differences between the ratings for each indicator was tested by chi-squared test, while a non-parametric Wilcoxon signed-rank test was used to compare the mean ratings of positive behavior management and proficiency. The Mann–Whitney U-test was used to compare differences between assessments of experienced and inexperienced referees. The observations showed that referees were rated significantly higher in the proficiency dimension than in positive behavior management dimension. Nevertheless, both ratings represent an average level of quality of interactions with the players. The referee’s experience did not determine the quality of his or her interactions with the players in the specific dimensions. The following conclusion was drawn from the research: referees should be trained in the methods and techniques for managing player behavior and should act to prevent the occurrence of negative behavior, by presenting clear and understandable expectations to players before the match and using preventive measures.

scholarly journals Comparison of effects of medicinal cannabis or standard palliative care on quality of life of patients with cholangiocarcinoma in Northeast Thailand

F1000Research ◽  
2022 ◽  
Vol 11 ◽  
pp. 20
Author(s):  
Narisara Phansila ◽  
Chaiyasit Sittiwet ◽  
Ranee Wongkongdech
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Rank Test ◽  
Northeast Thailand ◽  
Care Clinic ◽  
Early Access ◽  
Signed Rank Test ◽  
Medicinal Cannabis ◽  
Pre Treatment

Background: Cholangiocarcinoma (CCA) has a poor prognosis and is a major cause of mortality and suffering in Thailand’s Northeastern (Isaan) Region.   Methods: This prospective cohort study aimed to compare the health-related quality of life (HRQoL) among 72 newly diagnosed CCA patients; 42 patients who received cannabis treatment (CT) and 30 patients who received a standard palliative care treatment (ST). The study was carried out between 1st September 2019 to 31st October 2020.  Data were collected from patients from oncology clinics of six hospitals in five provinces of northeast Thailand. The HRQoL was measured at baseline, and at 2 and 4 months after diagnosis by the European Organisation for Research and Treatment of Cancer (EORTC) Core Quality of Life questionnaires QLQ-C30, and QLQ-BIL21. The Mann-Whitney U-test was performed to compare quality of life scores between the two patient groups and Wilcoxon signed rank test was performed to compare within groups QoL scores at pre-treatment, and 2 and 4 month follow-ups. Results: Global health status and functional scales, for both groups were high at pre-treatment. At 2 and 4 month follow-up, CT group patients had consistent statistically significantly better Palliative Performance Scale (PPS), and QoL scores, and many symptom scores than the ST group.   Conclusions: Medicinal cannabis may increase QoL for advanced CCA patients. Our findings support the importance of early access to palliative cannabis care clinic before the terminal and acceleration phase close to death.

scholarly journals Immunoglobulin Replacement Therapy Versus Antibiotic Prophylaxis as Treatment for Incomplete Primary Antibody Deficiency

2020 ◽  
Author(s):  
Bas M. Smits ◽  
Ilona Kleine Budde ◽  
Esther de Vries ◽  
Ineke J. M. ten Berge ◽  
Robbert G. M. Bredius ◽  
...  
Keyword(s):  
Replacement Therapy ◽  
Antibody Deficiency ◽  
Comparable Efficacy ◽  
Rank Test ◽  
Igg Subclass Deficiency ◽  
Immunoglobulin Replacement Therapy ◽  
Persistent Infections ◽  
Chi Squared ◽  
Signed Rank Test ◽  
Immunoglobulin Replacement

Abstract Background Patients with an IgG subclass deficiency (IgSD) ± specific polysaccharide antibody deficiency (SPAD) often present with recurrent infections. Previous retrospective studies have shown that prophylactic antibiotics (PA) and immunoglobulin replacement therapy (IRT) can both be effective in preventing these infections; however, this has not been confirmed in a prospective study. Objective To compare the efficacy of PA and IRT in a randomized crossover trial. Methods A total of 64 patients (55 adults and 9 children) were randomized (2:2) between two treatment arms. Treatment arm A began with 12 months of PA, and treatment arm B began with 12 months of IRT. After a 3-month bridging period with cotrimoxazole, the treatment was switched to 12 months of IRT and PA, respectively. The efficacy (measured by the incidence of infections) and proportion of related adverse events in the two arms were compared. Results The overall efficacy of the two regimens did not differ (p = 0.58, two-sided Wilcoxon signed-rank test). A smaller proportion of patients suffered a related adverse event while using PA (26.8% vs. 60.3%, p < 0.0003, chi-squared test). Patients with persistent infections while using PA suffered fewer infections per year after switching to IRT (2.63 vs. 0.64, p < 0.01). Conclusion We found comparable efficacy of IRT and PA in patients with IgSD ± SPAD. Patients with persistent infections during treatment with PA had less infections after switching to IRT. Clinical Implication Given the costs and associated side-effects of IRT, it should be reserved for patients with persistent infections despite treatment with PA.

scholarly journals A Large Randomized Trial: Effects of Mindfulness-Based Stress Reduction (MBSR) for Breast Cancer (BC) Survivors on Salivary Cortisol and IL-6

2018 ◽  
Vol 21 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Cecile A. Lengacher ◽  
Richard R. Reich ◽  
Carly L. Paterson ◽  
Melissa Shelton ◽  
Steve Shivers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Stress Reduction ◽  
Salivary Cortisol ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Mindfulness Based Stress Reduction

Breast cancer survivors (BCS) often experience psychological and physiological symptoms after cancer treatment. Mindfulness-based stress reduction (MBSR), a complementary and alternative therapy, has reduced subjective measures of stress, anxiety, and fatigue among BCS. Little is known, however, about how MBSR affects objective markers of stress, specifically the stress hormone cortisol and the pro-inflammatory cytokine interleukin-6 (IL-6). In the present study, BCS ( N = 322) were randomly assigned to a 6-week MBSR program for BC or usual-care control. Measurements of cortisol, IL-6, symptoms, and quality of life were obtained at orientation and 6 weeks. Cortisol and IL-6 were also measured prior to and after the MBSR(BC) class Weeks 1 and 6. The mean age of participants was 56.6 years and 69.4% were White non-Hispanic. Most had Stage I (33.8%) or II (35.7%) BC, and 35.7% had received chemotherapy and radiation. Cortisol levels were reduced immediately following MBSR(BC) class compared to before the class Weeks 1 and 6 (Wilcoxon-signed rank test; p < .01, d = .52–.56). IL-6 was significantly reduced from pre- to postclass at Week 6 (Wilcoxon-signed rank test; p < .01, d = .21). No differences were observed between the MBSR(BC) and control groups from baseline to Week 6 using linear mixed models. Significant relationships with small effect sizes were observed between IL-6 and both symptoms and quality of life in both groups. Results support the use of MBSR(BC) to reduce salivary cortisol and IL-6 levels in the short term in BCS.

scholarly journals The Incidence and Severity of Drug Interactions Before and After Antiretroviral Therapy Simplification in Treatment-Experienced Patients With HIV Infection

2019 ◽  
Vol 54 (1) ◽  
pp. 36-42
Author(s):  
Nicholas V. Hastain ◽  
Aleena Santana ◽  
Jason J. Schafer
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Drug Interactions ◽  
Patient Adherence ◽  
Potential Interaction ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test

Background: Current guidelines advocate for antiretroviral therapy (ART) simplification in patients on complicated regimens. Simplifying ART improves patient adherence and quality of life, but changes in drug interactions (DIs) are uncertain. Objective: This study assessed changes in DIs following ART simplification in patients with HIV. Methods: This was an observational, retrospective cohort study of patients attending an urban HIV clinic. Patients were included if they had ART simplification (a decreased number of daily tablets) and ≥1 concomitant medication (CM). Total DI scores were generated for each patient pre–ART simplification and post–ART simplification using an online DI database. Each ART-CM pair labeled as “do not co-administer” was given a score of 2, “potential interaction” a score of 1, or “no interaction” a score of 0. Differences in total DI scores following simplification were analyzed with a Wilcoxon Signed-Rank test. Predictors of DI score reductions were examined with linear regression. Results: A total of 99 patients were included. Their median age was 54 years, and 79% were male. The median durations of HIV infection and ART were 16 and 10 years, respectively. Patients were receiving an average of 4.5 CMs. Median interaction scores presimplification and postsimplification were 3 (interquartile range [IQR], 1-6) and 1 (IQR, 0-2) respectively ( P < 0.001). Predictors of score reductions were the patient’s number of CMs, discontinuing a protease inhibitor, and switching to a dolutegravir-based regimen. Conclusion and Relevance: ART simplification decreased the incidence of DIs in this analysis of patients with advanced age who had ART experience and polypharmacy.

Cardiovascular, respiratory and sedative effects of intramuscular alfaxalone, butorphanol and dexmedetomidine compared with ketamine, butorphanol and dexmedetomidine in healthy cats

2017 ◽  
Vol 20 (10) ◽  
pp. 973-979 ◽  
Author(s):  
Jeannette Cremer ◽  
Carolina H Riccó
Keyword(s):  
Blood Gas Analysis ◽  
Random Order ◽  
Gas Analysis ◽  
Rank Test ◽  
Quality Of Recovery ◽  
Arterial Blood ◽  
Parametric Data ◽  
Signed Rank Test ◽  
Over Time

Objectives The aim of the study was to evaluate the cardiorespiratory effects, quality of sedation and recovery of intramuscular alfaxalone–dexmedetomidine–butorphanol (ADB) and ketamine–dexmedetomidine–butorphanol (KDB), in cats. Methods Nine adult, healthy cats (6.63 ± 1.42 kg) were enrolled in a blinded, randomized, crossover experimental design. Cats were sedated twice intramuscularly, once with ADB (alfaxalone 1 mg/kg, dexmedetomidine 0.005 mg/kg, butorphanol 0.2 mg/kg), and once with KDB (ketamine 5 mg/kg, dexmedetomidine 0.005 mg/kg, butorphanol 0.2 mg/kg), in random order. Data collected included heart rate (HR), arterial blood pressure and blood gas analysis, respiratory rate and sedation score. Analysis of variance with Bonferroni post-hoc correction was used for parametric data, and a Wilcoxon signed rank test was used for non-parametric data. Significance was set at P <0.05. Results Total sedation time was shorter for ADB (90.71 ± 15.12 mins vs 147.00 ± 47.75 mins). Peak sedation was observed within 15 mins in both groups. Quality of recovery was excellent in both groups. HR decreased over time in both groups. Diastolic and mean arterial pressure decreased over time for ADB, becoming significant after 30 mins. All cardiovascular variables were within the clinically acceptable range in both groups. Arterial partial pressure of oxygen was significantly decreased from baseline for KDB at all time points (73 ± 2.5 mmHg [9.7 ± 0.3 kPa] vs ADB 83 ± 2.6 mmHg [11 ± 0.3 kPa]). Hypoventilation was not observed. Conclusions and relevance Both protocols produced acceptable cardiovascular stability. Sedation and recovery quality were good, albeit sedation was shorter with ADB. Although oxygenation was better maintained in the ADB group, all sedated cats should receive oxygen supplementation.

Efficacy of the “Cooperative Assessment” Diagnostic Procedure to Early Improve Acute Symptoms in a Sample of Adolescents with Anxiety and Mood Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S122-S123
Author(s):  
M. Biagiarelli ◽  
M. Curto ◽  
M.P. Andraos ◽  
V. Aprile ◽  
S. Pelaccia ◽  
...  
Keyword(s):  
Mood Disorders ◽  
Repeated Measures ◽  
Poor Mental Health ◽  
Rank Test ◽  
Therapeutic Assessment ◽  
Test Results ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Competing Interest

IntroductionAnxiety and mood disorders are common in adolescence and predict poor mental health outcomes and low quality of life in adulthood. Although early intervention seems to be critical, dropouts in the early stages of treatment are frequent and associated with low insight and severe symptoms. Therefore, a diagnostic assessment phase aimed to increase insight and early reduce symptoms appears to be essential in adolescents.ObjectivesThe objective of this study is to demonstrate that the diagnostic method Cooperative Assessment is able to early reduce symptoms in adolescents with anxiety and mood disorders.MethodsA sample of 88 patients, aged 14–19 years were included. All were recruited at the first visit and evaluated with the Cooperative Assessment. This manualized procedure was created from principles of collaborative and therapeutic assessment and aim to involve the patient in a co-developed diagnosis thorough the collaborative use of test results. Patients were evaluated before (T0), in the middle (T1) and after (T2) the assessment using CGI, GAF, HAM-A, HAM-D and MRS scales.ResultsEighty-eight adolescents, 56.8% females, diagnosed with anxiety (47.7%) and mood disorders (52.3%) completed the protocol. HAM-A, HAM-D, MRS, CGI and GAF significantly improved at T1 and T2 with respect to T0 (T0: HAM-A 17.31 ± 8.22; HAM-D 16.97 ± 8.37; MRS5.78 ± 6.17; GAF 59.3 ± 11.06; CGI 3.63 ± 1.35; T2: HAM-A 11.41 ± 6.82; HAM-D 11.1 ± 6.91; MRS3.82 ± 3.87; GAF 67.5 ± 10.76; CGI 3.03 ± 1.26; P < 0.001; Wilcoxon signed-rank test for repeated measures).ConclusionsCooperative assessment is able to early improve symptoms in adolescents with mood and anxiety disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Implant-Supported Removable Partial Denture Improves the Quality of Life of Patients with Extreme Tooth Loss

2015 ◽  
Vol 26 (5) ◽  
pp. 463-467 ◽  
Author(s):  
Camila Heitor Campos ◽  
Thais Marques Simek Vega Gonçalves ◽  
Renata Cunha Matheus Rodrigues Garcia
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Tooth Loss ◽  
Health Impact ◽  
Rank Test ◽  
Removable Partial Denture ◽  
Osseointegrated Implants ◽  
Related Quality ◽  
Signed Rank Test

Abstract: This study aimed to evaluate oral health-related quality of life (OHRQoL) in partially dentate subjects, presenting extreme tooth loss in posterior region with missing post-canines, comparing the use of conventional removable partial dentures (RPDs) and implant-supported RPDs. OHRQoL was measured using the Brazilian version of the Oral Health Impact Profile. Twelve subjects presenting maxillary total and mandibular Kennedy Class I edentulism (mean age 62.6±7.8 years) first received complete maxillary dentures and conventional mandibular free-end RPDs. After two months, the subjects had their OHRQoL assessed. Osseointegrated implants were inserted bilaterally in the mandibular first molar regions, and after four months ball abutments were placed to support the free-end RPD. Two months later, the patients had their OHRQoL reassessed. Wilcoxon signed-rank test was used to evaluate differences in OHRQoL (α=0.05). Results showed improvement in all OHIP-49 domains (p<0.05) after associating implants to the RPD. The mandibular implant-supported free-end RPD significantly improved OHRQoL.

605 Sleep problems are associated with behavioral problems and decreased quality of life in children with Fontan circulation

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A238-A238
Author(s):  
Kirstin Robertson ◽  
Michael Seckeler ◽  
Scott Klewer ◽  
Chiu-Hsieh Hsu ◽  
Jamie Edgin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Behavioral Problems ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Attention Problems ◽  
Fontan Circulation ◽  
Rank Test ◽  
Developmental Problems ◽  
Increased Risk

Abstract Introduction Children with congenital heart disease who undergo a Fontan procedure are at higher risk of behavior and attention problems as well as reduced quality of life compared to age-matched peers. While sleep problems are associated with behavior and attention problems in children without Fontan circulation, this relationship has never been examined in children with Fontan circulation. We hypothesized that sleep problems in this population may increase the risk of behavior problems and also reduce health related quality of life (HRQOL). Methods We analyzed data from the Pediatric Heart Network Fontan cross-sectional study to evaluate associations between a parent-reported diagnosis of a sleep problem with reported behavioral concerns and HRQOL as measured by the child health questionnaire (CHQ) in 558 children with Fontan circulation. Analysis was performed using logistic regression or Wilcoxon sum rank test, as appropriate, with Bonferroni correction for multiple comparisons. Results Parent-reported sleep problems were present in 10% of participants. Sleep problems were associated with a 4.6x higher risk of attention problems, 10.2x higher risk of anxiety problems, 3.9x higher risk of behavioral problems, 9.5x higher risk of depression, 5.0x higher risk of developmental delay, 6.9x higher risk of learning problems and 2.2x higher risk of speech problems (p=0.04 for speech problems, p&lt;0.001 for all others). Parent report of a sleep problem was associated with decreased physical HRQOL (z-score -1.3 [interquartile range-2.2, -0.2] vs 0.0 [-0.8, 0.4], p&lt;0.001) and psychosocial HRQOL (-0.9 [-1.9, 0.0] vs 0.0 [-0.8, 0.7], p&lt;0.001) compared to children without a reported sleep problem. Report of a sleep problem was associated with significantly lower HRQOL across all subdomains of the CHQ (p&lt;0.05 for all subdomains). Conclusion Children with Fontan circulation with sleep problems have an increased risk of behavioral and developmental problems as well as reduced HRQOL. Better understanding of sleep problems is needed in children with Fontan circulation, as sleep disorders may represent a reversible cause of behavioral problems and decreased HRQOL in this population. Support (if any) Funding to DC from the American Heart Association, University of Arizona Health Sciences Center, and NIH-NHLBI. Fontan study data obtained from the Pediatric Heart Network.

scholarly journals Diseño y validación de un cuestionario sobre la usabilidad y la calidad técnica de un software deportivo (Design and validation of a questionnaire on the usability and technical quality of a sport software)

Retos ◽  
2019 ◽  
pp. 386-392
Author(s):  
María del Carmen Juan Llamas
Keyword(s):  
External Validation ◽  
Rank Test ◽  
Technical Quality ◽  
Spearman Correlation ◽  
Clear Trend ◽  
Final Version ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Analysis Of Results

En la sociedad actual, en la que existe una clara tendencia al uso constante de tecnologías, se ha observado un escaso número de herramientas para la medición de la calidad de software deportivo. A través de la creación, validación y administración del cuestionario CUPEA, se pretende valorar dicha característica, además de verificar el nivel de aceptación de la aplicación entre los usuarios y su utilidad real. La validación del contenido, redacción y pertinencia de los ítems creados se consiguió a través de las valoraciones realizadas por 14 jueces expertos. La validación externa se obtuvo mediante la aplicación de la prueba test-retest a una muestra de 23 participantes de la Comunidad de Madrid. Posteriormente, se procedió a la comprobación de la fiabilidad del cuestionario mediante el coeficiente de correlación de Spearman; y para saber si existían diferencias significativas entre las respuestas dadas por el mismo sujeto se utilizó la prueba de los rangos con signo de Wilcoxon. Una vez diseñado y validado el cuestionario final, se procedió a efectuar una prueba experimental con 42 participantes para un software concreto, Easy_Aerobics. Del análisis e interpretación de los resultados obtenidos del cuestionario se ha podido concluir que se han respetado los criterios de fiabilidad, funcionalidad y usabilidad en su implementación, y CUPEA se ha mostrado como una herramienta válida para la medición de la usabilidad y de la calidad técnica del software.Abstract. Nowadays, in a society with a clear trend towards a wide use of technologies, only few tools to measure the quality of sports software have been developed. This study seeks to assess the quality and also to verify the usefulness and acceptance of a sports software, by means of creating and validating the CUPEA questionnaire to be administered to real users. Validation of content and relevance was achieved through the assessment of 14 expert referees. External validation was obtained by a test-retest procedure applied to a sample of 23 participants from the region of Madrid (Spain). Reliability of the questionnaire was verified using the Spearman correlation, while the Wilcoxon signed-rank test was emplyed to look for significant differences between test and retest. After its design and validation, the final version of the questionnaire CUPEA was obtained. An experimental test was carried out with 42 users of Easy_Aerobics. Analysis of results allows us to conclude that criteria of reliability and usability have been observed, and CUPEA has proven to be a valid tool for measuring usability and technical quality of the software.

scholarly journals Peningkatan Kualitas Hidup Penderita Kusta Dengan Menggunakan Metode Self Help Group (SHG)

2017 ◽  
Vol 6 (1) ◽  
pp. 82
Author(s):  
Ifa Roifah
Keyword(s):  
Quality Of Life ◽  
Complex Problem ◽  
Poor Quality ◽  
Point Of View ◽  
Rank Test ◽  
P Value ◽  
Self Help ◽  
Signed Rank Test ◽  
Self Help Group

Leprosy is one of the infectious diseases that cause a very complex problem, not only from a medical point of view. In addition there is a negative stigma from the community tends to cause the quality of life of people with leprosy decline. Quality of life is the concept of individual ability analysis to get a normal life associated with individual perceptions of goals and expectations, one of the measures to improve the quality of life of leprosy is by doing Self Help Group (SHG) therapy. This study aims to determine the quality of life in people with leprosy. The design of this research using pra experiment with pretest-posttest design approach. The samples were taken with the techniques of cluster random sampling as much as 15 respondents. Tool used WHOQOL-BREF questionnaire containing 26 questions. Patients with leprosy prior to being given Self Help Group (SHG) from 15 respondents mostly experience poor quality of life 7 people (46,7%), leprosy patient after given Self Help Group (SHG) that from 15 respondents mostly experience quality of life is 5 people (33.3%). The test used is using Wilcoxon Signed Rank Test. p value = 0,007 and α = 0,05 so Ha is accepted, it  means there is influence Self Help Group therapy (SHG) to quality of life in leprosy patients in tanjungkenongo village sumberglagah kec. Pacet kab. Mojokerto. Self Help Group (SHG) is a group or peer where each member share the same physical or emotional issues or specific issues where they work together to share problems and choose what will be the focus of solving group members, helping each other in motivating to create a sense of prosperity.

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