scholarly journals Mediatieve behandeling bij mensen met zowel neuro­cognitieve stoornissen als persoonlijkheids­problematiek

Uitgangspunt van deze studie is dat comorbide maladaptieve persoonlijkheidstrekken (CMPT) van invloed zijn op gedragsmatige en psychologische symptomen van dementie (BPSD). Het doel van dit onderzoek is het opzetten en exploreren van de haalbaarheid van Cognitive Model for Behavioral Interventions (CoMBI). Veertig patiënten met BPSD en CMPT van twee ouderenpsychiatrische afdelingen werden met CoMBI behandeld. De haalbaarheid werd beoordeeld middels de patiëntenstroom, en naleving en aanvaardbaarheid van de behandeling door familieleden en psychiatrisch verpleegkundigen. CMPT werd in kaart gebracht met informantenvragenlijsten. Verandering in BPSD werd gemeten via voor- en nametingen. Om de verschillen tussen de meetmomenten te bepalen, werden Wilcoxon signed rank-tests uitgevoerd en effectgroottes berekend. Van de 312 opgenomen patiënten kwamen 138 patiënten in aanmerking voor inclusie. 64 (46,4%) patiënten gingen voor of kort na de voormeting met ontslag. Bij 28 (20,3%) patiënten kon CoMBI niet toegepast worden. Uiteindelijk werden veertig (29,0%) patiënten geïncludeerd voor de analyse. Wilcoxon signed rank-tests toonden een significante afname van BPSD met middelgrote (r=0,45) tot grote (r=0,56) effectgroottes. CoMBI blijkt een toepasbaar en werkzaam behandelmodel voor probleemgedrag bij patiënten met BPSD en CMPT. Het behandelmodel is geassocieerd met een significante afname van probleemgedrag ongeacht de etiologie ervan.

2020 ◽  
Vol 5 (01) ◽  
pp. 73-80
Author(s):  
Moh Gulfam ◽  
Totad Muttappa ◽  
Neelam Bisht ◽  
Vishnu M L ◽  
Yadu Gopan

Background: Viswachi is one among the 80 Nanatmaja Vata Vyadhi. This disease affects the neck and upper extremities with the signs and symptoms like Ruk, Stambha, Toda, Bahu Karmakshaya. Vatagajankusha Rasa is a combination of Vyosha, Bhasmas, Vatsanabha, Karkatasringi, Haritaki etc. It has Vatakaphahara, Vikasi, Vyavayi, Rasayana etc. properties. It is said to be effective in treating Visawachi in 7 days if given along with Pippali Churna and Manjishta Kwatha. Aims and Objectives: To evaluate the efficacy of Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana in the management of Viswachi (Cervical spondylosis). Methodology: Among 35 registered patients, 30 completed the course of treatment. They were administered with Vatagajankusha Rasa 1 tablet (125 mg) after food with Anupana 3gm Pippali Churna and 15 ml Manjishta Kwatha twice daily (morning and evening) for a period of 7 days. Nominal and ordinal data were analysed using non parametric tests like McNemar and Wilcoxon’s signed rank tests respectively. Result: Assessment parameters like Ruk, Toda, Sthambha and Bahukarma Kshya. There was statistically significant improvement in the primary and secondary outcome measures (p less than 0.05 was observed). Conclusion: Vatagajankusha Rasa with Pippali Churna and Manjishta Kwatha as Anupana is effective in the management of Viswachi (Cervical spondylosis).


Author(s):  
Christopher Kirk

Anthropometry and chronological age has been demonstrated to have an effect on individual performance in competitive sport, with the relationship between stature and wingspan being found to be selective criteria in many sports, although evidence for this in MMA is negligible. In this study, n = 278 professional MMA bouts were analysed with the winners and losers being compared in terms of chronological age, stature, wingspan, stature-to-wingspan ratio (S:W) and method of win/loss using paired samples t tests, Wilcoxon signed-rank tests, one way ANOVAs, Kruskal-Wallis tests (all ≤ .05) and Bayes Factor (BF 10 ). The results showed that for the most part anthropometric differences have no effect on who wins the bout, but taller bout losers are most likely to lose via strikes. Across the full cohort and several competitive divisions, it was found that older participants are significantly more likely to lose, and are also significantly more likely to lose via strikes. Participants who won via decision were found to be significantly older than those who won via strikes or submission.


1985 ◽  
Vol 4 (3) ◽  
pp. 153-177
Author(s):  
Marion R. Reynolds ◽  
Saad T. Bakir
Keyword(s):  

2021 ◽  
pp. 1-5
Author(s):  
Tao Shi ◽  
Zhan Gao ◽  
Shoujun Li ◽  
Zhongdong Hua

Abstract Objectives: Aortic valve repair in children is still a challenge. The aim of this study was to analyse the surgical results of children with aortic regurgitation who underwent single leaflet reconstruction using the Ozaki procedure in our medical centre. Methods: A retrospective study was conducted of nine children with aortic regurgitation who received single leaflet reconstruction from May 2017 to September 2019. Paired t-tests and Wilcoxon signed rank tests were used to compare the data at different time points. Results: The median surgical age was 4.7 (3.5, 6.4) years. Eight patients were pre-operatively diagnosed with severe aortic regurgitation, while one had moderate regurgitation. The left ventricles were significantly enlarged, with an average z-score of 3.8. Single leaflet reconstruction was carried out using glutaraldehyde-treated autologous pericardium under the standard Ozaki procedure. The median follow-up was 22 (14, 33) months. There was no post-operative death or re-intervention. One patient had moderate or more aortic regurgitation during the follow-up. The average degree of aortic regurgitation was mild, and the average z-score of the left ventricle decreased to −0.2 in the last follow-up. Conclusions: Single leaflet reconstruction using the Ozaki procedure was an effective surgical method for treating children with aortic regurgitation in our centre with satisfactory short-term results.


2005 ◽  
Vol 68 (8) ◽  
pp. 1724-1728 ◽  
Author(s):  
M. L. KHAITSA ◽  
M. L. BAUER ◽  
P. S. GIBBS ◽  
G. P. LARDY ◽  
D. DOETKOTT ◽  
...  

Two sampling methods (rectoanal swabs and rectal fecal grabs) were compared for their recovery of Escherichia coli O157:H7 from feedlot cattle. Samples were collected from 144 steers four times during the finishing period by swabbing the rectoanal mucosa with cotton swabs and immediately obtaining feces from the rectum of each individual steer. The number of steers with detectable E. coli O157:H7 increased from 2 of 144 (1.4%) cattle on arrival at the feedlot to 10 of 144 (6.9%) after 1 month, 76 of 143 (52.8%) after 7 months, and 30 of 143 (20.8%) at the last sampling time before slaughter. Wilcoxon signed-rank tests indicated that the two sampling methods gave different results for sampling times 3 and 4 (P < 0.05) but not for sampling time 2 (P = 0.16). Agreement between the two sampling methods was poor (kappa < 0.2) for three of the four sampling times and moderate (kappa = 0.6) for one sampling time, an indication that in this study rectoanal swabs usually were less sensitive than rectal fecal grabs for detection of E. coli O157:H7 in cattle. Overall, the herd of origin was not significantly associated with E. coli O157:H7 results, but the weight of the steers was. Further investigation is needed to determine the effects of potential confounding factors (e.g., size and type of swab, consistency of feces, site sampled, and swabbing technique) that might influence the sensitivity of swabs in recovering E. coli O157:H7 from the rectoanal mucosa of cattle.


2004 ◽  
Vol 19 (4) ◽  
pp. 697-711 ◽  
Author(s):  
Marc Hallin ◽  
Davy Paindaveine

2015 ◽  
Vol 26 (06) ◽  
pp. 563-571 ◽  
Author(s):  
Koenraad S. Rhebergen ◽  
Thamar E.M. van Esch ◽  
Wouter A. Dreschler

Background: A temporal resolution test in addition to the pure-tone audiogram may be of great clinical interest because of its relevance in speech perception and expected relevance in hearing aid fitting. Larsby and Arlinger developed an appropriate clinical test, but this test uses a Békèsy-tracking procedure for estimating masked thresholds in stationary and interrupted noise to assess release of masking (RoM) for temporal resolution. Generally the Hughson-Westlake up-down procedure is used in the clinic to measure the pure-tone thresholds in quiet. A uniform approach will facilitate clinical application and might be appropriate for RoM measurements as well. Because there is no golden standard for measuring the RoM in the clinic, we examine in the present study the Hughson-Westlake up-down procedure to measure the RoM and compare the results with the Békèsy-tracking procedure. Purpose: The purpose of the current study was to examine the differences between a Békèsy-tracking procedure and the Hughson-Westlake up-down procedure for estimating masked thresholds in stationary and interrupted noise to assess RoM. Research Design: RoM is assessed in eight normal-hearing (NH) and ten hearing-impaired (HI) listeners through both methods. Results from both methods are compared with each other and with predicted thresholds from a model. Data Analysis: Wilcoxon signed-rank tests, paired t tests. Results: Some differences between the two methods were found. We used a model to quantify the results of the two measurement procedures. The results of the Hughson-Westlake procedure were clearly better in agreement with the model than the results of the Békèsy-tracking procedure. Furthermore, the Békèsy-tracking procedure showed more spread in the results of the NH listeners than the Hughson-Westlake procedure. Conclusions: The Hughson-Westlake procedure seems to be an applicable alternative for measuring RoM for temporal resolution in the clinical audiological practice.


2017 ◽  
Vol 28 (4) ◽  
pp. 447-452
Author(s):  
Camilla Corrêa Silva ◽  
Vivian Maria Durange Ferreira ◽  
Gustavo De-Deus ◽  
Daniel Rodrigo Herrera ◽  
Maíra do Prado ◽  
...  

Abstract This study compared the effect of intermediate flush with distilled water delivered by conventional irrigation, EndoVac microcannula or Self-Adjusting File (SAF) system in the prevention of chemical smear layer (CSL) formation. Thirty human premolars were used. Canals were prepared with Reciproc system and 5.25% NaOCl. After chemomechanical preparation, samples were divided in 3 groups (n=10) according to the intermediate irrigation protocol with distilled water using: conventional irrigation, EndoVac microcannula or SAF. A final flush with 2% chlorhexidine solution was used and scanning electron microscopy was performed to assess protocol effectiveness. Two calibrated evaluators attributed scores according the presence or absence of CSL on the surface of the root canal walls at the coronal, middle and apical thirds, as follows: (1) no CSL; (2) small amounts of CSL; (3) moderate CSL; and (4) heavy CSL. Differences between protocols were analyzed with Kruskal-Wallis and Mann-Whitney U tests. Friedman and Wilcoxon signed rank tests were used for comparison between each root canal third. SAF resulted in less formation of CSL when compared with the conventional irrigation and EndoVac microcannula (p<0.05). When root canal thirds were analyzed, conventional irrigation and EndoVac groups showed less CSL formation at coronal and middle thirds in comparison to the apical third (p<0.05). In SAF group, there was no difference among the thirds (p>0.05). It may be concluded that an intermediate flush of distilled water, delivered by the SAF system resulted in a better reduction of CSL formation during chemomechanical preparation.


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