Pub Date : 2024-05-07DOI: 10.5604/01.3001.0054.5138
Rafał Morga, Jolanta Góral-Półrola, M. Pąchalska
The aim of the study was to evaluate the effectiveness of a Comprehensive Program of Rehabilitation (CPReh) offered according to different therapeutic protocols in reducing chronic frontal syndrome in patients 10 years following neurosurgery for post-traumatic intracerebral hematoma.Out of 568 adult car accident patients who underwent neurosurgery for post-traumatic intracerebral hematoma between 2004 and 2010 at the Department of Neurosurgery and Neurotraumatology of the Jagiellonian University's Collegium Medicum in Krakow, 90 patients with OFC injury and Chronic Frontal Syndrome were selected for the study. Patients were divided into three groups A, B and C of 30 each, matched for age, gender and injury severity. The Comprehensive Rehabilitation Program (CPReh) (cf. Pąchalska 2008) was applied in all groups ten years after hospitalization and surgery for intracerebral hematoma and was conducted according to three therapeutic Protocols:- Protocol 1 administered in group A, combained cognitive training (CT) and the "Life Academy" program administered twice a week. The activities were continued as long as the patient was able and willing to continue (average 24 months 1.18).- Protocol 2 administered in group B, included CT and the "Academy of Life" program also administered twice a week but lasting for the standard period of about a year (average 12 months 1.03).- Protocol 3 administered in group C, included CT and the "Community Base Treatment" program similarly administered twice a week and also lasting about a year as standard (average 12 months 1.27).Evaluation of the effects of rehabilitation using the Frontal Behavioral Inventory (FBInv) was conducted 2 times: Study I (baseline, 10 years follow up after operation)-before the start of rehabilitation, Study II (follow up) after the end of rehabilitation according to all protocols.all or most of the positive or negative symptoms tested by FBInv, including neurological, cognitive, emotional and behavioral ones. A modified CPReh program administered with Protocol 1. in which combined cognitive training (CT) and the "Academy of Life" program is provided twice a week, but which continues as long as the patient was able and willing to continue, is more effective in reducing these symptoms, like the standard CPReh program administered with Protocol 2 or 3 administered only up to a year as a standard. It was also found that the "Academy of Life " program has also been shown to be a more effective component of CPReh than the Community Base Treatment.The improvement achieved by group A, in which a modified CPReh administered with Protocol 1. that provided the patient the opportunity to continue rehabilitation as long as the patient was able and willing to continue was more effective in the reduction of Chronic Frontal Syndrome than the standard CPReh administered with Protocols 2. and 3. for the patients in groups B and C.
{"title":"EVALUATION OF THE EFFECTIVENESS OF A COMPREHENSIVE PROGRAM OF REHABILITATION OFFERED ACCORDING TO DIFFERENT THERAPEUTIC PROTOCOLS IN REDUCING CHRONIC FRONTAL SYNDROME IN PATIENTS 10-YEARS FOLLOWING NEUROSURGERY FOR POST-TRAUMATIC INTRACEREBRAL HEMATOMA","authors":"Rafał Morga, Jolanta Góral-Półrola, M. Pąchalska","doi":"10.5604/01.3001.0054.5138","DOIUrl":"https://doi.org/10.5604/01.3001.0054.5138","url":null,"abstract":"The aim of the study was to evaluate the effectiveness of a Comprehensive Program of Rehabilitation (CPReh) offered according to different therapeutic protocols in reducing chronic frontal syndrome in patients 10 years following neurosurgery for post-traumatic intracerebral hematoma.Out of 568 adult car accident patients who underwent neurosurgery for post-traumatic intracerebral hematoma between 2004 and 2010 at the Department of Neurosurgery and Neurotraumatology of the Jagiellonian University's Collegium Medicum in Krakow, 90 patients with OFC injury and Chronic Frontal Syndrome were selected for the study. Patients were divided into three groups A, B and C of 30 each, matched for age, gender and injury severity. The Comprehensive Rehabilitation Program (CPReh) (cf. Pąchalska 2008) was applied in all groups ten years after hospitalization and surgery for intracerebral hematoma and was conducted according to three therapeutic Protocols:- Protocol 1 administered in group A, combained cognitive training (CT) and the \"Life Academy\" program administered twice a week. The activities were continued as long as the patient was able and willing to continue (average 24 months 1.18).- Protocol 2 administered in group B, included CT and the \"Academy of Life\" program also administered twice a week but lasting for the standard period of about a year (average 12 months 1.03).- Protocol 3 administered in group C, included CT and the \"Community Base Treatment\" program similarly administered twice a week and also lasting about a year as standard (average 12 months 1.27).Evaluation of the effects of rehabilitation using the Frontal Behavioral Inventory (FBInv) was conducted 2 times: Study I (baseline, 10 years follow up after operation)-before the start of rehabilitation, Study II (follow up) after the end of rehabilitation according to all protocols.all or most of the positive or negative symptoms tested by FBInv, including neurological, cognitive, emotional and behavioral ones. A modified CPReh program administered with Protocol 1. in which combined cognitive training (CT) and the \"Academy of Life\" program is provided twice a week, but which continues as long as the patient was able and willing to continue, is more effective in reducing these symptoms, like the standard CPReh program administered with Protocol 2 or 3 administered only up to a year as a standard. It was also found that the \"Academy of Life \" program has also been shown to be a more effective component of CPReh than the Community Base Treatment.The improvement achieved by group A, in which a modified CPReh administered with Protocol 1. that provided the patient the opportunity to continue rehabilitation as long as the patient was able and willing to continue was more effective in the reduction of Chronic Frontal Syndrome than the standard CPReh administered with Protocols 2. and 3. for the patients in groups B and C.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141129286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-02DOI: 10.5604/01.3001.0054.4569
E. Wilczek-Rużyczka
Empathy is an important part of the work of helping another person, but sometimes this work is exhausing and beyond the resources of the helper-especially when the helper does not choose a problem-solving style of coping with stress. The aim of this study was to analyze the relationship between empathy and perceived stress and coping styles in stressful situations among students from selected fields of study.A total of 90 students participated in the survey: this included 30 fifth-year students each from three fields of study - medical, law and psychology. They were mostly aged 23-25 and represented in greater numbers by women (65.6%). The Emotional-Cognitive Empathy Questionnaire (EEP) - by Wilczek-Rużyczka (2017), the PSS-10 test – Perceived Stress Scale in its Polish adaptation by Juczyński and Ogińska-Bulik (2009), the Questionnaire of Coping in Stressful Situations (CISS) in its Polish adaptation by Strelau et al. (2005) and the author's socio-demographic questionnaire were used as research tools.The regression analysis conducted showed that as the level of cognitive empathy increases, the level of stress will significantly decrease. A relationship was found between cognitive empathy and task-focused coping style. The students studied showed significant differences in their levels of empathy and perceived stress depending on their field of study: law students were characterized by lower empathy and higher stress compared to those in the medical and psychology fields.In contrast, no differences were found between students from different fields of study in terms of their choice of stress-focused coping style.Correlation analysis showed a significant opposite relationship between empathy and perceived stress, and differences were found in the level of empathy and the level of stress in students depending on their field of study. The obtained results indicate the necessity of empathy training in groups of students, which, as the obtained results and numerous scientific reports indicate, has a protective character, therein reducing stress and professional burnout levels.
{"title":"Empathy as a determinant of perceived stress and styles of coping with stress in medical, law and psychology students","authors":"E. Wilczek-Rużyczka","doi":"10.5604/01.3001.0054.4569","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4569","url":null,"abstract":"Empathy is an important part of the work of helping another person, but sometimes this work is exhausing and beyond the resources of the helper-especially when the helper does not choose a problem-solving style of coping with stress. The aim of this study was to analyze the relationship between empathy and perceived stress and coping styles in stressful situations among students from selected fields of study.A total of 90 students participated in the survey: this included 30 fifth-year students each from three fields of study - medical, law and psychology. They were mostly aged 23-25 and represented in greater numbers by women (65.6%). The Emotional-Cognitive Empathy Questionnaire (EEP) - by Wilczek-Rużyczka (2017), the PSS-10 test – Perceived Stress Scale in its Polish adaptation by Juczyński and Ogińska-Bulik (2009), the Questionnaire of Coping in Stressful Situations (CISS) in its Polish adaptation by Strelau et al. (2005) and the author's socio-demographic questionnaire were used as research tools.The regression analysis conducted showed that as the level of cognitive empathy increases, the level of stress will significantly decrease. A relationship was found between cognitive empathy and task-focused coping style. The students studied showed significant differences in their levels of empathy and perceived stress depending on their field of study: law students were characterized by lower empathy and higher stress compared to those in the medical and psychology fields.In contrast, no differences were found between students from different fields of study in terms of their choice of stress-focused coping style.Correlation analysis showed a significant opposite relationship between empathy and perceived stress, and differences were found in the level of empathy and the level of stress in students depending on their field of study. The obtained results indicate the necessity of empathy training in groups of students, which, as the obtained results and numerous scientific reports indicate, has a protective character, therein reducing stress and professional burnout levels.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-22DOI: 10.5604/01.3001.0054.4467
Natalia Treder-Rochna, Marta A. Witkowska
Nearly two years into the pandemic, a large body of data has emerged on how COVID-19-positive patients function with the viral infection. It is now known that the virus targets the central nervous system(CNS). As a result, in addition to the expected common health complaints, patients display cognitive and emotional problems. Cognitive deficits should be expected particularly in patients who have arrived at an intensive care unit as a result of respiratory failure, in patients suffering from comorbid neurodegenerative diseases and respiratory conditions, as well as in the elderly. However, these may also occur in patients with moderate to mild symptoms as well as in those of a younger age. The cognitive impairment has an unknown profile. Given the hypothesised hippocampal vulnerability to the SARS-CoV-2 virus, one might expect particular difficulties with memory, attention, information processing, and executive functions. With varying neuropsycho- logical and emotional problems, convalescents in trying to return to their social, family and professional life require professional psychological assistance. The role of neuropsychologists is here crucial. Indeed, many patients will require a detailed, multifaceted neuropsychological diagnosis that will form the basis for subsequent neuropsychological rehabilitation. An early detection of neuropsychological manifestations could modify the risk of subsequent irreversible impairment and further neurocognitive decline.
{"title":"NEUROPSYCHOLOGICAL CONSEQUENCES OF COVID-19: CURRENT APPROACH AND CLINICAL RECOMMENDATIONS","authors":"Natalia Treder-Rochna, Marta A. Witkowska","doi":"10.5604/01.3001.0054.4467","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4467","url":null,"abstract":"Nearly two years into the pandemic, a large body of data has emerged on how COVID-19-positive patients function with the viral infection. It is now known that the virus targets the central nervous system(CNS). As a result, in addition to the expected common health complaints, patients display cognitive and emotional problems. Cognitive deficits should be expected particularly in patients who have arrived at an intensive care unit as a result of respiratory failure, in patients suffering from comorbid neurodegenerative diseases and respiratory conditions, as well as in the elderly. However, these may also occur in patients with moderate to mild symptoms as well as in those of a younger age. The cognitive impairment has an unknown profile. Given the hypothesised hippocampal vulnerability to the SARS-CoV-2 virus, one might expect particular difficulties with memory, attention, information processing, and executive functions. With varying neuropsycho- logical and emotional problems, convalescents in trying to return to their social, family and professional life require professional psychological assistance. The role of neuropsychologists is here crucial. Indeed, many patients will require a detailed, multifaceted neuropsychological diagnosis that will form the basis for subsequent neuropsychological rehabilitation. An early detection of neuropsychological manifestations could modify the risk of subsequent irreversible impairment and further neurocognitive decline.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-22DOI: 10.5604/01.3001.0054.4465
Marcin Kuryłło, Ewa Mojs
The aim of this paper is to present the review of research into the psychological functioning of children and adults suffering from chronic diseases, with particular emphasis on psoriasis and atopic dermatitis. We have reviewed the scientific articles available in research databases on the topic: psoriasis and atopic dermatitis in terms of psychosomatic effects. It was found that psoriasis and atopic dermatitis interfere with patients’ most vital processes and negatively affect their immediate vicinity. They cause changes in the somatic, mental and social functioning of the patient. Frequently, they also cause a change in behaviour and negatively affect the quality of patients’ lives. Patients with severe psoriasis have an increased risk of death due to circulatory system diseases, cancer, chronic diseases of the lower respiratory tract, diabetes, dementia, infections and kidney diseases. Atopic dermatitis is correlated and may predispose to an increased risk of other atopic disorders, including asthma, hay fever, food allergies, and eosinophilic oesophagitis. It seems that patients with atopic dermatitis are more susceptible to infections and cardiovascular diseases and numerous neuropsychiatric disorders, including depression, attention deficit hyperactivity disorder, speech disorders in childhood, headaches and seizures. There is also a multifactor correlation between AD and osteoporosis, injuries, and fractures. Psoriasis is not only associated with anxiety disorders, depressive disorders and suicidal ideation, but also with significant cognitive functions impairment. In the case of atopic dermatitis, many authors emphasize the association between the occurrence of this skin disease and cognitive impairment, including reduced attention, visual and verbal memory, executive functions and abstract thinking.
{"title":"Psoriasis and atopic dermatitis in terms of psychosomatic effects","authors":"Marcin Kuryłło, Ewa Mojs","doi":"10.5604/01.3001.0054.4465","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4465","url":null,"abstract":"The aim of this paper is to present the review of research into the psychological functioning of children and adults suffering from chronic diseases, with particular emphasis on psoriasis and atopic dermatitis. We have reviewed the scientific articles available in research databases on the topic: psoriasis and atopic dermatitis in terms of psychosomatic effects. It was found that psoriasis and atopic dermatitis interfere with patients’ most vital processes and negatively affect their immediate vicinity. They cause changes in the somatic, mental and social functioning of the patient. Frequently, they also cause a change in behaviour and negatively affect the quality of patients’ lives. Patients with severe psoriasis have an increased risk of death due to circulatory system diseases, cancer, chronic diseases of the lower respiratory tract, diabetes, dementia, infections and kidney diseases. Atopic dermatitis is correlated and may predispose to an increased risk of other atopic disorders, including asthma, hay fever, food allergies, and eosinophilic oesophagitis. It seems that patients with atopic dermatitis are more susceptible to infections and cardiovascular diseases and numerous neuropsychiatric disorders, including depression, attention deficit hyperactivity disorder, speech disorders in childhood, headaches and seizures. There is also a multifactor correlation between AD and osteoporosis, injuries, and fractures. Psoriasis is not only associated with anxiety disorders, depressive disorders and suicidal ideation, but also with significant cognitive functions impairment. In the case of atopic dermatitis, many authors emphasize the association between the occurrence of this skin disease and cognitive impairment, including reduced attention, visual and verbal memory, executive functions and abstract thinking.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-22DOI: 10.5604/01.3001.0054.4466
H. Chtibi, K. Mammad, A. M. Alaoui, Ouhssine Mohammed, Riyahi Jamila, Ahmed Omar Touhami Ahami
Burn-out or exhaustion syndrome is caused by a prolonged exposure to a chronic professional stress. Public Health Professionals are the most exposed to this kind of risk. The ulti- mate goal here is to determine the prevalence of the burn-out and search for factors associated with this pathology among those who work in the field of health.Our sample, which is from the Ibn Sina Hospital in Rabat, consists of 150 nurses, 80 doctors, and 40 administrators. A self-questionnaire was employed, the Maslach Burnout In- ventory (MBI) as well as a clinical interview.The results of this study show a high degree of burnout. Moreover, 56.66% of participants show a high level of emotio - nal exhaustion, 45.18% suffer from a high level of depression. Meanwhile, the loss of a sense of personal accom plish ment is high among 48.51% of those surveyed. The emotional exhaustion observed among people who have worked for a long time ago is associated with the means of transportation used and to the unsuitable hours of work. Depersonalization exists among elderly people and the oldest at work.This study confirms the existence of a high level of burnout among health professionals. Many socio-demographic and socio-professional factors contribute to the increase in the level that people are affected. These factors encourage the promotion of better working life conditions.
{"title":"FACTORS ASSOCIATED TO BURN-OUT AMONG IBN SINA HOSPITAL PUBLIC HEALTH PROFESSIONALS","authors":"H. Chtibi, K. Mammad, A. M. Alaoui, Ouhssine Mohammed, Riyahi Jamila, Ahmed Omar Touhami Ahami","doi":"10.5604/01.3001.0054.4466","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4466","url":null,"abstract":"Burn-out or exhaustion syndrome is caused by a prolonged exposure to a chronic professional stress. Public Health Professionals are the most exposed to this kind of risk. The ulti- mate goal here is to determine the prevalence of the burn-out and search for factors associated with this pathology among those who work in the field of health.Our sample, which is from the Ibn Sina Hospital in Rabat, consists of 150 nurses, 80 doctors, and 40 administrators. A self-questionnaire was employed, the Maslach Burnout In- ventory (MBI) as well as a clinical interview.The results of this study show a high degree of burnout. Moreover, 56.66% of participants show a high level of emotio - nal exhaustion, 45.18% suffer from a high level of depression. Meanwhile, the loss of a sense of personal accom plish ment is high among 48.51% of those surveyed. The emotional exhaustion observed among people who have worked for a long time ago is associated with the means of transportation used and to the unsuitable hours of work. Depersonalization exists among elderly people and the oldest at work.This study confirms the existence of a high level of burnout among health professionals. Many socio-demographic and socio-professional factors contribute to the increase in the level that people are affected. These factors encourage the promotion of better working life conditions.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-08DOI: 10.5604/01.3001.0054.3745
M. Fallahi, Kamran Vafaee, Maciej Korab, Narges Sadeghi, Y. Moradi, Mahin Amini, Zohreh Karimi, Somayeh Mahdavikian
Patients with cerebrovascular accidents (CVA) are at risk of developing PUs due to sensory, motor and cognitive deficits following the disease. Therefore, the aim of the present study was to investigate the severity and factors affecting the occurrence of PUs in patients with CVA.The present study was a retrospective cohort study. The data of this research was extracted from the registry system of Imam Reza Hospital located in the west of Iran. 217 patients with CVA with Braden score below 14 or with PU were included in the study. In order to investigate the relationship between independent variables and wound stage in univariate regression model, logistic regression was used, and the results were reported as odds ratio (OR). Data were analyzed with Stata statistical software version 15 and Excel 2016 software.Out of 217 CVA patients hospitalized, 180 had pressure ulcers. In total, 465 PUs were diagnosed in 180 patients in different areas. The average age of patients was (SD=618.78) years. 65 patients suffered only one wound, 38 patients experienced two wounds, and 37 patients experienced three wounds. The highest number of PUs was with 201 cases of stage I, follow ed by 180 cases of stage II. Stage IV with 2 cases was the least PU cases. Pa tients with a Braden score of 10-12 were 3.89 times more likely than patients with a Braden score greater than 14, and patients with a Braden score of 6-9 were diagnosed with PUS 6.67 times more than those with a Braden score greater than 14. Regarding the site of PUs, the sacrum and then the buttock were the most common sites of PU, which were ob- served in 65.56% and 29.49% of patients, respectively. The highest num- ber of stage I was related to the sacrum area.The sacrum was the most common site of PU occurrence and the highest number of PUs was related to stage I. Age, fecal incontinence, hemoglobin levels and Braden’s score have been among the factors affecting PUs in patients with CVA.
脑血管意外（CVA）患者在患病后会出现感觉、运动和认知障碍，因此有可能患上PU。因此，本研究旨在调查 CVA 患者发生 PU 的严重程度和影响因素。研究数据来自伊朗西部伊玛目礼萨医院的登记系统。217 名 Braden 评分低于 14 分或患有 PU 的 CVA 患者被纳入研究。为了研究单变量回归模型中自变量与伤口分期之间的关系，采用了逻辑回归，并以几率比（OR）报告结果。数据采用Stata统计软件15版和Excel 2016软件进行分析。在住院的217名CVA患者中，有180人患有压疮。在 217 名住院的 CVA 患者中，有 180 人患有压疮，在不同地区的 180 名患者中共确诊了 465 例压疮。患者的平均年龄为（SD=618.78）岁。65 名患者只有一处伤口，38 名患者有两处伤口，37 名患者有三处伤口。PU 数量最多的是 I 期 201 例，其次是 II 期 180 例。PU最少的是 IV 期，只有 2 例。布莱登评分 10-12 分的患者被诊断为 PUS 的几率是布莱登评分大于 14 分的患者的 3.89 倍，而布莱登评分 6-9 分的患者被诊断为 PUS 的几率是布莱登评分大于 14 分的患者的 6.67 倍。就 PU 发生部位而言，骶骨和臀部是最常见的 PU 发生部位，分别占 65.56% 和 29.49%。年龄、大便失禁、血红蛋白水平和 Braden 评分是影响 CVA 患者 PUs 的因素之一。
{"title":"INVESTIGATING THE SEVERITY AND FACTORS INFLUENCING THE OCCURRENCE OF PRESSURE ULCERSIN HOSPITALIZED CEREBROVASCULAR ACCIDENT PATIENTS: A RETROSPECTIVE COHORT STUDY","authors":"M. Fallahi, Kamran Vafaee, Maciej Korab, Narges Sadeghi, Y. Moradi, Mahin Amini, Zohreh Karimi, Somayeh Mahdavikian","doi":"10.5604/01.3001.0054.3745","DOIUrl":"https://doi.org/10.5604/01.3001.0054.3745","url":null,"abstract":"Patients with cerebrovascular accidents (CVA) are at risk of developing PUs due to sensory, motor and cognitive deficits following the disease. Therefore, the aim of the present study was to investigate the severity and factors affecting the occurrence of PUs in patients with CVA.The present study was a retrospective cohort study. The data of this research was extracted from the registry system of Imam Reza Hospital located in the west of Iran. 217 patients with CVA with Braden score below 14 or with PU were included in the study. In order to investigate the relationship between independent variables and wound stage in univariate regression model, logistic regression was used, and the results were reported as odds ratio (OR). Data were analyzed with Stata statistical software version 15 and Excel 2016 software.Out of 217 CVA patients hospitalized, 180 had pressure ulcers. In total, 465 PUs were diagnosed in 180 patients in different areas. The average age of patients was (SD=618.78) years. 65 patients suffered only one wound, 38 patients experienced two wounds, and 37 patients experienced three wounds. The highest number of PUs was with 201 cases of stage I, follow ed by 180 cases of stage II. Stage IV with 2 cases was the least PU cases. Pa tients with a Braden score of 10-12 were 3.89 times more likely than patients with a Braden score greater than 14, and patients with a Braden score of 6-9 were diagnosed with PUS 6.67 times more than those with a Braden score greater than 14. Regarding the site of PUs, the sacrum and then the buttock were the most common sites of PU, which were ob- served in 65.56% and 29.49% of patients, respectively. The highest num- ber of stage I was related to the sacrum area.The sacrum was the most common site of PU occurrence and the highest number of PUs was related to stage I. Age, fecal incontinence, hemoglobin levels and Braden’s score have been among the factors affecting PUs in patients with CVA.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-06DOI: 10.5604/01.3001.0054.4148
Łukasz Dudziński, J. Bihałowicz, Łukasz Czyżewski, Rafał Kasperczyk, T. Kubiak
Exposure to carbon monoxide is a common hazard in firefighting practice throughout the year, regardless of the winter heating season. Therefore this analysis of the interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin. The objectives include two risk groups: people affected by the intervention and the health risks to fire officers themselves.The analysed material covers the years 2017-2022 and interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin (chemical hazard events). Data from the Decision Support System of the State Fire Service (DSSSFS), provided to the authors by the Operational Planning Office at the Headquarters of the State Fire Service, were used in the study.According to the records of the State Fire Service (SFS) in the years 2017-2022, there were 28,766 (Mean 4794; SD 413) chemical hazard events: carbon monoxide was the cause. There were only 5724 reports of symptoms with a known CO concentration and 1974 reports with clinical symptoms. Statistically significant differences were demonstrated in exposure time (p= 0.028) and average CO concentration in the analysed years (p<0.001). Noteworthy is the sudden reduction in the exposure time following the year 2020.The actual exposure of firefighters to carbonmonoxide is greater than in the above analysis, in addition, there are exposures from fire incidents. Procedures, measuring equipment, and personal protective equipment protect firefighters from absorbing harmful substances into the body, but the large number of incidents and the visible clinical symptoms in victims should prompt firefighters with many years of service to observe even the smallest worrying neurological changes in themselves.
{"title":"Exposure of firefighters to carbon monoxide during rescue and fire fighting interventions - a 6-year analysis","authors":"Łukasz Dudziński, J. Bihałowicz, Łukasz Czyżewski, Rafał Kasperczyk, T. Kubiak","doi":"10.5604/01.3001.0054.4148","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4148","url":null,"abstract":"Exposure to carbon monoxide is a common hazard in firefighting practice throughout the year, regardless of the winter heating season. Therefore this analysis of the interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin. The objectives include two risk groups: people affected by the intervention and the health risks to fire officers themselves.The analysed material covers the years 2017-2022 and interventions of fire protection units in incidents related to carbon monoxide exposure of a non-fire origin (chemical hazard events). Data from the Decision Support System of the State Fire Service (DSSSFS), provided to the authors by the Operational Planning Office at the Headquarters of the State Fire Service, were used in the study.According to the records of the State Fire Service (SFS) in the years 2017-2022, there were 28,766 (Mean 4794; SD 413) chemical hazard events: carbon monoxide was the cause. There were only 5724 reports of symptoms with a known CO concentration and 1974 reports with clinical symptoms. Statistically significant differences were demonstrated in exposure time (p= 0.028) and average CO concentration in the analysed years (p<0.001). Noteworthy is the sudden reduction in the exposure time following the year 2020.The actual exposure of firefighters to carbonmonoxide is greater than in the above analysis, in addition, there are exposures from fire incidents. Procedures, measuring equipment, and personal protective equipment protect firefighters from absorbing harmful substances into the body, but the large number of incidents and the visible clinical symptoms in victims should prompt firefighters with many years of service to observe even the smallest worrying neurological changes in themselves.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140261818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-14DOI: 10.5604/01.3001.0054.3420
B. Gawda, Małgorzata Chojak, Adrian Korniluk
The paper aims to examine the relationship between three factors among Generation Z members: time spent on SNSs (Social Network Sites) activities, visual vs. linguistic emotional stimuli processing, and neural activation during the performance of visual vs. verbal tasks. Although gene ra tion Z is described as having worse emotional linguistic competence than it does a visual competence, there is a lack of experimental research doc- umenting these dissimilarities. The study in volved a group of 57 adults born between 1995-2000, i.e. representatives of Generation Z.The experiment consisted of two parts: the first devoted to the testing of emotion recognition from images (The Scale of Emotional Intelligence – Faces), and the second performing linguistic emotional tasks (The Emotion Understanding Test). During the tests a neuroimaging technique (functional near-infrared spectroscopy) was applied to examine and register neural cortical activity in the frontal, temporal, and occipital areas. The Social Network Sites Scale was used to assess the level of social network site use.Results showed that individuals representing Generation Z perform better in visual emotional task than in linguistic tasks. There is an association between SNSs use and brain activation.Gen Z who overuse SNSs present greater activation of the brain regions responsible for a greater cognitive effort such as frontal and prefrontal areas. The activation differences in the frontal and temporal cortical regions between high users of SNSs and low users document the impact of SNSs utilization on brain functioning and confirm that SNSs overuse can have a negative impact on linguistic emotional stimuli processing.
本文旨在研究 Z 世代成员在以下三个因素之间的关系：花在 SNS（社交网站）活动上的时间、视觉与语言情感刺激处理，以及执行视觉与语言任务时的神经激活。尽管 Z 世代被描述为情感语言能力比视觉能力更差，但缺乏实验研究来证明这些差异。这项研究的对象是 1995-2000 年间出生的 57 名成年人，即 Z 世代的代表。实验由两部分组成：第一部分专门测试从图像中识别情绪的能力（情商量表--面孔），第二部分是执行语言情绪任务（情绪理解测试）。在测试过程中，采用了神经成像技术（功能性近红外光谱）来检查和记录额叶、颞叶和枕叶区域的神经皮层活动。结果显示，代表 Z 世代的个体在视觉情感任务中的表现优于语言任务。社交网站的使用与大脑激活之间存在关联。过度使用社交网站的Z世代的大脑额叶和前额叶区等负责更大认知努力的脑区激活程度更高。SNS高用户与低用户之间在额叶和颞叶皮层区域的激活差异记录了SNS的使用对大脑功能的影响，并证实了SNS的过度使用会对语言情感刺激的处理产生负面影响。
{"title":"SNSS USE IN GENERATION Z, EMOTIONAL STIMULI PROCESSING, AND ITS NEURAL CORRELATES. EVIDENCE FROM THE FUNCTIONAL NEAR-INFRARED SPECTROSCOPY","authors":"B. Gawda, Małgorzata Chojak, Adrian Korniluk","doi":"10.5604/01.3001.0054.3420","DOIUrl":"https://doi.org/10.5604/01.3001.0054.3420","url":null,"abstract":"The paper aims to examine the relationship between three factors among Generation Z members: time spent on SNSs (Social Network Sites) activities, visual vs. linguistic emotional stimuli processing, and neural activation during the performance of visual vs. verbal tasks. Although gene ra tion Z is described as having worse emotional linguistic competence than it does a visual competence, there is a lack of experimental research doc- umenting these dissimilarities. The study in volved a group of 57 adults born between 1995-2000, i.e. representatives of Generation Z.The experiment consisted of two parts: the first devoted to the testing of emotion recognition from images (The Scale of Emotional Intelligence – Faces), and the second performing linguistic emotional tasks (The Emotion Understanding Test). During the tests a neuroimaging technique (functional near-infrared spectroscopy) was applied to examine and register neural cortical activity in the frontal, temporal, and occipital areas. The Social Network Sites Scale was used to assess the level of social network site use.Results showed that individuals representing Generation Z perform better in visual emotional task than in linguistic tasks. There is an association between SNSs use and brain activation.Gen Z who overuse SNSs present greater activation of the brain regions responsible for a greater cognitive effort such as frontal and prefrontal areas. The activation differences in the frontal and temporal cortical regions between high users of SNSs and low users document the impact of SNSs utilization on brain functioning and confirm that SNSs overuse can have a negative impact on linguistic emotional stimuli processing.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-13DOI: 10.5604/01.3001.0054.3421
Kaoutar Ateilah, Y. Aboussaleh, Samir Bikri, Ahmed Omar Touhami Ahami
Low cognitive performance and low self-esteem can be influenced by nutritional factors, such as dietary deficiencies, as well as socio-economic aspects including the level of education and economic status. These elements can interact in complex ways, contributing to variations in cognitive performance and self-es- teem. It is important to consider all aspects of mental and physical health to fully understand this relationship.A sample of 174 urban schoolchildren, aged between 15 and 19, and hailing from modest socio-economic backgrounds, participated in the study. They underwent a cognitive test (the Raven test) to evaluate their intellectual induction abilities. Additionally, a questionnaire was administered to gauge their socio-economic status. Nutritional status was assessed through various indices, including weight, height, and indicators such as weight-for-age, height-for-age, and emaciation. Self-esteem was measured using the French translation of Pelham and Swann’s self-assessment questionnaire, completed by the students.Neurocognitive abilities exhibited significant correlations with gender, mathematical performance, nutritional status, and the educational level of mothers. Conversely, self-esteem demonstrated correlations with parental education levels and the presence of emaciation.The results of this study highlight a significant relation between malnutrition and neurocognitive abilities, as well as self-esteem in schoolgirls. These findings suggest that nutritional management could play an essential role in preventing self-esteem problems and cognitive difficulties among schoolchildren.
{"title":"NUTRITIONAL AND SOCIOECONOMIC DETERMINANTS OF COGNITIVE STATUS AND SELF-ESTEEM AMONG SCHOOLCHILDREN IN THE URBAN AREA OF KENITRA (MOROCCO)","authors":"Kaoutar Ateilah, Y. Aboussaleh, Samir Bikri, Ahmed Omar Touhami Ahami","doi":"10.5604/01.3001.0054.3421","DOIUrl":"https://doi.org/10.5604/01.3001.0054.3421","url":null,"abstract":"Low cognitive performance and low self-esteem can be influenced by nutritional factors, such as dietary deficiencies, as well as socio-economic aspects including the level of education and economic status. These elements can interact in complex ways, contributing to variations in cognitive performance and self-es- teem. It is important to consider all aspects of mental and physical health to fully understand this relationship.A sample of 174 urban schoolchildren, aged between 15 and 19, and hailing from modest socio-economic backgrounds, participated in the study. They underwent a cognitive test (the Raven test) to evaluate their intellectual induction abilities. Additionally, a questionnaire was administered to gauge their socio-economic status. Nutritional status was assessed through various indices, including weight, height, and indicators such as weight-for-age, height-for-age, and emaciation. Self-esteem was measured using the French translation of Pelham and Swann’s self-assessment questionnaire, completed by the students.Neurocognitive abilities exhibited significant correlations with gender, mathematical performance, nutritional status, and the educational level of mothers. Conversely, self-esteem demonstrated correlations with parental education levels and the presence of emaciation.The results of this study highlight a significant relation between malnutrition and neurocognitive abilities, as well as self-esteem in schoolgirls. These findings suggest that nutritional management could play an essential role in preventing self-esteem problems and cognitive difficulties among schoolchildren.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-11DOI: 10.5604/01.3001.0053.9735
M. Utami, A. Sulastri, Justinus Santoso, A. Suryani, Haryo Goeritno, L. Widhianingtanti, Gilles van Luijtelaar
Rey’s Auditory Verbal Learning Test (RAVLT) assesses different as- pects of verbal memory and learning. This test is often used in clinical, educational, and selection contexts. We adapted the Geffen et al’ ver- sion for Indonesia and here we present sychometric properties. We tested the validity via its seven recall trials (A1 to A7), based on theore- tical constructs (e.g. the presence and recency effect) via analyses of variance and factor analyses and the test’s reliability via e.g. correlation analyses and Cronbach’s alpha. The objective of the research was to study the psychometric properties of Rey Auditory Verbal Learning Test which were adapted from Geffen et al’s to Indonesian version.Two groups of healthy participants with varying ages (16-80) and edu- cation (from Elementary school to postgraduate alumni) included 492 persons for the validation, and 50 for the test-retest reliability part of the study with a 6–14-day interval. We tested the validity via its seven recall trials, based on theoretical constructs, and factor analyses. The test’s reliability via Cronbach’s alpha test, and test-retest.The recall scores increased over trials A1 to A5. The expected position effect, primacy, and recency were found for A1 to A5. Factor analysis that the Rey Auditory Verbal Learning Test revealed three memory con- structs. The word “ibu (mother)” caused an anomaly in the position effect of the 15 words. Both Cronbach’s Alpha and the test-retest corre lations increased from low A1 to satisfying A7. Carry-over results were found in the retest.The Indonesian version of the Rey Auditory Verbal Learning Test is valid based on the recall related to the position of the words, the three clusters describing the memory of all seven trials. The score of relia- bility is only moderate for the recall score, it might be due to the test- retest procedure.
{"title":"ADAPTATION OF REY AUDITORY VERBAL LEARNING TESTFOR INDONESIA: ITS VALIDITY AND RELIABILITY","authors":"M. Utami, A. Sulastri, Justinus Santoso, A. Suryani, Haryo Goeritno, L. Widhianingtanti, Gilles van Luijtelaar","doi":"10.5604/01.3001.0053.9735","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9735","url":null,"abstract":"Rey’s Auditory Verbal Learning Test (RAVLT) assesses different as- pects of verbal memory and learning. This test is often used in clinical, educational, and selection contexts. We adapted the Geffen et al’ ver- sion for Indonesia and here we present sychometric properties. We tested the validity via its seven recall trials (A1 to A7), based on theore- tical constructs (e.g. the presence and recency effect) via analyses of variance and factor analyses and the test’s reliability via e.g. correlation analyses and Cronbach’s alpha. The objective of the research was to study the psychometric properties of Rey Auditory Verbal Learning Test which were adapted from Geffen et al’s to Indonesian version.Two groups of healthy participants with varying ages (16-80) and edu- cation (from Elementary school to postgraduate alumni) included 492 persons for the validation, and 50 for the test-retest reliability part of the study with a 6–14-day interval. We tested the validity via its seven recall trials, based on theoretical constructs, and factor analyses. The test’s reliability via Cronbach’s alpha test, and test-retest.The recall scores increased over trials A1 to A5. The expected position effect, primacy, and recency were found for A1 to A5. Factor analysis that the Rey Auditory Verbal Learning Test revealed three memory con- structs. The word “ibu (mother)” caused an anomaly in the position effect of the 15 words. Both Cronbach’s Alpha and the test-retest corre lations increased from low A1 to satisfying A7. Carry-over results were found in the retest.The Indonesian version of the Rey Auditory Verbal Learning Test is valid based on the recall related to the position of the words, the three clusters describing the memory of all seven trials. The score of relia- bility is only moderate for the recall score, it might be due to the test- retest procedure.","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140458921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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