scholarly journals The Effectiveness of Various Types of Psychological Correction of Anxiety in Primary School

2019 ◽  
Vol 10 (1) ◽  
pp. 20
Author(s):  
Olga P. Bartosh ◽  
Tatiana P. Bartosh
Keyword(s):  
Child Anxiety ◽  
Self Regulation ◽  
Childhood Anxiety ◽  
Group Iii ◽  
Group I ◽  
Psychological Training ◽  
Group Ii ◽  
The Impact ◽  
Therapy Sessions ◽  
Healthy Personality

At various stages of the development and education of children, there are psychoemotional difficulties that create prerequisites for impairment of the development of the child’s personality. The timely detection of difficulties in schoolchildren and therapeutic efforts are important for the formation of a psychologically healthy personality. The study of the effectiveness of various remedial techniques for childhood anxiety has therefore become theoretically and practically significant. The purpose of our study is to determine the effectiveness of various types of such therapeutic efforts: social and psychological training, a method of biological feedback, and Sandplay for the indicators of childhood anxiety among younger schoolchildren. The study was conducted in the school of Magadan, northeast of Russia (9–10-year-old students, n = 43). We used a standardized method of Multidimensional Assessment of Child Anxiety which included 10 scales. The following therapeutic efforts were used: sociopsychological training (SPT), biofeedback method (BFB), individual and group Sandplay. Students of group I (n = 12) participated only in the SPT. Students of group II (n = 11) participated in the SPT and underwent a course of training in self-regulation using the BFB method. In therapy work with the students of group III (n = 20), the SPT, BFB, individual and group Sandplay were used. In group I, after the therapy sessions, a significant decrease in anxiety was observed in 3 of 10 scales (2, 6, 7; p < 0.05). In group II, it was seen in 5 scales (1, 3, 6, 7, 8; p < 0.05). In group III, significant improvements took place in 7 scales (1, 2, 5, 6, 7, 9, 10; p < 0.01–p < 0.05). The present study has shown the different efficacy of applying the remedial techniques separately and in combination. The use of the therapy methods, in the complex, enhances the impact on the types of child anxiety.

scholarly journals The Effectiveness of Various Types of Psychological Correction of Anxiety in Primary School

2019 ◽  
Author(s):  
Olga P. Bartosh ◽  
Tatiana P. Bartosh
Keyword(s):  
Child Anxiety ◽  
Self Regulation ◽  
Childhood Anxiety ◽  
Biological Feedback ◽  
Group Iii ◽  
North East ◽  
Group I ◽  
Psychological Training ◽  
Group Ii ◽  
The Impact

The purpose of our study is to determine the effectiveness of various types of psychocorrection measures: social and psychological training, a method of biological feedback and Sandplay for the indicators of childhood anxiety among younger schoolchildren. The study was conducted in the school of Magadan, North East of Russia (9-10 year old students, n = 43). We used a standardized method of Multidimensional Assessment of Child Anxiety which included 10 scales. The correction methods were used: socio-psychological training (SPT), biofeedback method (BFB), individual and group Sandplay. Students of group I (n = 12) participated only in the SPT. Students of group II (n = 11) participated in the SPT and underwent a course of training in self-regulation using the BFB method. In correction work with the students of group III (n = 20), the SPT, BFB, individual and group Sandplay were used. In group I, after the correction activities, a significant decrease in anxiety was observed in 3 of 10 scales (2, 6, 7; (p &lt;0.05). In group II it was seen in 5 scales (1, 3, 6, 7, 8; p &lt;0.05). In group III, a significant improvements took place in 7 scales (1, 2, 5, 6, 7, 9, 10; p &lt;0.01&ndash;p &lt;0.05). The present study has shown the different efficacy of applying the remedial techniques separately and in combination. The use of methods in the complex enhances the impact on the types of the child anxiety.

scholarly journals EFFECT OF SMOKING ON ORAL HYGIENE PARAMETERS IN ADOLESCENTS AND YOUNG ADULTS

2021 ◽  
Vol 21 (3) ◽  
pp. 160-163
Author(s):  
I. Lisetska ◽  
M. Rozhko
Keyword(s):  
Young Adults ◽  
Oral Hygiene ◽  
Electronic Cigarettes ◽  
Group Iv ◽  
Adolescents And Young Adults ◽  
Group Iii ◽  
Group I ◽  
Dental Diseases ◽  
Group Ii ◽  
The Impact

Recent studies have shown that the prevalence of dental diseases is remaining high among the population. It is known that the pathogenesis of dental diseases is strongly associated with smoking. Maintaining proper oral hygiene is an important factor in the prevention of dental diseases. Therefore, the question of studying the impact of smoking on the oral hygiene status in adolescents and young adults is quite relevant as it can promote further development of more effective preventive measures. The aim of the study is to examine the effect of smoking on the oral hygiene parameters in adolescents and young adults. Oral Hygiene Index-Simplified (Green-Vermillion, 1964) was applied to assess the oral hygiene status in 114 adolescents and young adults aged 15 to 24 years, who were divided into groups: group I included 26 people who smoked traditional cigarettes on regular basis; group II included 22 people who smoked electronic cigarettes (Vapes); group III involved 23 people who used to smoke tobacco heating devices (IQOS); group IV included 43 non-smokers. The subjects of group I were found to have an unsatisfactory oral hygiene status, their OHI-S index was equal to 1.77 ± 0.02 scores. The subjects of group II demonstrated 1, 53±0, 01 scores, and the subjects of group III – 1.46±0.02 scores that corresponds to a satisfactory level of hygiene. The subjects of group IV, whose oral hygiene status was also satisfactory, had 0.87±0.03 scores. The study has shown that the state of oral hygiene is affected by smoking of traditional cigarettes or alternative smoking devices and smoking duration. Therefore, much attention should be paid and more efforts should be applied to promote smoking cessation and to elaborate the algorithm of medical and preventive dental care for those who is still smoking.

Mechanisms of Platelet Dysfunction and Response to DDAVP in Patients with Congenital Platelet Function Defects

1995 ◽  
Vol 74 (04) ◽  
pp. 1071-1078 ◽  
Author(s):  
A Koneti Rao ◽  
Sikha Ghosh ◽  
Ling Sun ◽  
Xu Yang ◽  
Jyoti Disa ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Dense Granule ◽  
Double Blind ◽  
Group Iii ◽  
Group I ◽  
Production Group ◽  
Group Ii ◽  
Platelet Defects ◽  
Deficiency Group ◽  
The Impact

SummaryTo examine the impact of the underlying defective platelet mechanism on the response to 1-desamino-8-D-arginine vasopressin (DDAVP, Desmopressin), we studied the effect of intravenous infusion of 0.3 μg/kg of DDAVP in a randomized double blind placebo-controlled trial with cross-over in 18 carefully characterized patients with congenital platelet defects (CPD) and BT ≥9 min. Eleven patients had normal dense granule stores and normal thromboxane A2 (TxA2) production (Group I), 3 patients had normal granule stores but impaired TxA2 production (Group II), and 4 had δ-storage pool deficiency (Group III). DDAVP shortened BT at 50 min (DDAVP 14.6 ± 2.2 vs placebo 19.6 ± 2.3 min; n = 18; mean ± SE; p = 0.003) and 4h (17.0 ± 2.2 vs 19.6 ±2.1 min, p = 0.055), and raised plasma FVIIIC and von Willebrand factor (vWF). At 50 min DDAVP shortened BT by ≥5 min in 8 of 11 Group I patients (mean 9.7 ± 1.3 vs 16.3 ± 2.8 min; p <0.008), 1 of 3 Group II patients (11.9 ± 3.9 vs 17.7 ± 6.6; p = NS) and none of Group III patients (mean 30 min both arms). Ten patients (Group I or II) were managed successfully during surgical procedures with DDAVP alone. We conclude that DDAVP shortens BT in majority of CPD patients with normal dense granule stores and suggest that BT response may be dependent on the underlying platelet defect. DDAVP is a useful modality in management of selected patients, particularly those with normal dense granule stores.

Does immediate weight-bearing following intramedullary tibial nailing affect union rates? The results from a single UK trauma unit

Trauma ◽  
2020 ◽  
pp. 146040862097607
Author(s):  
Michael Apostolides ◽  
Sabina A Barbur ◽  
Andrew JL Jowett
Keyword(s):  
Weight Bearing ◽  
Fracture Site ◽  
Tibial Fractures ◽  
Rank Test ◽  
Fracture Union ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
The Impact

Introduction Extra-articular diaphyseal tibial fractures are a common injury and are often treated with intramedullary nailing (IMN). Weight-bearing (WB) of simple tibial fractures treated with an IMN immediately as pain allows is now standard practice. Our aim was to assess the impact of varied WB on fracture union following IMN of diaphyseal tibia fractures. Methods We conducted a retrospective cohort study of tibial fractures treated with IMN in our department between 2012-2017. WB status was recorded in the post-operative note and subsequently reviewed in the patients’ follow-up appointments. Patients were divided in three groups; Group I: immediate full-WB, Group II: non-WB for 6 weeks and Group III: 2 weeks non-WB, 4 weeks increasing partial-WB and full-WB at 6 weeks. Radiographic union score for tibial fractures (RUST) of ≥10 at a painless fracture site was considered as evidence of fracture union. Results 92 patients with comparable pre-operative demographics [mean age 40 y (16-88)] were included. The median union time in weeks for each group was: Group I 17.3, Group II 21.7 and Group III 19.5 (F 1.09, p 0.34). Survival analysis and log rank test did not show any difference in union times between the three groups (x2 1.1, p 0.57). 12 delayed unions were identified across all groups. Multiple logistic regression identified three factors that could increase the rate of delayed union – non-WB, smoking and IMN size 11/12 mm - however the results were not statistically significant. Conclusion Immediate post-operative WB does not adversely affect union time in statically locked IMNs. In fact, although our data show no statistically significant difference in fracture healing between the three groups, full WB seems to decrease overall time to union. In conclusion, we could suggest that full WB after IMN in patients with AO 42-A/B type fractures is safe practice.

scholarly journals Influence of disease activity on functional capacity in patients with rheumatoid arthritis

2015 ◽  
Vol 72 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Jelena Jovanovic ◽  
Miodrag Stojanovic ◽  
Vladimir Jovanovic ◽  
Aleksandar Dimic ◽  
Sladjana Bozilov ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Functional Status ◽  
Functional Disability ◽  
Health Assessment ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
The Impact ◽  
Significant Factors

Background/Aim. Progressive erosive changes in cartilage and bone in rheumatoid arthritis (RA) ultimately lead to joint deformities and disability which may be early, severe and permanent. Consequently, there is the reduction of functional ability and changes in the quality of life. The aim of this study was to estimate the impact of disease activity on functional status of patients with RA. Methods. A prospective investigation included 74 patients with RA who were treated in the Rheumatology Clinic of the ?Niska Banja? Institute. Assessment of functional status (capacity) was measured by the Health Assessment Questionnaire (HAQ) with the values from 0 to 3 that patients fill out on their own. The patients were then divided into three groups: the group I with the HAQ values from 0.125 to 1.000, the group II with the values from 1.125 to 2.000 and the group III with the values from 2.125 to 3.000. Disease activity was measured by Disease Activity Score (DAS28). The assessment also included sedimentation rate (SE) influence, IgM rheumatoid factor (RF) and C-reactive protein (CRP) positivity, age, and disease duration. Results. The patients with the most severe functional damage estimated by the HAQ - the group III, had the highest values of DAS28 SE (7.4 ? 0.8) compared to the group II (6.5 ? 1.2) and the group I (3.4 ? 1.2). The group III also showed the highest values of DAS28 CRP (7.1 ? 0.8) compared to the group II (6.7 ? 0.8) and the group I (3.6 ? 0.4). Compared with the patients with small and moderate functional damage, the patients in the group III had positive IgM RF and CRP as well as higher SE values more frequently and the difference was statistically significant. In the univariate logistic model, the tested parameters of DAS28 SE, DAS 28 CRP, SE, RF and CRP represent significant predictors of functional disability. The most significant factors that increase the odds of patient having the most severe functional damage include DAS28 SE which increases the odds by 5.5 times (OR = 5.450, 95% CI = 3.211-7.690, p = 0.001), DAS28 CRP by 5.1 times (OR = 5.111, 95% CI = 2.123-10.636, p < 0.01), and the presence of increased CRP (OR = 5.219, 95% CI = 1.305-18.231, p = 0.019) by 5.2 times. Conclusion. Functional status evaluated by the HAQ is a standard for assessment of RA due to its convenience and good correlation with parameters of disease activity. The most significant factors that increase the odds that the patient has the greatest functional damage are DAS28 SE, DAS28 CRP and the presence of CRP.

scholarly journals A matter of atrophy: differential impact of brain and spine damage on disability worsening in multiple sclerosis

2021 ◽  
Author(s):  
Serena Ruggieri ◽  
Maria Petracca ◽  
Laura De Giglio ◽  
Francesca De Luca ◽  
Costanza Giannì ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Spinal Cord ◽  
Brain Atrophy ◽  
Group Iv ◽  
Spinal Cord Atrophy ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
The Impact ◽  
Brain And Spinal Cord

AbstractAs atrophy represents the most relevant driver of progression in multiple sclerosis (MS), we investigated the impact of different patterns of brain and spinal cord atrophy on disability worsening in MS. We acquired clinical and MRI data from 90 patients with relapsing–remitting MS and 24 healthy controls (HC). Clinical progression at follow-up (mean 3.7 years) was defined according to the Expanded Disability Status Scale-Plus. Brain and spinal cord volumes were computed on MRI brain scans. After normalizing each participants’ brain and spine volume to the mean of the HC, z-score cut-offs were applied to separate pathologically atrophic from normal brain and spine volumes (accepting a 2.5% error probability). Accordingly, MS patients were classified into four groups (Group I: no brain or spinal cord atrophy N = 40, Group II: brain atrophy/no spinal cord atrophy N = 11, Group III: no brain atrophy/ spinal cord atrophy N = 32, Group IV: both brain and spinal cord atrophy N = 7). All patients’ groups showed significantly lower brain volume than HC (p < 0.0001). Group III and IV showed lower spine volume than HC (p < 0.0001 for both). Higher brain lesion load was identified in Group II (p = 0.049) and Group IV (p = 0.023) vs Group I, and in Group IV (p = 0.048) vs Group III. Spinal cord atrophy (OR = 3.75, p = 0.018) and brain + spinal cord atrophy (OR = 5.71, p = 0.046) were significant predictors of disability progression. The presence of concomitant brain and spinal cord atrophy is the strongest correlate of progression over time. Isolated spinal cord atrophy exerts a similar effect, confirming the leading role of spinal cord atrophy in the determination of motor disability.

scholarly journals The Impact of Blood Flow Rate and Duration of Dialysis Session on Nutritional Status in Hemodialysis Patients

2020 ◽  
Vol 12 (11) ◽  
pp. 106
Author(s):  
Nur Samsu ◽  
Fatmawati Fatmawati ◽  
Aurora Permatasari ◽  
Kartin Kartin ◽  
Wahyu Wulandari
Keyword(s):  
Blood Flow ◽  
Nutritional Status ◽  
Flow Rate ◽  
Blood Flow Rate ◽  
Group Iii ◽  
Class A ◽  
Group I ◽  
Group Ii ◽  
The Impact ◽  
Dialysis Time

BACKGROUND: Blood flow rate (BFR) and time of dialysis are important determinants of dialysis adequacy. This study aimed to determine the impact of higher BFR and longer dialysis time on nutritional status in chronic hemodialysis (HD) patients. METHODS: Real-world evidence (RWE) studies of 3 HD units in different hospitals that differ in BFR and/or dialysis time. Group I, HD 5 hr and BFR 200-250 mL/min; group II, HD 4 hr and BFR 270-320 mL/min, and group III, HD 4 hr and BFR 200-250 mL/min. All HD units use the same dialysate flow and dialysis frequency. Nutritional status was assessed using a 3-point scale Subjective Global Assessment. RESULTS: A total of 233 chronic HD patients were included, mean of age was 52 &plusmn; 12.9 years, 46.5% were male. There are 69.5% on SGA class A, 27.5% on SGA class B, and 3% on SGA class C. The proportion of SGA class A in group II was highest compared to group II and III (93.5% vs 79.0% vs 32.1% (p &lt;0.05). There was no SGA class C in group II, whereas 2.4% in group I and 7.4% in group III. In group II there was lower interdialytic weight gain (IDWG) and less use of anti-hypertensive drugs compared to group III (p &lt;0.05). CONCLUSION: Our study showed that higher BFR and longer dialysis time are associated with better nutritional status in chronic HD patients. A higher BFR seems to have a more substantial impact compared to a longer dialysis time. Keywords: blood flow rate, dialysis time, subjective global assessment, nutritional status

scholarly journals Geochemistry and Petrogenesis of Mafic and Ultramafic Inclusions in Sublayer and Offset Dikes, Sudbury Igneous Complex, Canada

2020 ◽  
Vol 61 (6) ◽  
Author(s):  
Yujian Wang ◽  
C Michael Lesher ◽  
Peter C Lightfoot ◽  
Edward F Pattison ◽  
J Paul Golightly
Keyword(s):  
Matrix Group ◽  
Igneous Complex ◽  
Middle Crust ◽  
Group Iii ◽  
Impact Melt ◽  
Sudbury Igneous Complex ◽  
The North ◽  
Group I ◽  
Group Ii ◽  
The Impact

Abstract The c. 1·85 Ga Sudbury Igneous Complex (SIC) is the igneous remnant of one of the oldest, largest and best-preserved impact structures on Earth and contains some of the world’s largest magmatic Ni–Cu–PGE sulfide deposits. Most of the mineralization occurs in Sublayer, Footwall Breccia and inclusion-bearing quartz diorite (IQD), all of which contain significant (Sublayer and IQD) to minor (Footwall Breccia) amounts of olivine-bearing mafic–ultramafic inclusions. These inclusions have only rare equivalents in the country rocks and are closely associated with the Ni–Cu–PGE sulfide mineralization. They can be divided into three groups on the basis of petrography and geochemical characteristics. Group I (n = 47) includes igneous-textured olivine melanorite and olivine melagabbronorite inclusions in the Whistle and Levack embayments on the North Range with Zr/Y, Zr/Nb, Nb/U and Zr/Hf similar to igneous-textured Sublayer matrix. Group I inclusions are interpreted to be anteliths that crystallized from a mixture of SIC impact melt and a more mafic melt, probably derived by melting of ultramafic footwall rocks. Group II includes Group IIA (n = 17) shock metamorphosed wehrlite and olivine clinopyroxenite inclusions in the Levack embayment and Group IIB (n = 2) shock metamorphosed olivine melanorite inclusions in the Foy Offset on the North Range. Group II inclusions have similar trace element patterns [e.g. negative Th–U, Nb–Ta–(Ti), Sr and Zr–Hf anomalies] and overlapping Nb/U to a layered mafic–ultramafic intrusion in the footwall of the Levack and Fraser deposits, which together with their limited distribution suggests that Group II inclusions are locally-derived xenoliths. Group III (n = 21) includes phlogopite lherzolite and feldspar lherzolite inclusions with igneous, recrystallized and shock-metamorphic textures in the Trill, Levack and Bowell embayments, and the Foy Offset dike on the North Range. They have no equivalents in the exposed country rocks. The calculated parental magma is similar to continental arc basalt formed by approximately 5% partial melting of garnet peridotite. Ol–Cpx–Pl thermobarometry of several Group III inclusions indicate equilibration at 900–1120 ºC and 210 ± 166 MPa to 300 ± 178 MPa, suggesting crystallization in the upper-middle crust (7·7 ± 6·6 to 10·9 ± 6·5 km), prior to being incorporated into the lower parts of the impact melt sheet during impact excavation. The exotic xenoliths provide information about the depth of impact and composition of upper-middle crust in the Sudbury region at 1850 Ma, the local xenoliths provide information about the thermomechanical erosion process that followed generation of the impact melt, the anteliths provide information about the early crystallization history of the SIC, and all of the inclusions provide constraints on the genesis of Sublayer, IQD, footwall breccia, and associated Ni–Cu–PGE mineralization.

Teaching baroreflex physiology to medical students: a comparison of quiz-based and conventional teaching strategies in a laboratory exercise

2012 ◽  
Vol 36 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Ronan M. G. Berg ◽  
Ronni R. Plovsing ◽  
Morten Damgaard
Keyword(s):  
Medical Students ◽  
Student Satisfaction ◽  
Teaching Strategies ◽  
Intervention Group ◽  
Laboratory Exercise ◽  
Group Iii ◽  
Group I ◽  
Conventional Teaching ◽  
Group Ii ◽  
The Impact

Quiz-based and collaborative teaching strategies have previously been found to be efficient for the improving meaningful learning of physiology during lectures. These approaches have, however, not been investigated during laboratory exercises. In the present study, we compared the impact of solving quizzes individually and in groups with conventional teaching on the immediate learning during a laboratory exercise. We implemented two quizzes in a mandatory 4-h laboratory exercise on baroreflex physiology. A total of 155 second-year medical students were randomized to solve quizzes individually ( intervention group I, n = 57), in groups of three to four students ( intervention group II, n = 56), or not to perform any quizzes (control; intervention group III, n = 42). After the laboratory exercise, all students completed an individual test, which encompassed two recall questions, two intermediate questions, and two integrated questions. The integrated questions were of moderate and advanced difficulty, respectively. Finally, students completed an evaluation form. Intervention group I reached the highest total test scores and proved best at answering the integrated question of advanced difficulty. Moreover, there was an overall difference between groups for student evaluations of the quality of the teaching, which was highest for intervention group II. In conclusion, solving quizzes individually during a laboratory exercise may enhance learning, whereas solving quizzes in groups is associated with higher student satisfaction.

Ultrastructural Lesions Produced by Alcohol and Sucrose in the Heart and Liver of C57BL Mice

1970 ◽  
Vol 28 ◽  
pp. 208-209
Author(s):  
K.K. SEKHRI ◽  
C.S. ALEXANDER ◽  
H.T. NAGASAWA
Keyword(s):  
Osmium Tetroxide ◽  
Male Mice ◽  
Alcohol Group ◽  
Group Iii ◽  
Group I ◽  
C57bl Mice ◽  
Group Ii

C57BL male mice (Jackson Lab., Bar Harbor, Maine) weighing about 18 gms were randomly divided into three groups: group I was fed sweetened liquid alcohol diet (modified Schenkl) in which 36% of the calories were derived from alcohol; group II was maintained on a similar diet but alcohol was isocalorically substituted by sucrose; group III was fed regular mouse chow ad lib for five months. Liver and heart tissues were fixed in 2.5% cacodylate buffered glutaraldehyde, post-fixed in 2% osmium tetroxide and embedded in Epon-araldite.

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