Geislermcintyre5286

Linear mixed-effect models were later conducted to assess the relationships between the latent variables. The effect of perceived wellness status on technical-tactical performance was statistically significant in forwards (p = .042), not statistically significant in backs (p = .120) and accounted for 4.9% and 1.9% variance in the technical-tactical performance construct, respectively. The findings of this study suggest that perceived wellness status can influence technical-tactical match performance, but the practical significance of these findings should be interpreted with caution given the amount of variance in technical-tactical performance accounted by the models.

Although some studies have shown impairments in patients with bipolar disorder (BPD) and in smokers, it is unclear how these two factors work together. Our premise was that chronic smoking affects color discrimination and this is more pronounced in BPD.

Our main purpose was to investigate the influence of smoking and BPD on color discrimination.

Twenty-three smokers and 23 BPD smokers patients, aged 25-45 years old, participated in this study. Color vision testing was performed using the Trivector subtest of the Cambridge Colour Test. Participants' task was to indicate the pseudoisochromatic stimulus in four directions (up, down, right, and left).

It was shown that the smokers had better color vision than BPD smokers for the Protan (

< .001), Deutan (

< .001), and Tritan (

< .001) (red, green, and blue, respectively) axes. Thus, the BPD smokers' group had greater difficulty distinguishing the chromaticity variations (i.e., presented diffuse color vision impairments and not specific t), and Tritan (p less then .001) (red, green, and blue, respectively) axes. Thus, the BPD smokers' group had greater difficulty distinguishing the chromaticity variations (i.e., presented diffuse color vision impairments and not specific to any axis). Conclusions The present study highlights a possible relationship between smoking and BPD in color discrimination. This highlights the importance of understanding the diffuse effects of this relationship.

The aim of study is to investigate whether hematological inflammatory biomarkers could be useful to detect patients with lung cancer.

The contribution of hematological biomarkers to the diagnosis of lung cancer and prediction of TNM was examined.

NLR, PLR, MPV values were found to be higher in patients with lung cancer (all

 < .001). NLR and PLR were found to be high, MPV was found to be lower in disease of advanced stage (

 < .001).

This study found that NLR, PLR and MPV values were significantly higher in patients with lung cancer.

This study found that NLR, PLR and MPV values were significantly higher in patients with lung cancer.Introduction The onset of the COVID-19 pandemic has forced a rapid and extensive change in the need of intensive care beds. Therefore, we decided early in the pandemic to suspend all elective cases of cardiac surgery and closed the ambulatory clinic. The effect of this strategy on the mental well-being of the non-COVID-19 patients is unknown. The aim of this study is to assess whether planned or operated patients suffered from either anxiety or depression by their altered medical care trajectory and if their score influenced decision-making. AZD9291 The findings intend to anticipate individual needs during subsequent waves of the COVID-19 pandemic.Methods The patient population consisted of two groups. The first group included planned patients whose operation date was delayed; in the second group, the postoperative control visit was postponed. Both groups received a twofold questionnaire. Part one was the Hospital Anxiety and Depression scale, part two a series of questions on the influence of the COVID-19 pandemic on cardiac surgical care from a patient's perspective.Results The study population was composed of 46 patients (63% men). Most of them (82,6%) would like the surgery to be performed as fast as possible, even before the end of the first wave of COVID-19-related hospitalizations. Of all patients 30,4% have avoided to consult a physician because of fear and 34,8% consulted a physician by phone call. When they physically consulted a physician, there was a prominent role for the general practitioner (41,3% went to the GP vs 19,6% to the specialist). Most (58,7%) of the patients would have liked a (tele)consultation with the cardiac surgeon.Conclusions Regardless of the HADS, one can state that a closer follow-up using telemedicine during the pandemic is expected by all patients. All patients prefer their surgery to take place even during a pandemic.Purpose Early evidence supports the safety and efficiency of extended scope speech-language pathology (SLP) clinics designed to manage low risk ear nose and throat (ENT) outpatient referrals, however long-term data is lacking. The aim of this study was to complete a 5-year audit of clinical outcomes, including rates of re-referral, for a SLP Allied Health Practitioner (SLP AHP) led dysphagia and dysphonia service within an Integrated Specialist ENT Service.Method A retrospective audit was undertaken of all patients referred with non-urgent dysphonia and/or dysphagia symptoms over a 5-year period since establishment of the SLP AHP service. Clinical outcomes, rates and reasons for re-referral to the specialist ENT waiting list were investigated.Result Of 616 patient referrals, 462 patients were seen by the SLP AHP service. Most (72%, n = 333) received all required management through the clinical model, with only 28% (n = 129) requiring additional ENT intervention, consistent with previously published data. Only 36 of the 616 (6%) were re-referred/re-presented within 12 months of first presentation, of which only 12 were referred for same condition as initial referral. No adverse outcomes were recorded on the clinical database during this 5-year period.Conclusion Results provide further evidence that the SLP AHP service is a safe and efficient method for managing low risk ENT outpatient referrals.Although data protection is compulsory when personal data is shared, there is no systematic method available to evaluate to what extent each individual is at risk of a privacy breach. We use a collection of measures that quantify how much information is needed to uncover sensitive information. Combined with visualization techniques, our approach can be used to perform a detailed privacy analysis of medical data. Because privacy is evaluated per variable, these adjustments can be made while incorporating how likely it is that these variables will be exploited to uncover sensitive information in practice, as is mandatory in the European Union. Additionally, the analysis of privacy can be used to evaluate to what extent knowledge on specific variables in the data can contribute to privacy breaches, which can subsequently guide the use of anonymization techniques, such as generalization.

BCG and MMC shortage and Covid-19 pandemic, more recently, limit accessibility to maintenance regimen in intravesical prophylaxis against recurrence of non-muscle invasive bladder cancer (NMIBC). Ellagic acid (EA) and Annona muricata (AM) exert antitumor activity against different human tumours. An observational prospective study on the prophylactic effect of oral administration of EA+AM in patients avoiding maintenance regimen is presented.

Patients affected by NMIBC and not undergoing maintenance after a 6-week course of intravesical prophylaxis with MMC or BCG were entered. Tis and very high-risk tumours were excluded. After informed consent, the patients were subdivided in relation to the oral assumption or not of EA (100 mg) plus AM (100 mg), daily for 6 months. All patients were submitted to 3-month cytology and cystoscopy.

162 (90%) of 180 entered patients are evaluable, 90 and 72 receiving or not EA+AM. No difference emerged in patients' characteristics between the two groups. BCG was given in 86 (54%) and chemotherapy in 74 (46%) patients. The recurrence free rate at 3, 6 and 12 months in patients assuming or not EA was 96.5% versus 84.6% (

 = 0.003), 85.4% versus 64.8% (

 = 0.005) and 74.2% versus 60.6% (

 = 0.246), respectively. The recurrence free survival at 12 months in patients assuming or not EA was 63.0% versus 34.5% (

 < 0.0001).

Our study suffers several limits not randomized trial although prospective, limited number of patients and short follow-up, nevertheless it shows the prophylactic effect of oral EA+AM in absence of maintenance after intravesical chemotherapy or immunotherapy induction.

Our study suffers several limits not randomized trial although prospective, limited number of patients and short follow-up, nevertheless it shows the prophylactic effect of oral EA+AM in absence of maintenance after intravesical chemotherapy or immunotherapy induction.The ongoing racism pandemic in the United States negatively impacts the health, safety, and occupations of Black, Indigenous, and/or People of Color. Although occupational therapy (OT) practitioners have a pressing obligation to actively address racism's causes and consequences, they lack guidance on what to do. This scoping study sought to identify and synthesize existing knowledge on ways OT practitioners and the profession can engage in anti-racist actions. Six databases were searched for content related to OT and anti-racism. The 31 included articles indicated that OT practitioners should engage in reflexivity on ways their power and privilege impact therapeutic relationships, use inclusive models, consider how racism can impact client occupations and health care access, and address structural racism through advocacy and occupations as means. Although being anti-racist is a lifelong process, strategies within this study can support OT practitioners and the profession to initiate concrete anti-racist actions.

Traumatic renal injuries represent a major public health issue concerning mostly young men. Over the last decades there is growing debate regarding the management of high-grade renal injuries due to the emerging role of conservative treatment. The aim of this study is to present our experience in the conservative management of patients presenting with grade 4 or grade 5 renal injuries in our department.

In this retrospective, single center study we evaluated data from a total of 57 hemodynamically stable patients who were managed conservatively for grade 4 or grade 5 renal injuries from 2015 to 2019 in our high-volume trauma center. Grading was based on contrast enhanced abdominal computed tomography (CT) scans. Patients managed with immediate nephrectomy due to hemodynamic instability and patients who underwent immediate laparotomy due to concomitant injuries or penetrating wounds were excluded from the study.

A total of 54 patients diagnosed either with grade 4 or grade 5 renal trauma were finally sucnamic stable patients. In cases of continuous bleeding, arterial embolization can be performed. In cases of severe urine leak conservative management is also feasible either by inserting a double j stent or a nephrostomy tube.Purpose Studies have shown that children with Down syndrome (DS) are at high risk for physical inactivity and obesity. This study aimed to explore mother's perceptions of the physical activity levels, needs, benefits, facilitators, and barriers in their children with DS.Methods For this descriptive qualitative study, 17 participants were recruited through centres for children with DS in the Kingdom of Saudi Arabia. Semi-structured interviews were conducted with mothers who were able speak Arabic or English and have a child with a confirmed diagnosis of Trisomy 21 (DS) between ages three and 17 years. Thematic analysis was used to analyse the study data.Results Data analysis revealed the following themes regarding children with DS 1) their physical functioning level; 2) daily physical activity at home; 3) physical activity at school; 4) physical activity benefits; 5) physical activity facilitators; and 6) physical activities barriers.Conclusion Findings from this study can help health professionals gain insight on the physical activity facilitators and barriers for children with DS in order to design tailored intervention programmes to improve the support and the engagement of children with DS into regular physical activities.