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1
Dagnan, Dave, Helen Pulford, Rebecca Cathers, and Andrew Jahoda. "Using Questions in Cognitive Therapy with People with Intellectual Disabilities." Behavioural and Cognitive Psychotherapy 44, no. 4 (2015): 499–503. http://dx.doi.org/10.1017/s1352465815000193.
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Background: There is increasing interest in the provision of cognitive behaviour therapy (CBT) to people with intellectual disabilities. A small number of studies have begun to address therapy process issues. Aims: The aim of this paper is to contribute to process research through the development of a taxonomy of question types for use in analysing therapy interactions in CBT for people with intellectual disabilities. Method: A taxonomy of CBT question types was adapted and applied to the transcriptions of session 4 and 9 of 15 CBT therapy dyads. Results: The taxonomy was reliably applied to the data. Therapists used significantly more questions in session 4 than in session 9, therapists used fewer questions in the final quarter of all sessions, and therapists used more questions with people with higher IQ scores in session 4 but not in session 9. Conclusions: The taxonomy of questions is reliable and may be used in future studies of CBT therapy process with people with intellectual disabilities.
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Moosavi, S. H., A. Guz, and L. Adams. "Repeated exercise paired with “imperceptible” dead space loading does not alter V˙e of subsequent exercise in humans." Journal of Applied Physiology 92, no. 3 (2002): 1159–68. http://dx.doi.org/10.1152/japplphysiol.00358.2001.
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We employed an associative learning paradigm to test the hypothesis that exercise hyperpnea in humans arises from learned responses forged by prior experience. Twelve subjects undertook a “conditioning” and a “nonconditioning” session on separate days, with order of performance counterbalanced among subjects. In both sessions, subjects performed repeated bouts of 6 min of treadmill exercise, each separated by 5 min of rest. The only difference between sessions was that all the second-to-penultimate runs of the conditioning session were performed with added dead space in the breathing circuit. Cardiorespiratory responses during the first and last runs (the “control” and “test” runs) were compared for each session. Steady-state exercise end-tidal Pco 2 was significantly lower ( P= 0.003) during test than during control runs for both sessions (dropping by 1.8 ± 2 and 1.4 ± 3 Torr during conditioning and nonconditioning sessions, respectively). This and all other test-control run differences tended to be greater during the first session performed regardless of session type. Our data provide no support for the hypothesis implicating associative learning processes in the ventilatory response to exercise in humans.
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Reich, Alan R., Julie A. Mason, and Samuel B. Polen. "Task Administration Variables Affecting Phonation-Time Measures in Third-Grade Girls with Normal Voice Quality." Language, Speech, and Hearing Services in Schools 17, no. 4 (1986): 262–69. http://dx.doi.org/10.1044/0161-1461.1704.262.
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Maximum and mean phonation times as a function of coaching were obtained from 28 third-grade girls with normal voice quality. All subjects produced three prolonged//trials in each of two experimental sessions, the sessions being separated by 1 week. Coaching was counterbalanced across sessions, resulting in four groups of seven subjects each: (a) Group NC-C did not receive coaching during the first experimental session but did receive coaching during the second, (b) Group C-NC received coaching during the first but not the second session, (c) Group C-C received coaching during both sessions, and (d) Group NC-NC received no coaching during either session. Coaching during the//prolongations produced significantly longer maximum and mean phonation times but did not reduce within-subjects variability. No familiarization effects were apparent across the two experimental sessions.
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Paprocki, Jarosław, Paweł Sutkowy, Jacek Piechocki, and Alina Woźniak. "Markers of Oxidant-Antioxidant Equilibrium in Patients with Sudden Sensorineural Hearing Loss Treated with Hyperbaric Oxygen Therapy." Oxidative Medicine and Cellular Longevity 2019 (February 6, 2019): 1–8. http://dx.doi.org/10.1155/2019/8472346.
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The concentration of thiobarbituric acid reactive substances (TBARSs) in plasma and erythrocytes, the activity of selected antioxidant enzymes in erythrocytes: catalase (CAT), superoxide dismutase (SOD), and glutathione peroxidase (GPx), and the levels of hemoglobin (HGB) and haematocrit (HCT) were determined in 40 patients with sudden sensorineural hearing loss (SSNHL) subjected to 14 treatment sessions in a Haux Starmed 2200 hyperbaric chamber. Hyperbaric oxygen (HBO) therapy involved breathing 100% oxygen at 0.25 MPa. Blood for analysis was collected from the basilic vein at three time points: before the first HBO session, approximately 5 min after the first session, and after the 14th session. The control group included 20 healthy individuals never before treated with HBO therapy. Compared to the pre-HBO values, a 10% increase (P<0.05) in the TBARS concentration in erythrocytes, a 28% increase in the GPx activity (P<0.05), and a 7% decrease in the SOD activity (P<0.05) were observed after 14 HBO sessions. The CAT activity decreased by 6% (P<0.05) after the first session. The TBARS concentration in plasma was 13% higher (P<0.01), while that in erythrocytes was 24% lower (P<0.001) in the SSNHL patients before the first HBO session compared to the control group. The CAT activity in the SSNHL patients before HBO therapy was 26% higher (P<0.001) than that in the control group. A statistically significant reduction in HGB and HCT after 14 HBO sessions (P<0.01) compared to the pre-HBO values was demonstrated. SSNHL is accompanied by disturbance in the oxidant-antioxidant equilibrium. Repeated stimulation with hyperbaric oxygen modulates the activity of antioxidant enzymes. It seems that the increased generation of hydrogen peroxide is responsible for the changes in the activity of antioxidant barrier enzymes observed after HBO sessions.
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Riquelme, MM, CA Melipillán, AA Bacon, OS Niño-Méndez, and CA Núñez-Espinosa. "The effects of aerobic exercise in water on perceived pain and heart rate variability in women with fibromyalgia." Archivos de Medicina del Deporte 38, no. 1 (2021): 8–14. http://dx.doi.org/10.18176/archmeddeporte.00020.
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Fibromyalgia is a disease characterized by conical pain associated with autonomic dysregulation of the sufferer, without many treatment alternatives. The objective of this study was to find out the relationship between physical exercise in an aquatic environment, pain perception and cardiovascular autonomic control in adult women suffering from fibromyalgia. The sample consisted of 15 women diagnosed with fibromyalgia who participated in 24 40-minute exercise sessions in a water environment. Anthropometric measures, heart rate variability (HRV) and pain perception (PCS) were evaluated in four experimental times (t1, baseline; t2, session 8; t3, session 16; t4, session 24). In addition, the perception of pain was evaluated in each session through VAS. The results show that the perception of pain through VAS decreased when comparing all the means evaluated before and after each session (p <0.05). In the PCS application, a lower Total Pain and Rumination was obtained when comparing t1 with t4. HRV values showed that SDNN and RMSSD were higher after the session, when t4 was compared with t1 (p <0.05). The mean heart rate decreased at the end of the sessions, showing a better adaptation to exercise. The relationship between pain and cardiac measurements was given by a positive correlation in the pain domains recorded before the sessions and the RMSSD and SDNN values. In conclusion, the practice of physical exercise in an aquatic environment would indicate a lower perception of pain and a better cardiac autonomic response in women with fibromyalgia.
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Mahbobeh, Samani, Motealleh Alireza, Yazdani Soheila, and Abbasi Leila. "Effects of Myofascial Release Technique on Pain and Disability in Patients with Chronic Lumbar Disc Herniation: A Randomized Trial." Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 27, no. 04 (2017): 218–25. http://dx.doi.org/10.1055/s-0043-115906.
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Abstract Background Disc herniation is one of the factors that causes low back pain (LBP). Objective This study aimed to evaluate the effect of a myofascial release technique on pain and disability in patients with chronic lumbar disc herniation. Method 30 patients with a herniated lumbar disc, divided into 2 groups. One group (n=15) received electrotherapeutic modalities (TENS, pulsed ultrasound, hot packs) in addition to the myofascial release technique (MFR) on trigger points in 9 soft tissue elements. The other group (n=15) received only electrotherapeutic modalities. All patients underwent 10 treatment sessions. In both groups we assessed back and lower extremity pain intensity, functional disability level and trigger point pain threshold before treatment and after 5 and 10 sessions. Results For back pain, the median between-group differences (95% CI) compared to baseline were 2 (1–2) after the 5th session and 2 (1–4) after the 10th session; the difference between the 5th and 10th sessions was 1 (0–2). For functional disability, the mean between-group differences (95% CI) compared to baseline were 5 points (1.8–8.1) after the 5th session and 8.3 points (4.2–12.3) after the 10th session; the difference between the 5th and tenth sessions was 3.34 points (1.02–5.6). For trigger point pain threshold, the mean between-group differences compared to baseline were −1.47 kg/cm2 (−1.7 to − 1.17) after the 5th session and −3.17 (−3.6 to −2.7) after the 10th session; the difference between the 5th and 10th sessions was −1.7 kg/cm2 (−2.04 to −1.3). Conclusion In conclusion, MFR might be an effective treatment for reducing pain and disability in patients with chronic lumbar disc herniation.
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Correia, Marilia de Almeida, Aluísio Andrade-Lima, Antônio Henrique Germano-Soares, Gabriel Grizzo Cucato, Eduardo Caldas Costa, and Raphael Mendes Ritti-Dias. "AORTIC POST-RESISTANCE EXERCISE HYPOTENSION IN PATIENTS WITH PERIPHERAL ARTERY DISEASE." Revista Brasileira de Medicina do Esporte 24, no. 1 (2018): 17–19. http://dx.doi.org/10.1590/1517-869220182401162482.
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ABSTRACT Introduction: A single session of resistance training decreases brachial blood pressure (BP) in patients with peripheral artery disease (PAD). However, it is not known whether similar responses occur in aortic BP, which is a better predictor of cardiovascular risk. Objective: This study aimed to analyze the effects of a single session of resistance training on aortic BP in PAD patients. Methods: This randomized, crossover, controlled trial involved 16 patients. All of them performed a session of resistance training (R - 3 x 10 reps in eight exercises, 5-7 on the OMNI Scale) and a control session (C - resting for 50 min). Before and after each session, aortic BP was assessed by applanation tonometry technique. Results: There was an increase in systolic (P<0.002) and mean (P<0.001) aortic BP in both sessions; however, higher increases were observed in C session (P<0.001). Additionally, diastolic aortic BP only increased after C session (P=0.004). The hypotensive effect of the exercise on systolic, diastolic, and mean aortic BP were -12±2, -6±2, and -7±2 mmHg, respectively. Conclusion: A single session of resistance training promoted a hypotensive effect on aortic BP of patients with PAD, indicating an acute reduction in cardiovascular risk in this population. Level of Evidence I; Therapeutic studies - Investigating the results of treatment.
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Skummer, Philip, Katsuhiro Kobayashi, Mason Schoeneck, Jamynkumer Patel, and Masoud Faridnia. "Single-session versus two-session placement of chest port and gastrostomy tube in patients with head and neck cancer: Is there any difference in the device-related early infection rates?" Acta Radiologica Open 10, no. 8 (2021): 205846012110372. http://dx.doi.org/10.1177/20584601211037234.
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Background It is unknown whether placement of a chest port (port) and a gastrostomy tube (G-tube) in a single session increases the risk of the early device infections in patients with head and neck cancer (HNC) undergoing chemoradiation. Purpose To compare the incidence of early (≤30 days) port and G-tube infections placed in a single session compared to two separate sessions in patients with HNC. Material and Methods Between January 2012 and December 2019, 169 patients with HNC undergoing chemoradiation had a port and a G-tube placed in a single session (single-session group), while 25 had both devices placed in two separate sessions (two-session group) within 30 days of each other. The incidence of early device infections was compared between groups. Logistic regression analysis was conducted to determine if the number of sessions was a variable affecting device infections. Results A total of 6 (3%) early port infections and 13 (6.7%) early G-tube infections were identified. The two groups did not significantly differ in the incidence of early port infections (3.0%, 5/169 and 4.0%, 1/25, p = 0.59) nor early G-tube infections (7.1%, 12/169 and 4.0%, 1/25, p = 1.0). The number of sessions for device placement was not a variable affecting overall device infections in logistic regression analyses (odds ratio: 1.24, 95% confidence interval: 0.20–7.82, p = 0.82) after controlling for potential confounding variables. Conclusions The risk of early device infections in single-session placement appeared to be the same as two-session placement in patients with HNC undergoing chemoradiation.
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Corrêa, Renato Ferreira, João Guilherme Vieira, and Marcelo Ricardo Dias. "Effect of session order in combined aerobic and resistance training on glycemic control in older adults with type 2 diabetes: a crossover study." Revista Brasileira de Atividade Física & Saúde 26 (August 11, 2021): 1–6. http://dx.doi.org/10.12820/rbafs.26e0222.
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The session order of aerobic and resistance training seems to be important for glycemic behavior, as when performed in isolation they help to reduce glycosylated hemoglobin. The purpose of the present study was to compare the acute effect of aerobic and resistance training session orders on glycemia levels of older adults with type 2 diabetes mellitus. A counterbalanced crossover design was used in this study. Eighteen older adults with type 2 diabetes, 13 men and 5 women, non-insulin and beta-blocker dependents, were recruited. All participants performed two training sessions in different orders: aerobic + resistance (AER) and resistance + aerobic (RES). There was a seven-day interval between sessions. In the AER session, a significant (p < 0.001) decrease in blood glucose was observed between training (Mid moment: p < 0.001) and after each session (Post moment: p = 0.003) compared to the baseline (Pre moment). In the RES session, no difference (p = 0.731) was found at the Mid moment in relation to the Pre moment, but a significant (p < 0.001) decrease in blood glucose was observed in the Post moment. A comparison of the different training sessions showed a significant difference (p = 0.012) at the Mid moment, whereas the blood glucose showed a sharper reduction the AER session. In conclusion, we observed that combined training, regardless of the order, was effective for acute glycemic behavior in older people with type 2 diabetes, and aerobic training was the main factor responsible for the reduction blood glucose.
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Wedege, Pia, Kathrin Steffen, Vegard Strøm, and Arve Isak Opheim. "Reliability of three-dimensional kinematic gait data in adults with spinal cord injury." Journal of Rehabilitation and Assistive Technologies Engineering 4 (January 2017): 205566831772999. http://dx.doi.org/10.1177/2055668317729992.
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Objectives Three-dimensional gait analysis has been recommended as part of standardized gait assessment in people with spinal cord injury. The aim was to investigate inter- and intra-session reliabilities of gait kinematics in people with spinal cord injury. Methods Fifteen adults with spinal cord injury performed two test sessions on separate days. Six infrared cameras, 16 reflective markers and the Plug-in gait model were used. For each subject, five gait trials from both sessions were included. The Gait Profile Score and the Gait Variable Score were used as kinematic outcome measures. Reliability was assessed with intraclass correlation coefficient, standard error of measurement, minimal detectable change, and Bland–Altman plots. Results Inter-session intraclass correlation coefficient for all variables was >0.82 and standard error of measurement <1.8°, except for hip rotation. Intra-session reliability was found to be high (≥0.78) and slightly better than that for inter-session. Minimal detectable change for all variables was <4.7°, except for hip rotation. Conclusions The high inter- and intra-session reliabilities indicate small intrinsic variation of gait. Thus, three-dimensional gait analysis seems to be a reliable tool to evaluate kinematic gait in adults with spinal cord injury, but caution is warranted especially for hip rotation evaluation.
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Chu, Hsin, Chyn-Yng Yang, Yu Lin, et al. "The Impact of Group Music Therapy on Depression and Cognition in Elderly Persons With Dementia." Biological Research For Nursing 16, no. 2 (2013): 209–17. http://dx.doi.org/10.1177/1099800413485410.
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Objective: The aims of this study were to determine the effectiveness of group music therapy for improving depression and delaying the deterioration of cognitive functions in elderly persons with dementia. Method: The study had a prospective, parallel-group design with permuted-block randomization. Older persons with dementia ( N = 104) were randomly assigned to the experimental or control group. The experimental group received 12 sessions of group music therapy (two 30-min sessions per week for 6 weeks), and the control group received usual care. Data were collected 4 times: (1) 1 week before the intervention, (2) the 6th session of the intervention, (3) the 12th session of the intervention, and (4) 1 month after the final session. Results: Group music therapy reduced depression in persons with dementia. Improvements in depression occurred immediately after music therapy and were apparent throughout the course of therapy. The cortisol level did not significantly decrease after the group music therapy. Cognitive function significantly improved slightly at the 6th session, the 12th session, and 1 month after the sessions ended; in particular, short-term recall function improved. The group music therapy intervention had the greatest impact in subjects with mild and moderate dementia. Conclusion: The group music intervention is a noninvasive and inexpensive therapy that appeared to reduce elders’ depression. It also delayed the deterioration of cognitive functions, particularly short-term recall function. Group music therapy may be an appropriate intervention among elderly persons with mild and moderate dementia.
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Kay, Denise, and Magdalena Pasarica. "Using technology to increase student (and faculty satisfaction with) engagement in medical education." Advances in Physiology Education 43, no. 3 (2019): 408–13. http://dx.doi.org/10.1152/advan.00033.2019.
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Faculty dissatisfaction with diminishing levels of student engagement in lifestyle medicine sessions prompted this exploratory project that compared differences in students’ substantive engagement in medical preclinical and clinical level lifestyle medicine sessions. The preclinical and clinical level sessions had the same learning objectives and learning tasks, properly aligned with that level of student learning, but were offered in different learning formats, either traditional classroom approaches or technology-enhanced approaches. At the preclinical level, we transferred a nonmandatory, face-to-face session to a nonmandatory, fully online session. At the clinical level, we introduced two novel technology tools. We utilized Zoom technologies, which afforded students the ability to access the session from anywhere, and employed Hickey’s use of “promoting” student submissions as one method for increasing student-student interaction during the synchronous session. We used indicators of behavioral engagement of Henrie et al. (Henrie CR, Halverson LR, Graham CR. Comput Educ 90: 36–53, 2015) as the framework for determining applicable engagement behaviors, including attendance, assignment completion, interactions (responding/feedback/endorsements), and the quality of (and faculty satisfaction with) the face-to-face and/or online interactions. We expected to observe higher levels of engagement behaviors in the technology-enhanced approach and found that to be the case at both the preclinical and clinical levels, in both mandatory/nonmandatory and synchronous/asynchronous formats. However, it was the increase in both the level and substance of the students’ interactions in the technology-enhanced sessions that provided surprising results. A review of the sessions with enhanced engagement highlight the role of student autonomy, a construct with strongly established associations to student motivation and engagement.
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Ringenbach, Shannon, Nathanial Arnold, Brandon Myer, Claire Hayes, Kahyun Nam, and Chih-Chia Chen. "Executive Function Improves Following Acute Exercise in Adults with Down Syndrome." Brain Sciences 11, no. 5 (2021): 620. http://dx.doi.org/10.3390/brainsci11050620.
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The influence of exercise on brain function is an important topic, especially in persons with intellectual deficits. The aim of this study is to determine the effect of an acute bout of resistance training (RT) compared to assisted cycle therapy (ACT) and no training (NT) in adults with DS on cognitive function. Fourteen participants attended four sessions: a baseline assessment, an assisted cycling therapy (ACT) session, a resistance training (RT) session, and a session of no training (NT). In the RT session, the leg press, chest press, seated row, leg curl, shoulder press, and latissimus pulldown were performed. The ACT session consisted of 30 min of cycling and in NT session consisted of 20 min of board games. Inhibition was measured by the Erikson flanker task and cognitive planning was measured by the Tower of London test and both were administered prior to (pretest) and after each intervention (posttest). Our results showed that inhibition time improved more following RT and ACT than NT. There was also a significant difference between ACT and NT. For cognitive planning, improvements were seen following ACT and NT. In conclusion, an acute session of ACT demonstrated a significant trend towards improvements in executive functions in adults with DS which we interpreted using a model of neural changes and the cognitive stimulation hypothesis.
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Carvalho, Cristiano, Gabriel Bernardi Dos Santos, and Paula Regina Mendes da Silva Serrão. "Effects of a dancing intervention on mood states in a woman with fibromyalgia: A case report." Revista Andaluza de Medicina del Deporte 13, no. 3 (2020): 173–76. http://dx.doi.org/10.33155/j.ramd.2020.06.005.
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The objective of this study was to verify the effects of a dancing intervention on mood states in a woman with fibromyalgia. A case report in which an intervention protocol consisted of dance classes of 2 sessions per week for 6 weeks, totaling 12 sessions. The List of Mood States - Reduced and Illustrated version (LOMS-RI) was applied before and after each intervention session. The LOMS-RI contains 14 adjectives, and each is represented by a drawing of a face with its corresponding expression. Each of the adjectives presented a scale of four values. A descriptive analysis was performed. The proposed protocol promoted a positive influence in which there was an increase in the positive adjective set score after each session. In addition, there was a decrease in the negative adjective set score after all sessions, except the first session. So, the dance protocol can positively influence the mood states in woman with fibromyalgia.
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Wu, Shu, Yuyuan Tang, Yanqiao Zhu, Liang Wang, Xing Xie, and Tieniu Tan. "Session-Based Recommendation with Graph Neural Networks." Proceedings of the AAAI Conference on Artificial Intelligence 33 (July 17, 2019): 346–53. http://dx.doi.org/10.1609/aaai.v33i01.3301346.
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The problem of session-based recommendation aims to predict user actions based on anonymous sessions. Previous methods model a session as a sequence and estimate user representations besides item representations to make recommendations. Though achieved promising results, they are insufficient to obtain accurate user vectors in sessions and neglect complex transitions of items. To obtain accurate item embedding and take complex transitions of items into account, we propose a novel method, i.e. Session-based Recommendation with Graph Neural Networks, SR-GNN for brevity. In the proposed method, session sequences are modeled as graphstructured data. Based on the session graph, GNN can capture complex transitions of items, which are difficult to be revealed by previous conventional sequential methods. Each session is then represented as the composition of the global preference and the current interest of that session using an attention network. Extensive experiments conducted on two real datasets show that SR-GNN evidently outperforms the state-of-the-art session-based recommendation methods consistently.
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Colby, Marcus J., Brian Dawson, Peter Peeling, et al. "Improvement of Prediction of Noncontact Injury in Elite Australian Footballers With Repeated Exposure to Established High-Risk Workload Scenarios." International Journal of Sports Physiology and Performance 13, no. 9 (2018): 1130–35. http://dx.doi.org/10.1123/ijspp.2017-0696.
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Objectives: To assess the effect of multiple high-risk-scenario (HRS) exposures on noncontact injury prediction in elite Australian footballers. Design: Retrospective cohort study. Methods: Sessional workload data (session rating of perceived exertion, global positioning system–derived distance, sprint distance, and maximum velocity) from 1 club (N = 60 players) over 3 seasons were collated; several established HRSs were also defined. Accumulated HRS sessional exposures were calculated retrospectively (previous 1–8 wk). Noncontact injury data were documented. Univariate and multivariate Poisson regression models determined injury incidence rate ratios (IRRs) while accounting for moderating effects (preseason workload volume and playing experience). Model performance was evaluated using receiver operating characteristics (area under curve). Results: Very low (0–8 sessions: IRR = 5.76; 95% confidence interval [CI], 1.69–19.66) and very high (>15 sessions: IRR = 4.70; 95% CI, 1.49–14.87) exposures to >85% of an individual’s maximal velocity over the previous 8 wk were associated with greater injury risk compared with moderate exposures (11–12 sessions) and displayed the best model performance (area under curve = 0.64). A single session corresponding to a very low chronic load condition over the previous week for all workload variables was associated with increased injury risk, with sprint distance (IRR = 3.25; 95% CI, 1.95–5.40) providing the most accurate prediction model (area under curve = 0.63). Conclusions: Minimal exposure to high-velocity efforts (maximum speed exposure and sprint volume) was associated with the greatest injury risk. Being underloaded may be a mediator for noncontact injury in elite Australian football. Preseason workload and playing experience were not moderators of this effect.
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Sales, Allan Robson Kluser, Marcelo Vailati Negrão, Laura Testa, et al. "Chemotherapy acutely impairs neurovascular and hemodynamic responses in women with breast cancer." American Journal of Physiology-Heart and Circulatory Physiology 317, no. 1 (2019): H1—H12. http://dx.doi.org/10.1152/ajpheart.00756.2018.
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The purpose of the present study was to test the hypothesis that doxorubicin (DX) and cyclophosphamide (CY) adjuvant chemotherapy (CHT) acutely impairs neurovascular and hemodynamic responses in women with breast cancer. Sixteen women (age: 47.0 ± 2.0 yr; body mass index: 24.2 ± 1.5 kg/m) with stage II-III breast cancer and indication for adjuvant CHT underwent two experimental sessions, saline (SL) and CHT. In the CHT session, DX (60 mg/m2) and CY (600 mg/m2) were administered over 45 min. In the SL session, a matching SL volume was infused in 45 min. Muscle sympathetic nerve activity (MSNA) from peroneal nerve (microneurography), calf blood flow (CBF; plethysmography) and calf vascular conductance (CVC), heart rate (HR; electrocardiography), and beat-to-beat blood pressure (BP; finger plethysmography) were measured at rest before, during, and after each session. Venous blood samples (5 ml) were collected before and after both sessions for assessment of circulating endothelial microparticles (EMPs; flow cytometry), a surrogate marker for endothelial damage. MSNA and BP responses were increased ( P < 0.001), whereas CBF and CVC responses were decreased ( P < 0.001), during and after CHT session when compared with SL session. Interestingly, the vascular alterations were also observed at the molecular level through an increased EMP response to CHT ( P = 0.03, CHT vs. SL session). No difference in HR response was observed ( P > 0.05). Adjuvant CHT with DX and CY in patients treated for breast cancer increases sympathetic nerve activity and circulating EMP levels and, in addition, reduces muscle vascular conductance and elevates systemic BP. These responses may be early signs of CHT-induced cardiovascular alterations and may represent potential targets for preventive interventions. NEW & NOTEWORTHY It is known that chemotherapy regimens increase the risk of cardiovascular events in patients treated for cancer. Here, we identified that a single cycle of adjuvant chemotherapy with doxorubicin and cyclophosphamide in women treated for breast cancer dramatically increases sympathetic nerve activity and circulating endothelial microparticle levels, reduces the muscle vascular conductance, and elevates systemic blood pressure.
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HEO, JAE-HOON, YURI KWON, HYEONG-MIN JEON, et al. "SUPPRESSION OF ACTION TREMOR BY SENSORY ELECTRICAL STIMULATION IN PATIENTS WITH ESSENTIAL TREMOR." Journal of Mechanics in Medicine and Biology 16, no. 08 (2016): 1640026. http://dx.doi.org/10.1142/s0219519416400261.
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Essential tremor (ET) is the most common movement disorder that includes postural tremor and action tremor. This study investigates whether sensory electrical stimulation (SES) is effective on the action tremor in patients with ET. One task in the clinical testing of action tremor, “Archimedes spiral drawing”, was performed in 18 patients for three sessions, which were named as pre-stimulation (PRE), stimulation on (ON), and 5[Formula: see text]min after stimulation (POST). SES (sub-motor threshold) was applied on the muscles of the elbow and wrist only at ON session. Three-dimensional (3D) angular velocities were measured on three segments (index finger, hand, and forearm) from which movements of metacarpophalangeal (MP) and wrist joints were derived. Average tremor intensity in each session was represented by root mean square of the vector sum of 3D angular velocities. Tremor intensities in ON session were smaller than in PRE session in one segment (finger) and two joints (MP and wrist) ([Formula: see text]). Tremor intensities in POST session were even smaller than in ON session in all segments and one joint (wrist) ([Formula: see text]). The results indicate that SES suppresses action tremor and the effect continues and even improves 5[Formula: see text]min after the termination of stimulation. The findings of this study may contribute to the improvement of the quality of life in patients with ET.
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Andrade, A., R. De Azevedo Klumb Steffens, S. Mendes Sieczkowska, D. Reis Coimbra, and G. Torres Vilarino. "Acute effect of strength training on mood of patients with fibromyalgia syndrome." Reumatismo 71, no. 3 (2019): 141–47. http://dx.doi.org/10.4081/reumatismo.2019.1169.
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Fibromyalgia syndrome (FM) is a musculoskeletal disorder characterized by chronic pain and frequently associated changes in mood states. The aim of this study was to analyze the acute effect of strength training (ST) sessions on the mood states of patients with fibromyalgia. A total of 110 FM patients were eligible for this study. After the inclusion criteria, twenty-eight women with FM (mean age: 51.88±10.22 years) performed three sessions of ST. Each training session worked the main muscle groups and lasted 60 min. Three sets of 12 repetitions were performed with 1-min intervals between them. Outcome measures were assessed at baseline, after one session, and after three ST sessions. The Brunel Mood Scale (BRUMS) was used to assess mood states, and the Wilcoxon test was used to verify differences in mood after one and three ST sessions. The ST practice had positive effects on the patients’ mood states after a single session. Reductions in anger, mental confusion, mood depression, fatigue, and tension were observed. The results of the 3rd ST session were similar. We concluded that a single ST session was sufficient to improve the mood states of patients with fibromyalgia.
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Roberts, Joanne Erwick, and Vicki McCready. "Different Clinical Perspectives of Good and Poor Therapy Sessions." Journal of Speech, Language, and Hearing Research 30, no. 3 (1987): 335–42. http://dx.doi.org/10.1044/jshr.3003.335.
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This study investigated differences in causal attributions made by student clinicians taking actor and observer roles in good and poor therapy Sessions. One hundred thirty-four graduate student clinicians in speech-language pathology were asked to imagine a hypothetical good or poor therapy session in which they took either the role of a clinician working with a client in a session or that of a clinician observing the session. To account for the session's hypothesized outcomes, clinicians taking the actor role cited client causes more frequently than other causes while clinicians taking the observer role cited clinician causes. These results are consistent with the actor-observer bias documented extensively in the psychological and educational literatures. Clinicians' causal attributions also differed for good and poor therapy sessions. Implications are discussed in terms of possible impact on the clinical training process in speech-language pathology.
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Sato, Gosuke, Michihiro Osumi, Satoshi Nobusako, and Shu Morioka. "The Effects of Transcranial Direct Current Stimulation Combined with Aerobic Exercise on Pain Thresholds and Electroencephalography in Healthy Adults." Pain Medicine 22, no. 9 (2021): 2057–67. http://dx.doi.org/10.1093/pm/pnab037.
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Abstract Objectives We examined whether transcranial direct current stimulation (tDCS) combined with aerobic exercise (AE) modulated the pressure pain threshold (PPT) and peak alpha frequency (PAF) measured via resting electroencephalography. Design Single-blind experimental study with a cross-over design. Setting Neuro Rehabilitation Research Center, Kio University. Subjects Ten healthy controls participated in this study. Methods Three types of sessions––(i) tDCS, (ii) Sham tDCS/AE, and (iii) tDCS/AE––were tested in this investigation. Anodal stimulation (2 mA, 20 minutes) was applied over the left primary motor cortex. Each session was 20 minutes long. We used the PPT and short-form Profile of Mood States-Brief, as well as PAF measured via resting-electroencephalography, to investigate the effects of tDCS and AE. Heart rate and scores on the Borg scale were used to confirm exercise intensity. PAF was calculated in four regions of interest: frontal, central, parietal, and occipital areas. Results The change ratio of PPT increased during each session. The maximum change ratio of PPT were tDCS: 40.7%, Sham tDCS/AE: 51.5%, and tDCS/AE: 83.4%. change ratio of PPT was earlier and higher in the tDCS/AE trials compared with the other sessions. Negative mood was improved after session completion. Significant differences in PAF were found in the occipital area in the Sham tDCS/AE and tDCS/AE sessions. Conclusions The combined tDCS and AE intervention induced significant changes in PPT in a single session, with a PAF that was earlier and higher than those produced during the Sham tDCS/AE and tDCS sessions.
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Desmottes, Lise, Thierry Meulemans, Marie-Aude Patinec, and Christelle Maillart. "Distributed Training Enhances Implicit Sequence Acquisition in Children With Specific Language Impairment." Journal of Speech, Language, and Hearing Research 60, no. 9 (2017): 2636–47. http://dx.doi.org/10.1044/2017_jslhr-l-16-0146.
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Purpose This study explored the effects of 2 different training structures on the implicit acquisition of a sequence in a serial reaction time (SRT) task in children with and without specific language impairment (SLI). Method All of the children underwent 3 training sessions, followed by a retention session 2 weeks after the last session. In the massed-training condition, the 3 training sessions were in immediate succession on 1 day, whereas in the distributed-training condition, the 3 training sessions were spread over a 1-week period in an expanding schedule format. Results Statistical analyses showed that the children with normal language were unaffected by the training conditions, performing the SRT task similarly in both training conditions. The children with SLI, however, were affected by the training structure, performing the SRT task better when the training sessions were spaced over time rather than clustered on 1 day. Conclusion This study demonstrated that although intensive training does not increase learning in children with SLI, distributing training sessions over time does increase learning. The implications of these results on the learning abilities of children with SLI are discussed, as are the mechanisms involved in massed versus distributed learning.
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Lupo, Corrado, Alexandru Nicolae Ungureanu, and Paolo Riccardo Brustio. "Session-RPE is a valuable internal loading evaluation method in beach volleyball for both genders, elite and amateur players, conditioning and technical sessions, but limited for tactical training and games." Kinesiology 52, no. 1 (2020): 30–38. http://dx.doi.org/10.26582/k.52.1.4.
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This study aimed to verify the validity of session-RPE method to monitor the internal training load (ITL) in beach volleyball players by considering sessions related to different genders, competition levels (elite or amateur), and types of session (conditioning, technical, or tactical/game). Session-RPE and Edwards’ methods were applied to quantify the ITLs of 12 elite (18 players; 197 individual sessions) and 12 amateur (18 players; 189 individual sessions) training sessions. Very large relationships between the two methods emerged for both competition level (Elite: r=.77; Amateur: r=.75) and gender (male: r=.76; female: r=.75) subgroups, and conditioning sessions (r=.75). Large relationships emerged for technical (r=.61) sessions, whereas tactical/game sessions resulted only in moderate relationships (r=.36). Beach volleyball coaches could adequately use session-RPE method to monitor training for players of different genders, competition levels, and types of session, although tactical/game sessions should be considered with some caution.
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Busnach, G., A. dal Col, B. Brando, M. L. Perrino, C. Brunatti, and L. Minetti. "Efficacy of a Combined Treatment with Plasma Exchange and Cytostatics in Macroglobulinemia." International Journal of Artificial Organs 9, no. 4 (1986): 267–70. http://dx.doi.org/10.1177/039139888600900412.
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Monthly plasma exchange (PE) sessions have been carried out in 3 patients with advanced Waldenström macroglobulinemia, in order to reduce electrophoretic M band under 2g/100 ml. When PE was combined to low doses of cytostatics (n=1 8), 3 procedures per session were required to obtain a mean 57.4±12.3% IgM reduction, from 4.2±1.2 to 1.7±0.5 g/100 ml. A mean 61.5±13.1% IgM reduction, from 5.5±1.3 to 2.1±1 g/100 ml, was obtained in 64 procedures carried out as the only therapy in 12 sessions, with 5.3 procedures requirement per monthly session. IgM percent reduction 24 hours after PE was greater with combined treatment (45±9.7 vs. 28.9±1 5.4%; p=0.001). The advantage of a combined treatment is therefore either a lowered PE requirement or a tapered maintenence cytostatic dosage.
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Gastaud, Marina Bento, Cibele Carvalho, Geoff Goodman, and Vera Regina Röhnelt Ramires. "Assessing levels of similarity to a "psychodynamic prototype" in psychodynamic psychotherapy with children: a case study approach (preliminary findings)." Trends in Psychiatry and Psychotherapy 37, no. 3 (2015): 161–65. http://dx.doi.org/10.1590/2237-6089-2014-0059.
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Objective:To analyze the degree of similarity to a "psychodynamic prototype" during the first year of two children's once-weekly psychodynamic psychotherapy.Methods: This study used a longitudinal, descriptive, repeated-measures design based on the systematic case study method. Two male school children (here referred to as Walter and Peter) and their therapists took part in the study. All sessions were video and audio recorded. Ten sessions from each case were selected for analysis in this preliminary study. Trained examiners (randomly selected in pairs) independently and blindly evaluated each session using the Child Psychotherapy Q-Set (CPQ). Experts in psychodynamic therapy and cognitive behavioral therapy from several countries rated each of the 100 CPQ items with regard to how well it characterized a hypothetical ideal session of either treatment modality. A series of paired t tests comparing analogous adherence scores within each session were conducted.Results:There were no significant correlations between time elapsed and adherence to the prototypes. Walter's treatment adhered to both prototypes and Peter's treatment did not adhere to either prototype.Conclusion:Child psychotherapy theory and practice are not absolutely coincident. Real psychotherapy sessions do not necessarily resemble the ideal prototypes.
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Alexiou, Helen, and Aaron J. Coutts. "A Comparison of Methods Used for Quantifying Internal Training Load in Women Soccer Players." International Journal of Sports Physiology and Performance 3, no. 3 (2008): 320–30. http://dx.doi.org/10.1123/ijspp.3.3.320.
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Purpose:The purpose of this study was to compare the session-RPE method for quantifying internal training load (TL) with various HR-based TL quantification methods in a variety of training modes with women soccer players.Methods:Fifteen elite women soccer players took part in the study (age: 19.3 ± 2.0 y and VO2max: 50.8 ± 2.7 mL·kg−1·min−1). Session-RPE, heart rate, and duration were recorded for 735 individual training sessions and matches over a period of 16 wk. Correlation analysis was used to compare session-RPE TLs with three commonly used HR-based methods for assessing TL.Results:The mean correlation for session-RPE TL with Banister’s TRIMP, LTzone TL and Edwards’s TL were (r = 0.84, 0.83, and 0.85, all P < .01, respectively). Correlations for session-RPE TL and three HR-based methods separated by session type were all significant (all P < .05). The strongest correlations were reported for technical (r = 0.68 to 0.82), conditioning (r = 0.60 to 0.79), and speed sessions (r = 0.61 to 0.79).Conclusion:The session-RPE TL showed a significant correlation with all training types common to soccer. Higher correlations were found with less intermittent, aerobic-based training sessions and suggest that HR-based TLs relate better to session-RPE TLs in less intermittent training activities. These results support previous findings showing that the session-RPE TL compares favorably with HR-based methods for quantifying internal TL in a variety of soccer training activities.
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Viruega, Hélène, Inès Gaillard, John Carr, Bill Greenwood, and Manuel Gaviria. "Short- and Mid-Term Improvement of Postural Balance after a Neurorehabilitation Program via Hippotherapy in Patients with Sensorimotor Impairment after Cerebral Palsy: A Preliminary Kinetic Approach." Brain Sciences 9, no. 10 (2019): 261. http://dx.doi.org/10.3390/brainsci9100261.
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There is still a lack of studies focused on trunk neurorehabilitation. Accordingly, it is unclear which therapeutic modalities are the most effective in improving static/dynamic balance after brain damage. We designed a pilot study on hippotherapy to assess its short- and mid-term effect on dynamic postural balance in patients with moderate-to-severe sensorimotor impairment secondary to cerebral palsy. Five patients aged 15.4 ± 6.1 years old were recruited. All of them had moderate-to-severe alterations of the muscle tone with associated postural balance impairment. Standing and walking were also impaired. Ten minutes horse riding simulator followed by twenty minutes hippotherapy session were conducted during five session days separated by one week each. We analyzed the displacement of the Center of Pressure (COP) on the sitting surface of the simulator’s saddle by means of a customized pressure pad. We measured the general behavior of the COP displacement as well as the postural adjustments when pace changed from walk to trot to walk during the sessions and among sessions. Statistical analysis revealed an improved postural control both by the end of the session and from session 1 to session 5. These results suggest that hippotherapy might support regularization of postural control in a long-term neurorehabilitation context.
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Juhari, Farhan, Dean Ritchie, Fergus O’Connor, et al. "The Quantification of Within-Week Session Intensity, Duration, and Intensity Distribution Across a Season in Australian Football Using the Session Rating of Perceived Exertion Method." International Journal of Sports Physiology and Performance 13, no. 7 (2018): 940–46. http://dx.doi.org/10.1123/ijspp.2017-0626.
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Context: Team-sport training requires the daily manipulation of intensity, duration, and frequency, with preseason training focusing on meeting the demands of in-season competition and training on maintaining fitness. Purpose: To provide information about daily training in Australian football (AF), this study aimed to quantify session intensity, duration, and intensity distribution across different stages of an entire season. Methods: Intensity (session ratings of perceived exertion; CR-10 scale) and duration were collected from 45 professional male AF players for every training session and game. Each session’s rating of perceived exertion was categorized into a corresponding intensity zone, low (<4.0 arbitrary units), moderate (≥4.0 and <7.0), and high (≥7.0), to categorize session intensity. Linear mixed models were constructed to estimate session duration, intensity, and distribution between the 3 preseason and 4 in-season periods. Effects were assessed using linear mixed models and magnitude-based inferences. Results: The distribution of the mean session intensity across the season was 29% low intensity, 57% moderate intensity, and 14% high intensity. While 96% of games were high intensity, 44% and 49% of skills training sessions were low intensity and moderate intensity, respectively. Running had the highest proportion of high-intensity training sessions (27%). Preseason displayed higher training-session intensity (effect size [ES] = 0.29–0.91) and duration (ES = 0.33–1.44), while in-season game intensity (ES = 0.31–0.51) and duration (ES = 0.51–0.82) were higher. Conclusions: By using a cost-effective monitoring tool, this study provides information about the intensity, duration, and intensity distribution of all training types across different phases of a season, thus allowing a greater understanding of the training and competition demands of Australian footballers.
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Hamlyn, Chris, Carrie L. Docherty, and Joanne Klossner. "Orthotic Intervention and Postural Stability in Participants With Functional Ankle Instability After an Accommodation Period." Journal of Athletic Training 47, no. 2 (2012): 130–35. http://dx.doi.org/10.4085/1062-6050-47.2.130.
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Context: Most protocols established to treat patients with functional ankle instability (FAI) have focused on taping the ankle. Orthotic intervention is a different treatment protocol that may have a positive effect on these patients, especially after an accommodation period. Objective: To determine whether the use of a prefabricated orthotic affects postural stability in patients with FAI and a control group. Design: Randomized controlled clinical trial. Setting: Research laboratory. Patients or Other Participants: Forty patients with unilateral FAI. Intervention(s): Postural stability was measured on both limbs using a force plate on 3 occasions. Participants were instructed to balance on 1 limb with their eyes closed for 20 seconds. In session 1, postural stability was measured with the patient wearing his or her own athletic shoes. The control group repeated this procedure in sessions 2 and 3. When those in the orthotic group returned for session 2, they received prefabricated, full-length Quick Comfort Insoles for both feet, immediately placed the orthotics in their shoes, and were tested for postural stability. Patients in the orthotic group were instructed to wear the inserts daily and return 2 weeks later for session 3 and repeat postural stability testing. Main Outcome Measure(s): Center of pressure. Results: In the orthotic group, postural stability improved between sessions 1 and 2 and sessions 1 and 3. In session 3, postural stability was different for the orthotic and control groups. We also identified a difference between the limbs such that the FAI ankle displayed worse postural stability than did the healthy ankle. Conclusions: Prefabricated orthotics improved postural stability in participants with FAI. Similar to the findings of previous researchers, we found that postural stability was worse in FAI ankles than in healthy ankles.
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Patel, Vivek Dineshbhai, Charu Eapen, Zulfeequer Ceepee, and Ramachandra Kamath. "Effect of muscle energy technique with and without strain–counterstrain technique in acute low back pain — A randomized clinical trial." Hong Kong Physiotherapy Journal 38, no. 01 (2018): 41–51. http://dx.doi.org/10.1142/s1013702518500051.
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Background: Muscle energy technique (MET) and strain–counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant ([Formula: see text]) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference ([Formula: see text]) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.
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Delevatti, Rodrigo Sudatti, Nathalie Netto, Isabel Heberle, et al. "Acute and chronic glycemic effects of aerobic training in patients with type 2 diabetes." Revista Brasileira de Atividade Física & Saúde 23 (August 6, 2019): 1–8. http://dx.doi.org/10.12820/rbafs.23e0063.
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The aim of the present study was to analyze acute glycemic effects in different moments of an aerobic training, as well as to analyze the chronic effect of training, in patients with type 2 diabetes mellitus (T2D). The participants performed 16 weeks of interval aerobic training with three weekly sessions. The main part of each session consisted of nine blocks of five minutes, in which four minutes consisted of stimulus between 85% and 95% of the anaerobic threshold heart rate (ATHR) and one minute consisted of recovery below 85% of the ATHR, totalizing 45 minutes. Capillary glucose was assessed before, immediately after and 30 minutes after the first and the last training sessions. Glycated hemoglobin (HbA1c) was assessed before and after the intervention. Paired t-test and Generalized Estimating Equations were performed for the analyses; α = 5%. The participants were seven individuals (four women) aged 59.60±6.69 years. In the first session, glucose values immediately after and 30 minutes after exercise were lower than pre-exercise values. On the other hand, in the last training session, only the glucose values immediately after exercise were lower than pre-exercise values. Analyzing the glycemic reductions, the first session presented a greater reduction immediately after (p = 0.042) and 30 minutes after exercise (p = 0.010). Regarding chronic glycemic effects, an increase (p = 0.010) in HbA1c levels was observed after training. It is concluded that, after 16 weeks of training without progression of duration and intensity, the exercise loses its acute glycemic effect, and may be even insufficient to reduce HbA1c levels.
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Wang, Tian, Guiping Xiao, Zhenlan Li, et al. "Wuqinxi Exercise Improves Hand Dexterity in Patients with Parkinson’s Disease." Evidence-Based Complementary and Alternative Medicine 2020 (October 29, 2020): 1–9. http://dx.doi.org/10.1155/2020/8352176.
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Objective. This study was designed to evaluate the effect of Wuqinxi after one session and 12-week intervention on hand dexterity in patients with Parkinson’s disease (PD). Methods. Forty-six elderly participants with mild-to-moderate PD were randomly assigned to the groups trained with Wuqinxi (n = 23) or stretching (n = 23). All participants practiced 60 min session of either of these exercises, 2 sessions a week for 12 weeks in standing position. The score of Purdue Pegboard Test (PPT) and time for Soda Pop Test (SPT) were performed to assess hand dexterity and motor function along assessing the 39 items of Parkinson’s Disease Questionnaire before and after 12-week interventions. In addition, the PPT scores were compared before vs. after one session of either of these two exercise modes. Results. Single session with either Wuqinxi or stretching exercise tended to improve PPT scores in PD patients. Furthermore, the improved SPT time was significant ( P < 0.01 ) following 12-week training interventions with Wuqinxi (−1.32 ± 0.38 sec) or stretching (−0.89 ± 0.16 sec), which showed no group difference ( P = 0.734 ). However, only the participants in Wuqinxi group significantly improved the PPT scores of the dominant hand (+0.61 ± 1.34), both hand (+1.83 ± 3.13) and assemble (+2.04 ± 3.44) performance after 12-week training intervention. In parallel with improved hand dexterity and motor function, 12-week Wuqinxi training also significantly improved the patient’s emotional wellbeing. Conclusion. The Wuqinxi intervention could be safely and effectively applied to improve hand dexterity following single-session exercise or 12-week training, which were accompanied by improved quality of life in patients with mild-to-moderate PD.
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Stefanutti, Claudia, Fabio Mazza, Michael Steiner, et al. "Relationship between Sustained Reductions in Plasma Lipid and Lipoprotein Concentrations with Apheresis and Plasma Levels and mRNA Expression of PTX3 and Plasma Levels of hsCRP in Patients with HyperLp(a)lipoproteinemia." Mediators of Inflammation 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/4739512.
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The effect of lipoprotein apheresis (Direct Adsorption of Lipids, DALI) (LA) on plasma levels of pentraxin 3 (PTX3), an inflammatory marker that reflects coronary plaque vulnerability, and expression of PTX3 mRNA was evaluated in patients with hyperLp(a)lipoproteinemia and angiographically defined atherosclerosis/coronary artery disease. Eleven patients, aged55±9.3years (mean ± SD), were enrolled in the study. PTX3 soluble protein levels in plasma were unchanged by 2 sessions of LA; however, a downregulation of mRNA expression for PTX3 was observed, starting with the first session of LA (p<0.001). The observed reduction was progressively increased in the interval between the first and second LA sessions to achieve a maximum decrease by the end of the second session. A statistically significantly greater treatment-effect correlation was observed in patients undergoing weekly treatments, compared with those undergoing treatment every 15 days. A progressive reduction in plasma levels of C-reactive protein was also seen from the first session of LA, with a statistically significant linear correlation for treatment-effect in the change in plasma levels of this established inflammatory marker (R2=0.99;p<0.001). Our findings suggest that LA has anti-inflammatory and endothelium protective effects beyond its well-established efficacy in lowering apoB100-containing lipoproteins.
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Howell, Mary K., Jennifer R. Myers, and Thomas A. Mellman. "2280 Subjective, physiological activation and habituation, and response to written trauma narrative exposure." Journal of Clinical and Translational Science 2, S1 (2018): 47. http://dx.doi.org/10.1017/cts.2018.182.
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OBJECTIVES/SPECIFIC AIMS: Emotional processing theory and some observations suggest that activation of subjective and physiological distress during therapeutic exposure and habituation across exposure sessions are key to improvement. This study sought to determine whether initial subjective and physiological activation and between-session habituation would predict PTSD symptom reduction after a series of written trauma narrative exposure sessions. METHODS/STUDY POPULATION: In total, 29 urban-residing African-American participants with PTSD participated in four 30-minute writing sessions. Writing sessions 1 and 2 were 12 hours apart and session 3 and 4 were performed 1 week later, also 12 hours apart. PTSD symptoms were measured at baseline, after session 2, and 1 week after all 4 writing sessions with the Clinician Administered PTSD Scale. During each session, Subjective Units of Distress Scores (SUDS) were assessed 4 times and heart rate was measured continuously. RESULTS/ANTICIPATED RESULTS: Participants exhibited PTSD symptom improvement and habituation of subjective distress, but not physiological arousal, across writing sessions. First session baseline-corrected SUDS maximum and SUDS decrease from the initial to the final writing session were both positively associated with symptom improvement. DISCUSSION/SIGNIFICANCE OF IMPACT: Increased subjective, but not physiological, distress in the first exposure session and diminished subjective distress across sessions may be a helpful marker of emotional processing for clinicians and predictor of symptom improvement after written trauma narrative exposure.
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Barroso, Renato, Ronaldo K. Cardoso, Everton Crivoi Carmo, and Valmor Tricoli. "Perceived Exertion in Coaches and Young Swimmers With Different Training Experience." International Journal of Sports Physiology and Performance 9, no. 2 (2014): 212–16. http://dx.doi.org/10.1123/ijspp.2012-0356.
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Session rating of perceived exertion (SRPE) is a practical method to assess internal training load to provide appropriate stimuli. However, coaches and athletes might rate training sessions differently, which can impair performance development. In addition, SRPE might be influenced by athletes’ training experience. The authors studied 160 swimmers of different age groups and different competitive swimming experience and 9 coaches. SRPE was indicated by the swimmers 30 min after the end of a training session and before the training session by the coaches. Training-session intensities were classified into easy (SRPE <3), moderate (SRPE 3–5), and difficult (SRPE >5), based on coaches’ perception. We observed that the correlation between coaches’ and athletes’ SRPE increased with increased age and competitive swimming experience, r = .31 for the 11- to 12-y-old group (P < .001), r = .51 for the 13- to 14-y-old group (P < .001), and r = .74 for the 15- to 16-y-old group (P < .001). In addition, younger swimmers (11–12 y, P < .01; 13–14 y, P < .01) rated training intensity differently from coaches in all 3 categories (easy, moderate, and difficult), while the older group rated differently in only 1 category (difficult, P < .01). These findings suggest that the more experienced swimmers are, the more accurate their SRPE is.
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Jeong, Hyu Seok, Jee Hyun Lee, Hesun Erin Kim, and Jae-Jin Kim. "Appropriate Number of Treatment Sessions in Virtual Reality-Based Individual Cognitive Behavioral Therapy for Social Anxiety Disorder." Journal of Clinical Medicine 10, no. 5 (2021): 915. http://dx.doi.org/10.3390/jcm10050915.
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Virtual reality (VR) was introduced to maximize the effect of cognitive behavioral therapy (CBT) by efficiently performing exposure therapy. The purpose of this study was to find out whether VR-based individual CBT with relatively few treatment sessions is effective in improving social anxiety disorder (SAD). This therapy was applied to 115 patients with SAD who were retrospectively classified into 43 patients who completed the nine or 10 sessions normally (normal termination group), 52 patients who finished the sessions early (early termination group), and 20 patients who had extended the sessions (session extension group). The Brief Fear of Negative Evaluation Scale (BFNE) scores tended to decrease in all groups as the session progressed, and the slope of decrease was the steepest in the early termination group and the least steep in the session extension group. Severity of social anxiety in the last session and symptom reduction rate showed no significant group difference. Our findings suggest that short-term VR-based individual CBT of nine to 10 sessions may be effective. When the therapeutic effect is insufficient during this period, the additional benefit may be minimal if the session is simply extended. The improvement in the early termination group suggests that even shorter sessions of five or six can also be effective.
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Pegorin, Gabriella Rocha, Daniel Paduan Joaquim, Ciro Winckler, and Claudia Ridel Juzwiak. "Energy Expenditure with Exercise in Paralympic Athletes with Visual Impairment: a Case Study." Lecturas: Educación Física y Deportes 25, no. 267 (2020): 95–107. http://dx.doi.org/10.46642/efd.v25i267.2022.
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Energy expenditure with exercise (EEEx) is an essential factor to estimate daily energy requirement. However, few studies explore this subject in para-athletes. This study aimed to assess the EEEx of Brazilian Paralympic track & field sprinters during a preparatory training phase. Five sprinters athletes with visual impairment (2 males and 3 females) were assessed through direct observation to obtain information on duration and characteristics of the training. Athletes wore a motion sensor (Actical®) to assess EEex. Results were expressed in metabolic equivalents (MET) and ranged between 1.3 and 21.5 METs. Training sessions lasted in average two hours/session and the EEEx of each session assessed ranged between 190 and 380 kcal. It was concluded that the athletes with visual impairment presented EEEx ranging from light intensity to vigorous intensity. More studies will be needed focusing on this theme, covering more athletes, modalities and functional classifications to contribute to the work of the technical team working in the sport.
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Makhin, Sergei, Elena Birukova, Elena Chuyan, and Oleg Kubryak. "Dynamics of the EEG sensorimotor and alpha rhythm amplitude patterns in a training series of controlling the power platform with visual feedback." SHS Web of Conferences 70 (2019): 09006. http://dx.doi.org/10.1051/shsconf/20197009006.
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The study of the EEG alpha reactivity patterns in the prefrontal, central, parietal and occipital regions involved 25 healthy male subjects who participated in four training sessions of controlling the power platform with visual feedback. A significant prefrontal alpha rhythm synchronization was found which was not essentially modulated in a series of subsequent trainings. A significant desynchronization of the occipital alpha was registered for the second session which gradually increased up to the fourth session. The sensorimotor alpha rhythm didn’t show regular patterns. The use of the dominant (right) hand resulted in a significant desynchronization of the parietal alpha in the right hemisphere in the third and the fourth training sessions.
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Mantua, Janna, Alexxa F. Bessey, and Walter J. Sowden. "Poor Subjective Sleep Quality Is Associated with Poor Occupational Outcomes in Elite Soldiers." Clocks & Sleep 2, no. 2 (2020): 182–93. http://dx.doi.org/10.3390/clockssleep2020015.
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We aimed to assess the relationship between subjective sleep quality and occupationally-relevant outcomes in military personnel. Participants were from an elite unit of US Army soldiers who worked extended (~30 h) shifts (with minimal recovery time between shifts) during 3-week work sessions. Questionnaires assessing subjective sleep quality during the month prior (Pittsburgh Sleep Quality Index [PSQI]) were administered at the beginning of the session. Occupational outcomes (emotional exhaustion, functional impairment, role overload, daytime sleepiness) were assessed on the final day of the session. Regression analyses were conducted to link sleep quality and occupational outcomes. The study sample participants had relatively poor sleep prior to the exercise (PSQI Global score average = 6.3 ± 3.1). Higher PSQI Global Scores prior to the work session longitudinally predicted daytime sleepiness (f2: 0.56) after the work session. PSQI component 7, which queries daytime dysfunction attributed to poor sleep quality, longitudinally predicted emotional exhaustion, functional impairment, and role overload (f2 range: 0.19–0.70). In conclusion, poor sleep quality—in aggregation with occupationally-mandated sleep loss—is predictive of poorer subsequent occupational outcomes. Future work should aim to increase sleep opportunities prior to occupationally-mandated sleep loss in order to build resilience when sleep loss is unavoidable.
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Weck, Florian, Florian Grikscheit, Volkmar Höfling, and Ulrich Stangier. "Assessing Treatment Integrity in Cognitive-Behavioral Therapy: Comparing Session Segments With Entire Sessions." Behavior Therapy 45, no. 4 (2014): 541–52. http://dx.doi.org/10.1016/j.beth.2014.03.003.
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Helland, Christian, Magnus Midttun, Fredrik Saeland, et al. "A strength-oriented exercise session required more recovery time than a power-oriented exercise session with equal work." PeerJ 8 (September 30, 2020): e10044. http://dx.doi.org/10.7717/peerj.10044.
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The present randomized cross-over controlled study aimed to compare the rate of recovery from a strength-oriented exercise session vs. a power-oriented session with equal work. Sixteen strength-trained individuals conducted one strength-oriented session (five repetitions maximum (RM)) and one power-oriented session (50% of 5RM) in randomized order. Squat jump (SJ), countermovement jump (CMJ), 20-m sprint, and squat and bench press peak power and estimated 1RMs were combined with measures of rate of perceived exertion (RPE) and perceived recovery status (PRS), before, immediately after and 24 and 48 h after exercise. Both sessions induced trivial to moderate performance decrements in all variables. Small reductions in CMJ height were observed immediately after both the strength-oriented session (7 ± 6%) and power-oriented session (5 ± 5%). Between 24 and 48 h after both sessions CMJ and SJ heights and 20 m sprint were back to baseline. However, in contrast to the power-oriented session, recovery was not complete 48 h after the strength-oriented session, as indicated by greater impairments in CMJ eccentric and concentric peak forces, SJ rate of force development (RFD) and squat peak power. In agreement with the objective performance measurements, RPE and PRS ratings demonstrated that the strength-oriented session was experienced more strenuous than the power-oriented session. However, these subjective measurements agreed poorly with performance measurements at the individual level. In conclusion, we observed a larger degree of neuromuscular impairment and longer recovery times after a strength-oriented session than after a power-oriented session with equal total work, measured by both objective and subjective assessments. Nonetheless, most differences were small or trivial after either session. It appears necessary to combine several tests and within-test analyses (e.g., CMJ height, power and force) to reveal such differences. Objective and subjective assessments of fatigue and recovery cannot be used interchangeably; rather they should be combined to give a meaningful status for an individual in the days after a resistance exercise session.
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Taniguchi, Chie, Hideo Saka, Isao Oze, Sumie Nakamura, Yasuhiro Nozaki, and Hideo Tanaka. "Relationship between the strength of craving as assessed by the Tobacco Craving Index and success of quitting smoking in Japanese smoking cessation therapy." PLOS ONE 15, no. 12 (2020): e0243374. http://dx.doi.org/10.1371/journal.pone.0243374.
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Background We previously developed the Tobacco Craving Index (TCI) to assess craving of smokers. In the present study, we validated the relationship between the TCI grade over the 5 sessions of Japanese smoking cessation therapy (SCT) and success of quitting smoking among 889 Japanese patients. Methods The Japanese SCT consists of 5 sessions of SCT (first session and sessions 2, 4, 8 and 12 weeks later). In the TCI questionnaire, patients are asked to rate their strength of craving and frequency of craving, each on a four-point Likert scale. Patients are classified into one of four grades based on their responses (0, I, II, III, with III indicating severe craving). The TCI questionnaire was administered to each participant at each session of the SCT. This study included participants of Japanese SCT who answered the TCI at the first session of the SCT at five Japanese smoking cessation clinics. Patients who dropped out of the SCT from the second to the fifth sessions were considered to have failed smoking cessation. To elucidate how much the TCI grade predicts smoking status at the last session, we performed multivariate logistic regression analysis with adjustment for confounding factors. Results Participants who had higher TCI grade(III) in the 2nd through 5th sessions showed significantly lower probability for success of quitting smoking than those who had lower TCI grades(0 or I) (adjusted odds ratio: 2nd session: 0.30, 3rd session: 0.15, 4th session: 0.06, 5th session: 0.02). Conclusions We validated the usefulness of the TCI grade for assessing probability of quitting smoking by using a large number of smoking cessation settings.
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Velozo, Joana, Thomas Vaessen, Jens Pruessner, Stephan Claes, and Inez Myin-Germeys. "S225. STRESS SENSITIZATION IN INDIVIDUALS WITH SUBCLINICAL SYMPTOMS INDICATIVE OF PSYCHOPATHOLOGY." Schizophrenia Bulletin 46, Supplement_1 (2020): S124—S125. http://dx.doi.org/10.1093/schbul/sbaa031.291.
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Abstract Background Repeated exposure to stressors can sensitize the stress system and in turn propel the development of various psychiatric disorders. Stress sensitization can be identified through stress reactivity patterns. Individuals at risk of developing psychosis for example, already show aberrant patterns of daily stress reactivity prior to clinical diagnosis, with blunted physiological responses to mild stressors that could be indicative of a dysregulation of the hypothalamic pituitary adrenocortical axis. In parallel, while they do not show significant physiological responses to the stressor, they report significant increases in negative affect (NA) ensuing from it. This study aims to test whether sensitization can already be observed in healthy volunteers exhibiting only subclinical symptoms. Methods Thirty, first year students took part in two laboratory sessions where stress was induced using a modified version of the Montreal Imaging Stress Task (MIST), one week apart. Baseline measures of psychopathology were collected using the Symptom Checklist 90 (SCL-90). During the laboratory sessions, continuous ECG signals were collected, as well as five subjective stress measures per session. We calculated average heart rate (HR) and heart rate variability (HRV) per condition. Multilevel models testing the three-way interaction between psychopathology, session, and condition with individual data points nested within days were used to assess overall psychopathology and more specifically subclinical symptoms of psychosis in repeated stress reactivity. Results Mixed models investigating repeated stress in overall psychopathology indicates a significant three way interaction for HR (β = -.15, SE=.01, p&lt; .01), and HRV (β = -.01, SE=.04, p= .02), with individuals scoring lower on the scl-90 exhibiting comparable increases in HR and decreases in HRV on both sessions. In contrast, individuals scoring higher on the scale show a blunted response on the second session compared to the first. Analyses with stress (β = .03, SE= .01, p= .01), and NA (β = .06, SE=.29, p= .03) show that generally the stressor elicited a mild negative subjective response with a decrease in stress and NA that was comparable on both sessions for individuals scoring lower on the scl-90. No subjective reactivity was reported on the second session for participants scoring high on the scale. Likewise, models that focused on subclinical psychotic symptoms found similar significant interactions. In the same way as in the analyses with psychopathology we find significant interactions for stress (β = .36, SE= .11, p&lt; .01), NA (β = .06, SE=.03, p= .03) HR (β = -1.08, SE=.13 p&lt; .01), and HRV (β = 3.72, SE=.39, p&lt; .01). Analyses show the same comparable patterns of reactivity in both sessions for participants low in psychosis, and a blunted response on the second session for participants high in psychosis. Discussion Symptoms of psychopathology and more specifically psychosis are related to blunted stress reactivity during a second exposure to the same stressor. Psychopathological vulnerability may be reflected in a blunting response to repeated stress in healthy individuals with subclinical symptoms. Findings suggest that dysregulation in the stress system may be present long before individual complaints, further highlighting the need for early intervention.
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Mendes-da-Silva, Cristiano, Sandra Lopes de Souza, Jairza Maria Barreto-Medeiros, et al. "Neonatal treatment with fluoxetine reduces depressive behavior induced by forced swim in adult rats." Arquivos de Neuro-Psiquiatria 60, no. 4 (2002): 928–31. http://dx.doi.org/10.1590/s0004-282x2002000600008.
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Serotonin plays a role at the pathophysiology of depression in humans and in experimental models. The present study investigated the depressive behavior and the weigh evolution in adult rats (60 days) treated from the 1st to the 21st postnatal day with fluoxetine, a selective serotonin reuptake inhibitor (10 mg/kg, sc, daily). The depressive behavior was induced by the forced swim test (FST). The animals were submitted to two sessions of FST: 1st session for 15 min and the 2nd session 24h later, for 5 min. During the 2nd session the Latency of the Attempt of Escape (LAE) and Behavioral Immobility (BI) were appraised. The Fluoxetine group when compared to the Control group, showed an increase in LAE and a decrease in BI. The neonatal administration of fluoxetine reduced the depressive behavior in adult rats, possibly by increase in the brain serotonergic activity. This alteration can be associated to process of neuroadaptation.
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Song, Lisha, Baopeng Xing, Weimin Yang, and Haifeng Li. "Hyperbaric oxygen treatment in a patient with Guillain-Barré syndrome receiving mechanical ventilation." Diving and Hyperbaric Medicine Journal 50, no. 3 (2020): 303–5. http://dx.doi.org/10.28920/dhm50.3.303-305.
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The mortality rate of patients with Guillain-Barré syndrome (GBS) who develop respiratory muscle paralysis and need mechanical ventilation is increased. Though an unestablished indication, hyperbaric oxygen treatment (HBOT) has been used to treat patients with mild GBS who do not have respiratory muscle paralysis. The use of HBOT in severe cases has not been reported. We present a patient with severe GBS who received HBOT while ventilated in a multiplace hyperbaric chamber. Three courses of HBOT (one session per day, 10 sessions per course) were administered with a 2-day rest period between each course. The HBOT protocol was 40 minutes at 220 kPa with 25 minutes of compression and decompression. Following weeks of gradual deterioration, motor function improved after the first HBOT session. After eight HBOT sessions, the patient was successfully discontinued from mechanical ventilation and after 10 sessions the patient’s muscle strength was significantly improved. After 30 HBOT sessions, the patient had normal breathing and speech, and did not cough when eating. Upper limb muscle strength was graded as 4 on the Medical Research Council (MRC) scale, lower limb muscle strength was graded as MRC 3. The patient was successfully discharged. Mechanically ventilated GBS patients may benefit from HBOT but studies are required to separate spontaneous recovery rates from treatment benefit.
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Burgese, Daniel Fortunato, and Débora Pastore Bassitt. "Variation of plasma cortisol levels in patients with depression after treatment with bilateral electroconvulsive therapy." Trends in Psychiatry and Psychotherapy 37, no. 1 (2015): 27–36. http://dx.doi.org/10.1590/2237-6089-2014-0031.
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Introduction: More than 60 years after the introduction of modern psychopharmacology, electroconvulsive therapy (ECT) continues to be an essential therapeutic modality in the treatment of mental disorders, but its mechanism of action remains unclear. Hormones play an essential role in the development and expression of a series of behavioral changes. One aspect of the influence of hormones on behavior is their potential contribution to the pathophysiology of psychiatric disorders and the mechanism of action of psychotropic drugs and ECT.Objective: We measured blood levels of the hormone cortisol in patients with unipolar depression according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) and compared results with levels found in healthy adults.Method: Blood cortisol levels were measured before the beginning of treatment with ECT, at the seventh session, and at the last session, at treatment completion. Depression symptoms were assessed using the Beck Depression Inventory (BDI).Results: Cortisol levels remained stable in both men and women between the seventh and the last sessions of ECT; values ranged from 0.686±9.6330 g/dL for women, and there was a mean decrease of 5.825±6.0780 g/dL (p = 0.024). Mean number of ECT sessions was 12. After the seventh and the last ECT sessions, patients with depression and individuals in the control group had similar cortisol levels, whereas BDI scores remained different.Conclusion: Cortisol levels decreased during ECT treatment. ECT seems to act as a regulator of the hypothalamic-pituitaryadrenal axis.
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Kapur, Alisha, Melanie Penner, Jenny Nguyen, et al. "52 KneuroKnits: Evaluating social participation and anxiety response associated with participation in a knitting group for youth with neurological conditions (pilot study)." Paediatrics & Child Health 25, Supplement_2 (2020): e21-e22. http://dx.doi.org/10.1093/pch/pxaa068.051.
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Abstract Background Knitting as a creative practice has a reputation for being therapeutic. There are many programs that use crafts as a method of creating social community and reducing anxiety for youth; however, there is no existing research that demonstrates these benefits. We designed a novel study to explore the benefits of a social skills knitting group on engagement and anxiety for youth with neurodevelopmental disorders. Objectives 1. To evaluate the social engagement experience of youth with neurological conditions participating in the KneuroKnits program. 2. Evaluate the impact of KneuroKnits intervention on anxiety levels of participants. Design/Methods We designed a 4-week knitting group for youth with neurodevelopmental disorders and acquired brain injuries. Each session included a lesson involving a knitting skill and a social skill. To evaluate social engagement, we used the Self-reported Experience of Activity Settings (SEAS) questionnaire at the first and final sessions. The five subcategories of the SEAS (Personal Growth, Psychological Engagement, Social Belonging, Meaningful Interactions and Choice & Control) were analyzed following the first and the last session. Qualitative interviews were conducted with participants, parents, and facilitators in the month following the final session and were analyzed using an interpretive phenomenological approach to outline commonly occurring themes in social engagement. To evaluate anxiety levels, participants completed the State-Trait Anxiety Inventory (STAI) at the beginning and end of the first and final sessions, respectively, and the Symptom Checklist-90-R (SCL-90) anxiety subscale; qualitative analysis included themes involving levels of anxiety from the interviews. Results There were 14 total participants with a mean age of 17.4 ± 2.2 years. Participants had primary diagnoses of ASD (n=9), acquired brain injury/concussion (n=4), and developmental coordination disorder (n=1). Social engagement results for the SEAS questionnaire showed a general increase in mean scores of all subcategories with a significant increase in the category of “Meaningful Interactions (p=0.02). This quantitatively demonstrated that the group had an impact on creating meaningful social connection. Qualitative analysis of the interviews revealed three commonly occurring themes: The balance of organic and facilitated social interaction, a sense of community from shared experience and direct benefits of knitting (pride, productivity, relaxation, a choice to be social). For the evaluation of anxiety levels, the STAI demonstrated a significant decrease in anxiety following both Session 1 (p=0.02) and Session 4 (p=0.006). The SCL-90-R Anxiety subsection scores significantly decreased between the first and final session (p=0.01). Participants voiced that the sessions made them feel calmer. Conclusion This knitting group merged a creative skill and social skill, and was novel in its approach to studying social engagement and anxiety within this population. Our study found that participants, their families and facilitators found KneuroKnits to be a valuable and rewarding program. Further study is needed in a larger sample to confirm our findings.
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Marri, M. U., Z. Khan, A. A. Mufti, E. Gul, and A. Kamal. "Frequency of Complications after Electroconvulsive Treatment in Patients with Schizophrenia." Pakistan Journal of Medical and Health Sciences 15, no. 6 (2021): 1500–1502. http://dx.doi.org/10.53350/pjmhs211561500.
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Objective: To determine the frequency of complications after electroconvulsive treatment in patients with schizophrenia. Study Design: Retrospective study Place and Duration of Study: Department of Psychiatry, Balochistan Institute of Psychiatry & Behavioural Sciences, Quetta 1st August 2020 to 31st March 2021. Methodology: One hundred and twenty patients of both genders were presented in this study. Patients were aged between 20-70years. Patient’s detailed demographics age, sex and mean body mass index were recorded after taking informed written consent. Patients of schizophrenia received electroconvulsive treatment. Frequency of immediate complications was observed after each session of electroconvulsive treatment and at the end of electroconvulsive treatment frequency of long term complications were observed. Results: Sixty five (54.17%) were males and 55 (45.83%) were females with mean age were 40.14±3.45 years and mean body mass index 22.14±6.12 kg/m2. Mean electroconvulsive treatment sessions was 88.13±6.87. Mean hospitalization stay was 3.4±2.04 weeks. Frequency of immediate complications were 25 (20.83%) among patients after electroconvulsive treatment session. Among 20.83%, frequency of body aches was 7 (8.83%), headache was in 11 (9.17%), frequency of transient amnesia was among 3 (2.5%) and hypertension was among 4 (3.33%). Significantly no any delay complications were observed in continuously sessions among enrolled cases. Conclusion: The use of electroconvulsive treatment sessions in patients of schizophrenia was effective because no any delay complications were observed in this treatment. Keywords: Schizophrenia, Electroconvulsive treatment (ECT), Treatment sessions
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Panika, Ram Kumar, and Amarnath Gupta. "Evaluation of session sites of routine immunization program in Damoh district of Madhya Pradesh." International Journal Of Community Medicine And Public Health 5, no. 12 (2018): 5443. http://dx.doi.org/10.18203/2394-6040.ijcmph20184831.
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Background: Vaccination is one of the most effective disease prevention strategies and the success of immunization program in the field depends upon the availability of appropriate vaccines, logistics and proper vaccination practice of health workers. This study was undertaken to assess actual vaccines and logistics availability, vaccination practices and safety issues at session sites of Damoh District of Madhya Pradesh.Methods: Cross-sectional observational study was done using a structured questionnaire. Data was collected from 36 session sites of Damoh District of Madhya Pradesh.Results: The availability of AD syringe of 0.1 ml and 0.5 ml was not adequate. Functional hub cutter was available in 30(83.3%) session sites. Zinc tablets were found only at 32 (88.8%) session sites. Due list of beneficiaries was maintained only by 33 (91.6%) ANMs and 26 (72.2%) ASHA workers. BCG was available in 20 (55.5%) and IPV in 27 (75%) sessions. Vaccine storage conditions were not appropriate in 2 sessions sites. Time of reconstitution was written on reconstituted vaccines in 30 (83.3%). Date and time of opening vial was written in 32 (88.8%) session sites. Only in 28 (77.7%) sessions ANM were cutting Syringe with Hub Cutter. Four key messages were being delivered to parents in only 16 (44.4%) sessions and only in 22 (61.1%) sessions ANM was advising the care giver to wait for 30 minutes after vaccination.Conclusions: There was satisfactory organization of immunization session in terms of availability of logistics and cold chain maintenance but unsatisfactory in terms of vaccination practice.
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Tay, Dennis. "A Computerized Text and Cluster Analysis Approach to Psychotherapy Talk." Language and Psychoanalysis 9, no. 1 (2020): 4–25. http://dx.doi.org/10.7565/landp.v9i1.1701.
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This paper illustrates an analytical approach combining LIWC, a computer text-analytic application, with cluster analysis techniques to explore ‘language styles’ in psychotherapy across sessions in time. It categorizes session transcripts into distinct clusters or styles based on linguistic (di)similarity and relates them to sessional progression, thus providing entry points for further qualitative exploration. In the first step, transcripts of four illustrative therapist-client dyads were scored under ten LIWC variables including ‘analytic thinking’, ‘clout’, ‘authenticity’, ‘emotional tone’, and pronoun types. In the next step, agglomerative hierarchical clustering uncovered distinct session clusters that are differently distributed in each dyad. The relationships between these clusters and the chronological progression of sessions were then further discussed in context as contrastive exemplars. Applications, limitations and future directions are highlighted.