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showing 10 items of 2450 documents

Effect of caffeine on simulator flight performance in sleep-deprived military pilot students.

2007

Caffeine has been suggested to act as a countermeasure against fatigue in military operations. In this randomized, double-blind, placebo-controlled study, the effect of caffeine on simulator flight performance was examined in 13 military pilots during 37 hours of sleep deprivation. Each subject performed a flight mission in simulator four times. The subjects received either a placebo (six subjects) or 200 mg of caffeine (seven subjects) 1 hour before the simulated flights. A moderate 200 mg intake of caffeine was associated with higher axillary temperatures, but it did not affect subjectively assessed sleepiness. Flight performance was similar in both groups during the four rounds flown und…

AdultMalemedicine.medical_specialtyAircraftPoison controlPlaceboFlight simulatorlaw.inventionAviation safetychemistry.chemical_compoundRandomized controlled trialDouble-Blind MethodlawCaffeineMedicineHumansWakefulnessSimulationbusiness.industryPublic Health Environmental and Occupational HealthGeneral MedicineSleep deprivationMilitary PersonnelchemistryAerospace MedicineSleep DeprivationCentral Nervous System StimulantsAviation medicinemedicine.symptombusinessCaffeinePsychomotor PerformanceFollow-Up StudiesMilitary medicine
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Video game addiction in gambling disorder: clinical, psychopathological, and personality correlates

2014

Objective. We studied the prevalences of video game use (VGU) and addiction (VGA) in gambling disorder (GD) patients and compared them with subjects with non-video game use (non-VGU) in relation to their gambling behavior, psychopathology, and personality characteristics.Method. A sample of 193 GD patients (121 non-VGU, 43 VGU, and 29 VGA) consecutively admitted to our pathological gambling unit participated in the study.Assessment. Measures included the video game dependency test (VDT), symptom checklist-90-revised, and the temperament and character inventory-revised, as well as a number of other GD indices.Results. In GD, the observed prevalence of VG (use or addiction) was 37.3% (95% CI:…

AdultMalemedicine.medical_specialtyArticle SubjectInternet addictionmedia_common.quotation_subjectVideojocslcsh:MedicineLogistic regressionGeneral Biochemistry Genetics and Molecular BiologyVideo gamesSurveys and QuestionnairesmedicineAddictesPersonalityHumansBig Five personality traitsPsychiatryVideo gamemedia_commonGeneral Immunology and MicrobiologyAddictionlcsh:RComputer gamesBehavior disordersGeneral MedicineMiddle AgedAddictsBehavior AddictiveCompulsive behaviorVideo GamesVideo game addictionGamblingTemperamentFemaleAddicció a InternetPsychologyConducta compulsivaTrastorns de la conductaPsychopathologyResearch ArticleJocs per ordinador
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Critical issues for employees in inter-municipal health care services: a multiple case study

2018

Abstract Background Traditional, hierarchical government structures have recently been challenged by increased complexity, fragmented services and heavy public demand. When healthcare services become fragmented and decentralised, they require redesign. Inter-municipal cooperation is a strategy to deal with current challenges and future demographic changes. Few studies exist that can help us conceptualize challenges regarding employment in this context and inform managers in the involved municipalities. This study aims to identify critical issues for employees in inter-municipal health care services and to elaborate on how and why these issues are experienced. Methods A multiple qualitative …

AdultMalemedicine.medical_specialtyAttitude of Health PersonnelInterprofessional RelationsContext (language use)Health informaticsHealth administrationYoung Adult0502 economics and businessHealth care050602 political science & public administrationHumansMedicineCooperative BehaviorQualitative ResearchGovernmentNorwayInter-municipal cooperation (IMC)Reformbusiness.industrylcsh:Public aspects of medicineHealth PolicyNursing researchPublic health05 social sciencesSocial SupportCaselcsh:RA1-1270Health ServicesMiddle AgedPublic relations0506 political scienceCooperationInterinstitutional RelationsHealthHealth Care ReformMunicipalityMultiple caseEmployeeFemalebusiness050203 business & managementResearch ArticleBMC Health Services Research
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Factors associated with GPs' knowledge of their patients' socio-economic circumstances: a multilevel analysis.

2015

A paraître; International audience; Background. To determine appropriate management for individual patients, GPs are supposed to use their knowledge of the patient's socio-economic circumstances.Objective. To analyse factors associated with GPs' knowledge of these circumstances.Methods. Observational survey of GPs who were internship supervisors in the Paris metropolitan area. Each of 52 volunteer GPs completed a self-administered questionnaire about their own characteristics and randomly selected 70 patients from their patient list. Their knowledge was analysed as the agreement between the patients' and GPs' responses to questions about the patients' socio-economic characteristics in quest…

AdultMalemedicine.medical_specialtyAttitude of Health PersonneleducationEconomicInsurance Coverage[SHS]Humanities and Social SciencesContinuing medical educationGeneral PractitionersInternshipSurveys and QuestionnairesMedicineHumansDuration (project management)Practice Patterns Physicians'AgedPhysician-Patient Relationsbusiness.industryMedical recordMultilevel modelSocial environmentMiddle Aged[SHS.ECO]Humanities and Social Sciences/Economics and Finance3. Good healthWork (electrical)Socioeconomic FactorsFamily medicineGlobal Positioning SystemMultilevel AnalysisFemaleFranceFamily PracticebusinessFamily practice
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Predominant polarity and temperament in bipolar and unipolar affective disorders.

2009

Abstract Introduction Recently, the concept of predominant polarity (two-thirds of episodes belonging to a single pole of the illness) has been introduced to further characterise subtypes of bipolar disorders. This concept has been proven to have diagnostic and therapeutic implications, but little is known on the underlying psychopathology and temperaments. With this study, we aimed to further validate the concept and explore its relationships with temperament. Methods This study enrolled 143 patients with bipolar or unipolar disorder. We analysed predominant polarity in the sample of bipolar I patients (N = 124), focussing on those who showed a clear predominance for one or the other polar…

AdultMalemedicine.medical_specialtyBipolar DisorderPersonality InventoryPolarity (physics)media_common.quotation_subjectYoung Adultmental disordersmedicineadult; affective disorders; bipolar disorder; depressive disorder; female; humans; male; personality inventory; predominant polarity; psychiatric status rating scales; psychology; temperament; temps-a; young adultPersonalityHumansBipolar disorderPsychiatryTemperamentDepression (differential diagnoses)media_commonPsychiatric Status Rating ScalesDepressive Disordermedicine.diseasePsychiatry and Mental healthClinical PsychologyPsychiatric status rating scalesTemperamentFemalePersonality Assessment InventoryPsychologyPsychopathologyJournal of affective disorders
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Personality traits in subjects at risk for unipolar major depression: A family study perspective

1992

Particular patterns of personality (e.g., introversion, neuroticism, obsessionality) have been found to be associated with unipolar depression by a large number of investigators; recent prospective studies have stressed neuroticism as a premorbid risk factor for depression. This study examines whether similar patterns of personality are found in relatives of affective disorder patients and of controls. First-degree relatives of normal controls and of subjects with primary unipolar depression were studied using the Munich Personality Test. Relatives in remission from an episode of unipolar depression had clearly higher levels of neuroticism and rigidity and lower levels of extraversion than …

AdultMalemedicine.medical_specialtyBipolar DisorderPersonality InventoryPsychometricsmedia_common.quotation_subjectSex FactorsChild of Impaired ParentsRecurrenceRisk Factorsmental disordersmedicineHumansPersonalityBipolar disorderPersonality testBig Five personality traitsPsychiatrymedia_commonDepressive DisorderExtraversion and introversionMiddle Agedmedicine.diseaseNeuroticismAlcoholismPsychiatry and Mental healthClinical PsychologyPhobic DisordersPanic DisorderFemalePersonality Assessment InventoryPsychologyPersonalityJournal of Affective Disorders
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Disability in bipolar I disorder: the 36-item World Health Organization Disability Assessment Schedule 2.0.

2014

Abstract Background The WHODAS 2.0 is an ICF-based multidimensional instrument developed for measuring disability. The present study analyzes the utility of the 36-item interviewer-administered version in a sample of patients with bipolar disorder. There is no study to date that analyses how the scale works in a sample that only comprises such patients. Methods A total of 291 patients with bipolar disorder (42.6% males) according to DSM-IV-TR criteria from a cross-sectional study conducted in outpatient psychiatric clinics were enrolled. In addition to the WHODAS 2.0, patients completed a comprehensive assessment battery including measures on psychopathology, functionality and quality of li…

AdultMalemedicine.medical_specialtyBipolar I disorderActivities of daily livingBipolar DisorderPsychometricsPsychological interventionWorld Health OrganizationDisability EvaluationQuality of life (healthcare)Cronbach's alphaActivities of Daily LivingmedicineHumansDisabled PersonsBipolar disorderPsychiatryReproducibility of ResultsMiddle Agedmedicine.diseaseSelf CarePsychiatry and Mental healthClinical PsychologyMoodCross-Sectional StudiesQuality of LifeFemalePsychologyPsychopathologyClinical psychologyJournal of affective disorders
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A combined marker of early non-improvement and the occurrence of melancholic features improve the treatment prediction in patients with Major Depress…

2017

Abstract Background Early Improvement of depressive symptoms within two weeks of antidepressant treatment is a highly sensitive but less specific predictor of later treatment outcome. The aim of this study was to identify clinical features at treatment initiation which are associated with early improvement and non-improvement as well as to identify variables predicting non-remission in patients showing an early improvement. Methods 889 patients with a major depressive episode according to DSM-IV who had participated in an antidepressant treatment trial served as study sample. Clinical predictors (demographic variables, psychopathology, comorbid disorders) were analysed in 698 (79%) early im…

AdultMalemedicine.medical_specialtyComorbidityAvoidant personality disorderPatient ReadmissionSeverity of Illness IndexSuicidal Ideation03 medical and health sciences0302 clinical medicineRisk FactorsRating scaleInternal medicinemedicineHumansMajor depressive episodePsychiatryAtypical depressionDepression (differential diagnoses)Depressive Disorder Majorbusiness.industryMiddle Agedmedicine.diseaseAntidepressive Agents030227 psychiatryPsychiatry and Mental healthClinical PsychologyTreatment OutcomeMajor depressive disorderAntidepressantFemalemedicine.symptombusiness030217 neurology & neurosurgeryPsychopathologyJournal of Affective Disorders
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Case study: effect of handrim diameter on performance in a paralympic wheelchair athlete.

2009

This study, with a top T-52 class athlete, determines the relationship between stroke frequency (SF) and push time (PT) and wheelchair velocity (Wv) using different handrim diameters (HD) and the effect of different HDs on the athlete’s heart rate (HR) and blood lactate (LACT) at competition speeds. Wv shows a linear-direct relationship with SF but a linear-inverse relationship with PT (p < .001 in both cases). Using bigger handrims (0.37 m instead of 0.36 m), SF increases 6%, while PT decreases 27% (at 24 Km·h–1). HR (p < .0001) increases with Wv and is also affected by HD with differences between the 0.34 m—0.36 m handrim group (lower values) and the 0.37 m handrim (higher values). …

AdultMalemedicine.medical_specialtyCompetitive BehaviorInjury controlPoison controlPhysical Therapy Sports Therapy and RehabilitationMotor ActivityQuadriplegiaWheelchairAnimal scienceCharcot-Marie-Tooth DiseaseHeart RateAssistive technologyHeart rateTask Performance and AnalysisBlood lactatemedicineHumansDisabled PersonsMotor activitybusiness.industryStroke frequencyEquipment DesignBiomechanical PhenomenaWheelchairsPhysical therapybusinessSportsAdapted physical activity quarterly : APAQ
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Confidentiality and disclosure of HIV infection: HIV-positive persons' experience with HIV testing and coping with HIV infection in Latvia.

2000

The objective of the study was to explore retrospectively HIV-infected individuals experience with HIV testing counseling and the issue of confidentiality in the Latvian context. A qualitative study using grounded theory approach and based on semi-structured in-depth interviews was implemented. 13 HIV-positive individuals above 18 were selected using purposeful sampling from the 63 HIV-positive individuals registered in Latvia between 1987 and 1997. HIV-infected people are worried that doctors sometimes disrespect confidentiality. Confidentiality was found to be a basic prerequisite for building trusting relationships between an HIV-infected individual and a doctor within the counseling pro…

AdultMalemedicine.medical_specialtyCoping (psychology)Health (social science)Self DisclosureSocial PsychologyAdolescentSocial ValuesAttitude of Health PersonnelCultureDeveloping countryHIV InfectionsSocial value orientationsGrounded theoryPoliticsNursingAdaptation PsychologicalmedicineHumansConfidentialityAgedRetrospective StudiesPhysician-Patient Relationsbusiness.industryPublic healthPublic Health Environmental and Occupational HealthAIDS SerodiagnosisMiddle AgedLatviaFemaleContact TracingbusinessConfidentialityQualitative researchAIDS care
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