Search results for "outcome assessment"

showing 10 items of 217 documents

Instability training, assessing the impact of level of difficulty on balance: A randomized clinical trial

2018

Background: Most human movements are executed while in a state of postural instability. For this reason, instability training is a highly-specific method that is intended to improve balance and postural control. This research aimed to determine the effect of instability training on the balance of individuals with similar baseline abilities, who initiated training within different stability conditions. Research question: Does the level of difficulty with which instability training is performed determine improvements in balance? Method: A two-arm randomized trial was undertaken, for which 22 and 21 participants were included in the experimental and control groups, respectively. The experiment…

AdultMaleBalancemedicine.medical_specialtyAdolescentBiophysicslaw.invention03 medical and health sciencesYoung Adult0302 clinical medicinePhysical medicine and rehabilitationRandomized controlled triallawOutcome Assessment Health CaremedicineHumansOrthopedics and Sports MedicineSingle-Blind MethodProspective StudiesDynamic balanceSet (psychology)Postural BalanceStatisticPhysical Therapy ModalitiesBalance (ability)RehabilitationTraining (meteorology)InstabilityPostural control030229 sport sciencesConfidence intervalTest (assessment)FemalePsychology030217 neurology & neurosurgery
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Diagnosis and grading of acute graft-versus-host disease in endoscopic biopsy series throughout the upper and lower intestine in patients after allog…

2019

Intestinal graft-versus-host disease (GvHD) is a potentially life-threatening condition after allogenic hematological stem cell transplantation (alloHSCT). Although efforts have been made to determine the best sites for endoscopic biopsies, an approach involving all accessible anatomical regions is lacking. We investigated 22 complete biopsy series, each comprising biopsies from 10 different sites of the upper and lower intestine from 21 patients. The majority of biopsies investigated revealed histological signs of acute GvHD. The highest incidence and most advanced grades of acute GvHD were found in the right colon and terminal ileum. We detected significant correlations between crypt or g…

AdultMaleCancer Researchmedicine.medical_specialtymedicine.medical_treatmentBiopsyGraft vs Host DiseaseIleumApoptosisHematopoietic stem cell transplantationDiseaseGastroenterologySeverity of Illness Index03 medical and health sciences0302 clinical medicineInternal medicineMedicineHumansTransplantation HomologousGrading (tumors)Agedbusiness.industryStomachHematopoietic Stem Cell TransplantationEndoscopyHematologyMiddle Agedmedicine.diseaseTransplantationPatient Outcome Assessmentsurgical procedures operativemedicine.anatomical_structureGraft-versus-host diseaseOncology030220 oncology & carcinogenesisHematologic NeoplasmsFemaleStem cellbusinessImmunosuppressive Agents030215 immunologyLeukemialymphoma
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Recovery from depressive symptoms, state anxiety and post-traumatic stress disorder in women exposed to physical and psychological, but not to psycho…

2010

Abstract Background It is well established that intimate male partner violence (IPV) has a high impact on women's mental health. It is necessary to further investigate this impact longitudinally to assess the factors that contribute to its recovery or deterioration. The objective of this study was to assess the course of depressive, anxiety and post-traumatic stress disorder (PTSD) symptoms and suicidal behavior over a three-year follow-up in female victims of IPV. Methods Women (n = 91) who participated in our previous cross-sectional study, and who had been either physically/psychologically (n = 33) or psychologically abused (n = 23) by their male partners, were evaluated three years late…

AdultMaleDomestic ViolenceLongitudinal studymedicine.medical_specialtylcsh:RC435-571Health StatuseducationPoison controlComorbiditySocial EnvironmentSuicide preventionbehavioral disciplines and activitiesLife Change EventsStress Disorders Post-TraumaticSocial supportSex FactorsSurveys and Questionnaireslcsh:PsychiatryOutcome Assessment Health Caremental disordersmedicineHumansLongitudinal StudiesPsychiatryDepressionTraumatic stressSocial Supportsocial sciencesMiddle AgedAnxiety DisordersMental healthPsychiatry and Mental healthMental HealthSpouse AbuseWomen's HealthAnxietyDomestic violencepopulation characteristicsFemalemedicine.symptomPsychologyFollow-Up StudiesResearch ArticleClinical psychology
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Neuropsychological, clinical and cognitive insight predictors of outcome in a first episode psychosis study.

2012

The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. We studied prospectively the impact of poor insight and neuropsychological deficits on outcomes in a longitudinal cohort of 127 FEP patients. Participants were assessed on 5 domains of cognitive function and 2 domains of insight (clinical and cognitive). At 12. months, patients were assessed again for symptom severity and psychosocial function. Regression analyses revealed that cognitive insight (a measure of self-reflectiveness and self-certainty) was the best baseline predictor of overall psychopathology at 12. months whereas executive function performance at admission to the study indicated later se…

AdultMaleFirst episode psychosisPsychosismedicine.medical_specialtyNeuropsychological TestsYoung AdultNeuropsychologyPredictive Value of TestsOutcome Assessment Health CaremedicineHumansYoung adultPsychiatrySettore MED/25 - PsichiatriaBiological PsychiatryPsychiatric Status Rating ScalesPsychopathologyNeuropsychologyCognitionRegression analysismedicine.diseasePsychiatry and Mental healthPsychotic DisordersPredictive value of testsRegression AnalysisFemaleInsightPsychologyCognition DisordersNeurocognitivePsychopathologyClinical psychologyFollow-Up StudiesSchizophrenia research
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What's past is prologue: Recalled parenting styles are associated with childhood cancer survivors' mental health outcomes more than 25 years after di…

2019

Abstract Background With the increased survival rates of childhood cancer, long-term survivors' well-being over the life span has come into focus. A better understanding of the determinants of childhood cancer survivors' (CCS) mental health outcomes contributes to the identification of vulnerable individuals as well as to the development of evidence-based prevention and intervention efforts. It has been noted that psychosocial factors such as parental rearing behavior shape individual differences in mental health. There is also evidence that parents show altered parenting behavior in the face of childhood cancer, e. g. that they express more emotional support, but also more worries. However…

AdultMaleHealth (social science)Psycho-oncologyPsychological intervention03 medical and health sciences0302 clinical medicineQuality of life (healthcare)Cancer SurvivorsHistory and Philosophy of ScienceNeoplasmsSurvivorship curveOutcome Assessment Health CareParenting stylesmedicineHumans030212 general & internal medicineChild030505 public healthParentingMental healthQuality of LifeAnxietyFemalemedicine.symptom0305 other medical sciencePsychologyPsychosocialClinical psychologySocial Science & Medicine
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A new approach based on Machine Learning for predicting corneal curvature (K1) and astigmatism in patients with keratoconus after intracorneal ring i…

2014

Keratoconus (KC) is the most common type of corneal ectasia. A corneal transplantation was the treatment of choice until the last decade. However, intra-corneal ring implantation has become more and more common, and it is commonly used to treat KC thus avoiding a corneal transplantation. This work proposes a new approach based on Machine Learning to predict the vision gain of KC patients after ring implantation. That vision gain is assessed by means of the corneal curvature and the astigmatism. Different models were proposed; the best results were achieved by an artificial neural network based on the Multilayer Perceptron. The error provided by the best model was 0.97D of corneal curvature …

AdultMaleKeratoconusgenetic structuresComputer sciencemedicine.medical_treatmentHealth InformaticsAstigmatismMachine learningcomputer.software_genreKeratoconusCorneal TransplantationMachine LearningYoung AdultCorneal ectasiaIntracorneal ringsArtificial IntelligenceProsthesis FittingmedicineHumansIn patientCorneal transplantationAgedRing (mathematics)Corneal curvaturebusiness.industryCorneal TopographyAstigmatismProstheses and ImplantsMiddle AgedDecision Support Systems ClinicalPrognosismedicine.diseaseeye diseasesComputer Science ApplicationsPatient Outcome AssessmentTreatment OutcomeFemalesense organsArtificial intelligencebusinesscomputerLENGUAJES Y SISTEMAS INFORMATICOSSoftware
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Predictors of weight loss after an intensive lifestyle intervention program in obese patients: a 1-year prospective cohort study.

2013

Published Version of an article in the journal: Health and Quality of Life Outcomes. Also available from the publisher at: http://dx.doi.org/10.1186/1477-7525-11-165 Open access Background Studies of lifestyle intervention programs in morbid obesity report large variations in weight loss outcomes. This is reported not only between but also within standardized programs. Such reports point to participants’ characteristics as possible predictors of this outcome. The aim of this prospective cohort study was to identify predictors of weight loss after a 1-year partly residential intensive lifestyle intervention program (ILI). Methods Morbidly obese patients (n=199), all Caucasian, 71% women, mea…

AdultMaleLifestyle interventionmedicine.medical_specialtyWeight lossType 2 diabetesCohort StudiesMorbid obesityQuality of lifeWeight lossInternal medicineOutcome Assessment Health CaremedicineHumansHealth related quality of lifeProspective StudiesProspective cohort studyLife Stylebusiness.industryNorwayPredictorsResearchPublic Health Environmental and Occupational HealthGeneral MedicineVDP::Medical disciplines: 700::Health sciences: 800AnthropometryMiddle Agedmedicine.diseaseObesityCombined Modality TherapyObesity MorbidPhysical therapyLinear ModelsFemalemedicine.symptombusinessBody mass indexRisk Reduction BehaviorCohort studyForecastingHealth and quality of life outcomes
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Effects of resistance training on testosterone metabolism in younger and older men

2015

This study investigated the effects of resistance training (RT) on the metabolism of testosterone (T) in younger (n=5, 28±3yrs.) and older (n=8, 70±2yrs.) men. Experimental heavy resistance exercises (5×10RM leg presses) were performed before and after a 12-month of RT. No age differences were found in the production or metabolic clearance rate of T (determined by stable isotope dilution method), skeletal muscle androgen receptor content or serum LH concentrations due to acute or chronic RT. The T production capacity response to gonadotropin stimulation and the concentrations of the urinary T metabolites (androsterone and etiocholanolone) were lower in the older compared to younger men (p<0…

AdultMaleLuteinizing hormoneAgingmedicine.medical_specialtyta3111AndrosteroneBiochemistryMuscle hypertrophychemistry.chemical_compoundEndocrinologySex hormone-binding globulinInternal medicineEtiocholanoloneGeneticsmedicineHumansTestosteroneMuscle Skeletalta315ExerciseMolecular BiologyTestosteroneAgedEtiocholanoloneAndrosteronebiologyta1184Age FactorsResistance TrainingCell BiologyHypothalamic–pituitary–thyroid axisPatient Outcome AssessmentRenal EliminationAndrogen receptorEndocrinologychemistryReceptors AndrogenIsotope LabelingGnRHbiology.proteinLuteinizing hormoneHormonemedicine.drugExperimental Gerontology
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A novel approach to challenging OCD related beliefs using a mobile-app: An exploratory study

2017

Abstract Background and objectives According to cognitive models, obsessive compulsive symptoms result from catastrophic misinterpretations of commonly occurring intrusive experiences and the use of counterproductive strategies to manage them. Obsessive Compulsive Disorder (OCD) related beliefs such as inflated responsibility, importance of thoughts and perfectionism increases the likelihood of such misinterpretations. Consistent with a growing body of literature supporting the usefulness of mobile delivered technologies in fostering cognitive behavior change, the present study assessed the effectiveness of a novel cognitive training exercise designed to challenge OCD-related beliefs. This …

AdultMaleObsessive-Compulsive Disorder050103 clinical psychologymedicine.medical_treatmentExperimental and Cognitive Psychologymedicine.disease_causeRelapse preventionbehavioral disciplines and activitiesYoung Adult03 medical and health sciences0302 clinical medicineArts and Humanities (miscellaneous)Outcome Assessment Health Caremental disordersmedicineHumans0501 psychology and cognitive sciencesObsessive-compulsive disorder (OCD)Cognitive Behavioral Therapy05 social sciencesBehavior changeCognitionPerfectionism (psychology)medicine.diseaseMobile ApplicationsTelemedicinehumanitiesCognitive training030227 psychiatryPsychiatry and Mental healthClinical PsychologyMoodCognitive therapyFemalePsychologyClinical psychologyJournal of Behavior Therapy and Experimental Psychiatry
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Management of head and neck paragangliomas: review of 120 patients.

2008

Head and neck paragangliomas (PGL) are rare, mostly benign tumors. About 10% to 15% of PGL are caused by mutations in the succinate dehydrogenase genes B, C, or D and may appear multifocally.A retrospective review of 120 patients with 146 head and neck PGL, including 46 carotid body tumors (CBT), 13 vagal tumors, 55 jugulotympanic tumors (JTT), 25 tympanic tumors (TT) and 7 tumors in other locations are included. The internal carotid artery was preserved in 97.5% of CBT resections. Preservation of hearing was achieved in 92% of JTT and 88% of TT resections.According to our experience, the treatment of PGL must be individualized, taking into account the patient's age, medical condition, tumo…

AdultMalePathologymedicine.medical_specialtyAdolescentCarotid arteriesmedicine.medical_treatmentOutcome assessmentDeafnessParagangliomaYoung AdultNeoplasm RecurrencePostoperative ComplicationsParagangliomaOutcome Assessment Health CaremedicineHumansEmbolizationHead and neckChildAgedRetrospective StudiesAged 80 and overbusiness.industryMiddle Agedmedicine.diseaseEmbolization TherapeuticCranial Nerve DiseasesRadiation therapyOtorhinolaryngologyHead and Neck NeoplasmsFemaleRadiotherapy AdjuvantNeoplasm Recurrence LocalbusinessCarotid Artery InternalHeadneck
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