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Jakobsen Grimes posted an update 2 days, 18 hours ago
Subjective memory complaints (SMCs) among stroke patients are common. To date, reports on SMCs using the Subjective Memory Complaint Questionnaire (SMCQ) are limited. We provided descriptive information on SMCs using the SMCQ alongside objective neuropsychological function assessment in stroke patients and established the sensitivity of SMCQ for post-stroke dementia.
In total, 419 consecutive stroke patients who were admitted to a stroke unit for younger populations (age <65 years) at a rehabilitation hospital from June 1, 2014, to January 1, 2020, were reviewed. SMCs were measured using the SMCQ. Objective neuropsychological function was assessed using protocols of the Vascular Cognitive Impairment Harmonization Standards.
SMCs were significantly correlated with objective neuropsychological functions including memory, executive function, language, and depression. SMCs were not significantly correlated with visuospatial function. The SMCQ exhibited comparable sensitivity to that of Mini-Mental Status Examination for evaluating post-stroke dementia.
The SMCQ may be a valid measure of cognitive function among patients with stroke, is sensitive for post-stroke dementia, and may assume a complementary role for assessing patients with stroke.
The SMCQ may be a valid measure of cognitive function among patients with stroke, is sensitive for post-stroke dementia, and may assume a complementary role for assessing patients with stroke.
Impaired mobility is associated with functional dependence, frailty, and mortality in prevalent patients undergoing dialysis. We investigated risk factors for mobility impairment, (poor gait speed) in patients incident to dialysis, and changes in gait speed over time in a 2-year longitudinal study.
One hundred eighty-three patients enrolled within 6 months of dialysis initiation were followed up 6, 12, and 24 months later. Grip strength, health-related quality of life, and comorbidities were assessed at baseline. Outcomes were (a) baseline gait speed and (b) change in gait speed over time. VT104 cost Gait speed was assessed by 4-meter walk. Multivariate linear regression was used to identify risk factors for low gait speed at baseline. For longitudinal analyses, linear mixed effects modeling with gait speed modeled over time was used as the outcome.
Participants were 54.7 ± 12.8 years old, 52.5% men, 73.9% black with mean dialysis vintage of 100.1 ± 46.9 days and median gait speed 0.78 (0.64-0.094) m/s. Lower heallysis initiation to allow targeted implementation of therapeutic options.
Most severe substance use disorders (SUDs) are connected with attention deficit hyperactivity disorder (ADHD) and other mental health problems. Therapeutic communities (TCs) provide a suitable option for the treatment of severe SUDs. The relationship between ADHD, the severity of the SUD, and other comorbidities in residential TCs is unknown.
To estimate the prevalence of ADHD among clients with an SUD in residential rehab, and to compare the mental health of clients with and without ADHD.
A cohort study was conducted in 5 residential TCs (N = 180, 76.7% male, 53.9% 25-34 years, 79.2% diagnosed with methamphetamine use disorder). We assessed ADHD symptoms, substance use, mental health problems, and psychiatric symptoms.
ADHD was found in 51% of the clients who showed significantly higher scores for their psychiatric status composite score (ASI-PSY) (F = 9.08, p < 0.001; t = 5.05, p < 0.001), the positive psychiatric symptoms total (SCL-PST) (F = 3.36, p < 0.05; t = 3.15, p < 0.01), and the global severity index (SCL-GSI) (F = 3.27, p < 0.05; t = 3.18, p < 0.01). The ASI-PSY and SCL correlated significantly with the symptoms of attention deficit disorder (Pearson’s r’s = 0.30-0.42, p’s < 0.001) and the symptoms of hyperactivity disorder (r’s = 0.24-0.30, p’s < 0.01). Even when severity of substance use was accounted for, ADHD was confirmed as a significant predictor of ASI-PSY (B= 0.14, p < 0.001 for combined disorder; B = 0.20, p < 0.001 for attention disorder) and partially of SCL-PST (B = 8.12, p < 0.05 for attention disorder).
The ADHD prevalence in TCs was nearly 10-fold compared to the globally recorded values. ADHD diagnostic procedures and interventions should become an integral part of the standard diagnostic and treatment process.
The ADHD prevalence in TCs was nearly 10-fold compared to the globally recorded values. ADHD diagnostic procedures and interventions should become an integral part of the standard diagnostic and treatment process.
The Feeling Scale (FS) is a unique and underexplored scale in sport sciences that measures affective valence. The FS has the potential to be used in athletic environments as a monitoring and prescription tool.
To examine whether FS ratings, as measured on a repetition-by-repetition basis, can predict proximity to task failure and bar velocity across different exercises and loads.
On the first day, 20 trained participants (10 females) completed 1-repetition-maximum (1-RM) tests in the barbell bench and squat exercises and were introduced to the FS. In the following 3 sessions, participants completed 3 sets to task failure with either (1)70% 1-RM bench press, (2)70% 1-RM squat (squat-70%), or (3)80% 1-RM squat (squat-80%). Sessions were completed in a randomized, counterbalanced order. After every completed repetition, participants verbally reported their FS ratings. Bar velocity was measured via a linear position transducer.
FS ratings predicted failure proximity and bar velocity in all 3 conditions (P < .001, R2 .66-.85). Based on the analysis, which included over 2400 repetitions, a reduction of 1 unit in the FS corresponded to approaching task failure by 14%, 11%, and 11%, and to a reduction in bar velocity of 10%, 4%, and 3%, in the bench, squat-70%, and squat-80%, respectively.
This is the first study to investigate whether the FS can be used in resistance-training environments among resistance-trained participants on a repetition-by-repetition basis. The results indicate that the FS can be used to monitor and prescribe resistance training and that its benefits should be further explored.
This is the first study to investigate whether the FS can be used in resistance-training environments among resistance-trained participants on a repetition-by-repetition basis. The results indicate that the FS can be used to monitor and prescribe resistance training and that its benefits should be further explored.