Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha...Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.展开更多
Objective: The present study was aimed at evaluating the outcome of pregnancies with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years 2011-2020 in Philippe Maguilen SEN...Objective: The present study was aimed at evaluating the outcome of pregnancies with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years 2011-2020 in Philippe Maguilen SENGHOR Center was conducted. Perinatal outcome of patients with and without nuchal cord was compared. Results: Among 44,958 deliveries during the study period, 1.8% had a nuchal cord, documented at birth (n = 807). Higher rates of labor induction (9.1% vs. 3.2%;p 0.001) and non-reassuring fetal heart rate patterns (RR = 2.366;CI: 1.631 - 3.432) were noted among pregnancies with nuchal cord as compared with the control group. The cesarean delivery rate was significantly higher among pregnancies with a nuchal cord (39.5% vs. 21.8%;RR = 2333;CI: 2.023 - 2.692). Although 5 min Apgar scores lower than 7 were more common in pregnancies with a nuchal cord (7.8% vs. 3.8%;RR = 2.117;CI: 1.629 - 3.363). There was no statistical significance between the two groups for the perinatal mortality. Conclusion: Nuchal cord is associated with prolonged labor and adverse perinatal outcome.展开更多
目的:观察补中益气汤合真武汤加减联合膀胱功能训练治疗脊髓损伤尿失禁疗效及其卫生经济学评价。方法:将200例脊髓损伤尿失禁患者,采用真实世界研究方法分为观察组和对照组,观察组100例,对照组100例。观察组采用中医药补中益气汤合真武...目的:观察补中益气汤合真武汤加减联合膀胱功能训练治疗脊髓损伤尿失禁疗效及其卫生经济学评价。方法:将200例脊髓损伤尿失禁患者,采用真实世界研究方法分为观察组和对照组,观察组100例,对照组100例。观察组采用中医药补中益气汤合真武汤加减联合膀胱功能训练,对照组采用单纯膀胱训练,两组分别治疗3个月,然后使用尿失禁生活质量问卷(Urinary incontinence quality of life questionnaire,I-QOL)和国际尿失禁咨询委员会尿失禁问卷简表(Brief form of the International Counseling Committee on Urinary Incontinence Questionnaire,ICI-Q-SF)评价两组患者临床疗效,比较两组患者住院费用,并进行成本-效果分析。结果:治疗后观察组I-QOL评分增加程度和ICI-Q-SF评分减少程度均较对照组明显。观察组和对照组直接花费的医疗费用比较差异具有统计学意义(P<0.05),直接非医疗费用及间接费用比较差异有统计学意义(P<0.05);I-QOL评分每增加1分,ICI-Q-SF评分每减少1分,观察组所需直接费用、直接非医疗费用、间接费用及平均成本低于对照组。结论:补中益气汤合真武汤加减联合膀胱功能训练可改善尿失禁患者排尿功能和生存质量,减轻患者经济负担。展开更多
文摘Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.
文摘Objective: The present study was aimed at evaluating the outcome of pregnancies with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years 2011-2020 in Philippe Maguilen SENGHOR Center was conducted. Perinatal outcome of patients with and without nuchal cord was compared. Results: Among 44,958 deliveries during the study period, 1.8% had a nuchal cord, documented at birth (n = 807). Higher rates of labor induction (9.1% vs. 3.2%;p 0.001) and non-reassuring fetal heart rate patterns (RR = 2.366;CI: 1.631 - 3.432) were noted among pregnancies with nuchal cord as compared with the control group. The cesarean delivery rate was significantly higher among pregnancies with a nuchal cord (39.5% vs. 21.8%;RR = 2333;CI: 2.023 - 2.692). Although 5 min Apgar scores lower than 7 were more common in pregnancies with a nuchal cord (7.8% vs. 3.8%;RR = 2.117;CI: 1.629 - 3.363). There was no statistical significance between the two groups for the perinatal mortality. Conclusion: Nuchal cord is associated with prolonged labor and adverse perinatal outcome.
文摘目的:观察补中益气汤合真武汤加减联合膀胱功能训练治疗脊髓损伤尿失禁疗效及其卫生经济学评价。方法:将200例脊髓损伤尿失禁患者,采用真实世界研究方法分为观察组和对照组,观察组100例,对照组100例。观察组采用中医药补中益气汤合真武汤加减联合膀胱功能训练,对照组采用单纯膀胱训练,两组分别治疗3个月,然后使用尿失禁生活质量问卷(Urinary incontinence quality of life questionnaire,I-QOL)和国际尿失禁咨询委员会尿失禁问卷简表(Brief form of the International Counseling Committee on Urinary Incontinence Questionnaire,ICI-Q-SF)评价两组患者临床疗效,比较两组患者住院费用,并进行成本-效果分析。结果:治疗后观察组I-QOL评分增加程度和ICI-Q-SF评分减少程度均较对照组明显。观察组和对照组直接花费的医疗费用比较差异具有统计学意义(P<0.05),直接非医疗费用及间接费用比较差异有统计学意义(P<0.05);I-QOL评分每增加1分,ICI-Q-SF评分每减少1分,观察组所需直接费用、直接非医疗费用、间接费用及平均成本低于对照组。结论:补中益气汤合真武汤加减联合膀胱功能训练可改善尿失禁患者排尿功能和生存质量,减轻患者经济负担。
基金Paralyzed Veterans of America Education Foundation Grant#592天津市哲学社会科学研究规划一般项目《城市弱势青少年群体体育参与状况及其社会支持系统研究》(TJTY11-017)天津市十二五教育规划重点项目《天津市特殊教育发展战略研究》(CE2013)
