5 research outputs found
Clinical and neurophysiological spectrum of polyneuropathies in children
Get PDFPeripheral neuropathy is a disorder of the peripheral nerves and results from a disturbance of structure and/or function of the peripheral sensory, motor and/or autonomic neurons. The possible aetiology of peripheral neuropathies is diverse, but inflammatory and hereditary diseases of the peripheral nerves predominate in childhood. The aim of this study was to determine the clinical and electrophysiological profile of large nerve fibre neuropathy detected by nerve conduction studies (NCS) in children over a 10-year period at the Childrenās Clinical University Hospital in Latvia. Based on NCS findings, 165 children between 2008 and 2018 were diagnosed with polyneuropathy. In our study, the majority of children had peripheral neuropathy due to acquired causes, mostly due to diabetes mellitus; roughly one in five of the patients had hereditary neuropathy. Almost half of the patients had motor deficits, which were more prevalent in toxic and inflammatory neuropathies. A little less than a third of patients complained of pain as well as presenting with autonomic dysfunction symptoms. The NCS demonstrated a demyelinating neuropathy in 52 cases (31%), an axonal neuropathy in 34 cases (21%), and mixed polyneuropathy in 79 cases (48%). Our study investigated the clinical and electrophysiological characteristics of polyneuropathies diagnosed with NCS in children. Most of the polyneuropathies in our study were hereditary and diabetic neuropathies with combined (myelin and axon) damage to nerve fibres. Almost all clinical symptoms of polyneuropathy were present in all aetiological groups.Peer reviewe
Clinical and neurophysiological spectrum of polyneuropathies in children
Get PDFPeripheral neuropathy is a disorder of the peripheral nerves and results from a disturbance of structure and/or function of the peripheral sensory, motor and/or autonomic neurons. The possible aetiology of peripheral neuropathies is diverse, but inflammatory and hereditary diseases of the peripheral nerves predominate in childhood. The aim of this study was to determine the clinical and electrophysiological profile of large nerve fibre neuropathy detected by nerve conduction studies (NCS) in children over a 10-year period at the Childrenās Clinical University Hospital in Latvia. Based on NCS findings, 165 children between 2008 and 2018 were diagnosed with polyneuropathy. In our study, the majority of children had peripheral neuropathy due to acquired causes, mostly due to diabetes mellitus; roughly one in five of the patients had hereditary neuropathy. Almost half of the patients had motor deficits, which were more prevalent in toxic and inflammatory neuropathies. A little less than a third of patients complained of pain as well as presenting with autonomic dysfunction symptoms. The NCS demonstrated a demyelinating neuropathy in 52 cases (31%), an axonal neuropathy in 34 cases (21%), and mixed polyneuropathy in 79 cases (48%). Our study investigated the clinical and electrophysiological characteristics of polyneuropathies diagnosed with NCS in children. Most of the polyneuropathies in our study were hereditary and diabetic neuropathies with combined (myelin and axon) damage to nerve fibres. Almost all clinical symptoms of polyneuropathy were present in all aetiological groups
Risk factors for development of personal protective equipment induced headache : e-survey of medical staff in Baltic states
Get PDFFunding Information: The authors received no financial support for the research, authorship, and publication of this article. We would like to thank all the medical personnel who participated in this study. Publisher Copyright: Ā© 2022, The Author(s).Background: The COVID-19 pandemic led to an unprecedented increase in the use of personal protective equipment (PPE) among medical personnel. The goal of this study was to determine the risk factors and frequency of PPE-induced headache during the COVID-19 pandemic. Methods: From January 25 to March 1, 2021, an anonymous online survey was undertaken in the Baltic states. Results: In total, 2132 individuals participated. 52.3% experienced a PPE-induced headache. Usual onset time was between 2ā3Ā h, lasting up to 1Ā h after PPE removal. The most common localization was in temporal and frontal regions. Headache usually occurred 2 to 3Ā days per week with an average pain score of 5.04 Ā± 1.80 points. Higher risk was associated with discomfort/pressure OR = 11.55, heat stress OR = 2.228, skin conditions OR = 1.784, long PPE use (duration 10-12Ā h) OR = 2,18, headache history prior PPE use OR = 1.207. Out of 52.3% respondents with PPE-induced headache, 45.5% developed de novo headache, whereas 54.5% had headache history. Statistically significant differences of PPE-induced headache between respective groups included severity (4.73 vs 5.29), duration (ā„ 6Ā h 6.7% vs 8.2%), accompanying symptoms (nausea (19.3% vs 25.7%), photophobia (19.1% vs 25.7%), phonophobia (15.8% vs 23.5%), osmophobia (5.3% vs 12.0%)) and painkiller use (43.0% vs 61.7%). Conclusions: Over half of the medical personnel reported headache while using PPE. The risk was higher in individuals with headache history, increased duration of PPE use and discomfort while using PPE. Predisposed individuals reported PPE-induced headache which persisted longer, was more intense and debilitating than in the respondents with de novo headache.publishersversionPeer reviewe
Connection between critical thinking disposition and paranormal beliefs among Riga Stradins University students
No full textMedicÄ«naVeselÄ«bas aprÅ«peMedicineHealth CareKritiskÄ domÄÅ”ana tiek atzÄ«ta par vienu no pamatprasÄ«bÄm izglÄ«tÄ«bas sistÄmÄ un spÄcÄ«gu instrumentu, kam ir pozitÄ«va asociÄcija ar indivÄ«da studiju un profesionÄlo darbÄ«bu. IdeÄlam kritiskam domÄtÄjam piemÄ«t gan kritiskÄs domÄÅ”anas iemaÅas, gan kritiskÄs domÄÅ”anas dispozÄ«cija, kas ir pŠ°stÄvÄ«ga iŠµkÅ”ÄjÄ mŠ¾tivÄcijŠ° izzinÄt pŠ°tiesÄ«bu, turÄt Š°tvÄrtu prÄtu, Š°ktÄ«vi iŠµsaistÄ«ties izziÅŠ°s procesŠ¾s, spÄju Š°tzÄ«t sŠ°vus aizspriedumus, bÅ«t labi infrŠ¾mÄtam. JŠ° cilvÄkam ir lŠ°bi attÄ«stÄ«tas kritiskÄs domÄÅ”anas iemaÅas, taÄu trÅ«kst mŠ¾tivÄcijas tÄs pielietŠ¾t, viÅÅ” nav labs kritisks domÄtÄjs. PÄtÄ«jumi liecina, augstÄka kritiskÄs domÄÅ”anas dispozÄ«cijas izteiktÄ«ba piemÄ«t studentiem, kuru studijas saistÄ«tas ar dabaszinÄtnÄm, cÄloÅsakarÄ«bu izpraÅ”anu, cilvÄka Ä·ermeÅa mehÄnismu pÄtÄ«Å”anu, piemÄram, medicÄ«nu, psiholoÄ£iju.
TicÄ«ba paranormÄlajam, neskatoties uz zinÄtnes un tehnoloÄ£iju progresÄÅ”anu, joprojÄm ir sastopama vismaz pusei populÄcijas. TicÄ«ba paranormÄlajam ir sastopama visÄs kultÅ«rÄs un sociÄlÄs grupÄs, dažÄdu profesiju pÄrstÄvjiem, ieskaitot zinÄtniekus. Par āparanormÄloā sauc parÄdÄ«bu, notikumu vai fenomenu, kas neiet kopÄ ar mÅ«sdienu zinÄtnes atzÄ«tiem likumiem, piemÄram ticÄ«ba spŠ¾kiem, Š°stroloÄ£ijai, NLO, psihokinÄzei, tŠµlŠµpÄtijai. PastÄv uzskats, ka kritiskÄs domÄÅ”anas dispozÄ«cija un ticÄ«ba paranormÄlajam ir pretÄji domÄÅ”anas veidi, un, attÄ«stoties vienam, tiek izstumts zemapziÅÄ otrs.
PÄtnieciskajÄ darbÄ tika izmantota MŠ¾dificÄtÄ paranormÄlo pÄrliŠµcÄ«bu skalŠ° un KritiskÄs domÄÅ”anas dispozÄ«cijas skala. No iegÅ«tiem datiem tika noteikts Å”o domÄÅ”anas veidu Ä«patsvars atkarÄ«bÄ no studiju programmas, studiju gada. KritiskÄs domÄÅ”anas dispozÄ«cijas novÄrtÄÅ”anai tika saskaitÄ«tas to punktu summas. Tika aprÄÄ·inÄtas paranormÄlo pÄrliecÄ«bu apakÅ”skalu vidÄjÄs vÄrtÄ«bas, lai pÄtÄ«tu tÄs savstarpÄjÄs saistÄ«bas, kÄ arÄ« saistÄ«bu starp kritiskÄs domÄÅ”anas dispozÄ«ciju un ticÄ«bu paranormÄlajam.
PÄtÄ«jumÄ piedalÄ«jÄs 145 studenti no visÄm RSU fakultÄtÄm, kas tika anketÄti elektroniskÄ veidÄ. RezultÄti tika analizÄti SPSS programmÄ. No darba rezultÄtiem tika secinÄts, ka 59,3% RSU studentu tic vismaz vienam paranormÄlajam fenomenam un 40,7% netic nevienam. VisvairÄk studentu tic tradicionÄlai reliÄ£ijai (35,9%) un spiritismam (34,5%), vismazÄk mÄÅticÄ«bai (3,4%). 77,9% studentu ir augsta kritiskÄs domÄÅ”anas dispozÄ«cijas izteiktÄ«bas pakÄpe. Statistiski nozÄ«mÄ«ga atŔķirÄ«ba kritiskÄs domÄÅ”anas dispozÄ«cijas lÄ«meÅos starp medicÄ«nas, veselÄ«bas aprÅ«pes un sociÄlo zinÄtÅu studentiem netika konstatÄta. No rezultÄtiem tiek secinÄts arÄ« tas, ka studiju gadu laikÄ ne kritiskÄs domÄÅ”anas dispozÄ«cija, ne ticÄ«ba paranormÄlajam visÄm studiju grupÄm bÅ«tiski nemainÄs. Netika konstatÄta arÄ« korelÄcija starp Å”iem domÄÅ”anas veidiem un respondentu dzimumiem. PÄtÄ«jumÄ tika konstatÄta negatÄ«va korelÄcija starp kritiskÄs domÄÅ”anas dispozÄ«ciju un ticÄ«bas paranormÄlajam kopÄjo skalu un katru tÄs apakÅ”skalu, izÅemot ticÄ«bu tradicionÄlai reliÄ£ijai. PÄtÄ«juma hipotÄze tika apstiprinÄta.Critical thinking is recognized as one of the core values and aims in education as well as in professional career. A perfect critical thinker was described as someone who has both critical thinking skills and critical thinking disposition, which is rather inner motivation and habitual characteristic of a person. If one has developed critical thinking skills but refuses and has no motivation to use them, he is not a good critical thinker. Many studies show, that critical thinking disposition has a positive association with academic performance and is found at higher levels in students of scientific education, for example, medical students.
As paranormal beliefs are considered phenomena which go against the laws of science. Belief in the paranormal is found in about half of the population, in every culture, and representatives of every profession even scientists. As āparanormalā usually are classified broad spectrum of phenomena, for example, astrology, UFO, telepathy, superstitions, ghosts, etc. Many researchers believe that these are two opposite ways of thinking and have a negative association.
In this research were used two instruments: Revised Paranormal Belief Scale, and Critical Thinking Disposition Scale. Acquired data were divided in groups based on individualās study programm ā medical students, health care students, and social studies students. Mean values were for the paranormal scale and the sum of points for critical disposition were calculated and analysed based on gender, year of study, and mutual associations.
As a result of this research 145 RSU students from all faculties have participated by filling survey electronically. It was found that 59,3% of all RSU students have at least one paranormal belief and 40,7% deny belief in any. Most of the students share traditional religious beliefs (35,9%) and spiritualism beliefs (34,5%) and the least amount of students believe in superstition (3,4%). 77,9% of all students have a high disposition and there is no significant difference between different groups based on their faculty. Both paranormal beliefs and critical thinking disposition showed no significant change based on the year of study. A significant negative association was found between critical thinking disposition and paranormal belief scale, as well as with all its subscales except traditional religious belief. The hypothesis of this work was approved ā a negative correlation is evident between critical thinking disposition and belief in paranormal
Clinical and neurophysiological spectrum of polyneuropathies in children
No full textPediatrijaVeselÄ«bas aprÅ«pePediatricsHealth CarePerifÄra neiropÄtija ir perifÄro nervu darbÄ«bas traucÄjumi, ko izraisa izmaiÅas perifÄro sensoro, motoro un/vai autonomo neironu struktÅ«rÄ vai funkcijÄ. PerifÄro neiropÄtiju etioloÄ£ija ir daudzveidÄ«ga, taÄu bÄrnu vecumÄ dominÄ perifÄro nervu iekaisÄ«gÄs un iedzimtÄs saslimÅ”anas. Å Ä« pÄtÄ«juma mÄrÄ·is bija noskaidrot rupjo nervu Ŕķiedru neiropÄtijas klÄ«nisko un elektrofizioloÄ£isko profilu bÄrniem, kas 10 gadu laikÄ tika neirogrÄfiski izmeklÄti BÄrnu klÄ«niskajÄ universitÄtes slimnÄ«cÄ. Pamatojoties uz neirogrÄfiju datiem 165 bÄrniem laika posmÄ no 2008. un 2018. gadÄ tika diagnosticÄta polineiropÄtija. MÅ«su pÄtÄ«jumÄ lielÄkajai daļai bÄrnu neiropÄtijas cÄloÅi bija iegÅ«ti, galvenokÄrt cukura diabÄta dÄļ, savukÄrt aptuveni 1 no 5 bÄrniem neiropÄtija bija iedzimta. GandrÄ«z pusei pacientu tika novÄrots motors deficÄ«ts, kas vairÄk izpaudÄs toksisko un iekaisÄ«go neiropÄtiju gadÄ«jumÄ. Nedaudz mazÄk kÄ treÅ”daļa pacientu sÅ«dzÄjÄs par sÄpÄm, kÄ arÄ« autonomÄs disfunkcijas simptomiem. NeirogrÄfijÄ tika pierÄdÄ«ta demielinizÄjoÅ”a neiropÄtija 52 gadÄ«jumos (31%), aksiÄla neiropÄtija 34 gadÄ«jumos (21%) un jaukta polineiropÄtija 79 gadÄ«jumos (48%). MÅ«su pÄtÄ«jumÄ tika analizÄtas arÄ« neirogrÄfiski diagnosticÄto polineiropÄtiju klÄ«niskÄs un elektrofizioloÄ£iskÄs Ä«paŔības. LielÄkÄ daļa pÄtÄ«juma polineiropÄtiju bija iedzimtas un diabÄtiskas etioloÄ£ijas ar kombinÄtiem (mielÄ«na un aksona) nervu Ŕķiedru bojÄjumiem. VisÄs etioloÄ£iskajÄs grupas tika novÄroti gandrÄ«z visi klÄ«niskie simptomi.Peripheral neuropathy is a disorder of the peripheral nerves and results from a disturbance of structure and/or function of the
peripheral sensory, motor and/or autonomic neurons. The possible aetiology of peripheral neuropathies is diverse, but inflammatory
and hereditary diseases of the peripheral nerves predominate in childhood. The aim of this study was to determine the
clinical and electrophysiological profile of large nerve fibre neuropathy detected by nerve conduction studies (NCS) in children
over a 10-year period at the Childrenās Clinical University Hospital in Latvia. Based on NCS findings, 165 children between
2008 and 2018 were diagnosed with polyneuropathy. In our study, the majority of children had peripheral neuropathy due to
acquired causes, mostly due to diabetes mellitus; roughly one in five of the patients had hereditary neuropathy. Almost half of
the patients had motor deficits, which were more prevalent in toxic and inflammatory neuropathies. A little less than a third
of patients complained of pain as well as presenting with autonomic dysfunction symptoms. The NCS demonstrated a demyelinating
neuropathy in 52 cases (31%), an axonal neuropathy in 34 cases (21%), and mixed polyneuropathy in 79 cases (48%).
Our study investigated the clinical and electrophysiological characteristics of polyneuropathies diagnosed with NCS in children.
Most of the polyneuropathies in our study were hereditary and diabetic neuropathies with combined (myelin and axon) damage
to nerve fibres. Almost all clinical symptoms of polyneuropathy were present in all aetiological groups
