13 research outputs found
Postoperative Adverse Outcomes in Intellectually Disabled Surgical Patients: A Nationwide Population-Based Study
Intellectually disabled patients have various comorbidities, but their risks of adverse surgical outcomes have not been examined. This study assesses pre-existing comorbidities, adjusted risks of postoperative major morbidities and mortality in intellectually disabled surgical patients.A nationwide population-based study was conducted in patients who underwent inpatient major surgery in Taiwan between 2004 and 2007. Four controls for each patient were randomly selected from the National Health Insurance Research Database. Preoperative major comorbidities, postoperative major complications and 30-day in-hospital mortality were compared between patients with and without intellectual disability. Use of medical services also was analyzed. Adjusted odds ratios using multivariate logistic regression analyses with 95% confidence intervals were applied to verify intellectual disability's impact.Controls were compared with 3983 surgical patients with intellectual disability. Risks for postoperative major complications were increased in patients with intellectual disability, including acute renal failure (odds ratio 3.81, 95% confidence interval 2.28 to 6.37), pneumonia (odds ratio 2.01, 1.61 to 2.49), postoperative bleeding (odds ratio 1.35, 1.09 to 1.68) and septicemia (odds ratio 2.43, 1.85 to 3.21) without significant differences in overall mortality. Disability severity was positively correlated with postoperative septicemia risk. Medical service use was also significantly higher in surgical patients with intellectual disability.Intellectual disability significantly increases the risk of overall major complications after major surgery. Our findings show a need for integrated and revised protocols for postoperative management to improve care for intellectually disabled surgical patients
Ovarian morphology in long-term androgen-treated female to male transsexuals. A human model for the study of polycystic ovarian syndrome?
Investigating the anticipatory nature of pattern perception in sport
The aim of the present study was to examine the
anticipatory nature of pattern perception in sport by using
static and moving basketball patterns across three different
display types. Participants of differing skill levels were
included in order to determine whether the effects would be
moderated by the knowledge and experience of the
observer in the same manner reported previously for simple
images. The results from a pattern recognition task showed
that both expert and recreational participants were more
likely to anticipate the next likely state of a pattern when it
was presented as a moving video, but only the experts
appeared to have the depth of understanding required to elicit the same anticipatory encoding for patterns presented
as schematic images. The results extend those reported in
previous research and provide further evidence of an
anticipatory encoding in pattern perception for images
containing complex, interrelated patterns