A common grade table inspiring meaningful feedback

BackgroundAcute cholecystitis presents in a spectrum of severity, where acute disease may be complicated by severe inflammation, gangrene, and perforation. The goal of this study is to outline an evidence-based...

Objectives: To assess the cognitive, social, and emotional function in girls prenatally treated with dexamethasone (Dex) due to congenital adrenal hyperplasia (CAH), compared to CAH female patients not treated prenatally.Patients and methods: 33 girls from CAH families were studied: 17 girls treated prenatally with Dex (9 CAH-affected and 8 non-CAH-affected) and 16 CAH-affected females prenatally untre-ated. Standardized tests to assess cognitive function, tests of memory and learning process, and the Child Behavior Checklist (CBCL) were used.Results: There were few statistically significant differences between the results of treated girls (CAH-affected and unaffected) and CAH untreated patients, with a tendency for better results in all tests by Dex treated girls. Among three groups— “CAH-unaffected treated,” “CAH-affected treated,” and “CAH-affected untreated”— the best results were found in “CAH-affected treated” in almost all tests. The Wechsler test performance scale was significantly higher in treated CAH-affected girls. The comparison between treated and untreated CAH-affected girls revealed better results in all tasks involving the cognitive function in Dex-treated patients. Poor performance in visual perception, analysis of spatial material, and visual memory tasks were obtained in CAH-unaffected treated girls.Conclusions: Prenatal treatment with Dex creates for CAH-affected females better conditions for cognitive development. The prenatal Dex in CAH-unaffected girls can cause the risk of unfavorable influences on the development of some cognitive functions. Therefore, it is recommended that prenatal treatment in CAH-unaffected female fetuses should be stopped as soon as possible after the exclusion of the disease.

Intellectual and cognitive function in adults with myotonic muscular dystrophy.

Effects of six-month home-based neuro-functional and resistance training interventions on cognitive and motor performance in multiple sclerosis patients with cognitive impairment: A randomized controlled trial.

Posttraumatic stress disorder (PTSD) is associated with structural and functional alterations in a number of interacting brain regions, but the physiological mechanism for the high risk of cerebrovascular disease or impairment in brain function remains unknown. Women are more likely to develop PTSD after a trauma than men. We hypothesized that cerebral blood flow (CBF) regulation is impaired in women with PTSD, and it is associated with impairment in cognitive function. To test our hypothesis, we examined dynamic cerebral autoregulation (CA) and cognitive function by using a transfer function analysis between arterial pressure and middle cerebral artery blood velocity and the Stroop Color and Word test (SCWT), respectively. We did not observe any different responses in these hemodynamic variables between women with PTSD ( n = 15) and healthy counterparts (all women; n = 8). Cognitive function was impaired in women with PTSD; specifically, reaction time for the neutral task of SCWT was longer in women with PTSD compared with healthy counterparts ( P = 0.011), but this cognitive dysfunction was not affected by orthostatic stress. On the other hand, transfer function phase, gain, and coherence were not different between groups in either the supine or head-up tilt (60°) position, or even during the cognitive challenge, indicating that dynamic CA was well maintained in women with PTSD. In addition, there was no relationship between cognitive function and dynamic CA. These findings suggest that PTSD-related cognitive dysfunction may not be due to compromised CBF regulation. NEW & NOTEWORTHY Cognitive function was impaired; however, dynamic cerebral autoregulation (CA) as an index of cerebral blood flow regulation was not impaired during supine and 60° head-up tilt in women with PTSD compared with healthy females. In addition, there was no relationship between cognitive function and dynamic CA. These findings suggest that the mechanism of PTSD-related cognitive dysfunction may not be due to CBF regulation.

Simple SummaryDolphins are among the most popular animals in zoos and aquariums around the world. Recently, however, a paper suggested that environments for dolphins in zoos and aquariums might be “impoverished”, leading to possible problems for their brain and cognitive functioning. This review directly examines that hypothesis in light of the existing scientific literature relevant to dolphin welfare in zoos and aquariums. The results of this analysis—based on the documented standards of modern professional zoological organizations, the results of a multi-national study on dolphin welfare, and the behavior of dolphins in modern zoos and aquariums—show that this claim is clearly false. However, as “not impoverished” would be a ridiculously low bar to set as an animal welfare standard, additional strategies are suggested for providing cognitive challenges in zoos and aquariums to optimize dolphins’ cognitive well-being.Numerous studies have demonstrated the negative effects of impoverished environments versus the positive effects of enriched environments on animals’ cognitive and neural functioning. Recently, a hypothesis was raised suggesting that conditions for dolphins in zoological facilities may be inherently impoverished, and thus lead to neural and cognitive deficits. This review directly examines that hypothesis in light of the existing scientific literature relevant to dolphin welfare in zoological facilities. Specifically, it examines how dolphins are housed in modern zoological facilities, where the characteristics of such housing fall on the continuum of impoverished-to-enriched environments, and the extent to which dolphins show behavioral evidence characteristic of living in impoverished environments. The results of this analysis show that contrary to the original hypothesis, modern zoological facilities do not inherently, or even typically, house dolphins in impoverished conditions. However, it also notes that there is variation in animal welfare across different zoological facilities, and that “not impoverished” would be a particularly low bar to set as an animal welfare standard. To optimize cognitive well-being, strategies for providing additional cognitive challenges for dolphins in zoological facilities are suggested.

The implementation of practicum assessment rubrics in the Physics Education Laboratory of UIN Alauddin Makassar has fallen short of its full potential. Thus, it is critical to develop a standardized rubric. The practicum assessment rubric is utilized to assess the proficiency of students during their practicum. This research aims to (1) describe the procedure for developing a practicum implementation assessment rubric for Basic Electronics courses with the assistance of the Google Spreadsheet application; and (2) describe the quality of the practicum implementation assessment rubric based on validity and practicality for Basic Electronics courses with the assistance of the Google Spreadsheet application. The utilized development model is Tessmer's formative research model, which comprises two stages: preliminary and formative evaluation. The formative evaluation stage incorporates self-evaluation, prototyping (including expert reviews, one-on-one, and small group), and a field test. This research was conducted at the Physics Education Laboratory of UIN Alauddin Makassar. The research subject comprised two individuals: the main subject and the trial test subject. The main subject comprised two individuals who subsequently formed the product validator team. The trial test subject comprised seven individuals who were employed as assistants for the Electronics practicum in 2022/23. The research results indicated that the validity of the developed product is deemed valid with the validity value of 1. Based on the practicality analysis results, which indicated that 29% of users provided practical responses and 71% provided very practical responses regarding the developed products, it can be inferred that the developed assessment rubric satisfied the practicality criteria. The results of this study suggest that the developed assessment rubric facilitates the assessment administered by the practicum assistants. Additionally, the developed assessment rubric is applicable to all practicum titles pertaining to Basic Electronics.

The current study is a preliminary examination of cognitive profiles and cortical distribution of the spectral power of different electroencephalogram (EEG) rhythms in children with specific language impairment and subclinical epileptiform discharges. Although a number of empirical studies point to higher incidence of abnormal EEGs in children with specific language impairment, only a few studies were found examining electrophysiological characteristics, such as locus of discharges and connections with cognitive functioning in this population of children. The sample included 12 children with specific language impairment (SLI) and abnormal EEG who underwent testing of cognitive functioning using the Wechsler Intelligence Scale for Children (WISC). The control sample included 13 children with specific language impairment and regular EEG. Results point to lower scores on several subtests of the performance scale for children with abnormal EEG than for the group with regular EEG. Detailed EEG analysis of cortical distribution of the spectral power of different EEG rhythms partially confirms the results of neuropsychological assessment, pointing to abnormal function of frontal and temporal regions. Higher values of spectral power of the delta brain rhythm in frontal regions are associated with lower results on the WISC performance scale. Results are discussed in the context of subgroups of the population of children with SLI.

Sixty-seven patients surviving spontaneous subarachnoid haemorrhage (SAH) have been followed up for 2-12 years (mean: 7 years) in order to determine prognostic factors concerning the long-term disability in familial and social functioning. A correlation was found between the severity of the neurological deficit at the time of admission and the degree of familial and social disability at the end of the observation period. In addition, the Barthel-Index on discharge was shown to be of prognostic value for readjustment for social--but not for familial--functioning. Other clinical variables in the acute stage, however, including source of bleeding, sex, age, interval between SAH and admission, level of consciousness, cognitive functions, as well as initial Hunt and Hess grading and Glasgow Coma Scale scoring, did not influence the long-term social prognosis. Furthermore, residual neurological signs, cognitive dysfunctions, and the Glasgow Outcome score on discharge were not related to the extent of social handicap in the long-term outcome. At the end of the observation period, significant correlations were found between the presence of persisting neurological and cognitive deficits but also disability in ADL functions and occupational capacity and the decline in familial and social functioning.

The potential relationship between mastication ability and cognitive function in idiopathic normal pressure hydrocephalus (iNPH) patients is unclear. This report investigated the association between mastication and cognitive function in iNPH patients using the gray level of the co-occurrence matrix on the lateral pterygoid muscle. We analyzed data from 96 unoperated iNPH patients who underwent magnetic resonance imaging (MRI) between December 2016 and February 2023. Radiomic features were extracted from T2 MRI scans of the lateral pterygoid muscle, and muscle texture parameters were correlated with the iNPH grading scale. Subgroup analysis compared the texture parameters of patients with normal cognitive function with those of patients with cognitive impairment. The mini-mental state examination score correlated positively with the angular second moment (P < 0.05) and negatively with entropy (P < 0.05). The dementia scale (Eide's classification) correlated negatively with gray values (P < 0.05). Gray values were higher in the cognitive impairment group (64.7 ± 16.6) when compared with the non-cognitive impairment group (57.4 ± 13.3) (P = 0.005). Entropy was higher in the cognitive impairment group (8.2 ± 0.3) than in the non-cognitive impairment group (8.0 ± 0.3) (P < 0.001). The area under the receiver operating characteristic curve was 0.681 (P = 0.003) and 0.701 (P < 0.001) for gray value and entropy, respectively. Our findings suggest an association between heterogeneity of mastication and impaired cognitive function in iNPH patients and highlight muscle texture analysis as a potential tool for predicting cognitive impairment in these patients.

Motor performance and cognitive function both decline with aging. Older adults for example are usually less steady for a constant-force task than young adults when performing low-intensity contractions with limb muscles. Healthy older adults can also show varying degrees of cognitive decline, particularly in executive function skills. It is not known, however, whether age-related changes in steadiness of low-force tasks and cognitive function are independent of one another. In this study, we determined if executive function skills in aging are associated with the steadiness during a low-force muscle contraction performed with and without the imposition of a cognitive challenge. We recruited 60 older adults (60–85 years old, 34 women, 26 men) and 48 young adults (19–30 years old, 24 women, 24 men) to perform elbow flexor muscle contractions at 5% of maximal voluntary contraction (MVC) force in the presence and absence of a difficult mental-math task (counting backward by 13 from a four-digit number). Force steadiness was quantified as the coefficient of variation (CV) of force and executive function was estimated with the Trail-making Test part A and B. The cognitive challenge increased the CV of force (i.e., decreased force steadiness) with greater changes in older adults than young adults (5.2 vs. 1.3%, respectively, cognitive challenge × age: P < 0.001). Older adults were 35% slower in both parts A and B of the Trail-making Test (P < 0.001), and to eliminate the effects of age and education on this variable, all further analyses were performed with the age-corrected z-scores for each individual using established normative values. Hierarchical regression models indicated that decreased force steadiness during a cognitive challenge trial was in part, explained by the performance in the Trail-making Test part A and B in older (r = 0.53 and 0.50, respectively, P < 0.05), but not in young adults (P > 0.05). Thus, healthy community-dwelling older adults, who have poorer executive function skills, exhibit reduced force steadiness during tasks when also required to perform a high cognitive demand task, and are likely at risk of reduced capacity to perform daily activities that involve cognitively challenging motor tasks.

Education programs at all levels must be able to demonstrate successful program outcomes. Grades alone do not represent a comprehensive measurement methodology for assessing student learning outcomes at either the course or program level. The development and application of assessment rubrics provides an unequivocal measurement methodology to ensure a quality learning experience by providing a foundation for improvement based on qualitative and quantitatively measurable, aggregate course and program outcomes. Learning outcomes are the embodiment of the total learning experience and should incorporate assessment of both qualitative and quantitative program outcomes. The assessment of qualitative measures represents a challenge for educators in any level of a learning program. Nursing provides a unique challenge and opportunity as it is the application of science through the art of caring. Quantification of desired student learning outcomes may be enhanced through the development of assessment rubrics designed to measure quantitative and qualitative aspects of the nursing education and learning process. They provide a mechanism for uniform assessment by nursing faculty of concepts and constructs that are otherwise difficult to describe and measure. A protocol is presented and applied to a doctoral nursing education program with recommendations for application and transformation of the assessment rubric to other education programs. Through application of these specially designed rubrics, all aspects of an education program can be adequately assessed to provide information for program assessment that facilitates the closure of the gap between desired and actual student learning outcomes for any desired educational competency.

ABSTRACTBackgroundGiven the impact of chronic pain on cognition, CRPS may affect specific cognitive functions. However, cognitive functioning is rarely assessed in CRPS, and previous studies have examined only limited domains. As a result, it remains unclear which cognitive functions are affected and whether impairments are CRPS‐specific. This study comprehensively evaluates cognition in CRPS and compares it to carpal tunnel syndrome (CTS) to determine whether cognitive dysfunction is specific to CRPS.MethodsAll patients underwent a standardised cognitive assessment consisting of ten tests, evaluating the domains of memory, concentration, executive functioning, social cognition and performance validity. Standardised z‐scores and proportion of low‐performing patients (< −1.5 SD from age‐, sex‐ and education adjusted normative data) were examined. Both patient groups were compared with each other and the expected population proportion.ResultsSixty‐four patients (n = 39 CRPS and n = 25 CTS) with a mean age of 52.5 (range 20–81) were included. Compared with patients with CTS, patients with CRPS had significantly higher pain scores 24 h before and during the visit (p < 0.001). All cognitive test results were similar between the two groups. Z‐scores of both groups were comparable or better than the population norm. Furthermore, proportions of patients with Z‐scores below −1.5 SD were similar or better than expected.ConclusionsOur results consistently showed no cognitive impairment in either patient group. Both groups met or exceeded population norms on all tests. However, despite our clear results, attention should be paid to factors affecting cognition, like depression, anxiety and stress.Significance StatementThis study explores the underexamined cognitive dysfunction in Complex Regional Pain Syndrome (CRPS). Cognitive issues, often reported by CRPS patients, can add to the burden on daily life and quality of life (QoL) but are rarely assessed. By comparing CRPS with CTS, this research examines whether cognitive impairments are specific to CRPS. Identifying these issues may lead to targeted therapies addressing both pain and cognitive challenges, ultimately improving patient outcomes and QoL.

This systematic review aimed to analyze the available body of published peer-reviewed studies on the effects of combat sports compared with active/passive control on cognitive function and electrophysiological markers of brain activity in older people. The studies were searched in Scopus, Web of Science, PubMed, MEDLINE, and PsycINFO databases from deadline to June 2023. The PRISMA, TESTEX, RoB, and GRADE scales assessed the evidence's methodological quality and certainty of evidence. The protocol was registered in PROSPERO (code: CRD42022361695). After reviewing 3768 studies, seven combat sports interventions (score ≥60% in methodological quality) were selected, composed of 381 older people (63% female), with a mean age of 66 years. In the selected studies, interventions based on judo, karate, and taekwondo were carried out, where it was not possible to verify the benefits of combat sports in cognitive function and electrophysiological markers of brain activity regarding active/passive control groups, although the individual results of the analyzed studies indicate that the practice of combat sports favor selective attention, divided attention, executive function, visual perception, and cognitive processing speed in older people. The available evidence does not allow a definite recommendation regarding combat sports as an effective cognitive function intervention in older people.

IntroductionWidespread white matter damage and cognitive impairment have been demonstrated in chronic obstructive pulmonary disease (COPD). However, it remains unclear if brain atrophy is a global phenomenon or if specific...