Number Of Correct Responses Research Articles

Performance of Multimodal Artificial Intelligence Chatbots Evaluated on Clinical Oncology Cases

Multimodal artificial intelligence (AI) chatbots can process complex medical image and text-based information that may improve their accuracy as a clinical diagnostic and management tool compared with unimodal, text-only AI chatbots. However, the difference in medical accuracy of multimodal and text-only chatbots in addressing questions about clinical oncology cases remains to be tested. To evaluate the utility of prompt engineering (zero-shot chain-of-thought) and compare the competency of multimodal and unimodal AI chatbots to generate medically accurate responses to questions about clinical oncology cases. This cross-sectional study benchmarked the medical accuracy of multiple-choice and free-text responses generated by AI chatbots in response to 79 questions about clinical oncology cases with images. A unique set of 79 clinical oncology cases from JAMA Network Learning accessed on April 2, 2024, was posed to 10 AI chatbots. The primary outcome was medical accuracy evaluated by the number of correct responses by each AI chatbot. Multiple-choice responses were marked as correct based on the ground-truth, correct answer. Free-text responses were rated by a team of oncology specialists in duplicate and marked as correct based on consensus or resolved by a review of a third oncology specialist. This study evaluated 10 chatbots, including 3 multimodal and 7 unimodal chatbots. On the multiple-choice evaluation, the top-performing chatbot was chatbot 10 (57 of 79 [72.15%]), followed by the multimodal chatbot 2 (56 of 79 [70.89%]) and chatbot 5 (54 of 79 [68.35%]). On the free-text evaluation, the top-performing chatbots were chatbot 5, chatbot 7, and the multimodal chatbot 2 (30 of 79 [37.97%]), followed by chatbot 10 (29 of 79 [36.71%]) and chatbot 8 and the multimodal chatbot 3 (25 of 79 [31.65%]). The accuracy of multimodal chatbots decreased when tested on cases with multiple images compared with questions with single images. Nine out of 10 chatbots, including all 3 multimodal chatbots, demonstrated decreased accuracy of their free-text responses compared with multiple-choice responses to questions about cancer cases. In this cross-sectional study of chatbot accuracy tested on clinical oncology cases, multimodal chatbots were not consistently more accurate than unimodal chatbots. These results suggest that further research is required to optimize multimodal chatbots to make more use of information from images to improve oncology-specific medical accuracy and reliability.

Design and synthesis of phyto-Saxagliptin conjugates: Targeting DPP IV, AChE, and β-amyloid in cognitive impairment

Cognitive impairment is a major secondary consequence of Type II diabetes mellitus. The present investigation is designed to enhance the efficacy of an antidiabetic drug (Saxagliptin/SXG) against diabetes-induced cognitive impairment in rats. SXG has limited blood-brain barrier (BBB) permeability due to its hydrophilic nature. Phytochemical-based carboxylic acid conjugates enhance the lipophilicity and anti-oxidant properties of the drugs. Virtually SXG was conjugated with 10 different carboxylic acids and evaluated for drug-likeness, pre-ADMET, Molecular docking, and HUMO-LUMO study. Based on the molecular weight, log P value, docking score, and toxicity profile; three carboxylic acids were selected. Gallic acid (GA), Isonicotinic acid (INA), and Caffeic acid (CA) conjugates of SXG were synthesized and characterized by FTIR, and NMR studies. Diabetes-induced cognitive impairment was induced in the rats by administration of STZ, 45 mg kg-1 i.p. Learning and memory were evaluated by assessing spontaneous alternation behavior (SAB), number of correct responses, and transfer latency using Y-maze, radial arm maze, and elevated plus maze respectively. The antioxidant activity, nitrite levels, acetylcholine esterase level, and Aβ42 content in the rat brain was also evaluated. Histopathology of the hippocampal area was also done. The carboxamides of SXG have improved the efficacy of SXG against diabetes-induced cognitive impairment. This neuroprotective effect of carboxamides of SXG may be attributed to anti-oxidant activity, cholinergic activity, and anti-amyloid β activity.

Impacts of endogenous opioid blockade and sex on working memory among ad-libitum and abstinent smokers and non-smokers

BackgroundResearch examining the effects of opioid receptor antagonists on working memory is limited by small sample sizes that are often comprised of only male participants. Moreover, they have yielded mixed findings, and no studies have examined such effects in the context of chronic nicotine use and temporary nicotine withdrawal. MethodsMale and female participants completed two lab visits at which they were administered either 50 mg naltrexone or an identical placebo (one at each lab using double-blind, counterbalanced administration). After a medication absorption period, performance on a mental arithmetic (working memory) task was assessed by number of correct responses, errors, and number of attempts. Participants were either non-smokers or regular smokers who were randomly assigned to use nicotine ad-libitum or to abstain from nicotine for 24 h prior to both lab visits. ResultsThe results indicate a significant main effect of opioid blockade on number of correct answers and accuracy rate during the mental arithmetic task, with poorer performance after opioid blockade compared to placebo. In addition, compared to male participants, female participants made fewer answer attempts, had fewer correct answers, and a lower accuracy rate. We did not find evidence of any differences based on smoking group (non-smoker, smoking abstinence, or ad-libitum smoking), nor were there any significant interaction effects. ConclusionsThe findings suggest a modulating role of the endogenous opioid system in working memory function. Further investigation is needed to help identify the underlying mechanisms explaining the effects of the endogenous opioid system on working memory.

Acute stress and blockade of mineralocorticoid or glucocorticoid receptors: Effects on working memory

Although early studies were able to demonstrate a negative impact of stress on working memory performance, present research findings are heterogeneous. Numerous further studies found no effects or even improved performance, with the direction of these stress effects likely depending on the underlying biological mechanisms. The aim of this study was to investigate receptor-specific effects, as part of the stress-induced cortisol response, on working memory performance. Healthy, male participants (N=318, mean age 25.4 ± 5.1y) were exposed to the Trier Social Stress Test (TSST), a social-evaluative stress manipulation, or a non-stress control condition after they had received either spironolactone (blockade of the mineralocorticoid receptor, MR) or mifepristone (blockade of the glucocorticoid receptor, GR) or a placebo. Both substances are potent antagonists with high affinity for the respective receptors. To assess working memory, we implemented the n-back task subsequent to stress exposure, number of correct responses and reaction times served as outcome measures. We did not find effects of stress on working memory for any outcome measure, i.e. correct responses and reaction times. Yet, post hoc tests revealed that the group that received mifepristone exhibited longer reaction times under medium load conditions when compared to the placebo group, which might be an indication of the GR’s involvement in task performance. We conclude that working memory performance is not affected by acute stress, at least under these prevalent conditions.

Associations between the Framingham Risk Score and cognitive functions in people with multiple sclerosis

Background & Objective: Cognitive impairment is common in people with multiple sclerosis (MS). The Framingham Risk Score (FRS) is an algorithm used to estimate the 10-year risk of developing cardiovascular disease (CVDr). This study aimed to evaluate the possible associations between FRS and cognitive impairment in people with MS. Methods: Demographic characteristics, laboratory parameters, clinical findings, vascular risk factors, and Brief International Cognitive Assessment for MS (BICAMS) test results, FRS and CVDr scores were recorded for 110 MS patients. Results: FRS and CVDr scores exhibited a significant negative correlation with the number of correct responses in the Symbol Digit Modalities Test (p < 0.001 for all) and California Verbal Learning Test–Second UK Edition (CVLT-II) test (p < 0.001 for all), and significant positive correlation with the number of incorrect responses in the CVLT-II (p < 0.001 for all). The total score of the Brief Visuospatial Memory Test Revised had a negative correlation with FRS and CVDr (p < 0.001 for both). BICAMS scores showed no significant correlation with smoking status, homocysteine, and uric acid levels. Conclusion: We suppose that vascular risk factors and FRS and CVDr scores may be associated with the deterioration of working memory, information processing speed, verbal learning, and memory in people with MS. Based on the potential impact of vascular risk factors on cognitive functions, our findings suggest that lifestyle changes, appropriate treatment, and using a multidisciplinary approach toward vascular risk factors during MS management may exhibit a positive effect on cognition in people with MS.

Executive functions and their relationship with age: Insights from a novel neuropsychological Assessment Battery in Children—a pilot study

Executive functions (EFs) are a set of cognitive processes that enable individuals to manage and coordinate their thoughts and actions toward achieving specific goals. EFs include planning, organizing, initiating, and monitoring actions, and have been found to improve with age due to the maturation of the brain, especially during childhood. Therefore, our correlational study sought to determine the relationship between the performance in executive functions and age in 79 children (36 girls, 45.6%) throughout development, between the ages of 6 and 12 (mean = 9.25; SD = 2.05), using a battery designed in Chile: BEFE (Batería de Evaluación de las Funciones Ejecutivas: Executive Function Assessment Battery) based on traditional neuropsychological tests to evaluate Working Memory, Inhibitory Control, Cognitive Flexibility, and Planning skills. Our results showed various correlations between the variables age and performance in various behavioral parameters, demonstrating an increase in the number of correct responses (positive correlation) and/or a decrease in errors (negative correlation) with age (6–12) in the subtests that correspond to dimensions of Cognitive Flexibility (Semantic and Phonological Fluency, Card Sorting Game, and Tracing Tasks), Inhibitory Control (ENA-F and Sentence Completion), Working Memory (Audio-verbal WM Forward and Ordering, and Visuospatial WM Forward and Backward), and Planning (La Portada de Antofagasta and FISA Maps). These results are consistent with previous empirical evidence and support the notion of a developmental relationship between EF performance and age. Additionally, this study contributes to understanding EF development in culturally specific contexts, highlighting the importance of contextually relevant assessment tools in evaluating cognitive development.

Aerobic and Anaerobic Exercise's Impact on Cognitive Functions in Eighth Grade Students.

The present study examined the impact of aerobic and anaerobic exercise on cognitive abilities in eighth grade students at one middle school in southeastern US. It is known that youth do not meet recommended physical activity levels, yet there is research demonstrating a clear connection between aerobic exercise and academic performance. There is a gap in evidence regarding anaerobic exercise and cognitive capabilities. If professionals know which type of exercise is most beneficial for enhancing cognition in youth, it will behoove them to incorporate these practices in physical education and other areas throughout the school day for students. Thus, this research aimed to answer the following question: what is the effect of both aerobic and anaerobic exercise on the cognitive functions of eighth grade students, specifically measuring working memory, attention, and impulsivity? Fifty research participants (N = 31 males, 18 females, 1 other), aged 13-14, consented/assented to the complete study protocols. Participants engaged in an experiment containing three different cognitive tasks after partaking in three separate exercise conditions. The cognitive measures were the Stroop color-word task, the Flanker test, and the Go/No Go task, which all measured reaction time and the number of correct responses. The exercise conditions were baseline (after no exercise), aerobic (after a continuous running activity in PE), and anaerobic (after completing an interval dumbbell workout in PE). Each condition took place on a separate day to decrease the effect of confounding variables. The data were analyzed using the Scheffe modification of the MANOVA to determine whether multiple levels of the independent variable influenced the dependent variables (the reaction time and number of correct responses) or if a combination of variables influenced the outcomes. Each cognitive test was analyzed separately. The results showed that the exercise condition did significantly impact the reaction time and the number of correct responses for the Stroop color-word task [F(4, 254) = 8.59, p < 0.001; Pillai's Trace = 0.24]. Specifically, aerobic exercise improved both reaction time (p < 0.001) and the number of correct responses (p = 0.001) compared to baseline, while anaerobic exercise improved just reaction time compared to baseline. To find out more detailed information about the specific dependent variable affected by the exercise program, individual ANOVA tests were conducted, resulting in statistical significance for both the number of correct responses and reaction time regarding the program. The partial Eta2 of 0.07 for the number of correct responses and 0.24 for reaction time indicated that 7% of the variance in correct responses and 24% of the variance in reaction time could be explained by the exercise program. While both are significant, reaction time is more impacted by exercise program than correct responses are. Given these findings, it is recommended that aerobic physical activity be offered in school prior to assigning cognitively challenging tasks, while quick anaerobic activity breaks should be used to refocus students' attention. More research should be conducted to examine other cognitive abilities, as well as in other populations.

Evaluation of the Clinical Efficacy and Trust in AI-Assisted Embryo Ranking: Survey-Based Prospective Study.

Current embryo assessment methods for in vitro fertilization depend on subjective morphological assessments. Recently, artificial intelligence (AI) has emerged as a promising tool for embryo assessment; however, its clinical efficacy and trustworthiness remain unproven. Simulation studies may provide additional evidence, provided that they are meticulously designed to mitigate bias and variance. The primary objective of this study was to evaluate the benefits of an AI model for predicting clinical pregnancy through well-designed simulations. The secondary objective was to identify the characteristics of and potential bias in the subgroups of embryologists with varying degrees of experience. This simulation study involved a questionnaire-based survey conducted on 61 embryologists with varying levels of experience from 12 in vitro fertilization clinics. The survey was conducted via Google Forms (Google Inc) in three phases: (1) phase 1, an initial assessment (December 23, 2022, to January 22, 2023); (2) phase 2, a validation assessment (March 6, 2023, to April 5, 2023); and (3) phase 3 an AI-guided assessment (March 6, 2023, to April 5, 2023). Inter- and intraobserver assessments and the accuracy of embryo selection from 360 day-5 embryos before and after AI guidance were analyzed for all embryologists and subgroups of senior and junior embryologists. With AI guidance, the interobserver agreement increased from 0.355 to 0.527 and from 0.440 to 0.524 for junior and senior embryologists, respectively, thus reaching similar levels of agreement. In a test of accurate embryo selection with 90 questions, the numbers of correct responses by the embryologists only, embryologists with AI guidance, and AI only were 34 (38%), 45 (50%), and 59 (66%), respectively. Without AI, the average score (accuracy) of the junior group was 33.516 (37%), while that of the senior group was 35.967 (40%), with P<.001 in the t test. With AI guidance, the average score (accuracy) of the junior group increased to 46.581 (52%), reaching a level similar to that of the senior embryologists of 44.833 (50%), with P=.34. Junior embryologists had a higher level of trust in the AI score. This study demonstrates the potential benefits of AI in selecting embryos with high chances of pregnancy, particularly for embryologists with 5 years or less of experience, possibly due to their trust in AI. Thus, using AI as an auxiliary tool in clinical practice has the potential to improve embryo assessment and increase the probability of a successful pregnancy.

Prospective study of sound localisation in patients with single sided deafness and asymmetric hearing loss treated with cochlear implant

Background and objectiveSound localization plays a crucial role in our daily lives, enabling us to recognize voices, respond to alarming situations, avoid dangers, and navigate towards specific signals. However, this ability is compromised in patients with Single-Sided Deafness (SSD) and Asymmetric Hearing Loss (AHL), negatively impacting their daily functioning. The main objective of the study was to quantify the degree of sound source localization in patients with single-sided deafness or asymmetric hearing loss using a Cochlear Implant (CI) and to compare between the two subgroups. Materials and methodsThis was a prospective, longitudinal, observational, single-center study involving adult patients diagnosed with profound unilateral or asymmetric sensorineural hearing loss who underwent cochlear implantation. Sound localization was assessed in a chamber equipped with seven speakers evenly distributed from −90º to 90º. Stimuli were presented at 1000 Hz and intensities of 65 dB, 70 dB, and 75 dB. Each stimulus was presented only once per speaker, totaling 21 presentations. The number of correct responses at different intensities was recorded, and angular error in degrees was calculated to determine the mean angular distance between the patient-indicated speaker and the speaker presenting the stimulus. Both assessments were conducted preoperatively without a cochlear implant and two years post-implantation. ResultsThe total sample comprised 20 patients, with 9 assigned to the SSD group and 11 to the AHL group. The Preoperative Pure Tone Average (PTA) in free field was 31.7 dB in the SSD group and 41.8 dB in the AHL group. There was a statistically significant improvement in sound localization ability and angular error with the use of the cochlear implant at all intensities in both SSD and AHL subgroups. ConclusionsCochlear implantation in patients with SSD and AHL enhances sound localization, reducing mean angular error and increasing the number of correct sound localization responses.

Performance evaluation of brain state discrimination using near-infrared spectroscopy for brain-computer interface: an exploratory case study

&lt;abstract&gt; &lt;p&gt;A new method of environmental control that does not depend on motor functions is eagerly awaited to support independent living for people with severe quadriplegia. In this study, we conducted an exploratory case study of brain state discrimination in a quadriplegic subject to develop a brain-computer interface controlled by a mental task execution. We measured near-infrared spectroscopy (NIRS) signals in a patient with a cervical spinal cord injury while performing mental tasks. A block design with a task and a rest separated by 30 seconds was used to measure brain function. The utilized mental tasks were mental arithmetic and Japanese word chains. Seventeen trials of the NIRS signal were acquired for each task, and 52 samples with 24-dimensional features per trial data were extracted. Random forest was used as the classifier, and the number of correct responses in the binary discrimination of the brain states were calculated by cross-validation. The exact binomial test was used for the statistical analysis, and a two-tailed test with a significance level of 5% was performed. The results showed that the number of correct responses was 15 out of 17 (p = 0.002) for the mental arithmetic task and 14 out of 17 (p = 0.013) for the Japanese word chains task, for an overall accuracy of 85%. These results indicate that this method can discriminate the brain state of a patient with quadriplegia from the NIRS signal. By applying these findings to a brain-computer interface, it will be possible to provide a new means of environmental control for individuals with quadriplegia.&lt;/p&gt; &lt;/abstract&gt;

Using behavior and eye-fixations to detect feigned memory impairment.

Detecting invalid cognitive performance is an important clinical challenge in neuropsychological assessment. The aim of this study was to explore behavior and eye-fixations responses during the performance of a computerized version of the Test of Memory Malingering (TOMM-C) under standard vs. feigning conditions. TOMM-C with eye-tracking recording was performed by 60 healthy individuals (31 with standard instruction - SI; and 29 were instructed to feign memory impairment: 21 Naïve Simulators - NS and 8 Coached Simulators - CS) and 14 patients with Multiple Sclerosis (MS) and memory complaints performed. Number of correct responses, response time, number of fixations, and fixation time in old vs. new stimuli were recorded. Nonparametric tests were applied for group comparison. NS produced fewer correct responses and had longer response times in comparison to SI on all three trials. SI showed more fixations and longer fixation time on previously presented stimuli (i.e., familiarity preference) specially on Trial 1, whereas NS had more fixations and longer fixation time on new stimuli (i.e., novelty preference) specially in the Retention trial. MS patients produced longer response time and had a different fixation pattern than SI subjects. No behavioral or oculomotor difference was observed between NS and CS. Healthy simulators have a distinct behavioral and eye-fixation response pattern, reflecting a novelty preference. Oculomotor measures may be useful to detect exaggeration or fabrication of cognitive dysfunction. Though, its application in clinical populations may be limited.

Levels of Awareness of Selected College Students about the Signs, Risk Factors and Consequences of Teen Substance Abuse

A recent United Nations report stated that the number of people using illegal drugs increased by 23 percent over the previous ten years. Studies have established that enhancing awareness about this issue may prevent the upsurge of substance abuse. The objective of this study was to investigate the level of awareness of college students on teen substance abuse. Using convenience sampling, 120 students from a private college in Metro Manila, Philippines volunteered to be the respondents of this study. A researcher-made, 25-item true or false test on the level of awareness with respect to signs, risk factors and consequences of teen substance abuse was administered on the respondents. For the respondents of this study, there were only 51.6% correct responses to items on signs of teen substance abuse, 55.28% correct responses were given to items on risk factors of teen substance abuse and 61.8% correct responses were given to items on consequences of teen substance abuse. These percentages suggest that there is a lack of awareness on teen substance abuse among the respondents of this study. Significant differences were found between the number of correct responses given with respect to consequences of teen substance abuse when the respondents are grouped according to sex and presence of romantic involvement. Females appeared to exhibit higher awareness on consequences of teen substance abuse, while respondents with romantic involvement seemed to show higher awareness of the consequences of teen substance abuse. Keywords: Substance abuse, teen, substance abuse signs, risk factors and consequences

Functional connectivity in Lewy body disease with visual hallucinations.

Visual hallucinations are a common, potentially distressing experience of people with Lewy body disease (LBD). The underlying brain changes giving rise to visual hallucinations are not fully understood, although previous models have posited that alterations in the connectivity between brain regions involved in attention and visual processing are critical. Data from 41 people with LBD and visual hallucinations, 48 with LBD without visual hallucinations and 60 similarly aged healthy comparator participants were used. Connections were investigated between regions in the visual cortex and ventral attention, dorsal attention and default mode networks. Participants with visual hallucinations had worse cognition and motor function than those without visual hallucinations. In those with visual hallucinations, reduced functional connectivity within the ventral attention network and from the visual to default mode network was found. Connectivity strength between the visual and default mode network correlated with the number of correct responses on a pareidolia task, and connectivity within the ventral attention network with visuospatial performance. Our results add to evidence of dysfunctional connectivity in the visual and attentional networks in those with LBD and visual hallucinations.

Characterizing phonemic fluency by transfer learning with deep language models.

Though phonemic fluency tasks are traditionally indexed by the number of correct responses, the underlying disorder may shape the specific choice of words-both correct and erroneous. We report the first comprehensive qualitative analysis of incorrect and correct words generated on the phonemic ('S') fluency test, in a large sample of patients (n = 239) with focal, unilateral frontal or posterior lesions and healthy controls (n = 136). We conducted detailed qualitative analyses of the single words generated in the phonemic fluency task using categorical descriptions for different types of errors, low-frequency words and clustering/switching. We further analysed patients' and healthy controls' entire sequences of words by employing stochastic block modelling of Generative Pretrained Transformer 3-based deep language representations. We conducted predictive modelling to investigate whether deep language representations of word sequences improved the accuracy of detecting the presence of frontal lesions using the phonemic fluency test. Our qualitative analyses of the single words generated revealed several novel findings. For the different types of errors analysed, we found a non-lateralized frontal effect for profanities, left frontal effects for proper nouns and permutations and a left posterior effect for perseverations. For correct words, we found a left frontal effect for low-frequency words. Our novel large language model-based approach found five distinct communities whose varied word selection patterns reflected characteristic demographic and clinical features. Predictive modelling showed that a model based on Generative Pretrained Transformer 3-derived word sequence representations predicted the presence of frontal lesions with greater fidelity than models of native features. Our study reveals a characteristic pattern of phonemic fluency responses produced by patients with frontal lesions. These findings demonstrate the significant inferential and diagnostic value of characterizing qualitative features of phonemic fluency performance with large language models and stochastic block modelling.

What mathematics do Grade 7 learners take to high school in the context of the COVID-19 pandemic?

Background: Poor mathematics performance in South Africa is well known. The COVID-19 pandemic was expected to exacerbate the situation.Aim: To investigate Grade 7 learners’ mathematical knowledge at the end of primary school and to compare mathematical performance of Grade 7 and 8 learners in the context of the pandemic.Setting: Data were collected in term four of 2020 at 11 primary schools and five secondary schools. All schools drew learners from poor communities in Gauteng.Methods: A multiple-choice test covering mathematical content from Grades 4–7 was designed and piloted. Learner performance was measured through number of correct responses. Qualitative error analyses were conducted on learners’ choices of distractors.Results: The difference in performance of the two grade groups was not statistically significant. There were similar response patterns in learners’ choices of distractors with strong evidence of cue-based reasoning and evidence of additive reasoning in items requiring multiplicative reasoning.Conclusion: Grade 8 learners made very small gains, likely due to reduced learning time. Learner errors show many similarities with the international literature and show that Grade 7 learners are not yet ready for algebra.Contribution: The findings provide starting points for addressing the most common errors and highlight the need for: greater attention to whole and rational number concepts in Grade 8; strategies for teacher support in teaching primary maths content; and innovative teaching strategies to fast-track learning of this content.

Assessment of Knowledge and attitude towards Stroke among the UAE population during the COVID-19 pandemic: A cross-sectional study.

Background: Despite significant advancements in healthcare, the burden of stroke continues to rise in the developed world, especially during the COVID-19 pandemic. Association between COVID-19 infection and stroke is well established. Factors identified for the delay in presentation and management include a lack of awareness regarding stroke. We aimed to assess the general public knowledge and attitudes on stroke and stroke risk factors in the United Arab Emirates during the COVID-19 pandemic. Methods: A cross-sectional study was conducted between September 2021 and January 2022 among adults≥ 18 years old. Participants completed a self-administered questionnaire on sociodemographic characteristics and stroke knowledge and attitudes. Knowledge and attitude scores were calculated based on the number of correct responses. Linear regression analysis was performed to determine the factors related to knowledge and attitude towards stroke. Results: Of the 500 respondents, 69.4% were females, 53.4% were aged between 18 and 25, and nearly half were students (48.4%). The mean knowledge score was 13.66 (range 2-24). Hypertension (69%), smoking (63.2%), stress (56.4%) obesity/overweight (54.4%), and heart disease (53.6%) were identified as risk factors. Overall, the knowledge of signs/symptoms was suboptimal. The mean attitude score was 4.41 (range, 1-6); 70.2% would call an ambulance if someone were having a stroke. A monthly income of 11,000-50,000 AED and being a student were associated with positive knowledge. Being a non-health worker and lacking access to electronic media sources were associated with worse attitudes. Conclusion: Overall, we identified poor knowledge and suboptimal attitudes toward stroke. These findings reflect the need for effective public health approaches to improve stroke awareness, knowledge, and attitudes for effective prevention in the community. Presently, this is of utmost necessity, given the increased occurrence of stroke and its severity among COVID-19 patients.

Clinical characteristics and cognitive function in bipolar disorder patients with different onset symptom.

In recent years, studies on the clinical features and cognitive impairment of patients with different first-episode types of bipolar disorder have received increasing attention. The patients with bipolar disorder may present with different symptoms at first onset. The aim of this study is to assess the cognitive functions of a patient's index episode of bipolar disorder, depression or mania, on risk factors of effecting on cognitive functions. One hundred sixty eight patients with bipolar disorder diagnosed for the first time were enrolled in the study. All patients were divided into two groups according to their index episode of bipolar disorder, either depression or mania. Seventy three patients of the cohort had an index episode mania and 95 patients had initial symptoms of depression. Demographic and clinical disease characteristic data of all enrolled patients were collected. Meanwhile, 75 healthy controls were included. Demographic data of controls were collected. The cognitive functions of all patients and controls were detected by continuous performance test (CPT), digital span test (DST) and Wisconsin card sorting test (WCST). The main cognitive functions data were compared among the mania group, depression group and control group. The relevant risk factors affecting cognitive function were analyzed. (1) Most patients with bipolar disorder had an index episode depression (56.55% vs. 43.45%). Compared with the depression group, the mania group had later age of onset [(24.01 ± 4.254) vs. (22.25 ± 6.472), t = 2. 122, p = 0.035]. The education level of patient groups was lower than control group (p < 0.001). (2) The healthy control group's DST, WCST and CPT scores were better than the patient groups (All p < 0.05). The mania group's DST (forward, reverse, sum), WCST (total responses, completed classifications, correct responses, incorrect responses, percentage of correct responses, completed the number of responses required for classification, the percentage of conceptualization level, the number of persistent responses, non-persistent errors), CPT (2 digit score, 3 digit score, 4 digit score) was better than the depression group (p < 0.05). (3) In mania group, correlation analysis showed that all CPT parameter, inverse digit span, and the sum of DST was negatively correlated with the education level (All p < 0.05). The CPT-4 digit score was negatively correlated with onset age (p < 0.05). In the WCST, the number of correct responses, the percentage of correct responses and the percentage of conceptualization level were positively correlated with the BRMS score (All p < 0.05). The number of false responses and persistent responses were negatively correlated with the BRMS score (All p < 0.05). The number of persistent errors and percentage of persistent errors was positively correlated with education years (All p < 0.05). In depression group, there was a positive correlation between inverse digit span and the education level (p < 0.05). In our study, there were cognitive impairments in attention, memory, and executive function of patients with different onset syndromes of bipolar disorder. Compared with the mania group, the degree of cognitive impairments in bipolar patients with the depressive episode was more severe. The risk factors affecting cognitive impairments included the age of onset, education level, number of hospitalizations and severity of illness.

Vaping-Know the Truth: Evaluation of an Online Vaping Prevention Curriculum.

Unacceptably high levels of e-cigarette use among youth paired with growing research about the dangers of vaping demonstrate a critical need to develop interventions that educate young people to reject e-cigarette use and promote cessation for current users. Vaping: Know the Truth (VKT) is a free digital learning experience prioritizing middle and high school students that aims to improve students' knowledge about the dangers of using e-cigarettes and provide quitting resources for those who already vape. The current study was designed to evaluate whether students receiving the curriculum increased knowledge of the dangers of vaping. The outcome measures were calculated as the change in the number of correct responses from the pre- to post-module assessments among middle and high school students who completed four modules of the VKT curriculum (N = 103,522). Linear regression was performed to determine the association between the student's pre-module assessment score and the knowledge change score after completion of the four modules. Students' e-cigarette knowledge significantly improved by an average of 3.24 points (SD = 3.54), following implementation of the VKT curriculum. This indicates that participants answered more than 3 additional questions correctly, on average, after the intervention. Findings demonstrate that the Vaping: Know the Truth curriculum is an effective resource for increasing knowledge among youth about the harms associated with e-cigarette use. Further research is needed to evaluate whether the intervention is associated with behavioral outcomes over time.

You Matter: Elevating the Community Voice to Improve Patient Knowledge of Severe Maternal Morbidity Warning Signs Through Innovative Video Education at Postpartum Discharge [ID: 1375906

INTRODUCTION: The objective of this study was to determine whether a standardized video education campaign “You Matter” at postpartum discharge improves knowledge of warning signs for predominant causes of maternal morbidity (infection, hemorrhage, hypertensive disorders, and postpartum depression) compared to routine written instructions. METHODS: This was a randomized controlled trial of patients who delivered at a large, urban, tertiary care hospital. Eligible patients were enrolled and completed a baseline knowledge questionnaire. After delivery, they were randomized to written education or written plus video education, which was created with input from community stakeholders and included animated, ethnic and culturally diverse characters. After education, patients completed the same questionnaire. The primary outcome was improvement in patient knowledge, assessed by the number of correct responses. This study received IRB approval. RESULTS: From July to August 2022, 200 patients were enrolled (100 per group). Overall, patients were highly educated (college and/or graduate education, 82%) and most had commercial insurance (73.5%). There was no significant difference in baseline scores between the video and routine education (median 12 [11–14] versus 12 [11–13], P=.53). In the video arm, patients had significantly higher scores on posteducation questionnaires (median 14 [12–15] versus 13 [12–14], P&lt;.01), and patients improved their scores more frequently than their written counterpart (62.4% versus 50.0%, P=.08). Patients more frequently reported that video education was “very helpful” (86.1% versus 73.2%) and were “very satisfied” with their education (86.1% versus 76.3%). CONCLUSION: Enhanced postpartum education through a novel video at discharge yielded statistically higher scores on posteducation questionnaires, as well as more frequently improved scores and satisfaction in their care.

SAĞLIK BİLİMLERİ ÖĞRENCİLERİNE TEMEL YAŞAM DESTEĞİ ÖĞRETEBİLİYOR MUYUZ?

Objective: The study aims to evaluate the effectiveness of Basic Life Support training provided to health sciences students.&#x0D; Method: A single group pretest-posttest intervention type study was completed with 91 students. Data was collected with the Participant Information Form and Basic Life Support Information Form, which were developed by the researchers. Within the scope of the First Aid course, together with a video and training notes explaining the Basic Life Support procedure were shared with the students via the university course information system one week before the lesson. Afterward, the video and the training content were discussed with the students using the discussion and question-answer technique, and a demonstration was made of the model. The effectiveness of the Basic Life Support training was assessed directly and one month after the training.&#x0D; Results: The number of correct responses on the Basic Life Support Form was increased after training. There was a significant difference between the pre-test and post-test Basic Life Support knowledge scores of those who had not previously received Basic Life Support training (p