Background:The association of autism symptoms and cognitive abilities can facilitate the etiology and treatment of autism disorders. Destruction of executive functions is one of the several potential cognitive phenotypes in autism. Objectives: The purpose of this study was to investigate the relationship between deficit executive functions and behavioral symptoms in children with high-functioning autism. Materials and Methods:In this cross-sectional study, 50 children with high-functioning autism were selected using the convenience sampling method. The Gilliam autism rating scale, high-functioning autism spectrum screening questionnaire, The Stroop color and word test, continuous performance test and shifting attention test were administered. Pearson correlation coefficient and multi-variant regression were used to analyze the data. Results: There was a positive correlation between selective attention with communication and social interactions (P < 0.01, P < 0.05). There was a positive correlation between sustained attention with social interactions and stereotyped behaviors (P < 0.05, P < 0.001). Moreover, there also was a positive correlation between shifting attention and communication, social interactions and stereotyped behaviors (P < 0.05, P < 0.01, P < 0.001). The results of regression analysis showed that selective attention and shifting attention can predict communication (P < 0.01). Sustained attention can predict social interactions and stereotyped behaviors (P < 0.01, P < 0.05). Conclusions:The results of this study suggest that executive functions play an important role in symptoms of children with highfunctioning autism. It is recommended to design new therapeutic interventions to restore executive functions in children with highfunctioning autism.
In our study the current informed consent of patients wasn't in desirable condition. The Necessary measures are required to achieve a level that the patients' informed consent convert to informed choices. Hospital healthcare team need to take proper actions such as give proper information, patient training, sufficient information and etc.
Background: The first cause of death and disability constituting to the burden of disease in Iran has been accident and injury incidents. Young people are more at risk, these accidents have a negative effect on the national gross domestic product (GDP), on the one hand, and they increase the costs of the health system on the other hand. Therefore, this study aimed to analyze the costs and epidemiological pattern of accidents. Methods: The study variables in the first 8 months of 2016 included from Tehran Province, Iran; age, sex, how to transfer to the hospital, consequences of an accident, the injured area, and costs. Overall, 400 cases were investigated by referring to the patients` files and deriving the intended data. SPSS software used to analyze the data and statistical tests of t-test and ANOVA were applied. Results: Most accidents have happened in summer months of Jun, Jul and Aug. Most of the files (48%) were related to the age group of 16-30. The mean cost was 9024.82 dollar. In total, 39% of the road accidents had occurred by motorcycle and 90.8% of the patients discharged from the hospital. Conclusion: Since about half of the traffic accidents were related to the age of 16 to 30 who were the active population of a community, therefore, any disability or death in these groups could cause an economic burden on the community and increase DALY. Thus, it appears essential to develop proper programs such as education for appropriate driving and strict rules for giving driving license to these ages.
Background: Appropriate allocation of resources is an important issue in the delivery of services that can reduce the health system costs. The inappropriateness of healthcare services is one of the problems that increase the pressure on hospitals and patients. Methods: In this study, the data were collected using the appropriateness evaluation protocol by a medicine specialist at Rasoul Akram Hospital. In total, 248 participants were selected through systematic sampling. To calculate the financial burden simultaneously with the evaluation of inappropriate hospitalization days, the medicine and facility costs along with the cost of bed-day were estimated. Data were analyzed by SPSS software. Results: The type of treatment was surgery in 56.8% of the patients and 43.2% of them were admitted to the hospital for internal medicine. The mean length of stay was 4 ± 6 days. The inappropriate admission rate was estimated at about 6% and the rate of inappropriate hospital stays was 21.5%. The most important factors influencing the inappropriateness of hospitalization were delayed medical consultations, delayed surgery, conservative practitioner, and the follow-up of clinical test results. The sum of the direct financial burden of inappropriate hospitalization for the patients was estimated at around 1060 dollars. Conclusions: The findings of this study indicated that inappropriate hospitalization and admission imposed a huge financial burden on the health system and community. Hospital authorities by considering issues such as delayed medical consultations and delayed surgery can decrease the financial burden of inappropriate hospitalization to a large extent.
Background: Determining the impact of executive dysfunction on reading defects in children with reading and learning disabilities can tremenddously help their treatment. In the recent decade, the role of executive functions has been considered very important and fundamental; following those considerations, therefore, the aim of this study is to determine the relationship between executive functions and problems with reading in children with specific learning disorders.
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