ABSTRACT
The research described herein is based on the assumptions of the sensory processing sensitivity concept and the meta framework for the concept of environmental sensitivity. The adopted theoretical framework shows that individuals differ in their sensitivity to the environment, with some being more sensitive than others. From the evolutionary perspective, it has also been assumed that sensory processing sensitivity follows a normal distribution in the population, with a minority being exceptionally or highly sensitive to environmental stimuli. We explored data from a sample of 928 young adolescents in two studies. The tool used to evaluate their sensitivity was the Highly Sensitive Child Scale, which in studies 1 and 2 had a three-factor structure. Latent class analysis was used for the interpretation of the data of the studied groups. The obtained results indicate the existence of three groups which differ significantly from each other according to the HSC result. Based on the obtained results, it may be assumed that young adolescents are divided into three groups characterized by different sensitivities and their percentage distribution is not in agreement with the research conducted to date. The acquired information has both a theoretical value and a practical applicability, prompting reflection about the different aspects of the study, such as cultural differences, changes related to the development stage and the characteristics of the evaluation tool itself. From the perspective of possible applications, the obtained results may provide important information (1) to decision-makers who plan support or intervention programs at various levels of prevention, (2) for practitioners to provide them with the means with which to consider sensitivity as an important factor in coping with difficulties through diversified and adequate support (3) that is broadly applicable in the face of an environmental crisis (pandemic, the changing structure of class groups which is related to the number of refugees).
Subject(s)
Vulnerable Populations , Adolescent , Child , Humans , PolandABSTRACT
AIM: To investigate the safety, surgical efficiency and patients' ability to recover from urinary continence as a result of a single absorbable running suture versus single-knot running suture for vesicourethral anastomosis (VUA) during laparoscopic radical prostatectomy (LRP). MATERIAL AND METHODS: In a prospective randomised study, we evaluated 162 consecutive patients who underwent LRP with VUA using the single running suture technique or the single-knot running suture technique. Perioperative patients' characteristics, morbidity and urinary continence were analysed. RESULTS: The baseline characteristics were similar between the 2 groups. The single running suture technique was related to decreased anastomotic and total operative times compared with the Van Velthoven technique (13.17 ± 5.74 min vs. 28.49 ± 6.45 min, p = 0.0001, and 174.41 ± 62.97 min and 184.94 ± 46.16 min, p = 0.04, respectively). Overall, urinary continence rates at 3, 6 and 12 months in groups 1 and 2 were 49.4 and 69.1%, 81.5 and 86.4%, and 91.4 and 93.8%, respectively (all with p > 0.05 except the follow-up assessment at 3 months following surgery, p = 0.011). CONCLUSIONS: Both methods ensure satisfactory rates of urinary leakage and bladder neck stricture, as well as continence after LRP. However, since the single running suture VUA technique is easier to perform, and the mean anastomosis time of the single running suture VUA technique is shorter than that of the Van Velthoven technique, it appears, therefore, preferable.
