Zeitschriftenartikel zum Thema „Aphasic persons – rehabilitation – case studies“
Um die anderen Arten von Veröffentlichungen zu diesem Thema anzuzeigen, folgen Sie diesem Link: Aphasic persons – rehabilitation – case studies.
Geben Sie eine Quelle nach APA, MLA, Chicago, Harvard und anderen Zitierweisen an
Machen Sie sich mit Top-50 Zeitschriftenartikel für die Forschung zum Thema "Aphasic persons – rehabilitation – case studies" bekannt.
Neben jedem Werk im Literaturverzeichnis ist die Option "Zur Bibliographie hinzufügen" verfügbar. Nutzen Sie sie, wird Ihre bibliographische Angabe des gewählten Werkes nach der nötigen Zitierweise (APA, MLA, Harvard, Chicago, Vancouver usw.) automatisch gestaltet.
Sie können auch den vollen Text der wissenschaftlichen Publikation im PDF-Format herunterladen und eine Online-Annotation der Arbeit lesen, wenn die relevanten Parameter in den Metadaten verfügbar sind.
Sehen Sie die Zeitschriftenartikel für verschiedene Spezialgebieten durch und erstellen Sie Ihre Bibliographie auf korrekte Weise.
1
Monish, V., und N. Sreedevi. „Speech and swallowing difficulties and rehabilitation in osmotic demyelination syndrome: A single case report“. IP Journal of Otorhinolaryngology and Allied Science 4, Nr. 4 (15.01.2022): 149–52. http://dx.doi.org/10.18231/j.ijoas.2021.031.
Der volle Inhalt der QuelleAnnotation:
: Aim of the work was to highlight the speech and swallowing difficulties that are associated with osmotic demyelination syndrome and also the importance of speech and language therapy in patients with osmotic demyelination syndrome. In this case report, a 68 years old female who developed osmotic demyelination syndrome as a result of hyponatremia correction has been described. The patient developed motor, speech and swallowing difficulties after 10 day of hyponatremia correction. For assessing speech and language skills, Bedside Screening Test for Persons with Aphasia was used. Gugging Swallowing Screen was used for assessing the swallowing skills.: The assessment results indicated that the patient’s auditory comprehension skills were preserved and other verbal skills were affected as the patient had mutism. Also the patient had slight dysphagia with lower risk of aspiration. With speech-language intervention, improvement was observed in swallowing and verbal communication skills. ODS is a rare clinical condition. In order to have a better perspective about speech, language and swallowing skills in individuals with ODS, replication of such studies are essential.
2
Vallumrød, Signe, Aud Johannessen und Anne Lyberg. „Factors that influence social dignity in persons with aphasia in their contact with healthcare professionals: a systematic literature review of qualitative studies“. International Practice Development Journal 10, Nr. 2 (18.11.2020): 1–12. http://dx.doi.org/10.19043/ipdj.102.009.
Der volle Inhalt der QuelleAnnotation:
Background: Persons living with aphasia have unique needs and challenges that would benefit from greater understanding among all health professionals. Aim: To explore which factors influence social dignity in persons with aphasia in their contact with healthcare professionals. Methods: A literature search was conducted in CINAHL, MEDLINE, Embase, PSYCINFO, ProQuest, Web of Science, ERIC and Epistemonikos. A total of 317 studies were read and eight were finally included. Qualitative content analysis methods were applied for data extraction and interpretation. Results: One overarching theme emerged: enabling person-centred communication among healthcare professionals. This covered two main themes – the experiences of empathy and of empowerment. The first of these is based on the subthemes of openness and awareness of feelings, and being acknowledged as a unique person. The second covers three subthemes: involvement in care and rehabilitation; capacity building to gain control and confidence in communication; and enabling communication in community aphasia groups. Conclusions: Healthcare professionals’ ability to safeguard the social dignity of persons with aphasia is contingent on enabling them to communicate in a person-centred manner. Without such communication, persons with aphasia may perceive that their feelings, uniqueness, involvement and confidence are being disregarded. Implications for practice: Outcomes for persons with aphasia are potentially better when healthcare professionals involve them empathetically and empower them in communication To promote person-oriented communication with persons with moderate or severe aphasia, healthcare professionals need to learn tailored skills from competent speech therapists Persons with aphasia and healthcare professionals require a supportive organisational environment for person-centred care. Without such support persons with aphasia are often not empowered to participate in communication
3
Franklin, Sue. „Designing Single Case Treatment Studies for Aphasic Patients“. Neuropsychological Rehabilitation 7, Nr. 4 (Oktober 1997): 401–18. http://dx.doi.org/10.1080/713755544.
Der volle Inhalt der Quelle
4
HILLIS, ARGYE E. „Treatment of naming disorders: New issues regarding old therapies“. Journal of the International Neuropsychological Society 4, Nr. 6 (November 1998): 648–60. http://dx.doi.org/10.1017/s135561779846613x.
Der volle Inhalt der QuelleAnnotation:
I report a series of single case studies involving an aphasic patient, H.G., which illustrates both the usefulness and the limitations of cognitive neuropsychological models and methods in aphasia rehabilitation. The first set of experiments analyze H.G.'s pattern of performance across lexical tasks in order to identify the loci of her damage to the cognitive mechanisms underlying the tasks of naming, comprehension, repetition, reading, and spelling. The second set of studies evaluates her response to two different types of treatment and identifies a few of the variables that influence the effectiveness of treatment. (JINS, 1998, 4, 648–660.)
5
Jacquemot, Charlotte, Emmanuel Dupoux, Laura Robotham und Anne-Catherine Bachoud-Lévi. „Specificity in Rehabilitation of Word Production: A Meta-Analysis and a Case Study“. Behavioural Neurology 25, Nr. 2 (2012): 73–101. http://dx.doi.org/10.1155/2012/418920.
Der volle Inhalt der QuelleAnnotation:
Speech production impairment is a frequent deficit observed in aphasic patients and rehabilitation programs have been extensively developed. Nevertheless, there is still no agreement on the type of rehabilitation that yields the most successful outcomes. Here, we ran a detailed meta-analysis of 39 studies of word production rehabilitation involving 124 patients. We used a model-driven approach for analyzing each rehabilitation task by identifying which levels of our model each task tapped into. We found that (1) all rehabilitation tasks are not equally efficient and the most efficient ones involved the activation of the two levels of the word production system: the phonological output lexicon and the phonological output, and (2) the activation of the speech perception system as it occurs in many tasks used in rehabilitation is not successful in rehabilitating word production. In this meta-analysis, the effect of the activation of the phonological output lexicon and the phonological output cannot be assessed separately. We further conducted a rehabilitation study with DPI, a patient who suffers from a damage of the phonological output lexicon. Our results confirm that rehabilitation is more efficient, in terms of time and performance, when specifically addressing the impaired level of word production.
6
Alston, Reginald J. „Counseling Persons with Industrial Injury: Strategies for Rehabilitation Counselors“. Journal of Applied Rehabilitation Counseling 22, Nr. 1 (01.03.1991): 3–6. http://dx.doi.org/10.1891/0047-2220.22.1.3.
Der volle Inhalt der QuelleAnnotation:
This article discusses the importance of counseling in the rehabilitation of persons with work related injury. Counseling interventions that rehabilitation counselors can use to facilitate the industrially injured person's adjustment to the injury and return to work are described. Special focus is on the adjustment issues of frustration and anger, motivation, and self-concept. Case studies are provided to accentuate the discussions. Implications for rehabilitation practice and research are presented.
7
Miller, D. M., und D. Neuhauser. „Continuous Quality Improvement and the Care of Persons with Multiple Sclerosis: Two Case Studies“. Neurorehabilitation and Neural Repair 9, Nr. 1 (01.01.1995): 7–13. http://dx.doi.org/10.1177/154596839500900102.
Der volle Inhalt der Quelle
8
Thekkumkara, Sreekanth Nair, Aarti Jagannathan, Prabhu Jadhav, Sumit Kumar Durgoji, Krishna Prasad Muliyala, Hareesh Angothu und Venkata Senthil Kumar Reddi. „‘Family centric rehabilitation’ for persons with mental illness in India: Conceptual framework using evidence-based case studies’“. Asian Journal of Psychiatry 54 (Dezember 2020): 102344. http://dx.doi.org/10.1016/j.ajp.2020.102344.
Der volle Inhalt der Quelle
9
Luiselli, J. K. „Positive Reinforcement Interventions in the Classroom“. Journal of Visual Impairment & Blindness 82, Nr. 1 (Januar 1988): 17–20. http://dx.doi.org/10.1177/0145482x8808200107.
Der volle Inhalt der QuelleAnnotation:
Positive reinforcement procedures represent a non-aversive treatment strategy for the management of behavior disorders of developmentally handicapped persons. However, very few studies describe the way reinforcement methods can be applied to the management problems of individuals with vision impairments. This article presents two studies in which positive reinforcement programs were utilized to treat the aggressive and noncompliant behavior of visually impaired, multiply handicapped students within special education classrooms. The reinforcement interventions were extremely effective with both groups of students and, in one case, produced substantial generalization to a non-treated problem behavior.
10
Mancuso, Theresa, und Janet L. Poole. „The Effect of Paraffin and Exercise on Hand Function in Persons with Scleroderma: A Series of Single Case Studies“. Journal of Hand Therapy 22, Nr. 1 (Januar 2009): 71–78. http://dx.doi.org/10.1016/j.jht.2008.06.009.
Der volle Inhalt der Quelle
11
Richardson, J. „Three Classes of Change to Improve the Daily Living Skills of Persons with Visual Impairment“. Journal of Visual Impairment & Blindness 87, Nr. 10 (Dezember 1993): 402–4. http://dx.doi.org/10.1177/0145482x9308701005.
Der volle Inhalt der QuelleAnnotation:
Individuals who become visually impaired need to adapt in the way they perform tasks. This article describes three classes of change involved in improving the daily living skills of persons with visual impairments: changes in the work, in the workplace, and in the worker's activity. Changes in the work or product are considered the highest level of change and, of necessity, bring about changes in the workplace and in the worker's activities. Case studies illustrate the three levels of changes.
12
Patterson, Patricia K., Hugo Maynard, Randall M. Chesnut, Nancy Carney, N. Clay Mann und Mark Helfand. „Evidence of Case Management Effect on Traumatic-Brain-Injured Adults in Rehabilitation“. Care Management Journals 1, Nr. 2 (Januar 1999): 87–97. http://dx.doi.org/10.1891/1521-0987.1.2.87.
Der volle Inhalt der QuelleAnnotation:
The purpose of this study was to evaluate the evidence for effectiveness of case management during recovery from traumatic brain injury (TBI) in adults. After an overview of TBI incidence, prevalence, and problems, and a brief explanation of case management, the study methods are described, the findings are discussed and recommendations are made for future research. Medline, HealthSTAR, CINAHL, PsychINFO, and the Cochrane Library databases were searched and 83 articles met the criteria for review. The strongest studies (n = 3) were critically appraised and their design features and data were placed in two evidence tables. Due to methodological limitations, there was neither clear evidence of effectiveness nor of ineffectiveness. For future research, we recommend controlled research designs, standardization of measures, adequate statistical analysis and specification of health outcomes of importance to persons with TBI and their families.
13
Lancioni, Giulio E., Nirbhay N. Singh, Mark F. O’Reilly, Jeff Sigafoos, Gloria Alberti, Adele Boccasini, Doretta Oliva und Serafino Buono. „Technology-based programs to improve walking behavior of persons with multiple disabilities: two single-case studies“. Disability and Rehabilitation: Assistive Technology 8, Nr. 1 (19.04.2012): 92–98. http://dx.doi.org/10.3109/17483107.2012.678030.
Der volle Inhalt der Quelle
14
McAweeney, Mary, Joseph Keferl, Dennis Moore und Joseph Wagner. „Predictors of Successful Closure in the State-Federal Vocational Rehabilitation System: Findings from a Sample of Persons with Disability and Substance Use Disorders“. Journal of Applied Rehabilitation Counseling 39, Nr. 2 (01.06.2008): 30–36. http://dx.doi.org/10.1891/0047-2220.39.2.30.
Der volle Inhalt der QuelleAnnotation:
Numerous studies have focused on the predictors of successful closure of state-federal vocational rehabilitation (VR) applicants. However, there appears to be only one study focused solely on the predictors of employment with persons who were deemed eligible for services based on their alcohol or drug abuse diagnosis. This retrospective study examined the predictors of employment among this population. A sample of 940 persons with a primary or secondary diagnosis of alcohol or drug abuse and a closure status of 26 or 28 was randomly selected from the 2005 Rehabilitation Service Administration (RSA) 911 data. A combination of consumer characteristics, VR service variables, and work disincentives predicted employment. Knowledge of these predictors suggests ways for counselors to better serve consumers via accurate assessment, appropriate planning, and efficient case coordination.
15
Samardzic, Vesna. „Effects of 3-weeks multicomponent rehabilitation in a patient with Friedreich’s ataxia: A case report“. Vojnosanitetski pregled, Nr. 00 (2022): 27. http://dx.doi.org/10.2298/vsp220209027s.
Der volle Inhalt der QuelleAnnotation:
Introduction. Friedrich?s ataxia (FA) is an autosomal recessive neurodegenerative disease. Ataxia as the cardinal symptom affects the trunk, with swaying, imbalance and falls, and the limbs, with increasing difficulty in activities of daily living. Physical therapy has been recognised as a mean of managing physical symptoms and maximising function in affected persons. To our knowledge there are no studies that have evaluated the effectiveness of Proprioceptive neuromuscular facilitation (PNF) stabilization techniques in the rehabilitation of patients with this diagnosis. Case report. We present a case of a twentysix years old female with severe posture and limb ataxia, speech difficulties and poor walking ability. During the three-week rehabilitation, an individually tailored physical therapy program based on PNF stabilization techniques was applied. Conclusion. The implemented rehabilitation program resulted in an overall functional improvement. The reduction in ataxia was registered according to the Scale for the assessment and rating of ataxia (SARA). The Functional independece measure (FIM) instrument, component of locomotion, reveled greater independence in walking. A rehabilitation program based on PNF stabilisation techniques may reduce ataxia and improve walking ability in patients with FA.
16
Mpofu, Elias, Kenneth R. Thomas und Fong Chan. „Cognitive-behavioural Therapies: Research and Applications in Counselling People with Physical Disabilities“. Australian Journal of Rehabilitation Counselling 2, Nr. 2 (1996): 99–114. http://dx.doi.org/10.1017/s132389220000171x.
Der volle Inhalt der QuelleAnnotation:
The main principles and practices of cognitive-behavioural therapies are briefly outlined and discussed in terms of their relevance to counselling individuals with physical disabilities. The cognitive-behavioural therapies of Beck, Ellis, and Nezu to counselling persons with physical disabilities are specifically presented. A case study involving the application of cognitive-behavioural therapies to counselling a person with severe facial and hand burn injuries is also presented. The view is advanced that although cognitive-behavioural therapies have considerable potential in counselling of persons with physical disabilities, lack of conceptual clarity of some central constructs in cognitive-behavioral therapy is a limitation to practice in rehabilitation settings. The paucity of controlled research studies in this area of study is noted, and suggestions are offered for further research.
17
Daniels, Ramon, Erik van Rossum, Silke Metzelthin, Walther Sipers, Herbert Habets, Sjoerd Hobma, Wim van den Heuvel und Luc de Witte. „A disability prevention programme for community-dwelling frail older persons“. Clinical Rehabilitation 25, Nr. 11 (17.08.2011): 963–74. http://dx.doi.org/10.1177/0269215511410728.
Der volle Inhalt der QuelleAnnotation:
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is ‘The trainee consistent demonstrates a knowledge of how evidence based methods and strategies can be incorporated in an integral and multidisciplinary programme for community-dwelling frail elderly.’ Abstract Objective: To describe and justify a primary care interdisciplinary programme for community-dwelling frail older people aimed to prevent disability. Background: Disability is a negative outcome of frailty among older persons. Policy reports and research studies emphasize the need for programmes to reduce disability progression. Between 2008 and 2010 we developed such a programme. Development: Following the Intervention Mapping protocol, a research team and a multidisciplinary professional developed the programme. Literature reviews and an expert meeting led to identification of basic elements, theory-based methods and practical tools. The programme: The general practitioner and the practice nurse comprise the core team that can be extended by other professionals such as occupational and physical therapist. The programme includes six steps: (1) screening, (2) assessment, (3) analysis and preliminary action plan, (4) agreement on an action plan, (5) execution of the action plan (toolbox parts) and (6) evaluation and follow-up. The main features are: identifying risks for developing disability and targeting risk factors using professional standards and the 5A Behavioural Change Model to support self management, and identifying problems in performing activities and enhancing meaningful activities based on the Model of Human Occupation. Screening, individual assessment, tailor-made and client-centred care, self-management support, case management and interdisciplinary cooperation are important principles in delivering the programme. Discussion: The disability-prevention programme seems promising for addressing the needs of frail older people for independent living and for targeting risk factors. Its feasibility and effects are currently being tested in a randomized controlled trial.
18
Pozzi, Christian, Verena C. Tatzer, Cornelia Strasser-Gugerell, Stefano Cavalli, Alessandro Morandi und Giuseppe Bellelli. „Innovative Non-Pharmacological Management of Delirium in Persons with Dementia: New Frontiers for Physiotherapy and Occupational Therapy?“ Geriatrics 8, Nr. 2 (22.02.2023): 28. http://dx.doi.org/10.3390/geriatrics8020028.
Der volle Inhalt der QuelleAnnotation:
Background: Delirium and dementia are two of the most common geriatric syndromes, which requires innovative rehabilitation approaches. Aim: We aimed at determining which occupational therapy and physiotherapy interventions are applied with older people with delirium and dementia in different care settings. We also identified the assessment tools that were used. Materials and methods: We conducted a literature search for scientific articles published from 2012 to 2022 (PubMed, MEDLINE, AMED and CINAHL) with adults aged >65 years including experimental study designs with randomized or non-randomized intervention, exploratory studies, pilot studies, quasi-experimental studies, case series and/or clinical cases. Studies that did not use interventions that could be classified as occupational therapy or physiotherapy were excluded. Results: After applying the exclusion criteria, 9 articles were selected. The most widely used assessment to define dementia was the MMSE (N = 5; 55.5%), whereas the CAM (N = 2; 22.2%), CAM-ICU (N = 2; 22.2%) and RASS (N = 3; 33.3%) were the most widely used to define delirium. The rehabilitation interventions that were most frequently performed were early mobilization, inclusion of the caregiver during treatment, modification of the environment to encourage orientation and autonomy, the interprofessional systemic approach and engaging persons in meaningful activities. Conclusions: Despite the growing evidence on its effectiveness, the role of physiotherapy and occupational therapy interventions in the prevention and treatment of people with dementia and delirium is still emerging. More research is needed to investigate if effective occupational therapy programs known to reduce the behavioral and psychological symptoms in people with dementia are also useful for treating delirium and specifically delirium superimposed on dementia. Regarding physiotherapy, it is crucial to know about the amount and timing of intervention required. Further studies are needed including older adults with delirium superimposed on dementia to define the role of the interprofessional geriatric rehabilitation team.
19
Roels, Ellen H., Michiel F. Reneman, Peter W. New, Carlotte Kiekens, Lot Van Roey, Andrea Townson, Giorgio Scivoletto et al. „International Comparison of Vocational Rehabilitation for Persons With Spinal Cord Injury: Systems, Practices, and Barriers“. Topics in Spinal Cord Injury Rehabilitation 26, Nr. 1 (Dezember 2020): 21–35. http://dx.doi.org/10.1310/sci2601-21.
Der volle Inhalt der QuelleAnnotation:
Background: Employment rates among people with spinal cord injury or spinal cord disease (SCI/D) show considerable variation across countries. One factor to explain this variation is differences in vocational rehabilitation (VR) systems. International comparative studies on VR however are nonexistent. Objectives: To describe and compare VR systems and practices and barriers for return to work in the rehabilitation of persons with SCI/D in multiple countries. Methods: A survey including clinical case examples was developed and completed by medical and VR experts from SCI/D rehabilitation centers in seven countries between April and August 2017. Results: Location (rehabilitation center vs community), timing (around admission, toward discharge, or after discharge from clinical rehabilitation), and funding (eg, insurance, rehabilitation center, employer, or community) of VR practices differ. Social security services vary greatly. The age and preinjury occupation of the patient influences the content of VR in some countries. Barriers encountered during VR were similar. No participant mentioned lack of interest in VR among team members as a barrier, but all mentioned lack of education of the team on VR as a barrier. Other frequently mentioned barriers were fatigue of the patient (86%), lack of confidence of the patient in his/her ability to work (86%), a gap in the team's knowledge of business/legal aspects (86%), and inadequate transportation/accessibility (86%). Conclusion: VR systems and practices, but not barriers, differ among centers. The variability in VR systems and social security services should be considered when comparing VR study results.
20
Kantor, Jiří. „MOTOR DEVELOPMENT THROUGH FUNCTIONAL MUSIC THERAPY IN CHILDREN WITH CEREBRAL PALSY“. SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (26.05.2016): 67. http://dx.doi.org/10.17770/sie2016vol3.1426.
Der volle Inhalt der QuelleAnnotation:
This paper presents an analysis of four case studies in order to elaborate the theory of functional music therapy. In the Czech Republic, the practices of functional music therapy are often used as a type of complementary rehabilitation. Although functional music therapy is based on sound and scientifically substantiated bases, practical applications lack comprehensive and systematic methodology. The aim of this paper is to deepen the knowledge of the links between the application of musical practices and functional development. On the basis of an interpretative approach to case studies (using a content analysis) we identified the objectives in the motor area, types of musical activities, and music therapy practices in persons with cerebral palsy. We also analysed the correlation between therapeutic objectives and musical activities, and set out methodological principles of their application. The outcomes of this study were compared with the results of a previous study by the author focusing on persons with severe multiple disabilities in order to develop a comprehensive theory of functional music therapy. Concerning the results of this comparison, this paper discusses the impact of intellectual disability on the flexibility of application of musical activities during functional training.
21
Wilczek-Rużyczka, Ewa, Celestyna Grzywniak, Maciej Korab und Ksenia Cielebąk. „ERPS AS AN INDEX OF IMPAIRED WORKING MEMORY IN AN ISCHEMIC BRAIN STROKE APHASIC PATIENT AWAKENED FROM A LONG-TERM COMA FOLLOWING AN AMPHETAMINE OVERDOSE“. Acta Neuropsychologica 19, Nr. 2 (14.03.2021): 137–45. http://dx.doi.org/10.5604/01.3001.0014.8032.
Der volle Inhalt der QuelleAnnotation:
Nowadays, amphetamines constitute the prescription drugs most commonly abused by adolescents and young adults (Berman, O’Neill, Fears et al. 2008). The prevalence of problematic (mainly illegal) use of amphetamines as a stimulant by college students, and here especially before serious examinations, has also been rising. This fact represents a serious public health concern. The patient, aged 19, was awakened from from a long-term coma that had lasted 21 days following an amphetamine overdose and manifested tetraparesis, cortical blindness and deficits in cognitive and emotional processes. After a year of rehabilitation the majority of symptoms had disappeared, but cortical blindness andworking memory deficits remained. In addition, frontal lobe syndrome symptoms appeared. After two years of therapy as a result of immense tiredness caused by all an night wedding reception she started to manifest Charles-Bonnet syndrome. She experienced strange visual sensations such as visual hallucinations and saw various non-existing shapes (coloured blots, patterns and fireworks of vivid colours). She also saw objects (often terrifying) as well as animals (mainly African) and people with deformed faces and long teeth, and persons in African dress with feathers and coral beads in their hair. Her real identity was not remembered by the patient for longer than 2 hours and even then she insisted on being referred to as Shakira. She was given a qEEG examination (in open and closed eyes conditions) and ERPs with the use of auditory stimuli at the period when the hallucinations (to a small degree) still occurred. Studies conducted into the functional neuroimaging of the brain work in milliseconds in the examined patient can explain her symptoms. A comparison of the subject’s ERPs with the grand average of ERPs in healthy controls shows that the N170 and N 250 components are impaired in the subject: the occipital-temporal area of the subject brain shows a strong positivity instead of negativities. This positivity might reflect an enhanced reactivity of neurons in the corresponding area induced by the removal of lateral inhibition from the neurons as a result of local damage. ------------------------------------------------------------------------------------------------------------------------------------
22
Lancioni, Giulio E., Nirbhay N. Singh, Mark F. O'reilly, Jeff Sigafoos, Claudia De Pace, Claudia Chiapparino, Irene Ricci, Jorge Navarro, Luigi M. Addante und Antonella Spica. „Technology-assisted programmes to promote leisure engagement in persons with acquired brain injury and profound multiple disabilities: two case studies“. Disability and Rehabilitation: Assistive Technology 6, Nr. 5 (11.05.2011): 412–19. http://dx.doi.org/10.3109/17483107.2011.580899.
Der volle Inhalt der Quelle
23
Sattin, Davide, Chiara Parma, Christian Lunetta, Aida Zulueta, Jacopo Lanzone, Luca Giani, Marta Vassallo, Mario Picozzi und Eugenio Agostino Parati. „An Overview of the Body Schema and Body Image: Theoretical Models, Methodological Settings and Pitfalls for Rehabilitation of Persons with Neurological Disorders“. Brain Sciences 13, Nr. 10 (04.10.2023): 1410. http://dx.doi.org/10.3390/brainsci13101410.
Der volle Inhalt der QuelleAnnotation:
Given the widespread debate on the definition of the terms “Body Schema” and “Body Image”, this article presents a broad overview of the studies that have investigated the nature of these types of body representations, especially focusing on the innovative information about these two representations that could be useful for the rehabilitation of patients with different neurological disorders with motor deficits (especially those affecting the upper limbs). In particular, we analyzed (i) the different definitions and explicative models proposed, (ii) the empirical settings used to test them and (iii) the clinical and rehabilitative implications derived from the application of interventions on specific case reports. The growing number of neurological diseases with motor impairment in the general population has required the development of new rehabilitation techniques and a new phenomenological paradigm placing body schema as fundamental and intrinsic parts for action in space. In this narrative review, the focus was placed on evidence from the application of innovative rehabilitation techniques and case reports involving the upper limbs, as body parts particularly involved in finalistic voluntary actions in everyday life, discussing body representations and their functional role.
24
Đureinović, Jelena. „Law as an Instrument and as a Mirror of Official Memory Politics: The Mechanism for Rehabilitating Victims of Communism in Serbia“. Review of Central and East European Law 43, Nr. 2 (31.05.2018): 232–51. http://dx.doi.org/10.1163/15730352-04302005.
Der volle Inhalt der QuelleAnnotation:
This article examines the mechanism for judicial rehabilitation in Serbia as a tool and as a reflection of state-sanctioned memory politics of the Second World War and Yugoslav state socialism. The mechanism of rehabilitation seeks to accommodate victims of unfair trials by revising them or declaratively and collectively rehabilitating victims of political persecution. In the case of Serbia, the legislation enables rehabilitation of persons responsible for collaboration and crimes during the Second World War as long as it can be argued that political and ideological grounds were also involved in their judicial or extrajudicial persecution. Acknowledging that individuals were unjustly persecuted in the postwar period, the article is primarily concerned with prominent military and political actors of the Second World War. Discussing rehabilitation in the context of the relation of history, memory and law, the article represents a perspective of history and memory studies rather than a purely legal-dogmatic analysis.
25
Moore, Corey L., James Micheal Ferrin, Nineveh Haysbert, Sharon Brown, Paul Cooper, Jerry Diebel, Andre Washington et al. „Employment Outcome Rates of African American Versus White Consumers of Vocational Rehabilitation Services: A Meta-Analysis“. Journal of Applied Rehabilitation Counseling 40, Nr. 3 (01.09.2009): 3–10. http://dx.doi.org/10.1891/0047-2220.40.3.3.
Der volle Inhalt der QuelleAnnotation:
This research examined the relationship between race/ethnicity and rehabilitation outcomes as measured by closure status for VR consumers across two different target populations: persons with mental retardation and those who are deaf/hard-of-hearing. The researchers employed a meta-analysis to test the association between the predictor and criterion variables using select Rehabilitation Services Administration (RSA-911) driven studies. Data analyzed represent consumer case file information collected during the fiscal years of 1995-1996 through 1997-1998, the time period following passage of the 1992 Rehabilitation Act Amendments and implementation of the resulting Rehabilitation Cultural Diversity Initiative. The meta-analysis identified a significant relationship between race/ethnicity and closure status for each target population. African Americans with hearing loss and those with mental retardation were significantly less likely to achieve closure success when compared to Whites with respective disabilities. These findings and several implications for practice/service and disability policy are discussed.
26
Clemmons, David C., Robert T. Fraser und William Trejo. „The General Aptitude Test Battery: Implications for Vocational Counseling and Employment in Epilepsy Rehabilitation“. Journal of Applied Rehabilitation Counseling 18, Nr. 3 (01.09.1987): 33–38. http://dx.doi.org/10.1891/0047-2220.18.3.33.
Der volle Inhalt der QuelleAnnotation:
The performance of adults with epilepsy on the General Aptitude Test Battery (GATB) was explored, with an emphasis on later employment outcome and on vocational counseling implications. The study sample had mean GATB scores which were significantly lower than the published GATB norms. They were also significantly lower than the GATB means obtained from comparison groups comprised of job applicants in the local general labor force and of persons receiving services from the local state rehabilitation agency. Mean scores for measures of dexterity and motor speed were especially low. It was found that GATB scores alone are not highly predictive of employment outcome, although subjects who did not enter competitive employment did tend to have lower mean scores. GATB patterns which may be indicative of lateralized cerebral dysfunction are discussed, along with case studies.
27
Lancioni, Giulio E., Nirbhay N. Singh, Mark F. O’Reilly, Vanessa A. Green, Gloria Alberti, Adele Boccasini, Angela Smaldone, Doretta Oliva und Andrea Bosco. „Automatic feedback to promote safe walking and speech loudness control in persons with multiple disabilities: Two single-case studies“. Developmental Neurorehabilitation 17, Nr. 4 (08.10.2013): 224–31. http://dx.doi.org/10.3109/17518423.2012.749953.
Der volle Inhalt der Quelle
28
Optale, Gabriele, Salvatore Capodieci, Pietro Pinelli, Daniela Zara, Luciano Gamberini und Giuseppe Riva. „Music-enhanced Immersive Virtual Reality in the Rehabilitation of Memoryrelated Cognitive Processes and Functional Abilities: A Case Report“. Presence: Teleoperators and Virtual Environments 10, Nr. 4 (August 2001): 450–62. http://dx.doi.org/10.1162/1054746011470217.
Der volle Inhalt der QuelleAnnotation:
The use of virtual reality (VR) applications in the rehabilitation of memory-related cognitive processes and functional abilities, is supported by different studies showing that, in persons with neurologically-based memory impairment, procedural memory often remain relatively intact. VR, by way of its interactive and immersive features, could be used to exploit the patient's preserved procedural abilities. In particular, cognitive processes could be restored via procedures practiced repetitively within an environment which contains functional real-world demands. Starting from the above rationale, the paper presents the music-enhanced VRbased treatment of C., a 65-year old woman, experiencing an impairment in memory-related cognitive processes. At the end of treatment the subject experienced a 12-week booster section. The results presented showed that, after the treatment, the patient experienced an improved clinical condition confirmed by the results of different neuropsychological tests. These results were maintained even during a 3-month follow-up.
29
Pratama, Aditya, und Heni Susanti. „Proses Penyidikan oleh Kepolisian Terhadap Tindak Pidana Perdagangan Orang dalam Aplikasi Whatsapp“. Mimbar Keadilan 16, Nr. 1 (02.02.2023): 30–41. http://dx.doi.org/10.30996/mk.v16i1.7570.
Der volle Inhalt der QuelleAnnotation:
To understand the investigation into the crime of trafficking in persons on Whatsapp media and understand the obstacles in police investigations of social media such as WhatsApp. This research uses case studies, namely examining cases and taking data directly on the parties involved in the chance to be investigated. In this study, it was found that the perpetrators of the crime of trafficking in persons did so because of economic problems, and victims of the crime of trafficking in persons were forced to do so because they were entangled in the deceit of the perpetrators, the victim who was a good friend of the victim was deceived and ensnared so that he needed to undergo rehabilitation for the perpetrator's actions. Social media, such as Whatsapp, is a crime that is difficult to trace because the perpetrators of crimes can be outside the jurisdiction of the Pekanbaru Police, but successful investigations and investigations have been carried out due to reports and assistance from public information cooperation. Around and feel disturbed by this criminal act of trafficking in persons. The most common obstacles encountered in these investigative cases include internal barriers consisting of limited jurisdiction areas and cyber mastery constraints. Second, there are external constraints (investigations into victims and lack of public legal concern).
30
Gibran, Atsil Syah, und M. Fadly Khusairy. „ANALYZING THE ROLE OF TRANSNATIONAL ORGANIZED CRIME IN TRAFFICKING IN PERSONS IN INDONESIA: A CASE STUDY ON MIDDLE EAST ILLEGAL MIGRATION ROUTES“. Journal of Law and Border Protection 5, Nr. 1 (01.04.2023): 83–98. http://dx.doi.org/10.52617/jlbp.v5i1.419.
Der volle Inhalt der QuelleAnnotation:
This study analyzes the role of transnational organized crime in human trafficking in Indonesia, especially in illegal immigration routes in the Middle East. The case studies conducted in this study will provide a clear picture of the modus operandi, perpetrators and victims of human trafficking incidents involving transnational criminal networks. Efforts to prevent and combat human trafficking in Indonesia can be implemented through a variety of strategies, including public awareness-raising, enforce rigorous prosecution of perpetrators, strengthen international cooperation, and provide victims with adequate protection and rehabilitation. However, many challenges remain, including lack of coordination.
31
Takakura, Tomokazu, Taro Mikami, Yasuko Nishioka, Akinobu Nemoto und Kazuya Mizuochi. „Chronic expanding hematoma in the stumps of persons following transfemoral amputation: A report of two cases“. Prosthetics and Orthotics International 38, Nr. 3 (25.07.2013): 243–47. http://dx.doi.org/10.1177/0309364613494994.
Der volle Inhalt der QuelleAnnotation:
Background: Two persons presented with severe stump pain following transfemoral amputation. Case description and methods: A 21-year-old female and a 31-year-old male with transfemoral amputation were ambulatory with prostheses and suffered from severe stump pain caused by the presence of masses around the tip of the bone stump. From the clinical courses, imaging studies, and the intraoperative findings, the masses were diagnosed as a relatively rare condition known as chronic expanding hematoma. Findings and outcome: The two patients were treated successfully with surgical resection. The hematomas were soft cystic masses with a thick capsule containing old blood clots and serous fluid. There were no pathological signs of malignancy. After surgical treatment, the patients achieved walking without stump pain. Conclusion: Although chronic expanding hematoma is a rare condition, it should be considered as a possible cause of stump pain. Clinical relevance Stump pain is caused by many conditions. Although chronic expanding hematoma is a rare condition, it should be considered as a possible cause of stump pain.
32
Lancioni, Giulio E., Nirbhay N. Singh, Mark F. O’Reilly, Vanessa Green, Doretta Oliva, Francesca Buonocunto, Valentina Sacco, Emma M. Biancardi und Santo Di Nuovo. „Technology-based programs to support forms of leisure engagement and communication for persons with multiple disabilities: Two single-case studies“. Developmental Neurorehabilitation 15, Nr. 3 (14.05.2012): 209–18. http://dx.doi.org/10.3109/17518423.2012.666766.
Der volle Inhalt der Quelle
33
Steensgaard, Randi, Michele Offenbach Hundborg, Hanne Pallesen und Lena Aadal. „What is a meaningful life for persons with acquired neurological impairments? A scoping review protocol“. PLOS ONE 17, Nr. 6 (16.06.2022): e0269125. http://dx.doi.org/10.1371/journal.pone.0269125.
Der volle Inhalt der QuelleAnnotation:
Objective This scoping review explores the constitution of a meaningful life as perceived by adults with acquired neurological impairment following an injury or a disease. Introduction A neurological injury or disease imposes extensive life changes on the affected person and his or her close relatives. Including the patients’ perception of a meaningful life is crucial to facilitate adjustment of any rehabilitation initiatives to the patients’ wishes, hopes, needs, and preferences. Even so, the descriptions and common traits of a meaningful life from the impaired person’s perspective are scarcely covered in the literature. Hence, a scoping review of existing knowledge is needed to facilitate quality rehabilitation and research initiatives. Inclusion criteria All studies, regardless of their design, are included provided they describe a meaningful life as considered or experienced by persons aged 18 years or more with neurological impairment. Methods A PICo framework defines the search algorithms used in the databases MEDLINE, Cinahl, PsycINFO and Embase. Using Covidence, the scoping review systematically organizes the identified articles to provide a broad description of the study phenomenon. Furthermore, titles, abstracts, and full-text articles are screened independently by two reviewers to determine if they meet the inclusion criteria. In case of disagreement, a third and fourth reviewer are consulted. The scoping will be reported according to the PRISMA- SCR checklist.
34
Qu, Lele. „The Practice and Exploration of Painting Healing in a Cross-cultural Context: An International Case Study“. World Journal of Social Science Research 11, Nr. 2 (08.04.2024): p51. http://dx.doi.org/10.22158/wjssr.v11n2p51.
Der volle Inhalt der QuelleAnnotation:
The practice and exploration of painting healing in a cross-cultural context is an area that has attracted much attention. As a nonverbal way of expression, painting is believed to be able to cross language and cultural barriers and provide people with psychological support and rehabilitation. This study explores the practice of painting healing in different cultural contexts through international case analysis. The study collected cases from different countries and cultures, covering different age groups such as children, adolescents and adults, as well as special groups such as refugees and abused persons .International case studies have shown that painting healing has achieved positive results in a cross-cultural context. Painting provides individuals with a nonverbal way of expression, helping them transcend the limitations of culture and language and express their inner feelings and emotions. Painting healing has shown remarkable effects in alleviating psychological problems such as anxiety, depression and post-traumatic stress disorder.
35
Tymruk-Skoropad, K. A., I. O. Pavlova, N. Y. Sydoryk, Y. Kulitka und V. Romaniuk. „The dynamics of the functional state of the cardio-respiratory system of patients hospitalized with pneumonia, exacerbation of COPD, and bronchial asthma“. Health, sport, rehabilitation 6, Nr. 1 (06.06.2020): 49. http://dx.doi.org/10.34142/hsr.2020.06.01.06.
Der volle Inhalt der QuelleAnnotation:
<p><strong>The purpose</strong> of the study is to analyze changes of the cardiopulmonary system indicators of hospitalized patients with respiratory diseases and underwent physical therapy.</p><p><strong>Materials and methods. </strong>The study was performed as a prospective case series study design. The study involved patients hospitalized with pneumonia, exacerbation of COPD and asthma, who had no contraindications to undergoing physical therapy. A total number of patients were 273 persons; 140 of them with pneumonia, 96 persons with exacerbation of COPD, 37 persons with asthma. Conducted surveys, anthropometric studies, clinical tests and instrumental studies.</p><p><strong>Results. </strong>COPD patients with acute exacerbation had a lower level of functional status of the cardio-respiratory system than patients with pneumonia or exacerbation of asthma. We found the lowest rates of excursion of the chest, blood saturation, VC, FEV1, PEF and higher than normal inhale rate. In addition, COPD patients did not experience statistically significant improvement during the assessment period in the majority of the analyzed parameters, except excursion of the chest and inhale rate.</p><p><strong>Conclusions.</strong> Acute exacerbation of COPD has a significant impact on the health of patients and significantly reduces the functional state of the respiratory system. The hospitalization period is not sufficient for full recovery. The rehabilitation of such patients should continue after discharge from the hospital.</p>
36
De Baets, Liesbet, Thomas Matheve, Mira Meeus, Filip Struyf und Annick Timmermans. „The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review“. Clinical Rehabilitation 33, Nr. 6 (22.02.2019): 980–91. http://dx.doi.org/10.1177/0269215519831056.
Der volle Inhalt der QuelleAnnotation:
Objective: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. Data sources: Electronic databases (PubMed, Web of Science, Embase and PsycINFO) were searched until 14 January 2019. Study selection: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected. Results: A total of 23 articles, describing 21 studies and involving 3769 participants, were included. Three studies had a high risk of bias. There was no predictive role of baseline depression, anxiety, coping, somatization or distress on pain or disability across types of shoulder treatment. No predictive role of fear-avoidance beliefs was identified in patients receiving physiotherapy, which contrasted to the results found when surgical treatment was applied. Baseline catastrophizing was also not predictive for pain or disability in patients receiving physiotherapy. After conservative medical treatments, results on the predictive role of catastrophizing were inconclusive. Treatment expectations and baseline self-efficacy predicted pain and disability in patients receiving physiotherapy, which was not the case in patients receiving conservative medical treatment. Finally, there was a moderating role for optimism in the relationship between pain catastrophizing and disability in patients receiving physiotherapy. Conclusion: There is evidence that expectations of recovery and self-efficacy have a predictive role and optimism a moderating role on pain and/or disability following physiotherapy for musculoskeletal shoulder pain. After surgical treatment, fear-avoidance is a predictor of pain and disability.
37
Jayaseelan, Dhinu J., Cesar Fernandez-de-las-Penas, Taylor Blattenberger und Dean Bonneau. „Altered Central Pain Processing in Patients With Chronic Plantar Heel Pain: A Critically Appraised Topic“. Journal of Sport Rehabilitation 30, Nr. 5 (01.07.2021): 812–17. http://dx.doi.org/10.1123/jsr.2020-0371.
Der volle Inhalt der QuelleAnnotation:
Clinical Scenario: Plantar heel pain is a common condition frequently associated with persistent symptoms and functional limitations affecting both the athletic and nonathletic populations. Common interventions target impairments at the foot and ankle and local drivers of symptoms. If symptoms are predominantly perpetuated by alterations in central pain processing, addressing peripheral impairments alone may not be sufficient. Clinical Question: Do individuals with chronic plantar heel pain demonstrate signs potentially associated with altered central pain processing? Summary of Key Findings: After searching 6 electronic databases (PubMed, CINAHL, Scopus, SportDiscus, Cochrane, and PEDro) and filtering titles based on predetermined inclusion and exclusion criteria, 4 case-control studies were included. All studies scored highly on the Newcastle-Ottawa Scale for quality assessment. Using pressure pain thresholds, each study found decreased pressure pain hypersensitivity locally and at a remote site compared to control groups, suggesting the presence, to some extent, of altered nociceptive pain processing. Clinical Bottom Line: In the studies reviewed, reported results suggest a possible presence of centrally mediated symptoms in persons with plantar heel pain. However, despite findings from these studies, limitations in appropriate matching based on body mass index and measures used suggest additional investigation is warranted. Strength of Recommendation: According to the Oxford Centre for Evidence-Based Medicine, there is evidence level C to suggest chronic plantar heel pain is associated with alterations in central pain processing.
38
Morone, Giovanni, Alessandro de Sire, Alex Martino Cinnera, Matteo Paci, Luca Perrero, Marco Invernizzi, Lorenzo Lippi et al. „Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review“. Brain Sciences 11, Nr. 12 (10.12.2021): 1630. http://dx.doi.org/10.3390/brainsci11121630.
Der volle Inhalt der QuelleAnnotation:
The upper extremities limitation represents one of the essential functional impairments in patients with cervical spinal cord injury. Electromechanics assisted devices and robots are increasingly used in neurorehabilitation to help functional improvement in patients with neurological diseases. This review aimed to systematically report the evidence-based, state-of-art on clinical applications and robotic-assisted arm training (RAT) in motor and functional recovery in subjects affected by cervical spinal cord injury. The present study has been carried out within the framework of the Italian Consensus Conference on “Rehabilitation assisted by robotic and electromechanical devices for persons with disability of neurological origin” (CICERONE). PubMed/MEDLINE, Cochrane Library, and Physiotherapy Evidence Database (PEDro) databases were systematically searched from inception to September 2021. The 10-item PEDro scale assessed the study quality for the RCT and the AMSTAR-2 for the systematic review. Two different authors rated the studies included in this review. If consensus was not achieved after discussion, a third reviewer was interrogated. The five-item Oxford CEBM scale was used to rate the level of evidence. A total of 11 studies were included. The selected studies were: two systematic reviews, two RCTs, one parallel-group controlled trial, one longitudinal intervention study and five case series. One RCT was scored as a high-quality study, while the systematic review was of low quality. RAT was reported as feasible and safe. Initial positive effects of RAT were found for arm function and quality of movement in addition to conventional therapy. The high clinical heterogeneity of treatment programs and the variety of robot devices could severely affect the generalizability of the study results. Therefore, future studies are warranted to standardize the type of intervention and evaluate the role of robotic-assisted training in subjects affected by cervical spinal cord injury.
39
Drasher-Phillips, L., D. Schwartz, J. Ketchum, D. O’Connor, K. Calero, C. Diaz-Sein, L. Wharton et al. „1136 Polysomnography Is Feasible During Inpatient TBI Rehabilitation“. Sleep 43, Supplement_1 (April 2020): A432—A433. http://dx.doi.org/10.1093/sleep/zsaa056.1130.
Der volle Inhalt der QuelleAnnotation:
Abstract Introduction A recent meta-analytic report highlighted that obstructive sleep apnea was 12 times more prevalent in TBI (mixed severity) than in community-based samples. Recent studies highlight prevalent obstructive sleep apnea during acute inpatient rehabilitation which is a time of critical neural repair. Acute sleep disturbances are associated with therapy cooperation due to effects on daytime sleepiness and are associated with key rehabilitation outcomes. Given the high rates of OSA and risk for negative morbidity, this analysis sought to examine the feasibility of administering polysomnography (PSG) with EEG to diagnose sleep apnea during inpatient rehabilitation in persons with moderate to severe TBI. Methods This is a secondary analysis from a prospective diagnostic comparative effectiveness clinical trial (NCT03033901) that took place at six NIDILRR and one VA TBI Model System Centers. Participants were included if they met the TBI Model System case definition and slept at least 2 hours per night prior to PSG. PSG was conducted following AASM procedures in the participant’s hospital bed on the inpatient rehabilitation unit. Studies were scored by RPSGT staff and interpreted by a board certified sleep medicine physician at a centralized sleep scoring center in Tampa, FL. Results Of 896 potential TBI participants, 449 met initial eligibility and 345 consented for further screening; a final sample of 263 (76%) completed PSG during hospitalization. Primary reasons for not completing PSG included early discharge or medical instability (n=59) and last-minute withdrawal of consent for PSG (n=23). Of the 263 participants who completed PSG, 3 were excluded from analysis due to technical issues and 12 were excluded as the total sleep time (TST) was less than 120 minutes. Of the 248, 85.5% of the PSGs were rated as interpretable/scoreable by RPSGT and sleep physicians. Conclusion For a majority of participants, polysomnography is feasible during inpatient rehabilitation. Participants with shorter lengths of stay, medical instability, prolonged agitation may require polysomnography follow-up after discharge. Support Supported by PCORI (CER-1511-33005), VA TBIMS, DVBIC with subcontract from GDIT/GDHS (W91YTZ-13-C-0015, HT0014-19-C-0004), and NIDILRR (90DPTB00070, 90DPTB00130100, 90DPTB0008, 90DPT8000402, 90DPTB0001).
40
Foulidi, Xanthippi, Evangelos C. Papakitsos und Terpsichori Gioka. „Counseling Skills in Intercultural Education: The Case of foreign seas immigrants in Greece“. International Journal of research in Educational Sciences 5, Nr. 2 (15.03.2022): 451–63. http://dx.doi.org/10.29009/ijres.5.2.8.
Der volle Inhalt der QuelleAnnotation:
This paper presents some points of view about the counseling psychology skills that are required in intercultural education context. This issue arises from the rather massive migration that has been observed in the European Union countries, since 2007, involving three million persons until 2015. Especially Greece has received directly the largest number of refugees, among the European countries, due to its proximity to Middle East as the Southeastern “Gate” of European Union, amounting to 1.8 million individuals. In addition, 60,000 illegal immigrants and refugees have been trapped in Greece for the last two years. This phenomenon causes extra considerations on behalf of the European and, in particular, Greek counseling agencies and experts. The intercultural education infrastructures of Greece are very limited compared to the existing needs. Less than 0.2% of schools are intercultural ones, while approximately 10% of the country’s pupils are foreigners. In this context, many teachers often discriminate against pupils from other countries and very few schools, besides intercultural ones, dare to organize counseling and support meetings for immigrant parents, usually with the help of volunteer teachers. However, there is also a significant number of teachers who are calling for better and more in-depth information on both general and intercultural counseling, as well as a clear reference to the relevant skills required for this purpose. In intercultural counseling, the counselor and the consulted come from different cultural contexts and have different perceptions. However, counseling can help them to deal with social exclusion. The needs of minority populations and vulnerable social groups, in general, are particularly high in terms of professional development, as they need the appropriate knowledge to lead their members in the search for educational opportunities, opportunities for social participation, vocational rehabilitation, but also clarification of professional goals. The effectiveness of a counselor on intercultural counseling is based on cultural awareness and sensitivity to accept and respect the cultural differences. A counselor must find a way to overcome any inhibitory obstacle, such as language, but the most important thing that needs to be understood is that counseling cannot be practiced in a mono-cultural direction, as it was the case until recently, but has to turn to methods of multicultural thinking and action.
41
Meulenbroek, Peter, Therese M. O'Neil-Pirozzi, McKay Moore Sohlberg, Rik Lemoncello, Lindsey Byom, Bryan Ness, Sheila MacDonald und Brian Phillips. „Tutorial: The Speech-Language Pathologist's Role in Return to Work for Adults With Traumatic Brain Injury“. American Journal of Speech-Language Pathology 31, Nr. 1 (18.01.2022): 188–202. http://dx.doi.org/10.1044/2021_ajslp-21-00129.
Der volle Inhalt der QuelleAnnotation:
Purpose: Return to work (RTW) is a major life participation metric used for persons with a traumatic brain injury (TBI). Speech-language pathologists (SLPs) have clinical expertise in the cognitive-communication aspects of TBI. This clinical focus article aims to support the clinical practice of SLPs by summarizing key interprofessional vocational rehabilitation (VR) models and illustrating the role of the SLP throughout the RTW process with a case study. Method: This clinical focus article was written by the Academy of Neurologic Communication Disorders and Sciences TBI Research Group along with a VR expert. Authors engaged in deliberative, agenda-based discussions beginning with a literature review based on previous systematic studies. Discussions explored relevant VR and SLP practices. Results: This clinical focus article presents key VR models in parallel with SLP assessment and treatment to illustrate best practice patterns in an RTW field with a dearth of SLP-specific literature. We summarize general VR approaches and four evidence-supported VR models for adults with TBI. We highlight how a model of interprofessional assessment can assist with planning and communication of important work-related concerns. We illustrate how the chronological model of work return can assist with developing goals and planning treatment. Conclusions: SLPs play an important role in identifying, managing, and collaborating with an RTW team following TBI. A working knowledge of VR models can assist with improving the dialogue between SLPs and VR professionals and can inform practice when working with persons with TBI who have work return as a goal.
42
Baev, P. O., V. V. Pivovarov, S. V. Kornieiev, N. Yu Tregub und S. Nolte. „Application of test-orthoses on lower extremities for determination of physical abilities and rehabilitation potential of persons with serious impairments of function of support and walking“. Paediatric Surgery. Ukraine, Nr. 4(73) (30.12.2021): 94–97. http://dx.doi.org/10.15574/ps.2021.73.94.
Der volle Inhalt der QuelleAnnotation:
The most numerous and most complex group of diseases which result in impairment of human function of support and walking are neuro-muscular diseases and traumas of a spine and a spinal cord. Impairments which rise as a consequence of such diseases, require effective orthotic management which will allow the patient to compensate the lost functions necessary at stable walking. For the last 15 years in Ukraine, as well as in the world, a great many of various constructions of orthoses on different levels of the lower extremity, which cover all existing pathologies, has appeared. But as practical experience of global and domestic orthotic management indicates, a significant amount of adult patients who have serious impairments of function of the lower extremities, and first of all new patients, do not use orthoses manufactured for them. The principal causes are: – Absence of comprehension by the patient, whether orthoses are necessary for him, whether he and his family can create conditions at home for his training; – Complexity of choice of an orthosis with correct functionality, made by the doctor and the orthotist. Recently in medical practice for the decision of this problem therapeutical – training orthoses or test-orthoses start to play the increasing role. More often test-orthoses are used before manufacturing of expensive orthoses, for example, knee-ankle-foot orthoses with a knee joint with electronic control. Use of such test-orthoses considerably reduces the time of orthotic management, but, unfortunately, they are not used for persons with serious pathology of lower extremities and cannot be used for determination of functional abilities of patients, especially in new ones. Therefore development of a new construction and a technique of application of test-orthoses (modular orthopedic systems) becomes an important stage in rehabilitation process of persons with serious pathological condition of a locomotor system. Purpose – to present and analyze the experience of application of new constructions of knee-ankle-foot test-orthoses for persons with impairments of functions of support and walking at the final stage of accomplishment of rehabilitation measures, namely provision with individual orthoses in hospital environment. Materials and methods. During realization of the research in the clinic of Ukrainian Research Institute for Prosthetics and Rehabilitation 28 patients (8 women and 20 men) from 21 to 50 years of age were examined, passed a course of rehabilitation treatment and were provided with new constructions of test-orthoses. 25 patients had consequences of traumatic injury of a spine (10 persons with injury at cervical level of a spine, 15 persons – at thoracic and lumbar levels of a spine), 2 persons – with consequences of a cerebral stroke, 1 – with consequences of a spinal stroke. All of them could not stand and walk independently. Rehabilitation measures directed on increasing of general physical status, elimination or decreasing of neurotrophic disorders have been earlier carried out for a significant amount (85.0%) of the examined persons; 72.0% of patients had experience of verticalization in a knee support device. Depending on a seriousness of a lesion the patients were divided into two groups: I group – patients with a lesion of the upper and lower extremities (12 persons); ІІ group – patients with a lesion of the lower extremities (16 persons). For each group the individual technique of application of test-orthoses and modes of their mastering have been developed. Test-orthoses, on the average, were used for one hour per day, within 8–11 days, for mastering of independent walking according to the developed techniques under supervision of the instructor. Service properties of testorthoses and their reliability were evaluated. Clinical, biomechanical diagnostic study of patients and manual testing of affected lower extremities of patients on residual muscle power were carried out, namely: muscle power on was evaluated five-scored Janda scale. Results. In Ukrainian Research Institute for Prosthetics and Rehabilitation within the framework of research work a new construction of a knee-anklefoot test-orthosis and a technique of its application for 2 groups of persons with serious lesions of a locomotor system have been developed. The feature of new constructions of test-orthoses is the possibility of their quick assembly and adjustment (within 2–3 hours) in view of the individual sizes of the patient, due to a modular approach of selection and connection of components. All patients of the group I could stand independently in orthoses in high walkers. Seven patients could move independently in walkers on the distance up to 30 meters, five moved on distance of 10 meters with the help of the instructor. After a 10-day course of mastering of verticalization and walking with test-orthoses a decision was made concerning the design of individual orthoses. Six patients have refused orthotic management for the lack of conditions for training at home. In their case test-orthoses were used as a trainer for verticalization and exercises in a standing position on a designed technique. Patients of the group II moved in bars and in low walkers on a distance from 100 to 300 meters. After mastering walking within 8–10 days with test-orthoses a decision was made concerning the design of individual orthoses. Knee-ankle-foot orthoses with locking knee joints were manufactured to seven patients, inarticulated knee joints and pneumocylinders – to four patients, an inarticulated floor reaction ankle-foot orthosis – to one patient. One patient with consequences of a spinal stroke used test-orthoses at home within 3.5 months. As a result of regular training the muscle power of her left leg and in part of her right leg was restored. In her case test-orthoses helped to avoid expenses on manufacturing of two individual knee-ankle-foot orthoses. The orthosis on her right leg was manufactured which has allowed her to save function of muscles of the leg during walking due to installation of the pneumatic cylinder in the field of the knee joint, that compensated weakness of the quadriceps muscle of the hip in the stance phase. Conclusions. Application of standard test-orthoses allows to estimate physical abilities of patients, to learn them to use orthoses on the lower extremities, to determine for everyone an optimal construction of individual orthoses that enables to refuse long and expensive process of manufacturing of a non-effective and not comfortable individual orthosis beforehand. The further research is necessary for expansion of possibilities of use of testorthoses for children with serious lesions of functions of support and walking. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: locomotor functions impairment; constructions of test-orthoses; efficiency of orthotic management; knee joint; ankle joint.
43
Eriksson, Gunilla, Malin Tistad, Marie Elf, Uno Fors, Lena von Koch, Charlotte Ytterberg und Susanne Guidetti. „Study protocol of a non-randomised controlled trial evaluating the effectiveness of the F@ce 2.0 programme: a person-centred, ICT-supported and interdisciplinary rehabilitation intervention after stroke“. BMJ Open 12, Nr. 8 (August 2022): e058748. http://dx.doi.org/10.1136/bmjopen-2021-058748.
Der volle Inhalt der QuelleAnnotation:
IntroductionKnowledge is missing on use of information and communication technology (ICT), for example, mobile phones/tablets in rehabilitation after stroke. F@ce 2.0 is a person-centred, interdisciplinary intervention supported by ICT. The components of F@ce 2.0 intend to increase performance in daily activities and participation in everyday life for patients with stroke and their significant others. Based on previous feasibility studies, a full-scale evaluation is planned in Sweden. The aim is to implement and evaluate F@ce 2.0, regarding performance of daily activities and participation in everyday life, in comparison with ordinary rehabilitation among persons who have had stroke and significant others. Second, to increase knowledge about how the programme leads to a potential change by studying the implementation process and mechanisms of impact.Methods and analysisTwelve rehabilitation teams (intervention n=7; control n=5) will recruit patients (n=160) who receive rehabilitation at home after stroke and their significant others. F@ce 2.0 is an 8-week intervention where patients, together with the team, formulate three activity goals regarding what they need and want to do in daily lives. The patients will receive short messages service (SMS) each morning reminding about goals, and in the evening to rate their performance during the day. Primary outcomes for patients: self-efficacy measured by the Self-Efficacy Scale; perceived performance in daily activities measured by the Canadian Occupational Performance Measure. Significant others: perceived caregiver burden measured by Caregiver Burden Scale. Qualitative interviews with team members delivering, patients receiving intervention and significant others will explore experiences of F@ce 2.0. A process evaluation applying a case-study design using mixed methods will be conducted.Ethics and disseminationApproved by the Swedish Ethical Review Authority, Stockholm. Knowledge will be created for using ICT for rehabilitation of people after stroke in self-selected activities. Dissemination will include peer-reviewed publications, presentations at conferences, and information to stakeholders.Trial registration number detailsNCT04351178.
44
Rubtsov, Alexandr E., Anna V. Rubtsova, Michael Yu Morozov und Yuri E. Morozov. „Retrospective analysis of forensic sectional examinations after a coronary bypass surgery“. Russian Journal of Forensic Medicine 7, Nr. 1 (02.04.2021): 21–28. http://dx.doi.org/10.17816/fm332.
Der volle Inhalt der QuelleAnnotation:
Background: In the case of sudden or violent death, occurring in the rehabilitation period after a previously performed coronary bypass surgery, a forensic medical examination is usually prescribed. In recent years, the number of such forensic examinations has increased. At the same time, problems were revealed related to the lack of guidelines for the study of coronary shunts and recommendations on the structure of forensic diagnosis. Aims: This study aimed to summarize significant differences and features of coronary shunt research methods and give examples of diagnosis in cases of forensic examinations of corpses of patients who underwent coronary bypass surgery. Conclusions (acts) of forensic medical examinations (studies) of corpses performed at the bureau of forensic medical examination of the city of Moscow for the five-year period in 20122016 were studied. Cases of forensic examinations in patients who had previously undergone coronary bypass surgery were identified, original technical methods for sectional study of postoperative shunts are summarized, and options for constructing and substantiating sectional diagnoses were developed. In the analysis of 135, 446 conclusions (acts), 56 cases of forensic examinations of corpses of persons with signs of previously performed coronary bypass surgery were selected. Distinctive features of original methods for the study of shunts, tasks resolved during the study of native and prosthetic heart vessels, and examples of the design of forensic protocols are described. Examples of construction and substantiation of forensic diagnoses are also provided. Conclusion: This study revealed original technical methods for the study of coronary shunts during the concealment of corpses and examples of protocols of identified changes, and options for the formulation of forensic medical diagnoses in cases of forensic examinations of corpses of persons with a previously performed coronary bypass surgery are given.
45
Bida, О. V., und О. V. Bida. „ASSESSMENT OF THE OCCLUSAL RELATIONS NATURE AT THE STAGES OF ORTHOPEDIC REHABILITATION OF PERSONS WITH PERIODONTAL TISSUE DISEASES COMPLICATED BY DENTITION DEFECTS“. Ukrainian Dental Almanac, Nr. 1 (23.03.2021): 59–63. http://dx.doi.org/10.31718/2409-0255.1.2021.09.
Der volle Inhalt der QuelleAnnotation:
Resume. According to epidemiological studies, there is still an increased prevalence of periodontal disease among the population of different regions of the world, with increasing intensity and aggressiveness. Long-term chronic generalized lesions of recurrent and progressive inflammatory-dystrophic process lead to the destruction of alveolar processes, pathological mobility of teeth, tooth loss and dentofacial dysfunctions. One of the most characteristic symptoms of generalized periodontitis is the presence of traumatic occlusion. Depending on the degree of pathological changes in periodontal tissues, the size and topography of dentition defects, the replacement of dentition pathologies should be planned by splint-type orthopedic structures and computerized analysis of occlusal relationships with T-Scan III system.
The aim of the study is to improve the effectiveness of orthopedic treatment of periodontal diseases complicated by defects of the dentition with the control of occlusal relationships with a computerized T-Scan III system.
Materials and methods. We have examined 87 persons aged between 30 and 69 years with generalized periodontitis of I – III severity, complicated by partial loss of teeth of different sizes and topography, and a control group of the same age in 10 patients with intact dentition and physiological forms of occlusion without clinically diagnosed periodontal diseases.
Computerized analysis of occlusion indices was performed by the T-Scan III system. We have investigated the stereotype of functional loads according to the following quantitative and qualitative indicators: the index of asymmetry of force between the parts (%); time of occurrence of the maximum amount of dental contacts (sec); time of disclusion (sec); the presence of premature occlusal contacts on the natural teeth and orthopedic constructions, and the presence of changes in the direction of the trajectory of the total vector of occlusal load.
Orthopedic rehabilitation of patients in the case of periodontal diseases of the I-II degree of severity and the presence of small defects of the dentition, we conducted by splint-type orthopedic structures, dental implants, and artificial crowns of our own design with discrete occlusal loading (Licence for Effective Model No 143278, Ukraine, MPK А61С 13/007, u 2019 11487: Artificial Crown with Support on a Dental Implant).
Patients with periodontal diseases of the II – III severity, complicated by defects of dentitions with different size and topography, the dental prosthetics has been performed by traditional removable and combined orthopedic splint-type constructions, and removable splint-type dentures of their own design: "Removable Prosthesis of Splint Type" (Licence for Effective Model No 130980 Ukraine, IPC (2006.01) А61С 13/007, u 2018 03039, 10.01.2019).
Computerized analysis of occlusion indicators for the patients of I and II clinical groups and the III control group has been performed before and after orthopedic treatment by T-Scan III system.
Results of the research. The results of investigation for functional occlusion have demonstrated that the index of relative strength asymmetry between the sides of the dentition in patients with generalized periodontitis complicated by dentition defects increased significantly and led to nonphysiological redistribution of loads compared with indices obtained in patients from control group due to the lack of correspondence for occlusal contacts. These indices are equal to 16.7 ± 3.8% in patients of I group and 18.9 ± 4.8% in group II compared to the similar control indicators – 4.7 ± 1.01%, respectively (p≤0.01). It should be noted that these indicators have differed from the control group indicators according to the severity of the pathological process. Rational prosthetics with removable and non-removable orthopedic structures, including on the base of dental implants, helps to optimize occlusal relations.
Conclusions. Occlusographic studies performed in patients with generalized periodontitis having different severity and complicated by partial tooth loss have showed increased index of relative strength asymmetry between the sides of chewing, the presence of premature contacts and incorrect location of the trajectory of the total occlusal load vector.
The dynamics of pathological changes in occlusion indices corresponds to the degree of generalized periodontitis, which indicates the necessity of opportune replacement of dentition defects, taking into account the occlusal relations.
Rational prosthetics helps to optimize occlusal relations.
46
Goloborodko, Evgeniy V. „Efficacy Evaluation for Application of Pharmacological Complexes with Indications on Fatigue Prevention“. Bulletin of Rehabilitation Medicine 21, Nr. 3 (30.06.2022): 181–88. http://dx.doi.org/10.38025/2078-1962-2022-21-3-181-188.
Der volle Inhalt der QuelleAnnotation:
An urgent task today is the formation of scientific approaches to the creation of a system to assess the effectiveness of medical technologies in sports medicine, taking into account the increased requirements not only in assessing their safety, but also with the mandatory analysis of their impact on the parameters of functional readiness of the athlete. We conducted the study using a comprehensive methodological approach developed in terms of the possibility of its application in case of mono-factorial exposure (means of pharmacological support). Aim. To determine the effectiveness of pharmacological agent’s complexes indicated for use in the prevention of fatigue by their effect on physical performance and psycho-emotional state of persons professionally engaged in sports. Material and methods. We performed a retrospective analysis of 30 athletes involved in skiing sports (biathlon, cross-country skiing and cross-country skiing) and evaluated the efficacy of two combinations of pharmacological agents not included in the WADA banned list, indicated for the prevention of fatigue, compared with placebo. Functional state of the athletes was estimated on the 7th and 15th days according to the parameters of endurance testing on the “Norwegian” protocol “until failure”, 5 loading steps, psychoemotional state (hardware-software complex “Diamed-MBS”, psychological status (Lusher test, WAM, Mini-Mult) on the 7th and 15th days. We analyzed the dynamics of general and biochemical blood tests, general urinalysis. Results and discussion. Load time before failure, the main indicator characterizing the success of the athlete’s professional activity, did not differ in all three groups when testing the background values, on the 7th and 15th days of the study, but consistently increased from the beginning to the end of the experiment. On the 15th day, 15 the time of specific load “to failure” in all three groups differed from the corresponding background values (p <0.05) due to the training effect. Application of the evaluated drugs had no effect on the level of IPC index in all three groups, but it tended to increase by the end of the experiment due to the trained athletes. The use of the drugs had no effect on the psycho-emotional and psychological state in all groups under study and at all testing points. Conclusion. Evaluation of the sports medicine technologies effectiveness should be carried out taking into account the requirements for their impact on the functional readiness of athletes, determining the success of professional activity. The studies have revealed no influence of the course application of the schemes of pharmacological agents of GCS and GCM against the background of the standard training program and periodic submaximal physical activity on the functional capabilities of the athletes’ organisms. The possibility of using the developed methodological approach to evaluate the effectiveness of sports medicine technologies based on monofactorial effects is shown, using the example of approved pharmacological agents indicated for reducing fatigue.
47
Bogachev, Aleksei Mikhailovich, Andrei Alekseevich Lomonos und Natal'ya Viktorovna Bobrova. „"Strict Care" as the Basis of Educational and Psychocorrective Activities in Russian Penitentiary“. Педагогика и просвещение, Nr. 1 (Januar 2023): 1–16. http://dx.doi.org/10.7256/2454-0676.2023.1.38849.
Der volle Inhalt der QuelleAnnotation:
The article presents the adaptation of the pedagogical and psychological-pedagogical approach based on the idea of "strict care". The authors prove the thesis about the need to actualize in the mental reality of individuals who have committed crimes a sense of belonging (community) and creative attitudes (first of all, towards healthy parenthood) as a basis for awakening conscience as opposed to malignant guilt and shame. This feeling, in turn, turns to a transcendent function that manifests itself during the spiritual development of the individual and the acquisition of meaning. The authors also present the idea of developing a program for the upbringing and personal development of women convicted for the first time for crimes of small and medium gravity. It is assumed that the implementation of the developed program will become the basis for a series of empirical studies. The scientific novelty of the research is in the synthesis of the domestic approach to education based on the experience of Anton Makarenko and the concept of individual psychology and pedagogy by Alfred Adler, as well as an existential approach equally applicable both in the field of pedagogy and psychology. This kind of synthesis allows us to reach a practice-oriented methodology and appropriate methods in educational and educational-psychological work on rehabilitation and personal development of women convicted of minor crimes and convicted for the first time. In case of practical success of the implementation of the relevant program, it can be extrapolated both to other categories of convicts, and, in the future, to the pedagogical and psychological-pedagogical co-education of persons suffering from PTSD.
48
Huele, E. H., E. M. Kool, A. M. E. Bos, B. C. J. M. Fauser und A. L. Bredenoord. „The ethics of embryo donation: what are the moral similarities and differences of surplus embryo donation and double gamete donation?“ Human Reproduction 35, Nr. 10 (09.08.2020): 2171–78. http://dx.doi.org/10.1093/humrep/deaa166.
Der volle Inhalt der QuelleAnnotation:
ABSTRACT Over the years, the demand for ART with donated embryos has increased. Treatment can be performed using donated ‘surplus embryos’ from IVF treatment or with embryos intentionally created through so-called ‘double gamete donation’. Embryo donation is particularly sensitive because treatment results in the absence of a genetic link between the parent(s) and the child, creating complex family structures, including full genetic siblings living in another family in the case of surplus embryo donation. In this paper, we explore the ethical acceptability of embryo donation in light of the similarities and differences between surplus embryo donation and double gamete donation. We will argue that no overriding objections to either form of embryo donation exist. First of all, ART with donated embryos respects patients’ reproductive autonomy by allowing them to experience gestational parenthood. It also respects IVF patients’ reproductive autonomy by providing an additional option to discarding or donating surplus embryos to research. Second, an extensive body of empirical research has shown that a genetic link between parent and child is not a condition for a loving caring relationship between parent(s) and child. Third, the low moral status of a pre-implantation embryo signifies no moral duty for clinics to first use available surplus embryos or to prevent the development of (more) surplus embryos through double gamete donation. Fourth, there is no reason to assume that knowledge of having (full or half) genetically related persons living elsewhere provides an unacceptable impact on the welfare of donor-conceived offspring, existing children of the donors, and their respective families. Thus, patients and clinicians should discuss which form of ART would be suitable in their specific situation. To guarantee ethically sound ART with donated embryos certain conditions have to be met. Counselling of IVF patients should involve a discussion on the destination of potential surplus embryos. When counselling donors and recipient(s) a discussion of the significance of early disclosure of the child’s mode of conception, the implications of having children raised in families with whom they share no genetic ties, expectations around information-exchange and contact between donor and recipient families or genetically related siblings is warranted. Importantly, conclusions are mainly drawn from results of empirical studies on single gamete donation families. To evaluate the welfare of families created through surplus embryo donation or double gamete donation additional empirical research on these particular families is warranted.
49
Penchilaiya, Venkatalakshmi, Shivanand Kattimani, Nandheesha Hanumanthappa und Arivazhagan Karunanithi. „Assessing Serum Brain Derived Neurotrophic Factor and Matrix MetalloProteinase-9 Levels and Their Correlation With Neurocognitive and Psychosocial Functioning in Bipolar Disorder-I in Remission: A Case-Control Study“. BJPsych Open 8, S1 (Juni 2022): S67. http://dx.doi.org/10.1192/bjo.2022.233.
Der volle Inhalt der QuelleAnnotation:
Aims1.To determine the association between serum BDNF, serum MMP-9 and cognitive function test in BD-1 patients in remission and to compare with controls.2.To assess the current psychosocial functioning of BD-I patients in remission and their correlates.MethodsSingle center case control study.Cases were BD-I patients in Remission (n = 60) and controls (n = 60) were age and gender matched healthy persons. The diagnosis of BD-1 was confirmed using Structured Clinical Interview For DSM-IV-Tr Axis I Disorders –Research Version along with clinical record. Age group between18–60 years, in remission for at least 2 months [scoring ≤ 8 on the Hamilton Depression Rating Scale, and ≤ 6 on Young Mania Rating Scale] were included. Those with significant head injury, neurological disorder, substance use disorder, Diabetes/Hypertension and premorbid IQ < 70 were excluded.Control group were excluded if their first degree relative had any psychiatric illness as elicited using Family Interview for Genetic Studies scale (FIGS).Cognitive functioning was assessed using Addenbrooke's Cognitive Examination version III (ACE-III) and Trail making test A and B (TMT A and TMT B). Current psychosocial functioning was assessed with Functioning assessment short test (FAST).Five ml blood sample was taken for estimation of serum BDNF and MMP-9 levels by ELISA.Chi-square test used to compare categorical variables. Mann-Whitney U test for continuous variables. Spearman's correlation - evaluate the relationship between scores on the cognitive function tests and serum levels of BDNF and MMP-9, within the group of patients with BD-I.ResultsWith regards to cognitive functioning, compared to controls, cases performed significantly poor in domains of Memory (Z = −3.435, p = 0.001), Processing speed (z=−2.667, p = 0.008), and Executive functioning (Z= −4.084, p = 0.000).No statistical difference in levels of serum BDNF and MMP-9 between patients and controls were found.While BDNF serum levels were not associated with cognitive or psychosocial functioning, there were significant relation between serum MMP-9 and the various domains of FAST scale and total FAST score (rho = 0.447, p < 0.001).BD-I patients exhibited poor psychosocial functioning compared to controls even in euthymic state (U = 702.00, p < 0.000).ConclusionPatients with BD-I display poor performance in memory, executive function and psychosocial functioning even during euthymic state compared to controls.Serum BDNF and MMP-9 levels comparable to the healthy controls during remission- pointing towards them as state markers rather than trait.Need for routine evaluation of cognitive function during follow-up visits and focus on target deficits for rehabilitation for better recovery and improving the quality of life of BD patients.
50
Fayura, О., А. Маksymuk, О. Аbrahamovych, М. Аbrahamovych, L. Tsyhanyk, S. Tolopko und M. Ferko. „The Importance of Risk Factors, Methods of Their Calculation and Evaluation, Prognosis in Medicine (Literature Review; Examples of Their Use in Own Clinical Practice) – Second Notice“. Lviv clinical bulletin 2-3, Nr. 35-36 (24.12.2021): 70–81. http://dx.doi.org/10.25040/lkv2021.03-04.070.
Der volle Inhalt der QuelleAnnotation:
Introduction. Despite the latest advances in modern medicine, the direct etiological factors of many diseases remain unknown or it is impossible to determine the significance of each of them in their occurrence, so the theory of risk factors is extremely relevant for both theoretical and practical medicine. There are also often situations in which it is necessary to determine the optimal tactics of patient care, because preventive, curative and rehabilitation activities of the doctor require timely prediction of the occurrence probability, further course of the pathological process, its complications, recurrences under the influence of certain environmental factors, threatening and terminal stages, side effects of drugs. Therefore, the need for a practical solution to these problems has become the basis for the theory of risk factors and prognosis methods. The aim of the study. Describe the importance of risk factors and methods of their calculation and evaluation, prognosis in medicine, using literature sources, provide specific examples of their use in own clinical practice. Materials and methods. Content analysis, method of system and comparative analysis, bibliosemantic method of studying the current scientific researches concerning studying of the importance of risk factors and a technique of their calculation and estimation, prognosis in medicine were used. Sources were searched in scientometric databases: PubMed, Medline, Springer, Google Scholar, Research Gate by keywords: risk factors, one-way analysis, multi-factor analysis. 54 literary sources in English and Ukrainian, which highlight the importance of risk factors and methods of their calculation and evaluation, prognosis in medicine were selected and analyzed, we describe the results of their use in our own clinical practice. Results. The concept of risk, as the probability of an adverse event or outcome, is most often used in analytical studies, which are planned to identify the causes and their prevalence of certain conditions. "Risk" cannot be measured directly by the results of information evaluation in one person, but is calculated on the basis of selective observation of a group of persons who are under the influence (exposed group) of a certain factor. Risk factors are potentially pathogenic factors, in contact with which a person may develop a disease. A full analysis of pathological processes, assessment of risk factors and actual risks are impossible without prognosis, as well as multivariate analysis, which is often based on the probabilistic method of A. Wald or the survival curves construction. In practical health care, cases of medical and social research and in clinical studies, it is often necessary to identify the trends (predict) in changes of a certain condition. Conclusions. Determining the risk factors, calculating the actual risks and prognosis play an important role in medicine, because in the doctor's practice there are daily situations that need to determine the optimal tactics taking into account trends, course, severity and results of treatment, therefore, their definition/calculation must be clear and understandable. Depending on the case, the doctor can use the analysis of the score for certain factors, create risk groups, develop a monitoring plan etc. As a result, it becomes possible to create a plan of preventive measures and timely correction of treatment. Keywords: risk, relative risk, absolute risk, chance, forecast.