Efficacy of two different types of speech therapy for aphasic stroke patients

1989 ◽  
Vol 10 (1) ◽  
pp. 85-123 ◽  
Author(s):  
R. S. Prins ◽  
R. Schoonen ◽  
J. Vermeulen
Keyword(s):  
Speech Therapy ◽  
Therapy Group ◽  
Recovery Process ◽  
Auditory Comprehension ◽  
Language Therapy ◽  
Therapy Program ◽  
Different Types ◽  
Group 2 ◽  
Almost All ◽  
Group 1

ABSTRACTThe influence of two different types of language therapy was investigated by assigning 32 patients to three groups: 10 patients were treated with a Systematic Therapy program for Auditory Comprehension Disorders (group 1), 11 patients received conventional stimulation therapy (group 2), and the other 11 patients received no treatment at all (group 3). Language recovery in the three groups was examined with a test battery consisting of two parts: Part I consisted of 3 subtests for auditory comprehension, which were also used as practice materials in the treatment program given to the patients of group 1; Part II contained 8 tests for auditory comprehension, reading comprehension, and oral expression, the items of which were not used as practice materials in either of the two treated groups. Although the influence of age, time post onset, and severity of the receptive disorder were controlled by multiple regression analysis, it was found that the differences between the three treatment conditions were far from significant on almost all evaluation tests of Part II, as well as on the evaluation tests of Part I. On the basis of these results it was concluded that neither the Systematic Therapy program for Auditory Comprehension Disorders nor the conventional stimulation therapy had any clear effect on the recovery process of the treated patients in groups 1 and 2. Some possible reasons for the failure to demonstrate significant differences in language gains between the three therapeutic conditions are discussed.

Epicuticular waxes of the genus Hordeum: a survey of their chemical composition and ultrastructure

1989 ◽  
Vol 67 (11) ◽  
pp. 3219-3226 ◽  
Author(s):  
Bernard R. Baum ◽  
A. Pat Tulloch ◽  
L. Grant Bailey
Keyword(s):  
Chemical Composition ◽  
Discriminant Analysis ◽  
Alcohol Content ◽  
Total Absence ◽  
Average Alcohol ◽  
The Common ◽  
Group 2 ◽  
Whole Plants ◽  
Almost All ◽  
Group 1

This study was based on 148 accessions representing 39 species of Hordeum. SEM ultrastructural morphology of waxes was based on individual spikelets, whereas waxes' chemical composition was assessed from whole plants. When all the data, in the form of individual accessions, were subjected to various cluster analyses methods, no groupings were revealed. But when the data were first summarized by species and then subjected to clustering, two polythetic groups of species were detected. Group 1 is characterized by species with 40–60% average alcohol content and by the common presence of diketones, whereas group 2 is characterized by species with 61 – 80% average alcohol content, by the total absence of hydroxy-β-diketone, and almost all species without β-diketone. The chemical data were then subjected to classificatory discriminant analysis to assess if a single previously unclassified accession could be identified into one of the two groupings. The nature of the differences between the two groupings was described by means of a canonical discriminant analysis. Mostly only plates and filaments were detected, and in many accessions the filaments were widened, appeared platelike, and were characteristic for one group. Presence of β-diketone varied within species. Hordeum violaceum was found to be unique in chemical composition.

Construction of auditory bombardment therapy program: a pilot study

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Nahla Abd-ElAziz Rifaie ◽  
Dina Ahmed Elrefaie ◽  
Mona Mosaad Mahmoud
Keyword(s):  
Conventional Therapy ◽  
Speech Sound ◽  
University Hospitals ◽  
Speech Sound Disorder ◽  
Phonological Processes ◽  
Therapy Program ◽  
Significant Difference ◽  
Group 2 ◽  
Speech Segments ◽  
Group 1

Abstract Background Speech sound disorder is a communication disorder in which children have persistent difficulty saying words or sounds correctly. It refers to any difficulty or combination of difficulties with perception, motor production, or phonological representation of speech sounds and speech segments. Aim of the Work to construct an Arabic auditory bombardment therapy program and measure its effectiveness in treatment of functional speech sound disorder. Subjects and Methods This study was applied on 60 participants divided into 2 groups (30 for each group) with age ranging from 3-5 years diagnosed with functional speech sound disorder with or without language disorders, attending at the Phoniatrics outpatient clinic in Ain Shams University Hospitals. The test for identification of phonological processes was applied on 60 patients with speech sound disorder selected to participate in this study. These were divided in to 2 groups (Group (1) received only the conventional therapy while group (2) received auditory bombardment in addition to the conventional therapy for 3 months) and the test was repeated again after therapy. Results Group (2) showed high significant difference (improvement) in consonant assimilation, voicing change, final consonant deletion, palatal fronting, gliding, lateralization and glottal replacement while group (1) showed high significant difference (improvement) in syllable deletion and partial cluster reduction. Conclusion The present study showed that application of auditory bombardment therapy program in addition to conventional therapy has high significant improvement than conventional therapy alone.

Epiphora in patients after high-dose radioiodine therapy

2021 ◽  
pp. 54-55
Author(s):  
V.D. Yartsev ◽  
◽  
E.L. Atkova ◽  
Keyword(s):  
Radioiodine Therapy ◽  
Therapy Group ◽  
Nasolacrimal Duct ◽  
Positive Answer ◽  
Nasolacrimal Duct Obstruction ◽  
High Dose ◽  
Duct Obstruction ◽  
The Difference ◽  
Group 2 ◽  
Group 1

Purpose. To estimate the frequency of tearing in patients after high-dose radioiodine therapy. Materials and Methods. The survey was conducted in 500 patients after radioiodine therapy (group 1) and 654 volunteers (group 2). We asked whether the respondent noticed epiphora last month, in case of a positive answer we specified how many times during the day it was necessary to wipe the tear, comparing the result with Munk scale. Results. The patients of group 1 noticed tearing in 232 cases, the respondents of group 2 noticed it in 186 cases. Epiphora was more frequent in patients of group 1 (46 % of cases), rather than in volunteers of group 2 (27 % of cases). Excessive tearing was noticed in 8.8 % of patients of group 1 and 3.5 % of respondents of group 2. The difference was statistically significant. Conclusion. 8.8 % of patients complain about excessive tearing after high-dose radioiodine therapy, which is more frequent than in the general population. This may be related to secondary acquired nasolacrimal duct obstruction. Key words: epiphora, nasolacrimal duct obstruction, radioiodine therapy.

Cyclophosphamide-induced disturbance of gonadotropin secretion manifesting testicular damage

1992 ◽  
Vol 126 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Jantine JG Hoorweg-Nijman ◽  
Henriette A Delemarre-van de Waal ◽  
Frans C de Waal ◽  
Henk Behrendt
Keyword(s):  
Reference Group ◽  
Semen Analysis ◽  
Cytotoxic Drugs ◽  
Gonadal Function ◽  
Testicular Damage ◽  
Gonadotropin Secretion ◽  
Group 2 ◽  
Normal Men ◽  
Almost All ◽  
Group 1

Gonadal function was evaluated in 23 men (aged 14.8–28.8 years) treated in childhood with cytotoxic drugs for a solid tumour. Group 1 (N = 14) had been treated with non-alkylating drugs only, while group 2 (N=9) received the alkylating drug cyclophosphamide in addition (range 3.8–19.5 g/m2). Median age at the start of treatment was 4.6 years (range 0.6–16.1) in group 1 and 13.9 years (range 3.7–16.9) in group 2. Data of the patients were compared with a reference group consisting of 14 normal men. Almost all patients of both groups showed normal development of puberty; 13 of the 14 men in group 1 showed normal hormonal values. In group 2, basal LH and FSH as well as the LH and FSH responses to GnRH showed higher levels compared to those of a reference group (p<0.001). Correlation analysis showed an evident correlation between the total dose of received cyclophosphamide and the basal FSH level (r=0.78; p=0.002), the FSH response to GnRH (r=0.73; p=0.002) and the LH response to GnRH (r=0.67; p=0.002). There was no correlation between the hormonal parameters and the doses of the other cytotoxic drugs. Semen analysis showed azoospermia in four boys of group 2 and in none of group 1. Two patients in group 2 had an elevated FSH response to GnRH while their semen analysis was normal. Conclusions: (1) There is a dose-response relationship between the basal FSH. the LH and FSH responses to GnRH and the dose of cyclophosphamide. In all cyclophosphamide-treated patients the FSH response to GnRH increased. (2) Increased gonadotropin secretion can be found while semen analysis is normal; an increased FSH response to GnRH can be the first manifestation of testicular damage. (3) Evaluation of gonadotropins, both basal and stimulated LH and FSH values, is an easy and useful method for following up gonadal function in cyclophosphamide-treated men, especially for detecting early and subtle testicular damage.

Anticancer treatment and cognitive functions in elderly cancer patients: A prospective study

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 8543-8543
Author(s):  
A. M. Minisini ◽  
P. Ermacora ◽  
S. Russo ◽  
G. Cardellino ◽  
C. Andreetta ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Endocrine Therapy ◽  
Cognitive Functions ◽  
Therapy Group ◽  
Anxiety And Depression ◽  
Elderly Cancer Patients ◽  
Anticancer Treatment ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

8543 Background: It has been reported that anticancer treatment may alterate cognitive functions in cancer patients but very few prospective studied addressed this issue. Moreover, little is known about the cognitive impact of anticancer treatment in elderly cancer patients. We aimed at investigating the effect on cognitive functions of antiblastic chemotherapy and endocrine therapy in a consecutive series of elderly cancer outpatients. Methods: We evaluated cognitive functions by means of the Cambridge Cognitive Examination (CAMCOG) test and the Mini-Mental Scale Examination (MMSE) at baseline (before anticancer systemic treatment), after 3 months and after 6 months in cancer patients aged more than 65 years. Mood disturbances such as anxiety and depression were also evaluated (Hospital Anxiety and Depression Scale); comprehensive geriatric assessment and blood tests were performed at each evaluation. Results: Sixty patients were enrolled, 15 patients received chemotherapy (group 1), 13 patients received endocrine therapy (group 2) and 32 patients had neither chemotherapy nor endocrine therapy (group 3, control). Fifty-eight (97%) patients had no evidence of disease at the time of assessment. Median age was 71.5, 73 and 71 years in group 1, 2 and 3, respectively. At baseline, median Activities of Daily Living (ADL) score, Instrumental Activity of Daily Living (IADL) score, number of comorbidities and concomitant medications were 6, 8, 5, 1 in group 1, and 6, 8, 3, 2 in group 2, and 6, 8, 4, 2 in group 3, respectively. Median hemoglobin value was 12.9, 12.8, 13.3 g/dl in group 1, 2 and 3 respectively. At baseline, no significant unbalance was evident among groups. There was a statistically significant correlation between ADL or IADL score and CAMCOG total score (Spearman test, rho=0.4, p<0.05). Higher scolarity level was associated with higher CAMCOG total score. No deterioration of CAMCOG score was evident in group 1, 2 and 3 after 3 and 6 months (paired t-test p>.05); the separate analyses for the different items in CAMCOG test did not evidence any deterioration in time in the 3 groups. No worsening was seen in MMSE. Conclusions: Our study showed that anticancer treatment is not associated with rapid cognitive deterioration in elderly cancer patients. No significant financial relationships to disclose.

The evaluation of velopharyngeal function using flexible nasendoscopy

1997 ◽  
Vol 111 (8) ◽  
pp. 739-745 ◽  
Author(s):  
L. Ramamurthy ◽  
R. A. Wyatt ◽  
D. Whitby ◽  
D. Martin ◽  
P. Davenport
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Treatment Options ◽  
Voice Analysis ◽  
Dynamic Function ◽  
Post Traumatic ◽  
Group 2 ◽  
Velopharyngeal Function ◽  
Age Range ◽  
Group 1

AbstractNasendoscopy is an essential tool in assessing the dynamic function and structure of the velopharyngeal sphincter during speech and swallowing.Flexible fibre-optic nasendoscopy has been used by the cleft palate team at Withington Hospital, Manchester since 1989. Seventy-six patients were referred between 1989 and 1994 for evaluation of velopharyngeal function during speech. Flexible nasendoscopic evaluation was attempted in 50 patients, and successfully carried out in 43 patients. The age range was four years to 77 years (mean 21 years). The patients were divided into two groups: Group 1 consisting of patients with cleft palate and Group 2 comprised of patients with non-overt cleft palate-related velopharyngeal dysfunction of various aetiologies; such as, submucous cleft, post-tonsillectomy, post-adenoidectomy, neurological and post-traumatic.Based on the findings on nasendoscopy, videofluoroscopy and clinical speech/voice analysis the following treatment options were recommended: 17 (40 per cent) for pharyngoplasty, five (11 per cent) for revision pharyngoplasty, 15 (35 per cent) for speech therapy, four for an obturator and one for tonsillectomy. Two previously undetected submucous clefts were diagnosed.

scholarly journals Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Mehmet Akbulut ◽  
Makbule Kutlu ◽  
Yılmaz Ozbay ◽  
Veli Polat ◽  
Mehmet Nail Bilen ◽  
...  
Keyword(s):  
Therapy Group ◽  
High Sensitivity ◽  
Reperfusion Therapy ◽  
Early Reperfusion ◽  
Unfractioned Heparin ◽  
Reactive Protein ◽  
St Segment ◽  
Group 2 ◽  
Hs Crp ◽  
Group 1

We investigated the effects of clopidogrel on reperfusion and inflammatory process in STEMI. A total of 175 STEMI patients with similar clinical characteristics were included to this study. One was the standard pharmacological reperfusion therapy group (group 1,n: 90), who received 300 mg aspirin, 70 U/kg bolus, and 12 U/kg/hr continuous infusion of unfractioned heparin and accelerated t-PA. Clopidogrel 450 mg loading and 75 mg/d thereafter was added to standard reperfusion therapy in the other group (group 2,n: 85). The ST-segment resolution, CK-MB, and high-sensitive CRP (hs-CRP) parameters were measured. Complete ST resolution was observed in 32 patients (36.8%) in group 1 and 53 patients (63.8%) in group 2 (). Also in the first 24 hours, the CK-MB levels of patients in group 1 were significantly higher than those of group 2 (). The hs-CRP values were greater in group 1 than group 2 at 48th hour (gruop 1:  mg/L, group 2:  mg/L; ). We concluded that adding clopidogrel to standard treatment in STEMI patients provided early reperfusion and suppression of inflammatory response.

scholarly journals Complications of the Early Neonatal Period in Children from Mothers with Gestational Diabetes Mellitus

2021 ◽  
Vol 11 (4) ◽  
pp. 414-417
Author(s):  
Agamurad Orazmuradov ◽  
Irina Bekbaeva ◽  
Gayane Arakelyan ◽  
Anastasia Minaeva ◽  
Anastasiya Akhmatova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Therapy Group ◽  
Control Group ◽  
Balanced Diet ◽  
Functional Immaturity ◽  
Group 2 ◽  
Group 1

Background: Changes in the course of gestational diabetes mellitus (GDM) at the present stage determine the emergence of a certain spectrum of completely new problems associated with the health status of newborns from mothers with GDM. The aim of the study was to investigate early neonatal complications in newborns from mothers with GDM. Methods and Results: The study included 404 pregnant women (gestational age of 37.0–41.0 weeks) with GDM. All patients with GDM were divided into 2 groups. Group 1 included 188 patients receiving insulin therapy; Group 2 included 216 patients receiving a well-balanced diet. The control group (Group 3) consisted of 68 pregnant women without disorders of carbohydrate metabolism. In Group 1, macrosomia occurred in 44(23.4%) newborns, in Group 2 - in 48(22.0%) newborns; in newborns from mothers of the control group, the frequency of macrosomia was only in 7.35% of newborns (P=0.01). Morpho-functional immaturity of newborns had the highest frequency of occurrence, despite the fact that all children were born on time; 80(42.6%) newborns from mothers of Group 1 and 77(35.6%) newborns from mothers of Group 2 had signs of morpho-functional immaturity. Conclusion: Diabetic fetopathy in newborns from mothers with GDM is manifested by morpho-functional immaturity of organs and systems developing in unfavorable hyperglycemic conditions.

scholarly journals Effect of speech therapy intervention program for non-fluent aphasic patients after stroke

CoDAS ◽  
2020 ◽  
Vol 32 (6) ◽  
Author(s):  
Amália Maria Nucci Freire ◽  
Rubens José Gagliardi ◽  
Michele Devido dos Santos
Keyword(s):  
Verbal Fluency ◽  
Intervention Program ◽  
Speech Therapy ◽  
Control Group ◽  
P Value ◽  
Language Therapy ◽  
Verbal Fluency Task ◽  
Therapy Program ◽  
Therapy Intervention ◽  
Fluency Task

ABSTRACT Purpose: the objective of this paper is to verify the effect of speech therapy intervention program in patients with non-fluent aphasia due to stroke in language tasks related to verbal fluency in semantic and phonological categories. Methods: Patients with aphasia due to stroke were selected to take part in this study. Two groups were formed: diagnosed patients with Broca/transcortical motor aphasia (GA), and a control group (healthy individuals). GA took a fluency verbal task (FAS, other complementary categories: phonological /p/ /l/ and semantic: “fruits” and “names”). These patients were all engaged in a language intervention program developed by the authors of this study. GA received speech therapy sessions (ten sessions lasting for an hour once a week), following a specific language program. After the sessions, the patients were re-evaluated. Results: GA had statistical significant improvement in the verbal fluency task after the speech therapy program (p-value < 0,001). Conclusion: The speech language therapy program we proposed was efficient enough to show improvement in the results for GA in the verbal fluency task.

scholarly journals Emotional impairments and their correction in patients with migraine

2017 ◽  
Vol 89 (4) ◽  
pp. 75-79
Author(s):  
L S Chutko ◽  
S Yu Surushkina ◽  
E A Yakovenko ◽  
T I Anisimova ◽  
A V Sergeev
Keyword(s):  
Anxiety Disorders ◽  
Pain Intensity ◽  
Migraine Without Aura ◽  
Therapy Group ◽  
Vital Activity ◽  
Pronounced Decrease ◽  
Emotional Impairments ◽  
Clinical Presentations ◽  
Group 2 ◽  
Group 1

Aim. To study emotional impairments in patients with migraine and to evaluate the efficiency of Noophen therapy for this pathology. Subjects and methods. 63 patients aged 18 to 45 years with migraine without aura were examined. 56 patients used prophylactic antimigraine therapy: Group 1 (n = 26) received metoprolol and Group 2 took metoprolol in combination with Noophen. Results. The patients with migraine had a significantly higher level of alexithymia than the controls. Concomitant anxiety disorders were found in 47 (74.6%) cases. The study provided evidence that the treatment was highly effective in Group 2 that exhibited a more pronounced decrease in pain intensity, a greater reduction in the levels of anxiety, and more vital activity. Conclusion. The results of this study allow a conclusion that emotional impairments are implicated in the pathogenesis and clinical presentations of migraine and that it is appropriate to use Noophen for the treatment of this pathology.

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