scholarly journals Treatment Response to a Double Administration of Constraint-Induced Language Therapy in Chronic Aphasia

2018 ◽  
Vol 61 (7) ◽  
pp. 1664-1690 ◽  
Author(s):  
Jennifer Mozeiko ◽  
Emily B. Myers ◽  
Carl A. Coelho
Keyword(s):  
Standardized Tests ◽  
Treatment Period ◽  
Response To Treatment ◽  
Language Therapy ◽  
Standardized Measures ◽  
Discourse Production ◽  
Time Period ◽  
Chronic Aphasia ◽  
Short Time

PurposeThis study investigated changes in oral–verbal expressive language associated with improvements following 2 treatment periods of constraint-induced language therapy in 4 participants with stroke-induced chronic aphasia. Generalization of treatment to untrained materials and to discourse production was also analyzed, as was the durability of the treatment effect.MethodParticipants with aphasia were assessed using standardized measures and discourse tasks at 3 to 4 time points to document behavioral changes throughout each of two 30-hr treatment periods of constraint-induced language therapy. Daily probes of trained and untrained materials were also administered.ResultsDespite participant heterogeneity, behavioral results for each person with aphasia indicated a positive response to treatment following each treatment period indicated by performance on standardized tests, trained materials, or both. Treatment effects generalized to some degree to untrained stimuli and to discourse measures and were generally maintained at follow-up testing.ConclusionsData support the utility of a 2nd treatment period. Results are relevant to rehabilitation in chronic aphasia, confirming that significant language gains continue well past the point of spontaneous recovery and can occur in a relatively short time period. Importantly, changes are not confined to a single treatment period, suggesting that people with aphasia may benefit from multiple doses of high-intensity treatment.

scholarly journals Recurrence of Primary Synovial Chondromatosis (Reichel’s Syndrome) in the Ankle Joint following Surgical Excision

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Thomas Gatt ◽  
Mark Portelli
Keyword(s):  
Surgical Excision ◽  
Synovial Chondromatosis ◽  
Postoperative Recovery ◽  
Strenuous Exercise ◽  
Loose Bodies ◽  
Management Options ◽  
Time Period ◽  
Rare Benign Tumour ◽  
Short Time

Primary synovial chondromatosis, or Reichel’s syndrome, is a rare benign tumour arising from the synovial lining of a joint. We present the case of a 25-year-old male with Reichel’s syndrome of the ankle, with subsequent recurrence following open retrieval of loose bodies. The initial presentation was of lateral malleolus discomfort which limited moderately strenuous exercise. Clinical examination showed a mild effusion and pain on extremes of movement. Imaging confirmed the presence of multiple loose bodies within the anterior and anterolateral recesses of the ankle. Open removal of 27 loose bodies from the joint was performed, with good postoperative recovery. He represented with pain 9 months later, with imaging of the ankle showing reaccumulation of loose bodies to a lesser extent. A trial of conservative management was opted for. Reichel’s syndrome confined to the ankle is an exceedingly rare diagnosis, with few cases reported in the literature. This case saw the recurrence of the disease in a short time period despite successful surgery in the first instance. Management options to treat recurrence include repeat retrieval of foreign bodies, synovectomy, radiotherapy, or arthrodesis. While the prognosis is favourable, a low risk of malignant potential warrants adequate patient follow-up.

scholarly journals Long-Term Stability of Short-Term Intensive Language–Action Therapy in Chronic Aphasia: A 1–2 year Follow-Up Study

2021 ◽  
pp. 154596832110292
Author(s):  
Lea Doppelbauer ◽  
Bettina Mohr ◽  
Felix R. Dreyer ◽  
Benjamin Stahl ◽  
Verena Büscher ◽  
...  
Keyword(s):  
Intensive Therapy ◽  
Young Patients ◽  
Language Therapy ◽  
Term Stability ◽  
Beneficial Effects ◽  
Long Term Stability ◽  
Language Functions ◽  
Chronic Aphasia

Background. Intensive aphasia therapy can improve language functions in chronic aphasia over a short therapy interval of 2–4 weeks. For one intensive method, intensive language–action therapy, beneficial effects are well documented by a range of randomized controlled trials. However, it is unclear to date whether therapy-related improvements are maintained over years. Objective. The current study aimed at investigating long-term stability of ILAT treatment effects over circa 1–2 years (8–30 months). Methods. 38 patients with chronic aphasia participated in ILAT and were re-assessed at a follow-up assessment 8–30 months after treatment, which had been delivered 6–12.5 hours per week for 2–4 weeks. Results. A standardized clinical aphasia battery, the Aachen Aphasia Test, revealed significant improvements with ILAT that were maintained for up to 2.5 years. Improvements were relatively better preserved in comparatively young patients (<60 years). Measures of communicative efficacy confirmed improvements during intensive therapy but showed inconsistent long-term stability effects. Conclusions. The present data indicate that gains resulting from intensive speech–language therapy with ILAT are maintained up to 2.5 years after the end of treatment. We discuss this novel finding in light of a possible move from sparse to intensive therapy regimes in clinical practice.

scholarly journals Efeito do Envelhecimento nas Manifestações Fonoaudiológicas da Doença de Machado-Joseph: relato de um caso

2005 ◽  
Vol 8 ◽  
Author(s):  
Simone A. Finard de Nisa e Castro ◽  
Lauren Medeiros Paniagua ◽  
Antonio Cardoso dos Santos
Keyword(s):  
Treatment Period ◽  
Female Patient ◽  
Daily Practice ◽  
Spinocerebellar Degeneration ◽  
Language Therapy ◽  
Porto Alegre ◽  
Younger Patients ◽  
Therapy Assessment ◽  
Machado Joseph Disease

Resumo: A doença de Machado-Joseph (DMJ) é uma degeneração espinocerebelar autossômica dominante que acarreta perdas funcionais progressivas e dependência ao indivíduo. Este trabalho descreve o acompanhamento fonoaudiológico de uma paciente de 60 anos, portadora de DMJ, encaminhada do Serviço de Genética ao Serviço de Fisiatria do Hospital de Clínicas de Porto Alegre (HCPA). Sob a avaliação fonoaudiológica, confirmou-se o comprometimento da deglutição e da fala sendo indicada a realização diária de exercícios miofuncionais orofaríngeos. Após o período de tratamento, a queixa de engasgos ainda ocorria, diferente do que é observado durante o acompanhamento de pacientes mais jovens com o mesmo quadro funcional. Esse resultado poderia tanto ser decorrente de perdas específicas do envelhecimento quanto da falta de motivação para realizar as prescrições, o que torna este relato relevante para o aprofundamento da prática fonoaudiológica. Palavras-chave: Doença de Machado-Joseph. Envelhecimento. Disfagia. Disartria. Fonoaudiologia. Reabilitação. Abstract: Machado-Joseph disease (MJD) is an autossomal dominant spinocerebellar degeneration which causes progressive functional losses and dependence. This work describes the speech-language therapy follow-up of a 60 year-old female patient with MJD, referred from Serviço de Genética to Serviço de Fisiatria of Hospital de Clínicas de Porto Alegre (HCPA). A speech-language therapy assessment confirmed that swallowing and speech were affected, and the daily practice of myofunctional oral-pharingeal exercises was recommended. Following the treatment period, the patient still complained about gasps, unlike what has been found in the follow-up of younger patients with the same functional picture. This result may have been due to either the aging specific losses or the lack of motivation to carry out recommendations, which makes this report relevant to the understanding of the speech-language therapy practice. Keywords: Machado-Joseph Disease. Aging. Dysphagia. Dysarthria. Speech-Language Therapy. Rehabilitation.

scholarly journals Assessment of glycosylated hemoglobin (HbA1c) in type 2 diabetics before and after non-surgical periodontal treatment. A short-term follow-up study

2018 ◽  
Vol 17 ◽  
pp. e18154
Author(s):  
Wendy Esther Velasco-Corredor ◽  
Gloria Cristina Aranzazu Moya ◽  
Anne Alejandra Hernández Castañeda ◽  
Otero Johanna ◽  
Dagmar de Paula Queluz
Keyword(s):  
Glycosylated Hemoglobin ◽  
Periodontal Treatment ◽  
Time Period ◽  
Type 2 Diabetics ◽  
Before And After ◽  
Short Time ◽  
Oral Hygiene Instruction ◽  
Root Planning

Aim: To evaluate glycosylated hemoglobin (HbA1c) before and after non-surgical periodontal treatment in patients with type 2 diabetes mellitus (DM-2). Methods: Twenty subjects diagnosed with periodontitis and DM-2 were treated using an NSPT protocol. Periodontal examination and blood measurements were performed at baseline and after three months. Patients with DM-2 treated for at least a year, with at least 10 teeth and with probing depths between 4-6 mm in more than three regions were included. The variables evaluated were HbA1c in blood and periodontal measures (probing depths, insertion level, gingival bleeding on probing, dental plaque, calculus, inflammation, clinical attachment and mobility). All patients were informed of the conditions of the therapy used. Scaling and root planning (SRP) of the full mouth was performed using an ultrasonic scaler and hand instrument under local anesthesia, supragingival prophylaxis and oral hygiene instruction. Also, 0.12% chlorhexidine digluconate was formulated twice a day for two weeks. Statistical analyses were performed using StataIC 14. The values are shown as the mean, median and standard deviation (SD) or interquartile rank (IR), and p<0.05 was considered significant. Results: Twenty subjects completed the three-month follow-up and were included in the analysis. Three months after the non-surgical periodontal treatment, most periodontal parameters had a meaningful reduction (p< 0.05) and a large effect size >0.8. Clinical attachment level showed no improvement. The HbA1c values were not significantly decreased (p=0.94). Conclusions: Although non-surgical periodontal therapy eliminates local inflammation, it is insufficient to significantly reduce HbA1c levels in a short time period.

scholarly journals A Short Time Period in the Treatment of an Open Apice Intruded Tooth: An 8-year Follow-up

2019 ◽  
Vol 12 (2) ◽  
pp. 160-163
Author(s):  
Eduardo Nunes ◽  
Maria AB de Sá ◽  
Maria I de Souza Gruppioni Côrtes ◽  
Frank F Silveira
Keyword(s):  
Short Time Period ◽  
Time Period ◽  
Short Time

Equivocal Longitudinal Melanonychia in a 3-Year-Old Caucasian Girl: Rapid Evolution and Fading during Digital Dermoscopy Follow-Up

2021 ◽  
pp. 1-4
Author(s):  
Aikaterini Tsiogka ◽  
Martin Laimer ◽  
Dimitrios Rigopoulos ◽  
Verena Ahlgrimm-Siess
Keyword(s):  
Rapid Evolution ◽  
Nail Dystrophy ◽  
Case Presentation ◽  
Caucasian Girl ◽  
Time Period ◽  
Short Time ◽  
Longitudinal Melanonychia ◽  
Digital Dermoscopy ◽  
Subungual Melanoma

<b><i>Introduction:</i></b> Nail matrix nevi (NMN) in pediatric patients manifest as longitudinal melanonychia (LM) and can share clinical, dermoscopic, and histopathological characteristics with subungual melanoma. Equivocal findings in childhood LM may reflect dynamic processes during the natural life cycle of NMN in children. <b><i>Case Presentation:</i></b> We present a case of a heavily pigmented LM with equivocal clinical and dermoscopic findings in a 3-year-old Caucasian girl, which exhibited signs of evolution, maturation, and almost complete involution within a short time period during digital follow-up, attributed to the natural course of NMN. <b><i>Discussion/Conclusion:</i></b> Considering the rarity of subungual melanoma in childhood, our case underlines the significance of clinical and digital dermoscopy follow-up in the evaluation of childhood LM in order to avoid unnecessary biopsies and potential permanent nail dystrophy.

World Economy: Prospects and Barriers for Recovery

2012 ◽  
pp. 61-83 ◽  
Author(s):  
M. Ershov
Keyword(s):  
World Economy ◽  
Western World ◽  
Short Time Period ◽  
Market Segments ◽  
Junk Bonds ◽  
The Past ◽  
Time Period ◽  
The Us ◽  
Global Liquidity ◽  
Short Time

According to the latest forecasts, it will take 10 years for the world economy to get back to “decent shape”. Some more critical estimates suggest that the whole western world will have a “colossal mess” within the next 5–10 years. Regulators of some major countries significantly and over a short time‑period changed their forecasts for the worse which means that uncertainty in the outlook for the future persists. Indeed, the intensive anti‑crisis measures have reduced the severity of the past problems, however the problems themselves have not disappeared. Moreover, some of them have become more intense — the eurocrisis, excessive debts, global liquidity glut against the backdrop of its deficit in some of market segments. As was the case prior to the crisis, derivatives and high‑risk operations with “junk” bonds grow; budget problems — “fiscal cliff” in the US — and other problems worsen. All of the above forces the regulators to take unprecedented (in their scope and nature) steps. Will they be able to tackle the problems which emerge?

Response to Treatment of Alcoholism; a Follow-Up Study

1968 ◽  
Vol 29 (2) ◽  
pp. 364-381 ◽  
Author(s):  
Alex D. Pokorny ◽  
Byron A. Miller ◽  
Sidney E. Cleveland
Keyword(s):  
Response To Treatment ◽  
Follow Up Study

Effect of short-term use of oral contraceptive pills on intraocular pressure

2020 ◽  
Vol 35 (3) ◽  
Author(s):  
Tayyaba Gul Malik ◽  
Hina Nadeem ◽  
Eiman Ayesha ◽  
Rabail Alam
Keyword(s):  
Oral Contraceptive ◽  
Childbearing Age ◽  
Short Term ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Time Period ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Short Time

Objective: To study the effect of short-term use of oral contraceptive pills on intra-ocular pressures of women of childbearing age.   Methods: It was a comparative observational study, conducted at Arif memorial teaching hospital and Allied hospital Faisalabad for a period of six months. Hundred female subjects were divided into two groups of 50 each. Group A, included females, who had been taking oral contraceptive pills (OCP) for more than 6 months and less than 36 months. Group B, included 50 age-matched controls, who had never used OCP. Ophthalmic and systemic history was taken. Careful Slit lamp examination was performed and intraocular pressures (IOP) were measured using Goldman Applanation tonometer. Fundus examination was done to rule out any posterior segment disease. After collection of data, we analyzed and compared the intra ocular pressures between the two groups by using ANOVA in SPSS version 21.   Results: Average duration of using OCP was 14.9 months. There was no significant difference of Cup to Disc ratios between the two groups (p= 0.109). However, significant difference was noted between the IOP of OCP group and controls. (p=0.000). Conclusion: OCP significantly increase IOP even when used for short time period.

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