Drs. Goyette and Conners Reply

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 327-328
Author(s):  
Charles H. Goyette ◽  
C. Keith Conners
Keyword(s):  
Treatment Program ◽  
Treatment Condition ◽  
Naive Subject ◽  
Empirical Testing ◽  
Clinical Observations ◽  
Fundamental Point ◽  
Subject Pool ◽  
Reported Data ◽  
Methodological Difficulties

Miller's emotion-laden comments concerning our article clearly misrepresent and/or ignore the reported data, the specifics of the K-P diet, and the comparable difficulties and nutritional aspects of the two diets tested. Careful reading of the article will answer most questions posed and contradict Miller's anecdotal clinical observations. The fundamental point, as presented by Miller, revolves around the use of a comparison treatment condition when a naive subject pool is unavailable. Empirical testing of a highly publicized and easily recognizable treatment program does raise methodological difficulties in developing an adequate comparison condition.

scholarly journals A.R. Luria’s Approach to Neuropsychological Assessment and Rehabilitation

2018 ◽  
Vol 34 (6) ◽  
pp. 795-802 ◽  
Author(s):  
Yuri V Mikadze ◽  
Alfredo Ardila ◽  
Tatiana V Akhutina
Keyword(s):  
Cognitive Neuroscience ◽  
Cognitive Rehabilitation ◽  
Point Of View ◽  
Mental Function ◽  
Clinical Perspective ◽  
Clinical Observations ◽  
Qualitative Interpretation ◽  
Fundamental Point ◽  
Syndrome Analysis ◽  
Scientific Achievements

Abstract Luria is one of the most influential authors in cognitive neuroscience, and in particular neuropsychology. New scientific achievements and clinical observations have significantly supported many of his suggestions and hypotheses. The article describes the basic concepts of neuropsychological evaluation and rehabilitation, associated with the method of syndrome analysis developed by Luria for diagnosis mental function and focus in the qualitative interpretation of the results neuropsychological diagnosis. Luria is regarded as a pioneer in cognitive rehabilitation. His ideas have maintained relevance and have continued to be developed and analyzed. Luria is presented as one of the major founders of contemporary neuropsychology from the fundamental point of view and the clinical perspective. His influence has continued significantly during the 21st century.

scholarly journals Mobile Health App (AGRIPPA) to Prevent Relapse After Successful Interdisciplinary Treatment for Patients With Chronic Pain: Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Stefan Elbers ◽  
Jan Pool ◽  
Harriët Wittink ◽  
Albère Köke ◽  
Else Scheffer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Randomized Controlled Trial ◽  
Mobile Health ◽  
Treatment Program ◽  
Treatment Condition ◽  
Controlled Trial ◽  
Interdisciplinary Treatment ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial ◽  
Over Time

BACKGROUND To facilitate adherence to adaptive pain management behaviors after interdisciplinary multimodal pain treatment, we developed a mobile health app (AGRIPPA app) that contains two behavior regulation strategies. OBJECTIVE The aims of this project are (1) to test the effectiveness of the AGRIPPA app on pain disability; (2) to determine the cost-effectiveness; and (3) to explore the levels of engagement and usability of app users. METHODS We will perform a multicenter randomized controlled trial with two parallel groups. Within the 12-month inclusion period, we plan to recruit 158 adult patients with chronic pain during the initial stage of their interdisciplinary treatment program in one of the 6 participating centers. Participants will be randomly assigned to the standard treatment condition or to the enhanced treatment condition in which they will receive the AGRIPPA app. Patients will be monitored from the start of the treatment program until 12 months posttreatment. In our primary analysis, we will evaluate the difference over time of pain-related disability between the two conditions. Other outcome measures will include health-related quality of life, illness perceptions, pain self-efficacy, app system usage data, productivity loss, and health care expenses. RESULTS The study was approved by the local Medical Research Ethics Committee in October 2019. As of March 20, 2020, we have recruited 88 patients. CONCLUSIONS This study will be the first step in systematically evaluating the effectiveness and efficiency of the AGRIPPA app. After 3 years of development and feasibility testing, this formal evaluation will help determine to what extent the app will influence the maintenance of treatment gains over time. The outcomes of this trial will guide future decisions regarding uptake in clinical practice. CLINICALTRIAL Netherlands Trial Register NL8076; https://www.trialregister.nl/trial/8076 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18632

scholarly journals Mobile Health App (AGRIPPA) to Prevent Relapse After Successful Interdisciplinary Treatment for Patients With Chronic Pain: Protocol for a Randomized Controlled Trial

10.2196/18632 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e18632
Author(s):  
Stefan Elbers ◽  
Jan Pool ◽  
Harriët Wittink ◽  
Albère Köke ◽  
Else Scheffer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Randomized Controlled Trial ◽  
Mobile Health ◽  
Treatment Program ◽  
Treatment Condition ◽  
Controlled Trial ◽  
Interdisciplinary Treatment ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial ◽  
Over Time

Background To facilitate adherence to adaptive pain management behaviors after interdisciplinary multimodal pain treatment, we developed a mobile health app (AGRIPPA app) that contains two behavior regulation strategies. Objective The aims of this project are (1) to test the effectiveness of the AGRIPPA app on pain disability; (2) to determine the cost-effectiveness; and (3) to explore the levels of engagement and usability of app users. Methods We will perform a multicenter randomized controlled trial with two parallel groups. Within the 12-month inclusion period, we plan to recruit 158 adult patients with chronic pain during the initial stage of their interdisciplinary treatment program in one of the 6 participating centers. Participants will be randomly assigned to the standard treatment condition or to the enhanced treatment condition in which they will receive the AGRIPPA app. Patients will be monitored from the start of the treatment program until 12 months posttreatment. In our primary analysis, we will evaluate the difference over time of pain-related disability between the two conditions. Other outcome measures will include health-related quality of life, illness perceptions, pain self-efficacy, app system usage data, productivity loss, and health care expenses. Results The study was approved by the local Medical Research Ethics Committee in October 2019. As of March 20, 2020, we have recruited 88 patients. Conclusions This study will be the first step in systematically evaluating the effectiveness and efficiency of the AGRIPPA app. After 3 years of development and feasibility testing, this formal evaluation will help determine to what extent the app will influence the maintenance of treatment gains over time. The outcomes of this trial will guide future decisions regarding uptake in clinical practice. Trial Registration Netherlands Trial Register NL8076; https://www.trialregister.nl/trial/8076 International Registered Report Identifier (IRRID) DERR1-10.2196/18632

Spade design, lumbar motions, risk of low-back injury and digging posture

1998 ◽  
Vol 1 (3) ◽  
pp. 157-172
Author(s):  
Robert S. Bridger ◽  
Patrick Sparto ◽  
William S. Marras
Keyword(s):  
Risk Group ◽  
High Risk Group ◽  
Point Of View ◽  
Back Injury ◽  
Ground Reaction Forces ◽  
Low Back ◽  
Low Back Injury ◽  
Fundamental Point ◽  
Reaction Forces ◽  
Reported Data

A laboratory investigation of the ergonomics of digging is reported. Data on lumbar motions, ground reaction forces and posture were obtained simultaneously as subjects transferred sand from one container to another while standing on a force platform. Digging with a conventional spade was found to carry a substantial probability of inclusion in a high-risk group for low back injury. A prototype two-handled spade reduced the probability by approximately 8%. used but this was partly offset by an increase in twisting. From a fundamental point of view, the prototype merits further evaluation. Digging is a hazardous task when conventional spades are used and that ergonomic redesign can reduce the risk of back injury.

Radiation Damage in Ceramics

1982 ◽  
Vol 40 ◽  
pp. 600-603
Author(s):  
T. E. Mitchell ◽  
M. R. Pascucci ◽  
R. A. Youngman
Keyword(s):  
Radiation Damage ◽  
Outer Space ◽  
Point Of View ◽  
Nuclear Waste Storage ◽  
Waste Storage ◽  
Storage Media ◽  
Transmission Electron ◽  
Fundamental Point ◽  
Small Defect ◽  
Present Understanding

1. Introduction. Studies of radiation damage in ceramics are of interest not only from a fundamental point of view but also because it is important to understand the behavior of ceramics in various practical radiation enyironments- fission and fusion reactors, nuclear waste storage media, ion-implantation devices, outer space, etc. A great deal of work has been done on the spectroscopy of point defects and small defect clusters in ceramics, but relatively little has been performed on defect agglomeration using transmission electron microscopy (TEM) in the same kind of detail that has been so successful in metals. This article will assess our present understanding of radiation damage in ceramics with illustrations using results obtained from the authors' work.

Sentence-Based Experience Logging in New Hearing Aid Users

2020 ◽  
Vol 29 (3S) ◽  
pp. 631-637
Author(s):  
Katja Lund ◽  
Rodrigo Ordoñez ◽  
Jens Bo Nielsen ◽  
Dorte Hammershøi
Keyword(s):  
Hearing Aid ◽  
Patient Experiences ◽  
Online Tool ◽  
Rehabilitation Process ◽  
Hearing Rehabilitation ◽  
Clinical Observations ◽  
Hearing Aid Use ◽  
Wide Range ◽  
Insight Into ◽  
Shed Light

Purpose The aim of this study was to develop a tool to gain insight into the daily experiences of new hearing aid users and to shed light on aspects of aided performance that may not be unveiled through standard questionnaires. Method The tool is developed based on clinical observations, patient experiences, expert involvement, and existing validated hearing rehabilitation questionnaires. Results An online tool for collecting data related to hearing aid use was developed. The tool is based on 453 prefabricated sentences representing experiences within 13 categories related to hearing aid use. Conclusions The tool has the potential to reflect a wide range of individual experiences with hearing aid use, including auditory and nonauditory aspects. These experiences may hold important knowledge for both the patient and the professional in the hearing rehabilitation process.

Perceptions of Stuttering of Different Age Groups

2019 ◽  
Vol 4 (6) ◽  
pp. 1311-1315
Author(s):  
Sergey M. Kondrashov ◽  
John A. Tetnowski
Keyword(s):  
Age Groups ◽  
School Age Children ◽  
Clinical Implications ◽  
School Age ◽  
Fourth Edition ◽  
Self Perception ◽  
Behavioral Measures ◽  
Self Rating ◽  
Comparison Results ◽  
Subject Pool

Purpose The purpose of this study was to assess the perceptions of stuttering of school-age children who stutter and those of adults who stutter through the use of the same tools that could be commonly used by clinicians. Method Twenty-three participants across various ages and stuttering severity were administered both the Stuttering Severity Instrument–Fourth Edition (SSI-4; Riley, 2009 ) and the Wright & Ayre Stuttering Self-Rating Profile ( Wright & Ayre, 2000 ). Comparisons were made between severity of behavioral measures of stuttering made by the SSI-4 and by age (child/adult). Results Significant differences were obtained for the age comparison but not for the severity comparison. Results are explained in terms of the correlation between severity equivalents of the SSI-4 and the Wright & Ayre Stuttering Self-Rating Profile scores, with clinical implications justifying multi-aspect assessment. Conclusions Clinical implications indicate that self-perception and impact of stuttering must not be assumed and should be evaluated for individual participants. Research implications include further study with a larger subject pool and various levels of stuttering severity.

Sign in / Sign up

Export Citation Format

Share Document