scholarly journals Follow-Up to Case Study: Neurofeedback as a First Choice Treatment in an ADHD and Comorbidities

2018 ◽  
Author(s):  
F Paes de Barros França
Keyword(s):  
Brain Training ◽  
Functional Impairments ◽  
Main Complaint ◽  
Approval Rating ◽  
End Of Treatment ◽  
First Choice ◽  
Lack Of Control ◽  
The Brain

The purpose of this case study is to present the evolution in the neurofeedback treatment of a 7-years-old boy with ADHD and comorbidities – OCD, Anxiety and Aggression. The main complaint of parents and school was the lack of control of his impulses, beating his classmates, not sitting quietly in the classroom, disrupting classmates, biting fingernails and toes compulsively – getting hurt. He was asked to withdraw from the previous school and, the parents saw neurofeedback as an alternative non-drug treatment, since the psychiatrist suggested an antidepressant. Brain training by neurofeedback occurred twice a week, in a total of 70 sessions,where the brain areas with the greatest impairment were trained. With only two months of treatment, the boy’s aggressiveness was no longer a problem. At the end of the treatment, the functional impairments were better, validated by mean evolution evaluations. The patient was released, with a high approval rating from parents and school, since their symptoms disappeared. After 1 year and 9 months of the end of treatment at the age of 9, a new assessment was performed to see if the gains remained. The results showed that through Neurofeedback training the brain had the ability to normalize his electrical activity and maintain the gain over time. Keywords: ADHD, neurofeedback, rehabilitation

scholarly journals Investigation of Integrated Behavior Therapy for Selective Mutism: A Replicated Single-Case Study Design

2017 ◽  
Vol 9 (2) ◽  
pp. 82 ◽  
Author(s):  
Allison K. Siroky ◽  
John S. Carlson ◽  
Aimee Kotrba
Keyword(s):  
Behavior Therapy ◽  
Treatment Effectiveness ◽  
Single Case ◽  
Selective Mutism ◽  
Single Case Design ◽  
Future Studies ◽  
End Of Treatment ◽  
Case Design

Selective Mutism (SM) is a rare but potentially debilitating disorder characterized by a lack of speech in certain settings where speaking is expected. This study examined the effectiveness of a shortened version (12 sessions over 18 weeks) of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013) in increasing speech and relieving anxiety for two four-year-old males with SM via a replicated single-case design. Treatment effectiveness, integrity, and acceptability were measured at baseline, throughout treatment, and at a three-month follow-up. Treatment integrity was excellent for both cases. SM severity ratings decreased from baseline to end-of-treatment, and again at follow-up, for each case. Verbal communication increased at end-of-treatment and follow-up, and significant decreases in social anxiety were seen across both cases by the three-month follow-up. Parents rated the shortened IBTSM as highly acceptable, effective, and efficient. Future studies should explore the effectiveness of varying lengths of IBTSM.

Utility of Electromyographic Biological Feedback in Chronic Stuttering: A Clinical Study with Follow-up

1980 ◽  
Vol 51 (2) ◽  
pp. 535-540 ◽  
Author(s):  
Theo C. Manschreck ◽  
Madeline Kalotkin ◽  
Alan M. Jacobson
Keyword(s):  
Clinical Study ◽  
Training Program ◽  
Masseter Muscle ◽  
Muscle Tension ◽  
Biological Feedback ◽  
Feedback Training ◽  
End Of Treatment

A systematic case study is presented in which eight chronic adult stutterers underwent an electromyographic (EMG) biological feedback training program designed to reduce masseter muscle tension in an effort to improve fluency. All subjects mastered the program within 10 30-min. sessions. Measures of muscle tension and fluency indicated improvements at the end of treatment that were maintained at 3- to 6-mo. follow-up.

Clinical study to evaluate the efficacy of Yavakshara with Varunaadi Kwatha Churna in Mutrashmari w.s.r to Urolithiasis - A Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Mamatha TS ◽  
Dr. Shankar S. Swamy ◽  
Dr. S. V. Shailaja
Keyword(s):  
Abdominal Pain ◽  
Stone Formation ◽  
Left Kidney ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
End Of Treatment ◽  
The Right

Mutrashmari is one of the commonest disease of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as Yama because it gives intolerable pain. Charaka mentioned Ashmari as one of Basti Marmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management of Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4 mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 50ml of Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence of calculi in both the kidneys.

scholarly journals Intensive Behavior Therapy for Tics and Co-Occurring ADHD: A Case Report

2020 ◽  
Author(s):  
Chelsea Dale ◽  
Marcela Ramos ◽  
Justin Parent
Keyword(s):  
Treatment Strategies ◽  
Health Impact ◽  
Adhd Symptoms ◽  
Current Case ◽  
End Of Treatment ◽  
Booster Sessions ◽  
Significant Public Health ◽  
Intensive Approach

TDs can substantially impact daily child functioning across social, familial, and academic domains leading to a significant public health impact of TDs. Additionally, an overwhelming majority of children with a TD have at least one co-occurring disorder. In particular, over 60% of children with a TD also meet criteria for ADHD. Comprehensive Behavioral Intervention for Tics (CBIT) is a first-line treatment for youth with TDs. It has been shown to be effective in reducing the frequency, duration, and severity of tics in children and adolescents. Nonetheless, access to trained CBIT providers remains limited, and common comorbid conditions are not addressed in the standard CBIT. Thus, there is a need for interventions that can simultaneously increase CBIT access and incorporate treatment strategies for TDs and common comorbidities. To address the critical need for increasing access to CBIT and simultaneously treating common comorbidities, the current case study presents and evaluates a two-week intensive approach to simultaneously address tic and ADHD symptoms in an 11-year-old male. The patient’s parents reported significant improvements in tic and ADHD symptoms following the end of treatment, which were maintained throughout two follow-up booster sessions Clinical implications and future directions to modify and improve the proposed treatment are discussed.

Cognitive Behavioural Stress Management as Treatment of Atopic Dermatitis: A Case Study

1992 ◽  
Vol 9 (1) ◽  
pp. 19-24 ◽  
Author(s):  
W. Kim Halford ◽  
Suzanne Miller
Keyword(s):  
Atopic Dermatitis ◽  
Stress Management ◽  
Controlled Trials ◽  
Cognitive Behavioural ◽  
End Of Treatment ◽  
History Of ◽  
Treatment Procedures

A 37-year-old male with a 13-year history of atopic dermatitis (AD) was treated with cognitive behavioural stress management. Self-rated stress and extent of AD rash decreased from baseline to the end of treatment, and gains were maintained at follow-up. A significant correlation between stress and extent of AD rash was observed. Discussion focused on the possible role of stress induced immunosuppression on exacerbations of AD, and the need for controlled trials evaluating the treatment procedures used in the current study.

scholarly journals Dandy-Walker Malformation With Concomitant Agenesis of the Corpus Callosum as Investigated by Neonatal Sonography

2017 ◽  
Vol 33 (4) ◽  
pp. 318-323
Author(s):  
Rachel E. Gaffney ◽  
Kelsy L. Fisher
Keyword(s):  
Corpus Callosum ◽  
Resonance Imaging ◽  
Dandy Walker Malformation ◽  
The Central Nervous System ◽  
Walker Malformation ◽  
The Brain ◽  
Future Patient ◽  
Valuable Role

Dandy-Walker malformation and agenesis of the corpus callosum, although uncommon among all births, are commonly seen in association with one another due to the malformations’ effects on the central nervous system. Obstetric sonographers are likely familiar with the typical appearance of these abnormalities in utero, as sonography is routinely used to detect such congenital anomalies prenatally. However, sonography also plays a valuable role in the postnatal follow-up evaluation of the brain and other body systems affected by Dandy-Walker malformation and its associated abnormalities, thus making it imperative for all sonographers to be familiar with their postnatal sonographic appearance. The case presented demonstrates the use of neonatal sonography to evaluate and follow a case of Dandy-Walker malformation with associated agenesis of the corpus callosum that was originally diagnosed by prenatal sonography. The purpose of this case study is to highlight the pathologies and their coexistence, demonstrate their neonatal sonographic characteristics, exhibit corresponding magnetic resonance imaging appearance, and provide guidance for future patient cases.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

Longitudinal Changes in Individual BrainAGE in Healthy Aging, Mild Cognitive Impairment, and Alzheimer’s Disease

GeroPsych ◽  
2012 ◽  
Vol 25 (4) ◽  
pp. 235-245 ◽  
Author(s):  
Katja Franke ◽  
Christian Gaser
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Healthy Aging ◽  
Brain Aging ◽  
Elderly Subjects ◽  
Additional Increase ◽  
Longitudinal Changes ◽  
Novel Method ◽  
The Brain

We recently proposed a novel method that aggregates the multidimensional aging pattern across the brain to a single value. This method proved to provide stable and reliable estimates of brain aging – even across different scanners. While investigating longitudinal changes in BrainAGE in about 400 elderly subjects, we discovered that patients with Alzheimer’s disease and subjects who had converted to AD within 3 years showed accelerated brain atrophy by +6 years at baseline. An additional increase in BrainAGE accumulated to a score of about +9 years during follow-up. Accelerated brain aging was related to prospective cognitive decline and disease severity. In conclusion, the BrainAGE framework indicates discrepancies in brain aging and could thus serve as an indicator for cognitive functioning in the future.

Comparison of Fluorine(18)-fluorodeoxyglucose and Gallium(68)-citrate PET/CT in patients with tuberculosis

2019 ◽  
Vol 58 (05) ◽  
pp. 371-378
Author(s):  
Alfred O. Ankrah ◽  
Ismaheel O. Lawal ◽  
Tebatso M.G. Boshomane ◽  
Hans C. Klein ◽  
Thomas Ebenhan ◽  
...  
Keyword(s):  
Tracer Uptake ◽  
Pet Ct ◽  
The Mean ◽  
18F Fdg ◽  
Definition Of ◽  
Gallium 68 ◽  
Attending Physician ◽  
Pet Scans ◽  
The Brain

Abstract 18F-FDG and 68Ga-citrate PET/CT have both been shown to be useful in the management of tuberculosis (TB). We compared the abnormal PET findings of 18F-FDG- and 68Ga-citrate-PET/CT in patients with TB. Methods Patients with TB on anti-TB therapy were included. Patients had a set of PET scans consisting of both 18F-FDG and 68Ga-citrate. Abnormal lesions were identified, and the two sets of scans were compared. The scan findings were correlated to the clinical data as provided by the attending physician. Results 46 PET/CT scans were performed in 18 patients, 11 (61 %) were female, and the mean age was 35.7 ± 13.5 years. Five patients also had both studies for follow-up reasons during the use of anti-TB therapy. Thirteen patients were co-infected with HIV. 18F-FDG detected more lesions than 68Ga-citrate (261 vs. 166, p < 0.0001). 68Ga-citrate showed a better definition of intracerebral lesions due to the absence of tracer uptake in the brain. The mean SUVmax was higher for 18F-FDG compared to 68Ga-citrate (5.73 vs. 3.01, p < 0.0001). We found a significant correlation between the SUVmax of lesions that were determined by both tracers (r = 0.4968, p < 0.0001). Conclusion Preliminary data shows 18F-FDG-PET detects more abnormal lesions in TB compared to 68Ga-citrate. However, 68Ga-citrate has better lesion definition in the brain and is therefore especially useful when intracranial TB is suspected.

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