Evidence-Based Cognitive Rehabilitation for People With Multiple Sclerosis: A Systematic Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520385p1-7512520385p1
Author(s):  
Yu-Chih Chen ◽  
Szu-Wei Chen ◽  
Britney Ferri
Keyword(s):  
Processing Speed ◽  
Cognitive Skills ◽  
Cognitive Rehabilitation ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Noninvasive Brain Stimulation ◽  
Future Studies ◽  
Cognitive Improvement ◽  
Computer Based

Abstract Date Presented 04/22/21 Computer-based programs, conventional cognitive rehabilitation, neurologic music therapy, and noninvasive brain stimulation are effective in improving memory and learning, processing speed, language, executive function, or general cognitive skills. However, the retention of treatment effects and the generalizability of the cognitive improvement to the daily occupations are not clear. Including a predetermined single outcome, functional and long-term outcomes are needed in future studies. Primary Author and Speaker: Yu-Chih Chen Contributing Authors: Nicole Gerhardt, Christina Calhoun Thielen, Winnie Dunn, and Mary Jane Mulcahey

scholarly journals The Effects of Hypertension on Cognitive Function in Children and Adolescents

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Stephen D. Cha ◽  
Hiren P. Patel ◽  
David S. Hains ◽  
John D. Mahan
Keyword(s):  
Children And Adolescents ◽  
Pediatric Population ◽  
Organ Damage ◽  
Future Research ◽  
Cognitive Effects ◽  
Long Term Outcomes ◽  
Future Studies ◽  
End Organ Damage ◽  
Anxiety Depression

Hypertension (HTN) is found in about 3-4% of the pediatric population with long-term risks of end organ damage if untreated or poorly controlled. Although children with HTN are being more frequently screened for end organ damage (i.e., LVH), the cognitive effects of HTN and methods to screen for cognitive dysfunction have not been extensively explored. In recent years, there have been a small number of studies that have provided important insights that can guide future research in this area. These studies show that HTN can be associated with headaches, restlessness, sleep disturbance, anxiety, depression, decreased attention, and also poor executive functioning. By increasing the utilization of cognitive tests in hypertensive children and adolescents, important cognitive defects secondary to HTN may be detected. More research is needed in the area, and the results of future studies could have far reaching implications for long-term outcomes in hypertensive children and adolescents.

scholarly journals Evidence-based Neonatal Care

2019 ◽  
Author(s):  
Anucha Thatrimontrichai
Keyword(s):  
Neonatal Care ◽  
Evidence Based ◽  
Limited Information ◽  
Long Term Outcomes ◽  
Crucial Issue ◽  
Neurodevelopmental Outcomes ◽  
Mortality And Morbidity ◽  
Randomized Controlled ◽  
Aging Societies

Aging societies are developing around the world while the number of newborns is decreasing. The best neonatal care is a crucial issue since prematurity is surging along with high mortality and morbidity in developing countries. However, the basic areas of evidence-based practice in neonatal care still have limited information because both the shortand long-term outcomes of this fragile population need to be considered. Sophisticated neonatal care is a new topic for improvement of survival and long-term neurodevelopmental outcomes. Randomized controlled trials and metaanalyses in neonatal care were reviewed and the local epidemiology was integrated to implement evidence-based neonatal care.

scholarly journals The Beneficial Effects of Computer-Based Cognitive Training in Parkinson’s Disease: A Systematic Review

2020 ◽  
Vol 35 (4) ◽  
pp. 434-447 ◽  
Author(s):  
Anastasia Nousia ◽  
Maria Martzoukou ◽  
Zisis Tsouris ◽  
Vasileios Siokas ◽  
Athina-Maria Aloizou ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Training ◽  
Cognitive Rehabilitation ◽  
Present Review ◽  
Cognitive Domains ◽  
Cognitive Improvement ◽  
Randomized Controlled Studies ◽  
Pubmed Database ◽  
Computer Based

Abstract Background Cognitive dysfunction is one of the most prevalent non-motor aspects of Parkinson’s disease (PD). The present review focuses on published studies investigating the effect of computer-based cognitive training (CT) on neuropsychological performance in PD. Methods A systematic search of the PubMed database and Google Scholar was carried out. Randomized controlled studies published before September 2019, investigating the effect of computer-based CT (regardless of the comparator, active or placebo) on PD patients were included. Literature search, data extraction, and Risk of Bias (RoB) evaluation (based on the RoB Cochrane tool for Randomized Trials) were performed by two authors (A.N. and M.M), independently. Results Among 30 full-texts assessed for eligibility, seven articles fulfilled the inclusion criteria and were involved in the qualitative analysis. The main outcomes of the retrieved studies (all studies used similar cognitive rehabilitation methodologies) were indicative of cognitive improvement in most cognitive domains, particularly memory, executive function, processing speed, and attention, that is, the domains primarily impaired in the disease. Conclusion Multidomain CT, which is exclusively based on computer software, leads to measurable improvements in most cognitive domains affected in patients with PD. The present review is the first to include studies assessing the effect of computer-based CT techniques without deploying CT with paper-pencil techniques. Limitations originate mainly due to the heterogeneity among included studies (differences in CT softwares, PD stages, number, and duration of training sessions.

Predicting the Future: A Case Study in Prognostication

2017 ◽  
Vol 26 (4) ◽  
pp. 1057-1065
Author(s):  
Peter Flipsen
Keyword(s):  
Cognitive Skills ◽  
Speech Intelligibility ◽  
Long Term Outcomes ◽  
Legal Case ◽  
Procedural Error ◽  
Measuring Outcomes ◽  
Long Term Prognosis ◽  
Current Report

Purpose Clinicians are regularly asked to make long-term prognoses. The aim of the current report was to present one systematic approach to doing so. A case example from a malpractice case involving a child fitted with a cochlear implant was presented. Implantation occurred at age 17 months (activation 1 month later), but due to a procedural error, the implant was not functional for 19 months. The problem was ultimately rectified, but the legal case hinged largely on whether the child would be able to make up for the lost time. Method A review of the literature on long-term outcomes in children with cochlear implants was conducted. Using 4 studies measuring outcomes 7–10 years later, outcomes were compared between children implanted at age 17–18 months and those implanted at age 36–37 months. Results Analysis suggested no potential impact on nonverbal cognitive skills. However, analysis in the areas of speech perception, word comprehension, speech intelligibility, and reading suggested that after 7–10 years, this child would potentially continue to be approximately 1–2 years behind where she might otherwise have been. Conclusions This case illustrated the possibility of deriving a long-term prognosis using a systematic examination of the existing outcomes literature. Such an approach is consistent with our mandate to engage in evidence-based practice.

Long-Term Outcomes of a Collaborative Regional Evidence-Based Practice Fellowship

2021 ◽  
Vol 51 (9) ◽  
pp. 455-460
Author(s):  
Andrea Burdge Smith ◽  
Kathy A. Baker ◽  
Susan Mace Weeks
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Long Term Outcomes

Cervical Radiculopathy

2018 ◽  
pp. 231-236
Author(s):  
Samuel W. Samuel ◽  
Eduardo E. Icaza
Keyword(s):  
Conservative Management ◽  
Treatment Strategies ◽  
Cervical Radiculopathy ◽  
Surgical Decompression ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Painful Condition ◽  
Surgical Treatments ◽  
Cervical Root

This chapter discusses cervical radiculopathy, a common, painful condition from cervical root compression, irritation, or both. A thorough history and physical exam can often help in diagnosing the affected nerve root, without the need for reflexive imaging. A series of provocative tests can aid in the differential diagnosis. Most cases will be resolved with conservative management within several weeks of symptoms onset. Evidence-based conservative management includes physical therapy and oral NSAIDs. If symptoms indicate myelopathic changes or are refractory to 6 to 8 weeks of conservative management, advanced imaging such as MRI should be considered. Patients with imaging evidence of a compressive etiology and refractory to conservative therapy should have a surgical consultation. Either an MRI or CT should be obtained before surgical decompression. Both interventional and surgical treatments have had positive outcomes in the short term, but long-term outcomes appear comparable to those with conservative therapies. It is recommended that conservative treatment strategies be used for 6–8 weeks before pursuing procedural or surgical intervention.

Critical illness and intensive care

2017 ◽  
pp. 237-246
Author(s):  
Maria Carlo Duggan ◽  
Kwame Frimpong ◽  
E. Wesley Ely
Keyword(s):  
Intensive Care ◽  
Critical Illness ◽  
Older Patients ◽  
Evidence Based ◽  
Psychological Consequences ◽  
Long Term Outcomes ◽  
Icu Patients ◽  
Younger Patients ◽  
Short And Long Term

Older adults constitute the majority of intensive care unit (ICU) patients, and are increasing in both absolute and relative numbers. Critical care for elderly people should be tailored to their unique physiology, susceptibilities to complications, social circumstances, values, and goals for their care. Knowledge of the short and long-term outcomes of critical illness should guide therapy and goals of care. With a growing number of elderly ICU survivors, the functional, cognitive, and psychological consequences of critical illness and ICU exposure will become a more prominent problem to address. In this chapter, we will discuss morbidity and mortality of elderly ICU patients, provide an evidence-based bundle for the management of pain, agitation, and delirium that has been developed with the vulnerabilities of older patients in mind (though it is also being applied broadly to younger patients as well), and explore the long-term physical, cognitive, and psychological consequences that ICU survivors face.

Short- and long-term outcomes after enucleation of pancreatic tumors: An evidence-based assessment

Pancreatology ◽  
2016 ◽  
Vol 16 (6) ◽  
pp. 1092-1098 ◽  
Author(s):  
Yanming Zhou ◽  
Min Zhao ◽  
Lupeng Wu ◽  
Feng Ye ◽  
Xiaoying Si
Keyword(s):  
Pancreatic Tumors ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Short And Long Term

Evidence-Based Long-term Outcomes in ESS

2012 ◽  
Vol 147 (2_suppl) ◽  
pp. P46-P46
Author(s):  
Martin L. Hopp ◽  
Narine Vardanyan ◽  
Shawn Nasseri
Keyword(s):  
Evidence Based ◽  
Long Term Outcomes

scholarly journals Effect of evidence‐based drug therapy on long‐term outcomes in patients discharged after myocardial infarction: a nested case–control study in Italy

2013 ◽  
Vol 22 (6) ◽  
pp. 649-657 ◽  
Author(s):  
Ursula Kirchmayer ◽  
Mirko Di Martino ◽  
Nera Agabiti ◽  
Lisa Bauleo ◽  
Danilo Fusco ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Drug Therapy ◽  
Case Control Study ◽  
Case Control ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Nested Case Control ◽  
Control Study
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