REHABILITATION AND MODULATION AIMED AT AMELIORATING AWARENESS IN ANOSOGNOSIA FOR HEMIPLEGIA

2021 ◽  
Vol 19 (2) ◽  
pp. 231-257
Author(s):  
Valentina Moro ◽  
Valentina Pacella ◽  
Deborah Luxon ◽  
Gianna Cocchini

Anosognosia for hemiplegia is a multifaceted syndrome that has a detrimental impact on the patient. Various theories based on behavioural and neuroanatomical data have been proposed to explain the mechanisms underlying the symptoms. These approaches have resulted in the development of a number of different proce- dures aimed at reducing symptoms or enhancing residual aware- ness. The article reviews rehabilitation attempts and their effects on individual cases and groups of patients. A selection of material was made using indexed articles published between 1987 and 2019. The inclusion criteria were: i) the presence of a neuropsychological assessment and ii) the presence of one or more methods specifically used to reduce AHP symptoms, or to enhance residual forms of awareness. The review indicates that intervention procedures have moved from bottom-up to more cognitive and metacognitive approaches. In fact, initially anosognosia for hemiplegia was considered to be a co-oc- current symptom of other neuropsychological conditions (e.g. spa- tial neglect) and interventions were borrowed from the rehabilitation techniques that had had success in relieving these other disorders. When anosognosia was identified as an independent syndrome and residual forms of awareness were demonstrated, procedures attempting to modulate awareness started to focus on specific components of the disease, such as visual perspective, motor monitoring and the updating of beliefs. Although further research is needed in this field, the most recent approaches seem to give more stable, lasting results than earlier methods. A timeline for interventions relating to anosognosia is suggested, and ethical issues are also discussed.

2018 ◽  
Vol 13 (1) ◽  
pp. 46
Author(s):  
Sitti Nurhidayanti ◽  
Ani Margawati ◽  
Martha Irene Kartasurya

ABSTRAKAKI di Indonesia terus meningkat, SDKI 2007 menunjukkan AKI sebesar 228 per 100.000, tahun 2012 menjadi 359 per 100.000 kelahiran hidup. Salah satu faktor masih tingginya AKI karena relatif masih rendahnya pertolongan oleh tenaga kesehatan yakni hanya sebesar 55,4%. Tujuan penelitian untuk mendeskripsikan kepercayaan masyarakat terhadap penolong persalinan di wilayah Halmahera Utara. Jenis penelitian ini adalah kualitatif. Data dikumpulkan dengan menggunakan metode FGD (Focus Group Discussion). Subjek penelitian sebanyak 26 informan yang terdiri dari 7 ibu yang melahirkan dengan pertolongan dukun bayi, 2 orang suami, 3 orang tua, 4 tokoh masyarakat, 6 dukun bayi dan 4 orang bidan yang dipilih dengan kriteria inklusi. Analisis data menggunakan content analisis. Hasil penelitian menunjukkan bahwa informan lebih memilih dukun bayi sebagai penolong persalinan karena informan percaya dukun bayi lebih berpengalaman dalam menolong persalinan, dukun bayi juga dinilai lebih perhatian dan sabar dalam melayani pasiennya. Pemilihan dukun bayi sebagai penolong persalinan berkaitan dengan pelayanan yang diberikan dan kepercayaan masyarakat itu sendiri.Kata Kunci: Penolong Persalinan, Kepercayaan, Dukun Bayi.ABSTRACTMMR in Indonesia continues to increase, IDHS 2007 shows MMR of 228 per 100,000 in 2012 to 359 per 100,000 live births. One factor is still high maternal mortality rate due to relatively low relief by the health provider only by 55.4%. The aim of research to describe people's confidence in birth attendants in the region of North Halmahera. This type of research is qualitative. Data were collected using FGD (Focus Group Discussion). Research subjects were 26 informants consisted of 7 mothers who gave birth with the help of TBAs, 2 husbands, 3 parents, 4 community leaders, 6 TBAs and 4 midwives chosen by the inclusion criteria. Analysis of data using content analysis. The results showed that the informant preferring TBAs as birth attendants because informants believe TBAs are more experienced in attending births, TBAs are also considered more attention and patience in serving patients. Selection of TBAs as birth attendants associated with the services provided and the trust of society itself. Keywords: Delivery Helper, Confidence, TBAs.


2020 ◽  
Vol 3 (2) ◽  
pp. 31-41
Author(s):  
Eva Supriatin ◽  
Diwa Agus Sudrajat ◽  
Firda Annisa R ◽  
Linlin Lindayani

Stunting is a condition in which toddlers have less length or height compared to age. Stunting can affect physical growth, motor development, and motor activity. Children who experience motor skills are caused by obstacles to the muscle maturity process so that muscle ability is reduced. Many studies say there is a link between cognitive and motor development. Objective: To study the effect of stunting against cognitive and motor development in children toddlers. This study is a systematic review of the literature. The inclusion criteria for search studies were quantitative research, free full text, Indonesian, or English. Selection of published articles with a range of 2015-2020 and free full text, after reading the title of the article and looking at the inclusion criteria, then it is re-selected by looking at the sample criteria based on age and development, and an assessment is carried out using the JBI format. There is a stunning effect on the cognitive and motor development of children ages toddler. The results of the study stated that children who were stunted had an 11.98 times greater chance of having motor development below average. As well as the mild stunting category with cognitive development suspect there is a delay in toddlers, namely not being able to mention the type of color, differentiating the size of the object, mentioning gender, pairing known images. While the moderate stunting category with cognitive development suspect or experiencing delays can result in reduced brain cells by 15-20 percent. Toddlers who experience the severe stunting category with cognitive development suspect there is a delay, marked by slow maturity of nerve cells, slow motor movements, lack of intelligence, and slow social response. Stunting affects cognitive and motor development in children toddlers. Some of the impacts that arise are memory decline, inaccuracy in storing objects, delays in verbal and non-verbal, and delays in thinking.


2021 ◽  
Vol 21 (83) ◽  
Author(s):  
Gabriela Marchiori do Carmo Azzolin

Objetivo: descrever a atuação do enfermeiro auditor na qualidade da assistência a saúde. Método: trata-se de uma revisão integrativa de artigos publicados no período de 2015 a 2020. A pesquisa e seleção dos artigos foi realizada nas bases de dados: BEDENF, LILACS e MEDLINE, por meio dos descritores “Enfermagem”, “Auditoria de enfermagem” , “Registros de enfermagem” e “ Qualidade da assistência à saúde”. Os critérios de inclusão foram artigos online gratuitos, com textos completos, publicados de 2015 a 2020, nos idiomas português e inglês. Resultados: foram selecionados 11 artigos, por cumprirem os critérios estabelecidos no estudo. Na análise dos resultados foi possível evidenciar a importância significativa da qualidade dos registros no processo de enfermagem. Conclusão: a atuação da enfermagem na auditoria tem ganhado notoriedade nos últimos anos, por ser de grande relevância para a qualidade da assistência prestada e abranger muito mais que a gestão de custos.Palavras-chave: Enfermagem; Auditoria de enfermagem; Registros de enfermagem; Qualidade da assistência à saúde. The auditor's nurse's performance in the quality of health care: integrative bibliographic review ABSTRACTObjective: to describe the role of the nurse auditor in the quality of health care. Method: this is an integrative review of articles published from 2015 to 2020. The research and selection of articles was carried out in the databases: BEDENF, LILACS and MEDLINE, using the descriptors “Nursing”, “Nursing audit "," Nursing records "and" Quality of health care ". The inclusion criteria were free online articles, with full texts, published from 2015 to 2020, in Portuguese and English. Result: 11 articles were selected, as they meet the criteria established in the study. In the analysis of the results, it was possible to highlight the significant importance of the quality of the records in the nursing process. Conclusio: the role of nursing in the audit has gained notoriety in recent years, as it is of great relevance to the quality of care provided and covers much more than cost management.Keywords: Nursing; Nursing audit; Nursing records; Quality of health care.


1994 ◽  
Vol 79 (3) ◽  
pp. 1251-1255
Author(s):  
Arthur MacNeill Horton

A problem frequently confronting the clinical neuropsychologist is that of adjusting assessment methods to the clinical question asked and available resources of time and technical expertise. Suggestions are made for selecting clinical instruments for neuropsychological assessment at three levels, namely, screening, classification, and selection of treatment. Brief neuropsychological test batteries are proposed for each level.


2011 ◽  
Vol 30 (01) ◽  
pp. 65-70
Author(s):  
Amy L. Fletcher

Reviewing the work of Lynton Caldwell, Robert Blank, and Andrea Bonnicksen is both a privilege and a challenge. These three scholars rank among the key figures in the development of biopolicy as a legitimate research and teaching subfield within political science. Each of them worked in academia, on significant bioethical advisory boards, and with policymaking entities, and also contributed to numerous externally funded research projects. Across long and prolific careers, Caldwell, Blank, and Bonnicksen engaged seriously with the political, social and ethical issues raised by significant advances in many bio-scientific domains. This essay analyzes several of their works across two broad themes: 1) the development of the subfields of biopolitics and biopolicy, and 2) the tension between science policy and democratic governance. While each of them wrote significant and well-received books, the focus here is on insights to be gleaned from an idiosyncratic selection of their scholarly articles across the time period, 1966 to 2007. To borrow Michel Foucault's term, this brief and necessarily selective archaeology of the published journal record nevertheless demonstrates the significance, durability and prescience of the authors' insights. (I expect that at least one, if not all three, of these authors might raise objections to the mention of Foucault, but the term “archaeology” in this instance is apt.)


2020 ◽  
Vol 12 (1) ◽  
pp. 26
Author(s):  
Michela Canepari

The present article aims to study the phenomenon of memes, in the attempt to identify the level of globalization vis à vis localization these communicative, social and cultural products voice. This article therefore presents a small selection of memes from both the United Kingdom and Italy, and briefly analyses them from a linguistic and visual perspective. For reasons of space, the quantitative analysis of the corpus will not be discussed at length here. However, the qualitative analysis of the memes selected for this study will prove that the majority of the existing material, while adapting to global formats and visuals, often exploits regional and local varieties of language. Thus, since language is the expression of specific cultures, the analysis demonstrates how, despite globalization, local (and localized) features of the communities that create memes survive in their uniqueness. Hence, since memes are privileged forms of communication among younger members of society, the results point to a generation of youth that, despite the tendency to follow global models, is well aware of the traditional and local cultures they stem from and strive to keep them alive. On the basis of this analysis, the article finally argues that memes – like many other products of popular culture – represent a privileged arena which, if studied systematically through the tools of discourse analysis and sociolinguistics, can reveal important aspects of the societies that produce them and their evolution. 


2019 ◽  
Vol 25 (9) ◽  
pp. 524-529 ◽  
Author(s):  
Maurice Mars ◽  
Christopher Morris ◽  
Richard E Scott

Introduction Instant messaging (IM) is pervasive in modern society, including healthcare. WhatsApp, the most cited IM application in healthcare, is used to share sensitive patient information between clinicians. Its use raises legal, regulatory and ethical concerns. Are there guidelines for the clinical use of WhatsApp? Can generic guidelines be developed for the use of IM, for one-to-one and one-to-many healthcare professional communication using WhatsApp as an example? Aim We aimed to investigate if there are guidelines for using WhatsApp in clinical practice. Method Nine electronic databases were searched in January 2019 for articles on WhatsApp in clinical service. Inclusion criteria: paper was in English, reported on WhatsApp use or potential use in clinical practice, addressed legal, regulatory or ethical issues and presented some form of guideline or guidance for WhatsApp use. Results In total, 590 unique articles were found and 167 titles and abstracts met the inclusion criteria. Twenty-one articles identified the need for general guidelines. Twelve articles provided some form of guidance for using WhatsApp. Issues addressed were confidentiality, identification and privacy (eight articles), security (seven), record keeping (four) and storage (three). Mandatory national guidelines for the use of IM for patient-sensitive information do not appear to exist, only advisories that counsel against its use. Conclusion The literature showed clinicians use IM because of its simplicity, timeliness and cost effectiveness. No suitable guidelines exist. Generic guidelines are required for the use of IM for healthcare delivery which can be adapted to local circumstance and messaging service used.


2017 ◽  
Vol 7 (6) ◽  
pp. 236
Author(s):  
Isyaku Hassan ◽  
Mohd Nazri Latiff Azmi ◽  
Usman Ibrahim Abubakar

The use of terminology in reporting Islam has been one of the major concerns of many scholars and religious experts in recent years. Specifically, the media’s selection of words to describe Islam attracts attention of many righteous people. Words such as extremist, terrorist, militant, insurgent are mostly used to describe Muslims. This indicates the need to explore how the media particularly newspapers use terminology in reporting Islam, since people rely on the media for news and information. The present study focuses on content analysis of terminology used to describe Islam in selected Nigerian and Malaysian English newspapers. Two different divisions of sampling procedure were employed; sampling for the newspapers and sampling for related articles in the newspapers. The study used purposive sampling to gather data. Punch and Vanguard were chosen from Nigeria while The Star and New Straits Times were chosen from Malaysia based on their popularity and readership. Meanwhile, an internet-based search for news articles on Islam was performed. The aim was to locate the news articles relating to Islam in the selected newspapers. Articles between November 2015 and September 2016 were selected. Any article that focuses upon reporting Islam or Muslims fulfills the inclusion criteria. The content of each article was examined and read for relevance. The newspapers produced 599 different Islam-related articles within this period. The study found that 260 different Islam-related terms appeared in the selected newspapers. But Malaysian newspapers used more (200) of these terms than Nigerian newspapers, which used only 60. However, the most frequently used Islam-related term in the selected newspapers is “Islamist militants” which appeared 60 times, followed by “radical Islam” and “Islamist attacks”, which came second and third respectively. It was found that these words were used in negative context. It is therefore recommended that journalists should make an effort to understand clear connotation of the terminology they use, and use them properly. Newspapers should mind the use of terms in or order to avoid creating negative perception toward Islam.


2019 ◽  
Vol 10 (1) ◽  
pp. 167-179 ◽  
Author(s):  
Luke Jai Wood ◽  
Ben Robins ◽  
Gabriella Lakatos ◽  
Dag Sverre Syrdal ◽  
Abolfazl Zaraki ◽  
...  

AbstractVisual Perspective Taking (VPT) is the ability to see the world from another person’s perspective, taking into account what they see and how they see it, drawing upon both spatial and social information. Children with autism often find it difficult to understand that other people might have perspectives, viewpoints, beliefs and knowledge that are different from their own, which is a fundamental aspect of VPT. In this research we aimed to develop a methodology to assist children with autism develop their VPT skills using a humanoid robot and present results from our first long-term pilot study. The games we devised were implemented with the Kaspar robot and, to our knowledge, this is the first attempt to improve the VPT skills of children with autism through playing and interacting with a humanoid robot.We describe in detail the standard pre- and post-assessments that we performed with the children in order to measure their progress and also the inclusion criteria derived fromthe results for future studies in this field. Our findings suggest that some children may benefit from this approach of learning about VPT, which shows that this approach merits further investigation.


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