Communication and Low Mood (CALM): A Randomized Controlled Trial of Behavioural Therapy for Stroke Patients With Aphasia.
Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia.
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Clin Rehabil. 2012 Oct 11;
Thomas SA, Walker MF, Macniven JA, Haworth H, Lincoln NB
Objective:The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia.Design:A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated.Setting:Participants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups.Subjects:Of 511 people with aphasia identified, 105 had low mood and were recruited.Interventions:Behavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation.Main measures:Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales ‘sad’ item, and Visual Analogue Self-Esteem Scale.Results:Participants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue 'sad' (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group.Conclusions:Behavioural therapy seemed to improve the mood of people with aphasia. HubMed – rehab
Family factors associated with academic achievement deficits in pediatric brain tumor survivors.
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Psychooncology. 2012 Oct 12;
Ach E, Gerhardt CA, Barrera M, Kupst MJ, Meyer EA, Patenaude AF, Vannatta K
PURPOSE: The purpose of this study is to examine whether parental education, socioeconomic status, or family environment moderate the extent of academic achievement deficits in pediatric brain tumor survivors (PBTS) relative to classmate case-controls. PBTS are known to be at risk for cognitive and academic impairment; however, the degree of impairment varies. Prior research has focused on treatment risk, and efforts to examine the protective role of family resources and relationships have been lacking. METHODS: Pediatric brain tumor survivors (N?=?164), ages 8-15 and 1-5?years posttreatment, were recruited at five treatment centers in the United States and Canada. A case-control classmate, matched for age, gender, and race, was recruited for each survivor. The Wide Range Achievement Test, a demographic form, and the Family Environment Scale were administered in families’ homes. Treatment data were abstracted from medical charts. RESULTS: Pediatric brain tumor survivors demonstrated lower achievement than classmate-controls in reading, spelling, and arithmetic. Parental education and socioeconomic status were associated with levels of achievement demonstrated by PBTS but did not account for discrepancies between PBTS and classmate-controls. Deficits in achievement relative to classmate-controls, across all academic domains, were greater for survivors in families lower in support and higher in conflict. These associations remained after controlling for age at diagnosis, time since treatment, and whether treatment had involved chemotherapy, focal, or whole brain radiation. CONCLUSIONS: These results support the development of interventions to enhance family functioning as well as educational resources as part of intervention and rehabilitation services to optimize academic progress in children who have been treated for brain tumors. Copyright © 2012 John Wiley & Sons, Ltd.
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[Possibilities of decreasing radiation load during MSRT coronarography: using adaptive statistic iterative reconstruction.]
Filed under: Rehab Centers
Angiol Sosud Khir. 2012; 18(3): 44-49
Sinitsyn VE, Glazkova MA, Mershina EA, Arkhipova IM
AIM: To assess the effective dose of irradiation and quality of the obtained images while using the algorithm of adaptive statistical iterative reconstruction (ASIR). MATERIAL AND METHODS: A total of 57 patients were examined using by means of computed tomography (CT), coronarography in the mode of retrospective synchronization. In 27 patients we used the filtered algorithm of filtered back projection (FBP) in the postprocessing treatment, in 30 patients – underwent ASIR algorithm. In all patients we measured the level of contrast, noise and signal/noise ratio (SNRs). RESULTS: There were no significant difference by the level of contrast, noise and SNRs in the two groups of patients. The effective dose of using ASIR was less by 45,9% than while using FBP (8,7 [3,5] mZv and 16,1 [1,4] mZv, respectively, p < 0,0001). CONCLUSION: Using 40% of ASIR while performing CT coronarography makes it possible to considerably decrease the effective dose of irradiation of patients without loosing los of diagnostic information. HubMed – rehab
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