Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.1850
Carlos M. Coelho, K. Pisitsungkagarn, Nattasuda Taephant, C. Balaban
It is acknowledged that ancestry may play a role in the likelihood of reporting motion sickness, based upon questionnaires in which symptoms are reported more frequently in individuals with Asian ancestry. This study compares motion sickness and related vertigo syndromes in Thai and Thai-Chinese populations. The Motion Sickness Questionnaire; Albany Panic and Phobia Questionnaire; Acrophobia Questionnaire; Body Symptoms Questionnaire and the Situational Characteristics Questionnaire were administered to 128 participants. Eighty-eight participants had a father, mother and all grandparents of Thai origin, while 44 participants had with at least one Chinese ancestor among parents or grandparents. All responses were similar between groups except regarding fear of heights, which is significantly higher in Thai participants without recent Chinese ancestors. Reported motion sickness sensitivity is similar between Thai and Chinese populations. The group differences for some fear of heights items may be linked to each group’ previous experience with heights. Results also suggest that although conquering a fear of heights might require specific visuo-vestibular adaptations, these adaptations alone may not be sufficient to lessen an individual’sfear of heights.
{"title":"COMPARING DIZZINESS AND VERTIGO INVENTORY RESPONSES IN THAI AND THAI-CHINESE PEOPLE","authors":"Carlos M. Coelho, K. Pisitsungkagarn, Nattasuda Taephant, C. Balaban","doi":"10.5604/01.3001.0013.1850","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1850","url":null,"abstract":"It is acknowledged that ancestry may play a role in the likelihood of reporting motion sickness, based upon questionnaires in which symptoms are reported more frequently in individuals with Asian ancestry. This study compares motion sickness and related vertigo syndromes in Thai and Thai-Chinese populations.\u0000\u0000The Motion Sickness Questionnaire; Albany Panic and Phobia Questionnaire; Acrophobia Questionnaire; Body Symptoms Questionnaire and the Situational Characteristics Questionnaire were administered to 128 participants. Eighty-eight participants had a father, mother and all grandparents of Thai origin, while 44 participants had with at least one Chinese ancestor among parents or grandparents.\u0000\u0000All responses were similar between groups except regarding fear of heights, which is significantly higher in Thai participants without recent Chinese ancestors.\u0000\u0000Reported motion sickness sensitivity is similar between Thai and Chinese populations. The group differences for some fear of heights items may be linked to each group’ previous experience with heights. Results also suggest that although conquering a fear of heights might require specific visuo-vestibular adaptations, these adaptations alone may not be sufficient to lessen an individual’sfear of heights.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46183256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.1689
Sarah Fritsche, A. Lindell
Left-handers have been persecuted by right-handers for millennia. This right bias is evident cross-culturally, linguistically (right is literally and figuratively ‘right’, with lefties being described as ‘gauche’, ‘sinister’ and ‘cack-handed’), and environmentally (e.g., equipment design, including power tools, ticket machines, and lecture-room desks). Despite this, the proportion of left-handers has remained constant at approximately 10% of the hominid population, implying that though there are costs associated with left-handedness (if there were not, the proportions of left- and right-handers would be 50:50), left handers must also enjoy fitness advantages that maintain the genes for left-handedness in the population. This paper reviews the costs and benefits of being left-handed, exploring research examining the effects of handedness on brain structure, cognitive function, and human behaviour. The research confirms a variety of left-hander advantages, including some cognitive superiorities, higher wages, and greater sporting and fighting prowess. On the other hand, left-handedness is also associated with significant fitness costs, including an increased risk of accidents, higher substance abuse susceptibility, and earlier death, in comparison with right-handers. In sum, left-handedness confers both costs and benefits, with the latter outweighing the former, maintaining the genes for left-handedness in the population.
{"title":"ON THE OTHER HAND: THE COSTS AND BENEFITS OF LEFT-HANDEDNESS","authors":"Sarah Fritsche, A. Lindell","doi":"10.5604/01.3001.0013.1689","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1689","url":null,"abstract":"Left-handers have been persecuted by right-handers for millennia. This right bias is evident cross-culturally, linguistically (right is literally and figuratively ‘right’, with lefties being described as ‘gauche’, ‘sinister’ and ‘cack-handed’), and environmentally (e.g., equipment design, including power tools, ticket machines, and lecture-room desks). Despite this, the proportion of left-handers has remained constant at approximately 10% of the hominid population, implying that though there are costs associated with left-handedness (if there were not, the proportions of left- and right-handers would be 50:50), left handers must also enjoy fitness advantages that maintain the genes for left-handedness in the population. This paper reviews the costs and benefits of being left-handed, exploring research examining the effects of handedness on brain structure, cognitive function, and human behaviour. The research confirms a variety of left-hander advantages, including some cognitive superiorities, higher wages, and greater sporting and fighting prowess. On the other hand, left-handedness is also associated with significant fitness costs, including an increased risk of accidents, higher substance abuse susceptibility, and earlier death, in comparison with right-handers. In sum, left-handedness confers both costs and benefits, with the latter outweighing the former, maintaining the genes for left-handedness in the population.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44627969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.0251
T. Muszynski, K. Polak, M. Tomala, P. Iwaszczuk, T. Kwiatkowski, M. Trystuła
Iatrogenic embolisation of the right ventricle of the heart by a fragment of one of the most basic ICU devices, which has fractured and detached the central vein catheter, is rarely described in subject literature. Removing such an element from the heart is highly risky and requires the use of very modern techniques and equipment. The Atrieve Vascular Snare™ was employed in the described patient. Therefore, it is necessary to present this process and its effectiveness through an evaluation of the health related quality of life (HRQoL) associated with the perception of health status by those patients. This is a requirement in modern medicine. The main aim of this paper was to evaluate the HRQoL after this embolisation. A 67-year-old patient was referred to the Vascular Surgery Department with Endovascular Interventions Ward, John Paul II Hospital in Kraków, after the defragmenting of the central vein catheter and replacement to the right ventricle of the heart. An endovascular approach through the right common femoral vein (RCFV) under local anesthesia of the groin was chosen as the preferred method for removing the broken catheter fragment. The right ventricle of the heart was reached using a 18-30mm Atrieve Vascular Snare™. A structure consisting of three loops facilitated the quick grasp and removal of the catheter fragment at the first attempt through the RCFV. Despite the short time needed for the procedure, the patient experienced periprocedural ventricular fibrillation (VF) with the necessity of defibrillation. After one successful defibrillation attempt, sinus rhythm was restored. The post-operative course showed no complications whatsoever, and the patient was sent to the General Surgery Ward in order for a new Hickman catheter to be implemented and further parenteral nutrition treatment to be carried out. The endovascular technique with the use of Atrieve Vascular Snare™ is an effective method which was used in the case of our patient under local anesthesia. It provides for the fast, safe and convenient removal of a disrupted and dislocated catheter fragment. It allows one to improve the patient’s HRQoL not only in the short term, but also in the longitudinal (6 months after surgery) follow up.
{"title":"THE IMPACT OF IATROGENIC EMBOLISATION AND ENDOVASCULAR REMOVAL OF A FRACTURED CENTRAL VEIN CATHETER ON THE HEALTH RELATED QUALITY OF LIFE (HRQOL)","authors":"T. Muszynski, K. Polak, M. Tomala, P. Iwaszczuk, T. Kwiatkowski, M. Trystuła","doi":"10.5604/01.3001.0013.0251","DOIUrl":"https://doi.org/10.5604/01.3001.0013.0251","url":null,"abstract":"Iatrogenic embolisation of the right ventricle of the heart by a fragment of one of the most basic ICU devices, which has fractured and detached the central vein catheter, is rarely described in subject literature. Removing such an element from the heart is highly risky and requires the use of very modern techniques and equipment. The Atrieve Vascular Snare™ was employed in the described patient. Therefore, it is necessary to present this process and its effectiveness through an evaluation of the health related quality of life (HRQoL) associated with the perception of health status by those patients. This is a requirement in modern medicine. The main aim of this paper was to evaluate the HRQoL after this embolisation.\u0000\u0000A 67-year-old patient was referred to the Vascular Surgery Department with Endovascular Interventions Ward, John Paul II Hospital in Kraków, after the defragmenting of the central vein catheter and replacement to the right ventricle of the heart. An endovascular approach through the right common femoral vein (RCFV) under local anesthesia of the groin was chosen as the preferred method for removing the broken catheter fragment. The right ventricle of the heart was reached using a 18-30mm Atrieve Vascular Snare™. A structure consisting of three loops facilitated the quick grasp and removal of the catheter fragment at the first attempt through the RCFV. Despite the short time needed for the procedure, the patient experienced periprocedural ventricular fibrillation (VF) with the necessity of defibrillation. After one successful defibrillation attempt, sinus rhythm was restored. The post-operative course showed no complications whatsoever, and the patient was sent to the General Surgery Ward in order for a new Hickman catheter to be implemented and further parenteral nutrition treatment to be carried out.\u0000\u0000The endovascular technique with the use of Atrieve Vascular Snare™ is an effective method which was used in the case of our patient under local anesthesia. It provides for the fast, safe and convenient removal of a disrupted and dislocated catheter fragment. It allows one to improve the patient’s HRQoL not only in the short term, but also in the longitudinal (6 months after surgery) follow up.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45867229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.1851
Justyna Antczak-Kujawin
Language functions, particularly disordered lexical skills were diagnosed in the examined woman based on selected diagnostic tests of the Boston Diagnostic Aphasia Examination (BDAE). Furthermore, an experimental version of the author's original test for assessing lexical-semantic performance in dementia was used. The author presents a case study of a 79-year-old woman diagnosed with logopenic variant primary progressive aphasia (lvPPA) secondary to Alzheimer’s disease. The author describes the symptoms of anomie manifested by the study participant and the supplementary strategies she applied in the case of lexical deficits. The analysis of the findings obtained in the course of language function assessment allowed the author to assess the fluency of speech, speech comprehension, repetition and naming. The study participant diagnosed with lvPPA was observed to manifest the following: an absence of motor speech disorders, absence of characteristics of evident agrammatism, preserved comprehension of individual words, preserved semantic knowledge of objects, disordered retrieval of words in spontaneous speech and in attempts to name, and disordered repetition of sentences and phrases. The analysis of the discussed case study allowed the author to discuss the progressive lexical deficits manifested by the lvPPA patient and to record those supplementary strategies that were most frequently applied in the lexical difficulties experienced by the female patient diagnosed with lvPPA.
{"title":"NAMING DISORDERS IN LOGOPENIC VARIANT OF PRIMARY PROGRESSIVE APHASIA","authors":"Justyna Antczak-Kujawin","doi":"10.5604/01.3001.0013.1851","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1851","url":null,"abstract":"Language functions, particularly disordered lexical skills were diagnosed in the examined woman based on selected diagnostic tests of the Boston Diagnostic Aphasia Examination (BDAE). Furthermore, an experimental version of the author's original test for assessing lexical-semantic performance in dementia was used.\u0000\u0000The author presents a case study of a 79-year-old woman diagnosed with logopenic variant primary progressive aphasia (lvPPA) secondary to Alzheimer’s disease. The author describes the symptoms of anomie manifested by the study participant and the supplementary strategies she applied in the case of lexical deficits.\u0000\u0000The analysis of the findings obtained in the course of language function assessment allowed the author to assess the fluency of speech, speech comprehension, repetition and naming. The study participant diagnosed with lvPPA was observed to manifest the following: an absence of motor speech disorders, absence of characteristics of evident agrammatism, preserved comprehension of individual words, preserved semantic knowledge of objects, disordered retrieval of words in spontaneous speech and in attempts to name, and disordered repetition of sentences and phrases.\u0000\u0000The analysis of the discussed case study allowed the author to discuss the progressive lexical deficits manifested by the lvPPA patient and to record those supplementary strategies that were most frequently applied in the lexical difficulties experienced by the female patient diagnosed with lvPPA.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47924963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.1688
Agnieszka Siedler, T. Gałkowski, M. Pachalska
The aim of the study was to assess self-reported individual differences in the use of the inner speech of adolescents with Social (Pragmatic) Communication Disorder (SCD) and in particular to answer the questions: Do adolescent with SCD have inner speech and what is the direction of this speech? Is this a monologue and internal dialogue, i.e., do they speak to themselves (internal monologue) or to other people (internal dialogue)? We tested 22 adolescents with SCD, diagnosed according to the DSM-5 criterion. The average age was 16.48 years, SD = 2.71. The youngest patient was 12 years old and the oldest was 19 years old. The modified version of the Puchalska-Wasyl Scale of Inner Speech was used for the study. The questionnaire was tailored to the capabilities of the persons with SCD and included questions about the occurrence of internal speech and the direction of this speech, that is, internal conversations to yourself (internal monologue) or to other people (internal dialogue). The patients participating in the experiment were informed in detail about the whole procedure and they or their parents, if they were under age, provided written consent for their participation in the experiment (according to the guidelines of the Helsinki Declaration, 2008). Statistical analysis showed that in adolescents with SCD there is a statistically significant relationship in the frequency of the monologue and internal dialogue. Persons who declared a more frequent occurrence of internal dialogue also declared more frequent occurrences of internal monologue, which means that they had the general ability for inner speech. A comparison of the direction of inner speech, that is the internal monologue and internal dialogue has shown that during inner speech they more often use internal dialogue than internal monologue. It was found that in adolescents with SCD, inner speech is present, and it manifests itself in the form of an internal monologue and internal dialogue. However, far more often do they use internal dialogue than internal monologue.
{"title":"SELF REPORTED INDIVIDUAL DIFFERENCES IN INNER SPEECH (INTERNAL MONOLOGUE AND DIALOGUE) IN ADOLESCENTS WITH SOCIAL (PRAGMATIC) COMMUNICATION DISORDER (SCD)","authors":"Agnieszka Siedler, T. Gałkowski, M. Pachalska","doi":"10.5604/01.3001.0013.1688","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1688","url":null,"abstract":"The aim of the study was to assess self-reported individual differences in the use of the inner speech of adolescents with Social (Pragmatic) Communication Disorder (SCD) and in particular to answer the questions: Do adolescent with SCD have inner speech and what is the direction of this speech? Is this a monologue and internal dialogue, i.e., do they speak to themselves (internal monologue) or to other people (internal dialogue)?\u0000\u0000We tested 22 adolescents with SCD, diagnosed according to the DSM-5 criterion. The average age was 16.48 years, SD = 2.71. The youngest patient was 12 years old and the oldest was 19 years old. The modified version of the Puchalska-Wasyl Scale of Inner Speech was used for the study. The questionnaire was tailored to the capabilities of the persons with SCD and included questions about the occurrence of internal speech and the direction of this speech, that is, internal conversations to yourself (internal monologue) or to other people (internal dialogue). The patients participating in the experiment were informed in detail about the whole procedure and they or their parents, if they were under age, provided written consent for their participation in the experiment (according to the guidelines of the Helsinki Declaration, 2008).\u0000\u0000Statistical analysis showed that in adolescents with SCD there is a statistically significant relationship in the frequency of the monologue and internal dialogue. Persons who declared a more frequent occurrence of internal dialogue also declared more frequent occurrences of internal monologue, which means that they had the general ability for inner speech. A comparison of the direction of inner speech, that is the internal monologue and internal dialogue has shown that during inner speech they more often use internal dialogue than internal monologue.\u0000\u0000It was found that in adolescents with SCD, inner speech is present, and it manifests itself in the form of an internal monologue and internal dialogue. However, far more often do they use internal dialogue than internal monologue.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45520964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.0823
Coffi Sèdégnan Mènon, A. Ahami, Mohamed Latifi, D. Muresanu, I. Gam, Vannessa Osaremien Obayagbona
Stroke (ischemic and hemorrhagic stroke) is a sudden-onset neurological deficit resulting from focal vascular lesions. This is due to a clot-induced obstruction of a vessel (ischemic stroke) or a rupture of a vessel causing haemorrhage (hemorrhagic stroke). The management of neuro-injured patients (AVC) is a major public health problem. The principal aim of this study is to evaluate the short and long term neuropsychological sequences following a neurological accident of neuro-injured patients hospitalized at the Kenitra Provincial Center (Morocco) in comparison with the control group. We tested 34 stroke patients, with an average age sample of 59.12 years, for a standard deviation of 14.35 with extremes between 32 and 82 years. Of these patients, 20 were female (58.82%) and 14 male (41.18%). The sex ratio is 0.7 in favour of the female sex. Both the neuro-lesioned patients and the control group benefited from neuropsychological tests. In the neurocognitive evaluation we used three neuropsychological tests: (a) The bell test or non-verbal bell dam test allows for a selective, visuospatial and strategic attentional evaluation; (b) Raven's test focuses on the nonverbal neuropsychological intelligence where the subject is led to analyze and solve each test problem based on inductive reasoning; (c) The digit memory test is a test to evaluate the short-term verbal memory and working memory capabilities of stroke patients. Our results showed through the various neurocognitive tests that our stroke patients obtained lowers score, compared to the control group (p <0.05). Raven Standard Progress Matrix Test Scores (SPMR):(Mean-Patients = 32.49, SD = 7.43 < Mean-Controls = 42.01, SD = 3.98). Digit Memory Test scores: Forward digit span (Mean-Patients = 2.21, SD = 0.5
{"title":"STROKE IMPACT ON THE COGNITIVE FUNCTIONS OF MOROCCAN NEURO-LESIONED PATIENTS IN THE GHARB REGION","authors":"Coffi Sèdégnan Mènon, A. Ahami, Mohamed Latifi, D. Muresanu, I. Gam, Vannessa Osaremien Obayagbona","doi":"10.5604/01.3001.0013.0823","DOIUrl":"https://doi.org/10.5604/01.3001.0013.0823","url":null,"abstract":"Stroke (ischemic and hemorrhagic stroke) is a sudden-onset neurological deficit resulting from focal vascular lesions. This is due to a clot-induced obstruction of a vessel (ischemic stroke) or a rupture of a vessel causing haemorrhage (hemorrhagic stroke). The management of neuro-injured patients (AVC) is a major public health problem. The principal aim of this study is to evaluate the short and long term neuropsychological sequences following a neurological accident of neuro-injured patients hospitalized at the Kenitra Provincial Center (Morocco) in comparison with the control group.\u0000\u0000We tested 34 stroke patients, with an average age sample of 59.12 years, for a standard deviation of 14.35 with extremes between 32 and 82 years. Of these patients, 20 were female (58.82%) and 14 male (41.18%). The sex ratio is 0.7 in favour of the female sex. Both the neuro-lesioned patients and the control group benefited from neuropsychological tests. In the neurocognitive evaluation we used three neuropsychological tests: (a) The bell test or non-verbal bell dam test allows for a selective, visuospatial and strategic attentional evaluation; (b) Raven's test focuses on the nonverbal neuropsychological intelligence where the subject is led to analyze and solve each test problem based on inductive reasoning; (c) The digit memory test is a test to evaluate the short-term verbal memory and working memory capabilities of stroke patients.\u0000\u0000Our results showed through the various neurocognitive tests that our stroke patients obtained lowers score, compared to the control group (p <0.05). Raven Standard Progress Matrix Test Scores (SPMR):(Mean-Patients = 32.49, SD = 7.43 < Mean-Controls = 42.01, SD = 3.98). Digit Memory Test scores: Forward digit span (Mean-Patients = 2.21, SD = 0.5 <Mean-Controls = 2.65, SD = 0.49). Backward digit span (Mean-Patients = 1.74; SD = 0.6 <Mean-Controls = 2.41, SD = 0.5). Bell test (Mean-Patients = 24.35; SD = 2.62 < Mean-Controls = 30.18; SD= 2.52). The patient quality of life is consequently highly affected.\u0000\u0000Rehabilitation was effective and is very important because it improves cognitive functions such as nonverbal skills, visuospatial and strategic attention, along with the digit memory equally improving patient quality of life.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45097575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-12DOI: 10.5604/01.3001.0013.1852
D. Kotlęga, Barbara Peda, Tomasz Trochanowski, M. Gołąb-Janowska, S. Ciećwież, P. Nowacki
For rtPA treatment to be effective it should be initiated within the first 4.5 hours following the onset of a stroke. Such a short therapeutic window demands a rapid diagnosis and decision making on the part of the physician. There are patients with stroke-like symptoms and an initial diagnosis of a stroke, but who are finally diagnosed as suffering from another condition. According to the subject literature, stroke mimics are diagnosed in about 1.4 – 3.5% of patients initially diagnosed as having had an ischemic stroke. Psychogenic strokes (conversion disorders) may be found in as many as 8.2% of stroke patients. Proper diagnosis is especially important in patients eligible for thrombolytic treatment when there is usually not enough time to establish the diagnosis of a stroke mimic, especially one of psychogenic origin. A patient with an initial diagnosis of an ischemic stroke who was treated with intravenous alteplase infusion. The previous two ischemic strokes treated in the same manner had been diagnosed one and two years earlier. In all hospitalizations no rtPA treatment complications had been observed. In our patient a proper neuropsychological examination was performed and a conversion disorder diagnosed. We would like to underline the importance of cooperation between the neuropsychologist and neurology physician within clinical practice.
{"title":"STROKE MIMICS: A PSYCHOGENIC STROKE PATIENT TREATED WITH ALTEPLASE","authors":"D. Kotlęga, Barbara Peda, Tomasz Trochanowski, M. Gołąb-Janowska, S. Ciećwież, P. Nowacki","doi":"10.5604/01.3001.0013.1852","DOIUrl":"https://doi.org/10.5604/01.3001.0013.1852","url":null,"abstract":"For rtPA treatment to be effective it should be initiated within the first 4.5 hours following the onset of a stroke. Such a short therapeutic window demands a rapid diagnosis and decision making on the part of the physician. There are patients with stroke-like symptoms and an initial diagnosis of a stroke, but who are finally diagnosed as suffering from another condition. According to the subject literature, stroke mimics are diagnosed in about 1.4 – 3.5% of patients initially diagnosed as having had an ischemic stroke. Psychogenic strokes (conversion disorders) may be found in as many as 8.2% of stroke patients. Proper diagnosis is especially important in patients eligible for thrombolytic treatment when there is usually not enough time to establish the diagnosis of a stroke mimic, especially one of psychogenic origin.\u0000\u0000A patient with an initial diagnosis of an ischemic stroke who was treated with intravenous alteplase infusion. The previous two ischemic strokes treated in the same manner had been diagnosed one and two years earlier. In all hospitalizations no rtPA treatment complications had been observed. In our patient a proper neuropsychological examination was performed and a conversion disorder diagnosed.\u0000\u0000We would like to underline the importance of cooperation between the neuropsychologist and neurology physician within clinical practice.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44286791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.5604/01.3001.0012.7926
S. Sugiono, W. Denny, D. P. Andriani
A driver’s mental and physical states while driving on hazardous roads significantly determine the incident of traffic accident. The objectives of this paper are to analyze the impact of road complexity on the psychophysiological load experienced by drivers through the use of Electroencephalography (EEG). Three conditions were examined through driving simulation, namely motorway, rural road, and city road. The data were collected from three respondents (drivers) who had different driving experiences, including < 3 years, 3 to 5 years, and > 5 years. Besides, each respondent would go through two tests with different situations: a normal situation and interfered situation (noises). The tool used was Emotive EPOC neuroheadset with 5 channels (electrode) which represent brain parts, such as the frontal (AF3 and AF4), temporal (T7 and T8), and parietal/occipital Pz. The simulation test results show that the beta signal for the motorway road situation in the occipital lobe, which functioned as visual, is more dominant compared to electrodes in other parts. Meanwhile, data from the rural road and the city road indicate a strong signal of emotions and visuals. In addition, based on the metrics performance result, the drivers’ level of stress reached its highest on the city road, as much as 45, followed by the rural road = 44 and the motorway = 42. While for the concentration index, the city road achieved 47, the rural road = 50 and the motorway = 53. EEG can be used as the basis for drivers performance assessment within different road situations so that the alert system for drivers can be engineered better.
{"title":"THE IMPACT OF ROAD COMPLEXITYON THE PSYCHOPHYSIOLOGICAL LOAD EXPERIENCED BY CAR DRIVERS USING ELECTROENCEPHALOGRAPHY (EEG) MEASUREMENT OF BRAINWAVES","authors":"S. Sugiono, W. Denny, D. P. Andriani","doi":"10.5604/01.3001.0012.7926","DOIUrl":"https://doi.org/10.5604/01.3001.0012.7926","url":null,"abstract":"A driver’s mental and physical states while driving on hazardous roads significantly determine the incident of traffic accident. The objectives of this paper are to analyze the impact of road complexity on the psychophysiological load experienced by drivers through the use of Electroencephalography (EEG). Three conditions were examined through driving simulation, namely motorway, rural road, and city road.\u0000\u0000The data were collected from three respondents (drivers) who had different driving experiences, including < 3 years, 3 to 5 years, and > 5 years. Besides, each respondent would go through two tests with different situations: a normal situation and interfered situation (noises). The tool used was Emotive EPOC neuroheadset with 5 channels (electrode) which represent brain parts, such as the frontal (AF3 and AF4), temporal (T7 and T8), and parietal/occipital Pz.\u0000\u0000The simulation test results show that the beta signal for the motorway road situation in the occipital lobe, which functioned as visual, is more dominant compared to electrodes in other parts. Meanwhile, data from the rural road and the city road indicate a strong signal of emotions and visuals. In addition, based on the metrics performance result, the drivers’ level of stress reached its highest on the city road, as much as 45, followed by the rural road = 44 and the motorway = 42. While for the concentration index, the city road achieved 47, the rural road = 50 and the motorway = 53.\u0000\u0000EEG can be used as the basis for drivers performance assessment within different road situations so that the alert system for drivers can be engineered better.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44192518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.5604/01.3001.0012.7964
Taija Nortunen, J. Puustinen, L. Luostarinen, H. Huhtala, T. Hänninen
The aim of this study was to determine the clinical utility of the Finnish version of the MoCA test for screening Alzheimer’s disease and MCI. The purpose was to examine the ability (sensitivity and specificity) of the MoCA to distinguish patients with AD and MCI from cognitively normal controls. The study population consists of three participant groups: patients with AD (n=25), patients meeting the criteria for MCI (n=18), and cognitively normal controls (NC) (n=39). The AD group consists of subjects with very mild (CDR= 0.5, n=12), mild (CDR=1, n=12), and moderate (CDR=2, n=1) dementia, and they were given a diagnosis of dementia by using the revised NINCDS-ARDRA criteria. The normal control group (NC) consists of 39 cognitively normal volunteer participants. The three study groups differed from each other in terms of sex, age, and level of education. The NCs were younger than the subjects with AD (t [37,374] = 3.265, p = 0.002) and MCI (t [30,800] = 4.306, p = < 0.001). The NCs were also better-educated than the patients with AD (t [54,975] = -3.419, p = 0.001) and MCI (t [40,782] = -3.008, p = 0.004). The sensitivity and specificity of the MoCA in detecting AD and MCI was done according to various cutoff points. With a cutoff score of 26, the MoCA had a sensitivity of 100% to detect subjects with AD and a sensitivity of 100% to detect subjects with MCI. The specificity was 79.5%. With a cutoff score of 24, which was the best threshold in the present study, the MoCA not only had a high sensitivity to detect subjects with AD (96%) and MCI (89%) but also delivered a high specificity (97%). The MoCA has a high sensitivity and specificity to detect subjects with AD and MCI with a cutoff score of 24/30. The Finnish version of the MoCA is a feasible screening instrument for assessing cognitive decline. According to our study, the optimal cutoff score of the MoCA is 24/30.
{"title":"VALIDATION OF THE FINNISH VERSION OF THE MONTREAL COGNITIVE ASSESSMENT TEST1","authors":"Taija Nortunen, J. Puustinen, L. Luostarinen, H. Huhtala, T. Hänninen","doi":"10.5604/01.3001.0012.7964","DOIUrl":"https://doi.org/10.5604/01.3001.0012.7964","url":null,"abstract":"The aim of this study was to determine the clinical utility of the Finnish version of the MoCA test for screening Alzheimer’s disease and MCI. The purpose was to examine the ability (sensitivity and specificity) of the MoCA to distinguish patients with AD and MCI from cognitively normal controls.\u0000\u0000The study population consists of three participant groups: patients with AD (n=25), patients meeting the criteria for MCI (n=18), and cognitively normal controls (NC) (n=39). The AD group consists of subjects with very mild (CDR= 0.5, n=12), mild (CDR=1, n=12), and moderate (CDR=2, n=1) dementia, and they were given a diagnosis of dementia by using the revised NINCDS-ARDRA criteria. The normal control group (NC) consists of 39 cognitively normal volunteer participants.\u0000\u0000The three study groups differed from each other in terms of sex, age, and level of education. The NCs were younger than the subjects with AD (t [37,374] = 3.265, p = 0.002) and MCI (t [30,800] = 4.306, p = < 0.001). The NCs were also better-educated than the patients with AD (t [54,975] = -3.419, p = 0.001) and MCI (t [40,782] = -3.008, p = 0.004). The sensitivity and specificity of the MoCA in detecting AD and MCI was done according to various cutoff points. With a cutoff score of 26, the MoCA had a sensitivity of 100% to detect subjects with AD and a sensitivity of 100% to detect subjects with MCI. The specificity was 79.5%. With a cutoff score of 24, which was the best threshold in the present study, the MoCA not only had a high sensitivity to detect subjects with AD (96%) and MCI (89%) but also delivered a high specificity (97%).\u0000\u0000The MoCA has a high sensitivity and specificity to detect subjects with AD and MCI with a cutoff score of 24/30. The Finnish version of the MoCA is a feasible screening instrument for assessing cognitive decline. According to our study, the optimal cutoff score of the MoCA is 24/30.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43667716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-18DOI: 10.5604/01.3001.0012.8037
G. Chatzopoulos, Ariadne Loutrari, Félix Díaz–Martínez, Evgenia-Peristera Kouki, H. Proios
In addition to linguistic impairments, the cognitive underpinnings of pragmatic abilities in aphasic individuals can be severely compromised. Impairments include incoherent discourse and other speech organization deficits. At the same time, preserved pragmatic patterns reveal communicative abilities that can go unnoticed if only standardized screening tests are used. Conversational Partners also appear to play a role in mitigating compromised linguistic ability. Although some tools assessing the communicative abilities of neurological patients have been recently employed, the question of whether pragmatic performance declines in consistent patterns remains poorly understood. We applied the Pragmatic Evaluation Protocol – Revised (PREP-R) to video-recorded interviews of Greek individuals with aphasia, presented here as separate case studies. The tool offers a detailed account of pragmatic ability across 29 distinct categories and consists of three distinct subcomponents, namely enunciative pragmatics, textual pragmatics, and interactional pragmatics. Our results showed considerable variation in the performance of each patient and across our three aphasic patients. We also found that the role of the Key Conversational Partner was critical to effective communication, in line with previous research. As the communication repertoire of each of our participants was found to be highly idiosyncratic, we propose that further research should shift away from the mere evaluation of isolated verbal abilities.
{"title":"MOSAICS FALL APART IN DIFFERENT WAYS: EXPLORING VARIATION IN COMMUNICATION BREAKDOWN PATTERNS IN THREE APHASIC PATIENTS","authors":"G. Chatzopoulos, Ariadne Loutrari, Félix Díaz–Martínez, Evgenia-Peristera Kouki, H. Proios","doi":"10.5604/01.3001.0012.8037","DOIUrl":"https://doi.org/10.5604/01.3001.0012.8037","url":null,"abstract":"In addition to linguistic impairments, the cognitive underpinnings of pragmatic abilities in aphasic individuals can be severely compromised. Impairments include incoherent discourse and other speech organization deficits. At the same time, preserved pragmatic patterns reveal communicative abilities that can go unnoticed if only standardized screening tests are used. Conversational Partners also appear to play a role in mitigating compromised linguistic ability. Although some tools assessing the communicative abilities of neurological patients have been recently employed, the question of whether pragmatic performance declines in consistent patterns remains poorly understood.\u0000\u0000We applied the Pragmatic Evaluation Protocol – Revised (PREP-R) to video-recorded interviews of Greek individuals with aphasia, presented here as separate case studies. The tool offers a detailed account of pragmatic ability across 29 distinct categories and consists of three distinct subcomponents, namely enunciative pragmatics, textual pragmatics, and interactional pragmatics.\u0000\u0000Our results showed considerable variation in the performance of each patient and across our three aphasic patients. We also found that the role of the Key Conversational Partner was critical to effective communication, in line with previous research.\u0000\u0000As the communication repertoire of each of our participants was found to be highly idiosyncratic, we propose that further research should shift away from the mere evaluation of isolated verbal abilities.\u0000\u0000","PeriodicalId":43280,"journal":{"name":"Acta Neuropsychologica","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2018-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46801031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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