-
Childers Cho posted an update 4 hours, 23 minutes ago
red by individuals with spinal cord injury/disease in the community.
This study revealed opportunities to improve the delivery of fall prevention education and training to individuals with spinal cord injury/disease.IMPLICATIONS FOR REHABILITATIONFall prevention education should be initiated in spinal cord injury rehabilitation and then reinforced in community rehabilitation.Barriers and challenges faced by therapists when delivering fall prevention and management education/training in spinal cord injury rehabilitation include their perceptions of a patient’s readiness to receive fall prevention education, short length of stay in rehabilitation, organization’s expectations of zero falls and a lack of spinal cord injury-specific fall prevention resources.Therapists who work in spinal cord injury rehabilitation may benefit from information about fall risk factors encountered by individuals with spinal cord injury/disease in the community.Purpose Augmented input is the act of concurrently modeling language verbally and on a communication device, and is one strategy for teaching individuals to effectively use aided modes of communication. The purpose of this literature review is to assess the efficacy of augmented input for increasing communication and to identify intervention components, participant characteristics, and instructional contexts related to therapeutic outcomes. Method We double screened all potential sources and double coded all included sources. Database, forward, and backward searches yielded 99 single case designs in 26 sources. We coded characteristics of participants, instructional contexts, independent variables, and dependent variables. We also coded quality/rigor and primary outcomes for each design or comparison. Results Across high-quality studies, two thirds of designs indicated that augmented input was effective compared to baseline conditions and alternative interventions, and exploratory analyses indicated that receptive language skills, age, and diagnoses may moderate intervention efficacy. Most augmented input interventions included additional components that may serve as “active ingredients” (e.g., systematic prompting, contextual reinforcement). Most studies also did not report participant characteristics hypothesized to moderate intervention efficacy (e.g., joint attention skills, imitation repertoire). Results also indicated high risk of publication bias, with peer-reviewed sources twice as likely to include positive effects than dissertations and theses. Conclusions Across high-quality studies, augmented input was inconsistently effective as a stand-alone intervention. Packaged interventions that included augmented input were typically more effective than augmented input in isolation, particularly for individuals who were young, had strong receptive language skills, or had no comorbid diagnoses.
In this study, we aimed to establish Turkish normative data for two versions of The Pyramids and Palm Trees Test (PPTT), pictorial (PPTT-P), and verbal (PPTT-V) using Turkish culture-specific items.
The study sample involves 181 participants stratified into three age groups and further stratified into three education levels and gender. The participants were given the PPTT versions along with a neuropsychological battery. Hormones antagonist Participants in the aged group were further screened for cognition and depression. The internal consistency, the convergent and discriminant validity of the PPTT versions, and predictors of the performance in the PPTT versions are statistically analyzed.
The Cronbach’s alpha coefficients for PPTT-P and PPTT-V were found as 0.48. and 0.42, respectively. Among the demographic variables, only education had an effect on the performances of both versions. Education level explained 21.2% of the variance in PPTT-P performance and 13.7% of the variance in PPTT-V performance. A cutoff score of 45 is proposed for the individuals with primary school education and 47 for those with higher education. Results suggested that both versions had moderate convergent but no discriminant validity.
Present findings suggest that PPTT is a useful neuropsychological instrument for assessing semantic memory in the Turkish population.
Present findings suggest that PPTT is a useful neuropsychological instrument for assessing semantic memory in the Turkish population.Historically, bacteriologists have relied heavily on biochemical and structural phenotypes for bacterial taxonomic classification. However, advances in comparative genomics has led to greater insights into the remarkable genetic diversity within the microbial world, and even within well-accepted species such as Escherichia coli. The extraordinary genetic diversity in E. coli recapitulates the evolutionary radiation of this species in exploiting a wide range of niches (i.e., ecotypes), including the gastrointestinal system of diverse vertebrate hosts as well as non-host natural environments (soil, natural waters, wastewater), which drives the adaptation, natural selection and evolution of intragenotypic conspecific specialism as a strategy for survival. Over the last several years, a growing body of evidence suggests that many E. coli strains appear to be very host (or niche)-specific. While biochemical and phylogenetic evidence support the classification of E. coli as a distinct species, the vast genomic (diverse pan-genome and intragenotypic variability), phenotypic (e.g., metabolic pathways), and ecotypic (host-/niche-specificity) diversity, comparable to the diversity observed in known species complexes, suggests that E. coli is better represented as a complex. Herein we review the taxonomic classification of the genus Escherichia and discuss how phenotype, genotype and ecotype recapitulate our understanding of the biology of this remarkable bacterium.Purpose Caregiver burden negatively impacts both stroke survivor and caregiver well-being. Thus, it is important to better understand the individual- and dyadic-level variables that may contribute to dysphagia-related caregiver burden. The aim of this preliminary study was to identify survivor-, caregiver-, and dyadic-specific factors associated with burden in couples experiencing poststroke dysphagia. Method Twenty-eight stroke survivors (“care recipients”) with dysphagia and their spouses (“caregivers”) participated. Care recipients and caregivers completed a survey from which scores for the following variables were derived dysphagia-related caregiver burden, survivor- and spouse-perceived impact of dysphagia on mealtimes (social, mealtime logistics), dyadic congruence on perceived impact, International Dysphagia Diet Standardisation Initiative Functional Diet Scale, Swallowing-Related Quality of Life Scale, and Stroke Impact Scale (cognitive, emotional, physical, and social domains). Spearman’s rho and point biserial correlation coefficients were calculated to determine the factors related to caregiver burden.