A Preliminary Analysis of the Ameliorative Effects of Time-out from Speaking on Stuttering

1989 ◽  
Vol 32 (3) ◽  
pp. 604-610 ◽  
Author(s):  
Jack E. James ◽  
Lina A. Ricciardelli ◽  
Peter Rogers ◽  
Christine E. Hunter
Keyword(s):  
Preliminary Analysis ◽  
Speaking Rate ◽  
Fluency Training ◽  
Baseline Phase ◽  
Fluent Speech ◽  
Low Responders ◽  
Time Out ◽  
Baseline Response ◽  
Contingent Stimulation

Relatively few attempts have been made to systematically examine the processes responsible for the ameliorative effects of response-contingent stimulation (RCS) on stuttering. It was hypothesized that the reductions in stuttering that frequently accompany RCS are the result of the stutterer being encouraged to access extant fluent speech that may not be fully evident during "contingency-free" (CF) conditions. A preliminary analysis of the hypothesis was conducted by monitoring RCS and CF stuttering frequency and speaking rate in 20 adult stutterers before, during, and after a program of fluency training. Subjects were divided into "high" and "low" responders on the basis of their baseline response to the RCS procedure of time-out from speaking, after which they participated in a 32-hour program of fluency training aimed at minimizing stuttering. After showing a degree of relapse during a subsequent 6-mon follow-up, high and low responders were found to be equally affected by time-out. This result contrasted the differential response shown by the two groups during the baseline phase, and is consistent with the hypothesis that improvements in fluency during RCS may occur when stutterers access extant fluent speech that is not otherwise being fully utilized.

AAC Supports for Individuals With Rett Syndrome Across the Lifespan

2015 ◽  
Vol 24 (3) ◽  
pp. 74-85
Author(s):  
Sandra M. Grether
Keyword(s):  
Rett Syndrome ◽  
Communication Skills ◽  
Preliminary Analysis ◽  
Multidisciplinary Approach ◽  
Motor Deficits ◽  
Complex Profile ◽  
Communication Behaviors ◽  
The Individual

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.

Socio-economic differences in smoking among adolescents in a school-based smoking intervention: The X:IT II study

2021 ◽  
pp. 140349482110076
Author(s):  
Lotus S. Bast ◽  
Lisbeth Lund ◽  
Stine G. LauemØller ◽  
Simone G. Kjeld ◽  
Pernille Due ◽  
...  
Keyword(s):  
Preventive Intervention ◽  
First Year ◽  
Difference In Difference ◽  
Current Smoking ◽  
Smoking Intervention ◽  
School Time ◽  
School Based ◽  
Inequality In Health ◽  
Baseline Response

Aims: Socio-economic inequalities in health behaviour may be influenced by health interventions. We examined whether the X:IT II intervention, aiming at preventing smoking in adolescence, was equally effective among students from different occupational social classes (OSC). Methods: We used data from the multi-component school-based smoking preventive intervention X:IT II, targeting 13- to 15-year-olds in Denmark. The intervention was tested in 46 schools with 2307 eligible students at baseline (response rate=86.6%) and had three main intervention components: smoke-free school time, smoke-free curriculum and parental involvement. We used a difference-in-difference design and estimated the change in current smoking after the first year of implementation in high versus low OSC. Analyses were based on available cases ( N=1190) and imputation of missing data at follow-up ( N=1967). Results: We found that 1% of the students from high OSC and 4.9% from low OSC were smokers at baseline (imputed data), and 8.2% of the students from high OSC and 12.2% from low OSC were smokers at follow-up. Difference-in-difference estimates were close to zero, indicating no differential trajectory. Conclusions: As intended, the X:IT II intervention, designed to apply equally to students from all socio-economic groups, did not seem to create different trajectories in current smoking among adolescents in high and low socio-economic groups. To diminish social inequality in health, future studies should carefully consider the ability to affect all socio-economic groups equally, or even to appeal mainly to participants from lower socio-economic groups, as they are often the ones most in need of intervention.

Results and Complications after Implantation of a Black Iris-Lens Diaphragm in Patients with Traumatically Induced Aphakia and Aniridia

2011 ◽  
Vol 21 (6) ◽  
pp. 754-759 ◽  
Author(s):  
Vasileios Petousis ◽  
Lothar Krause ◽  
Gregor Willerding ◽  
Michael H. Foerster ◽  
Nikolaos E. Bechrakis
Keyword(s):  
Anterior Chamber ◽  
Surgical Repair ◽  
Silicone Oil ◽  
Case Series ◽  
Corrected Visual Acuity ◽  
Time Out ◽  
Anatomic Results ◽  
The Mean ◽  
Positive Effect

Purpose. The black iris-lens diaphragm (ILD) can be used in the treatment of traumatic aniridia and aphakia. The aim of our study was to show postoperative functional and anatomic results and complications in a small case series. Methods. We retrospectively analyzed the files of 16 patients managed with a black ILD or a sole iris diaphragm in the period 1994–2007. Four of them were female and 12 were male. The mean age of the group was 50±17 years. At the time of the implantation, all of the eyes had already undergone primary surgical repair. Results. The preoperative best-corrected visual acuity in half of the patients was ≥0.1 and remained stable after the first postoperative year. During the follow-up years, one eye developed a subluxation of the implant and one eye an anterior chamber hemorrhage. At the same time, out of 8 eyes carrying a silicone tamponade in the vitreous cavity, silicone oil entered the anterior chamber in 3 cases. In one case, enucleation was undertaken due to phthisis. Conclusions. In the case of severely traumatized eyes with aniridia and aphakia, the implantation of a black ILD can have a positive effect on functional and anatomic stabilization.

Brief Report: A Preliminary Investigation of a Mindful Breathing Intervention to Increase Academic Engagement in an Alternative Educational Setting

2017 ◽  
Vol 43 (4) ◽  
pp. 436-443 ◽  
Author(s):  
Marlena L. Minkos ◽  
Sandra M. Chafouleas ◽  
Melissa A. Bray ◽  
Tamika P. LaSalle
Keyword(s):  
Disruptive Behavior ◽  
Academic Engagement ◽  
Preliminary Investigation ◽  
Educational Setting ◽  
Baseline Phase ◽  
Dependent Variables ◽  
Systematic Direct Observation ◽  
Direct Behavior Rating ◽  
Teachers And Students

The current study used a multiple-baseline across subjects design to examine the effect of a daily, audio-delivered, mindful breathing intervention on adolescents with emotional and behavioral difficulties attending an alternative educational setting. Academic engagement served as the primary dependent variable, with disruptive behavior, feasibility, and acceptability serving as secondary dependent variables. Four students entered the baseline phase; however, only two students entered the intervention phase. Results indicated that participants displayed increases in academic engagement as measured by both direct behavior rating and systematic direct observation that were maintained at 6-week follow-up. Decreases in disruptive behavior were also observed. Because the effects were not replicated three times, changes cannot be directly attributed to the intervention. In addition, teachers and students perceived the intervention to be both feasible and acceptable. Implications of the findings are discussed.

scholarly journals Dificuldades na aplicação do checklist cirúrgico: estudo qualitativo de abordagem ecológica restaurativa

2018 ◽  
Vol 16 (4) ◽  
pp. 448
Author(s):  
Nery José de Oliveira Junior ◽  
Ana Maria Müller de Magalhães
Keyword(s):  
Patient Safety ◽  
Qualitative Study ◽  
Focus Groups ◽  
Ecological Approach ◽  
Medical Team ◽  
Southern Brazil ◽  
Safe Surgery ◽  
Time Out ◽  
Main Factors

Aim: analyze the application of the safe surgery checklist, seeking to describe the main factors that can affect its completion and follow-up, according to the perception of nursing technicians. Method: this is a qualitative study performed with nursing technicians from an outpatient surgical center in southern Brazil. The data were collected through focus groups and photographic methods, from the perspective of ecological and restorative thinking. Results: three categories emerged from the information grouping: Checklist for patient safety – still a challenge; difficulty of adherence to the safe surgery checklist; and Checklist Steps. Discussion: the data indicate that some stages of this process are still not met and there is difficulty of adherence by the teams. Conclusions: among the main failures is the low adherence of the medical team to perform the time out and to the confirmation of the place and the procedure. The restorative ecological approach made it possible to engage professionals.

scholarly journals Association of Statin Therapy With Risk of Epilepsy in 2 Propensity Score–Matched Cohorts

2018 ◽  
Vol 52 (6) ◽  
pp. 546-553 ◽  
Author(s):  
Lakshya U. Trivedi ◽  
Carlos A. Alvarez ◽  
Ishak A. Mansi
Keyword(s):  
Propensity Score ◽  
Case Reports ◽  
Neuroprotective Effect ◽  
Fiscal Year ◽  
Healthy Population ◽  
Baseline Phase ◽  
Healthy Cohort ◽  
Patients With Epilepsy ◽  
Statin Use

Background: Studies have suggested that statins may have a neuroprotective effect against epilepsy. However, evidence from rat models and case reports have suggested an opposite effect. Overall data are limited. Objective: To examine the association between statin use and epilepsy risk in a general population and in a healthy population (individuals with no severe comorbidities). Methods: Patients were Tricare beneficiaries from October 2003 to March 2012. Based on patients’ characteristics during baseline phase (fiscal year [FY] 2004-2005), 2 propensity score (PS)-matched cohorts of statin users and nonusers were formed: (1) a PS-matched general cohort and (2) a PS-matched healthy cohort. Our outcome was defined using inpatient or outpatient ICD-9 codes for epilepsy during the follow-up phase (FY 2006 to March 2012) in the cohorts of statin users and nonusers. Results: The study included a total of 43 438 patients (13 626 statin users and 29 812 nonusers). The PS-matched general cohort matched 6342 statin users to 6342 nonusers; the odds ratio (OR) of epilepsy in this cohort during follow-up was 0.91; 95% CI = 0.67-1.23. The PS-matched healthy cohort matched 3351 statin users to 3351 nonusers; OR in the PS-matched healthy cohort during follow-up was 1.08; 95% CI = 0.64-1.83. Conclusions: This study did not demonstrate a significant beneficial or deleterious effect of statin use on risk of being diagnosed with epilepsy. Clinicians should not withhold statins, whenever indicated, in patients with epilepsy.

Elimination of Self-Injurious Behavior in a Profoundly Retarded Adolescent Using Intermittent Time-Out, Restraint, and Blindfold Procedures

AAESPH Review ◽  
1979 ◽  
Vol 4 (4) ◽  
pp. 334-345 ◽  
Author(s):  
Robert J. Murphy ◽  
Michael Ruprecht ◽  
Dennis L. Nunes
Keyword(s):  
Physical Restraint ◽  
Complete Response ◽  
Complete Suppression ◽  
Variable Ratio ◽  
Abusive Behavior ◽  
Time Out ◽  
Initial Return ◽  
Behavior Suppression ◽  
Effective Service

Alternative strategies for reducing self-injurious behavior are needed in order to provide effective service to clientele for whom such behavior is a serious problem. A procedure involving the intermittent presentation of time-out, restraint, and blindfolding produced complete suppression of self-slapping in a profoundly retarded adolescent. A variable-ratio two schedule of time-out and physical restraint contingencies was effective in reducing and maintaining a low level of self-abusive behavior. While some of the treatment effect was lost during and after exposure to a variable-ratio six schedule, the addition of a blindfold procedure to the variable-ratio two resulted in complete suppression of self-slapping. A punishment contrast effect observed during the initial return to baseline conditions was eliminated through complete suppression of the self-abusive behavior during the final intervention procedure. This behavior suppression generalized across time and settings in which the contingencies had never been applied. In addition, this suppression was associated with an increase in adaptive behavior and did not produce any undesirable collateral responding. Two-year follow-up data indicate that complete response suppression has been maintained.

scholarly journals Terapia de grupo cognitivo-comportamental com agressores conjugais

2005 ◽  
Vol 22 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Mirian Béccheri Cortez ◽  
Ricardo da Costa Padovani ◽  
Lúcia Cavalcanti de Albuquerque Williams
Keyword(s):  
Role Playing ◽  
Time Out

Muitas características foram apontadas em relação a agressores conjugais, tais como: ciúme, baixa auto-estima, insegurança, minimização e negação da violência. A teoria da aprendizagem social de Bandura focaliza o papel do ambiente na aquisição, manutenção e modificação de respostas agressivas. Uma revisão da literatura brasileira realizada pelos autores indicou poucos trabalhos direcionados a agressores. Este estudo objetivou avaliar a eficácia de um grupo psicoterapêutico cognitivo-comportamental para agressores conjugais, buscando eliminar ou reduzir sua violência. Sete homens denunciados por agredirem suas parceiras participaram deste estudo. Os temas e as técnicas utilizados foram: assumir responsabilidade pela agressão, controle da raiva, role-playing e time-out. Realizaram-se oito sessões, sendo uma por semana (com duas horas de duração cada uma), durante dois meses. Os resultados foram avaliados por meio de entrevistas, questionários, Escala de Táticas de Conflito e relatos recolhidos no pré- e pós-teste e em três períodos de "follow-up" de três, seis e doze meses. Os resultados apontam para a redução das agressões, tendo sido registrados dois casos de reincidência.

24. Successful treatment of anal intraepithelial neoplasia by CO2 laser in a sexual health service

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 581
Author(s):  
Jenny McCloskey ◽  
Janelle Hall ◽  
Michael Phillips ◽  
Cecily Metcalf
Keyword(s):  
High Resolution ◽  
Co2 Laser ◽  
Preliminary Analysis ◽  
Intraepithelial Neoplasia ◽  
Anal Intraepithelial Neoplasia ◽  
Patient Demographics ◽  
Sexual Health Service ◽  
Before And After ◽  
Anal Disease

Background Treatments for anal intraepithelial neoplasia (AIN) are still being established. Methods: An audit of patients referred for treatment of anal disease by CO2 laser at a Perth SHS was performed. Patient demographics including sex, sexual preference, age, and HIV status were documented. Anal cytology, histopathology, and HPV testing before and after treatment were reviewed in this preliminary analysis. Initial diagnosis of anal disease including AIN was made by high-resolution anoscopy (HRA) and by histological examination. Patients were then referred for treatment. Six-monthly HRA review occurred after treatment and the original site of HGAIN was biopsied. Results: Preliminary analysis of 28 patients included 16 patients with AIN 2 and 12 with AIN 3. After laser treatment, 7 patients had no AIN, 3 had AIN 1, 10 had AIN 2 and 4 had AIN 3, indicating successful reduction in AIN status (Pearson χ2 = 15.2, P = 0.002). The incidence of AIN decreased over the 18 months of follow-up. Conclusions: Studies of CO2 laser ablation of the anal canal are ongoing and need further study. Table 1. High-resolution anoscopy follow up Rx, treatment

scholarly journals Wireless, non-invasive, wearable device for continuous remote monitoring of hemodynamic parameters in a swine model of controlled hemorrhagic shock

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Dean Nachman ◽  
Keren Constantini ◽  
Gal Poris ◽  
Linn Wagnert-Avraham ◽  
S. David Gertz ◽  
...  
Keyword(s):  
Hemorrhagic Shock ◽  
Remote Monitoring ◽  
Continuous Monitoring ◽  
Swine Model ◽  
Arterial Line ◽  
Data Set ◽  
Baseline Phase ◽  
Median Period ◽  
Invasive Techniques

Abstract Accurate and continuous monitoring of critically ill patients is frequently achieved using invasive catheters, which is technically complex. Our purpose was to evaluate the validity and accuracy of a photoplethysmography (PPG)-based remote monitoring device compared to invasive methods of arterial line (AL) and Swan-Ganz (SG) catheters in a swine model of controlled hemorrhagic shock. Following a baseline phase, hemorrhagic shock was induced in 11 pigs by bleeding 35% of their blood volume, followed by a post-bleeding follow-up phase. Animals were monitored concomitantly by the PPG device, an AL and a SG catheter, for a median period of 447 min. Heart rate (HR), systolic and diastolic blood pressure (SBP and DBP, respectively), and cardiac output (CO) were recorded continuously. The complete data set consisted of 1312 paired observations. Correlations between the PPG-based technique and the invasive methods were significant (p < 0.001) during baseline, bleeding and follow-up phases for HR (r = 0.90–0.98), SBP (r = 0.90–0.94), DBP (r = 0.89–0.93), and CO (r = 0.76–0.90). Intraclass correlations for all phases combined were 0.96, 0.92, 0.93 and 0.87 for HR, SBP, DBP and CO, respectively. Correlations for changes in CO, SBP and DBP were significant (p < 0.001) and strong (r > 0.88), with concordance rates (determined by quadrant plots) of 86%, 66% and 68%, respectively. The novel PPG-based device was accurate and valid compared to existing invasive techniques and might be used for continuous monitoring in several clinical settings following further studies.

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