scholarly journals Memory Profiles after Unilateral Paramedian Thalamic Stroke Infarction: A Comparative Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Antonio Carota ◽  
Herbert Neufeld ◽  
Pasquale Calabrese

We performed extensive neuropsychological assessment of two male patients (matched for age and educational level) with similar (localization and size) unilateral paramedian ischemic thalamic lesions (AB on the left and SD on the right). Both patients showed severe memory impairments as well as other cognitive deficits. In comparison to SD, AB showed severe impairment of executive functions and a more severe deficit of episodic/anterograde memory, especially in the verbal modality. The findings of this single case study suggest the possibility that the profile and severity of the executive dysfunction are determinant for the memory deficits and depend on from the side of the lesion. In addition to a material-side-specific (verbal versus visual) deficit hypothesis, the differential diencephalo-prefrontal contributions in mnestic-processing, in case of paramedian thalamic stroke, might also be explained in terms of their stage-specificity (encoding versus retrieval).

2021 ◽  
Vol 06 (04) ◽  
pp. 1-1
Author(s):  
Sue Anne Fuller ◽  
◽  
Peta Stapleton ◽  

A 37-year-old female with a history of complex trauma, anxiety and depression was treated with Emotional Freedom Techniques (EFT) supplemented with guided imagery within the first 24 hours of having a stroke that affected the right side. CT scans indicated a haemorrhage and brain clot. Surgery was delayed as another seizure was expected. Interventions occurred during COVID-19 restrictions. The patient then engaged in 90 minutes of EFT every day over the course of a week while in hospital. After seven days she was discharged, and there were significant reductions in depression, anxiety and pain, and mobility returned. Upon discharge the patient had evident improvement in balance and coordination and successfully completed a driving test within the weeks that followed. Subsequent CT scans reveal very little scaring or evidence of the stroke, blood pressure remained stable, and no medication was warranted. This case study presents the practitioner’s perspective of the sessions provided.


Author(s):  
Daniel Remta ◽  
Michal Doležel ◽  
Alena Buchalcevová

Abstract [Context] Agile development methods are highly popular across software organizations. To leverage benefits in larger enterprises, Agile development methods have to be scaled. Scaled Agile Framework (SAFe) is the most commonly used scaling framework. Performing of the Product Owner role has been identified as crucial in project success in large-scale environments. Staffing the right Product Owner is one of the challenges of adopting SAFe. [Motivation] Research papers focused on Product Owner in SAFe are scarce. Our study outcomes help enterprises to understand the Product Owner role in SAFe and therefore contribute to the removal of challenges with finding the right Product Owners. Additionally, we aim to improve the research community’s understanding of the Product Owner role within the context of SAFe. [Method] Qualitative data were collected through three semi-structured interviews and analyzed using deductive content analysis. [Results] This paper presents the initial results of a single case study. We found out that many activities identified for Product Owners in previous research are not carried out by Product Owners in this particular SAFe implementation.


2010 ◽  
pp. 108-120
Author(s):  
Francisco Chia Cua

The common structured procurement process of the Request for Information (RFI), Request for Proposal (RFP), and Business Case Development (BCD) is thought to establish ties with the right vendors and to strengthen relationships among other stakeholders. This single-case study gathered information through archival documents, observations, and in-depth interviews and examined whether RFI-RFP-BCP processes fostered favourable relationships with vendors. The study revealed certain disadvantages of the process.


2019 ◽  
Vol 122 (5) ◽  
pp. 1381-1396
Author(s):  
Cecilia Casalegno ◽  
Matteo Migheli ◽  
Angelo Bonfanti ◽  
Peter Maple

Purpose The purpose of this paper is to add understanding to whether the supply chain (SC) of ancient grains, einkorn in particular, may activate the virtuous mechanisms that enable pursuing a new equilibrium based on relationships and joint interests. Design/methodology/approach This study adopts the single case study as a methodological approach. More precisely, it focusses on the SC of ancient grains in Piedmont (Italy) examining in detail Mulino Marino. Interviews with the management of this single player and to some farmers’ local associations were carried out. Findings The einkorn SC in Piedmont Region is an interesting case of short, local and direct SC because it aims at delivering a product that is more sustainable in terms of production, nutritional values and properties. In addition, this study confirms previous studies according to which for an effective supply chain management (SCM) it is important to implement the following conditions: the right equilibrium among SC players’ physiologically conflicting interests, players’ integration and transparent information among all the SC stakeholders, including final consumers. Practical implications The study offers implications for food managers involved in the (short) SCM. Originality/value Elements of originality can be identified in this research to the extension of studies on SCM in the ancient grains industry.


2017 ◽  
Vol 25 ◽  
pp. 36
Author(s):  
Lilia Asuca Sumiya ◽  
Maria Arlete Duarte Araújo ◽  
Hironobu Sano

This study aims to understand how the issue of illiteracy became prominent on the agenda of Ceara’s state government, in Brazil, by analyzing the formulation of the Literacy Program at the Right Age (PAIC). Tracing the origin of the program and applying Kingdon’s (1995) multiple streams model, the study identifies the elements of problems, politics and public policy streams. This research adopts a qualitative approach and is based on a single case study method. The data set consisted of institutional PAIC-related documents, tachygraphy notes from sessions held at the Ceará’s State House of Representatives, press clippings, academic studies and interviews with key participants from several organizations. A combination of factors influenced the formulation of the literacy policy, and particularly relevant are the actions of the policy entrepreneur, the processes of problem recognition for the composition of a wide coalition, and the process of alternative specification. Finally, the results suggest that the applicability of the multiple streams approach is a useful analytical tool, and it contributes to better understanding of policy formation in the Brazilian educational field.


2013 ◽  
Vol 2 (2) ◽  
pp. 28-33
Author(s):  
Jerome P Sullivan

Statement of problem In clinical situations where implant placement in the maxilla is prohibited due to the lack of available bone, more invasive techniques such as autogenous bone grafting and sinus augmentation are often off-putting to patients due to the added expense, risk and morbidity. Purpose of treatment The intention of this treatment was to dentally restore a patient with a severely resorbed edentulous maxilla, without the use of any grafting techniques. Methods Under local anaesthetic, five implants were placed in the patient's maxilla using the combined techniques of alveolar ridge-splitting and a Summer's lift. The crest of the alveolus was dissected bilaterally with a fine rotary disc. A combination of osteotomes and bone spreaders were then used to create the individual osteotomies. In the most distal site on the right side, the floor of the maxillary sinus was tapped up to facilitate implant placement. All implants were submerged under the gum for six months to allow them to ossteointegrate. Restorative stages were then completed. Results At six months, all five maxillary implants had successfully integrated. The maxilla also showed marked expansion where the alveolus had been dissected and bone had healed between the separated buccal and palatal plates. The final restoration was a metal-framed overdenture attached to a milled titanium bar supported on five implants. Conclusion In this single case study, a patient's atrophic, edentulous maxilla was successfully restored without grafting techniques. The overdenture has been in trouble-free function for two years.


Sarcoma ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
T. B. Wedde ◽  
I. V. K. Lobmaier ◽  
B. Brennhovd ◽  
F. Lohne ◽  
K. S. Hall

Objective. Ewing’s sarcoma of the kidney is rare and is usually found in young adults. We present here a single case study of Ewing's sarcoma found in an elderly man.Material and methods. A 73-year-old man underwent routine surgery for hydrocoele of the testis. He developed urinary obstruction symptoms, and radiological examinations revealed a tumour in the right kidney.Results.Microscopical, immunohistochemical, and molecular pathological analysis of the tumour was consistent with Ewing's sarcoma. FISH showed rearrangement of chromosomes 22q12 (EWSR1). The patient subsequently underwent nephrectomy followed by 6 adjuvant chemotherapy cycles. Follow-up after 7 months shows no recurrence.Conclusion. This case report presents not only the rare finding of Ewing's sarcoma in the kidney, but also the occurrence of this tumour entity in an elderly patient. Treatment options for the different types of renal tumours are vastly different and the need for a correct diagnosis is, therefore, vital.


Author(s):  
Ilze Pansegrouw ◽  
Erna Alant

The service delivery model currently used with a large proportion of profoundly cognitively impaired (PCI) persons, results in the under-utilization of their potential and often contributes to social isolation. By providing communication and independence training the self-actualisation potential and the right to power and control, is recognised. This single case study describes the implementation of a communication intervention model with a PCI adolescent. His mother was trained in the use of picture symbol task analysis as well as positive reinforcement to promote change in the adolescent's communication skills and independence. Results indicated significant changes in the skills of both participants and highlighted the mother's need for support to meet the demands of change.


2021 ◽  
Vol 4 ◽  
pp. 131
Author(s):  
Fódhla Ní Chéileachair ◽  
Bridget M. Johnston ◽  
Cathy Payne ◽  
Fiona Cahill ◽  
Lisa Mannion ◽  
...  

Background: Early access to rehabilitation can improve quality of life for those with life-limiting illnesses and is highlighted as a core component of the Adult Palliative Care Services Model of Care for Ireland. Despite this, palliative rehabilitation remains under-utilised and under-developed. In 2020, the Sláintecare Integration Fund provided opportunity to pilot a novel rehabilitative palliative care service, “Palliat Rehab”. This protocol proposes a case study, which aims to advance understanding of the form, content, and delivery of the pilot service. Methods: A prospective, longitudinal, mixed-methods, case study design will be used to describe the service and to explore the experiences of patients, informal carers and clinicians. Additionally, data collection instruments will be tested and the utility of outcome measures will be examined. Data will be collected from documentary, survey, and interview sources. Quantitative data will be analysed using descriptive statistics, including chi-square tests for categorical variables, Mann-Whitney U tests for ordinal data, and t-tests/ ANOVA for continuous data. Qualitative data will be analysed using thematic analysis. Conclusions: New pathways are required to advance service provision to ensure that patients receive the ‘right care, in the right place, at the right time’. The development of ‘‘Palliat Rehab’’ offers opportunity to study an innovative service and consider its potential contribution to the achievement of Sláintecare goals. Investigating the service within its environmental context will lead to a better understanding of ‘how’ and ‘why’ things happen. Findings will be of value in assessing whether there is evidence that supports the service, and will be used to inform efforts to further develop and tailor the intervention.


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