scholarly journals Multiple cognitive functional assessments used to modify the disturbed behavior of an elderly woman with dementia from the viewpoint of psychoeducation for the patient and her family

2010 ◽  
Vol 47 (5) ◽  
pp. 474-480
Author(s):  
Fumiko Ogisawa ◽  
Kazue Isoya ◽  
Takashi Yamanaka ◽  
Naomune Yamamoto ◽  
Yuka Wakesu ◽  
...  
Keyword(s):  
Elderly Woman ◽  
Her Family ◽  
Disturbed Behavior ◽  
Functional Assessments

Autobiography of a Maniac [Selbst-Biographie eines Falls von Mania Acuta]. (Arch. f. Psych., Bd. xxxiv, H. 3.)

1902 ◽  
Vol 48 (200) ◽  
pp. 171-184
Author(s):  
William W. Ireland
Keyword(s):  
Elderly Woman ◽  
Warm Bath ◽  
Great Pleasure ◽  
Her Family ◽  
Italian Studies ◽  
Foreign Origin ◽  
The Subject ◽  
The Wire ◽  
To Come ◽  
As If

The subject of this paper who records her own experiences was a Miss L. S—, described as a highly gifted and well-educated lady. She was admitted to the asylum at Zürich, December 21st, 1882, being then thirty-two years of age. There was a record of insanity in her family. As a child, she was intelligent, imaginative, and impressionable, unpractical, not good at arithmetic, but fond of drawing. As she grew up, she had religious scruples and doubts, especially about the time of confirmation. She was affected by listlessness and melancholy. At her own request, she was sent to a parsonage in the Pays de Vaud, where the cloud soon passed away. When twenty-one years of age, L. S— visited Italy. Amongst her Italian studies she read the Decameron. This book did not affect or excite her at the time, but left much that was impure in her memory, which had an evil effect in later days. She never read any other books of an indelicate character. She fell in love with a man with whom she used to study, who was nine years younger than herself. Apparently they were engaged to be married. He became insane, which deeply affected her. Before her own mental derangement she had a lasting dull headache, especially at the occiput, and sometimes pains and peculiar feelings in the head, but the attack of mania came on quite suddenly. When admitted to the asylum, she was very much excited, and seems to have been put under restraint and treated with the Deckelbad (the warm bath), the head remaining uncovered through a lid. She describes her terrors, the chain of ideas which rushed through her mind. She recalls that she used many words to which she gave quite a different meaning to that they usually bear; some of them were of provincial or of foreign origin. She did not think she was insane nor recognise her excitement, and was surprised that people were afraid of her. She could, however, appreciate the mental alienation of her fellow-patients. She took great pleasure in feeding birds; she had many hallucinations and dreams which passed into her memory as illusions. She heard voices though she denied it. Her hallucinations or delusions were of various kinds and degrees, rising from mere suppositions to convictions; sometimes when spectral figures appeared to her she would guess who they were, try to identify them with real persons; for example, she saw an elderly woman of commanding aspect, very pale, and dressed in white robes, whom she supposed might be Queen Elizabeth of England. In honour of this personage she thought she saw a young horse sporting about in the sea. Looking out at the window of her cell, she saw the figure of a little grey monkey, of almost human expression, rising from the ground, and making signs for her to come away with it. This she felt willing to do, and thought that there was a kind of understanding between them. Another time, she thought that she was in purgatory, and that her companions in the asylum were going through penance there. She believed that she saw Pope Leo XIII, Dante, St. Catherine of Siena, and Francis of Assisi, and nourished the delusion that her grandmother was the original of Gretchen in Faust, and that her family were connected with Goethe. She thought that the currents of air which passed through the gratings were intended as signals from persons who wished to help her, and she stuck little things in the wire to keep up the correspondence. The birds who flew about the windows she took as messengers of freedom. She heard a tumult outside which she believed to be caused by anarchists, and a hollow voice as if preaching, but so quietly that she could not follow the words. She also heard noises like that of machinery. She thought that her teeth had been so calcified that they were all grown together, and expected them to be forcibly separated. A large number of hallucinations and delusions are tabulated in a brief form. After thirteen months' detention in the asylum she was discharged cured, and although nearly twenty years have now elapsed, she has had no return of mental derangement.

Autobiography of a Maniac [Selbst-Biographie eines Falls von Mania Acuta}. (Arch. f. Psych., Bd. xxxiv, H. 3.)

1902 ◽  
Vol 48 (200) ◽  
pp. 171-172
Author(s):  
William W. Ireland
Keyword(s):  
Elderly Woman ◽  
Warm Bath ◽  
Great Pleasure ◽  
Her Family ◽  
Italian Studies ◽  
Foreign Origin ◽  
The Subject ◽  
The Wire ◽  
To Come ◽  
As If

The subject of this paper who records her own experiences was a Miss L. S—, described as a highly gifted and well-educated lady. She was admitted to the asylum at Zürich, December 21st, 1882, being then thirty-two years of age. There was a record of insanity in her family. As a child, she was intelligent, imaginative, and impressionable, unpractical, not good at arithmetic, but fond of drawing. As she grew up, she had religious scruples and doubts, especially about the time of confirmation. She was affected by listlessness and melancholy. At her own request, she was sent to a parsonage in the Pays de Vaud, where the cloud soon passed away. When twenty-one years of age, L. S— visited Italy. Amongst her Italian studies she read the Decameron. This book did not affect or excite her at the time, but left much that was impure in her memory, which had an evil effect in later days. She never read any other books of an indelicate character. She fell in love with a man with whom she used to study, who was nine years younger than herself. Apparently they were engaged to be married. He became insane, which deeply affected her. Before her own mental derangement she had a lasting dull headache, especially at the occiput, and sometimes pains and peculiar feelings in the head, but the attack of mania came on quite suddenly. When admitted to the asylum, she was very much excited, and seems to have been put under restraint and treated with the Deckelbad (the warm bath), the head remaining uncovered through a lid. She describes her terrors, the chain of ideas which rushed through her mind. She recalls that she used many words to which she gave quite a different meaning to that they usually bear; some of them were of provincial or of foreign origin. She did not think she was insane nor recognise her excitement, and was surprised that people were afraid of her. She could, however, appreciate the mental alienation of her fellow-patients. She took great pleasure in feeding birds; she had many hallucinations and dreams which passed into her memory as illusions. She heard voices though she denied it. Her hallucinations or delusions were of various kinds and degrees, rising from mere suppositions to convictions; sometimes when spectral figures appeared to her she would guess who they were, try to identify them with real persons; for example, she saw an elderly woman of commanding aspect, very pale, and dressed in white robes, whom she supposed might be Queen Elizabeth of England. In honour of this personage she thought she saw a young horse sporting about in the sea. Looking out at the window of her cell, she saw the figure of a little grey monkey, of almost human expression, rising from the ground, and making signs for her to come away with it. This she felt willing to do, and thought that there was a kind of understanding between them. Another time, she thought that she was in purgatory, and that her companions in the asylum were going through penance there. She believed that she saw Pope Leo XIII, Dante, St. Catherine of Siena, and Francis of Assisi, and nourished the delusion that her grandmother was the original of Gretchen in Faust, and that her family were connected with Goethe. She thought that the currents of air which passed through the gratings were intended as signals from persons who wished to help her, and she stuck little things in the wire to keep up the correspondence. The birds who flew about the windows she took as messengers of freedom. She heard a tumult outside which she believed to be caused by anarchists, and a hollow voice as if preaching, but so quietly that she could not follow the words. She also heard noises like that of machinery. She thought that her teeth had been so calcified that they were all grown together, and expected them to be forcibly separated. A large number of hallucinations and delusions are tabulated in a brief form. After thirteen months' detention in the asylum she was discharged cured, and although nearly twenty years have now elapsed, she has had no return of mental derangement.

A Longitudinal Posthumous Study of Letter Writing in a Late Elderly Case

2015 ◽  
Vol 20 (1) ◽  
pp. 22-33
Author(s):  
Angel Ball ◽  
Jean Neils-Strunjas ◽  
Kate Krival
Keyword(s):  
Longitudinal Study ◽  
Elderly Woman ◽  
Semantic Content ◽  
Cognitive Status ◽  
Letter Writing ◽  
Linguistic Performance ◽  
Errors Analysis ◽  
Normal Status

This study is a posthumous longitudinal study of consecutive letters written by an elderly woman from age 89 to 93. Findings reveal a consistent linguistic performance during the first 3 years, supporting “normal” status for late elderly writing. She produced clearly written cursive form, intact semantic content, and minimal spelling and stroke errors. A decline in writing was observed in the last 6–9 months of the study and an analysis revealed production of clausal fragmentation, decreasing semantic clarity, and a higher frequency of spelling, semantic, and stroke errors. Analysis of writing samples can be a valuable tool in documenting a change in cognitive status differentiated from normal late aging.

AAC Collaboration Using the Self-Anchored Rating Scales (SARS): An Aphasia Case Study

2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox
Keyword(s):  
Augmentative And Alternative Communication ◽  
Rating Scales ◽  
Rating Scale ◽  
Therapeutic Process ◽  
Family Counseling ◽  
The Self ◽  
Alternative Communication ◽  
Her Family ◽  
Solution Focused

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.

Assessment 360°: A Panoramic Framework for Assessing English Language Learners

2010 ◽  
Vol 17 (2) ◽  
pp. 37-56 ◽  
Author(s):  
Nancy Lewis ◽  
Nancy Castilleja ◽  
Barbara J. Moore ◽  
Barbara Rodriguez
Keyword(s):  
English Language Learners ◽  
Language Learners ◽  
English Language ◽  
Linguistically Diverse ◽  
Assessment Process ◽  
Assessment Practices ◽  
Her Family ◽  
Diverse Student ◽  
Many Sources

This issue describes the Assessment 360° process, which takes a panoramic approach to the language assessment process with school-age English Language Learners (ELLs). The Assessment 360° process guides clinicians to obtain information from many sources when gathering information about the child and his or her family. To illustrate the process, a bilingual fourth grade student whose native language (L1) is Spanish and who has been referred for a comprehensive language evaluation is presented. This case study features the assessment issues typically encountered by speech-language pathologists and introduces assessment through a panoramic lens. Recommendations specific to the case study are presented along with clinical implications for assessment practices with culturally and linguistically diverse student populations.

Severe Arterial Cerebral Thrombosis in a Patient with Protein S Deficiency (Moderately Reduced Total and Markedly Reduced Free Protein S): A Family Study

1989 ◽  
Vol 61 (01) ◽  
pp. 144-147 ◽  
Author(s):  
A Girolami ◽  
P Simioni ◽  
A R Lazzaro ◽  
I Cordiano
Keyword(s):  
Arterial Thrombosis ◽  
Protein C ◽  
Protein S ◽  
Protein S Deficiency ◽  
Protein C Deficiency ◽  
Free Protein ◽  
Her Family ◽  
S Deficiency ◽  
Increased Risk ◽  
Patient Reported

SummaryDeficiency of protein S has been associated with an increased risk of thrombotic disease as already shown for protein C deficiency. Deficiencies of any of these two proteins predispose to venous thrombosis but have been only rarely associated with arterial thrombosis.In this study we describe a case of severe cerebral arterial thrombosis in a 44-year old woman with protein S deficiency. The defect was characterized by moderately reduced levels of total and markedly reduced levels of free protein S. C4b-bp level was normal. Protein C, AT III and routine coagulation tests were within the normal limits.In her family two other members showed the same defect. All the affected members had venous thrombotic manifestations, two of them at a relatively young age. No other risk factors for thrombotic episodes were present in the family members. The patient reported was treated with ASA and dipyridamole and so far there were no relapses.

A Novel Missense Mutation in the Endoglin Gene in Hereditary Hemorrhagic Telangiectasia

1997 ◽  
Vol 77 (02) ◽  
pp. 243-247 ◽  
Author(s):  
Hiroshi Yamaguchi ◽  
Hiroyuki Azuma ◽  
Toshio Shigekiyo ◽  
Hideo Inoue ◽  
Shiro Saito
Keyword(s):  
Missense Mutation ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Transforming Growth Factor ◽  
Transforming Growth Factor Β ◽  
Autosomal Dominant Disorder ◽  
Her Family ◽  
Normal Individuals ◽  
Oligonucleotide Hybridization ◽  
Vascular Dysplasia ◽  
Exon 4

SummaryHereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by multisystem vascular dysplasia and recurrent hemorrhage. Recent investigation has mapped one of the responsible genes for HHT to chromosome 9q33-q34; subsequently, nine different mutations have been identified in the endoglin gene, which encodes a transforming growth factor β(TGF-β) binding protein, in nine unrelated families with HHT. We examined the endoglin gene in a Japanese patient with HHT and her family members. Using PCR-SSCP. analysis followed by sequencing, we identified a C to A missense mutation in exon 4 which changed an Ala160 codon(GCT) to an Asp160 codon (GAT). Since this mutation destroys one of three Fnu4H I sites in exon 4, the Fnu4H I digestion patterns of the PCR-amplified exon 4 fragments from each family member were analyzed. In affected members, the restriction patterns were all consistent with a phenotype of HHT. PCR-amplified exon 4 fragments from 150 normal individuals were also analyzed by allele-specific oligonucleotide hybridization analysis. As a result, the mutation was not found in any of them. We conclude that the C to A mutation in exon 4 of the endoglin gene in this proband is responsible for the occurrence of HHT in this family.

A case study on year round fodder production scheme for smallholder dairy producers in Bangladesh

2020 ◽  
Vol 26 (1-2) ◽  
pp. 79-102
Author(s):  
NR Sarker ◽  
F Tabassum D Yeasmin ◽  
MA Habib ◽  
MR Amin
Keyword(s):  
Dairy Cows ◽  
Family Income ◽  
Live Weight ◽  
Production Model ◽  
Variable Cost ◽  
Small Scale ◽  
Common Salt ◽  
Cost Ratio ◽  
Her Family ◽  
Fodder Production

This study was undertaken to develop a year round fodder production model for small scale dairy farmers. Five pregnant dairy cows of Red Chittagong Cattle (RCC) genotype were selected. For rearing five cows, 66 decimal of land was selected from existing fodder plots under Pachutia Research Farm at Bangladesh Livestock Research Institute (BLRI), Savar, Dhaka. The selected land was divided into two parts (33 decimal in each). One part was brought under perennial (Napier-4 and Splendida) and the 2nd part of land for seasonal (Maize & Matikalai) fodder production. Data on live weight and live weight gain of cows, birth weight of calves, feed intake, milk production, actual biomass yield for both perennial and seasonal fodder, yearly manure production were recorded and calculated. Napier-4 grass, splendida, maize, straw, silage were supplied to the experimental cows according to the seasonal availability in different months. Concentrate mixture were also supplied consisting of wheat bran, kheshari (red gram), soybean meal, maize crushed, til oil cake, DCP and common salt. Economics of the model revealed that considering the sale of milk, calves and manure and cost included only feed and land leased, a farm/family rearing 5 indigenous dairy cows with his/her family labours, he/she could earn around BDT 98 thousand in a year (1$ = 85 BDT) and the benefit cost ratio of the model on total variable cost and total cost were 1.86 and 1.66, respectively. Therefore, it may be recommended that a farmer having 5 adult dairy cows with 66 decimal land under fodder cultivation may earn substantial share of his/her family income as small-scale rural dairying. Bang. J. Livs. Res. Vol. 26 (1&2), 2019: P. 89-102

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