Speech Therapy as a Component of Comprehensive Rehabilitation of Patients with Acute Impairment of Cerebral Circulation

The article reveals the essence of speech and speech therapy as a component of the rehabilitation process in restoring the health of patients who have suffered acute impairment of cerebral circulation. The concept of cerebral vascular insufficiency was analyzed, which refers to cerebral physiological changes in old age and associated conditions of speech impairment. Vascular diseases of the brain are not only a medical problem, but also a social one: they cause enormous damage to the economy, considering the costs of treatment, medical rehabilitation, and losses in production. The effectiveness of motor recovery after an ischemic stroke in the early recovery period depends largely on timely rehabilitation. Physical exercises have a positive effect on the recovery of the body systems of people who have had an ischemic stroke.The most frequent consequences of stroke in about 40-50% of the total number of patients are disorders of speech function, manifested in the form of aphasia and dysarthria, which are often combined with pathology of other higher mental functions (various types of agnosia and apraxia).Today, speech therapy is practiced by specialists both as a separate method and in combination with other techniques, and is used in individual and group work, including work with patients who have had an acute impairment of cerebral circulation.</p

Osteopathic Digest (May 1936)

The May 1936 issue of the Osteopathic Digest includes the following articles: Cover-Conception of New Wings on College Building It\u27s the Keystone The .Alumni Answer the Call Alumni Day Program Class Agents Appointed Forty-Fourth Commencement to Show Top Figures Ten Years of Institutional Growth The Graduate School P. C. O. Graduate Receives Amateur Radio License An Early Alumni Meeting I. S. O. O. Program Scientific Supplement P. C. O. Graduates Broadcasting Management to Feature Annual Review Course Dr. C. H . Muncie and Dr. Goodfellow Visit College and Hospital Athletics at the Convention Paul T. Lloyd Honored Neo Society Honors Faculty and Students The Axonehttps://digitalcommons.pcom.edu/digest/1035/thumbnail.jp

Patient satisfaction with primary care: an observational study comparing anthroposophic and conventional care

BACKGROUND: This study is part of a cross-sectional evaluation of complementary medicine providers in primary care in Switzerland. It compares patient satisfaction with anthroposophic medicine (AM) and conventional medicine (CON). METHODS: We collected baseline data on structural characteristics of the physicians and their practices and health status and demographics of the patients. Four weeks later patients assessed their satisfaction with the received treatment (five items, four point rating scale) and evaluated the praxis care (validated 23-item questionnaire, five point rating scale). 1946 adult patients of 71 CON and 32 AM primary care physicians participated. RESULTS: 1. Baseline characteristics: AM patients were more likely female (75.6% vs. 59.0%, p < 0.001) and had higher education (38.6% vs. 24.7%, p < 0.001). They suffered more often from chronic illnesses (52.8% vs. 46.2%, p = 0.015) and cancer (7.4% vs. 1.1%). AM consultations lasted on average 23,3 minutes (CON: 16,8 minutes, p < 0.001). 2. Satisfaction: More AM patients expressed a general treatment satisfaction (56.1% vs. 43.4%, p < 0.001) and saw their expectations completely fulfilled at follow-up (38.7% vs. 32.6%, p < 0.001). AM patients reported significantly fewer adverse side effects (9.3% vs. 15.4%, p = 0.003), and more other positive effects from treatment (31.7% vs. 17.1%, p < 0.001). Europep: AM patients appreciated that their physicians listened to them (80.0% vs. 67.1%, p < 0.001), spent more time (76.5% vs. 61.7%, p < 0.001), had more interest in their personal situation (74.6% vs. 60.3%, p < 0.001), involved them more in decisions about their medical care (67.8% vs. 58.4%, p = 0.022), and made it easy to tell the physician about their problems (71.6% vs. 62.9%, p = 0.023). AM patients gave significantly better rating as to information and support (in 3 of 4 items p [less than or equal to] 0.044) and for thoroughness (70.4% vs. 56.5%, p < 0.001). CONCLUSION: AM patients were significantly more satisfied and rated their physicians as valuable partners in the treatment. This suggests that subject to certain limitations, AM therapy may be beneficial in primary care. To confirm this, more detailed qualitative studies would be necessary

Fostering participation: Including animals in therapy for patients in a minimally conscious state

Minimally conscious states, which occur after severe brain injuries, represent a significant burden and can lead to long-term disability. Patients in minimally conscious states are a vulnerable patient group that needs early and effective treatments. Animal-assisted therapy is a possible treatment for minimally conscious patients and is applied for various reasons. The stimulation provided by animals is multisensory and emotional. Interactions with animals function nonverbally, and these situations are easy to understand. First studies have shown that animal-assisted therapy can increase active movements, awareness, and brain activity. However, the evidence base for animal-assisted therapy in treatments of minimally conscious states is minimal. We conducted three studies to better understand the effect of animal interaction on minimally conscious patients. First, we wanted to investigate how animal-assisted therapy affects behavior, physiological parameters, and the level of consciousness of minimally conscious patients. For this purpose, we conducted a randomized two-treatment multiperiod crossover study that measured patients during eight animal-assisted and eight conventional therapies (study I). Second, we were interested in the mechanisms involved in the interaction between minimally conscious patients and animals. For this purpose, we measured brain activity in two experimental studies with healthy adults and minimally conscious patients (studies II and III). We compared the responses to different forms of contact with a dog and a plush animal. We also analyzed patients’ heart rates and heart-rate variability in study III. The crossover study revealed that the minimally conscious patients showed more behavioral responses, more awareness, and higher physiological arousal in the animal-assisted therapy sessions compared to conventional sessions (study I). Healthy participants in the experimental study showed higher brain activity when interacting with a dog than with a plush animal. The closer the interaction with the dog or plush animal was, the higher the brain activity became. Minimally conscious patients also had increased brain activity with increased proximity to a dog or a plush animal. But the patients reacted equally strongly to the dog and the plush animal. However, the patients’ heart rates were higher during interaction with the dog than with the plush animal. The three studies indicate that interactions with animals have the potential to arouse minimally conscious patients physiologically and emotionally. This arousal allows these patients to participate more fully in therapy through a higher level of consciousness. The three studies make an important contribution to better understanding the influence of animals on minimally conscious patients. However, one of many new questions is how animal-assisted therapy should be delivered and which patients can benefit most from this therapy approach. More studies will be needed to enable a safe, evidence-based application of animal-assisted therapy in minimally conscious patients

IBN SINA (AVICENNA) AS A PSYCHIATRIST: A VIEW FROM TODAY\u27S PERSPECTIVE

Ibn Sina (Avicenna) is primarily known for his philosophy and medicine, but there is almost no scientific discipline in which this great man didn\u27t leave a significant mark. This paper gives a brief review of his contributions to medicine, especially to psychiatry. Medical works of Ibn Sina represent a pinnacle of most important medical achievements of his time. These works contain synthesis of all Greek, Indian and Iranian medical schools, but also new breakthroughs achieved by Muslim scholars through their own experimentation and practice. Although he wrote many medical works, his most important one is El-Kanun fit-tib, which can be translated as The Canon of Medicine. It\u27s made out of five books which systematically show everything known in the area of medicine up until that point in time. In it, Ibn Sina discusses, among other things, the structure of psychological apparatus of human being and the connection of psychological functions with the brain as well as the role of psyche in etiology of somatic diseases. He also describes certain psychiatric diseases along with the explanation of their etiology and recommended therapy. He considered psychology to be very important for medicine, so in his psychological works he discusses, in great detail, the essence of human soul, consciousness, intellect and other psychological functions

Healthy You

https://scholarlyworks.lvhn.org/healthy-you/1095/thumbnail.jp