Visual Reliance and Visual Advantage

Visual input improves speech comprehension when auditory signals are degraded due to background noise (Sumby & Pollack, 1954) or hearing impairments (Walden, Prosek, & Worthington, 1975). Listeners strategically put greater focus on visual information to augment impoverished auditory information. This advantage of visual reliance is routinely utilized at clinical settings for adults with neurogenic communication disorders. Individuals experiencing auditory comprehension deficits are frequently encouraged by clinicians to look at speakers’ faces during daily conversations. Despite the presumed advantage of visual information and the routine recommendation on the use of visual cues, there is a lack of research regarding the way individuals with brain lesions utilize visual information

The Effect of Visual Cues Provided by Computerized Aphasia Treatment

Individuals with chronic aphasia and apraxia can benefit from computerized treatment. However, given the variability among those individuals, treatment programs need to be customized to address specific deficits and needs. The current study examined whether visual cues provided by a computer program could enhance speech comprehension and verbal expression. Two participants practiced naming functionally relevant items in two conditions: auditory-visual and auditory-only. Both participants made more rapid and consistent improvements in the auditory-visual than in the auditory-only cueing condition. More research is necessary to investigate how the visual processing skills affect the ability to utilize visual cues for speech practice

Interdisciplinary Stroke Rehabilitation Delivered by a Humanoid Robot: Simultaneous vs. Alternating Therapy Schedules

A great number of stroke survivors experience disabilities in multiple domains (e.g., aphasia, hemiparesis). However, no previous research has investigated how treatment in one domain (e.g., speech therapy) affects the progress in other areas (e.g., physical recovery). The current study is comparing two therapy schedules: simultaneous where a patient receives speech AND physical therapy services for four weeks; and alternating where a patient receives speech therapy for four weeks and then receives physical therapy for four weeks. This interdisciplinary intervention is delivered by a humanoid robot that can potentially enhance the intensity and accessibility of stroke rehabilitation

A differential risk assessment and decision model for Transarterial chemoembolization in hepatocellular carcinoma based on hepatic function

Background The decision of transarterial chemoembolization (TACE) initiation and/or repetition remains challenging in patients with unresectable hepatocellular carcinoma (HCC). The aim was to develop a prognostic scoring system to guide TACE initiation/repetition. Methods A total of 597 consecutive patients who underwent TACE as their initial treatment for unresectable HCC were included. We derived a prediction model using independent risk factors for overall survival (OS), which was externally validated in an independent cohort (n = 739). Results Independent risk factors of OS included Albumin-bilirubin (ALBI) grade, maximal tumor size, alpha-fetoprotein, and tumor response to initial TACE, which were used to develop a scoring system (ASAR). C-index values for OS were 0.733 (95% confidence interval [CI] = 0.570–0.871) in the derivation, 0.700 (95% CI = 0.445–0.905) in the internal validation, and 0.680 (95% CI = 0.652–0.707) in the external validation, respectively. Patients with ASAR< 4 showed significantly longer OS than patients with ASAR≥4 in all three datasets (all P < 0.001). Among Child-Pugh class B patients, a modified model without TACE response, i.e., ASA(R), discriminated OS with a c-index of 0.788 (95% CI, 0.703–0.876) in the derivation, and 0.745 (95% CI, 0.646–0.862) in the internal validation, and 0.670 (95% CI, 0.605–0.725) in the external validation, respectively. Child-Pugh B patients with ASA(R) < 4 showed significantly longer OS than patients with ASA(R) ≥ 4 in all three datasets (all P < 0.001). Conclusions ASAR provides refined prognostication for repetition of TACE in patients with unresectable HCC. For Child-Pugh class B patients, a modified model with baseline factors might guide TACE initiation

Upper-Limb Exercises for Stroke Patients through the Direct Engagement of an Embodied Agent

In this case study, we examine the functional utility of an embodied agent as an interactive medium in stroke rehab. A set of physical rehab exercises is conducted through the direct engagement of an embodied agent, the uBot-5. Based on the preliminary data, we argue that a general-purpose embodied agent has a potential to functionally complement human therapists in providing rehab to stroke patients. Categories and Subject Descriptor

Rehabilitation

Abstract—This paper considers the use of humanoid robots in residential stroke care to facilitate both direct and indirect interaction between clients and therapists. Direct interaction is realized through a humanoid-mediated teletherapy where a therapist assesses the motor function of a patient and provides therapy customized to the individual. During the teletherapy sessions, the therapist uses a simple speech interface to program therapeutic behavior and activity. Indirect interaction is implemented by the therapist-programmed artifact where a humanoid robot delivers therapeutic activities to the stroke patient in the absence of the therapist. We propose that such an approach can amplify the outcome per hour of therapist time. Outcome data from the current study indicate that the therapist can successfully provide customized therapy to individuals in residential settings and warrant further study. I

Socioeconomic burden of pneumonia due to multidrug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa in Korea

We aimed to estimate the socioeconomic burden of pneumonia due to multidrug-resistant Acinetobacter baumannii (MRAB) and Pseudomonas aeruginosa (MRPA). We prospectively searched for MRAB and MRPA pneumonia cases and matched them with susceptible-organism pneumonia and non-infected patients from 10 hospitals. The matching criteria were: same principal diagnosis, same surgery or intervention during hospitalisation, age, sex, and admission date within 60 days. We calculated the economic burden by using the difference in hospital costs, the difference in caregiver costs, and the sum of productivity loss from an unexpected death. We identified 108 MRAB pneumonia [MRAB-P] and 28 MRPA pneumonia [MRPA-P] cases. The estimated number of annual MRAB-P and MRPA-P cases in South Korea were 1309-2483 and 339-644, with 485-920 and 133-253 deaths, respectively. The annual socioeconomic burden of MRAB-P and MRPA-P in South Korea was $64,549,723-122,533,585 and$15,241,883-28,994,008, respectively. The results revealed that MRAB-P and MRPA-P occurred in 1648-3127 patients, resulted in 618-1173 deaths, and caused a nationwide socioeconomic burden of $79,791,606-151,527,593. Multidrug-resistant organisms (MDRO) impose a great clinical and economic burden at a national level. Therefore, controlling the spread of MDRO will be an effective measure to reduce this burden.N