Cognitive rehabilitation in a visual variant of Alzheimer's disease

Alzheimer's disease (AD) is commonly associated with marked memory deficits; however, nonamnestic variants have been consistently described as well. Posterior cortical atrophy (PCA) is a progressive degenerative condition in which posterior regions of the brain are predominantly affected, therefore resulting in a pattern of distinctive and marked visuospatial symptoms, such as apraxia, alexia, and spatial neglect. Despite the growing number of studies on cognitive and neural bases of the visual variant of AD, intervention studies remain relatively sparse. Current pharmacological treatments offer modest efficacy. Also, there is a scarcity of complementary nonpharmacological interventions with only two previous studies of PCA. Here we describe a highly educated 57-year-old patient diagnosed with a visual variant of AD who participated in a cognitive intervention program (comprising reality orientation, cognitive stimulation, and cognitive training exercises). Neuropsychological assessment was performed across moments (baseline, postintervention, follow-up) and consisted mainly of verbal and visual memory. Baseline neuropsychological assessment showed deficits in perceptive and visual-constructive abilities, learning and memory, and temporal orientation. After neuropsychological rehabilitation, we observed small improvements in the patient's cognitive functioning, namely in verbal memory, attention, and psychomotor abilities. This study shows evidence of small beneficial effects of cognitive intervention in PCA and is the first report of this approach with a highly educated patient in a moderate stage of the disease. Controlled studies are needed to assess the potential efficacy of cognition-focused approaches in these patients, and, if relevant, to grant their availability as a complementary therapy to pharmacological treatment and visual aids.

Avaliação dos efeitos de um plano de intervenção em meio aquático numa criança com perturbação do espetro do autismo

Dissertação de mestrado em Educação Especial (área de especialização em Intervenção Precoce)

Pais por inteiro: avaliação preliminar da eficácia de uma intervenção em grupo para pais divorciados

O artigo trata da avaliação preliminar da eficácia do Pais por Inteiro (PApi), uma intervenção em grupo com pais divorciados, implementada com a finalidade de melhorar a adaptação ao divórcio, a coparentalidade e a binuclearidade familiar. Os participantes (n= 16) foram equitativamente distribuídos em um grupo experimental (sujeito a intervenção) e um grupo de controlo. Os grupos mostraram-se semelhantes nas medidas dependentes pré-intervenção. Os resultados evidenciaram uma melhoria entre o pré e pós-teste no ajustamento ao divórcio e na qualidade da coparentalidade no grupo experimental, e uma melhoria no pós-teste no ajustamento também no grupo experimental. Estas melhorias não existiram no grupo de controlo. Estes resultados sugerem a eficácia do PApi em termos do melhor ajustamento pósdivórcio e coparentalidade.

“PApi – Pais por Inteiro” Programa de intervenção em grupo para o ajustamento pessoal e a promoção da coparentalidade positiva em pais divorciados

O presente artigo apresenta o programa de intervenção em grupo para pais divorciados, Pais por Inteiro (PApi). Fundamentados na revisão da literatura com a qual o artigo se inicia, os objectivos gerais do programa – promover a coparentalidade positiva, a construção de um projecto de binuclearidade familiar e a reflexão e aprofundamento das trajectórias individuais de cada pai – são descritos, assim como as três macrocomponentes psicoterapêuticas ao longo das quais estes objectivos se desenvolvem – exposição dos processos de divórcio, partilha experiencial e treino de competências e mudança desenvolvimental. O artigo oferece ainda, no final, uma mais detalhada clarificação dos objectivos, materiais e actividades planeadas para cada das dez sessões que compõem o PApi.

Prácticum I : psicología de la educación

El lugar donde he realizado mis prácticas ha sido en el Colegio Salesiano Ramón Izquierdo de Badajoz, dentro de su Departamento de Orientación.El tema de investigación elegido es la intervención con un niño de 13 años con Síndrome de Down.Las razones de la elección han sido fundamentalmente la de centrarnos en un único tema para realizar unas prácticas eficientes. De entre los ámbitos en los que trabaja el departamento de Orientación del Colegio:- Atención a la diversidad- Plan de acción tutorial- Orientación académica profesional

Intervenció psicopedagògica a Primària per millorar l'aprenentatge del càlcul mental a Cicle Mitjà

Es tracta d'un programa d'assessorament i intervenció psicopedagògica en una escola per a treballar el càlcul mental a primària, concretament al cicle mitjà, però també extensible a altres cicles, a partir de l'adaptació de diferents jocs de taula mitjançant la creació de tallers de matemàtiques i amb una pràctica basada en el constructivisme.

Intervenció educativa eficaç en justícia juvenil

La recerca presenta el resultat de la segona aplicació del Programa del Pensament Prosocial, Versió Curta per a Joves en una mostra de menors que han complert mesures judicials en un equip de Medi Obert de Lleida. Aquest programa cognitiu-conductual entrena en l’aprenentatge d’habilitats sociocognitives i valors que es requereixen per la competència social i s’ha aplicat amb èxit a joves infractors i adults de 14 països de tot el món a més de quaranta mil subjectes. La recerca aplica el programa utilitzant com a mètode un disseny pre-test i post-test amb grup de control. Dels resultats es destaca que l’aplicació del programa incorpora en la intervenció en medi obert un canvi important en el plantejament de treball, ja que els instruments estan específicament dissenyats per a menors que s’han mostrat més resistents a altres intervencions.

American Cancer Society guideline for the early detection of prostate cancer: update 2010.

In 2009, the American Cancer Society (ACS) Prostate Cancer Advisory Committee began the process of a complete update of recommendations for early prostate cancer detection. A series of systematic evidence reviews was conducted focusing on evidence related to the early detection of prostate cancer, test performance, harms of therapy for localized prostate cancer, and shared and informed decision making in prostate cancer screening. The results of the systematic reviews were evaluated by the ACS Prostate Cancer Advisory Committee, and deliberations about the evidence occurred at committee meetings and during conference calls. On the basis of the evidence and a consensus process, the Prostate Cancer Advisory Committee developed the guideline, and a writing committee drafted a guideline document that was circulated to the entire committee for review and revision. The document was then circulated to peer reviewers for feedback, and finally to the ACS Mission Outcomes Committee and the ACS Board of Directors for approval. The ACS recommends that asymptomatic men who have at least a 10-year life expectancy have an opportunity to make an informed decision with their health care provider about screening for prostate cancer after they receive information about the uncertainties, risks, and potential benefits associated with prostate cancer screening. Prostate cancer screening should not occur without an informed decision-making process. Men at average risk should receive this information beginning at age 50 years. Men in higher risk groups should receive this information before age 50 years. Men should either receive this information directly from their health care providers or be referred to reliable and culturally appropriate sources. Patient decision aids are helpful in preparing men to make a decision whether to be tested.

Assessing small non-zero perceptions of chance: The case of H1N1 (swine) flu risks

Feelings of invulnerability, seen in judgments of 0% risk, can reflect misunderstandings of risk and risk behaviors, suggesting increased need for risk communication. However, judgments of 0% risk may be given by individuals who feel invulnerable, and by individuals who are rounding from small non-zero probabilities. We examined the effect of allowing participants to give more precise responses in the 0-1% range on the validity of reported probability judgments. Participants assessed probabilities for getting H1N1 influenza and dying from it conditional on infection, using a 0-100% visual linear scale. Those responding in the 0-1% range received a follow-up question with more options in that range. This two-step procedure reduced the use of 0% and increased the resolution of responses in the 0-1% range. Moreover, revised probability responses improved predictions of attitudes and self-reported behaviors. Hence, our two-step procedure allows for more precise and more valid measurement of perceived invulnerability. [Authors]

Conflictivitat comunicativa en episodis d'emergència: aproximació a la cobertura informativa i la gestió institucional de l'esfondrament d'un túnel del metro al barri del Carmel de Barcelona

En aquesta investigació s’estudien els processos de producció de la informacióper part dels mitjans de comunicació i la gestió comunicativa institucional en episodis d’emergència. En concret, s’analitzen les negociacions entre els actors, les fonts informatives i el respecte deontològic en la divulgacióde les notícies. Per tal de conèixer específicament aquesta conflictivitat,s’ha escollit per a l’estudi de cas l’esfondrament d’un túnel del metro albarri del Carmel de Barcelona el gener de 2005. Per a realitzar aquesta investigació,s’ha utilitzat una perspectiva teòrica multidisciplinària. S’han pres en consideració els postulats teòrics de la sociologia, a partir del diàleg queestableixen diferents autors (Beck, Giddens, Lash i Luhmann) entre el conceptede modernitat i el nou paradigma que Beck (1998) denomina la societat del risc. També s’han tingut en compte els camps de la teoria i la sociologia de la comunicació i, més específicament, el marc teòric del periodisme i de les relacions públiques.

Road Safety Audits for County Road X-23 from IA 2 to the South Corporate Limits of West Point and for County Road W-62 from US 218 to IA 27 in Lee County, Iowa, 2010

On October 20–21, 2009, two road safety audits were conducted in Lee County, Iowa: one for a 6 mile section of County Road X-23 from IA 2 to the south corporate limits of West Point and one for a 9.7 mile section of County Road W-62 from US 218 to IA 27. Both roads have high severe crash histories for the years of 2001 through 2008. Using these crash data, the Iowa Department of Transportation (Iowa DOT) has identified County Road X-23 as being in the top 5 percent of similar roads for run-off-road crashes. The Iowa DOT lists County Road W-62 as a high-risk rural road that has above-average crash numbers and is eligible for funding under the Federal High-Risk Rural Road Program. Considering these issues, the Lee County Engineer and Iowa DOT requested that road safety audits be conducted to address the safety concerns and to suggest possible mitigation strategies.

Processus intégratifs et gouvernance clinique dans la psychiatrie institutionnelle [Integration processes and clinical governance in the psychiatric network]

The Swiss Medical Insurance Act (LAMaL) requires the planning of psychiatric care. This necessitates a coordination between the Department of Public Health and the institutional governance. Given the difficulties to draw comparisons between a wide range of systems in a federal country, the Swiss Conference of the State Directors of Health (CDS) proposed as a first step that each canton present some of the key programs they had developed. In the canton Vaud, the implementation of mobile community treatment teams and of an early intervention program for psychosis was chosen. The main challenges faced were to go past traditional divides within the organisation of the Swiss Health system and to conciliate the requirements of public health with the needs of treating teams, in order to promote early intervention in mental health disorders.

Uuden riskien arviointityökalun käyttöönotto metsäteollisuusyrityksessä

Vuonna 2003 uudistunut työturvallisuuslaki lisäsi yritysten vastuuta oman työympäristön riskien tunnistamisessa. Laki velvoittaa yritykset tunnistamaan, selvittämään ja arvioimaan työstä ja työolosuhteista johtuvat vaara- ja haittatekijät. Perinteisesti yritykset ovat suorittaneet riskien arviointia erilaisten tarkistuslistojen avulla, mutta nykyään tietotekniikan käytön lisääntyminen on tuonut tietotekniikan myös yhdeksi riskienhallinnan työvälineeksi. Tämän työn tavoitteena oli tutkia If Vahinkovakuutusyhtiön uuden riskien arviointiohjelman käyttöönottoa metsäteollisuuden yrityksessä, ja selvittää sen vaikutuksia turvallisuustoimenpiteiden hallintaan ja vastaavuutta sille ennakkoon asetettuihin käytettävyysvaatimuksiin. Riskien arviointiohjelmaa tutkittiin pilottikohteessa Stora Enson Anjalankoskentehtailla. Tietoa kerättiin mm. käyttäjäkoulutustilaisuuksien palautekyselyillä, haastattelemalla arvioijia ja osallistumalla riskien arviointikierroksille. Tutkimuksessa seurattiin mm. ohjelman avulla syntyneiden toimenpide-ehdotuksien määrää ja laatua, ja sitä kuinka hyvin ohjelmalle suunniteltu sisältö sopii käyttöön. Tämän tutkimuksen perusteella havaittiin, että riskien arviointiin tarkoitettu tietokoneohjelma voidaan suunnitella helppokäyttöiseksi ja toimivaksi. Myös ohjelman sisältö, joka oli tarkoitettu kattamaan työturvallisuuden eri osa-alueet, havaittiin tarkoitukseen sopivaksi. Riskien arvioinnin ongelmallisin alue, eli turvallisuustoimenpiteiden suunnittelu ja seuranta, havaittiin haasteelliseksi toteutettavaksi ohjelman avulla. Yritysten erilaisiin riskien arviointikäytäntöihinsopivan raportointijärjestelmän ja toimenpideseurannan kehittäminen tulee olemaan tulevaisuudessakin tärkeä osa-alue riskien arviointiohjelmien kehittämisessä.

Programa integral de atención a las personas mayores en una zona rural

We describe a community intervention program performed in three rural villages in the Alt Empordà region (Girona province). The study provides data on the services available to the elderly in a specific context, based on an initiative proposed by the villages, the local councils, and the elderly themselves. The program is a research-action plan which applies the participative and qualitative methodology characteristic of strategic planning. The study analyses how the initiative arose, the description of the process, and the different parts of the intervention program

Improved predictive mapping of indoor radon concentrations using ensemble regression trees based on automatic clustering of geological units.

PURPOSE: According to estimations around 230 people die as a result of radon exposure in Switzerland. This public health concern makes reliable indoor radon prediction and mapping methods necessary in order to improve risk communication to the public. The aim of this study was to develop an automated method to classify lithological units according to their radon characteristics and to develop mapping and predictive tools in order to improve local radon prediction. METHOD: About 240 000 indoor radon concentration (IRC) measurements in about 150 000 buildings were available for our analysis. The automated classification of lithological units was based on k-medoids clustering via pair-wise Kolmogorov distances between IRC distributions of lithological units. For IRC mapping and prediction we used random forests and Bayesian additive regression trees (BART). RESULTS: The automated classification groups lithological units well in terms of their IRC characteristics. Especially the IRC differences in metamorphic rocks like gneiss are well revealed by this method. The maps produced by random forests soundly represent the regional difference of IRCs in Switzerland and improve the spatial detail compared to existing approaches. We could explain 33% of the variations in IRC data with random forests. Additionally, the influence of a variable evaluated by random forests shows that building characteristics are less important predictors for IRCs than spatial/geological influences. BART could explain 29% of IRC variability and produced maps that indicate the prediction uncertainty. CONCLUSION: Ensemble regression trees are a powerful tool to model and understand the multidimensional influences on IRCs. Automatic clustering of lithological units complements this method by facilitating the interpretation of radon properties of rock types. This study provides an important element for radon risk communication. Future approaches should consider taking into account further variables like soil gas radon measurements as well as more detailed geological information.