Article
Clinical Neurology
Nereida Bueno-Guerra, Marta Provencio, Aida Tarifa-Rodriguez, Ana Navarro, Cristian Sempere-Iborra, Pablo Jordi, Elena de Celis-Ruiz, Maria Alonso de Lecinana, Marta Martin-Alonso, Ricardo Rigual, Gerardo Ruiz-Ares, Jorge Rodriguez-Pardo, Javier Virues-Ortega, Blanca Fuentes
Summary: Post-stroke aphasia is associated with reduced quality of life and higher risk of depression. This study aims to evaluate the impact of post-stroke aphasia on self-reported quality of life and symptoms of depression.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Article
Clinical Neurology
Alexander P. Leff, Sarah Nightingale, Beth Gooding, Jean Rutter, Nicola Craven, Makena Peart, Alice Dunstan, Amy Sherman, Andrew Paget, Morvwen Duncan, Jonathan Davidson, Naveen Kumar, Claire Farrington-Douglas, Camille Julien, Jennifer T. Crinion
Summary: The study found that participants in the intensive Comprehensive Aphasia Program showed significant improvements in language scores in speaking, writing, auditory comprehension, and reading, as well as in functional communication skills. These gains were sustained and in some cases further improved over the following 12 weeks.
Article
Psychology, Multidisciplinary
Zhijie Yan, Shuo Xu, Dongshuai Wei, Xinyuan He, Chong Li, Yongli Zhang, Mengye Chen, Jingna Zhang, Xiaofang Li, Qing Yang, Jie Jia
Summary: This study aimed to investigate the evaluation of cognitive impairment in different types of post-stroke aphasia. The results showed that MoCA, MMSE, and NLCA can be used to assess cognitive impairment in fluent aphasia patients, while NLCA is recommended for non-fluent aphasia patients.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Neurosciences
Udayakumar Madhu Preetha, Radhakrishnan Chella Perumal
Summary: The study shows that communication intervention is crucial for improving the quality of communication life (QoCL) in individuals with expressive aphasia. Longer therapy duration correlates with higher scores.
Article
Clinical Neurology
Melissa D. Stockbridge, Jordan Elm, Bonnie L. Breining, Donna C. Tippett, Rajani Sebastian, Christy Cassarly, Abeba Teklehaimanot, Leigh Ann Spell, Shannon M. Sheppard, Emilia Vitti, Kristina Ruch, Emily B. Goldberg, Catherine Kelly, Lynsey M. Keator, Julius Fridriksson, Argye E. Hillis
Summary: This study investigated the efficacy of transcranial direct-current stimulation (tDCS) as an adjunct therapy for chronic aphasia. The results showed that tDCS did not significantly improve patients' naming accuracy, but did enhance their discourse skills.
Article
Audiology & Speech-Language Pathology
Molly Jacobs, Charles Ellis
Summary: This study estimated the economic burden of post-stroke aphasia in the United States. The study found that the average cost of medical/healthcare expenditures, lost wages, and informal caregiving for individuals with poststroke aphasia was $30,599.78, while those without aphasia averaged only $24,276.33. The differential cost between individuals with and without aphasia was $6,323.45, indicating a significant economic burden of aphasia. Extrapolated to the general population of individuals with aphasia, these estimates corresponded to an annual economic burden of $15.8 million.
Article
Clinical Neurology
Stephen M. Wilson, Jillian L. Entrup, Sarah M. Schneck, Caitlin F. Onuscheck, Deborah F. Levy, Maysaa Rahman, Emma Willey, Marianne Casilio, Melodie Yen, Alexandra C. Brito, Wayneho Kam, L. Taylor Davis, Michael de Riesthal, Howard S. Kirshner
Summary: Most individuals with aphasia after stroke recover to some extent in the first year, and the recovery process is partially dependent on lesion location and extent. This study aims to provide a comprehensive description of patterns of recovery from aphasia in the first year after stroke. It found that lesion location and extent, as well as different language domains, have an impact on aphasia recovery.
Article
Clinical Neurology
Erin Godecke, Elizabeth Armstrong, Tapan Rai, Natalie Ciccone, Miranda L. Rose, Sandy Middleton, Anne Whitworth, Audrey Holland, Fiona Ellery, Graeme J. Hankey, Dominique A. Cadilhac, Julie Bernhardt
Summary: The VERSE trial aimed to determine if intensive aphasia therapy initiated within 14 days post-stroke was more effective in improving communication recovery compared to usual care. The study found that early, intensive aphasia therapy did not show significant improvement in communication recovery within 12 weeks post stroke compared to usual care.
INTERNATIONAL JOURNAL OF STROKE
(2021)
Review
Dermatology
Eric Xia, Sara J. Li, Lara Drake, Sophia Reyes-Hadsall, Carol Mita, Aaron M. Drucker, Arash Mostaghimi
Summary: Despite progress, there is still a lack of standardization in the use of outcome measures for AA. A scoping review revealed heterogeneity in the outcome measures used in assessing and treating AA. Only a small number of ClinROMs were frequently used in research studies and clinical trials, indicating the need for consensus and standardization in this field.
JOURNAL OF INVESTIGATIVE DERMATOLOGY
(2023)
Article
Clinical Neurology
Andrea Gajardo-Vidal, Diego L. Lorca-Puls, Holly Warner, Bawan Pshdary, Jennifer T. Crinion, Alexander P. Leff, Thomas M. H. Hope, Sharon Geva, Mohamed L. Seghier, David W. Green, Howard Bowman, Cathy J. Price
Summary: By studying the impact of damage to Broca's area and surrounding regions, it was found that long-term speech production outcome is mainly influenced by damage to white matter above the insula, in the vicinity of the anterior part of the arcuate fasciculus, rather than damage to Broca's area alone.
Article
Behavioral Sciences
Ajay D. Halai, Blanca De Dios Perez, James D. Stefaniak, Matthew A. Lambon Ralph
Summary: This study compared different types of multi-assessment batteries and tested a new data-driven reduced version. The results showed that the data-driven battery can save time while maintaining sensitivity, ability to grade deficits, and the underlying component structure observed in post-stroke aphasia.
Review
Nursing
Sheena Ramazanu, Master R. O. Chisale, Priya Baby, Vivien Xi Wu, Balwani C. Mbakaya
Summary: This meta-synthesis study explored family communication patterns after post-stroke vascular aphasia. The results showed that there were changes in family communication patterns after stroke, with both facilitators and barriers identified. Facilitators included supportive communication techniques, hope of recovery, time to re-adjust, and community engagement. Barriers included emotional turmoil and daunting tasks of rehabilitation.
WORLDVIEWS ON EVIDENCE-BASED NURSING
(2022)
Article
Clinical Neurology
Philipp Dammann, Annika Herten, Alejandro N. Santos, Laurel Rauschenbach, Bixia Chen, Marvin Darkwah Oppong, Boerge Schmidt, Michael Forsting, Christoph Kleinschnitz, Ulrich Sure
Summary: This study assessed outcomes after surgery for brainstem cavernous malformations (BSCMs) and found that patients' health-related quality of life (HRQOL) was impaired post-surgery, especially in those with unfavorable functional outcomes. Psychological impairment was more significant in unfavorable outcome patients, while minimal in those with favorable outcomes. Symptoms related to brainstem and cranial nerves had a notable impact on HRQOL.
JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Franziska Schuhbeck, Ralf Strobl, Julian Conrad, Ken Moehwald, Patricia Jaufenthaler, Klaus Jahn, Marianne Dieterich, Eva Grill, Andreas Zwergal
Summary: This study aimed to examine long-term functioning and health-related quality of life in patients with vestibular stroke. The results showed that personal anxiety trait, initial symptom intensity, and lesion volume were significant predictors for individual outcomes.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Elizabeth L. Dvorak, Davetrina S. Gadson, Elizabeth H. Lacey, Andrew T. DeMarco, Peter E. Turkeltaub
Summary: The study found that the health-related quality of life (HRQL) in chronic left-hemisphere stroke survivors with aphasia is related to factors such as lesion location, depression symptoms, and impairment-based measures. This information can help identify individuals at risk for specific aspects of low HRQL and facilitate targeted interventions to improve well-being.
NEUROREHABILITATION AND NEURAL REPAIR
(2021)
Article
Rehabilitation
Loren Davidson, Sarah C. Haynes, Amanda Favila-Meza, Jeffrey S. Hoch, Daniel J. Tancredi, Alanna D. Bares, Jamie Mouzoon, James P. Marcin
Summary: This study investigated a novel tele-physiatry program for children in rural and underserved communities, and found that it was not inferior to in-person encounters in terms of parent and provider experience and perceived quality of care. Tele-physiatry was also associated with an average cost savings of $100 per clinic to the payer.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Clinical Neurology
Gabriel M. Ronen, Peter L. Rosenbaum, David L. Streiner
Summary: This review examines children's self-reported outcome measurements in pediatric neurology, discussing patient-reported outcomes, evaluation of intervention effects, and the importance of incorporating patients' perspectives in the evaluation process. The application of patients' views in the assessment of medical interventions has become an important expectation, aligning with current healthcare goals.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2022)
Article
Pediatrics
Sonia Singh, Franz E. Babl, Stephen J. C. Hearps, Jeffrey S. Hoch, Kim Dalziel, John A. Cheek
Summary: The incidence of paediatric head injuries in Australia has significantly increased over the past five years, with acute care costs reaching $154 million. Falls are the most common mechanism of injury, accounting for 47% of acute care costs, followed by transportation-related injuries at 35%. Population-based efforts for road safety and injury prevention are crucial.
JOURNAL OF PAEDIATRICS AND CHILD HEALTH
(2022)
Article
Pediatrics
Sonia Singh, Franz E. Babl, Li Huang, Stephen Hearps, John Alexander Cheek, Jeffrey S. Hoch, Vicki Anderson, Kim Dalziel
ARCHIVES OF DISEASE IN CHILDHOOD
(2022)
Article
Public, Environmental & Occupational Health
Anna Finnes, Jeffrey S. Hoch, Pia Enebrink, JoAnne Dahl, Ata Ghaderi, Anna Nager, Inna Feldman
Summary: This study assessed the long-term cost-effectiveness of acceptance and commitment therapy (ACT), a workplace dialog intervention (WDI), and ACT+WDI compared to treatment as usual (TAU) for common mental disorders, and investigated any differences in cost-effectiveness between diagnostic groups.
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH
(2022)
Review
Economics
Blanchard Conombo, Jason R. Guertin, Pier-Alexandre Tardif, Marc-Aurele Gagnon, Cecile Duval, Patrick Archambault, Simon Berthelot, Francois Lauzier, Alexis F. Turgeon, Henry T. Stelfox, Michael Chasse, Jeffrey S. Hoch, Belinda Gabbe, Howard Champion, Fiona Lecky, Peter Cameron, Lynne Moore
Summary: This research systematically reviewed the economic value of in-hospital clinical practices in acute injury care and found that almost half of the clinical interventions studied in acute injury care may not be cost-effective. Additionally, the study identified more cost-effectiveness research in certain medical fields.
Article
Pediatrics
Sonia Singh, Stephen Hearps, Daniel K. Nishijima, John Alexander Cheek, Meredith Borland, Stuart Dalziel, James Holmes, Nathan Kuppermann, Franz E. Babl, Jeffrey S. Hoch
Summary: The study found that planned observation in children with minor head trauma is cost-effective for reducing CT use, especially for those in the PECARN intermediate-risk and high-risk categories.
ARCHIVES OF DISEASE IN CHILDHOOD
(2022)
Article
Chemistry, Analytical
Cheryl Forchuk, Abraham Rudnick, Deborah Corring, Daniel Lizotte, Jeffrey S. S. Hoch, Richard Booth, Barbara Frampton, Rupinder Mann, Jonathan Serrato
Summary: This mixed-method study evaluated a smart home technology intervention for people living in the community with mental illness and physical comorbidities, providing appropriate support in the home and health monitoring capabilities for healthcare providers. Thirteen participants were recruited and provided with smartphones, touchscreen monitors, and health devices. Descriptive statistics showed improvements in physical and mental health, as well as enhanced communication with care providers and friends/family. The study also addressed technical difficulties, ethics analyses, policy implications, and economic costs.
Article
Psychiatry
Silvia M. Antoine, Beverley K. Fredborg, David Streiner, Tim Guimond, Katherine L. Dixon-Gordon, Alexander L. Chapman, Janice Kuo, Paul Links, Shelley McMain
Summary: Borderline personality disorder (BPD) is characterized by instability in various domains. This study identified three subgroups of BPD symptoms, namely the non-labile type, dissociative/paranoid type, and interpersonally unstable type. These subgroups may have implications for refining BPD treatment interventions.
PSYCHIATRY RESEARCH
(2023)
Article
Psychology, Clinical
Ryan J. Van Lieshout, Haley Layton, Calan D. Savoy, Feng Xie, June S. L. Brown, Kathryn Huh, Peter J. Bieling, David L. Streiner, Mark A. Ferro, Erika Haber-Evans
Summary: A randomized controlled trial found that offering a one-day cognitive behavioral therapy (CBT)-based workshop for postpartum depression (PPD) sufferers can significantly reduce depression and anxiety symptoms, improve the mother-infant relationship, and be cost-effective. This intervention could represent a perinatal-specific option that can treat larger numbers of individuals and be integrated into stepped care approaches at reasonable cost.
PSYCHOLOGICAL MEDICINE
(2023)
Article
Clinical Neurology
Adam C. Gravitis, Uilki Tufa, Katherine Zukotynski, David L. Streiner, Daniel Friedman, Juliana Laze, Yotin Chinvarun, Orrin Devinsky, Richard Wennberg, Peter L. Carlen, Berj L. Bardakjian
Summary: Previous case-control studies were unable to identify ECG features associated with SUDEP risk, leading to the development of a novel metric called alpha. This study used Single Spectrum Analysis, Independent Component Analysis, and cross-frequency phase-phase coupling to assess SUDEP risk and found that alpha was higher in SUDEP patients and predictive of SUDEP risk.
FRONTIERS IN NEUROLOGY
(2023)
Review
Psychiatry
Jiyeong Kim, Lois M. D. Aryee, Heejung Bang, Steffi Prajogo, Yong K. Choi, Jeffrey S. Hoch, Elizabeth L. Prado
Summary: This systematic review and meta-analysis aimed to evaluate the effectiveness of digital mental health interventions in reducing depression and anxiety symptoms in low- and middle-income countries (LMICs). The findings showed that digital mental health tools were moderately to highly effective in reducing depression and anxiety symptoms in LMICs.
JMIR MENTAL HEALTH
(2023)
Article
Oncology
Jiyeong Kim, Eleni Linos, Debra A. Fishman, Melanie S. Dove, Jeffrey S. Hoch, Theresa H. Keegan
Summary: This study aims to assess the prevalence of online patient-provider communication (OPPC) during COVID-19 among cancer survivors and adults without a history of cancer. The results showed an increase in the use of email/internet and electronic health records for communication among cancer survivors during COVID-19. However, certain vulnerable subgroups had lower rates of OPPC, such as those with low income, no usual source of care, or reporting depression.
Article
Oncology
Heather K. Barr, Andrea M. Guggenbickler, Jeffrey S. Hoch, Carolyn S. Dewa
Summary: This paper discusses the cost-effectiveness analysis of new cancer treatments in real-world settings and the statistical uncertainty that often accompanies the results. It identifies five methods to characterize statistical uncertainty and explores their usage in previous studies. Understanding the necessity and meaning of uncertainty in real-world cost-effectiveness analysis can improve patient outcomes.
Meeting Abstract
Obstetrics & Gynecology
Lihong Mo, Nandini R. Nittur, Zahabiya H. Chithiwala, Herman L. Hedriana, Jeffrey Hoch
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
