Sex behavior of epileptic patients

Fifty female epileptic patients were questioned as to sexual behavior and attitude to pregnancy, and related matters. This investigation too confirmed a tendency towards lessened sexual activity among epileptic patients. As a group, the patients showed no deviation from nationwide average values in respect of attitudes and expecter behavior concerning pregnancy, sexuality, and desire for children. The demonstrable interdependence of clinical progress and social background is discussed for its value in counselind.     

Actions travel with their objects: evidence for dynamic event files

Moving a visual object is known to lead to an update of its cognitive representation. Given that object representations have also been shown to include codes describing the actions they were accompanied by, we investigated whether these action codes “move” along with their object. We replicated earlier findings that repeating stimulus and action features enhances performance if other features are repeated, but attenuates performance if they alternate. However, moving the objects in which the stimuli appeared in between two stimulus presentations had a strong impact on the feature bindings that involved location. Taken together, our findings provide evidence that changing the location of an object leaves two memory traces, one referring to its original location (an episodic record) and another referring to the new location (a working-memory trace).     

The assessment of disability in epileptic patients

Report is given concerning 16 epileptics in whom annuity could be suspended. Types of seizures did not differ from those analysed in a formerly study of further invalid epileptics. On the contrary, the beginning of treatment was very soon after manifestation of disease, and the treatment was in the hand of neuropsychiatrists with mostly good or very good attention. Improvement could be obtained mainly by decrease of seizure frequency of freedom from seizures, and after few years invalidity could be annulled.     

Anticonvulsive therapy and complications of pregnancy in epileptic patients

During observation of 92 pregnancies, epileptic seizures, pregnancy complications and complications regarding the newborns were noticed with 67 women having epilepsy and correlated by means of following therapeutic aspects: without anticonvulsive therapy, monotherapy, combined therapy. Most of the attacks suffered women that were treated by combined therapy. Pregnancy and birth complications appeared nearly to the same extent more with patients under mono- and combined therapy than with patients without therapeutic treatment. Most frequently we saw complications and malformations with regard to the children in that group of mothers that had been treated by an anticonvulsive combined therapy.     

Some suggestions on epileptic psychoses, their differential diagnosis and therapy

From a present point of view, some clinical suggestions are put forward concerning the symptomatology, differential diagnostics, and therapy of psychotic states in epileptic patients (twilight states, states of emotional deterioration and epileptic psychoses proper).     

Significance of the EEG for the prognosis of therapy in adult epileptic patients

The importance of EEG findings regarding prognosis of therapy and relapses of epilepsies is controversally discussed in the literature. On the basis of 495 patients being in attendance for many years there were some important indications for prognosis, for instance 59 percent of the patients with normal EEG at all times during the cours attained freedom from seizures for at least five years. The best possibilities for differentiation followed from EEG features during medication, especially from degree od disturbances of background activity. Only 13 percent of patients with more than slight disturbances in resting EEG remained seizure free for a long time. Also as a distinctly unfavourable sign proved the combination of generalized and focal epileptiform pattern.     

Pragmatic and behavioral aspects of computerized tomographic scanning in epileptic patients

The computerized tomographic scan (CT) is a valuable method for screening the epileptic population. From the pragmatic standpoint, it is safe and nonpainful, and the cost is offset by its usefulness in uncovering and treating unexpected lesions such as brain tumors. In patients with brain tumors, CT scans are valuable for posttherapy follow-up and for determining the time for appropriate therapy in patients with minimal or no neurological deficits. The CT scan is far superior to routine skull x-ray and nuclear scan studies. Electroencephalography, the prime laboratory method for investigating epilepsy, is not as useful as the CT scan for demonstrating structural changes. In posttraumatic, postcerebrovascular accident and postinfectious patients, demonstration of the lesion is helpful from a behavioral standpoint, for understanding the patient’s psychological, emotional and cognitive difficulties. The psychological management of brain tumor patients is greatly aided by repeated CT scan studies.     

Psychometric studies on the specificity of psychological performance disorders of epileptic patients

Using a psychological test battery for registration of psychic/psychomotoric speed and flexibility/perseveration we examined 78 epileptic patients with different forms of epilepsy and the same number of brain healthy control persons, parallelised in sex, age, education, profession and intelligence. The registrated data were varianz-, correlation- and factoranalised. We found a deceleration of psychic/psychomotoric speed as a primary basic disorder in epileptics. Decreases of flexibility independent of speed were not ascertainable.     

Multiple identities and travel mode choice for regular journeys

Growing evidence supports a range of non-instrumental factors influencing travel mode. Amongst these, identity has been proposed. However, to date, the relationship has not been systematically investigated and few investigations have harnessed a theoretical framework for identity. Drawing on role theory (Stryker, 1980). Symbolic interactionism: A social structural version. CA: Benjamin Cummings, we hypothesised that multiple identities, of varying importance, are related to travel mode choice. The study of 248 UK urban/suburban, working, car-owning parents used survey-based data to test the influence of seven identities on travel mode choice in regular travel. Multiple and logistic regression analyses found multiple identities to be significantly related to travel mode to work, on escort education and on other regular journeys. The study demonstrated different patterns of relationship between identity on different types of journey and found evidence for travel mode choice as embedded within social identities. In addition to the study’s contribution of new empirical findings, its application of a theoretical focus on identity offers additional strategies in attempting to change travel behaviours towards sustainability.     

Verbal memory compensation: application to left and right temporal lobe epileptic patients

This study investigates the compensatory impact of cognitive aids on left and right temporal lobe epileptic patients suffering from verbal memory disorders, who were candidates for surgery. Cognitive aids are defined in the levels-of-processing framework and deal with the depth of encoding, the elaboration of information, and the use of retrieval cues. Results indicate differential compensatory impact for left and right epileptic patients and are discussed according to the HERA model and the compensation framework.     

The spiritual benefits of travel for senior tourists

This research explores the spiritual benefits of travel for older adults and illustrates how travel meets seniors' self‐actualization and spiritual growth needs. The theoretical point of departure for this research is seniors' quest for meaning and self‐actualization, which act as push factors inducing older adults to travel. Semistructured depth interviews were conducted with 16 retired senior informants who had extensive travel experience. Using an interpretive method, this research reveals four key themes that illustrate the spiritual benefits of travel, thereby extending the growing literature on the motivations of senior travelers. These themes are described as “traveling generates meaning for older adults,” “traveling reveals the self to older adults,” “traveling encourages older adults to better understand others,” and “traveling enables older adults to better understand their relationship to nature”. In sum, the themes describe how older adults may meet their unique spiritual needs through travel and thereby enhance their spiritual development. This research represents one of a few studies examining senior tourism to employ an interpretive method and provides rich insights as a result. This research also extends the emerging research on spirituality in marketing by illustrating how the tourism industry may benefit from a perspective that considers the spiritual benefits of consumption. The research findings suggest that the intangible spiritual benefits of travel, in addition to the tangible benefits, should be highlighted in travel offers and tourism communications targeted to older adults. Copyright © 2014 John Wiley & Sons, Ltd.     

Brain organic psychosyndrome and fitness for military service

The Order on Military Medical Expertise dated 27 August 1975 lists the brain-organic psychosyndrome among the diagnoses restricting fitness for military service. Who gives the diagnosis, and who decides on the degree of fitness? Practice shows that in this respect there is considerable uncertainty. Attention is drawn to the obligations the neuropsychiatrist has to fulfill vis à vis the registration board.     

Comparison of MMPI-2 profiles of Gulf War veterans with epileptic and nonepileptic seizure patients

As part of a larger study of illnesses related to service in the Gulf War, MMPI-2 profiles of epileptic seizure (ES) patients; nonepileptic seizure (NES) patients; Gulf War veterans with unexplained cognitive, psychological, musculoskeletal, fatigue, or dermatologic symptoms; and asymptomatic Gulf War veterans (Controls) were analyzed. There were 70 people in each group. Seizure diagnosis was based upon intensive EEG monitoring. Gulf War cases were mildly abnormal on MMPI-2 Scales Hs and D and significantly higher than controls on 8 of 10 MMPI-2 clinical scales, but they were significantly lower than NES patients on several scales including Hs and Hy.     

The status of epileptic patients in a developing African country: northwest Ethiopia

Of 1240 first-time consultations in the neuropsychiatric clinic of the Gondar College of Medical Sciences in an eleven-month period during 1985 and 1986, 152 patients came seeking relief from seizures. This paper deals with the origins and background of diagnostic, differential diagnostic, and therapeutic problems, and with problems of social rehabilitation. While in such a tradition-bound society certain hypotheses continue to have an unfavorable effect, there are unmistakable signs of positive change against a background of rapid social change. Conclusions are drawn for the better management of epileptic patients in developing countries.     

Use of self-reports of physical fitness as substitutes for performance-based measures of physical fitness in older adults

The purpose of the present study was to evaluate the association between self-reported physical fitness and performance-based measures of physical fitness in older adults. The specific components of physical fitness evaluated included aerobic endurance, muscular strength, and flexibility. Adults (25 men and 47 women) ranging in age from 56 to 92 years (M age=75 yr.) were recruited from the local community. Generally, the associations between self-reported and performance-based measures of physical fitness were low to moderate (r = 30-.01). Based on these findings, self-reports of physical fitness should not be used as substitutes for performance-based measures of physical fitness in older adults. Furthermore, present findings suggest that older adults, when asked to rate subcomponents of physical fitness, may not do so but rather evaluate a more general concept of physical fitness with aerobic endurance as the dominant factor.     

Beliefs-Focused and Skills-Focused Employment Interventions for Women

The purpose of this study was to evaluate the beliefs- and skills-focused approaches to women's employment counseling. Results tend to support the value of the use of beliefs- and skills-focused interventions in assisting women who are experiencing employment dissatisfaction.     

Employment rejection and acceptance letters and their unintended consequences on image,self-concept,and intentions

This paper demonstrates that the positiveness and negativeness of letters of acceptance and rejection from companies have an impact on company image, self-concept of recipient, and reported future intentions of potential recruits. The implication for employers writing letters of acceptance and rejection is that they should communicate with prospective recruits in a positive manner no matter what the letter's message. Positive rejection letters can mitigate effects of rejection and negative acceptance letters can impair the positiveness of acceptance.This research was partially supported by Grant #82037 from the Purdue Agricultural Research Station. Reprints should be addressed to Dr. Richard Feinberg, Department of Consumer Sciences and Retailing, Purdue University, 1262 Matthews Hall, West Lafayette, IN 47907-1262.