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An evaluation of a Fire Brigade counselling service examined the viewpoints of all three stakeholders (clients, counsellors and organization), using a multi-method approach using interviews, questionnaires and staff records. All parties expressed satisfaction with the provision, but noted the need for better communication and marketing. The counselling service was demonstrated to be needed and effective in both human and fiscal terms.  相似文献   
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Unlike the aphasic syndromes, the organization of affective prosody in brain has remained controversial because affective-prosodic deficits may occur after left or right brain damage. However, different patterns of deficits are observed following left and right brain damage that suggest affective prosody is a dominant and lateralized function of the right hemisphere. Using the Aprosodia Battery, which was developed to differentiate left and right hemisphere patterns of affective-prosodic deficits, functional-anatomic evidence is presented in patients with focal ischemic strokes to support the concepts that (1) affective prosody is a dominant and lateralized function of the right hemisphere, (2) the intrahemispheric organization of affective prosody in the right hemisphere, with the partial exception of Repetition, is analogous to the organization of propositional language in the left hemisphere and (3) the aprosodic syndromes are cortically based as part of evolutionary adaptations underlying human language and communication.  相似文献   
486.
Examination of goal-directed movements has evidenced two processes of visually regulated online control: early trajectory control that operates to make movement adjustments on the basis of limb velocity comparisons to internally generated models of the expected limb velocity, and late trajectory control that uses allocentric information about the limb and target positions. The results of experiments using illusory perturbations suggest that the two systems have an additive influence on movement outcome, and are relatively independent. In this theoretical context, three experiments were conducted in which actual perturbations to the aiming limb dynamics and the tasks demands were introduced. Compressed air expulsed through a stylus, in the direction of, or opposite to, that of the movement was used to impact limb velocity and the target location was moved at movement initiation to impact late evaluation of target and limb position. The results of the compressed air-only and moving target-only conditions replicated the previous evidence of early and late control, respectively. Interestingly, movement accuracy measures yielded an interactive effect of the two perturbations when presented in tandem. It appears that the perturbations prompted parallel operation of the two control processes.  相似文献   
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Twelve children with and without Down syndrome (DS) performed eight subtests of an apraxia battery to determine under what conditions children with DS had difficulty performing representational and nonrepresentational gestures. Participants with DS also completed a dichotic listening test. Participants with DS performed just as well as control participants on all aspects of the apraxia battery except a subtest in which they were required to pantomime tool use from verbal instruction. This suggests that children with DS have difficulty generating an action from memory following verbal instruction. Given the sufficient context or visual demonstration, children with DS performed similar to the other participants. As well, there was a great deal of within-group variability for dichotic listening ear advantage. Participants with a greater left ear advantage on the dichotic listening test committed more errors on an imitation test that also included a verbal component than participants with a greater right ear advantage.  相似文献   
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OBJECTIVE: To determine the percentage of family caregivers of persons with spinal cord injury (SCI) with probable depression and to test the hypothesis that dysfunctional problem-solving abilities would be significantly predictive of risk status after taking into account important demographic characteristics and caregiver health. DESIGN: Correlational and logistic regression analyses of data collected in a cross-sectional design. PARTICIPANTS: Eighteen men and 103 women caregivers (mean age of caregivers = 45.66 years, SD = 12.88) of individuals with SCI. MAIN OUTCOME MEASURE: The Inventory to Diagnose Depression. RESULTS: Nineteen caregivers (15.7%) met criteria on the Inventory to Diagnose Depression for a major depressive disorder. A dysfunctional problem-solving style was significantly predictive of caregiver depression, regardless of the severity of physical impairment of the care recipient or the physical health of the caregiver and caregiver demographic variables. CONCLUSIONS: The percentage of caregivers with probable depressive disorder may parallel that observed among persons with SCI, using a more conservative self-report measure designed to assess symptoms associated with a depressive syndrome. Family caregivers with a dysfunctional problem-solving style and assisting individuals with more severe injuries may have probable depression.  相似文献   
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Advances in technology in the last century have provided the opportunity to observe human behavior in one, two, and three dimensions with higher recording frequencies and greater spatial accuracy. Consequently, detailed analyses of individual trials and composite measures of multiple movement trajectories are possible. However, 3-D data have often been analyzed by performing independent analyses of the limb trajectory along each axis. Essentially, analyses of individual axes are often inappropriate as movement in each axis can contribute to the overall trajectory. Employing such methods can compound error throughout the analysis process. The purpose of this study was to determine appropriate post hoc and real-time 3-D optoelectronic data reduction procedures for manual aiming movements. Rapid goal-directed movements were recorded using an Optotrak and triaxial accelerometer. Data were separately subjected to second order Butterworth filters employing low-cut frequencies of 6-24 Hz in 2 Hz increments. Subsequently, acceleration profiles were derived by double differentiating the individual position profiles and then calculating the resultant acceleration profile. In addition, acceleration profiles were also calculated by finding the resultant position and the total distance traveled each frame prior to double differentiation. Root mean square error between the derived and acquired profiles was employed as our main dependent measure. Trajectories reduced with the total distance procedure produced the lowest root mean square error. The results are important for experimenters analyzing 3-D data post hoc and those implementing real-time manipulations.  相似文献   
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