The current role of neurosyphilis in the differential diagnosis of neuropsychiatric diseases

Over a period of eight years, 16 patients from a non-selected number of patients in a neuropsychiatric special hospital were diagnosed to suffer from neurolues not known so far. Apart from the classical clinical pictures (PP and T. d.) meningovascular courses of disease with apoplectiform onset have been dominant since 1980. The patients concerned were nearly exclusively younger male adolescents. The decline in the classical development of neurolues in favour of meningovascular and atypical clinical pictures makes clinical diagnosis more difficult and requires routine application of standardized specific and serological tests in clinical practice.     

Whipple disease of the CNS

By the example of two cases that could only be cleared up by a postmortem examination the affection of the central nervous system by Whipple's disease is dealt with. The granulomatous inflammatory process which is almost exclusively localised in the grisea and shows a particular concentration in the diencephalon, in the cortex of the frontal, temporal and islet regions as well as in the deeper brain stem, had resulted in a variety of neurological-psychiatric symptoms, in most cases a systemic psychosyndrome, myoclonism and paresis of ocular movement. In both cases the diagnoses was verified by the electromicroscopic identification of the bacteria in the typical SPC cells.     

Story telling in families with children: A therapeutic approach to learning problems

Story telling can be used as an original method to restructure families with children. It actively involves parents in communicating with children in their own language, helping the family to switch from a rational language to an emotional/imaginary one, circumventing resistances and permitting its members to resume a natural path in parent-child communication. This paper illustrates how stories can be used in family interaction for treating problems of family origin. Selected stories were given to parents and children for them to read-listen/make comments/dramatize during the phase of family treatment which dealt specifically with learning problems. Three family cases in which story telling was useful in solving children's disabilities through promoting changes in the family structure and creating or enlightening parental functions of orientation and guidance are analyzed.This work was done at CERF, Buenos Aires, Argentina, and received the Margarita Ravioli Award from the Asociacion Argentina de Psiquiatria Infantil for the best paper in mental health and education, Buenos Aires, September, 1987. We wish to acknowledge psychologists Helen Lamuraglia, Julia Koremblit, and Susana Sola for their therapeutic cooperation with the family cases P and F respectively. We especially thank Harry Aponte, Alberto Gonzalez, and Helen Lamuraglia for their support, comments, and review of the paper, which enriched our scope and discussion.     

Epidemiologic study on the etiopathogenesis of multiple sclerosis

A computer-aided evaluation of those affected with multiple sclerosis (n = 90) with regard to the actually discussed hypothesis on the aetiology of this disease results in 10 significant signs. These signs in their majority support the combined hypothesis of a disturbed regulation of infection and immunity. Frequently, as early as in childhood and youth the upper airways are affected, and this is coupled with a severe course of the disease. The incidence also shows familially and territorially frequent occurrences.     

A longitudinal study of school adjustment in urban,minority adolescents: Effects of a high school transition program

Described an intervention program designed to prepare elementary school (K-8) eighth-grade students for their transition to high school the following year. Participants in the study were 145, predominantly Hispanic, inner-city public school adolescents. The experimental group received an augmented condition, consisting of Education and Peer Support Components. The control group received a minimal condition consisting of only the Education Component. While no group effects were observed, time effects indicated experimental and control students' improved perceptions of school readiness, but deteriorated perceptions of support from both home and school and diminished grade-point averages and attendance. Time effects also revealed variable changes in school perceptions. Findings are discussed in terms of a developmental perspective of the school transition process. Implications for high school transition programming with the target population and directions for future research are also addressed.     

Impact of the format of user instructions on the handling of a wrist blood pressure monitor

Cognitive Processing - Few studies have focused on procedural documents in the field of home medical devices, although incorrect use and usability problems can have important consequences for the...     

“Now you are the body of Christ,and members in particular” (1 Cor. 12:27): Pentecostalism and its Mission

The paper presents Pentecostalism that is primarily a mission movement more than a hundred years old. It reflects on the place and role in World Christianity of this still young and growing church tradition, and the relationships between Pentecostalism and the ecumenical movement. The challenges that Pentecostalism is facing are discussed, with special attention to the Eastern European context.     

Eliminating the memory blocking effect

Six experiments investigated the memory blocking effect (MBE) in which exposure to orthographically similar words (e.g., BALLOON) impairs one's ability to complete a similar fragment (e.g., BAL_ON_, solution is BALCONY). Experiments 1 and 2 demonstrated that blocking is not observed after a 72-hour delay; however, repetition priming was observed after the same delay. Experiments 3 and 4 showed that presenting unrelated semantic information during the fragment completion test eliminates blocking. Experiment 5 demonstrated that the MBE persists despite directed-forgetting instructions, and Experiments 5 and 6 demonstrated that activating both the solutions and blocking words for a particular fragment at study eliminates blocking. Collectively, the data demonstrate that reading orthographically similar primes automatically triggers retrieval of the blocking word and an executive control process works to manage this interference. A working framework that describes how an executive control mechanism could govern memory retrieval in the memory-blocking paradigm is presented to stimulate development of more advanced theoretical models that can explain blocking.     

Different Associations of Health Related Quality of Life with Pain,Psychological Distress and Coping Strategies in Patients with Irritable Bowel Syndrome and Inflammatory Bowel Disorder

The primary aim of this study was to measure psychological distress, pain severity, health related quality of life (QOL) and pain coping strategies in patients with irritable bowel syndrome (IBS) and ulcerative colitis (UC). A second aim was to determine the influence of somatic and psychological variables on health related QOL. Eighty-eight IBS and 66 UC patients completed the Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL), Pain Severity Scale of West Haven Yale Multidimensional Pain Inventory (WHYMPY), Symptom Checklist-90-R (SCL-90-R) and Coping Strategies Questionnaire (CSQ). T-tests and GLM Analysis of Covariance were used for statistical analysis. IBS patients had significantly higher levels of psychological distress, pain severity and maladaptive pain coping strategies (catastrophization), and lower QOL than UC patients. Variance of QOL in IBS was explained for the most part by catastrophization (15%), then by psychological distress (8%), and for the less part by pain severity (5%). In UC, pain severity explained 21%, psychological distress 8%, and catastrophization 3% of the variance of QOL. These results suggest there are differences between IBS and UC patients in the role of physical and psychological factors in QOL and emphasize the importance of cognitive processes in IBS.     

Speech rhythm alterations in Spanish-speaking individuals with Alzheimer’s disease

Rhythm is the speech property related to the temporal organization of sounds. Considerable evidence is now available for suggesting that dementia of Alzheimer’s type is associated with impairments in speech rhythm. The aim of this study is to assess the use of an automatic computerized system for measuring speech rhythm characteristics in an oral reading task performed by 45 patients with Alzheimer’s disease (AD) compared with those same characteristics among 82 healthy older adults without a diagnosis of dementia, and matched by age, sex and cultural background. Ranges of rhythmic-metric and clinical measurements were applied. The results show rhythmic differences between the groups, with higher variability of syllabic intervals in AD patients. Signal processing algorithms applied to oral reading recordings prove to be capable of differentiating between AD patients and older adults without dementia with an accuracy of 87% (specificity 81.7%, sensitivity 82.2%), based on the standard deviation of the duration of syllabic intervals. Experimental results show that the syllabic variability measurements extracted from the speech signal can be used to distinguish between older adults without a diagnosis of dementia and those with AD, and may be useful as a tool for the objective study and quantification of speech deficits in AD.