Unusual visual symptoms and Ganser-like state due to cerebral injury: a case study using (18)F-deoxyglucose positron emission tomography

Bizarre visual symptoms and absurd verbal responses to questions, in a 32-year-old man recovering from a severe asthma episode, suggested a possible conversion disorder with Ganser-like symptoms. Positron Emission Tomography (PET)revealed bilateral lesions involving occipital association cortex and posterior temporal and parietal lobes, most likely infarcts from hypoxia. PET permitted correlation of the patient's specific cortical lesions with his unusual perceptual, cognitive, and speech symptoms, including Ganser-like state, to a degree not previously possible in such cases.     

Neural substrates of the ‘low‐level’ system for speech articulation: Evidence from primary opercular syndrome

We describe a patient with progressive disorder of speech, without language impairment (opercular syndrome). Morphometric analysis confirmed asymmetric volume reduction of the precentral areas (>left). Diffusion imaging showed significant white matter changes in the left frontal lobe, with specific involvement of the left corticobulbar tract and connections between supplementary/pre‐supplementary motor areas and the frontal operculum (frontal aslant tract). We suggest that the organization of expressive language includes a ‘low level’ motor system principally distributed in the left hemisphere that shows specific susceptibility to neurodegeneration, distinct from neural systems subtending praxic, and cognitive aspects of language.     

Well‐being and pressures of daily life in two West Bank villages—Exploring context and history

Interest in the well‐being of people exposed to long‐term violence and conflict has tended to focus on measurable effects of acute traumatic events, while attention to the pressures of their daily living context is relatively new. Using qualitative and quantitative data from a 2005 survey of all female family caretakers in 2 neighbouring Israeli‐occupied West Bank villages (n = 820), we explored the associations of demographic, health‐related and contextual factors with reported pressures and WHO‐5 well‐being index scores. The final model explained 17.8% of the variance with negative associations between health‐related factors (“back‐aches,” “stomach aches” “psychological illness in the family”) and family‐related factors (“male head of household aggressive”, “male head of household physically violent”) and the WHO‐5 well‐being index scores. We found positive associations between socio‐economic factors (“standard of living”; “number of rooms”) and village‐related factors (“residency in village A/B”) and the WHO‐5 well‐being index score. Exploring the daily living context of villages A and B illuminated how the impact of historical and political events differed, even in villages that are geographically close. The paper lends support to calls for including politics and history in research on well‐being in contexts of long‐term violence and conflict.     

Developing an informational tool for ethical engagement in medical tourism

Background

Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism.

Methods

The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists.

Results

The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service.

     

Women,Human Rights,and Counseling: Crossing International Boundaries

As the world becomes more globalized, psychological and counseling issues have become more pronounced. As social justice issues become illuminated on a global scale, there is increased attention to women as identified victims of social injustices and human rights violations. This article examines the role of professional counselors working with women from an international perspective with the intention to heighten awareness and understanding of the interrelationship of global women's issues and effective counseling interventions.     

Processing speed mediates the development of general intelligence (g) in adolescence

In the research reported here, we examined whether processing speed mediates the development of general intelligence (g) in adolescence. Using the Armed Services Vocational Aptitude Battery, a battery of 12 diverse cognitive tests, we assessed processing speed and g in a large sample of 13- to 17-year-olds obtained from the National Longitudinal Survey of Youth (N = 6,969). The direct effect of age on g was small compared with the total effect of age on g, which was almost fully mediated through speed. The results suggest that increases in g in adolescence can be attributed to increases in mental speed.     

Memory for sound, with an ear toward hearing in complex auditory scenes

An area of research that has experienced recent growth is the study of memory during perception of simple and complex auditory scenes. These studies have provided important information about how well auditory objects are encoded in memory and how well listeners can notice changes in auditory scenes. These are significant developments because they present an opportunity to better understand how we hear in realistic situations, how higher-level aspects of hearing such as semantics and prior exposure affect perception, and the similarities and differences between auditory perception and perception in other modalities, such as vision and touch. The research also poses exciting challenges for behavioral and neural models of how auditory perception and memory work.