Frequent Versus Non-frequent Prompts and Task Performance in Persons with Severe Intellectual Disability

Abstract

This study extended the evaluation of frequent vs non-frequent prompts to support task performance with people with severe intellectual disability. Three participants were involved in the study. The data indicated that the frequent prompts strategy promoted higher levels of on-task behaviour and correct responding for 2 participants and on-task behaviour for 1 participant. The relation of these data with previous findings and their implications for daily occupation programmes for persons with severe developmental disabilities are discussed     

Blood flow velocity changes in anterior cerebral arteries during cognitive tasks performance

Objective

Transcranial Doppler sonography (TCD) enables monitoring of blood flow velocities (BFVs) in basal cerebral arteries during different cognitive tasks performance with great temporal resolution. So far, BFVs changes during mental activity were monitored primarily in middle cerebral arteries (MCAs) and little is known about these changes in anterior cerebral arteries (ACAs).

Aim

To determine the effect of different cognitive tasks performance on BFV changes and hemispheric dominance in ACAs and to assess the most suitable activation test for monitoring of BFV changes in ACAs.

Methods

Fourteen right-handed, healthy subjects aged 20–26 were included in the study. BFVs in both ACAs were recorded simultaneously during performance of cognitive tasks designed to activate frontal lobes: phonemic verbal fluency test (pVFT), Stroop tests and Trail Making Tests (TMTs).

Results

A statistically significant BFV increase was recorded in both ACAs during performance of all cognitive tasks. Statistically significant right ACA dominance was found during performance of pVFT and TMTB. The most significant BFV increase was obtained during performance of TMTB.

Conclusion

Our result addressed cognitive tests with great activation potential for monitoring of ACAs that might be used in distinguishing of healthy individuals and patients with neurovascular or neurodegenerative diseases.     

Embedding Logics into Product Logic

We construct a faithful interpretation of ukasiewicz's logic in product logic (both propositional and predicate). Using known facts it follows that the product predicate logic is not recursively axiomatizable.We prove a completeness theorem for product logic extended by a unary connective of Baaz [1]. We show that Gödel's logic is a sublogic of this extended product logic.We also prove NP-completeness of the set of propositional formulas satisfiable in product logic (resp. in Gödel's logic).     

Adaptation effects on evoked electrical taste

In spite of a clear increment in absolute thresholds as an effect of self-adaptation, the electrically provoked taste sensation does not show a reduction in subjective intensity during the protracted stimulation time. Chemical cross-adaptation effects on the threshold and suprathreshold levels of electrical taste are observed only when the adapting solutions are electrolytes regardless of their taste qualities. It seems that the stability of perceived intensity during current flow is principally due to some irritation of the sensitive tissue of the tongue, whereas cross-adaptation effects may be attributed to the potential changes across the excitable membranes caused by electrical properties of adapting electrolytic solutions.     

State work engagement and state affect: Similar yet distinct concepts

State work engagement (SWE), a multidimensional construct of work-related well-being, was originally conceptualized as a trait, but diary studies have revealed substantial within-person fluctuations. Given that SWE is conceptualized as a work-related affective-motivational construct, the question arises as to whether SWE can be differentiated from other affective constructs. Thus, the goal of the present study was to compare SWE and state affect with respect to their degree of within-person variability and to examine their distinct relationships with health and performance variables (i.e., sleep quality and job performance). Fifty-two employees (44% female) participated in the study, which included 3 assessments per day over the course of 2 weeks. Our results revealed that energetic arousal and tense arousal fluctuated more strongly within days than vigor and absorption. Multilevel analyses demonstrated that high sleep quality predicted higher state affect but not higher SWE. In addition, vigor exhibited an inverted U-shaped relation with performance. In sum, SWE as a time-varying construct showed some overlap with state affect but also demonstrated discriminant validity.     

Multisensory Stimulation to Improve Low- and Higher-Level Sensory Deficits after Stroke: A Systematic Review

The aim of this systematic review was to integrate and assess evidence for the effectiveness of multisensory stimulation (i.e., stimulating at least two of the following sensory systems: visual, auditory, and somatosensory) as a possible rehabilitation method after stroke. Evidence was considered with a focus on low-level, perceptual (visual, auditory and somatosensory deficits), as well as higher-level, cognitive, sensory deficits. We referred to the electronic databases Scopus and PubMed to search for articles that were published before May 2015. Studies were included which evaluated the effects of multisensory stimulation on patients with low- or higher-level sensory deficits caused by stroke. Twenty-one studies were included in this review and the quality of these studies was assessed (based on eight elements: randomization, inclusion of control patient group, blinding of participants, blinding of researchers, follow-up, group size, reporting effect sizes, and reporting time post-stroke). Twenty of the twenty-one included studies demonstrate beneficial effects on low- and/or higher-level sensory deficits after stroke. Notwithstanding these beneficial effects, the quality of the studies is insufficient for valid conclusion that multisensory stimulation can be successfully applied as an effective intervention. A valuable and necessary next step would be to set up well-designed randomized controlled trials to examine the effectiveness of multisensory stimulation as an intervention for low- and/or higher-level sensory deficits after stroke. Finally, we consider the potential mechanisms of multisensory stimulation for rehabilitation to guide this future research.     

Couples’ Work Schedules and Child-Care Use in the Netherlands

Various aspects of parental work schedules affect the opportunities and constraints that parents encounter when arranging care for their children. This study examined the extent to which the combination of couples’ work schedules was associated with their use of different types of child care, focusing on parental, formal, and informal child care. We considered multiple dimensions of couples’ work schedules, namely, the timing of work, schedule flexibility, and home-based telework. Data from a recent Dutch survey were used, including information about 1599 dual-earner couples with children aged 0–6 years. The results indicated that paid work during nonstandard hours increased the amount of parental child care that was provided by one parent while the other parent was working, whereas work during evenings, nights, and weekends decreased the likelihood of using both formal and informal child care. Results further revealed gender differences for nonstandard hours and schedule flexibility. We found stronger effects of mothers’ work schedules, indicating that a gender-neutral approach to parental work is not justified. These results indicate that the timing of parental work is important to consider when examining not only parental child care but also formal and informal child-care use. We provide recommendations for future research, specifically regarding the possible consequences for parental well-being.     

Professional Experience and Referencing Context Explain Variance in Use of Spatial Frames of Reference

The location of objects in relation to other objects can be perceived of and communicated in different ways. Assuming that variance in spatial Frame of Reference (FoR) use may be explained by practical professional requirements, we reasoned that medical professionals may increasingly use the intrinsic FoR which because of its observer‐independence is less prone to misunderstandings than relative FoRs. We compared FoR‐use of beginner and advanced medical students (n = 142) to that of law students (n = 191) using 40 ambiguous referencing tasks. We found that medical students applied the intrinsic FoR more frequently than law students in a medical yet not in a generic context. Beginners did not differ from advanced students. Within contexts, individuals were highly consistent in their FoR‐use. Investigation of latencies indicates that processing of the intrinsic FoR becomes easier with practice. Theoretical and practical implications are discussed. Copyright © 2016 John Wiley & Sons, Ltd.     

Dynamic testing of learning potential in adults with cognitive impairments: A systematic review of methodology and predictive value

Dynamic testing includes procedures that examine the effects of brief training on test performance where pre‐ to post‐training change reflects patients’ learning potential. The objective of this systematic review was to provide clinicians and researchers insight into the concept and methodology of dynamic testing and to explore its predictive validity in adult patients with cognitive impairments. The following electronic databases were searched: PubMed, PsychINFO, and Embase/Medline. Of 1141 potentially relevant articles, 24 studies met the inclusion criteria. The mean methodological quality score was 4.6 of 8. Eleven different dynamic tests were used. The majority of studies used dynamic versions of the Wisconsin Card Sorting Test. The training mostly consisted of a combination of performance feedback, reinforcement, expanded instruction, or strategy training. Learning potential was quantified using numerical (post‐test score, difference score, gain score, regression residuals) and categorical (groups) indices. In five of six longitudinal studies, learning potential significantly predicted rehabilitation outcome. Three of four studies supported the added value of dynamic testing over conventional testing in predicting rehabilitation outcome. This review provides preliminary support that dynamic tests can provide a valuable addition to conventional tests to assess patients’ abilities. Although promising, there was a large variability in methods used for dynamic testing and, therefore, it remains unclear which dynamic testing methods are most appropriate for patients with cognitive impairments. More research is warranted to further evaluate and refine dynamic testing methodology and to further elucidate its predictive validity concerning rehabilitation outcomes relative to other cognitive and functional status indices.