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.     

Participant protection with the use of records: ethical issues and recommendations

This article explores the ethical concerns and protections that may be required when individually identifiable data originally collected solely for clinical or administrative purposes are used in research or evaluation. It asks the following broad question with respect to the interim policy developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) to protect the rights and welfare of participants in its programs: For those programs and projects not classified as research, are the protections and system for review adequate? Background information on SAMHSA's interim policy is provided, along with issues and questions related to the use of clinical and administrative records in research and evaluation. The article concludes with recommendations for modifying the existing participant protection guidelines, based on the preceding discussion of issues and questions.     

An Evaluation of Alternative Ways of Computing the Creativity Quotient in a Design School Sample

Certain educational programs and jobs require selecting individuals based on their creativity. Tests of creativity are commonly based on divergent thinking tasks. The scoring of the ideational output of such tasks should ideally be done based on fluency (the number of ideas generated), flexibility (the number of categories into which the generated ideas can be partitioned), and originality (the number of unique or unusual ideas). However, most scoring procedures do not take into account all three dimensions. Building on the Creativity Quotient (CQ) measure (Snyder, Mitchell, Bossomaier & Pallier, 2004 Snyder , A. , Mitchell , J. , Bossomaier , T. , & Pallier , G. ( 2004 ). The creativity quotient: An objective scoring of ideational fluency . Creativity Research Journal , 16 , 415 – 420 .[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]), which covers fluency and flexibility, an adjusted CQ and two CQs based on diversity type measures are proposed. Findings indicated that an adjusted measure that weights categories based on their discriminative power was most strongly related to other predictors of performance on creative tasks and thus presents an important advance over the original CQ.     

Changing caring behaviours in rehabilitation after a hip fracture – A tool for empowerment?

Different rehabilitation programs after surgery have been presented to improve the outcome for patients with a hip fracture. Empowerment has been suggested as useful, but requires a change in the caring behaviours of health professionals. The aim with this study was to evaluate if training and supervision of the nursing staff could alter caring behaviours. A case-control study of nursing staff treating hip fracture patients was performed at a hospital with two sites. Training and supervision was given to the nursing staff at the intervention site. The intervention focused on creating positive care interaction by using eight guidelines. The evaluation was performed with recordings of a constructed caring situation before training, and observations of care situations at the ward before and after intervention. The results showed no differences at baseline between the two sites in the caring behaviours. After intervention, significant effects of caring behaviours were seen in seven out of eight guidelines, the effect sizes ranged from medium to large. The findings indicate that the nursing staff can change caring behaviours and facilitate the empowerment of patients with a hip fracture.     

Resistance to Deficient Organizational Authority: The Impact of Culture and Connectedness in the Workplace

In 2 countries differing on individualistic–collectivistic orientation, we investigated resistance to a request made by a manager perceived as lacking personal power based on a key attribute (e.g., expertise, relationality). Results of an experiment with Polish and American participants were consistent with cultural differences in the preferred attribute of leaders in the 2 nations. Participants were more resistant to a manager who lacked the attribute more valued in their culture: Americans were more resistant to managers perceived as lacking in expertise, whereas Poles were more resistant to managers perceived as lacking in relational skills. This effect occurred only under conditions of well-established workplace relationships, suggesting that group connectedness creates a tendency to behave in line with predominant cultural norms.     

Widowhood and its process in contemporary african society: A psycho-social study

Widowhood is often covered in myth and its processes left to the governance of whatever social or cultural system a bereaved person finds him/herself in. It is often felt that cultural traditions constitute the best guide to be followed or authority in widowhood. Recent societal experiences on widowhood and adjustment process however, question this position. It is clear that a more critical understanding of the widowhood process within traditional cultural, legal and psychosocial contexts need to emerge. This paper offers an explanation for this by discussing conceptual and operational definition, characteristics, and psycho-social manifestations in widowhood. Case studies are presented to illustrate some of the patterns in widowhood emerging in contemporary African society and the need to react in a more definite manner in order to evolve appropriate socio-legal and therapeutic resources and techniques.     

Barriers to fair housing for black women

This article examines barriers to fair housing (or equality of access to housing opportunities) for black women in both the private and public sectors. First the coverages of federal fair housing legislation are described. Then evidence of discrimination (behavior that denies to one group the rights or opportunities given to others) against black women seeking housing is explored in several contexts—on the basis of race, of sex, and of membership in a family with children. Available data suggest that the major form of housing market discrimination confronting black women is based on race. Despite legislation prohibiting them, subtle forms of discrimination on the basis of both race and sex appear to continue. In addition, several instances were reported in which discrimination against families with children was used to camouflage racially motivated discrimination.This analysis is the author's own and should not be attributed to the U.S. Congressional Budget Office.     

Prism adaptation changes the subjective proprioceptive localization of the hands

Prism adaptation involves a proprioceptive, a visual and a motor component. As the existing paradigms are not able to distinguish between these three components, the contribution of the proprioceptive component remains unclear. In the current study, a proprioceptive judgement task, in the absence of motor responses, was used to investigate how prism adaptation would specifically influences the felt position of the hands in healthy participants. The task was administered before and after adaptation to left and right displacing prisms using either the left or the right hand during the adaptation procedure. The results appeared to suggest that the prisms induced a drift in the felt position of the hands, although the after‐effect depended on the combination of the pointing hand and the visual deviation induced by prisms. The results are interpreted as in line with the hypothesis of an asymmetrical neural architecture of somatosensory processing. Moreover, the passive proprioception of the hand position revealed different effects of proprioceptive re‐alignment compared to active pointing straight ahead: different mechanisms about how visuo‐proprioceptive discrepancy is resolved were hypothesized.