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Articles of Volume : 9 Issue : 4, August, 2021 | |
| Treatment of Patients in Coma and Exercises for Enhancing Cognitive Functions after Traumatic Brain Injury | Author : Theofilidis Antonis | Abstract | Full Text | Abstract :The neuropsychological training methods for the restoration of sensory losses after a TBI aim both at the restoration of the sensory losses and at the practice of the other senses to "compensate" for the dysfunctional sensation.
Aim: The purpose of the study was to present treatment of patients in coma and exercises for enhancing cognitive functions after traumatic brain injury.
Results: Electronically assisted treatment methods (Computer - Assisted Treatment, CAT) are now recognized methods, with high success rates in the rehabilitation of patients after TBI.
Conclusions: Cognitive rehabilitation must be done taking into account a variety of neurofunctional abilities and weaknesses. Basic skills need to be stimulated before any approach to more complex ones can be made. The use of audiovisual media in general contributes both to the restoration of vision and compensatory restoration of functions as well as to the general restoration of the patients cognitive functions. Cognitive rehabilitation to recover and improve attention and memory, offers a variety of different types of exercises for specific disorders. Exercise can vary in degree of difficulty depending on the patients needs. |
| | Surgical Results of Lumbar Canal Recalibration by Modified Senegas Technique | Author : Norbery Jorge RodrÃguez De La Paz | Abstract | Full Text | Abstract :The aim of recalibration of the lumbar canal using the Senegas technique guarantees stability and preserves movement, with a considerable reduction in surgical risk and faster incorporation into daily life. Objective: To evaluate the surgical results of recalibration of the lumbar canal using the modified Senegas technique.
Materials and Methods: An ambispective and cross-sectional descriptive observational study was carried out at the Institute of Neurology and Neurosurgery between January 2011 and December 2019 that were evaluated 6 and 12 months after having been operated.
Results: 70.7% of the patients manifested chronic low back pain, and dysesthesia was found in 39.8%. There were 15.8% complications. The clinical evolution according to the Lumbar and Lower Limb Verbal Numerical Scale and the functional one according to the Oswestry Disability Index was better at 6 and 12 months after the intervention compared to the preoperative period. The result was considered good at 82.7% and 89.4%, respectively, at 6 and 12 months.
Conclusions: The clinical and functional evolution of the operated patients is significantly better at 6 and 12 months concerning the preoperative one. At both 6 and 12 months, surgical results are good in the vast majority of patients. |
| | Psychiatry vs. Antipsychiatry: Facts set against Protests | Author : Saeed Shoja Shafti | Abstract | Full Text | Abstract :Psychiatry is, indeed, basically similar to the rest of medicine. It is based upon making reliable diagnoses and applying evidence - based treatments that have success rates comparable with those used in other specialties. Psychiatric syndromes may be defined as disorders that are conventionally treated with treatments used by psychiatrists. The illnesses in which psychiatrists have developed proficiency have tended to be those that either manifest with disordered psychological functioning (thinking, perception, emotion, and memory) or those which have no obviously established organic basis. However, scientific developments are showing us that these so - called psychological ailments are linked with abnormalities of the brain, just as so - called medical illnesses are deeply affected by psychological factors. Modern psychiatry is an evolving field that is becoming less hospital based, more evidence based, and more neuroscience based. Nonetheless, during the last decades, random antipsychiatry attitudes have amalgamated and turned into a conjectural effort, which has a humanistic appearance, too. On the other hand, publicized criticisms by some associates, including known psychiatrists or psychotherapists, have, radically, stirred and reinforced the movement. Anyway, though various criticisms or worries about psychiatry, either as a subdivision in science or as a clinical practice in medicine are understandable due to existing scientific or diagnostic deficits, anti-psychiatry stance, which comprises many historical exaggerations based on happenings and primitive conditions from a century ago, may help to keep us rigorous and honest about what we do and inspiring us to insistently seek better diagnostic prototypes and management standards. In the present article, the said antagonism, in addition to the existing facts and expected responsibilities of psychiatry has been discussed concisely. |
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