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Wyświetlanie 1-18 z 18
Tytuł:
VISUAL ART IN APHASIA THERAPY: THE LOST AND FOUND SELF
Autorzy:
Pąchalska, Maria
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/2137813.pdf
Data publikacji:
2020-05-08
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
stroke
emotions
therapy
drawing
painting
Opis:
Recently, the relationship between visual art and brain function and disease has raised considerable interest among neurologists, neuroscientists, and artists themselves. Visual art production involves multiple processes including basic motor skills, such as the coordination of movements, visual-spatial processing, emotional output, a socio-cultural context, as well as obviously creativity. Thus, the relationship between artistic output and brain diseases is particularly complex, and brain disorders may lead to an impairment of artistic production in multiple domains. Understanding the nature of aphasia, which leads to significant changes in human life in the physical, psychological, social and professional sphere, makes us aware of the importance of the individual (objective and subjective) and the social (collective and cultural) self system in the process of creation, especially in artists. Observing the works of artists with aphasia, we notice that each of them perceives the surrounding world differently. One wonders what makes them present reality in one way and not in another. It is true that all works of art show reality in thousands of different ways, and only an unoriginal artist will employ someone else's vision - one already used in a work. It should not be forgotten, however, that the work of artists with aphasia often takes on features resulting from the nature of the problems they face and is initially unoriginal, as they have to overcome fundamental technical difficulties and problems of technique. In this article, we present the possibilities for rehabilitation, of strengthening artists with aphasia, in order for them to find the self lost as a result of illness.
Źródło:
Acta Neuropsychologica; 2020, 18(2); 149-181
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Neuropsychological diagnosis of a female patient with Arnold-Chiari malformation type I
Autorzy:
Nowaczyk, Natalia
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/28762818.pdf
Data publikacji:
2023-12-18
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
hindbrain dysfunction
derealization state
visual attention
microgenetic theory
symptom formation
Opis:
Arnold–Chiari I malformation is a congenital malformation of the hindbrain characterized by displacement of the cerebellar tonsils into the foramen magnum, pressure on the fourth ventricle, and decreased fluid flow to the basal cisterns. It is a mild form of the neuro-cranio-vertebral syndrome (Arnold–Chiari syndrome) because in many cases it is asymptomatic or has few clinical signs and symptoms of mild severity. The case study presented in the article concerns a 16.5-year-old patient with Arnold–Chiari I malformation following surgery. Based on the neuropsychological diagnosis, clinical symptoms that might result from the course of structural and functional changes in the hindbrain in Arnold–Chiari I syndrome were described and explained. The following were observed: selective difficulties in planning and concentration (maintaining the direction of action) and a weakening of visual perception (described by the patient as a subjective state of derealization). The results of the neuropsychological diagnosis point to certain practical implications for the further therapeutic treatment of patients with a mild form of Arnold–Chiari I malformation, especially as there is a risk of clinical symptoms changing over time due to the posibility of progressive neurodegenerative changes in the hindbrain.
Źródło:
Acta Neuropsychologica; 2023, 21(4); 467-488
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
THE NEUROPSYCHOLOGY OF METAPHORS IN PATIENTS AWAKENED FROM POST-TRAUMATIC COMA
Autorzy:
Pąchalska, Maria
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/2137959.pdf
Data publikacji:
2020-11-09
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
comprehension of metaphors
use of metaphors
transferential meaning
abstract meaning
Opis:
Metaphor simply is defined as a verbal construct with two referents: one literal, based on the ordinary, concrete meanings of the word or words involved, and the other metaphorical, that is one derived from an implicit analogy between the literal referent and some other phenomenon, usually an abstraction that is implied, but not named. The aim of this paper is a description of the neuropsychology of metaphors in patients awakened from post-traumatic coma. A group of 34 patients awakened from post-traumatic coma and treated at the Reintegrative and Teaching Centre of the Polish Neuropsychological Society, Poland during the period 2017- 2019 participated in this study. This group included 15 women and 17 men, with an average age of 31.2 ± 8.72 years; as a group, the women were somewhat older (32.6 ± 9.79 vs. 31.1 ± 9.18). We recorded the patients’ utterances with the use of video record- ings of open-ended conversations, and made occasional efforts to introduce proverbs, idioms, and other metaphors into their conversation, but this was done on an impromptu basis. The analysis of recordings of 100 randomly selected statements obtained from each patient revealed the presence of 4 types of errors: (1) non-comprehension, i.e. the listener’s inability to comprehend the meaning of the metaphor used by the speaker, as indicated by the lack of an adequate response, an expression of puzzlement, or a question as to the meaning of the metaphor used by the speaker; (2) concretization, which occurs when the listener reacts to the literal meaning of the word, phrase, or sentence, rather than its metaphorical referent; (3) misapplication, when the speaker uses a familiar metaphor in an inappropriate context; (4) the use of incomprehensible or bizarre metaphors by the speaker, so that the intended meaning is difficult or impossible for the listener to ascertain. On many occasions, however, the gist of the metaphor emerged at some later point in the discourse, despite the surface problems. It was found that the TBI patients we studied showed a marked tendency in spontaneous conversation to concretize or misunderstand the metaphors used by others, and to use inappropriate or bizarre metaphors in their own speech. On many occasions, however, the gist of the metaphor emerged at some later point in the discourse, despite the surface problems.
Źródło:
Acta Neuropsychologica; 2020, 18(4); 437-464
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Strategie konwersacyjne w wypowiedziach osób jąkających się
Conversational strategies of people who stutter
Autorzy:
Ożdżyński, Jan
Góral-Półrola, Jolanta
Michalik, Mirosław
Powiązania:
https://bibliotekanauki.pl/articles/459288.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Pedagogiczny im. Komisji Edukacji Narodowej w Krakowie
Tematy:
conversational strategies
stuttering
dialogue
adjoining pairs
strategie konwersacyjne
jąkanie
dialog
para przylegająca
Opis:
The article presents the research into the interaction within the specific discourse based around the dialogue of people with stuttering disorder. The analysis of the dialogues was performed with the use of the theory of conversational strategies created by Aleks Awdiejew (2004). The dialogues were therefore analysed in terms of four (mutually dependent) basic conversational strategies: informational-verificative, axiological-emotive, behavioral, and meta discursive.
Źródło:
Annales Universitatis Paedagogicae Cracoviensis. Studia Linguistica; 2018, 13; 107-116
2083-1765
Pojawia się w:
Annales Universitatis Paedagogicae Cracoviensis. Studia Linguistica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Quality of life of a patient after endarterectomy of the Internal Carotid Artery (ICA) following an acute ischemic stroke (AIS) during COVID-19
Autorzy:
Cielebąk, Ksenia
Kobos, Mikołaj
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/28763586.pdf
Data publikacji:
2023-08-29
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
Covid-19
NeuroCOVID-19
AIS
CEA
Anomia
HRQOL
Opis:
The aim of the study was to evaluate the quality of life of a patient af- terendarterectomy (CEA) of the Internal Carotid Artery (ICA) following an Acute ischemic stroke (AIS) during COVID-19. A right-handed, 51-year-old patient, a visual artist, single, in good health and no chronic illnesses to date, became infected with SARS-CoV-2 and contracted COVID-19. The presence of SARS-CoV-2 virus was confirmed by a RT PCR antigen test. The patient was hospitalized, and required mechanical ventilation at an Intensive Care Unit (ICU) before an acute ischemic stroke (AIS) onset. Except for untreated hypertension, her medical history was unremarkable. Her blood pressure was 180/100 mm Hg; her pulse was 76 beats per minute and was regular. AIS from the left middle cerebral artery (MCA) has resulted primarily in damage to the left hemisphere, and secondary effects on the right side resulting in body weakness and mild anomic aphasia. Magnetic resonance imaging (MRI) confirmed stroke and detected brain tissue damaged by an AIS. It revealed hyperintense foci in the T2 and FLAIR sequences, 21 mm in size in the left hemisphere of the brain. In search of the cause of AIS, CT angiography was performed. It revealed a large (90%) ICA occlusion. The patient was admitted to the emergency room at the Vascular Surgery Clinic with an Endovascular Subunit. The revascularization procedure (CEA) was performed under general endotracheal anesthesia with the use of the protocol and techniques (elaborated at the Department of Vascular Surgery and Endovascular Procedures, The John Paul II Hospital in Krakow). The CEA procedure improved her general health: she regained the ability to name objects and her HRQOL also improved in her perception. The improvement achieved was statistically significant. She returned to painting and functions well in society. The patient’s perception of HRQoL measured by the SF-36 domains was better after the CEA: a significant improvement in self-reported overall health has occured. The HRQoL outcome measures may be valuable in future clinical trials of comparing different methods of treatment offered after AIS.
Źródło:
Acta Neuropsychologica; 2023, 21(3); 305-323
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Czy mózg się jąka?
Does Brain Stutter?
Autorzy:
Humeniuk, Ewa
Góral-Półrola, Jolanta
Tarkowski, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/892839.pdf
Data publikacji:
2020-08-27
Wydawca:
Polskie Towarzystwo Logopedyczne
Tematy:
jąkanie
mózg
zaburzenia w funkcjonowaniu mózgu
stuttering
brain
disturbances of the brain
Opis:
Badania nad jąkaniem skoncentrowane wokół patologii układu nerwowego są aktualnie jednymi z najbardziej dynamicznie rozwijających się. U ludzi jąkających się stwierdza się różnego rodzaju nieprawidłowości dotyczące anatomii ośrodków odpowiedzialnych za realizację funkcji językowych, zaburzenia funkcjonalne, nieprawidłową lateralizację funkcji językowych oraz zaburzenia połączeń między ośrodkami. Wiele badań dowodzi, że u jąkających się występują zaburzenia funkcjonalnej asymetrii mózgu. Lewopółkulowa reprezentacja mowy nie jest tak wyraźnie zaznaczona jak u osób mówiących płynnie. Płynność mówienia możliwa jest dzięki realizacji planu motorycznego, który u jąkających się jest nieprawidłowo zsynchronizowany. Występuje też wadliwa współpraca pomiędzy programem lingwistycznym a jego motorycznym wykonaniem. Dysfunkcje dotyczą nie tylko obszarów ekspresyjnych mowy, ale także ośrodków słuchowych, których prawidłowe funkcjonowanie jest niezbędne dla prawidłowego przebiegu mowy. Badania dowodzą, że słuchowe sterowanie własną mową za pomocą sprzężenia zwrotnego jest u osób jąkających się zaburzone, a jednej z przyczyn upatruje się w nieprawidłowościach anatomicznych i funkcjonalnych obszaru słuchowego. Wyniki badań dotyczące budowy mózgu i jego funkcjonowania u osób jąkających się wskazują na liczne nieprawidłowości. Dotyczą one całego układu funkcjonalnego mowy. Warto podkreślić, że różnice funkcjonalne pojawiają się w sytuacji, kiedy jąkający się mówią lub nawet wtedy, kiedy wyobrażają sobie, że mówią.
Currently, stuttering studies focused on central nervous system pathology are one of those which develop most dynamically. Stutterers display various disorders within the anatomy of centres which control realization and abnormal lateralization of language functions, as well as functional disorders. Abundant research has proved that stutterers display disturbed functional brain asymmetry. The left hemisphere speech representation in a stutterer’s brain is marked less clearly than in the case of fluent speakers. Speech fluency comes from realizing the motor plan, which is abnormally synchronised in a stutterer’s brain. Similarly, stuttering people display incorrect cooperation between the language program and its motor performance. Dysfunctions are observed not only in the expressive speech areas, but also in the hearing centres, whose proper functioning is vital for normal course of speech. Research has showed the disturbed auditory feedback control of speech among stutterers, which is thought to be caused by anatomical and functional abnormalities within the brain hearing area. Results of studies over stutterers’ brain structure and functioning point to numerous abnormalities observed in the whole functional system of speech. Importantly, these functional differences occur among stutterers during actual speech and even when speaking is only visualized in the stutterer’s mind.
Źródło:
Logopedia; 2017, 46; 241-253
0459-6935
Pojawia się w:
Logopedia
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
AN EVALUATION OF TRANSCRANIAL DIRECT CURRENT STIMULATION (TDCS) IN THE REDUCTION OF OCCUPATIONAL BURNOUT SYNDROME IN NURSES
Autorzy:
Wilczek-Rużyczka, Ewa
Gawrońska, Aleksandra
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/2138033.pdf
Data publikacji:
2021-03-20
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
neurotherapy
depression
chronic psychophysical exhaustion
vegetative problems
Opis:
The aim of the study was to answer the question as to whether transcranial direct current stimulation (tDCS) is more effective in reducing burnout syndrome in nurses than the commonly used individual psychotherapy. The study included 40 nurses from various health care facilities located in the Lesser Poland and Podkarpackie Voivodeship suffering from burnout syndrome. They were assigned to the experimental group while 20 to the control group. Two different therapy models were used: the experimental group (A) included 20 of the nurses treated with the use of transcranial direct current stimulation (tDCS), four times a week for 8 weeks, in sessions that lasted initially 10, then 15, 20, 25 and finally 30 minutes and the control group (B) included 20 of the nurses treated with individual psychotherapy employed for 8 weeks, once a week for 30 minutes. To evaluate the results we used: screening with a clinical interview, the Mini–Mental State Examination (MMSE), the Beck Depression Inventory and a Polish adaptation of the Italian questionnaire created by Massimo Sentinello (LBQ). Treatment was provided. The transcranial direct current stimulation (tDCS) used in Group A is more effective in reducing many symptoms than is the case with individual psychotherapy. Comparing the intragroup effects, it was found that the tDCS employed in Group A significantly reduced the intensity of depressive symptoms among the surveyed nurses [F (1.38) = 57.62; p <0.001; η2 = 0.603] while the individual psychotherapy used in Group B failed to produce a statistically significant effect [F (1.38) = 1.794; p = 0.188; η2 = 0.045]. These include a reduction of depression, a reduction in chronic psychophysical exhaustion, vegetative problem reduction, and the improvement of nurse-patient relations. Neurotherapy with the use of transcranial direct current stimulation (tDCS) is more effective in reducing burnout syndrome than the commonly used individual psychotherapy. It also helps to return these nurses to full professional activity. The studies presented above recommend the use of new neurotechnologies in therapy as a result of their usefulness and non-invasive character.
Źródło:
Acta Neuropsychologica; 2021, 19(2); 169-185
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
EFFECT OF INDIVIDUALLY-TAILORED TDCS AND SYMBOLIC ART THERAPY FOR CHRONIC ASSOCIATIVE PROSOPAGNOSIA AFTER INFECTION BY SARS-COV-2, NEUROCOVID-19 AND ISCHEMIC STROKE
Autorzy:
Pąchalska, Maria
Góral-Półrola, Jolanta
Chojnowska-Ćwiąkała, Izabela
Powiązania:
https://bibliotekanauki.pl/articles/2138052.pdf
Data publikacji:
2021-07-30
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
SARS-CoV-2
neuroCOVID-19
ischemic stroke
prosopagnosia
painting
art therapy
Opis:
Background The rehabilitation of patients with chronic prosopagnosia that occurs following a stroke is a challenge for modern medicine. Dysfunction to the facial processing areas is permanent and standard rehabilitation brings only limited improvement. Therefore, therapists suggest reinforcing the compensatory strategies used by such patients such as voice, figure, and gait recognition to help with the identification of a particular person, which promotes their social functioning. New neurotechnologies, especially QEEG/ERPs, displays of functional brain impairment in prosopagnosia, may be helpful in developing an appropriate neurotherapy protocol and create the conditions for other forms of rehabilitation in such patients. The purpose of our study was twofold: 1) to evaluate QEEG/ ERPs shows of post-stroke functional impairment associated with prosopagnosia, 2) to construct a neurofeedback protocol based on these indices to sup- port the neuropsychological rehabilitation of the case study described herein. We present the case of a 23-year-old right-handed student of the Graphics Faculty of the Academy of Fine Arts, with chronic associative prosopagnosia after infection with SARS-CoV-2 followed by Covid-19 and a right hemisphere stroke. He was re- ferred in April 2021 for diagnosis and therapy at the Reintegration and Training Cen- ter of the Polish Neuropsychological Society (PTNeur). Six months earlier, in October 2020, the patient had been admitted to the Infectious Disease Hospital. COVID-19 was diagnosed based on coronavirus 2 (SARS-CoV-2) reverse transcrip- tion PCR (RT-PCR) on a nasopharyngeal swab. The neurological examination re- vealed muscle weakness on the left side of the body, slow and aprosodic speech, preserved comprehension, and acute left homonymous hemianopsia, as well as prosopagnosia and mirror symptom. The patient was sedated and mechanically ventilated for six days. The CT-scan showed foci in the posterior part of the superior temporal lobe and hyperintense changes in the blood supply area of the right middle cerebral artery. After 30 days of hospitalization, the patient was discharged from this hospital and referred to an outpatient rehabilitation center for five months. Ther- apy improved his general condition but did not remove the chronic prosopagnosia: a personal tragedy for the patient which prevented him from continuing his studies. He was diagnosed at the PTNeur Reintegration and Training Center within the next few weeks: (1). ophthalmologic examinations revealed no pathology; (2) neuropsy- chological testing confirmed the presence of chronic apperceptive prosopagnosia; (3) examination of event-related potentials (ERPs) revealed a large delay of the N170 wave, particularly on the right side, indicating a slowing of the rate of nerve impulses in early face processing and a cause of prosopagnosia. The patient was referred for rehabilitation: he participated in 20 sessions of individually tailored anodal transcranial direct current stimulation (tDCS) twice a week for ten weeks, and in parallel, for indi- vidualized Prosopagnosia Symbolic Art Therapy provided once a week for ten weeks. By the end of therapy, the patient was not only recognizing but also painting portraits of faces. He returned to college, finished and defended a master’s thesis in Artistic Drawing, in which facial presentation played an important role. Quantitative EEG (QEEG) and event-related potentials (ERPs) neuromarkers helped to understand the mechanism of prosopagnosia and to choose an individualized protocol, thus the appropriate application of tDCS in our patient, which accelerated the recovery of the ability to perform complex tasks and created the conditions for Symbolic Art Therapy. Modern medicine can successfully use such a management protocol in individuals with chronic prosopagnosia.
Źródło:
Acta Neuropsychologica; 2021, 19(3); 329-345
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
FUNCTIONAL NEUROMARKERS IN PARKINSON’S DISEASE (PD)
Autorzy:
Góral-Półrola, Jolanta
Mirski, Andrzej
Knapik, Henryk
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2138039.pdf
Data publikacji:
2021-03-20
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
high rolandic beta
ERPs
HBI methodology
Opis:
New neurotechnologies which help to study not only the structure but also brain work, especially in milliseconds, allow for a more accurate diagnosis of a given disease entity. The aim of our study was to characterize the functional neuromarkers, including a new neuromarker, that is high rolandic beta, in Parkinson’s disease (PD). A 76-year-old male patient, a university professor, a widower, in an intimate relationship with a beloved partner, was tested in the Reintegration and Training Center of the Polish Society of Neuropsychology. Five years earlier (when he was 71 years old), following long-term stress, he had had a transient ischemic attack (TIA). In the following years he experienced two neurological episodes, and was diagnosed, on the basis of MRI findings and clinical symptoms, with vascular (multi-infarct) Parkinsonism. A sudden deterioration in his functioning, including hand tremors at rest, bradykinesia (motor slowdown), asymmetrical gait difficulties, postural instability, and falls typical for PD, as well as MRI finding (the appearance of ‘a swallow tail ’ on the left side, and the lack on the right of the substantia nigra within the midbrain) was the cause of further differential diagnosis. He was assessed using the HBI methodology (Kropotov 2016; Pąchalska, Kaczmarek, Kropotov 2014). EEG was recorded from 19 scalp sites, in resting state conditions, with eyes open and eyes closed, and during the cued GO/NOGO tasks with animal/plants as GO/NOGO stimuli. The electrodes were applied according to the International 10-20 system. The EEG was recorded referentially to linked ears, allowing for a computational re-referencing of the data (remontaging). Event related potentials (ERPs) were used to assess the functional changes manifested by the patient. To compare our patient with healthy controls we used the normative Human Brain Index (HBI), a database obtained through joint research by Swiss, Norwegian, Polish and Russian neuroscientists (Kropotov 2018). This database included behavioral parameters and ERP measures in 6 different neuropsychological tasks for 1000 healthy subjects. What is striking, no signs of cognitive dysfunction was found; however observed were an asymmetrical frontal lobe alpha (a neuromarker of depression) and excessive Rolandic beta (a neuromarker of Parkinson’s disease). We will discuss the results on the basis of recent subject literature findings, including the personal factors that might influenced the process of the diagnosis and treatment of this patient, ones which should be also taken into account in any differential diagnosis. The obtained results show the importance of using HBI methodology in clinical practice. Physicians involved in the diagnosis and treatment of those with progressive ambulatory impairment and an abnormal white matter (WM) signal on neuroimaging, should when formulating any differential diagnosis consider the use of this approach. ------------------------------------------------------------------------------------------------------------------------------------
Źródło:
Acta Neuropsychologica; 2021, 19(2); 147-168
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
NEUROPSYCHOLOGY AND THE NEUROPHYSIOLOGY OF PERCEPTUAL MICROGENESIS
Autorzy:
Pąchalska, Maria
Góral-Pólrola, Jolanta
Mueller, Andreas
Kropotov, Juri D
Powiązania:
https://bibliotekanauki.pl/articles/2137785.pdf
Data publikacji:
2017-12-18
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
microgenetic theory
event related potentials
stages of information flow
ventral visual stream
independent component analysis
Opis:
Perception is one of the psychological operations that can be analyzed from the point of view of microgenetic theory. Our study tests the basic premise of microgenesis theory – the existence of recurrent stages of visual information processing. The event related potentials in two variants of a cued GO/NOGO task (contrasting images of Animals and Plants in the first variant, and contrasting images of Angry and Happy faces in the second variant) were studied during the first 300 ms following stimulus presentation. The independent component analysis was applied to a large collection of ERPs. The functional independent components associated with visual category discrimination, comparison to working memory, action initiation and conflict detection were separated. Information processing in the ventral visual stream (the temporal independent components) occurs at two sequential stages with positive/negative fluctuations of the cortical potential as indexes of the stages. The first stage represents the comparison of the pure physical features of the visual input with the memory trace. The second stage represents the comparison of more sophisticated semantic/emotional features with the working memory. The two stages are the results of interplay between bottom-up and top-down projections in the visual ventral stream.
Źródło:
Acta Neuropsychologica; 2017, 15(4); 365-389
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
FUNCTIONAL NEUROMARKERS OF POST-TRAUMATIC STRESS DISORDER (PTSD) IN A MAJOR ISCHEMIC STROKE SURVIVOR AFTER CAROTID ENDARTERECTOMY (CEA) REVASCULARIZATION
Autorzy:
Trystuła, Mariusz
Góral-Półrola, Jolanta
Kropotov, Juri D
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2137757.pdf
Data publikacji:
2018-12-20
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
Event-Related Potentials (ERPs)
cued GO/NOGO task
information processing
functional neuromarkers
Opis:
The aim of this study was to test the hypothesis of developing Post-Traumatic Stress Disorder (PTSD) in a major right-hemisphere ischemic brain stroke survivor half a year after CEA revascularization, with the use of Event Related Potentials (ERPs). He was in a serious condition and had limited consciousness. Therefore, the doctor informed the patient's wife about the possibility of sudden death. The patient heard this information and remembered it, which was one of the main causes of the development of PTSD. On the basis of previous research amplitudes of P3 ERP, components elicited in the cued GO/NOGO tasks have been chosen as the candidate for PTSD neuromarkers . A 44-year-old patient had a major ischemic brain stroke while sizeable atherosclerotic plaque causing critical stenosis of the internal carotid artery in Angio-CT was dioscovered. The patient was urgently operated on using CEA. After the operation he had the opportunity to see the removed plaque which had been the cause of his stroke. Despite the positive postoperative recovery, half a year later, the patient began to complain of flashbacks, anxiety, trouble in falling and staying asleep, difficulty in concentration, a loss of interest. For the diagnosis of PTSD we used Checklist Specific for a stressor (PCL-S). Additionally we used Checklist according to the Diagnostic Statistical Manual-5 (DSM-5) classification, and the patient met the PTSD criteria. The cognitive profile of the patient was measured with the use of the Wechsler Memory Test – III (WMS-III). Subsequently, the patient participated in the cued GO/NOGO task (Kropotov, 2009) with a recording 19-channel EEG. The P3 GO and NOGO waves in this task were found to be significantly smaller at p
Źródło:
Acta Neuropsychologica; 2018, 16(4); 417-429
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effects of sauna bathing on stress-related genes expression in athletes and non-athletes
Autorzy:
Żychowska, Małgorzata
Półrola, Paweł
Chruściński, Grzegorz
Zielińska, Jolanta
Góral-Półrola, Jolanta
Powiązania:
https://bibliotekanauki.pl/articles/989940.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
steam bath
gene expression
hspa1a
interleukins
athletes
Opis:
Introduction and objective. Heat stress induces the expression of genes encoding heat-shock proteins and immune response mediators. The aim of this study was to determine the differences in the expression of genes encoding heat-shock proteins 70 kDa and27 kDa, interleukin 6, interleukin 10and C-reactive protein, between athletes and non-athletes after sauna bathing. Materials and method. Athletes (n=9) and non-athletes (n=9) were exposed to a Finnish sauna twice during one session at a temperature of 98.2 °C and humidity of 10% ± 2%, with a 5 min break for cooling down under a shower. The groups did not differ in terms of age, height or body mass. Blood samples were taken before and after sauna exposure in order to assess gene expression, using reverse transcription polymerase chain reaction. Results. Differences were observed in leukocyte mRNA levels of tested genes between athletes and non-athletes. In the non-athlete group, all the tested genes were expressed at higher levels as a response to the same heat challenge. Conclusion. It appears that expression of stress-related genes induced by heat stress is dependent on the level of physical activity.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 1
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
THE LONG-TIME EFFECTS OF GROUP THERAPY INTERVENTION ON MARRIAGE COMMUNICATION BETWEEN FLUENT AND NON-FLUENT APHASIC PATIENTS AND THEIR SPOUSES: WHO BENEFITS THE MOST?
Autorzy:
Orłowska, Edyta
Rasmus, Anna
Góral-Półrola, Jolanta
Morga, Rafał
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2137748.pdf
Data publikacji:
2018-09-10
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
stroke
aphasia therapy
communicative abilities
quality of life
Opis:
Our study aims to assess the long-time effects of group therapy intervention on marriage communication between fluent and non-fluent aphasic patients and their spouses. From the initial cohort of 150 couples four experimental groups have been selected, each comprising 20 subjects: (1) patients with fluent aphasia (FAP) (2) patients with fluent aphasia spouses (FAPS) (3) patients with non-fluent aphasia (NFAP) (4) patients with non-fluent aphasia spouses (NFAPS). All aphasic patients had mild or moderate fluent or nonfluent aphasia, as confirmed by the Cracow Neuropsychological Battery for Aphasia Examination – CNBA (Pąchalska, 1999). To assess the 3 aspects of interactions between spouses: support, engagement and depreciation we use the Communication in Marriage Questionnaire – KKM scores (Kaźmierczak, Plopa, 2008). These patients attended the groups sessions administered according to Pąchalska’s Model of Aphasia Group Therapy (1991a; 1991b) . It was found that after the long-time group intervention the experimental and the control groups of aphasic patients as well as their spouses differ one from another. NFAP as well as FAP therapy patients had higher KKM scores in the support received from their spouses and their spouses engagement in communication and lower scores in depreciation in their spouses’ behavior than did the controls. Also NFAPS evaluated support and engagement expressed by their aphasic partner higher than the control group. However FAPS and the control group KKM scores were quite similar, except for the support expressed by their aphasic partner. Long-time group therapy for patients with aphasia with the presence of caregivers not only improves the communication with significant others but also it is associated with better marital interactions and communication after therapy as reflected in the KKM scores than in the case of the controls, and improves the patient’s and caregivers’ perception of quality of life.
Źródło:
Acta Neuropsychologica; 2018, 16(3); 229-241
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Differences in the expression of selected genes associated with cell stress response in a PTSD patient and in healthy individuals – a case study
Autorzy:
Rasmus, Anna
Półrola, Paweł
Góral-Półrola, Jolanta
Żychowska, Małgorzata
Mirski, Andrzej
Knapik, Henryk
Powiązania:
https://bibliotekanauki.pl/articles/986669.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
cell stress
ptsd patient
expression of selected genes
healthy individuals
Opis:
Objective. The aim of the study was determination of the level in expression genes associated with cell stress response in a patient with PTSD. Case study. A 57-year-old PTSD patient, A.P., was the subject of the study. Blood samples were taken from the ulnar vein to assess the relative expression of the tested genes in leukocytes via a quantitative reverse transcription polymerase chain reaction (qRT-PCR). Results. A considerably decreased level in the expression HSF-1, NF-kB, Hif-1 and IL6 m-RNA was observed in the patient when compared to the control group. A low expression in HSPA1A, HSPB1, IL10 and CRP m-RNA compared with the control group was also noted. Conclusion. It is possible that the lower level of transcriptional factors: HSF-1, NF-kB and Hif-1 as well as IL6 m-RNA may be associated with the effect of the PTSD patient’s treatment.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The amelioration of behavioral disturbances in TBI patients with Chronic Frontal Syndrome after treatment in different rehabilitation programs
Autorzy:
Pąchalska, Maria
Góral-Półrola, Jolanta
Mirski, Andrzej
Grzywniak, Celestyna
Łuckoś, Maria
Morga, Rafał
Powiązania:
https://bibliotekanauki.pl/articles/2106140.pdf
Data publikacji:
2019-08-23
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
neurological disturbances
emotional disorders
behavioral disorders
cognitive impairment
Frontal Behavioral Inventory
Opis:
We evaluated the effectiveness of three different rehabilitation programs for chronic behavioral disorders in traumatic brain injury (TBI) patients with orbito-frontal damage (OFC), incurred from 13 to 15 years prior to enrollment. From among 547 adult patients with severe TBIs treated neurosurgically from 1999 to 2003, 60 were selected for the study, divided into three groups of 20, matched for age and sex. Each group received one of three different rehabilitation protocols. Group A received a comprehensive program with two components: (1) a 6-month early neuropsychological rehabilitation program targeting cognitive deficits, beginning immediately post-injury, and (2) the “Academy of Life” program, with weekly meetings aimed at reducing behavioral disorders in social transactions. Group B received only cognitive rehabilitation, while Group C received only the “Academy of Life” progam. The Frontal Behavioral Inventory (FBInv) was used to assess behavioral disorders at baseline and again after completion of the study. At baseline, all 60 patients still displayed all or most of the common behavioral symptoms characteristic of frontal syndrome. The improvement achieved by group A (the comprehensive program) was significantly better upon completion of the study than that shown by the patients in groups B (cognitive only) and C (social skills only). A comprehensive program of rehabilitation, which combines early neuropsychological rehabilitation of cognitive deficits with the “Academy of Life” program, aimed at improving social skills, proved to be more effective than either of these two components administered without the other
Źródło:
Acta Neuropsychologica; 2019, 17(3); 245-260
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Application of ERPs neuromarkers for assessment and treatment of a patient with chronic crossed aphasia after severe TBI and long-term coma - case report
Autorzy:
Chantsoulis, Marzena
Półrola, Paweł
Góral-Półrola, Jolanta
Hajdukiewicz, Anna
Kropotov, Juri D.
Pachalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/989909.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
cognitive control
emotional control
relative beta training
rtms
microgenetic theory
Opis:
Objective. The study aimed to evaluate the application of ERPs neuromarkers for the assessment and treatment of a patient with chronic crossed aphasia after severe TBI and a long-term coma. Case report. An ambidextrous female patient, aged 29, suffered from posttraumatic chronic crossed aphasia, severe TBI and a prolonged coma after a car accident. The patient took part in two differentiated rehabilitation programmes of neurotherapy included 20 sessions of relative beta training and 20 sessions of rTMS; both programmes were combined with behavioural training. The patient was tested 3 times: before the experiment, after completion of programme A, and after completion of programme B. Results. In the 1st recording, the neuromarker of aphasia was found – an excess of the P2 wave over the left temporal area. There was a cognitive control deficit – an excess of omission errors and an increase of RT variability – all indexes of sporadic ADHD. In the 2nd recording, slight improvements in cognitive control, and language functions were found. In the 3rd recording, after the rTMS sessions most of her cognitive dysfunctions had been resolved, including language functions. It should be stressed that the activation (especially the increase in the ERP potential of the right side over the frontal lobe) was found. The neuromarker of aphasia did not change, only the location had slightly moved frontally. Conclusions. The application of ERP neuromarkers assists in the diagnosis, treatment, and academic success of an ambidextrous patient with chronic posttraumatic aphasia and sporadic ADHD. ERPs can be used to assess the functional brain changes induced by neurotherapeutical programmes.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 1
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
HEALTH-RELATED QUALITY OF LIFE OF A PATIENT FOLLOWING NEUROSURGERY ON GLIOBLASTOMA MULTIFORME (GBM)
Autorzy:
Morga, Rafał
Moskała, Marek
Adamek, Dariusz
Góral-Półrola, Jolanta
Herman-Sucharska, Izabela
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2137744.pdf
Data publikacji:
2018-11-19
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
tumorectomy
cognitive functions
HRQoL
Opis:
Health-related quality of life (HRQoL) plays a role as a patient-centered meaningful endpoint, assessing the direct clinical benefit for a patient. The inclusion of HRQoL measurements in a glioma patient may provide important data to inform clinicians on treatment decision-making. The aim of the study was to evaluate cognitive decline and HRQoL in the clinical care of a patient following neurosurgery on of glioblastoma multiforme (GBM). A 69-year-old female developed malignant brain glioma in the right temporal-occipital area; this being confirmed by CT and MR study and neuropathological findings. She had complained of headaches, dizziness, nausea, vomiting as well as attention and memory loss, and anxiety, sadness and a slowing down in the performance of daily activities. The symptoms rapidly became worse and she was referred to a neurosurgery department for consultation. She was successfully neurosurgically operated on. She was examined with the use of ne uro psycho logical tests three times: the first examination was conducted before the neurosurgical operation, the second two weeks after, and the third half year after the neurosurgical operation. In the first examination by the standard Polish version of the Mindstreams™ Interactive Computer Tests disturbances for all the tested cognitive functions occurred. The greatest changes were to occur however in the areas of visual-spatial functions. attention, executive functions and memory. In the second test, a return to the norm was achieved for the disturbed cognitive and executive functions. In the third examination (half a year after the neurosurgical operation), the cognitive and executive functions were still not bad, but had slightly decreased. Similar trend was observed in HRQoL. A significant difference in the health profile between the 1 st and 2 nd as well as between 1 st and 3 rd examination was detected for the eight SF-36 domains - HRQoL was improved. While only slight but no significant changes occurred between 2 nd and 3 rd examination. HRQoL was still not bad, but had slightly decreased. The patient after the neurosurgical operation of glioblastoma multiforme (GBM) is capable of carrying out daily activities, but shows some level of reduced complains for functional capacity, pain, general health and vitality, emotional and social functioning for mental health which has led to the impaired HRQoL.
Źródło:
Acta Neuropsychologica; 2018, 16(3); 307-319
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Electrophysiological evaluation of the effectiveness of neurofeedback in ameliorating chronic Post-Traumatic Stress Disorder
Autorzy:
Morga, Rafał
Adamek, Dariusz
MacQueen, Weronika
MacQueen, Bruce Duncan
Góral-Półrola, Jolanta
Bitner-Szulc, Joanna
Kropotov, Juri D
Pąchalska, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2106173.pdf
Data publikacji:
2019-06-19
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
Post-traumatic stress disorder (PTSD)
cued GO/NOGO task
P3 NOGO
neurofeedback
Opis:
The aim of our research was to evaluate the effectiveness of neurofeedback in reducing the symptoms of chronic Post Traumatic Stress Disorder (PTSD) in a patient who had developed the syndrome following a recurrence of sphenoid wing meningioma (SOM). EEG spectra and event-related potentials (ERPs) were used to construct an individual neurofeedback protocol and to provide objective monitoring of treatment efficacy. The patient, a 34-year-old female, was diagnosed with a sphenoid wing meningioma (SOM), which had been successfully operated. Three years later, however, the SOM had overgrown at the optic foramen and extended into the optic canal, and the patient had developed blurred vision. She was repeatedly operated, and recovered well. However, due to the recurrence she developed flashbacks, anxiety and sleep difficulties, such that she was unable to continue working in her profession. The symptoms had been occurring for 4 months. ERPs in a cued NOGO task, along with EEG spectra in the resting state and during task performance were used to assess brain functioning, providing the basis for a neurofeedback protocol. Twenty sessions of individually tailored neurofeedback were performed. The patient experienced a reduction of symptoms, accompanied by normalization of ERPs parameters. The results obtained in this case point to the possible benefits of individually tailored neurofeedback protocols in the treatment of PTSD.
Źródło:
Acta Neuropsychologica; 2019, 17(2); 179-188
1730-7503
2084-4298
Pojawia się w:
Acta Neuropsychologica
Dostawca treści:
Biblioteka Nauki
Artykuł
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