Search results for "Confusion"
showing 10 items of 72 documents
Quantitative Lung Ultrasound: Technical Aspects and Clinical Applications.
2021
Lung ultrasound is increasingly used in emergency departments, medical wards, and critical care units—adult, pediatric, and neonatal. In vitro and in vivo studies show that the number and type of artifacts visualized change with lung density. This has led to the idea of a quantitative lung ultrasound approach, opening up new prospects for use not only as a diagnostic but also as a monitoring tool. Consequently, the multiple scoring systems proposed in the last few years have different technical approaches and specific clinical indications, adaptable for more or less time-dependent patients. However, multiple scoring systems may generate confusion among physicians aiming at introducing lung …
Loss of spatial learning in a patient with topographical disorientation in new environments
2003
The case is described of a patient who, following cerebral hypoxia, developed severe difficulty in orienting himself in new environments in the context of a mild global amnesic syndrome. Some episodes he related suggested that his main difficulty was remembering the spatial/directional value of landmarks he recognised. A neuroradiological examination documented severe bilateral atrophy of the hippocampi associated with atrophic changes in the cerebral hemispheres, most marked in the dorsal regions. Neuropsychological and experimental evaluation showed a severe deficit of spatial learning with substantially preserved ability to learn verbal and visual-object information. He was also virtuall…
Spontaneous confabulation, temporal context confusion and reality monitoring: a study of three patients with anterior communicating artery aneurysms.
2010
AbstractSpontaneous confabulation involves the production of false or distorted memories, and is commonly associated with ventromedial prefrontal damage. One influential theory proposes that the critical deficit is a failure to suppress currently irrelevant memory traces that intrude into ongoing thinking (Schnider & Ptak, 1999). In this study, we report experimental investigations with three spontaneously confabulating patients aimed at exploring this account. Using Schnider and Ptak’s (1999) continuous recognition paradigm, we replicated their experimental results with our patients. However, our data suggest that the critical impairment might be more generalized than a failure to supp…
Visual letter similarity effects during sentence reading: Evidence from the boundary technique
2018
The study of how the cognitive system encodes letter identities from the visual input has received much attention in models of visual word recognition but it has typically been overlooked in models of eye movement control in reading. Here we examined how visual letter similarity affects early word processing during reading using Rayner's (1975) boundary change technique in which the parafoveal preview of the target word was either identical (e.g., frito-frito [fried]) or a one-letter-different nonword (e.g., frjto-frito vs. frgto-frito). Critically, the substituted letter in the nonword was visually similar (based on letter confusability norms) or visually dissimilar. Results showed shorter…
Voice intelligibility in patients who have undergone laryngectomies.
1995
In this paper, we evaluate the speech intelligibility of two groups of Spanish-speaking people who have undergone laryngectomies: a group who used esophageal speech and a group who used tracheoesophageal (TES) prostheses. Audio recordings of 24 Spanish words produced by each talker were presented to a group of normal-hearing naive listeners who phonetically transcribed their responses. Listeners’ responses were registered in confusion matrices. Results indicate that differences between these two groups of patients appear when we consider phoneme types. The difficulty in producing the voicing distinction appeared in both TES and esophageal talkers. This finding is consistent with studies of …
Hypoxemia Adds to the CURB-65 Pneumonia Severity Score in Hospitalized Patients With Mild Pneumonia
2011
BACKGROUND: Hypoxemia may influence the prognosis of patients with mild pneumonia, regardless of the initial CURB-65 score (confusion, blood urea nitrogen > 20 mg/dL, respiratory rate > 30 breaths/min, blood pressure < 90/60 mm Hg, and age ≥ 65 y). OBJECTIVE: To determine the risk factors associated with hypoxemia and the influence of hypoxemia on clinical outcomes in hospitalized patients with mild pneumonia. METHODS: We performed a multicenter prospective cohort study of 585 consecutive hospitalized patients with mild pneumonia (CURB-65 groups 0 and 1). We stratified the patients according to the presence of hypoxemia, defined as a PaO2/FIO2 < 300 mm Hg on admission. We assessed the risk …
Risk factors for postoperative delirium after colorectal surgery for carcinoma
2011
Background and aim: Data regarding the incidence and risk factors for postoperative delirium (PD) after gastrointestinal surgery are heterogeneous because they include both benign and malignant disease. The aim of this study was to investigate the incidence and risk factors for PD in 100 consecutive patients over 65 years who underwent colorectal surgery for carcinoma. Methods: Pre-operative cognitive function was assessed using the Mini Mental State Examination. The onset of PD was diagnosed by the Confusion Assessment Methods administered to the patients every 12 h starting from the first postoperative day to discharge. The severity of PD was also evaluated with the Delirium Rating Scale.…
HalocnemumM. Bieb. vegetation in the Mediterranean Basin
2013
The aim of the article is the syntaxonomic interpretation of hyperhalophilous woody or semi-woody vegetation with Halocnemum M. Bieb. along the coasts of the Mediterranean Basin. For this area, the two species of Halocnemum, H. strobilaceum (Pall.) M. Bieb. and H. cruciatum (Forssk.) Tod. are identified; their morphological characteristics, synonymy and distribution are here described. The study carried out of particular aspects of the plant morphology and the micromorphological characteristics of the seeds collected from different places in the Mediterranean allows to better differentiate the two species. Vegetation studies already done in many communities of the Mediterranean by several a…
(A)sexual reproduction - a review of life cycles of grape phylloxera,Daktulosphaira vitifoliae
2009
Since its emergence as a pest of grapevine about 150 years ago, studies on the life cycle and mode of reproduction of grape phylloxera (Daktulosphaira vitifoliae Fitch) (Homoptera: Phylloxeridae) have been of considerable scientific interest and importance for applied viticulture. The life cycle of grape phylloxera, as described in the mid to late nineteenth century, is still subject to discussion and confusion. In this article, we aim to provide for the first time an overview of the reported life cycle strategies of grape phylloxera by summarizing documented observations, the results of controlled field and laboratory assays, and the results of molecular genetic analyses. Thus, we present …
Correction to: Assessment of intratumor immune-microenvironment in colorectal cancers with extranodal extension of nodal metastases
2019
No data is available on the molecular background of the extra-nodal extension (ENE) of lymph node metastasis (LN) in colorectal cancer (CRC).A series of 22 ENE-positive CRCs was considered and three samples per case were selected (the primary CRC, an ENE-negative and an ENE-positive metastatic LN). Samples (n = 66) were analysed by immunohistochemistry for PD-L1, CD4, CD8, CD68 and CD80. Fifteen out of twenty-two cases were further profiled through a hotspot multigene mutational custom panel, including 164 hotspot regions ofA significantly higher percentage of CD4-, CD8- and CD68-positive cells was observed at the invasive front of both CRCs and in ENE in contrast with what observed at the …