Læknablaðið : fylgirit - 01.05.2002, Page 33

ABSTRACTS / 33HD SNC & 2ND SCNN
intensity in conversation and sustained phonation before and after
therapy was compared. Twenty-three patients came for a 3 month
follow-up.
Results: Significant differences (p=<,0001) were found in intensity
in sustained phonation and conversation, before and after therapy,
and differences between pre-treatment and follow-up values were
significant in both parameters.
Conclusion: Voice therapy, provided in a group rehabilitation
setting, is an effective way of improving speech function in Parkin-
son's patients. Participants maintained a stronger voice 3 months
post treatment.
46 - Developing multimedia and e-learning for teaching and
learning the care of people with brain injury
Iggulden H
University of Salford, Manchester Greater Manchester M30 ONN United
Kingdom
This paper describes an education project designed to explore how
a structured e-learning environment can enhance the learning and
practice of nursing brain injured people from the early stage
through to rehabilitation. The paper describes the development of
video, electronic classroom and CD ROM materials with an inter-
disciplinary team caring for people with brain injury. The project
was funded by the University of Salford, with clinical input in acute
care from Hope Hospital, Salford and Rehabilitation care from the
Floyd Unit at Birch Hill Hospital, Rochdale. The project has been
going for the three years and tries to make learning more flexible
and accessible for nurses caring for people with brain injury.
Evaluations have been carried out quantitatively using Likert
scales, questionnaires and electonical data generated in the elec-
tronic classroom. The data has also been evaluated qualitatively
using interviews. The samples that we have used are both students
and qualified nurses and the evaluations have been very positive
about the content, the interest and the availability of good learning
resources. Students on the whole have enjoyed this style of learning.
However sometimes there are technical problems and students
would like materials to be more interactive. We are working on this
with a new teaching CD ROM looking at the role of the nurse in
mobilising patients through all the activities of daily living.
47 - Estímation of Glasgow verbal score from the Glasgow eye
and motor scores in head trauma patients
Yousefi H
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan,
Iran
Background: The Glasgow coma scale (GCS) is a important tool for
grading the level of consciousness. One of the most important
problems of the GCS is the inability to assess the verbal response in
special patients such as intubated and aphasic patients. According
to the recent studies, there seems to be a correlation between the
verbal response and motor and eye responses of the GCS.
Methods: This study is a descriptive analytic study. Data were
obtained from 100 patients with decrease in level of consciousness
(LOC) referring to hospitals of Isfahan university of medical
sciences. The goal of this study is to estimate of verbal score from
motor and eye scores in patients. Data were collected by checklists
including demographic characteristics and LOC measured with
GCS. Data were analyzed with chi-sqauere and multiple-Regres-
sion in SPSS software.
Results: There is a strong correlation between verbal score and
motor and eye scores in head trauma patients(R= 0.785 ) as well as
patients intubated after the trauma.(R= 0.685 )
Discussion: The present study confirms previous studies describing
a strong correlation between verbal component and eye and motor
components. This study was performed in patients with low GCS,
and answers this question in previous studies: How can we test
model in intubated patients? Therefore we can suggest this model
for using in intubated patients.
L48 - Gabapentin, mechanism of action, do we know anything
new?
Field M
Abstract not received.
L49 - New evidence for the role of Gabapentin in the treatment
of chronic pain
Rice A
Imperial College, London, United Kingdom
Abstract not received.
L50 - Possible role of Gabapentin in the treatment of primary
headaches
Bendtsen L
Bispebjerg Hospital, Denmark
Abstract not received.
L51 - Parkinson's disease
Larsen JP
Dept. of Neurology, University of Trondheim, Norway
Abstract not received.
L52 - Hereditary neuromuscular disorders
Edström L
Abstract not received.
L53 - Today's medical treatment of Alzheimer's disease and
future perspectives
Jón Snædal
Memory Clinic, Geriatric Department, Landspitali University Hospital, Reykjavik,
Iceland
Alzheimers disease (AD) is the major cause of dementia which
affects at least 5% of individuals over age 65. Twice as many may be
affected if the prodromal stages are included. Although the
etiology of AD remains unknown many risk factors have been
established with aging being the single most important one. With
increasing proportion of the aged the consequence is a significant
increase in incidence and prevalence of dementia and Alzheimer's
disease in particular during the next decades. Other risk factors
include family history, female gender and low education level.
Current medical interventions for AD are mainly focused on
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