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The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis.
The selection of the target and of the task is essential for studies investigating motor brain plasticity. This study boosts against a direct and unique role of motor cortical changes on PLP genesis.
This study aimed to investigate the differential effects of bilateral and unilateral mirror therapy (MT) on motor cortical activations in stroke patients by magnetoencephalography (MEG).
Sixteen stroke patients and 16 right-handed healthy volunteers were recruited. All participants were required to perform 4 conditions resting, no mirror with bilateral hand movements (Bilateral-No mirror), mirror with bilateral hand movements (Bilateral-Mirror) and mirror with unilateral hand movements (Unilateral-Mirror). #link# Beta oscillatory activities in the primary motor cortex (M1) were collected during each condition using MEG. The percentage change of beta oscillatory activity was calculated for each condition to correct the baseline differences.
In the stroke group, the percentage change of M1 beta oscillatory activity significantly decreased more in the Bilateral-Mirror condition than in the Bilateral-No mirror and Unilateral-Mirror conditions. In the healthy group, no significant differences in the percentage change of beta oscillatory activity were found among the 3 conditions. Further, a significant difference in the percentage change of beta oscillatory activity only in the Bilateral-Mirror condition was found between the 2 groups.
This study provides new information on the differential cortical activations modulated by bilateral and unilateral MT.
Bilateral MT led to greater M1 neural activities than unilateral MT and bilateral movements without a mirror in stroke patients.
Bilateral MT led to greater M1 neural activities than unilateral MT and bilateral movements without a mirror in stroke patients.
The ability of health care providers and students to use EMRs efficiently can lead to achieving improved clinical outcomes. Training policies and strategies play a major role in successful technology implementation and ongoing use of the EMR systems. To provide evidence-based guidance for developing and implementing educational interventions and training, we reviewed and summarized the current literature on EMR training targeting both healthcare professionals (HCP) and students.
We used the Joanna Briggs Institute (JBI) approach for scoping reviews and the PRISMA extension of scoping reviews (PRISMA-ScR) checklist for reporting our review. 46 full-text articles that met the eligibility criteria were selected for the review. Narrative synthesis was performed to summarize the evidence using numerical and descriptive analysis. We used inductive content analysis for categorizing the training methods. Also, the modified version of the Kirkpatrick's levels model was used for abstracting the training outcome.
training objectives, EMR system utilized, and organizational environment. A training plan should include an overall goal and SMART (Specific, Measurable, Achievable, Realistic, Tangible) training objectives, that would allow a more rigorous evaluation of the training outcomes.
This review presents a comprehensive synthesis of the evidence on EMR training. A variety of training methods, participants, locations, strategies, and outcomes were described in the studies. Training should be aligned with the particular training needs, training objectives, EMR system utilized, and organizational environment. A training plan should include an overall goal and SMART (Specific, Measurable, Achievable, Realistic, Tangible) training objectives, that would allow a more rigorous evaluation of the training outcomes.
The application of blockchain technology is being explored to improve the interoperability of patient health information between healthcare organisations while maintaining the privacy and security of data.
Akti1/2 of this scoping review is to explore and categorise the benefits and threats of blockchain technology application in a healthcare system.
Databases such as PubMed, CINAHL, IEEE, Springer, and ScienceDirect were searched using a combination of terms related to blockchain, healthcare, benefits and threats. Backward-reference list checking was conducted to identify other relevant references. Study selection process was performed in three steps based on PRISMA flow diagram. Extracted data were synthesised and presented narratively using tables and figures.
The search resulted in 84 relevant studies that have been conducted of which only 37 unique studies were included in this review. Eight benefits of blockchain were categorised in either patient related-benefits (security and authorisatioblockchain technology.
Blockchain is a viable technology that can improve the healthcare data sharing and storing system owing to its decentralisation, immutability, transparency and traceability features. However, many healthcare organisations remain hesitant to adopt blockchain technology due to threats such as security and authorisation issues, interoperability issues and lack of technical skills related to blockchain technology.Non-adjacent dependencies (NADs) are important building blocks for language and extracting them from the input is a fundamental part of language acquisition. Prior event-related potential (ERP) studies revealed changes in the neural signature of NAD learning between infancy and adulthood, suggesting a developmental shift in the learning route for NADs. The present study aimed to specify which brain regions are involved in this developmental shift and whether this shift extends to NAD learning in the non-linguistic domain. In two experiments, 2- and 3-year-old German-learning children were familiarized with either Italian sentences or tone sequences containing NADs and subsequently tested with NAD violations, while functional near-infrared spectroscopy (fNIRS) data were recorded. Results showed increased hemodynamic responses related to the detection of linguistic NAD violations in the left temporal, inferior frontal, and parietal regions in 2-year-old children, but not in 3-year-old children. A different developmental trajectory was found for non-linguistic NADs, where 3-year-old, but not 2-year-old children showed evidence for the detection of non-linguistic NAD violations.
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