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Category Archives: Neurology

Student Neurological Exam – Full Length – Video

Dramatization of a focused neurological exam on a patient suffering an acute hemorrhagic stroke in the posterior internal capsule of the brain.

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Student Neurological Exam - Full Length - Video

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Mental Health – Black Outs/Loss of Time/Confusion/ Neurological Disorders – Video

I have experienced these blackouts before and recently read about them. I was relatively ignorant as to what they were or I was experiencing. Here is a link to a good source.

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Mental Health - Black Outs/Loss of Time/Confusion/ Neurological Disorders - Video

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Accessibility Extensions for Chrome Browser – Text-to-Speech and More

ChromeVox is just one of the Google Accessibility extensions. Be sure to check out ChromeVis, ChromeShades, and ChromeLite as well. The text-to-speech (TTS) programs convert text or web documents to human speech. Does it sound like a human voice? Not really, it is a computer-generated voice but it is as close to human as it gets. You can adjust the speed, repeat, or change the pitch of the voice.

ChromeVox

The ChromeVox screen reader is an extension to Chrome that brings the speed, versatility, and security of Chrome to visually impaired users.

Using Google Document List with ChromeVox that provides accessibility features for vision impaired users of Google Docs.

Other text-to-speech extensions include:

Chrome Speak - select to speak with offline TTS engine.

SpeakIt! Select text you want to read and listen to it. SpeakIt converts text into speech so you no longer need to read.

SpeakIt reads selected text using Google TTS (Text-to-Speech) with language auto-detection.

Balabolka

If you are not a Chrome user, Balabolka is a free and portable Text-To-Speech (TTS) program that is browser-independent. No installation is required.

You don't have to be visually impaired to benefit from TTS programs. For example, I use Balabolka several times a week to convert long articles from medical journals or newspapers to standard MP3 files. The files are then uploaded to Google Docs and I download them when I have some time to listen to the articles.

ChromeVis

Magnify and change the color of any selected text. Use the mouse or the keyboard to move the selection around the page.

How ChromeVis works.

ChromeShades

ChromeShades is an easy tool to help you make your site more accessible to blind users.

References:

Hear Web Text with Google Chrome Speak
New Text-to-Speech API for Chrome extensions

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5 factors define happiness at work

Research on psychological well-being at work (PWBW) is challenging.

Factor analysis revealed that psychological well-being at work can be conceptualized through 5 dimensions:

- Interpersonal Fit
- Thriving
- Feeling of Competency
- Desire for Involvement
- Perceived Recognition

This also applies to the training of medical residents and fellows. It is important to create an environment that promotes collaboration and personal growth, while avoiding exhaustion and finger pointing.

References:

What is Psychological Well-Being, Really? A Grassroots Approach from the Organizational Sciences. Véronique Dagenais-Desmarais and André Savoie. Journal of Happiness Studies, 2011.

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Stuttering affects 1% of schoolchildren – early intervention is recommended, within 1 year of onset

Stuttering, also known as stammering, is a common speech disorder of neural speech processing that typically begins during the first 3-4 years of life. A review of 44 studies shows a prevalence of around 1% for schoolchildren.

Stuttering is a movement disorder of speech, with effects on the:

- jaw

- mouth

- facial muscles

- sometimes upper limbs

People who stutter are at risk of developing social anxiety or mental health problems. Educational, occupational, and social problems are common if chronic stuttering is not treated early

It is not possible to predict who will recover spontaneously. The window of opportunity is to treat children within one year of onset.

Early intervention is recommended, preferably within one year of onset of stuttering. Speech restructuring can rehabilitate speech in people with chronic stuttering

References:

Clinical management of stuttering in children and adults. BMJ 2011; 342:d3742 doi: 10.1136/bmj.d3742 (Published 24 June 2011).

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