Version Of Test Research Articles

Enhancing Communication Ability in Hearing Aid Users: Preliminary Case Study of A Hybrid Auditory Training Approach

Auditory training programs aim to improve speech perception and communication skills in hearing aid users. Despite the effectiveness of traditional face-to-face training, logistical challenges hinder its widespread adoption. To overcome these barriers, hybrid auditory training, integrating face-to-face and self-administered sessions at home, has emerged as a potential solution. This study evaluates the efficacy of a hybrid auditory training program in enhancing communication abilities among hearing aid users. Six participants engaged in a 10-session hybrid auditory training program, comprising five face-to-face sessions conducted by professionals and five self-administered sessions at home, either independently or with family members. Training activities focused on listening to sentences with and without noise, and one and two-syllable words in noise-free conditions. Standardized assessments, including the Korean version of the matrix test, modified client-oriented scale inventory, and International Outcome Inventory-Alternative Interventions, were utilized to assess speech perception, and self-reported communication abilities. Pre- and post-training assessments demonstrated significant enhancements in speech perception in noise across various signal-to-noise ratios (0-, 5-, and 10-dB signal to noise ratio). Participants reported a slight improvement in communication ability and expressed satisfaction with their participation. The study suggests that hybrid auditory training effectively enhances communication abilities in hearing aid users, akin to traditional face-to-face methods. The hybrid approach offers flexibility and accessibility, addressing logistical challenges. Further research should explore and compare various auditory training modalities to develop tailored interventions for individuals with hearing impairments.

An evaluation of job satisfaction levels among ASHA workers at the Raipur PHC, Nagpur

Background ASHA (Accredited Social Health Activists) are an essential connection between the community and health care providers, these guidelines were established by The Ministry of Health and Family Welfare, Government of India. An ASHA worker’s level of job satisfaction is influenced by societal, cultural, and economic factors. An ASHA worker who does not receive a sufficient salary will find it difficult to support their family. The ASHA employee is not at all satisfied with this issue. In earlier research investigations, ASHAs voiced unhappiness with the incentives and expectations of greater or regular income. Objectives To assess the job satisfaction of the ASHA workers in the selected area of Nagpur, Maharashtra and find the association between levels of job satisfaction with selected variables. Methods The sample for the study will be conducted by using Multistage Random sampling techniques. Data will be collected by using semi- questionnaires. All responses from the questionnaires will be collated in a Microsoft Excel file, encoded, and processed using chi squared test and SPSS version 26.

Development and Evaluation of the Italian Version of the Dichotic Digit Test: Insights from 39 Normal-Hearing Children Aged 11 to 13 years.

BACKGROUND The dichotic digit test (DDT) is one of the tests for the behavioral assessment of central auditory processing. Dichotic listening tests are sensitive ways of assessing cortical structures, the corpus callossum, and binaural integration mechanisms, showing strong correlations with learning difficulties. The DDT is presently available in a number of languages, each appropriate for the subject's native language. However, there is presently no test in the Italian language. The goal of this study was to develop an Italian version of the one-pair dichotic digit test (DDT-IT) and analyze results in 39 normal-hearing Italian children 11 to 13 years old. We used 2 conditions of presentation: free recall and directed attention (left or right ear), and looked at possible effects of sex and ear side. MATERIAL AND METHODS This study involved 3 steps: creation of the stimuli, checking their quality with Italian speakers, and assessment of the DDT-IT in our subject pool. The study involved 39 children (26 girls and 13 boys), aged 11-13 years. All participants underwent basic audiological assessment, auditory brainstem response, and then DDT-IT. RESULTS Results under free recall and directed attention conditions were similar for right and left ears, and there were no sex or age effects. CONCLUSIONS The Italian version of DDT (DDT-IT) has been developed and its performance on 39 normal-hearing Italian children was assessed. We found there were no age or sex effects for either the free recall condition or the directed attention condition.

Validity of the Korean Version of the Brief Irritability Test in Psychiatric Patients.

This study aimed to investigate the validity and reliability of the Korean version of the Brief Irritability Test (BITe) and adapt it for Korean patients with psychiatric disorders. A total of 296 patients at the Department of Psychiatry of Hanyang University Guri Hospital completed the BITe, Korean Beck Depression Inventory-II, Korean Beck Anxiety Inventory, the Korean version of the State-Trait Anger Expression Inventory, and Barratt Impulsiveness Scale-11. Construct validity was confirmed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability testing included assessments of internal consistency (Cronbach's α) and item-total correlations. Convergent validity was examined through correlational analyses with variables such as anxiety, depression, anger, and impulsivity. First, the scale had good internal consistency with a Cronbach's α of 0.88. Second, EFA indicated a single dimensionality of the BITe, and CFA demonstrated a reasonable fit for the single-factor model (comparative fit index=0.97, Tucker-Lewis Index=0.95, normed fit index=0.97, goodness-of-fit index=0.96, root mean square error of approximation=0.12, standardized root mean residual=0.03). Finally, the convergent validity analysis revealed a significant positive correlation with depression, anxiety, and anger, except for anger control, which is a sub-variable of anger. The results showed that the Korean version of the BITe had good psychometric properties, and might serve as a valuable tool for assessing irritability in Korean patients with psychiatric disorders.

P159 Development of digital neuropsychological battery: a use case in Indian SLE patients

Abstract Background/Aims While cognitive dysfunction and mood disorders are frequently reported as adverse effects of SLE, there is a scarcity of neuropsychological (NP) data for Asian SLE patients. Existing English-centric NP tests are inadequate for the linguistic and culturally diverse population. This study examines SLE's effects on mood and cognitive functions using an indigenously developed language-neutral digital NP test battery and validated anxiety, stress, depression and quality of life instruments. Methods We recruited SLE patients fulfilling 2012 SLE classification criteria as cases and caregivers (CG) and college students (CS) as controls aged above 18 years and at least 10th standard education. All participants provided written informed consent. Institutional ethics committees approved the study. The NP battery comprised five cognitive tasks: Montreal Cognitive Assessment (MoCA) and modified versions of attention network test (ANT), sustained attention to response task (SART), picture naming and N-back, and five psychological tests (PHQ-9, GAD-7, STAI-T, PSS-4 and WHOQOL-BREF). Mann-Whitney test with conditional Bonferroni's corrections was used to compare cases with CG and CS. Results Total of 142 volunteers (age: median = 25.0, IQR = 9.0, cases [n = 82], CG [n = 40] and CS [n = 20]) participated in the study. Cases exhibited delayed response latencies in N-back, SART, and picture naming tasks compared to controls. They demonstrated reduced accuracy in all N-back conditions, with significant differences observed in hit rate, miss rate, false alarms, and d-prime scores compared to CS with effect size ranging from 0.298 to 0.736 (Table 1). However, the difference was only significant in the 2-back condition compared to CG. Cases displayed lower accuracy in SART Go trials (higher omission errors) than controls but better inhibition in SART No-Go trials (lower commission errors). No differences were observed in alerting, orienting and executive control functions. Cases showed significantly lower scores in MOCA than controls. Cases reported poorer psychological health through increased anxiety and stress levels and reduced WHO-quality of life scores compared to CG. Conclusion Contrary to earlier research that often relied on isolated cognitive assessments, our pioneering approach introduces a tailored test battery to establish cognitive baselines for Indian SLE patients. Disclosure P. Singhal: None. P. Srivastava: None. L. Rajasekhar: None. N. Samhitha: None.

The impact of loanwords on the English–Japanese version of vocabulary size test

The Vocabulary Size Test (VST) measures English learners’ decontextualised receptive vocabulary knowledge of written English and has nine bilingual versions with multiple-choice options written in other languages. This study used the English–Japanese version of the VST to investigate the extent to which loanword items were answered correctly by Japanese first language (L1) university students compared to non-loanword items, and whether it was easier to answer these loanword items when the correct answer option was written in loanwords rather than Japanese-words. Paired t-tests showed a significant difference in correct response rates between the loanword and non-loanword items, and the loanword options and Japanese-word options, with a large effect size. The results suggest the relative ease of learning English loanwords compared to non-loanwords for L1 Japanese users, and the need to consider the use of loanwords in vocabulary tests to measure test-takers’ vocabulary size more accurately.

The Benson Complex Figure Test: Normative Data for the Healthy Iranian Population

Purpose: Visual-related abilities such as visual memory and visuo-constructional skills are among the cognitive abilities with fundamental importance for normal cognitive function, and their impairment is manifested in many neurological and psychiatric disorders. The present study aimed to generate normative data for the Benson Complex Figure Test (BCFT), a well-known simplified version of the Rey-Osterrieth Complex Figure Test, in Iran and to assess the effect of demographic variables of age, gender, and education on its various measures. Materials and Methods: The present study was conducted in 2017-2018 as part of the Iranian Brain Imaging Database (IBID) project. The study sample consisted of 300 normal individuals in the age range of 20 to 70 years, with an equal number of participants and an equal proportion of genders in each age decade (#60). Independent and dependent variables, respectively, were age (classified by five decades including 20-30-year-olds, 31-40-year-olds, 41-50-year-olds, 51-60-year-olds, and 61-70-year-olds) and performance in the BCFT (defined in terms of 3 scores on a copy, recall, and recognition of the geometric figure and 2 scores on time of copy and recall). Results: The correlation matrix among the variables showed that age and education have a significant correlation with most of the BCFT scores, while gender only has a significant correlation with recognition score. Multivariate analysis of variance showed the effect of age, gender, and their interaction on scores, while education did not make a significant difference in the BCFT scores. Also, the t-test showed a significant difference between men and women in recall and recognition, so women and men showed better performance in recall and recognition, respectively. Conclusion: In summary, our results suggest that demographic variables of age, gender, and education affect visual memory and visuospatial abilities, and it is essential to generate normative data for research or clinical settings.

Epidemiological and virological surveillance of the prevention of mother-to-child transmission of HIV among pregnant women in Togo

SummaryBackgroundIn 2015, Togo introduced the “test-and-treat” strategy for the prevention of mother-to-child transmission (PMTCT) of HIV. Pediatric HIV infection remains a public health problem in Togo, with a mother-to-child transmission (MTCT) rate of 3.6% in 2020. This study aimed to estimate cases of HIV seroconversion during pregnancy and to identify pregnant women at high risk of transmitting HIV to their children in Lomé, Togo.MethodsA descriptive cross-sectional study was carried out from 18 March to 22 May 2022 among women who had given birth in five maternity units providing PMTCT services in Lomé. Umbilical cord blood samples were taken from the maternal side by midwives after delivery. HIV serology was performed in the laboratory using the Alere™ HIV Combo SET and First Response HIV 1–2. Card Test version 2.0. A sample was considered positive if both tests were positive. The HIV-1 viral load in HIV-1-positive samples was measured using Cobas/Roche 4800 equipment. Information on the women was extracted from maternal antenatal records and antenatal consultation registers.ResultsA total of 3148 umbilical cord blood samples (median maternal age: 28 years (interquartile range [24–32]) were collected. Among them, 99.3% (3145/3148) had presented for at least one antenatal clinic visit before giving birth, and 78.7% (2456/3122) had presented for at least four visits. One hundred and twenty-one (121) cord samples were HIV-1 positive, representing a seroprevalence of 3.8% (95% CI = [3.2–4.6]). Among them, 67.8% (82/121) were known HIV-positive before the current pregnancy, 29.7 (36/121) were diagnosed as HIV-positive at the antenatal visits and 2.5% (3/121) were diagnosed as HIV-positive in the delivery room. Of the HIV-positive women, 85.9% (104/121) were on ARV treatment before delivery. The viral load was < 1000 copies/ml in 97.5% (118/121) cases.ConclusionThis study explored the virologic and epidemiological aspects of HIV among pregnant women in Togo. The results show significant viral suppression at delivery in women ART. Surveillance based on umbilical cord blood specimen screening is an interesting approach for monitoring the effectiveness of PMTCT programmes.

Pick a PACC: Comparing domain-specific and general cognitive composites in Alzheimer disease research.

We aimed to illustrate how complex cognitive data can be used to create domain-specific and general cognitive composites relevant to Alzheimer disease research. Using equipercentile equating, we combined data from the Charles F. and Joanne Knight Alzheimer Disease Research Center that spanned multiple iterations of the Uniform Data Set. Exploratory factor analyses revealed four domain-specific composites representing episodic memory, semantic memory, working memory, and attention/processing speed. The previously defined preclinical Alzheimer disease cognitive composite (PACC) and a novel alternative, the Knight-PACC, were also computed alongside a global composite comprising all available tests. These three composites allowed us to compare the usefulness of domain and general composites in the context of predicting common Alzheimer disease biomarkers. General composites slightly outperformed domain-specific metrics in predicting imaging-derived amyloid, tau, and neurodegeneration burden. Power analyses revealed that the global, Knight-PACC, and attention and processing speed composites would require the smallest sample sizes to detect cognitive change in a clinical trial, while the Alzheimer Disease Cooperative Study-PACC required two to three times as many participants. Analyses of cognition with the Knight-PACC and our domain-specific composites offer researchers flexibility by providing validated outcome assessments that can equate across test versions to answer a wide range of questions regarding cognitive decline in normal aging and neurodegenerative disease. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Social Axioms and Problem-Solving Styles in an Institutional Environment

What are social axioms and problem-solving styles, and how do they fit in the professional environment of higher education? The research seeks an answer to the question in a sample of 34 university lecturers using a shortened and an easier-to-use version of SAS test and Kirton KAI Inventory for the styles. Verification in the environment of SPSS 23 shows a uniform distribution and high values of Cronbach’s reliability coefficient. The axioms Effort-Reward and Social Complexity are leading for the respondents. Efficiency and Conformity are the leading decision-making styles. The values of the subscales Originality, Effort- Reward and Social Complexity are below 0.7. No correlation has been found between the professional experience of the researched subjects and the studied social axioms and problem-solving styles. A partial one has the university position in one of the styles and two structural components of the social axioms. Only in one case ANOVA confirms the hypothesis of a correlation between the social axioms’ subscales and problem-solving styles (Destiny Control-Conformity). Social axioms and preferred problem-solving styles appear to show some flexibility. Their leading components satisfactorily fit into the conditions of the professional activity of the studied lecturers.

Determining differences between therapists using an extended version of the facilitative interpersonal skills performance test.

The therapist-facilitative interpersonal skills (FIS) has shown to predict therapy outcomes, demonstrating that high FIS therapists are more effective than low FIS therapists. There is a need for more insight into the variability in strengths and weaknesses in therapist skills. This study investigates whether a revised and extended FIS-scoring leads to more differentiation in measuring therapists'interpersonal skills. Furthermore, we explorative examine whether subgroups of therapists can be distinguished in terms of differences in their interpersonal responses. Using secondary data analysis, 93 therapists were exposed to seven FIS-clips. Responses of therapists using the original and the extended FIS scoring were rated. Three factors were found on the extended FIS scoring distinguishing supportive, expressive, and persuasive interpersonal responses of therapists. A latent profile analysis enlightened the presence of six subgroups of therapists. Using the revised and extended FIS-scoring contributes to our understanding of the role of interpersonal skills in the therapeutic setting by unraveling the question what works for whom.

Statistical assessment of the factors influencing fly ash reactivity

Siliceous fly ash is a pozzolanic supplementary cementitious material often used in cement and concrete production. The influence of the chemical, mineralogical and physical properties of 75 siliceous fly ashes on their reactivity was examined in this study. The reactivity was analyzed by relative mortar compressive strength and a rapid screening test (a version of the R³ test). A statistical data analysis was carried out to evaluate the factors influencing the reactivity of the ash. The screening test was found to be able to predict the reactivity within short periods of time, while the relative strength is not a good measure for reactivity. It was also found that the TiO2 and chloride content of the fly ash can serve as an indicator for its reactivity.

Olfactory self-recognition in two species of snake.

Mark tests, in which an animal uses a mirror to locate and examine an otherwise unnoticeable mark on its own body, are commonly used to assess self-recognition, which may have implications for self-awareness. Recently, several olfactory-reliant species have appeared to pass odour-based versions of the mark test, though it has never been attempted in reptiles. We conducted an odour-based mark test on two species of snakes, Eastern gartersnakes and ball pythons, with widely divergent ecologies (i.e. terrestrial foragers that communally brumate versus semi-arboreal ambush predators that do not). We find that gartersnakes, but not ball pythons, pass the test, and a range of control tests suggest this is based on self-recognition. Gartersnakes are more social than ball pythons, supporting recent suggestions that social species are more likely to self-recognize. These results open the door to examination of the ecology of self-recognition, and suggest that this ability may evolve in response to species-specific ecological challenges, some of which may align with complexity of social structures.

Within-individual reproducibility of a dual sample oral cholate challenge test (DuO) and simplified versions of the HepQuant SHUNT test.

Current noninvasive liver tests measure fibrosis, inflammation, or steatosis and do not measure function. The HepQuant platform of noninvasive tests uniquely assesses both liver function and physiology through the hepatic uptake of stable isotopes of cholate. However, the prototypical HepQuant SHUNT test (SHUNT V1.0) is cumbersome to administer, requiring intravenous and oral administration of cholate and six peripheral venous blood samples over 90 min. To alleviate the burden of test administration, we explored whether an oral only (DuO) version, and other simplified versions, of the test could provide reproducible measurements of liver function. DuO requires only oral dosing and two blood samples over 60 min. The simplified SHUNT test versions were SHUNT V1.1 (oral and IV dosing but four blood samples) and SHUNT V2.0 (oral and IV dosing but only two blood samples over 60 min). In this paper, we describe the reproducibility of DuO and the simplified SHUNT tests relative to that of SHUNT V1.0; equivalency is described in a separate paper. Data from two studies comprising 236 SHUNT tests in 94 subjects were analyzed retrospectively by each method. All simplified methods were highly reproducible across test parameters with intraclass correlation coefficients >0.93 for test parameters Disease Severity Index (DSI) and Hepatic Reserve. DuO and SHUNT V2.0 improved reproducibility in measuring portal-systemic shunting (SHUNT%). These simplified tests, particularly DuO and SHUNT V2.0, are easier to administer and less invasive, thus, having the potential to be more widely accepted by care providers administering the test and by patients receiving the test.

Autobiographical memory following weight gain in adult patients with Anorexia Nervosa: A longitudinal study.

Patients with anorexia nervosa (AN) show overgeneralization of memory (OGM) when generating autobiographical episodes related to food and body shape. These memories are central for the construction of a coherent self-concept, interpersonal relationships, and problem-solving abilities. The current study aims to investigate changes in autobiographical memory following weight gain. OGM was assessed with an adapted version of the Autobiographical Memory Test including food-, body-, depression-related, and neutral cues. N=41 female patients with AN (28 restricting-, 13 binge-eating/purging-subtype; mean disease duration: 4.5years; mean BMI: 14.5kg/m2) and N=27 healthy controls (HC) were included at baseline. After inpatient treatment (mean duration: 11weeks), 24 patients with AN and 24 age-matched HC were reassessed. Group differences were assessed using independent samples t-tests for cross-sectional comparisons and repeated measures ANOVAs for longitudinal data. At baseline, patients with AN generated significantly fewer specific memories than HC, independent of word category (F(1.66)=27.167, p<0.001). During inpatient stay, the average weight gain of patients with AN was 3.1 body mass index points. At follow-up, patients with AN showed a significant improvement in the number of specific memories for both depression-related and neutral cues, but not for food- and body-related cues. Generalised OGM (i.e., independent of word category) in patients with AN before weight restoration may be a general incapacity to recall autobiographical memory. After weight gain, the previously well-studied pattern of eating disorder-related OGM emerges. The clinical relevance of the continuing disorder-related OGM in patients with AN after weight gain is discussed.

Psychological immunity: A new mental health test for psychiatric samples

IntroductionThe Mental Health Test serves as the operationalized, comprehensive measurement of Maintainable Positive Mental Theory which defines mental health (for either the non-clinical or psychiatric population) as a high level of global well-being, psychological, social and spiritual functioning, resilience, effective creative and executive functioning, savoring capacities, coping and enjoyment, regardless of the presence or absence of symptoms of psychopathology.ObjectivesTo assist psychiatrists and clinical psychologists to assess their patients’ psychological immune competence–based capacities and resources, depending on the mental health disorder diagnosis and the severity of the symptoms, the present study examined the psychometric properties of the Mental Health Test in a psychiatric sample.MethodsThe research was carried out in four Hungarian healthcare facilities using a cross-sectional design. A total of 331 patients (140 male, 188 female, and 3 who preferred not to disclose their gender) completed the Mental Health Test, six well-being and mental health measures, and the Symptom Checklist-90. Clinical psychologists reported the mental disorder status of each participant.ResultsConfirmatory factor analysis showed a good fit of the five-factor model to the data for the clinical version of the Mental Health Test (CFI = 0.972, RMSEA = 0.034). High internal consistency coefficients (α: 0.70–0.84; ω: 0.71–0.85) and excellent external and content validity were reported. The Mental Health Test was not sensitive to sociodemographic indicators but was sensitive to correlates of well-being and symptoms of mental disorders in a psychiatric sample. Regression analyses demonstrated that unipolar depression and number of mental disorders were related to a lower overall Mental Health Test score. Personality disorders, unipolar depression, and the greater severity and higher number of mental disorders were associated with a lower global well-being score. Unipolar depression was related to lower savouring capacity. Self-regulation showed a correlation with the self-reported number of mental disorders only. Anxiety and somatization disorders, unipolar depression, and a higher number of self-reported mental disorders were related to a lower psychological resilience score. The regression model for the creative and executive efficiency subscale did not fit our data. The interaction of all combinations of psychotherapy and pharmacotherapy was significantly related to the overall Mental Health Test score and to the subscales. These results can later serve as a basis for designing intervention studies.ConclusionsOur preliminary findings suggest that the Mental Health Test is a suitable measure for assessing mental health capacities and resources in psychiatric samples.Disclosure of InterestNone Declared

Digital Contact Tracing Solutions: Promises, Pitfalls and Challenges

The COVID-19 pandemic has caused many countries to deploy novel digital contact tracing (DCT) systems to boost the efficiency of manual tracing of infection chains. In this paper, we systematically analyze DCT solutions and categorize them based on their design approaches and architectures. We analyze them with regard to effectiveness, security, privacy and ethical aspects and compare prominent solutions based on these requirements. In particular, we discuss shortcomings of the Google and Apple Exposure Notification API (GAEN) that is currently widely adopted all over the world. We find that the security and privacy of GAEN has considerable deficiencies as it can be compromised by severe large-scale attacks. We also discuss other proposed approaches for contact tracing, including our proposal <sc xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">TraceCORONA</small> , that are based on Diffie-Hellman (DH) key exchange and aim at tackling shortcomings of existing solutions. Our extensive analysis shows that <sc xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">TraceCORONA</small> fulfills the above security requirements better than deployed state-of-the-art approaches. We have implemented <sc xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">TraceCORONA</small> and its beta test version has been used by more than 2000 users without any major functional problems <uri xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">https://tracecorona.net/download-tracecorona/</uri> , demonstrating that there are no technical reasons requiring to make compromises with regard to the requirements of DCT approaches.

Long-term prognosis and health-related quality of life for people with Aphasia in Sweden

ABSTRACT Background People with aphasia (PWA) after ischemic stroke often have difficulties in communication and social participation. To individualise rehabilitation and optimise recovery, there is a need for knowledge regarding prevalence of aphasia, and language functions in relation to long-term recovery and health-related quality of life (HRQoL). In this study, we examined these issues in a Swedish setting. Methods We screened consecutive persons with first-ever ischemic stroke admitted to Skåne University Hospital, Sweden, at baseline (median day 4 post stroke onset) for aphasia with the Language Screening Test (LAST). We then performed a detailed follow-up of PWA at 1, 3, and 12 months after stroke onset with the Swedish version of the Comprehensive Aphasia Test (CAT) for evaluation of cognition and language, and with the self-reported Aphasia Impact Questionnaire (AIQ) for evaluation of HRQoL. We analysed aphasia recovery and potential associations between aphasia severity, language functions, stroke severity according to National Institutes of Health Stroke Scale (NIHSS), and HRQoL. Results Initial aphasia was present in 27% (n = 60 of 221) of stroke persons in the acute phase. At 1 month after stroke onset, 74% (n = 40 of 54 survivors with initial aphasia) had remaining aphasia, at 3 months 67% (n = 34 of 51) had aphasia and at 12 months post stroke 61% (n = 30 of 49) had remaining aphasia. Improvement of aphasia was greatest during the first months after onset, with significant improvement regarding naming (p= 0.01), repetition (p= 0.03) and comprehension of written language (p= 0.01). HRQoL remained significantly associated with aphasia severity after adjusting for stroke severity and age. At 3 months, 87% (n = 26) of PWA reported that aphasia affected their ability to communicate with the environment, had negative consequences on level of participation (73%, n = 22), and their emotional well-being (87%, n = 26). There were no significant temporal changes regarding HRQoL between 3 and 12 months post stroke. Conclusion Chronic aphasia was observed in 61% of all alive persons presenting with baseline aphasia after ischemic stroke. Aphasia has negative consequences on HRQoL for PWA and aphasia severity impacts HRQoL regardless of stroke severity.

Sensitivity and specificity of the new Bio-Rad HIV screening test, Access HIV combo V2.

Bio-Rad is one of the leading human immunodeficiency virus (HIV) screening test manufacturers. This laboratory released in 2021 their new version of the Access combo HIV test. However, to date, there have been no studies regarding its performance, especially its limit of detection of the diverse p24 antigen. We present the sensitivity (chronic and primary HIV-1 infection and HIV-2 chronic infection), specificity (blood donors and hospitalized patients), and raw data for the p24/seroconversion panels the manufacturer gave to the European agencies.

Generalizability of the Swedish WISC-V to the Finland-Swedish minority – the FinSwed study

ABSTRACT International guidelines highlight the importance of using appropriate and culturally fair test materials when conducting clinical psychological assessments. In the present study, the generalizability of the Swedish WISC-V with Scandinavian normative data was explored in 6–16-year-old Swedish-speaking children in Finland (N = 134), as no local test versions or norms are available for this minority. First, metric measurement invariance was established, i.e., the constructs measured were equivalent between the standardization data and the present sample. Second, the performance of this minority group on the Swedish WISC-V was compared to the Scandinavian normative mean. The findings showed that the Finland-Swedish children performed overall higher than the normative mean on the Swedish WISC-V, with an FSIQ of 103. The performance was significantly higher also in the indexes VSI, FRI, and WMI as well as in several subtests. However, in the subtest Vocabulary, the Finland-Swedish children achieved significantly lower scores than the Scandinavian mean. Further analyses showed significant associations between cognitive performance and age as well as parental education. For the VCI and the FSIQ, performance increased significantly with age, despite the use of age-standardized scaled scores. The general high performance was suggested to relate to the overall high educational level of the Finland-Swedes as well as to other cultural and test-related factors. The results have implications for clinicians conducting assessments with this minority, but also highlight the importance of establishing test fairness by validating tests when used in different cultural groups.