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5. Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke.

Author

Babulal, Ganesh M., Huskey, Thy N., Roe, Catherine M., Goette, Susan A., and Connor, Lisa T.

Subjects
AFFECTIVE disorders, COGNITION disorders, STATISTICAL correlation, LONGITUDINAL method, PSYCHOLOGICAL tests, QUESTIONNAIRES, REGRESSION analysis, RESEARCH funding, STROKE, T-test (Statistics), ACTIVITIES of daily living, CASE-control method, DATA analysis software, STATE-Trait Anxiety Inventory, DESCRIPTIVE statistics, DISEASE complications
Abstract

Background: Cognition and mood play crucial roles in post-stroke recovery; however, the stroke literature is unclear as to how impairments in both domains influence performance of instrumental activities of daily living (IADL). Objective: (1) Evaluate the extent to which mood and cognition at two weeks post-stroke predict performance three months post-stroke. (2) Assess performance differences in patients with impairments in both cognition and mood to patients with impairments in either cognition or mood. Methods: Inpatients with a first-ever ischemic or hemorrhagic stroke were assessed at 2 weeks (n=52) and at 3 months (n=41) post-stroke. Patients completed a battery of neuropsychological tests, self-report measures and performance-based tests. Cognitive impairments and mood disruptions were assessed at 2 weeks and three months and IADL performance, as assessed by the Executive Function Performance Test, was evaluated at three months. Results: Complete data from the 41 patients assessed at both time points were analyzed. Regression analysis showed that composite cognition and composite mood variables at two weeks post-stroke predicted 48% of the variance in IADL performance at three months (F3,37= 12.04; adjusted R²=0.48, P<0.001). Statistically significant differences were found in performance scores for patients with a single impairment (/W=7.86, SD=7.81) and for those with impairments in both mood and cognition (/W=19.2, SD= 13.2) (1(39) = -3.41, P=0.008). Conclusion: The results of this study suggest that cognitive and mood impairments at two weeks post-stroke are important predictors of performance in complex activities required for full independence at home and should be routinely assessed in stroke rehabilitation. [ABSTRACT FROM AUTHOR]

Published
2015
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6. Accessioning visions of the people.

Author

Goette, Susan Ann

Subjects
American Indian, Art, Cultural Narratives, Fry Bread, Museum Exhibits, Representation, Anthropology
Abstract

Visions of the People was a complex and influential exhibit focusing on American Indians peoples. This study examines the role of museums as cultural interpreters, explores the social nature of objects as markers of cultural ideas and values, analyzes the ways in which particular representations achieve their authority, assesses object selection processes with attention to patterns of inclusion as well as exclusion, and investigates the cultural narratives employed by museum workers as they conceptualized and created the exhibit. This work explores the understanding, meaning, and representation of American Indian art, history, and culture that was fashioned by the museum (MIA). The import of this case study rests on the assertion that images are powerful. Museums display objects and images in an attempt to convey particular ideas and interpretations to an audience. This study has the potential to serve as a primer for those interested in museums as historically situated institutions that possess the cultural authority to reproduce and interpret the stories we tell about ourselves to ourselves, as well as the stories we tell about others (C.Geertz). Each section of this study addresses a different topic, and brings together the perspectives of those people most concerned with or most impacted by each topic. Contributors to each section include: scholars, museum professionals, artists, and members of the audience. Each of these roles included both American Indian and non-Indian contributors.

Published
2009

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