title: Neuropsychological Profiles of 5-Year Ischemic Stroke Survivors by Oxfordshire Stroke Classification and Hemisphere of Lesion

authors: Barker-Collo, Suzanne

subjects: classification

abstract: Background and Purpose—Although the neuropsychological literature typically examines stroke outcomes by hemisphere of lesion, the medical literature provides classifications more closely linked to circulatory distribution impacted by stroke. This article examined profiles of cognitive function by hemisphere and by Oxfordshire Community Stroke Project stroke classification.
Methods—This study included a sample of 315 5-year ischemic stroke survivors. Assessment included tests of verbal memory, visual memory, word finding/verbal fluency, abstract visual reasoning, executive functioning, and speed of processing.
Results—The sample produced scores within 1 standard deviation of the normative mean on tests of abstract visual reasoning, verbal memory, and visual recall. Impaired performances were observed for executive function and processing speed. Profile analysis revealed no significant differences in overall cognitive performance or in the profile of performance across measures by hemisphere of lesion. However, groups defined by Oxfordshire Community Stroke Project categories produced significantly different cognitive profiles. Post hoc analyses indicate those with posterior stroke performed best overall on all tests except the Stroop Dots trial, whereas those with total anterior stroke produced significantly worse scores on tasks requiring visual abstract reasoning (Block Design, Rey Figure Copy), word finding (Boston Naming Test), and processing speed (Stroop Dots, Trails A).
Conclusions—Oxfordshire Community Stroke Project stroke subtypes identified significant differences between groups, suggesting this classification system is of greater use than hemisphere of lesion in predicting poststroke cognitive outcomes.

text: Neuropsychological Profiles of 5-Year Ischemic Stroke Survivors by Oxfordshire Stroke Classification and Hemisphere of Lesion Background and Purpose—Although the neuropsychological literature typically examines stroke outcomes by hemisphere of lesion, the medical literature provides classifications more closely linked to circulatory distribution impacted by stroke. This article examined profiles of cognitive function by hemisphere and by Oxfordshire Community Stroke Project stroke classification.
Methods—This study included a sample of 315 5-year ischemic stroke survivors. Assessment included tests of verbal memory, visual memory, word finding/verbal fluency, abstract visual reasoning, executive functioning, and speed of processing.
Results—The sample produced scores within 1 standard deviation of the normative mean on tests of abstract visual reasoning, verbal memory, and visual recall. Impaired performances were observed for executive function and processing speed. Profile analysis revealed no significant differences in overall cognitive performance or in the profile of performance across measures by hemisphere of lesion. However, groups defined by Oxfordshire Community Stroke Project categories produced significantly different cognitive profiles. Post hoc analyses indicate those with posterior stroke performed best overall on all tests except the Stroop Dots trial, whereas those with total anterior stroke produced significantly worse scores on tasks requiring visual abstract reasoning (Block Design, Rey Figure Copy), word finding (Boston Naming Test), and processing speed (Stroop Dots, Trails A).
Conclusions—Oxfordshire Community Stroke Project stroke subtypes identified significant differences between groups, suggesting this classification system is of greater use than hemisphere of lesion in predicting poststroke cognitive outcomes.

year: 2012

title: Session 6: The eight lakes of Tarawera- Introduction

authors: Webber, Warren

abstract: Introduction of Session 6: The eight lakes of Tarawera

text: Session 6: The eight lakes of Tarawera- Introduction Introduction of Session 6: The eight lakes of Tarawera

year: 2017

title: Ngati Rahiri versus Ngati Tamatera

authors: Hart, Philip

abstract: Conflict between Ngati Tamatera, of Ohinemuri, and Ngati Rahiri, of Te Aroha, was provoked by the latter believing that members of other hapu had received money for the Aroha Block to which they were not entitled. In addition, the two hapu disagreed over the block’s northern boundary. In early 1877 Ngati Rahiri threatened violence and even fired over the heads of several rangatira passing through their land, thereby challenging their right to intrude on it. In response, Ngati Tamatera, with the assistance of Ngati Koi, blocked the road to Te Aroha and also the Waihou River against Ngati Rahiri, although they permitted Pakeha to pass. Pakeha took a relaxed attitude to the conflict, not expecting any real battles occurring during a squabble they understood to have been caused by members of an inferior hapu having their names wrongly included in Crown grants.
After Ngati Tamatera erected two small and unimpressive pa to block both road and river, Ngati Rahiri retaliated by constructing a similarly unimpressive pa at Omahu, their settlement at Te Aroha. Apart from much posturing, the only actions taken were Ngati Tamatera sending back to Omahu an aged woman who had come down the river in a canoe and Ngati Rahiri stealing pigs and peaches and firing shots near a settlement. The Native Minister and various officials, notably James Mackay, intervened to resolve the conflict, which was ended with a reconciliation initiated by Ngati Tamatera and formalized by a large meeting of both hapu at Omahu.
Once this quarrel was settled, negotiations to enable the Crown to purchase the Aroha Block were resumed.

text: Ngati Rahiri versus Ngati Tamatera Conflict between Ngati Tamatera, of Ohinemuri, and Ngati Rahiri, of Te Aroha, was provoked by the latter believing that members of other hapu had received money for the Aroha Block to which they were not entitled. In addition, the two hapu disagreed over the block’s northern boundary. In early 1877 Ngati Rahiri threatened violence and even fired over the heads of several rangatira passing through their land, thereby challenging their right to intrude on it. In response, Ngati Tamatera, with the assistance of Ngati Koi, blocked the road to Te Aroha and also the Waihou River against Ngati Rahiri, although they permitted Pakeha to pass. Pakeha took a relaxed attitude to the conflict, not expecting any real battles occurring during a squabble they understood to have been caused by members of an inferior hapu having their names wrongly included in Crown grants.
After Ngati Tamatera erected two small and unimpressive pa to block both road and river, Ngati Rahiri retaliated by constructing a similarly unimpressive pa at Omahu, their settlement at Te Aroha. Apart from much posturing, the only actions taken were Ngati Tamatera sending back to Omahu an aged woman who had come down the river in a canoe and Ngati Rahiri stealing pigs and peaches and firing shots near a settlement. The Native Minister and various officials, notably James Mackay, intervened to resolve the conflict, which was ended with a reconciliation initiated by Ngati Tamatera and formalized by a large meeting of both hapu at Omahu.
Once this quarrel was settled, negotiations to enable the Crown to purchase the Aroha Block were resumed.

year: 2016