A Rehabilitation Tool Designed for Intensive Web- Based Cognitive Training: Description and Usability Study. Abstract. Background. Cognitive deficits are among the most disabling of neurological diseases and have a serious impact on the quality of life of patients and families. Cognitive training has been proven successful in improving or compensating for neuropsychological deficits after acute brain injury, but its efficacy highly depends on the intensity of treatment over an extended period of time. Therefore, cognitive training indicates expensive human resources and renders the rehabilitation process vulnerable to physical and economic barriers for the majority of patients. Objective. The aim of this study was to develop and test a new Web- based rehabilitation tool that provides intensive cognitive training at home under clinical prescription and monitoring, at affordable costs. Methods. From a pool of 6. Enhancing Cognitive Functioning in Healthly Older Adults: a Systematic Review of the Clinical Significance of Commercially Available Computerized Cognitive Training. These exercises were assembled in a clean, user- friendly design and covered various cognitive domains such as attention (n=4), memory (n=1. A Web 2. 0 platform was also designed to provide medical prescription of cognitive training sessions, performed at the patient’s home. These sessions included continuous monitoring of compliance, performance, and evolution; algorithms for automatic adjustment and long- term learning through use, and database recording of all activities. The end- user interaction test included 8. Alzheimer’s disease (n=2.
![]() During a 1- hour session, patients and their relatives were taught to use the system and allowed to practice using it. At the end of the session, they were asked to complete a questionnaire. Results. A total of 4. The mean age of the patients was 6. SD 1. 3. 3, range 4. ![]() Of all the participants, 3. All patients and their relatives made a positive evaluation of the cognitive training tool. Only 2/4. 8 patients (4%) were not interested in performing the exercises at home; 1. The patients who mentioned difficulties in performing the exercises have not used the computer earlier. Conclusions. This new Web- based system was very well accepted by patients and their relatives, who showed high levels of motivation to use it on a daily basis at home. The simplicity of its use and comfort were especially outlined. This tool will have an important effect on human resource management, in increasing the patient access to specialized health care and improving the quality and national health system costs of rehabilitation programs. Keywords: cognitive training, cognitive deficits, neurorehabilitation, Web- based applications, e. Health systems, usability test. Introduction. Overview. Neurological disorders are commonly associated with a variety of cognitive and motor deficits that result in an ever increasing demand for health services. Among all major groups of diseases, neurological disorders constitute 6. This value may be as high as 1. European region, which corresponds to 1. Irrespective of the cause (eg, stroke, brain injury, or dementia), people with cognitive impairments rarely recover spontaneously or completely [2]. Once established, brain damage is difficult to revert and pharmacological tools with a confirmed positive result are scarce [3- 5]. The recovery process is typically slow, relies on the remaining plastic properties of brain tissue, and is highly dependent on complex and intensive assisted rehabilitation programs [6]. Similar to other rehabilitation processes, the results of the recovery process also depend on the timely onset, intensity, and specificity of the treatments [7,8]. The neurorehabilitation programs have proven efficacious in the compensation, improvement, and stabilization of cognitive deficits in several diseases and nosological models [9- 1. However, despite being accepted as a fundamental component of current treatment plans, these programs often impose strong restrictions on the patients’ access to such treatments [1. These programs commonly require multidisciplinary teams and are usually performed in hospital settings, away from the patient’s home, in the presence of a relative (a huge effort by patients, families, and institutions). Classic cognitive training in particular requires pencil- and- paper tasks and object manipulation under specialized supervision. These characteristics result in a large economic burden to both the health system and families [2. Furthermore, they limit the efficacy of the treatment by increasing the difficulty in coping with rehabilitation sessions in due time (soon after injury) and in attaining the high intensity of treatment necessary to foster nervous system plasticity [8,2. The computer has emerged as a tool for the training and educating patients with brain injury, thus reducing the large demand for human resources and increasing the motivation of these patients [9,2. However, the use of informatics programs in cognitive training is a recent approach; hence well- designed clinical trials are scarce, and the majority of them are inadequate for efficient integration in current clinical practice [1. Therefore, the sole reliance on repeated exposure to computer- based tasks without some involvement and intervention by a therapist is not recommended [9]. To address these problems, we decided to develop a new integrative Web- based tool “COGWEB” for home- based cognitive training, centered not only on the patients’ needs but also on professionals and institutional requests. This instrument takes advantage of the growing knowledge on computerized training protocols for cognitive rehabilitation [1. Web- based platform with computer exercises developed over the last few years in an outpatient memory clinic. The aim of this tool is to increase the quality and overall intensity of cognitive training programs. This paper presents the main characteristics of the developed system and the results of a usability testing of the online system performed by patients suffering from highly prevalent neurological diseases, and their relatives. Previous Approaches. Over the past few years, several solutions have been proposed to increase the availability of cognitive training. In fact, the market is flooded with commercial brain exercise programs that claim to improve cognition, have diagnostic abilities, and even replace the role of specialized health professionals along the way [3. However, extensive clinical validation is still lacking and only a few programs have undergone scientific inquiry [2. Previous approaches to cognitive training can be summarized into 3 categories: (1) cognitive domain- specific programs, (2) neuropsychological software programs, and (3) video games. Cognitive domain- specific programs train specific cognitive capacities, usually under professional guidance at a health institution, and rely on the repetition of standardized tasks on a computer. Training of reaction time [3. Neuropsychological software programs are designed to train several cognitive domains using a variety of tasks. These programs rely on immediate feedback and allow individuals to evolve based on their performance. Most studies with these tools analyze multiple cognitive domain interventions, either in the lab or remotely, for example, the Posit Science Brain Fitness Program [3. Integrated Cognitive Stimulation and Training Program [4. Neuropsychological Training [4. Cogni. Fit Personal Coach [4. Lumosity [2. 9]. Most of these programs are commercially available and especially designed for older people, as this age group is their biggest target market [3. Nonetheless, there is a specific growing group dedicated to children and academic performance, usually under the format of tutorials [4. Video games include computer or other electronic games where the players are enrolled in a set of activities oriented toward achieving a specific goal. Patients are given immediate feedback, and these games allow for an automatic progression between different levels of difficulty according to performance. The cognitive domains in this category are more difficult to individualize [1. This category includes games originally designed to improve cognition like Nintendo’s Big Brain Academy for Wii [4. Pac Man, Donkey Kong, or Tetris that were studied for processing speed [4. Rise of Nations [4. Medal of Honor [4. Unmet Needs and Problems. Computerized cognitive training offers several advantages over traditional pencil- and- paper tasks mediated by a psychologist or therapist at a health institution.
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Everything is new. Everything is better. Works with 1.14/1.13/1.12/1. На сайте Вы сможете скачать nude-патчи и nude-модификации для игр. Обнаженные герои и голые. Die Geschichte wird einerseits von den NSCs, insbesondere Deckard Cain und dem Erzengel Tyrael, zum anderen aber auch in den Videos, die zwischen den Akten abgespielt werden, weiter erzählt. Zum Erscheinungstermin von Diablo II gehörten diese 3. D- Animationen zu den künstlerisch hochwertigsten und aufwändigsten, die bis dahin als Bestandteil eines Computerspiels veröffentlicht wurden. Die fünf Videos sind zusammen über 2. Minuten lang und werden im Akt V von Lord of Destruction durch zwei weitere Videos fortgesetzt und um sechs Minuten erweitert. Der erste Akt spielt in und um das Lager der Jägerinnen in einer Wald- und Wiesenlandschaft. Hier sind die Aufgaben zunächst vergleichsweise einfach und ein direkter Kontakt mit den Brüdern besteht nicht. Am Ende des Aktes gilt es, die Dämonenkönigin Andariel zu vernichten, die die Jägerinnen terrorisiert hat. Der zweite Akt spielt im Umfeld der Wüstenstadt Lut Gholein. Hier in der Nähe hat sich der Magier Tal Rasha zusammen mit dem Seelenstein Baals einsperren lassen. Im Laufe der Zeit hat Baal hier die Kontrolle über Tal Rasha übernommen und sich abgesetzt, noch bevor der Spieler das richtige Grab finden kann. Stattdessen hält sich hier mit Duriel ein weiteres der niederen Übel auf, das es zu besiegen gilt. Ist dies geschafft, macht der Spieler Bekanntschaft mit dem Erzengel Tyrael, der ihn auffordert, Diablo daran zu hindern, seine Brüder zu befreien, da alle drei zusammen die Welt ins Unheil stürzen. Der Seelenstein von Baal ist dank eines Naivlings namens Marius nicht mehr dort; diesen hat selbiger bei sich. Im dritten Akt geht es in den Hafen der alten Handelsstadt Kurast. In der Nähe liegt der Tempel von Travincal, in dessen Katakomben Mephistos Seelenstein verwahrt wird. Doch der Spieler kommt zu spät und muss mit Mephisto kämpfen. Hierbei gelangt er jedoch an dessen Seelenstein, den es im weiteren Verlauf zu zerstören gilt. Der vierte Akt spielt in der Festung des Wahnsinns, der letzten Bastion vor der Hölle. Hier erhält man die Aufgabe, Mephistos Seelenstein zu zerstören und danach Diablo selbst zu bekämpfen. Zwischendurch muss der Spieler noch den gefallenen Engel Izual befreien, der danach vielsagend berichtet, dass er den Brüdern das Geheimnis der Seelensteine erzählt hat. Im letzten der Videos berichtet Marius einem Besucher im Mönchsgewand, den er für den guten Erzengel Tyrael hält, dass alle Seelensteine zerstört seien, auch der von Diablo – bis auf den einen Stein, den er noch bei sich trägt. Als er diesen dem vermeintlichen Tyrael aushändigt, stellt sich heraus, dass es in Wahrheit Baal ist. An diesem Punkt knüpft die Handlung der Erweiterung Lord of Destruction an. Das Spielprinzip unterscheidet sich in diversen Details vom ersten Teil, insbesondere wurde die Bedienung deutlich komfortabler. Der Charakter kann jetzt im gesamten Spiel rennen, was den gesamten Spielfluss wesentlich schneller macht und es gibt eine Kiste, in der man Gegenstände lagern kann. Weggefallen sind auffindbare Zaubersprüche, stattdessen werden diese wie die Fertigkeiten (Skills) im ersten Teil behandelt. Die Grafik ist noch immer 2. D mit einer Auflösung von 6. Pixeln (8. 00 × 6. Pixel mit der Erweiterung Lo. D). Die Spielwelt ist allerdings um ein Vielfaches größer und es gibt auch wesentlich mehr Variablen im Spiel zu bedenken. Der zweite Teil ist auch in lokalisierten Sprachversionen verfügbar. Erfahrungspunkte erhält ein Charakter durch das Töten von Monstern. Jeweils bei einer bestimmten Punktzahl steigt der Spieler eine Stufe auf, wobei immer mehr Erfahrungspunkte für eine Stufe benötigt werden. Für den Sprung von Level 1 auf 2 werden nur 5. Punkte benötigt, für die höchste Charakterstufe im Spiel, Level 9. Punkte gesammelt werden. Der von einem Monster erhaltene Wert an Erfahrungspunkten hängt sowohl von der Stufe des Charakters wie auch von der des Monsters ab. Nur, wenn beide weitgehend gleich sind, bekommt der Charakter die optimale Punktzahl, bei einer Abweichung von mehr als 1. Stufen werden hingegen deutlich weniger Punkte erteilt, oft sogar nur 5 % der maximalen Erfahrung. Dies gilt auch, wenn das Monster eine höhere Stufe hat als der Spielcharakter, um zu verhindern, dass ein Charakter einfach mit wesentlich stärkeren Charakteren mitläuft und durch die Punkte der von diesen getöteten Monstern sehr schnell aufsteigt. Das ganze ist im Groben darauf ausgelegt, dass der Spieler 1. Stufen im ersten Akt und danach je etwa 5 Stufen in einem Akt verweilt. Ab Stufe 7. 0 wird der Aufstieg zusätzlich deutlich verlangsamt. Jedes mal, wenn der Charakter eine Stufe aufsteigt, bekommt der Spieler fünf Statuspunkte, die er auf Stärke, Geschicklichkeit, Vitalität und Energie (Mana) verteilen kann. Außerdem erhält er einen Fertigkeitenpunkt, welchen er auf verschiedene charakterspezifische Fertigkeiten verteilen kann. Diese steigern die Wirkung von Angriffen oder sind selbst Kampfzauber. Viele der Fähigkeiten werden jedoch erst im weiteren Verlauf freigeschaltet oder hängen von anderen ab. Erst mit Stufe 3. Fertigkeit trainiert werden. In einigen Quests gibt es darüber hinaus ebenfalls Status- und Fertigkeitenpunkte zu gewinnen. Von der Stärke hängt zum einen ab, welche Waffen und Rüstungen der Charakter tragen kann, zum anderen erhöht sie bei vielen Waffenarten den Schaden. Die Geschicklichkeit beeinflusst den Angriffswert, nach dem ermittelt wird, mit welcher Wahrscheinlichkeit der Charakter einen Gegner trifft und (mit der Erweiterung) die Block- Wahrscheinlichkeit eines Schildes. Ersteres ist auf 9. Auch die Wahrscheinlichkeit, mit der ein Gegner den Charakter trifft, hängt sehr schwach von der Geschicklichkeit ab. Die Vitalität erhöht die Lebens- und Ausdauerpunkte des Charakters, die Energie die Mana- Punkte. Der Spieler muss bei den verschiedenen Eigenschaften und Fähigkeiten stets abwägen, welche er verbessern will, bei den Gegenständen oft sogar Verschlechterungen weniger wichtiger Eigenschaften hinnehmen. Hierdurch ist jeder Charakter individuell. So sind von Anfängern aufgebaute Charaktere oftmals zwar in der Lage einen großen Schaden zu überleben; ein gut ausgebauter Charakter jedoch erleidet gar nicht erst einen Schaden, da er mit einer weitaus größeren Wahrscheinlichkeit dem Gegner ausweichen oder seinen Schaden mit dem Schild abblocken kann. Auch müssen die Eigenschaften zur Charakterklasse passen, so bringt es einem Barbaren, der für seine Angriffe einen geringen Mana- Bedarf (meist 2 Punkte pro Schlag) hat, nichts, wenn er einen riesigen Mana- Vorrat auf Kosten anderer Fähigkeiten hat. Ein einfacher Zauber, der pro Treffer eine geringe Zahl Mana- Punkte regeneriert ist hier viel effektiver. ![]() Comparison of Digital Photo Catalog Software. The following is a summary of the popular photo database / cataloging. It should. help in trying to compare the differences in important features. Most of the programs are. I have included some. I have not included the. Note: Photo catalog software is also sometimes refered to as. Graphic Design. Covering everything from kerning to color theory, these resources on design fundamentals will help you become a better graphic designer. The app is certainly a relic, from a time when the casual computer user couldn’t crack open Photoshop or Skitch or Pixelmator or thousands of web apps. Tabtight professional, free when you need it, VPN service. This document should help you out Connie: http://kb2.adobe.com/community/publishing/531/cpsid_53164.html. Please see the individual review pages for related comments. Key to Table. VSVersioning Support: multiple file grouping (eg. See differences. between versioning support below. CACatalog or simply a browser? If Y. has full support for keywords / categories. If N. relies on user to locate images through a Windows- explorer. SCScripting language that allows one to extract and manipulate. OSOperating system: M=Mac, P=PCRWCamera RAW file formats (viewing)CMColor managed display. VERLatest version along with release date. Note that if the. Trial. SW = Shareware. If there are certain features or products that you feel are important. NOTES: [1] Trial is watermarked, only first 1. No native support for versioning in release 3. See. my Manage. Versions script, which is designed to be a workaround until the. It is widely believed. IMatch might integrate native version support. Other products that have similar extensive scripting could also add. Mario Westphal announced version support in the. IMatch 3. 5). In early 2. It's not clear when this feature will be available.[3] RAW is in extra "Photo Suite" $4. Versioning. in "Vault" $1. Free Viewer for others, but only. Viewer option.[4] Color Management only supported with "photo. Pro" plugin. ($3. Looks primarily like an image browser, but has support for. Other features that I would like to incorporate into the matrix are. Editing capabilities, offline image support, importing, printing, duplicate. If you are aware of any corrections or additional details, please let. Book on Digital Asset Management. Having spent considerable time researching topics relating to digital asset. I have been surprised by how few books cover this important. Recently, I read Peter Krogh's excellent. The DAM Book, and would certainly recommend. Versioning: Revision Control vs Multi- file. Versions. It is easy to become confused when trying to determine whether or not a particular product. There are two closely related types of. Revision Control. Revision control is simply a mechanism that tracks and stores multiple. One might edit. a photo and then save it. This is stored as the current version of. At a later stage, one opens up the same. When this further edit is. Version 1. 1 (before. This is commonly used with documents and source code, but some. Although it adds value for the first version (from original to first. At any point in time, one could roll- back the. Generally, all tags will be. Programs supporting this are marked with a N. VS column above. Unfortunately, the problem most photographers face is not one of linear version control, but control. This is where multi- file versions. Multi- file Versions. Multi- file versioning (not sure of an appropriate or accepted name. This allows for parallel streams of development. The key point here is that a catalog program that supports. These multiple files are often created. Examples include. Unfortunately, there are very few catalog programs that have native. Such programs are marked with a Y. VS column above. Comparison of Versioning Approaches. The following section will identify the different levels of support. The. table lists only those programs that either have native integrated. Please see my discussion of multiple. Product. Approach. Comments. IMatch 3. Unreleased - Unknown. Mario Westphal announced (as of 0. IMatch (3. 5). When it was finally released (Feb 2. It is not clear yet what approach. See Mario's initial comments on IMatch 3. Though some of these items are clearly waiting for a future release). Photoshop Elements 3. Native support. Implementation of both version sets and image stacks (collections. Imager. Native support. Provides a good implementation of multi- file versioning (not. It groups files into a single entity and. Windows Explorer) into the "Show Registered Versions" window. In the "Catalog" view it only displays the "Originals". Media" view, it will display all. Now implements. a Version Detection Wizard which will find the duplicates which. View Media Pro. Revision control only. Only revision control, allowing one to rollback to a previous. Photoshop Album 2. Edit control only. Only supports invokation of editing, and replaces entry in catalog. Digital. Pro. Only JPEG+RAWCatalog keeps JPEG & RAW files associated together. Photo. Archiver. Native support. Appears to properly support derivative images / multi- file versioning and possibly revision control. Can also associate other non- picture files with an image. Photo Mechanic. Only JPEG+RAWCatalog keeps JPEG & RAW files associated together. Placeholder or Proxy Assets in a catalog. Very few programs support the notion of a placeholder asset. A placeholder is simply. It might represent a missing photo. Even though the original asset may not exist on your drive, it is still useful to have. The database program. I imagine. that this is not a feature that many people ask for, except in corporate situations where. Even if the catalog program doesn't natively support such a feature, it would be. Simply create a dummy image / thumbnail which you add. You can tag and categorize. If you ever want to bring in the actual element, then you can relocate. View and Download Dell Dimension 3000 owner's manual online. Dell Dimension 3000: Owners Manual. Dimension 3000 Desktop pdf manual download. · I am about to install a second internal hard drive (160 GB) after getting bad information about being able to do this from Dell Chat, E-mail and Phone Support. My Dell Demension 3. Bios verion A0. 2 I tried to boot it and. Let's try the following: 1 Turn on the computer. 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