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Background: There is conflicting evidence regarding the benefits of intensive speech and language therapy (SLT), particularly because intensity is often confounded with total SLT provided. Aims: A two-centre, randomized, rater-blinded, parallel study was conducted to compare the efficacy of 100 h of SLT in a regular (RT) versus intensive (IT) treatment in sub-acute post-stroke aphasia. Methods & Procedures:Consecutive patients with aphasia, within 3 months of a left hemisphere ischemic stroke, were randomized to IT (2 h per day × 5 days per week, 10 weeks) or RT (2 h per week × 50 weeks). Evaluations took place at 10, 50 and 62 weeks. Primary outcome was the frequency of responders, defined by 15% increase of Aphasia Quotient (AQ) from the baseline to 50 weeks. Secondary outcomes were changes from the baseline in AQ and functional communication profile (FCP) at 50 and 62 weeks and improvement stability between 50 and 62 weeks. Outcomes & Results: Thirty patients were randomized and 18 completed the study. No significant differences were found between groups in primary or secondary outcomes, although IT patients (N = 9) obtained higher scores in language measures between 10 and 62 weeks in per protocol analysis. The number of non-completions was identical between groups. Conclusions & Implications:This study suggests that, in the sub-acute period following stroke and controlling for the number of hours of SLT provided, there is a trend for a greater improvement in language and functional communication measures with IT compared with RT. The lack of statistical significance in results was probably due to the small sample size.

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Lesion size and initial aphasia severity are the main predictors of aphasia recovery one week after thrombolysis. A NIHSS composite verbal score seems to capture the global linguistic performance better than the language item alone.

Neste artigo descrevemos e analisamos a entrada da pixação no mundo da arte. Ao reconstituir situações que contribuíram com este trânsito, mostramos que o estigma e criminalização desta prática na esfera pública não impediram a sua gradual entrada em certos circuitos artísticos. Embora o processo de artificação da pixação envolva diferentes eventos e sujeitos, defendemos que ele resulta em grande medida de estratégias desencadeadas pelos próprios pixadores. Tal como ocupam as superfícies da cidade, eles e elas ocuparam o mundo da arte para fundar um lugar próprio. As reflexões apresentadas se baseiam em pesquisa sobre arte urbana realizada entre os anos de 2017 e 2021, que recorreu à análise de documentos e entrevistas em profundidade com um conjunto de atores sociais envolvidos neste contexto.