Introduction: Many activity trackers are worn on the wrists and calculate steps by arm swing and by stride length. This could be
problematic in individuals with Parkinson’s Disease (PD) as they exhibit abnormal gait patterns, arm tremors, and smaller movements than a normal population.
This document provides closing ranks for various medical courses in different quotas like All India Quota (AIQ), Aligarh Muslim University's Institutional Quota (AMU), Banaras Hindu University's Institutional Quota (BHU), Delhi University's Institutional Quota (DU), Jain Minority Quota (JM), Muslim Minority Quota (MM), and Mangalore NRI Quota (MNG) based on NEET PG 2018 ranks. It lists the course, equivalent rank in R1 and R2 rounds, number of seats, and final closing rank for each quota. Contact details are also provided for any queries or corrections to the information.
A comparative clinical study on the effects of mehjama nariya and hijamat bil...Younis I Munshi
This study compared the effects of two Unani medical regimens, Mehjama Nariya (fire cupping) and Hijamat Bila Shurt (dry cupping), on Irqunnasa (sciatica). 40 patients with sciatica were randomly assigned to receive one of the two regimens over 15 days. Both regimens significantly reduced pain scores from baseline to post-treatment based on the Visual Analogue Scale. The mean pain score decreased from 10 to 6 in the fire cupping group and from 9.4 to 6.6 in the dry cupping group. Both treatments also improved function based on Oswestry Disability Index scores. The study concluded that fire cup
This study compared the effectiveness of hydroplasty versus intra-articular steroid injection for the treatment of idiopathic frozen shoulder. The study included 50 patients divided into two groups. The hydroplasty group showed significantly greater improvement in pain, shoulder function and range of motion compared to the steroid injection group at the 1 month and 3 month follow ups. Hydroplasty was found to be a more effective treatment for idiopathic frozen shoulder than intra-articular steroid injection alone.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
Successful initial experience with a novel outpatient total hiprilz81
- The study assessed the first experience with outpatient total hip arthroplasty (THA) in a public hospital in Chile.
- Of 138 eligible patients, 72 hips in 69 patients underwent outpatient THA. 94.4% (68/72) were discharged the same day.
- There were no major complications within the first week. Two patients had single dislocation episodes requiring one stem revision. One patient had deep vein thrombosis.
This study compared the effects of three exercise interventions on motor performance in patients with Parkinson's disease: LSVT1BIG therapy, Nordic walking, and unsupervised home exercises. Sixty patients were randomly assigned to one of the three groups. The LSVT1BIG group showed a significant mean improvement of 25.05 points on the UPDRS motor score, while the Nordic walking and home exercise groups showed little to no change or mild deterioration. LSVT1BIG therapy was also superior in tests of timed up-and-go and timed 10m walking. There were no significant differences between groups for quality of life. The results provide evidence that LSVT1BIG is an effective technique for improving motor function
Objective: To assess the effect of a kinesitherapeutic
program of special exercises for treatment of pain intensity and
endurance of the extensor trunk muscles in patients with
chronic lumbalgy.
Methods: The study included 110 patients with chronic
lumbalgy, equally distributed in two treatment groups.
Participants in the experimental group performed the
recommended special exercises 3 times a week at home, while
those in the control group only followed the guidelines of a
physician. At the beginning of the study and 12 months later,
the pain intensity of all the participants was assessed by means
of Visual Analog Scale.
Results: In contrast to the participants in the control
group, those in the experimental group at the end of observation
were reported to experience a significant reduction in pain
intensity.
Conclusions: Treatment with specific exercises proved
more effective in terms of pain complaints in patients with
chronic lumbalgy.
Management of frozen shoulder(adhesive capsulitis)Dhiwahar Kh
This document summarizes evidence from systematic reviews and clinical practice guidelines on the conservative management of adhesive capsulitis. It outlines the clinical question regarding interventions to reduce pain and improve range of motion and physical function for patients with this condition. A variety of interventions are examined, including corticosteroid injections, modalities, joint mobilization, translational manipulation, stretching exercises, and patient education. For each intervention, relevant studies are summarized, including study type and sample size, inclusion criteria, outcome measures assessed, and level of evidence. The document concludes that current evidence supports the use of corticosteroid injections, joint mobilization, stretching exercises, and patient education for improving outcomes in adhesive capsulitis.
This document provides closing ranks for various medical courses in different quotas like All India Quota (AIQ), Aligarh Muslim University's Institutional Quota (AMU), Banaras Hindu University's Institutional Quota (BHU), Delhi University's Institutional Quota (DU), Jain Minority Quota (JM), Muslim Minority Quota (MM), and Mangalore NRI Quota (MNG) based on NEET PG 2018 ranks. It lists the course, equivalent rank in R1 and R2 rounds, number of seats, and final closing rank for each quota. Contact details are also provided for any queries or corrections to the information.
A comparative clinical study on the effects of mehjama nariya and hijamat bil...Younis I Munshi
This study compared the effects of two Unani medical regimens, Mehjama Nariya (fire cupping) and Hijamat Bila Shurt (dry cupping), on Irqunnasa (sciatica). 40 patients with sciatica were randomly assigned to receive one of the two regimens over 15 days. Both regimens significantly reduced pain scores from baseline to post-treatment based on the Visual Analogue Scale. The mean pain score decreased from 10 to 6 in the fire cupping group and from 9.4 to 6.6 in the dry cupping group. Both treatments also improved function based on Oswestry Disability Index scores. The study concluded that fire cup
This study compared the effectiveness of hydroplasty versus intra-articular steroid injection for the treatment of idiopathic frozen shoulder. The study included 50 patients divided into two groups. The hydroplasty group showed significantly greater improvement in pain, shoulder function and range of motion compared to the steroid injection group at the 1 month and 3 month follow ups. Hydroplasty was found to be a more effective treatment for idiopathic frozen shoulder than intra-articular steroid injection alone.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
Successful initial experience with a novel outpatient total hiprilz81
- The study assessed the first experience with outpatient total hip arthroplasty (THA) in a public hospital in Chile.
- Of 138 eligible patients, 72 hips in 69 patients underwent outpatient THA. 94.4% (68/72) were discharged the same day.
- There were no major complications within the first week. Two patients had single dislocation episodes requiring one stem revision. One patient had deep vein thrombosis.
This study compared the effects of three exercise interventions on motor performance in patients with Parkinson's disease: LSVT1BIG therapy, Nordic walking, and unsupervised home exercises. Sixty patients were randomly assigned to one of the three groups. The LSVT1BIG group showed a significant mean improvement of 25.05 points on the UPDRS motor score, while the Nordic walking and home exercise groups showed little to no change or mild deterioration. LSVT1BIG therapy was also superior in tests of timed up-and-go and timed 10m walking. There were no significant differences between groups for quality of life. The results provide evidence that LSVT1BIG is an effective technique for improving motor function
Objective: To assess the effect of a kinesitherapeutic
program of special exercises for treatment of pain intensity and
endurance of the extensor trunk muscles in patients with
chronic lumbalgy.
Methods: The study included 110 patients with chronic
lumbalgy, equally distributed in two treatment groups.
Participants in the experimental group performed the
recommended special exercises 3 times a week at home, while
those in the control group only followed the guidelines of a
physician. At the beginning of the study and 12 months later,
the pain intensity of all the participants was assessed by means
of Visual Analog Scale.
Results: In contrast to the participants in the control
group, those in the experimental group at the end of observation
were reported to experience a significant reduction in pain
intensity.
Conclusions: Treatment with specific exercises proved
more effective in terms of pain complaints in patients with
chronic lumbalgy.
Management of frozen shoulder(adhesive capsulitis)Dhiwahar Kh
This document summarizes evidence from systematic reviews and clinical practice guidelines on the conservative management of adhesive capsulitis. It outlines the clinical question regarding interventions to reduce pain and improve range of motion and physical function for patients with this condition. A variety of interventions are examined, including corticosteroid injections, modalities, joint mobilization, translational manipulation, stretching exercises, and patient education. For each intervention, relevant studies are summarized, including study type and sample size, inclusion criteria, outcome measures assessed, and level of evidence. The document concludes that current evidence supports the use of corticosteroid injections, joint mobilization, stretching exercises, and patient education for improving outcomes in adhesive capsulitis.
Is Trunk Posture in Walking a Better Marker than Gait Speed in Predicting Dec...Gautam Singh
This study aimed to identify early posture adaptations during walking that precede declines in gait speed among healthy older adults. The study found that a significant number of older adults demonstrated posture changes when walking, even those who maintained a normal walking speed. The extent of posture adaptation was greater in more vulnerable older adults. While gait speed is used to screen for frailty, the study suggests identifying trunk posture changes earlier may help plan preventive interventions for at-risk older adults before their gait speed declines.
According to the literature analyzed, the evidence for the effectiveness of hydrotherapy in treating knee osteoarthritis is mixed. Some studies found hydrotherapy reduced pain and improved function, while others found no benefits over land-based exercises or usual care. Meta-analyses did not show clear superiority of either hydrotherapy or land-based exercises. Hydrotherapy may be a suitable alternative for those unable to exercise on land, but its long-term effects require more research. The literature did not find a consensus on the usefulness of hydrotherapy for knee osteoarthritis.
This study investigated the effects of a home exercise program on motor performance in patients with Parkinson's disease. Patients were divided into two groups - an exercise group that received a home exercise schedule and a control group that did not. Both groups were assessed at baseline and after 1 and 2 months. The exercise group showed significant improvements in walking speed, first step length, time to walk around a chair, and hand motor performance compared to the control group. The study concluded that a home-based rehabilitation program can help improve motor function for patients with Parkinson's disease.
This study compared the aerobic capacity, as measured by VO2 Max values, of normal females versus hypotensive females. Seventy females participated in the study. VO2 Max values were indirectly assessed by having participants complete the Queen's College step test. The results found that normal individuals had higher VO2 Max values than hypotensive individuals, indicating better cardiorespiratory fitness. This difference could be because hypotensive individuals more easily fatigue and cannot work for long periods, resulting in lower VO2 Max values. Further research with larger populations is needed.
This document summarizes several research studies that have investigated the physiological effects and potential therapeutic applications of wet cupping therapy. Specifically, the studies found that wet cupping therapy can reduce oxidative stress biomarkers, restore autonomic nervous system balance, reduce pain and improve function for neck pain patients, and may have benefits for over 120 medical conditions according to traditional Persian medicine texts. However, the document also notes that many cupping studies to date have been of low methodological quality.
This document discusses changing practices around sedation and mobility for critically ill patients. It notes that while organ systems have traditionally received highest priority, long-term physical deconditioning and cognitive impairment are underappreciated complications. Several studies are summarized that show early, aggressive mobilization for critically ill patients, even while mechanically ventilated or in the ICU, is feasible and safe, and associated with better short and long-term outcomes like physical function, walking ability, and likelihood of returning home directly rather than to a rehabilitation center. The paradigm is shifting from liberal sedation and immobilization to minimal sedation and early mobilization.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
This document summarizes information from various sources on several topics:
1) It provides guidelines from Monroe Carell Jr. Children's Hospital at Vanderbilt for levels of trauma activation, including criteria for level I and level II activations.
2) It discusses the management of pediatric blunt renal trauma, highlighting guidelines that include recommendations for ICU stay, bed rest, imaging and antibiotics based on injury grade.
3) It summarizes literature on non-powder firearm injuries in pediatrics, noting they are underrecognized as dangerous and can cause injuries similar to handguns.
A tele-rehabilitation program for stroke survivors called CLEAR was evaluated. The program provided task-oriented rehabilitation in hospitals, homes, and community kiosks. 253 patients received either usual care or the CLEAR program. The CLEAR program was found to be safe and more effective than usual care based on improvements in arm function, disability, and quality of life. Adherence to the kiosk sessions was predicted by distance from home to kiosk and need for assistance. Patients were highly satisfied with the program and found it useful. The tele-rehabilitation approach reduced travel costs and time compared to usual care.
This study examined the effects of manual therapy techniques on 5 former professional football players with histories of concussion. The players underwent cognitive, pain, and mobility tests before and after a 5-day intensive manual therapy program. The therapies aimed to address post-concussion imbalances and included craniosacral, visceral, and neuromeningeal techniques. Results showed improvements in quality of life, depression symptoms, sleep, pain levels, and range of motion. However, the small sample size and lack of controls were limitations; further research with more participants is needed to validate the findings.
Management of pediatric blunt renal trauma a systematic reviewskrentz
This systematic review examines current practices in managing pediatric blunt renal trauma conservatively. 32 studies met the criteria of including cases of high-grade renal injuries in children. The literature supports applying conservative management protocols including observation, percutaneous drainage, stenting, and angioembolization to high-grade pediatric renal trauma, with short and long-term outcomes generally being favorable.
The Effectiveness of Mirror Therapy with Stroke Patients in Producing Improve...CrimsonPublishersTNN
The Effectiveness of Mirror Therapy with Stroke Patients in Producing Improved Motor and Functional Outcomes by Hassan Izzeddin Sarsak in Techniques in Neurosurgery & Neurology
The good news in resuscitation is that there have not been any new advances that mandate a change in practice since the 2016 ANZCOR Guidelines. The bad news is that despite our best intent, the ever-increasing research appears unable to demonstrate improved outcomes with any particular approach. Two of the most exciting areas (eCPR and post-resuscitation care) are being covered in detail at separate talks at this meeting. This presentation will focus on updating the audience on the more continuous approach to evidence evaluation, and the key recent publications that have made us at least re-evaluate our practices in BLS (including ventilation), ALS (including anti-arrhythmics) and peri-resuscitation care.
Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and ...ijtsrd
Background and Objective: According to world Health Organization (WHO) stroke is defined as œrapidly developing clinical sign of focal (or global) disturbance of cerebral function lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.1 Focal neurological deficits must persists for at least 24 hours, motor deficits are characterized by paralysis (hemiplegia) or weakness (hemiparesis), typically on the side of the body opposite site of lesion.Materials and Methods: The study was performed among 30 patients of both genders, aged 45-60 years. Subjects were selected on the basis of inclusion criteria and randomly divided into two groups by convenience sampling and allocating alternate patient group A and group B, 15 in each group. Group A was treated with Repetitive Facilitation Exercises (RFE), Group B was treated with Hand Arm Bimanual Intensive Training (HABIT). Baseline assessments were taken using WMFT and FMA and data was analyzed.Results: The groups showed significant differences in WMFT and FMA variables. But on comparing the mean of both the groups: there was no significant difference between both the groups. Conclusion: This study concluded that RFE and HABIT both are effective in treatment of patients with hemiparesis. Dr. Shilpy Jetly | Sukhwinder Kaur | Dr. Jaspinder Kaur"Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and Repetitive Facilitation Exercises on Upper Limb Functions In Post Stroke Hemiparetic Patients" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2375.pdf http://www.ijtsrd.com/medicine/other/2375/comparison-between-effectiveness-of-hand-arm-bimanual-intensive-training-and-repetitive-facilitation-exercises-on-upper-limb-functions-in-post-stroke-hemiparetic-patients/dr-shilpy-jetly
This document presents information on early mobilization for ICU patients. It defines mobilization as physical activity that improves hemodynamic parameters and counters the effects of bed rest. Early mobilization refers to activity within the first 2-5 days of critical illness. The benefits of early mobilization include reduced ICU and hospital stays, faster recovery of respiratory and muscle strength, and lower rates of delirium. The document outlines parameters and safety criteria for passive and active mobilization. Common barriers to early mobilization in the ICU include patient instability, limited staff and equipment, and deep sedation of patients.
This randomized controlled trial investigated the effectiveness of pulsatile dry cupping therapy compared to no intervention for knee osteoarthritis. 40 patients were randomly assigned to receive either 8 cupping sessions over 4 weeks or no treatment. Outcome measures including pain, stiffness, physical function, and quality of life were assessed at 4 and 12 weeks. At 4 weeks, cupping resulted in significantly greater improvements in pain, physical function, and quality of life scores compared to the control group. Many benefits were still present at 12 weeks, though some scores were no longer significantly different. The study provides preliminary evidence that cupping may be an effective treatment for relieving symptoms of knee osteoarthritis.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Acupuncture and/or moxibustion for the treatment of lumbar disc herniation: q...LucyPi1
This document summarizes a systematic review that assesses the quality of 18 systematic reviews on the use of acupuncture and/or moxibustion for treating lumbar disc herniation. It finds that acupuncture and moxibustion show some advantages in efficacy and safety for lumbar disc herniation treatment. However, the quality of evidence is generally low according to GRADE assessments. While the methodological quality of the reviews was moderate and report quality was good, the original research had poor quality, which was reflected in the low quality of evidence ratings. More high-quality studies are still needed to determine if acupuncture is more effective than other treatments.
Effects of exercise for people with osteoarthritisJulia Poynter
This document outlines a proposed longitudinal study examining the effects of a hand exercise regimen on women with osteoarthritis. The study would involve 500 women randomized into a control group receiving usual care and an experimental group performing daily hand exercises for 5 years. Outcome measures including cartilage thickness, range of motion, grip strength, and quality of life would be assessed every 6 months via MRI, goniometry, dynamometry and surveys. The purpose is to determine if long-term hand exercises can promote cartilage repair and improve symptoms of osteoarthritis. Limitations include the long time commitment required and need for pain management. The implications could provide insight into cartilage regeneration and non-surgical treatment of hand osteoarthritis.
This document presents a literature review on the effect of low mobility on functional level in hospitalized older adults. It includes details on two prospective cohort studies that examined this question. The first study used wireless accelerometers to measure mobility levels in 149 older adult patients undergoing elective surgery and found an association between lower mobility and increased hospital length of stay. The second study interviewed 252 older adult inpatients about functional status and mobility levels and found that patients with lower mobility had greater declines in functional status by discharge. Both studies provided level 4 evidence that low mobility during hospitalization can negatively impact functional recovery in older adults.
The document provides a review of literature on motor control assessment. It discusses various aspects of motor control assessment including history taking, functional activity assessment, body structure and function assessment, outcome measures, and evaluation of specific areas like stability, mobility, strength, range of motion, and functional activity status. It also summarizes various studies that have evaluated methods and tools for motor control assessment like use of dynamometers, goniometers, and activity monitors.
Is Trunk Posture in Walking a Better Marker than Gait Speed in Predicting Dec...Gautam Singh
This study aimed to identify early posture adaptations during walking that precede declines in gait speed among healthy older adults. The study found that a significant number of older adults demonstrated posture changes when walking, even those who maintained a normal walking speed. The extent of posture adaptation was greater in more vulnerable older adults. While gait speed is used to screen for frailty, the study suggests identifying trunk posture changes earlier may help plan preventive interventions for at-risk older adults before their gait speed declines.
According to the literature analyzed, the evidence for the effectiveness of hydrotherapy in treating knee osteoarthritis is mixed. Some studies found hydrotherapy reduced pain and improved function, while others found no benefits over land-based exercises or usual care. Meta-analyses did not show clear superiority of either hydrotherapy or land-based exercises. Hydrotherapy may be a suitable alternative for those unable to exercise on land, but its long-term effects require more research. The literature did not find a consensus on the usefulness of hydrotherapy for knee osteoarthritis.
This study investigated the effects of a home exercise program on motor performance in patients with Parkinson's disease. Patients were divided into two groups - an exercise group that received a home exercise schedule and a control group that did not. Both groups were assessed at baseline and after 1 and 2 months. The exercise group showed significant improvements in walking speed, first step length, time to walk around a chair, and hand motor performance compared to the control group. The study concluded that a home-based rehabilitation program can help improve motor function for patients with Parkinson's disease.
This study compared the aerobic capacity, as measured by VO2 Max values, of normal females versus hypotensive females. Seventy females participated in the study. VO2 Max values were indirectly assessed by having participants complete the Queen's College step test. The results found that normal individuals had higher VO2 Max values than hypotensive individuals, indicating better cardiorespiratory fitness. This difference could be because hypotensive individuals more easily fatigue and cannot work for long periods, resulting in lower VO2 Max values. Further research with larger populations is needed.
This document summarizes several research studies that have investigated the physiological effects and potential therapeutic applications of wet cupping therapy. Specifically, the studies found that wet cupping therapy can reduce oxidative stress biomarkers, restore autonomic nervous system balance, reduce pain and improve function for neck pain patients, and may have benefits for over 120 medical conditions according to traditional Persian medicine texts. However, the document also notes that many cupping studies to date have been of low methodological quality.
This document discusses changing practices around sedation and mobility for critically ill patients. It notes that while organ systems have traditionally received highest priority, long-term physical deconditioning and cognitive impairment are underappreciated complications. Several studies are summarized that show early, aggressive mobilization for critically ill patients, even while mechanically ventilated or in the ICU, is feasible and safe, and associated with better short and long-term outcomes like physical function, walking ability, and likelihood of returning home directly rather than to a rehabilitation center. The paradigm is shifting from liberal sedation and immobilization to minimal sedation and early mobilization.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
This document summarizes information from various sources on several topics:
1) It provides guidelines from Monroe Carell Jr. Children's Hospital at Vanderbilt for levels of trauma activation, including criteria for level I and level II activations.
2) It discusses the management of pediatric blunt renal trauma, highlighting guidelines that include recommendations for ICU stay, bed rest, imaging and antibiotics based on injury grade.
3) It summarizes literature on non-powder firearm injuries in pediatrics, noting they are underrecognized as dangerous and can cause injuries similar to handguns.
A tele-rehabilitation program for stroke survivors called CLEAR was evaluated. The program provided task-oriented rehabilitation in hospitals, homes, and community kiosks. 253 patients received either usual care or the CLEAR program. The CLEAR program was found to be safe and more effective than usual care based on improvements in arm function, disability, and quality of life. Adherence to the kiosk sessions was predicted by distance from home to kiosk and need for assistance. Patients were highly satisfied with the program and found it useful. The tele-rehabilitation approach reduced travel costs and time compared to usual care.
This study examined the effects of manual therapy techniques on 5 former professional football players with histories of concussion. The players underwent cognitive, pain, and mobility tests before and after a 5-day intensive manual therapy program. The therapies aimed to address post-concussion imbalances and included craniosacral, visceral, and neuromeningeal techniques. Results showed improvements in quality of life, depression symptoms, sleep, pain levels, and range of motion. However, the small sample size and lack of controls were limitations; further research with more participants is needed to validate the findings.
Management of pediatric blunt renal trauma a systematic reviewskrentz
This systematic review examines current practices in managing pediatric blunt renal trauma conservatively. 32 studies met the criteria of including cases of high-grade renal injuries in children. The literature supports applying conservative management protocols including observation, percutaneous drainage, stenting, and angioembolization to high-grade pediatric renal trauma, with short and long-term outcomes generally being favorable.
The Effectiveness of Mirror Therapy with Stroke Patients in Producing Improve...CrimsonPublishersTNN
The Effectiveness of Mirror Therapy with Stroke Patients in Producing Improved Motor and Functional Outcomes by Hassan Izzeddin Sarsak in Techniques in Neurosurgery & Neurology
The good news in resuscitation is that there have not been any new advances that mandate a change in practice since the 2016 ANZCOR Guidelines. The bad news is that despite our best intent, the ever-increasing research appears unable to demonstrate improved outcomes with any particular approach. Two of the most exciting areas (eCPR and post-resuscitation care) are being covered in detail at separate talks at this meeting. This presentation will focus on updating the audience on the more continuous approach to evidence evaluation, and the key recent publications that have made us at least re-evaluate our practices in BLS (including ventilation), ALS (including anti-arrhythmics) and peri-resuscitation care.
Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and ...ijtsrd
Background and Objective: According to world Health Organization (WHO) stroke is defined as œrapidly developing clinical sign of focal (or global) disturbance of cerebral function lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.1 Focal neurological deficits must persists for at least 24 hours, motor deficits are characterized by paralysis (hemiplegia) or weakness (hemiparesis), typically on the side of the body opposite site of lesion.Materials and Methods: The study was performed among 30 patients of both genders, aged 45-60 years. Subjects were selected on the basis of inclusion criteria and randomly divided into two groups by convenience sampling and allocating alternate patient group A and group B, 15 in each group. Group A was treated with Repetitive Facilitation Exercises (RFE), Group B was treated with Hand Arm Bimanual Intensive Training (HABIT). Baseline assessments were taken using WMFT and FMA and data was analyzed.Results: The groups showed significant differences in WMFT and FMA variables. But on comparing the mean of both the groups: there was no significant difference between both the groups. Conclusion: This study concluded that RFE and HABIT both are effective in treatment of patients with hemiparesis. Dr. Shilpy Jetly | Sukhwinder Kaur | Dr. Jaspinder Kaur"Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and Repetitive Facilitation Exercises on Upper Limb Functions In Post Stroke Hemiparetic Patients" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2375.pdf http://www.ijtsrd.com/medicine/other/2375/comparison-between-effectiveness-of-hand-arm-bimanual-intensive-training-and-repetitive-facilitation-exercises-on-upper-limb-functions-in-post-stroke-hemiparetic-patients/dr-shilpy-jetly
This document presents information on early mobilization for ICU patients. It defines mobilization as physical activity that improves hemodynamic parameters and counters the effects of bed rest. Early mobilization refers to activity within the first 2-5 days of critical illness. The benefits of early mobilization include reduced ICU and hospital stays, faster recovery of respiratory and muscle strength, and lower rates of delirium. The document outlines parameters and safety criteria for passive and active mobilization. Common barriers to early mobilization in the ICU include patient instability, limited staff and equipment, and deep sedation of patients.
This randomized controlled trial investigated the effectiveness of pulsatile dry cupping therapy compared to no intervention for knee osteoarthritis. 40 patients were randomly assigned to receive either 8 cupping sessions over 4 weeks or no treatment. Outcome measures including pain, stiffness, physical function, and quality of life were assessed at 4 and 12 weeks. At 4 weeks, cupping resulted in significantly greater improvements in pain, physical function, and quality of life scores compared to the control group. Many benefits were still present at 12 weeks, though some scores were no longer significantly different. The study provides preliminary evidence that cupping may be an effective treatment for relieving symptoms of knee osteoarthritis.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Acupuncture and/or moxibustion for the treatment of lumbar disc herniation: q...LucyPi1
This document summarizes a systematic review that assesses the quality of 18 systematic reviews on the use of acupuncture and/or moxibustion for treating lumbar disc herniation. It finds that acupuncture and moxibustion show some advantages in efficacy and safety for lumbar disc herniation treatment. However, the quality of evidence is generally low according to GRADE assessments. While the methodological quality of the reviews was moderate and report quality was good, the original research had poor quality, which was reflected in the low quality of evidence ratings. More high-quality studies are still needed to determine if acupuncture is more effective than other treatments.
Effects of exercise for people with osteoarthritisJulia Poynter
This document outlines a proposed longitudinal study examining the effects of a hand exercise regimen on women with osteoarthritis. The study would involve 500 women randomized into a control group receiving usual care and an experimental group performing daily hand exercises for 5 years. Outcome measures including cartilage thickness, range of motion, grip strength, and quality of life would be assessed every 6 months via MRI, goniometry, dynamometry and surveys. The purpose is to determine if long-term hand exercises can promote cartilage repair and improve symptoms of osteoarthritis. Limitations include the long time commitment required and need for pain management. The implications could provide insight into cartilage regeneration and non-surgical treatment of hand osteoarthritis.
This document presents a literature review on the effect of low mobility on functional level in hospitalized older adults. It includes details on two prospective cohort studies that examined this question. The first study used wireless accelerometers to measure mobility levels in 149 older adult patients undergoing elective surgery and found an association between lower mobility and increased hospital length of stay. The second study interviewed 252 older adult inpatients about functional status and mobility levels and found that patients with lower mobility had greater declines in functional status by discharge. Both studies provided level 4 evidence that low mobility during hospitalization can negatively impact functional recovery in older adults.
The document provides a review of literature on motor control assessment. It discusses various aspects of motor control assessment including history taking, functional activity assessment, body structure and function assessment, outcome measures, and evaluation of specific areas like stability, mobility, strength, range of motion, and functional activity status. It also summarizes various studies that have evaluated methods and tools for motor control assessment like use of dynamometers, goniometers, and activity monitors.
This lecture discusses self-tracking and digital health. It begins by providing examples of self-tracking, including tracking physical activity, weight, diet, mental wellbeing, and health conditions. It then discusses the brief history of self-tracking and its relationship to mobile health and health behavior change. The lecture notes that while self-tracking technology has advanced, the core concepts are not new. It concludes by discussing the role of human-computer interaction research in studying self-tracking systems and applications.
This study examined the feasibility of using Fitbit Flex activity trackers in a 7-week walking program for 12 individuals with schizophrenia spectrum disorder (SSD). Participants received weekly step count goals and meetings to discuss physical activity. Most participants increased daily step counts, and reported improvements in performance and satisfaction with activities. While no changes in body composition were found, participants identified the Fitbit, step count increases, and praise as motivators for physical activity. Medication side effects were the primary barrier reported. The study demonstrates that wearable trackers may help track and encourage walking in individuals with SSD.
This study had three objectives: 1) to determine if an activity-tracking device could increase physical activity, 2) to test if the Theory of Planned Behavior could predict physical activity, and 3) to examine the relationship between physical activity and mobile/transport time. The study found that physical activity significantly increased when wearing the tracking device but the TPB did not predict activity levels. Physical activity also showed no relationship with mobile/transport time. The study supports using tracking devices to encourage physical activity but found limitations with applying the TPB in a technology context and sustaining long-term behavior change.
Six-minute walk distance in healthy Singaporean adultsHermione Poh
This study examined the six-minute walk test (6MWT) in 35 healthy Singaporean adults aged 45-85 years. The researchers found that the average six-minute walk distance (6MWD) was 560 meters. Age, height, weight, leg length, and maximum heart rate during the test contributed to 6MWD. However, existing prediction equations derived from Caucasian populations overestimated 6MWD in Singaporeans by more than 75 meters. This suggests ethnic-specific reference values may be needed for accurate interpretation of 6MWT results.
Effect of smart phone using duration and gender on dynamic balancedbpublications
Abstract : Smart phones are constantly used for extended periods while looking at the visual display terminals this
may causes musculoskeletal problems. So, the purpose of this study was to investigate effect of smart phone using
duration and gender on dynamic balance.
Keywords: Smartphone, using duration, gender, dynamic balance
The primary onset of this study is to determine the short and longer term effects of dual task training gait on walking performance when dual tasking in people with Parkinson’s disease.. The aim of the study is to analyze the efficacy of dual task training to improve functional gait performance in idiopathic Parkinson’s disease subjects. Design and setting: A randomized controlled study design was used to examine the differences in conventional therapeutic exercises and conventional therapeutic exercises with specific external cueing strategies given between two groups. Subjects: A sample of 10 subjects with idiopathic Parkinson’s disease was screened using Timed up and go test (TUG Test) and those who scored 24% less was taken for the study .the subjects were of both genders aged between 50-75 years of age with medically stable patients. They were divided into two groups of control and experimental group.the study was done in Masterskill College of nursing and health. Outcome Measurement: Functional gait performance will be measured using the timed up and Go (TUG) test with added motor and cognitive tasks, participants will be asked to walk as quickly as they safely can under all conditions and will be permitted to use their usual gait aid. Results: Data Analysis of the subjects after dual task training led to a greater improvement in functional walking capacity and step length. The average percentage of improvement in timed up and go test is 53%. Conclusion: According to this study Dual task training had improved step length and functional walking capacity in idiopathic Parkinson’s disease.
The document summarizes a study that used Fitbit pedometers to measure the physical activity levels of 21 university students over 15 weeks. It found that wearing the pedometers did not significantly impact activity levels. On average, females wore the Fitbit more days per week but males had higher daily step counts. Some individuals' activity decreased over time. The study suggests pedometers may not change behavior but could provide guidance to promote physical activity.
This study compared the effects of two worksite walking interventions - a standard program and an enhanced program - on employee participation rates, daily step counts, and health outcomes. The enhanced program, which included incentives, feedback, challenges and workshops, resulted in employees averaging 726 more daily steps than the standard program. Increasing daily steps by 1000 was associated with weight loss and reductions in body mass index. The enhanced program significantly increased participation rates and daily steps, demonstrating the value of worksite wellness interventions.
The document discusses the use of Fitbit devices in clinical trials. It notes that while Fitbit is not a medical device, it is widely used in medical research studies. The number of clinical trials using Fitbit has been increasing each year. Fitbit is used in trials both as an intervention to increase patients' activity levels, and to monitor activity levels of research participants. Examples of studies exploring if Fitbit can increase activity in obese children, post-surgery patients, and cancer patients are provided.
This document proposes an algorithm to calculate angles of the lower limbs using inertial measurement units (IMUs) placed on the lower back, calves, and thighs while a patient performs an overhead squat exercise. The algorithm was tested on patients and compared theoretical measurements to experimental measurements from the IMUs. Error rates were low, ranging from 0.95-10.11% for different joints, showing the potential of using IMU sensors to help physical therapists evaluate rehabilitation exercises more efficiently.
Does Postural Stability Affect the Performance of eye Hand coordination in St...Phinoj K Abraham
This study examined eye-hand coordination and postural stability in 15 community-dwelling stroke survivors. It found that stroke survivors had slower reaction times and longer movement times when performing a finger pointing task with their paretic arm, especially when standing. Total sway and anterior-posterior displacement also increased when pointing with the paretic arm while standing. There were correlations between better eye-hand coordination and greater muscle strength, functional reach, and balance. The findings suggest that rehabilitation should train eye-hand coordination in both sitting and standing postures and address balance to improve upper limb function during daily activities.
Appropriate Outcome Measures for Lower Level PatientsDaniel Woodward
1) The document discusses outcome measures for assessing balance and mobility in non-ambulatory patients. It recommends the Sitting Balance Scale and Function in Sitting Test as reliable and valid ways to measure progress in patients who may score poorly on measures that require standing or walking.
2) It provides information on how to administer each test and notes they have been shown to effectively measure balance in frail elderly patients and those with conditions limiting mobility.
3) Limitations discussed are the small sample sizes of validation studies to date and need for more research, but both measures are appropriate to use clinically based on current evidence.
This document discusses workplace health surveillance, which involves systematically monitoring workers' health to identify health hazards, diseases from work exposure, and the effectiveness of occupational health programs. It outlines key aspects of surveillance like environmental monitoring, biomonitoring, and medical examinations. Medical surveillance data can be used to design health promotion programs, evaluate occupational health efforts, and serve as early indicators of work-related illnesses. The document provides examples of surveillance protocols for high-risk groups and guidance on implementing an effective workplace health surveillance system.
A 5-year old boy, with an established diagnosis of a topic
dermatitis, previously treated by topical corticosteroids and emollient cream with a good improvement, developed widespread papules on his legs, hands and forearm that appeared 5 months ago.
Methods: Retrospectively, the file records of the patients who underwent sleeve gastrectomy were examined. Demographic features, Body Mass Index (BMI), the mouth opening, Mallampati score, thyromental distance, sternomental distance, neck circumference measurements and videolaryngoscopic examination results were recorded Results: In a total of 140 consecutive patients (58 male, 82 female) were included in the study. The mean age of the study participants was 35.40 ± 9.78 and the mean BMI of the patients was 44.33 ± 7.52 kg/m2
. The mean mouth opening of the patients was 4.82 ± 0.54 cm
and the mean neck circumference was 43.52 ± 4.66 cm. The mean thyromental distance was 8.02 ± 1.00 cm and the mean sternomental distance was16.58 ± 1.53 cm. Difficult intubation was determined in 8 (5.7%) patients. In logistic regression analysis, age (p : 0.446), gender (p : 0.371), BMI (p : 0.947), snoring (p : 0.567), sleep apnea (p : 0.218), mouth opening (p : 0.687), thyromental distance (p :0.557), sternomental (p : 0.596) and neck circumference (p : 0.838) were not the independent predictors of difficult intubation. However, Mallampati score (p : 0.001) and preoperative direct laryngoscopy findings (p : 0.037) performed in outpatient clinic were the significant
predictors of difficult intubation. Interestingly, all patients with grade 4 laryngoscopy findings had difficult intubation.
Introduction: Laparoscopic surgery has been performed in Mexico since 1989, but no reports about training tendencies exist. We conducted a national survey in 2015, and here we report the results concerning training characteristics during the surgical residence of the respondents. Materials and Methods: A prospective study was conducted through a survey questioning demographic data, laparoscopic training during pre and post surgical residency and other of areas of laparoscopic practice. The sample was calculated and survey piloted before
application. Special interest in this report was placed on type and quality of training received. Data are reported in percentages.
Heterotopic Ossification (HO) is defined as pathological bone formation at locations where bone normally does not exist. The
presence of HO has been found to be a rare complication after stroke in several studies, whereas there are only sporadic references relating HO to Cerebral Palsy (CP) and few for CP and stroke. No effective treatment for HO has yet been found, whereas the cellular and molecular mechanisms have not been completely understood. Therefore, increased awareness among physicians is required, as a challenge for early diagnosis and treatment. A case of a male patient with CP, who developed HO on the paretichip joint following an ischemic stroke is presented.
Objectives: To assess the practice of food hygiene and safety, and its associated factors among street food vendors in urban areas of Shashemane, West Arsi Zone, Oromia Ethiopia, 2019.
Methods: Cross-sectional study design was applied from December 28, 2019 to January 27, 2020. Data was collected from 120 food handlers, which were selected by purposive sampling techniques. Information was gathered from interview and field observation by conducting food safety survey and using questionnaires via face to face interview. The collected data was entered using Epi Data 3.1 and finally, it was analyzed using SPSS VERSION 20.
A Division I football player experienced acute posterior leg pain while playing. An ultrasound examination revealed an unusual injury - a complete rupture of the plantaris tendon mid-substance. This type of isolated plantaris tendon injury has rarely been reported. Ultrasound was useful for diagnosis and guided rehabilitation by monitoring healing over time. The athlete was able to return to full competition within 3 weeks through a progressive rehabilitation program focused on restoring range of motion and strength. This case suggests isolated plantaris tendon injuries may allow for faster return to play than other potential causes of posterior leg pain.
Type 1 Diabetes (T1D), is a severe disease, representing 5-10% of all reported cases of diabetes worldwide. Fulminant Type 1 Diabetes Mellitus (FT1D) is a subtype of type 1 diabetes mellitus that is largely characterized by the abrupt onset of Diabetic Ketoacidosis (DKA) and severe hyperglycemia without insulin defi ciency. Viral infections have been hypothesized to play a major role in the pathogenesis of Fulminant Type 1 Diabetes Mellitus (FT1D) through the complete and rapid destruction of pancreatic beta cells. Coxsackie viral infection has been detected in islets of 50% of the pancreatic tissue recovered from recent-onset Type 1 Diabetes (T1D) patients. In this report we have highlighted a case where the patient developed a Group B Coxsackie virus infection culminating in the development of Fulminant Type 1 Diabetes Mellitus (FT1D).
Methods: Cercariae are released by infected water snails. To determine the occurrence of cercariae-emitting snails in SchleswigHolstein, 155 public bathing places were visited and searched for fresh water snails. Family and genus of the collected snails were determined and the snails were examined for the shedding of cercariae, using a standard method and a newly developed method.
Objective: To generate preliminary information about of enteroviruses and Enterovirus 71 (EV71) in patients with aseptic meningitis in Khartoum State, Sudan.
Method: Cerebrospinal fluid specimens were collected from 89 aseptic meningitis patients from different Khartoum Hospitals
(Mohammed Alamin Hamid Hospital, Soba Teaching Hospital, Omdurman Military Hospital, Alban Gadeed Teaching Hospital and Police Hospital) within February to May 2015. Among these 89 patients, 43 (48%) were males and 46 (52%) were females. The patient’s age ranged between 1 day and 30 years old. The collected specimens were assayed to detect enteroviruses and EV71 RNA using Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) technique
Femoral hernias, comprise 2% to 4% of all hernias in the inguinal region, and occur most commonly in women. Th ey present typically with a mass below the level of the inguinal ligament. The sac may contain preperitoneal fat, omentum, small bowel, or other structures and have a high rate of incarceration and strangulation due to the small size of the hernia neck orifice, requiring emergency surgery. We present the case of a 54-year-old female patient with intestinal occlusion due to incarcerated femoral hernia, repaired by laparoscopic approach, that gave the patient the opportunity to attend her daughter’s wedding the same day.
Small Supernumerary Marker Chromosome (sSMC) is a rare genetic condition marked by the presence of an extra chromosome to the 46 human chromosomes. This case report describes a 4 year old child with SSMC on the 46th chromosome. The child presented with delayed speech and language development, seizures and mild developmental delay. Speech and Language evaluation was carried out and management options are discussed.
A catheter is a thin tube made from medical grade materials that serve a broad range of functions, but mainly catheters are medical devices that can be inserted in the body to treat disease or perform surgical procedures. Catheters have been inserted into body cavities, ducts, or vessels to allow for drainage, administration of therapeutic fluids or gases, operational access for surgery. Catheters help perform tasks in various systems such as cardiovascular, urological, gastrointestinal, neurovascular, and ophthalmic systems. A dataset of 12 patients with varying “weights” and “heights” was recorded along with the lengths of their catheter tubes. This data set was found from two revered statistical textbooks on linear regression and the Department of Scientific Computing at Florida State University. This data set was not able to be linked to any particular clinical or experimental research studies, but the data set can be used to help catheter manufacturers and medical professionals better decide on what particular catheter lengths to use for patients knowing only their height & weight. These research insights could be helpful to healthcare professionals that have patients with incomplete or no healthcare records
to decide what catheter length to use. The main investigative inquiry that needed to be answered was how does patient weight & height influence catheter length together and separately? We conducted linear regression and other statistical analysis procedures in R program & Microsoft Excel and discovered that this data exhibited a quality called multi collinearity. With multi collinearity, all predictors (2 or more
independent variables) are not significant in an all encompassing linear aggression, but the predictors might be significant in their own individual linear regressions. Individual linear regression analyses were conducted for both patient height & weight to see how much they both contribute to varying catheter length. Patient weight was found to be more impatful than patient height in relationship to catheter length, even though height and weight are a classical example of multi collinearity predictors.
Bovine mastitis has a negative impact through economic losses in the dairy sector across the globe. A cross sectional study was carried out from September 2015 to July 2016 to determine the prevalence of bovine mastitis, associated risk factors and isolation of major causative bacteria in lactating dairy cows in selected districts of central highland of Ethiopia. A total of 304 lactating cows selected randomly from five districts were screened by California Mastitis Test (CMT) for subclinical mastitis. Based on CMT result and clinical examination, over all prevalence of mastitis at cow level was 70.62% (214/304).
Two hundred fourteen milk samples collected from CMT positive cows were cultured for isolation of major causative bacteria. From 214 milk samples,187 were culture positive and the most prevalent isolates were Staphylococcus aureus 42.25% (79/187) followed by Streptococcus agalactiae 14.43%
(27/187). Other bacterial isolates were included Coagulase Negative Staphylococcus species 12.83% (24/187), Streptococcus dysgalactiae 5.88% (11/187), Escherichia coli 13.38% (25/187) and Entrococcus feacalis 11.23% (21/187) were also isolated. Moreover, age, parity number, visible teat abnormalities,husbandry practice, barn fl oor status and milking hygiene were considered as risk factors for the occurrence of bovine mastitis and they were found significantly associated with the occurrence of mastitis (p < 0.05). The findings of this study warrants the need for strategic approach including dairy extension that focus on enhancing dairy farmers’ awareness and practice of hygienic milking, regular screening for subclinical mastitis, dry cow therapy and culling of chronically infected cows.
A 36-year-old female developed right upper quadrant pain and nausea after taking the herbal supplement kratom for two weeks to manage back pain. Laboratory tests showed elevated liver enzymes. A liver biopsy ruled out other causes and determined she had drug-induced liver injury from kratom use. Her symptoms and liver enzymes gradually returned to normal over six weeks after stopping kratom. The case report discusses kratom's potential for hepatotoxicity and advises clinicians to consider its effects on patient health.
The assessment, diagnosis and treatment of critically ill patients is extremely challenging. Patients often deteriorate whilst being
reviewed and their rapidly changing pathophysiology barrages healthcare professionals with new data. Furthermore, comprehensive assessments must be postponed until the patient has been stabilised. So, important data and interventions are often missed in the heat of the moment. In emergency situations, suboptimal management decisions may cause signifi cant morbidity and mortality. Fortunately, standardisation and careful design of documentation (i.e. proformas and checklists) can enhance patient safety. So, I have developed a series of checklist proformas to guide the assessment of critically ill patients. These proformas also promote the systematic recording and presentation of information to facilitate the retrieval of the precise data required for the management for critically ill patients. The proformas have been modifi ed extensively over the last twenty years based on my personal experience and extensive consultation with colleagues in several world-renowned centres of excellence. The proformas were originally developed for use in the intensive therapy unit
or high dependency unit. However, they have been adapted for use by outreach teams reviewing patients admitted outside of critical care areas. The use of these tools can direct eff orts to provide appropriate organ support and provides a framework for diagnostic reasoning.
This review article discusses microvascular and macrovascular disease in systemic hypertension. It summarizes that:
1) Cardiac imaging plays a crucial role in risk stratifying hypertensive patients and identifying management strategies by properly diagnosing microvascular and coronary artery disease.
2) The nitric oxide synthase (eNOS) G298 gene allele may be a marker for microvascular angina in hypertensive patients, as studies have found it to be more prevalent in hypertensive patients with chest pain and reversible myocardial defects but normal coronary arteries.
3) Both structural changes like capillary rarefaction and functional changes like endothelial dysfunction can cause microvascular dysfunction and angina in hypertensive individuals in the absence of
This study characterized dengue infections in Pakistan by analyzing hematological and serological markers in 154 suspected dengue cases and 146 control patients with other febrile illnesses. NS1 antigen was detected in 55% of dengue cases, IgM antibodies in 30%, and both in 15%. Control groups primarily had malaria (71%) and enteric fever (20%). Hematological markers (platelet count, hematocrit, WBC) measured before and after treatment showed significant differences for platelet count and hematocrit but not WBC count between the groups. Analysis of clinical symptoms and serological/hematological markers helps diagnose dengue, assess prognosis, and inform prevention efforts to reduce morbidity, mortality and spread of the disease.
Researchers from Utrecht recently published yet another paper on the use of Magnetic Resonance Imaging (MRI)demonstrating an additional failed attempt to understand the importance of qualitative versus quantitative imaging, and anatomic versus physiologic imaging. Th e implications of this failure here cannot be overstated.
Introduction: Stroke is an even more dramatic major public health problem in young people. Goal of the study: Contribute to the knowledge of strokes in young people. Methodology: This was a retrospective study carried out over a period of 02 years (January 2017 to December 2018) including the files of patients aged 18 to 49 years hospitalized for any suspected case of stroke in the Neurology department of the University Hospital
Center of the Sino-Central African Friendship (CHUSCA) of Bangui.
Background: This report describes a unique case of a patient that developed psychotic symptoms believed to be secondary
to a tentorial meningioma with associated hydrocephalus. These psychotic symptoms subsequently abated with placement of a
ventriculoperitoneal shunt. Case description: 60-year-old female was admitted to an inpatient psychiatric facility on a psychiatric involuntary commitment petition due to progressive paranoia, homicidal ideation and psychosis. The work up showed a calcified six cm tentorial meningioma with associated hydrocephalus. The patient initially rejected treatment but later became amenable to placement of Ventriculoperitoneal Shunt
(VPS).
More from SciRes Literature LLC. | Open Access Journals (20)
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. Alzheimer’s & Parkinson’s Disease: Open Access
SCIRES Literature - Volume 4 Issue 1 - www.scireslit.com Page - 006
INTRODUCTION
Activity trackers are growing in popularity in the past 5 years
showing that 21% of people who track their health doing so with an
activity tracker [1,2]. Activity trackers have been named the hottest
fitness trend by the American college of sports medicine for 2017 [3],
and each year newer models arrive on the market. Although these
trackers are designed to facilitate a healthier lifestyle rather than as
medical outcome measures, demonstrating the accuracy of these
devices can have considerable use for both researchers, clinicians,
and for individuals to self - monitor their activity and sleep patterns.
Activity trackers can be useful to measure some motor symptoms
in Parkinson’s Disease (PD). The primary motor symptoms associated
with PD are resting tremors, slow movement [bradykinesia], rigidity,
and postural instability [4]. Other motor symptoms of PD include
freezing of gait, shuffling gait, and certain non-motor symptom such
as pain, cognitive abnormality and sleep disorders [4]. The primary
sleep related disorders found in PD are Rapid Eye Movement (REM)
sleep disorders and fragmentation of sleep [5]. The most common gait
related changes are decreased gait velocity, decreased stride length
and increased double support (time with both legs on the floor) [6].
The Fitbit Flex™ and the Jawbone UP3™ are both accelerometer
devices that assess steps taken, sleep duration and sleep quality. These
trackers are utilized to help make individuals aware of how many
steps they attain during a day. These trackers have been shown to
be effective in counting steps for healthy individuals across testing
environments including flat ground walking, stairs and treadmill
walking [1]. However, these trackers have shown inaccuracy in
healthy participants with slower gait velocities and thus need to
be tested in individuals with PD who commonly have slower gait
velocities [2].
Step counting in these devices has not been tested for accuracy
in a population with PD [7]. While the Fitbit Flex™ and Jawbone
UP3™ are well documented to be accurate in measuring the activity
and sleep of healthy participants, there is no evidence suggesting they
will be accurate in measuring individuals with PD given that 90% of
individuals with PD suffer with a sleep disorder [6].
The present study examined the accuracy of two popular activity
trackers in participants with PD under a controlled laboratory setting,
and in free living conditions.
METHODS
Twenty - seven participants (22 men, 5 women) aged (67.3 ±
8.4) were recruited from the Adele Smithers Parkinson’s Disease
Treatment Center of the New York Institute of Technology (NYIT),
Old Westbury, NY. This study was approved by the New York
Institute of Technology Institutional Review Board. All participants
read and signed consent before participation.
Inclusion criteria included:
• A diagnosis of PD using the Brain Bank criteria scale
• Ability to ambulate independently
• Ability to ambulate independently for 6 minutes.
Exclusion criteria:
• Any other neurological diagnosis.
• Any orthopedic injury that will affect gait or arm swing
• Any previously diagnosed sleep condition non-related to PD.
This study was NYIT Institutional Review Board approved
and all participants signed a written consent (Table 1).
PROCEDURES AND MEASUREMENTS
The Movement Disorder Society United Parkinson’s
Disease Rating Scale motor test (MDS-UPDRS III)
This test examines motor symptoms with 33 items scored on a
scale of 0 - 4 (4 indicates the highest level of symptom severity). This is
a sub-section of the Unified Disease Parkinson’s Rating Scale, which is
commonly used to quantify symptoms of PD in both clinical practice
and research [8]. This test was conducted by a MDS-UPDRS licensed
professional and conducted when subjects were at peak medication.
Gait speed test
The participant walked without physical assistance 7 meters. To
ABSTRACT
Introduction: Many activity trackers are worn on the wrists and calculate steps by arm swing and by stride length. This could be
problematic in individuals with Parkinson’s Disease (PD) as they exhibit abnormal gait patterns, arm tremors, and smaller movements
than a normal population.
Purpose: This study examined the reliability between two popular activity trackers in a PD population under laboratory conditions
and in free living conditions.
Methods: Twenty-seven participants diagnosed with PD participated in this study conducted at the NYIT campus, Old Westbury, NY.
The Fitbit Flex™ and the Jawbone UP3™ were compared under a controlled 6 Minute Walk Test (6MWT) and in free living conditions
for 3 days/ 2 nights. During the 6MWT step count was recorded manually and a pedometer was attached to the hip. Each night the
participants were asked to record how many hours they slept.
Results: Under the controlled 6MWT there were no significant differences found between the activity trackers and the manual
counting, however there were differences when comparing the hip worn pedometer (p < 0.05). Under free living conditions there were
no differences found between the two trackers step count and no differences were found between sleep and manual sleep records (p <
0.05).
Conclusion: Both the Jawbone UP3™ and Fitbit Flex™ devices proved to be comparably accurate in individuals with PD.
Keywords: Fitbit; Jawbone; Activity tracker; PD
3. Alzheimer’s & Parkinson’s Disease: Open Access
SCIRES Literature - Volume 4 Issue 1 - www.scireslit.com Page - 007
account for acceleration and deceleration, timing started when the
participant’s leading foot crosses the 2-meter mark and ended when
their leading foot crossed the 5 - meter mark.
• The participant was instructed: “When I say go walk at your
normal comfortable speed until I say stop.”
Data was collected from three trials and calculated to attain
average gait speed. The participants wore both activity trackers on the
non - affected PD wrist. If both sides were affected, the least affected
side was chosen. The two trackers used in this study were the Fitbit
Flex®
(Fitbit®
San Francisco, CA) and the Jawbone UP3®
(Jawbone®
San
Francisco, CA). These devices were synced with smartphones from
the institution and participants were unable to see their step count.
Each participant performed the 6 minute walk test in the lab. Four
methods were used to collect step data for the 6 minute walk test.
Both activity trackers were used, manual step count was recorded
using a manual tally counter app, and a New Lifestyles Digi-Walker
SW-651®
pedometer was used (NEW-LIFESTYLES INC. ®
http://www.
thepedometercompany.com/pedometers.html) [9]. The pedometer is
clipped onto the participant’s pants, midway between the umbilicus
and iliac crest. As a precaution, to maintain verticality, the pedometer
was taped in place. When the 6 minute walk test was complete,
the participants wore the trackers home for 3 days and 2 nights.
Participants were instructed not to take off the trackers for those three
days except for when they showered.
Outcomes
Step count assessment -6 minute walk test: The 6 Minute
Walk test is a sub maximal measure of aerobic capacity. Relative
contraindications of the test are resting heart rate > 120, systolic blood
pressure > 180 mm Hg, and diastolic blood pressure > 100 mmHg.
Vital signs were monitored before and after the test. The distance
they walked was recorded. During the Six minute walk a researcher
counted and manually recorded every step taken. The participants
were wearing both activity monitors and after the 6 minute test the
investigators recorded step counts from both wrist worn activity
trackers. Administration was performed according to the American
Thoracic Society Recommendations [10]. The pedometer was placed
midway between the iliac crest and the umbilicus according to
manufacturer instructions and the manually recorded step count was
recorded by an investigator using a tally counter.
Step count free living conditions: The participants wore both
devices home on the same wrist for 3 days and 2 nights. Participants
were told to take the devices off when showering. Daily step count
and sleep duration were recorded.
Sleep assessment: The participants were given both activity
trackers to wear home and wear to sleep for at least 2 nights. Each
participant was asked to record the time they went to bed and the
time they woke up in the morning.
RESULTS
A repeated measures design was used to compare the Fitbit Flex®
,
Jawbone UP3®
, pedometer step count, and the manual step count.
A One Way ANOVA with Repeated Measures with alpha set at
0.05 was used to determine significance in step count during the 6
Minute Walk Test. Significant differences were found between the
pedometer and all three other methods of step counting. Fitbit Flex
(P = 0.012), Jawbone UP3 (P = 0.005), and manual count (P = 0.03).
The manual count, which was used as a true step count in this study,
while approaching significant difference (P = 0.059 for Fitbit Flex, P
= 0.051 for Jawbone UP3) was not found to be significantly different
from either of the wrist worn activity trackers. The Fitbit Flex had a
mean overestimation of 27 steps compared to the manual count, and
the Jawbone UP3 had a mean overestimation of 21 steps compared to
the manual count. The pedometer had a mean underestimation of 143
steps compared to the manual step count, 121 steps for the Jawbone
UP3 and 116 steps for the Fitbit Flex.
The mean step count of each device was compared to the mean
manual step count. The Fitbit Flex was found to have a percentage
accuracy of 95.8%, the Jawbone UP3 of 96.6%, and the hip worn
pedometer of 77.6%.
There were no significant differences in sleep time recorded
between the Fitbit Flex, Jawbone UP3, and the manually kept journal
(Table 2). There were no significant differences between groups or
within group differences for the Fitbit Flex or Jawbone UP3. Both
the activity trackers recorded less total sleep than the manual journal
each participant kept for the sleep duration of the study. The Fitbit
Flex tracked a mean 0.592 hours less than the recorded value and
the Jawbone UP3 tracked 0.528 hours less than the recorded value.
The mean sleep times counted by the Fitbit Flex, Jawbone UP3 and
manual journal respectively were 6.84 ± 2.2, 6.89 ± 1.7 and 7.42 ±
1.35 hours.
DISCUSSION
The present study serves as support for the use of the Fitbit Flex
and the Jawbone UP3 as accurate step recorders for individuals with
PD. These trackers measure the acceleration, frequency, duration,
intensity and patterns of movement to calculate steps. The participants
in this study demonstrated an average step length of 0.7m ± 0.56
which is within normal range for this age. A gait speed of 1.26 ± 0.34
falls on the lower end of the norm for this age group (1.26 m/s-1.94
m/s) [11]. This slight decrease in gait speed did not seem to affect the
accuracy of the Fitbit Flex and Jawbone UP3 as they fall close to the
96.4-99.6% accuracy found in a healthy population by Kaewkannate
et al in 2016 under an indoor controlled environment [1]. For sleep
studies, while polysomnography is still the gold standard in overall
accuracy and breadth of information collected, these devices appear
to be effective in at collecting total sleep time as compared to the
manual journals.
Table 1: Subject characteristics.
PD subjects analysed (n = 27)
Male sex, No. 22
Age, mean y, ± SD 67.3 ± 8.4
Years diagnosed mean y, ± SD 4.9 ± 3.7
UPDRS motor score ± SD 32.7 ± 12.2
Hoehn and Yahr ± SD 2.1 ± 2.0
Step length (m) ± SD 0.7 ± 0.56
Gait speed (m/s) ± SD 1.26 ± 0.34
Anti-Parkinson’s medication No. (%)
Levodopa therapy 16 (59)
Dopamine agonists
Ex: Ropinirole, Pramipexole, Amantadine 4 (15)
Other anti-parkinsonian agents
Ex: Tolcapone, Rasagiline, Ensam 7 (26)
4. Alzheimer’s & Parkinson’s Disease: Open Access
SCIRES Literature - Volume 4 Issue 1 - www.scireslit.com Page - 008
The current use of technology to track activity through step
count and to monitor sleep patterns is transforming physiology
research. It has allowed researchers and clinicians to not only ask new
questions about activity and sleep, but also to enable us to answer
more questions in healthy and diseased populations. Dwyer and
colleagues demonstrated that participants who attained or exceeded
10,000 steps per day had a 46% lower chance of death over the next 10
years [12,13]. The requirement of 10,000 steps per day is based on the
current recommendations by the Surgeon General and is equivalent
to approximately 30 minutes of walking per day. It is well known
that most chronic neurological conditions, including PD, result in
decreased physical activity [14]. The National Parkinson Foundation
has emphasized the importance of exercise as part of the standardized
care for PD to reduce disability and slow the progression of the disease;
Yet, in recent studies, the step count shown in individuals with PD is
significantly less than the recommended norm and 56% of people with
PD reported that they do not exercise and have a poor quality of life
[14,15]. According to Ellis and colleagues, limited activity in PD was
most commonly due to low expectations of outcomes, lack of time,
and fear of falling [16]. Motivating this population is challenging. A
key reason for utilizing activity trackers in a PD population in a clinic
setting is for health professionals to motivate patients and help to
increase their mobility and decrease mortality.
There were limitations to the current study. The study sample
size was small and had few women participants. Other limitations
include lack of a non-PD control group to compare to. Although we
accountedforplacingthetrackersonthenon-affectedPDwrist,wedid
not measure the decreased arm swing or severity of tremors. Future
studies should examine the effects severe tremors or dyskinesia have
on wrist worn activity trackers using a valid scale. Another limitation
is how to account for an accurate step count in free living conditions.
Individuals with PD may feel more comfortable and be more aware
of their gait while walking under a controlled environment for 6
minutes.
CONCLUSION
In conclusion, this study demonstrated that the Fitbit Flex and
the Jawbone UP3 were both comparable and accurate to measure step
count and sleep in a population with PD.
All co-authors have read this journals ethical publication
guidelines. All co-authors have been substantially involved in the
study and the preparation of this manuscript; no undisclosed groups
or persons have had a primary role in the study and/or in manuscript
preparation, there has been no ghost writing. All co-authors have
seen and approved the submitted version of the paper, accept
responsibility for its content, and agree to the order of author names.
ACKNOWLEDGMENT
The authors would like to thank the Adele Smithers Parkinson’s
Disease Treatment Center for their support.
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Table 2: Comparison of step and sleep accuracy.
Jawbone Up3 Fitbit flex Manual record Pedometer P value
6 minute walk (steps) ± SD 618.6 ± 85.3 614.4 ± 83.4 640.6 ± 54.1 497.5 ± 235.3 *
0.02
Free living (steps) ± SD 6089.8 ± 3691 6198.5 ± 4141 0.684
Sleep (hrs) ± SD 7.0 ± 1.6 6.8 ± 2.2 7.4 ± 1.4 7.4 ± 1.4 0.139
*
Significance.