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https://www.readbyqxmd.com/read/28475421/exploring-accessibility-issues-of-a-public-building-for-the-mobility-impaired-case-study-interstate-bus-terminal-isbt-vijayawada-india
#1
Valliappan Alagappan, Albert Hefferan, Aarthi Parivallal
Right to access in the built environment creates equal and nondiscriminatory opportunities to a person with disabilities in order to move freely around and interact positively without hindrance and barriers. The objective of the study is to understand the existing accessibility related issues and implementation of guidelines and standards for public buildings. The technical verification using onsite and offsite access audit format for current provision of facilities in the internal and external environment has been carried out with the format prepared in reference to Central Public Works Department (CPWD) accessibility guidelines for mobility impaired and elderly and American Disability Act (ADA) guidelines...
May 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28431451/-experience-with-the-hind-foot-relaxation-boot
#2
Hans Zwipp, Michael Borrmann, Eberhard Walter
The goal of this paper is to report our experience with hindfoot fractures using our specially developed boot, with a follow-up of 557 cases. This boot works like the well-known Allgöwer-Röck ortheses (ARO), but is a hybrid between a boot and an orthesis. It allows full weightbearing without using crutches and completely protects an acutely operated hind foot fracture, hind foot arthrodesis or a hind foot fracture which is suitable for conservative treatment. In its first generation, this boot was custom made and used in 408 cases, from March 1999 to February 2011...
April 21, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28386499/total-knee-arthroplasty-in-severe-valgus-osteoarthritis-excellent-early-results-in-a-90-year-old-patient-with-a-valgus-deformity-of-47%C3%A2
#3
Petros Ismailidis, Rolf Kernen, Sebastian Andreas Mueller
Grade III valgus deformity (tibiofemoral alignment > 20°) is present in only 0.5% of patients receiving total knee arthroplasty. Furthermore, cases with a valgus deformity exceeding 40° are even rarer. Since they mostly affect elderly, polymorbid patients, successful outcome means a great challenge. We report on a case of a 90-year-old patient with a valgus deformity of 47°. The patient was preoperatively restricted to a wheel chair, unable to walk, and only able to stand for a few seconds. The maximal knee flexion was 100°, and there was an extension deficit of 15°...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28380116/clinical-and-laboratory-features-of-htlv-i-asymptomatic-carriers-and-patients-with-htlv-i-associated-myelopathy-tropical-spastic-paraparesis-from-the-brazilian-amazon
#4
Massanobu Takatani, Myuki Esashika Crispim, Nelson Fraiji, Mariane Martins Araujo Stefani, Dagmar Kiesslich
Clinical and laboratory parameters including blood and cerebrospinal fluid (CSF) neopterin were investigated in human-T-lymphotropic-virus-type-I associated-myelopathy/tropical-spastic-paraparesis-HAM/TSP and in HTLV-I carriers. HAM/TSP (n = 11, 2 males/9 females, median age = 48 years), recently diagnosed HTLV-I carriers (n = 21, 15 females/6 males, median age = 44 years), healthy individuals (n = 20, 10 males/10 females, median age = 34.6 years) from the Brazilian Amazon (Manaus, Amazonas State) were investigated...
April 3, 2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28303063/a-case-report-of-idiopathic-iliopsoas-hematoma-which-occurred-soon-after-transfer-to-the-wheelchair-after-total-hip-arthroplasty
#5
Tomoo Okumura, Hiroshi Fujita, Hideto Harada, Ryuuichi Nishimura, Tomohiro Tominaga
A 79-year-old woman was diagnosed with osteoarthritis of the left hip and scheduled for total hip arthroplasty. As two lesions were detected in branches of the coronary arteries, she was treated with catheter treatment. The patient was receiving anticoagulant treatment, which was suspended eight days before the operation; however, heparin was started at 6 days before the operation and was stopped 9 hours before the operation. On the 2nd postoperative day soon after transfer to the wheel chair, she was feeling unwell and was suffering from severe pain in her left buttock and left thigh...
February 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28278008/the-influence-of-axle-position-and-the-use-of-accessories-on-the-activity-of-upper-limbs-muscles-during-manual-wheelchair-propulsion
#6
Guilherme da Silva Bertolaccini, Idinei Francisco Pires de Carvalho Filho, Gustavo Christofoletti, Luis Carlos Paschoarelli, Fausto Orsi Medola
INTRODUCTION: Wheelchair configuration is an important factor influencing the ergonomics of user-device interface and, from a biomechanical point of view, small changes in the chair setup may have a positive influence on the demand on the upper limbs during manual propulsion. This study aimed to investigate the influence of the position of the rear wheels' axle and the use of accessories on the activity of upper limb muscles during manual wheelchair propulsion. METHODS: Electromyography signal of the biceps, triceps, anterior deltoids and pectoralis major were collected with eleven able-bodied subjects in a wheelchair propulsion protocol with four different wheelchair configurations (differing in axle position and the use of accessories) in straightforward sprint and slalom course...
February 17, 2017: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/28208610/non-emergency-medical-transportation-needs-of-middle-aged-and-older-adults-a-rural-urban-comparison-in-delaware-usa
#7
Matthew Lee Smith, Thomas R Prohaska, Kara E MacLeod, Marcia G Ory, Amy R Eisenstein, David R Ragland, Cheryl Irmiter, Samuel D Towne, William A Satariano
Background: Older adults in rural areas have unique transportation barriers to accessing medical care, which include a lack of mass transit options and considerable distances to health-related services. This study contrasts non-emergency medical transportation (NEMT) service utilization patterns and associated costs for Medicaid middle-aged and older adults in rural versus urban areas. Methods: Data were analyzed from 39,194 NEMT users of LogistiCare-brokered services in Delaware residing in rural (68.3%) and urban (30...
February 10, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28160245/lipoprotein-a-hyperlipoproteinemia-as-cause-of-chronic-spinal-cord-ischemia-resulting-in-progressive-myelopathy-successful-treatment-with-lipoprotein-apheresis
#8
Franz Heigl, Reinhard Hettich, Erich Mauch, Reinhard Klingel, Cordula Fassbender
High concentrations of lipoprotein(a) (Lp(a)) represent an important independent and causal risk factor associated with adverse outcome in atherosclerotic cardiovascular disease (CVD). Effective Lp(a) lowering drug treatment is not available. Lipoprotein apheresis (LA) has been proven to prevent cardiovascular events in patients with Lp(a)-hyperlipoproteinemia (Lp(a)-HLP) and progressive CVD. Here we present the course of a male patient with established peripheral arterial occlusive disease (PAOD) at the early age of 41 and coronary artery disease (CAD), who during follow-up developed over 2 years a progressive syndrome of cerebellar and spinal cord deficits against the background of multifactorial cardiovascular risk including positive family history of CVD...
March 2017: Clinical Research in Cardiology Supplements
https://www.readbyqxmd.com/read/28069046/occurrence-of-emery-dreifuss-muscular-dystrophy-in-a-rural-setting-of-cameroon-a-case-report-and-review-of-the-literature
#9
REVIEW
Cyril Jabea Ekabe, Jules Kehbila, Carlson-Babila Sama, Benjamin Momo Kadia, Martin Hongieh Abanda, Gottlieb Lobe Monekosso
BACKGROUND: Emery-Dreifuss muscular dystrophy is a rare genetic muscular disease, presenting mainly with contractures, weakness and cardiac conduction abnormalities. Its clinical and laboratory similarities to other muscular dystrophies, and rarity poses diagnostic challenges, requiring a high index of suspicion in resource limited settings. CASE PRESENTATION: An 8 year old sub-Saharan male presented with rigidity and deformity of both elbows and ankles, and weakness of the upper limbs and lower limbs for duration of 4 months...
January 9, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28045973/neuro-analogical-gate-tuning-of-trajectory-data-fusion-for-a-mecanum-wheeled-special-needs-chair
#10
Ahmed K El-Shenawy, M A ElSaharty, Ezz Eldin Zakzouk
Trajectory tracking of mobile wheeled chairs using internal shaft encoder and inertia measurement unit(IMU), exhibits several complications and accumulated errors in the tracking process due to wheel slippage, offset drift and integration approximations. These errors can be realized when comparing localization results from such sensors with a camera tracking system. In long trajectory tracking, such errors can accumulate and result in significant deviations which make data from these sensors unreliable for tracking...
2017: PloS One
https://www.readbyqxmd.com/read/27917211/community-reintegration-and-related-factors-in-a-nigerian-stroke-sample
#11
Christopher Akosile, Chioma Nworah, Emmanuel Okoye, Babatunde Adegoke, Joseph Umunnah, Ayodeji Fabunmi
BACKGROUND: The goal of stroke rehabilitation has shifted from mere survival of a victim to how well a survivor can be effectively reintegrated back into the community. OBJECTIVES: The present study determined the level of satisfaction with community reintegration (CR) and related factors among Nigerian community-dwelling stroke survivors (CDSS). METHODS: This was a cross-sectional survey of 71 volunteering CDSS (35 males, 36 females) from selected South-Eastern Nigerian communities...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27827282/primary-wound-closure-of-diabetic-foot-ulcers-by-debridement-and-stitching
#12
COMPARATIVE STUDY
M E Ahmed, M S Mohammed, S I Mahadi
OBJECTIVE: The role of stitching in healing diabetic foot ulcers (DFUs) has little attention, with few reports published on the technique. This study aimed to report on the role of stitching in healing of neuropathic DFUs. METHOD: This comparative study was between patients with diabetes with neuropathic foot ulcers who had undergone wound stitching and those on conventional wound care. The study was carried in Jabir Abu Eliz Diabetic Center Khartoum (JADC) during between January 1 2011 and January 1 2013...
November 2, 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27815810/ankle-foot-orthosis-in-duchenne-muscular-dystrophy-a-4%C3%A2-year-experience-in-a-multidisciplinary-neuromuscular-disorders-clinic
#13
Anupam Gupta, Atchayaram Nalini, Shanti Prakash Arya, Seena Vengalil, Meeka Khanna, Rashmi Krishnan, Arun B Taly
OBJECTIVE: To assess Ankle-Foot-Orthosis (AFO) requirement and ambulation in Duchenne Muscular Dystrophy (DMD) patients seen over a period of 4 y at a multi-disciplinary Neuromuscular disorders clinic (NMD). METHODS: A study was conducted in university quaternary research hospital with DMD patients confirmed by MLPA (multiplex ligation - dependent probe amplification) method and were evaluated between January 2012 and December 2015. Their ambulatory status, detailed neurological and functional status were recorded...
November 5, 2016: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/27718629/retracted-article-early-use-of-power-wheelchair-for-children-with-duchenne-muscular-dystrophy-a-narrative-review
#14
Michal Elboim-Gabyzon, Osnat Atun-Einy, Insaf Khoury-Assaf
No abstract text is available yet for this article.
October 9, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27542858/cystatin-c-calculated-glomerular-filtration-rate-a-marker-of-early-renal-dysfunction-in-patients-with-neuropathic-bladder
#15
Pankaj P Dangle, Omar Ayyash, Audry Kang, Carlton Bates, Janelle Fox, Heidi Stephany, Glenn Cannon
OBJECTIVE: To asses if cystatin c-calculated glomerular filtration rate (GFR) can reveal chronic kidney disease (CKD) not detected by creatinine-based calculations in a larger prospective cohort of children with myelomeningocele (MMC). Wheelchair-bound MMC patients frequently have low muscle mass, and assessing renal deterioration based on creatinine-based GFR is imprecise. MMC patients are also at risk for end-stage renal disease. METHODS: Prospectively enrolled patients with MMC underwent annual serum creatinine and cystatin c testing...
August 16, 2016: Urology
https://www.readbyqxmd.com/read/27526372/cardiac-implantable-electronic-devices-in-tracheotomized-muscular-dystrophy-patients-safety-and-risks
#16
Abdallah Fayssoil, Arnaud Lazarus, Karim Wahbi, Adam Ogna, Olivier Nardi, Frederic Lofaso, Bernard Clair, David Orlikowski, Djillali Annane
BACKGROUND/OBJECTIVES: Muscular dystrophies are genetic muscle disorders, in which heart involvement and chronic respiratory impairment affect survival. Cardiac conduction disturbances require implantable cardiac pacemaker. Implantable defibrillators may also be necessary to prevent cardiac sudden death. The safety and risk of cardiac electronic devices' implantation are not known in patients with muscular dystrophy. We aimed to assess the risks related to cardiac implantable electronic devices (CIED) in muscular dystrophy patients ventilated by tracheostomy...
November 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27433301/treatment-of-chronic-acromioclavicular-joint-dislocation-in-a-paraplegic-patient-with-the-weaver-dunn-procedure-and-a-hook-plate
#17
Holger Godry, Mustafa Citak, Matthias Königshausen, Thomas A Schildhauer, Dominik Seybold
In case of patients with spinal cord injury and concomitant acromioclavicular (AC) joint-dislocation the treatment is challenging, as in this special patient group the function of the shoulder joint is critical because patients depend on the upper limb for mobilization and wheelchair-locomotion. Therefore the goal of this study was to examine, if the treatment of chronic AC-joint dislocation using the Weaver-Dunn procedure augmented with a hook-plate in patients with a spinal cord injury makes early postoperative wheelchair mobilization and the wheelchair transfer with full weight-bearing possible...
June 27, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/27399985/substrate-kinetics-in-patients-with-disorders-of-skeletal-muscle-metabolism
#18
Mette Cathrine Ørngreen
The main purpose of the following studies was to investigate pathophysiological mechanisms in fat and carbohydrate metabolism and effect of nutritional interventions in patients with metabolic myopathies and in patients with severe muscle wasting. Yet there is no cure for patients with skeletal muscle disorders. The group of patients is heterozygous and this thesis is focused on patients with metabolic myopathies and low muscle mass due to severe muscle wasting. Disorders of fatty acid oxidation (FAO) are, along with myophosphorylase deficiency (McArdle disease), the most common inborn errors of metabolism leading to recurrent episodes of rhabdomyolysis in adults...
July 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27065547/multicenter-survey-analysis-of-satisfaction-according-to-actual-utilization-of-rehabilitation-services
#19
Byoung-Hwan Oh, Sung-Hyoun Cho, Jong-Won Lee, Chan-Woo Nam
[Purpose] Most such studies have been limited to evaluating the muscle activity patterns of lower extremity muscles using surface electromyograms, but studies of muscle activity patterns according to chair types are lacking. [Subjects and Methods] In the present study, 52 university students in their 20s (26 males, 26 females) were selected in order to analyze the activity of five lower extremity muscles (vastus lateralis, rectus femoris, vastus medialis, tibialis anterior, and gastrocnemius). The selected subjects had sufficient muscle strength for the experiment and normal joint range of motion...
January 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27004319/quality-of-life-and-fear-of-falling-among-an-aging-population-in-semi-rural-thailand
#20
Korravarn Yodmai, Sipapa Phummarak, Jonathan C Sirisuth, Ramesh Kumar, Ratana Somrongthong
BACKGROUND: Thailand is the country where large numbers of old population are living in rural areas. Multiple factors are influencing the health of old people but falling is the biggest cause affecting their quality of life. This study explores the relationship between the quality of life, and fear of fall among aging people in the semi-rural, Thailand. METHODS: A cross sectional study was conducted on 394 old aged individuals living in Nakornnayok Province. Participants were selected through simple random method (SRM) from village population list...
October 2015: Journal of Ayub Medical College, Abbottabad: JAMC
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