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https://www.readbyqxmd.com/read/29351051/voluntary-ambulation-using-voluntary-upper-limb-muscle-activity-and-hybrid-assistive-limb%C3%A2-hal%C3%A2-in-a-patient-with-complete-paraplegia-due-to-chronic-spinal-cord-injury-a-case-report
#1
Yukiyo Shimizu, Hideki Kadone, Shigeki Kubota, Kenji Suzuki, Kousaku Saotome, Tomoyuki Ueno, Tetsuya Abe, Aiki Marushima, Hiroki Watanabe, Ayumu Endo, Kazue Tsurumi, Ryu Ishimoto, Akira Matsushita, Masao Koda, Akira Matsumura, Yoshiyuki Sankai, Yasushi Hada, Masashi Yamazaki
CONTEXT: We sought to describe our experience with the Hybrid Assistive Limb® (HAL®) for active knee extension and voluntary ambulation with remaining muscle activity in a patient with complete paraplegia after spinal cord injury. FINDINGS: A 30-year-old man with complete paraplegia used the HAL® for 1 month (10 sessions) using his remaining muscle activity, including hip flexor and upper limb activity. Electromyography was used to evaluate muscle activity of the gluteus maximus, tensor fascia lata, quadriceps femoris, and hamstring muscles in synchronization with the Vicon motion capture system...
January 19, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29345533/daily-bicycling-in-older-adults-may-be-effective-to-reduce-fall-risks-a-case-control-study
#2
Shani Batcir, Itshak Melzer
Older adults gain many health benefits from riding bicycles regularly. We aimed to explore whether older persons who ride bicycles regularly have better balance than controls. Balance control and voluntary stepping were assessed in 20 older adults aged 65 to 85 who live in an agricultural community village who regularly ride bicycles (BR), and 30 age- and gender-matched non-bicycle riders (NBR). Self-reported function and fear of fall were also assessed. Bicycle riders showed significantly better balance, faster voluntary stepping, and better self-reported advanced lower extremity function compared with NBR...
January 18, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29344071/acetazolamide-a-new-treatment-for-visual-vertigo
#3
Ilya M Sluch, Michael S Elliott, Justin Dvorak, Kai Ding, Bradley K Farris
Visual vertigo is a disorder characterised by symptoms of dizziness, vertigo, unsteadiness, disorientation, and general discomfort induced by visual triggers. It is currently treated with vestibular rehabilitation therapy, with no effective pharmacotherapy available for treatment-resistant cases. The objective of this study was to evaluate the efficacy of oral acetazolamide in improving symptoms of visual vertigo. A comparative case series of adult patients clinically diagnosed with visual vertigo was conducted from January 1992 to May 2015...
December 2017: Neuro-ophthalmology
https://www.readbyqxmd.com/read/29327097/-clinical-and-cognitive-aspects-of-functional-psychogenic-tremor
#4
REVIEW
K E Zeuner, R Schmidt, P Schwingenschuh
Functional (psychogenic) tremor is the most common functional movement disorder. Characteristic clinical features, so called red flags, can help to make the clinical distinction of this type from other tremor disorders. The most common features include the variability of frequency and amplitude. Clinical examination should include different types of distraction including motor or cognitive tasks or testing the influence of suggestibility on tremor amplitude, frequency or direction. Patients often report sudden onset and remissions that may last for months or even years...
January 11, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29325884/experimental-low-back-pain-decreased-trunk-muscle-activity-in-currently-asymptomatic-recurrent-low-back-pain-patients-during-step-tasks
#5
Lars Henrik Larsen, Rogerio Pessoto Hirata, Thomas Graven-Nielsen
Low back pain (LBP) patients demonstrate reorganized trunk muscle activity but if similar changes are manifest in recurrent LBP patients (R-LBP) during asymptomatic periods remains unknown. In 26 healthy and 27 currently asymptomatic R-LBP participants electromyographic activity (EMG) was recorded from trunk and gluteal muscles during series of stepping up and down on a step bench before and during experimentally intramuscular induced unilateral and bilateral LBP. Pain intensity was assessed by numeric rating scale (NRS) scores...
January 8, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29324823/the-relationship-between-personalities-and-self-report-positive-driving-behavior-in-a-chinese-sample
#6
Biying Shen, Weina Qu, Yan Ge, Xianghong Sun, Kan Zhang
Driving behaviors play an important role in accident involvement. Concretely speaking, aberrant driving behaviors would cause more accidents, and oppositely positive driving behaviors would promote to build safety traffic environment. The main goals of this study were to explore the positive driving behavior and its relationship with personality in a Chinese sample. A total of 421 licensed drivers (286 male and 135 female) from Beijing, China completed the Positive Driver Behavior Scale (PDBS), the Driver Behavior Questionnaire (DBQ), the Dula Dangerous Driving Index (DDDI) and the Big Five Inventory (BFI) on a voluntary and anonymous basis...
2018: PloS One
https://www.readbyqxmd.com/read/29324380/estimated-individual-inhaled-dose-of-fine-particles-and-indicators-of-lung-function-a-pilot-study-among-chinese-young-adults
#7
Tian Xu, Jian Hou, Juan Cheng, Runbo Zhang, Wenjun Yin, Cheng Huang, Xiaochuan Zhu, Weihong Chen, Jing Yuan
Fine particle (PM2.5)-related lung damage has been reported in most studies regarding environmental or personal PM2.5 concentrations. To assess effects of personal PM2.5 exposures on lung function, we recruited 20 postgraduate students and estimated the individual doses of inhaled PM2.5 based on their microenvironmetal PM2.5 concentrations, time-activity patterns and refereed inhalation rates. During the period of seven consecutive days in each of the four seasons, we repeatedly measured the daily lung function parameters and airway inflammation makers such as fractional exhaled nitric oxide (FeNO) as well as systemic inflammation markers including interleukin-1β on the final day...
January 8, 2018: Environmental Pollution
https://www.readbyqxmd.com/read/29322867/implementing-voluntary-medical-male-circumcision-using-an-innovative-integrated-health-systems-approach-experiences-from-21-districts-in-zimbabwe
#8
Caryl Feldacker, Batsirai Makunike-Chikwinya, Marrianne Holec, Aaron F Bochner, Abby Stepaniak, Robert Nyanga, Sinokuthemba Xaba, Peter H Kilmarx, Amy Herman-Roloff, Taurayi Tafuma, Mufuta Tshimanga, Vuyelwa T Sidile-Chitimbire, Scott Barnhart
BACKGROUND: Despite increased support for voluntary medical male circumcision (VMMC) to reduce HIV incidence, current VMMC progress falls short. Slow progress in VMMC expansion may be partially attributed to emphasis on vertical (stand-alone) over more integrated implementation models that are more responsive to local needs. In 2013, the ZAZIC consortium began implementation of a 5-year, integrated VMMC program jointly with Ministry of Health and Child Care (MoHCC) in Zimbabwe. OBJECTIVE: To explore ZAZIC's approach emphasizing existing healthcare workers and infrastructure, increasing program sustainability and resilience...
2018: Global Health Action
https://www.readbyqxmd.com/read/29321971/processing-and-regulation-of-negative-emotions-in-anorexia-nervosa-an-fmri-study
#9
Maria Seidel, Joseph A King, Franziska Ritschel, Ilka Boehm, Daniel Geisler, Fabio Bernardoni, Matthias Beck, Sophie Pauligk, Ronald Biemann, Alexander Strobel, Thomas Goschke, Henrik Walter, Veit Roessner, Stefan Ehrlich
Theoretical models and recent advances in the treatment of anorexia nervosa (AN) have increasingly focused on the role of alterations in the processing and regulation of emotions. To date, however, our understanding of these changes is still limited and reports of emotional dysregulation in AN have been based largely on self-report data, and there is a relative lack of objective experimental evidence or neurobiological data. The current functional magnetic resonance imaging (fMRI) study investigated the hemodynamic correlates of passive viewing and voluntary downregulation of negative emotions by means of the reappraisal strategy detachment in AN patients...
2018: NeuroImage: Clinical
https://www.readbyqxmd.com/read/29321959/daily-voluntary-exercise-enhances-pilocarpine-induced-saliva-secretion-and-aquaporin-1-expression-in-rat-submandibular-glands
#10
Kentaro Matsuzaki, Naotoshi Sugimoto, Masanori Katakura, Eri Sumiyoshi, Toshiko Hara, Michio Hashimoto, Osamu Shido
Saliva-a water-based fluid containing electrolytes, immunoglobulins, and enzymes-has many functions, including the protection and hydration of mucosal structures within the oral cavity and the initiation of digestion. Aquaporins (AQPs) are proteins that act as water channels through membranes. We have previously reported upregulation of the expression levels of AQP 1 and 5 in the submandibular glands (SMGs) in heat-acclimated rats. In this study, we investigated pilocarpine-induced saliva secretion and AQP expression in rats after voluntary exercise...
January 2018: FEBS Open Bio
https://www.readbyqxmd.com/read/29316518/muscle-size-strength-relationship-including-ultrasonographic-echo-intensity-and-voluntary-activation-level-of-a-muscle-group
#11
Ryota Akagi, Momoka Suzuki, Emi Kawaguchi, Naokazu Miyamoto, Yosuke Yamada, Ryoichi Ema
This study aimed to investigate the relationship between muscle volume (MV) and joint torque for the plantar flexors (PF) in 40 young (20 men and 20 women) and 33 elderly (19 men and 14 women) individuals in consideration of the voluntary activation (VA) of PF and ratio of intramuscular adipose tissue within PF assessed by ultrasonographic echo intensity (EI). MV was estimated from the thickness of PF on ultrasonography and the lower leg length using a prediction equation previously reported. The maximal voluntary contraction torque of isometric plantar flexion was measured as TQMVC...
December 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29314658/comparative-assessment-of-five-trials-of-universal-hiv-testing-and-treatment-in-sub-saharan-africa
#12
REVIEW
Delphine Perriat, Laura Balzer, Richard Hayes, Shahin Lockman, Fiona Walsh, Helen Ayles, Sian Floyd, Diane Havlir, Moses Kamya, Refeletswe Lebelonyane, Lisa A Mills, Velephi Okello, Maya Petersen, Deenan Pillay, Kalpana Sabapathy, Kathleen Wirth, Joanna Orne-Gliemann, François Dabis
DESIGN: Universal voluntary HIV counselling and testing followed by prompt initiation of antiretroviral therapy (ART) for all those diagnosed HIV-infected (universal test and treat, UTT) is now a global health standard. However, its population-level impact, feasibility and cost remain unknown. Five community-based trials have been implemented in sub-Saharan Africa to measure the effects of various UTT strategies at population level: BCPP/YaTsie in Botswana, MaxART in Swaziland, HPTN 071 (PopART) in South Africa and Zambia, SEARCH in Uganda and Kenya and ANRS 12249 TasP in South Africa...
January 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29314072/unilateral-winged-scapula-clinical-and-electrodiagnostic-experience-with-128-cases-with-special-attention-to-long-thoracic-nerve-palsy
#13
Paul Seror, Timothée Lenglet, Christelle Nguyen, Michaël Ouaknine, Marie Martine Lefevre-Colau
INTRODUCTION: We report a large series of patients with unilateral winged scapula (WS), with special attention to long thoracic nerve (LTN) palsy. METHODS: Clinical and electrodiagnostic data were collected for 128 patients over a 25-year period. RESULTS: Causes of unilateral WS were LTN palsy (n=70), spinal accessory nerve (SAN) palsy (n=39), both LTN and SAN palsy (n=5), facioscapulohumeral dystrophy (FSH) (n=5), orthopedic causes (n=11), voluntary WS (n=6), and no definite cause (n=2)...
January 4, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29313156/frequency-of-self-reported-concussion-amongst-professional-and-semi-professional-footballers-in-ireland-during-the-2014-season-a-cross-sectional-study
#14
Nicola Coffey, Martin Lawless, Seamus Kelly, Conor Buggy
BACKGROUND: This paper examines the occupational risk of concussion amongst professional and semi-professional footballers in Ireland during the 2014 League of Ireland season. As part of a broader nationally representative study examining occupational safety and health (OSH) awareness amongst professional footballers, this empirical quantitative study, utilising a convenience sample is the first and largest investigation of the frequency of, and attitudes towards, concussion and concussion reporting amongst Irish senior professional and semi-professional footballers...
January 8, 2018: Sports Medicine—Open
https://www.readbyqxmd.com/read/29306638/rectus-abdominis-detrusor-myoplasty-radm-for-acontractile-hypocontractile-bladder-in-spinal-cord-injury-patients-preliminary-report
#15
Pawan Agarwal, Shabbir Husain, Sudesh Wankhede, D Sharma
BACKGROUND: Urinary bladder dysfunction in the form of acontractile/hypocontractile bladder is very common after spinal cord injury and it may lead to recurrent urinary tract infection (UTI), stones formation, and deteriorating renal function. Conventionally, these patients evacuate their bladders by life-long clean intermittent catheterization (CIC) or an indwelling catheter (IC). For these patients, another option is to use innervated skeletal muscle wrap around the bladder to augment detrusor function and voluntary evacuation of bladder...
December 14, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29305077/radiologists-experience-with-patient-interactions-in-the-era-of-open-access-of-patients-to-radiology-reports
#16
Jieming Fang, Johannes Boos, Marcela Pecora Cohen, Jonathan B Kruskal, Ronald Eisenberg, Bettina Siewert, Olga R Brook
PURPOSE: The aim of this study was to evaluate radiologists' experiences with patient interactions in the era of open access of patients to radiology reports. METHODS: This prospective, nonrandom survey of staff and trainee radiologists (n = 128) at a single large academic institution was performed with approval from the institutional review board with a waiver of the requirement to obtain informed consent. A multiple-choice questionnaire with optional free-text comments was constructed with an online secure platform (REDCap) and distributed via departmental e-mail between June 1 and July 31, 2016...
January 2, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29299640/variable-impact-of-tizanidine-on-the-medium-latency-reflex-of-upper-and-lower-limbs
#17
Isaac Kurtzer, Laurent J Bouyer, J Bouffard, A Jin, L Christiansen, J B Nielsen, S H Scott
Sudden limb displacement evokes a complex sequence of compensatory muscle activity. Following the short-latency reflex and preceding voluntary reactions is an epoch termed the medium-latency reflex (MLR) that could reflect spinal processing of group II muscle afferents. One way to test this possibility is oral ingestion of tizanidine, an alpha-2 adrenergic agonist that inhibits the interneurons transmitting group II signals onto spinal motor neurons. We examined whether group II afferents contribute to MLR activity throughout the major muscles that span the elbow and shoulder...
January 3, 2018: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/29299222/functional-electrical-stimulation-cycling-strategies-tested-during-preparation-for-the-first-cybathlon-competition-a-practical-report-from-team-ens-de-lyon
#18
Amine Metani, Lana Popović-Maneski, Sebastien Mateo, Laura Lemahieu, Vance Bergeron
Whether it is from the patient's or the physical therapist's point of view, FES cycling can be considered either as a recreational activity, or an engaging rehabilitation tool. In both cases, it keeps patients with lower-limb paralysis motivated to sustain a regular physical activity. Thus, it is not surprising that it was selected as one of the six disciplines of the first Cybathlon competition held on October 8, 2016. However, many unresolved issues prevent FES cycling from being an activity practiced outdoors on a daily basis; such as, low power production, rapid muscle fatigue, precise electrode positioning, lack of systematic procedures to determine stimulation patterns, and the difficulty of transferring disabled riders from their wheelchair to the tricycle...
December 5, 2017: European Journal of Translational Myology
https://www.readbyqxmd.com/read/29297860/italian-external-quality-assessment-program-for-cystic-fibrosis-sweat-chloride-test-a-2015-and-2016-results-comparison
#19
Marco Salvatore, Giovanna Floridia, Annalisa Amato, Federica Censi, Maria Chiara de Stefano, Gianluca Ferrari, Fabrizio Tosto, Domenica Taruscio
BACKGROUND: Diagnostic testing in cystic fibrosis (CF) is based on the sweat chloride test (SCT) in the context of appropriate signs and symptoms of disease and results of the gene mutation analysis. In 2014 the Istituto Superiore di Sanità (ISS) established a pilot Italian external quality assessment program for CF sweat chloride test (Italian EQA-SCT). In 2015 this activity was recognized as a third party service carried out by the ISS. The aim of the paper is to compare 2015 and 2016 results and experiences...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29297810/sarcocystis-neurona-associated-meningoencephalitis-in-a-pacific-walrus-odobendus-rosmarus-divergens
#20
Lana Krol, Vanessa Fravel, Diana G Procter, Kathleen M Colegrove
A 21-yr-old intact male walrus ( Odobendus rosmarus divergens) presented with acute onset of shifting lameness, initially associated with breeding behaviors. Further clinical signs manifested, including muscle tremors, anorexia, hematuria, and coughing. Diagnostics were limited, as the animal would not offer behaviors for voluntary sample collection. Signs were addressed with anti-inflammatories, anticonvulsants, and antibiotics. The walrus developed cluster seizures and ultimately, respiratory and cardiac arrest...
December 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
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