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https://www.readbyqxmd.com/read/28526193/effects-of-multiple-breath-hold-reproducibility-on-treatment-localization-and-dosimetric-accuracy-in-radiotherapy-of-left-sided-breast-cancer-with-voluntary-deep-inspiration-breath-hold-technique
#1
Mika Kapanen, Marko Laaksomaa, Jani Pehkonen, Mikko Haltamo, Helmi Luukkanen, Turkka Lehtonen, Simo Hyödynmaa, Pirkko-Liisa Kellokumpu-Lehtinen
The purpose of this study was to investigate the effects of breath hold reproducibility on positional and dosimetric errors in radiotherapy of patients with left-sided breast cancer (LSBC) treated with voluntary deep inspiration breath hold (vDIBH) technique. Clinical data from 2 groups of patients with LSBC were retrospectively investigated: (1) those irradiated for the whole breast only (WB group, n = 20) using typically from 3 to 5 breath holds per treatment session and (2) those irradiated simultaneously also for supraclavicular lymph nodes (WB + SLN group, n = 27) using from 7 to 9 breath holds per fraction...
May 16, 2017: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/28522961/energy-homeostasis-and-abnormal-rna-metabolism-in-amyotrophic-lateral-sclerosis
#2
REVIEW
Yu-Ju Liu, Po-Yi Tsai, Yijuang Chern
Amyotrophic lateral sclerosis (ALS) is a fatal motor neuron disease that is clinically characterized by progressive muscle weakness and impaired voluntary movement due to the loss of motor neurons in the brain, brain stem and spinal cord. To date, no effective treatment is available. Ample evidence suggests that impaired RNA homeostasis and abnormal energy status are two major pathogenesis pathways in ALS. In the present review article, we focus on recent studies that report molecular insights of both pathways, and discuss the possibility that energy dysfunction might negatively regulate RNA homeostasis via the impairment of cytoplasmic-nuclear shuttling in motor neurons and subsequently contribute to the development of ALS...
2017: Frontiers in Cellular Neuroscience
https://www.readbyqxmd.com/read/28512444/longitudinal-quantification-of-eye-movement-impairments-after-pontine-hemorrhage
#3
Melis Suner, Glen T Prusky, Jason B Carmel, N Jeremy Hill
INTRODUCTION: We report a case of hypertrophic olivary degeneration due to pontine hemorrhage. A 59-year-old male with untreated hypertension suffered a primary pontine hemorrhage, which caused horizontal eye-movement limitation. Progressive neurological deterioration with involuntary eye and palatal movements began months after hemorrhage. This was accompanied by magnetic resonance imaging evidence of hypertrophic olivary degeneration at 4.5 months. BACKGROUND: Primary pontine hemorrhage often leads to impairment of eye movements and diplopia...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28512401/increased-gamma-connectivity-in-the-human-prefrontal-cortex-during-the-bereitschaftspotential
#4
Kisun Kim, June Sic Kim, Chun Kee Chung
The Bereitschaftspotential (BP) is a slow negative cortical potential preceding voluntary movement. Since movement preparation is dependent upon the synchronous activity of a variety of neurons, BP may develop through the exchange of information among motor-related neurons. However, the relationship between BP and information flow is not yet well-known. In the present study, we aimed to investigate how the connectivity in the prefrontal cortex (PFC) changes during the occurrence of BP. Electrocorticography (ECoG) was recorded in five patients with epilepsy...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28511253/pathophysiology-and-management-of-parkinsonian-tremor
#5
Rick C Helmich, Michiel F Dirkx
Parkinson's tremor is one of the cardinal motor symptoms of Parkinson's disease. The pathophysiology of Parkinson's tremor is different from that of other motor symptoms such as bradykinesia and rigidity. In this review, the authors discuss evidence suggesting that tremor is a network disorder that arises from distinct pathophysiological changes in the basal ganglia and in the cerebellothalamocortical circuit. They also discuss how interventions in this circuitry, for example, deep brain surgery and noninvasive brain stimulation, can modulate or even treat tremor...
April 2017: Seminars in Neurology
https://www.readbyqxmd.com/read/28503316/recovery-of-supraspinal-control-of-leg-movement-in-a-chronic-complete-flaccid-paraplegic-man-after-continuous-low-frequency-pelvic-nerve-stimulation-and-fes-assisted-training
#6
Marc Possover, Axel Forman
INTRODUCTION: More than 30 years ago, functional electrical stimulation (FES) was developed as an orthotic system to be used for rehabilitation for SCI patients. In the present case report, FES-assisted training was combined with continuous low-frequency stimulation of the pelvic somatic nerves in a SCI patient. CASE PRESENTATION: We report on unexpected findings in a 41-year-old man with chronic complete flaccid paraplegia, since he was 18 years old, who underwent spinal stem cell therapy and a laparoscopic implantation of neuroprosthesis (LION procedure) in the pelvic lumbosacral nerves...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28499987/evoked-potentials-in-final-epoch-of-self-initiated-hand-movement-a-study-in-patients-with-depth-electrodes
#7
Miloslav Kukleta, Alena Damborská, Baris Turak, Jacques Louvel
Comparison between the intended and performed motor action can be expected to occur in the final epoch of a voluntary movement. In search for electrophysiological correlates of this mental process the purpose of the current study was to identify intracerebral sites activated in final epoch of self-paced voluntary movement. Intracerebral EEG was recorded from 235 brain regions of 42 epileptic patients who performed self-paced voluntary movement task. Evoked potentials starting at 0 to 243ms after the peak of averaged, rectified electromyogram were identified in 21 regions of 13 subjects...
May 10, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28494715/the-click-test-a-novel-tool-to-quantify-the-age-related-decline-of-fast-motor-sequencing-of-the-thumb
#8
Florian Bodranghien, Helene Mahé, Benjamin Baude, Mario U Manto, Yves Busegnies, Stéphane Camut, Christophe Habas, Peter Marien, Giovanni de Marco, Kim van Dun
BACKGROUND: The thumb plays a critical role for manual tasks during the activities of daily life and the incidence of neurological or musculoskeletal disorders affecting the voluntary movements of the thumb is high in the elderly. There is currently no tool to assess repetitive motor sequencing of the thumb during ageing. OBJECTIVES: To report a novel procedure (the Click Test) assessing the effects of ageing on fast motor sequencing of the thumb. METHODS: Healthy subjects (n = 252; mean age +/- SD: 49...
May 10, 2017: Current Aging Science
https://www.readbyqxmd.com/read/28492448/drivers-and-barriers-for-adopting-accreditation-at-local-health-departments-for-their-performance-improvement-effort
#9
Sandra S Liu, Beth Meyerson, Jerry King, Yuehwern Yih, Mina Ostovari
CONTEXT: A national system of voluntary public health accreditation for state, local, and tribal health departments (local health departments [LHDs]) is part of a movement that aims to improve public health performance with ultimate impact on population health outcomes. Indiana is a good setting for the study of LHD accreditation adoption because several LHDs reported de-adopting accreditation in a recent statewide survey and because 71% of Indiana counties serve populations of 50 000 or less...
May 10, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28488908/choosing-doing-and-controlling-implicit-sense-of-agency-over-somatosensory-events
#10
Khatereh Borhani, Brianna Beck, Patrick Haggard
Sense of agency-a feeling of control over one's actions and their outcomes-might include at least two components: free choice over which outcome to pursue and motoric control over the action causing the outcome. We orthogonally manipulated locus of outcome choice (free or instructed choice) and motoric control (active or passive movement), while measuring the perceived temporal attraction between actions and outcomes ( temporal binding) as an implicit marker of agency. Participants also rated stimulus intensity so that we could measure sensory attenuation, another possible implicit marker of agency...
May 1, 2017: Psychological Science
https://www.readbyqxmd.com/read/28487646/human-inspired-eigenmovement-concept-provides-coupling-free-sensorimotor-control-in-humanoid-robot
#11
Alexei V Alexandrov, Vittorio Lippi, Thomas Mergner, Alexander A Frolov, Georg Hettich, Dusan Husek
Control of a multi-body system in both robots and humans may face the problem of destabilizing dynamic coupling effects arising between linked body segments. The state of the art solutions in robotics are full state feedback controllers. For human hip-ankle coordination, a more parsimonious and theoretically stable alternative to the robotics solution has been suggested in terms of the Eigenmovement (EM) control. Eigenmovements are kinematic synergies designed to describe the multi DoF system, and its control, with a set of independent, and hence coupling-free, scalar equations...
2017: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/28487630/analysis-of-interrelationships-among-voluntary-and-prosthetic-leg-joint-parameters-using-cyclograms
#12
Farahiyah Jasni, Nur Azah Hamzaid, Nor Elleeiana Mohd Syah, Tze Y Chung, Noor Azuan Abu Osman
The walking mechanism of a prosthetic leg user is a tightly coordinated movement of several joints and limb segments. The interaction among the voluntary and mechanical joints and segments requires particular biomechanical insight. This study aims to analyze the inter-relationship between amputees' voluntary and mechanical coupled leg joints variables using cyclograms. From this analysis, the critical gait parameters in each gait phase were determined and analyzed if they contribute to a better powered prosthetic knee control design...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28484381/impaired-activation-of-visual-attention-network-for-motion-salience-is-accompanied-by-reduced-functional-connectivity-between-frontal-eye-fields-and-visual-cortex-in-strabismic-amblyopia
#13
Hao Wang, Sheila G Crewther, Minglong Liang, Robin Laycock, Tao Yu, Bonnie Alexander, David P Crewther, Jian Wang, Zhengqin Yin
Strabismic amblyopia is now acknowledged to be more than a simple loss of acuity and to involve alterations in visually driven attention, though whether this applies to both stimulus-driven and goal-directed attention has not been explored. Hence we investigated monocular threshold performance during a motion salience-driven attention task involving detection of a coherent dot motion target in one of four quadrants in adult controls and those with strabismic amblyopia. Psychophysical motion thresholds were impaired for the strabismic amblyopic eye, requiring longer inspection time and consequently slower target speed for detection compared to the fellow eye or control eyes...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28482421/-effect-of-home-noninvasive-positive-pressure-ventilation-on-patients-with-severe-stable-chronic-obstructive-pulmonary-disease-a-meta-analysis
#14
Y Liu, B Dai, J Su, Y Peng, W Tan, H W Zhao
Objective: To evaluate the effect of home noninvasive positive pressure ventilation (NPPV) on patients with severe stable chronic obstructive pulmonary disease(COPD) by meta-analysis. Methods: The data of this meta-analysis was retrieved from the PubMed, EMBASE, Cochrane library, Wanfang, Weipu and CNKI databases from January 1980 to January 2016. Randomized controlled trials (RCTs) on comparison of the effect of home NPPV in patients with severe stable COPD were enrolled. The enrolled data were divided into different subgroups in terms of the levels of inspiratory positive airway pressure(IPAP), different duration of ventilation per day, and different levels of baseline hypercapnia on change in PaCO(2)...
May 12, 2017: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/28479225/biomechanics-and-pinch-force-of-the-index-finger-under-simulated-proximal-interphalangeal-arthrodesis
#15
Paul Arauz, Karen DeChello, Alexander Dagum, Sue Ann Sisto, Imin Kao
PURPOSE: To analyze the effect of simulated proximal interphalangeal (PIP) joint arthrodesis on distal interphalangeal (DIP) joint free flexion-extension (FE) and maximal voluntary pinch forces. METHODS: Five healthy subjects were tested with the PIP joint unconstrained and constrained to selected angles to produce (1) free FE movements of the DIP joint at 2 selected angles of the metacarpophalangeal joint, and (2) maximal voluntary tip (thumb and index finger) and chuck (thumb, index, and middle fingers) pinch forces...
May 4, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28475063/training-an-actor-critic-reinforcement-learning-controller-for-arm-movement-using-human-generated-rewards
#16
Kathleen Jagodnik, Philip Thomas, Antonie van den Bogert, Michael Branicky, Robert Kirsch
Functional Electrical Stimulation (FES) employs neuroprostheses to apply electrical current to the nerves and muscles of individuals paralyzed by spinal cord injury (SCI) to restore voluntary movement. Neuroprosthesis controllers calculate stimulation patterns to produce desired actions. To date, no existing controller is able to efficiently adapt its control strategy to the wide range of possible physiological arm characteristics, reaching movements, and user preferences that vary over time. Reinforcement learning (RL) is a control strategy that can incorporate human reward signals as inputs to allow human users to shape controller behavior...
May 2, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28471486/quantification-of-pelvic-floor-muscle-strength-in-female-urinary-incontinence-a-systematic-review-and-comparison-of-contemporary-methodologies
#17
REVIEW
Emily G Deegan, Lynn Stothers, Alex Kavanagh, Andrew J Macnab
AIMS: There remains no gold standard for quantification of voluntary pelvic floor muscle (PFM) strength, despite international guidelines that recommend PFM assessment in females with urinary incontinence (UI). Methods currently reported for quantification of skeletal muscle strength across disciplines are systematically reviewed and their relevance for clinical and academic use related to the pelvic floor are described. METHODS: A systematic review via Medline, PubMed, CINHAL, and the Cochrane database using key terms for pelvic floor anatomy and function were cross referenced with skeletal muscle strength quantification from 1946 to 2016...
May 4, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28461024/care-management-in-amyotrophic-lateral-sclerosis
#18
REVIEW
M-H Soriani, C Desnuelle
Amyotrophic lateral sclerosis (ALS) is a relentlessly progressive and fatal neurodegenerative disease characterized by progressive weakness of voluntary muscles of movement as well as those for swallowing, speech and respiration. In the absence of curative treatment, care can improve quality of life, prolong survival, and support ALS patients and their families, and also help them to anticipate and prepare for the end of life. Multidisciplinary management in tertiary centers is recommended in close collaboration with general practitioners, home carers and a dedicated health network...
April 28, 2017: Revue Neurologique
https://www.readbyqxmd.com/read/28456819/bidirectional-transfer-between-joint-and-individual-actions-in-a-task-of-discrete-force-production
#19
Junya Masumoto, Nobuyuki Inui
The present study examined bidirectional learning transfer between joint and individual actions involving discrete isometric force production with the right index finger. To examine the effects of practice of joint action on performance of the individual action, participants performed a pre-test (individual condition), practice blocks (joint condition), and a post-test (individual condition) (IJI task). To examine the effects of practice of the individual action on performance during the joint action, the participants performed a pre-test (joint condition), practice blocks (individual condition), and a post-test (joint condition) (JIJ task)...
April 29, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28454042/cortical-plasticity-and-levodopa-induced-dyskinesias-in-parkinson-s-disease-connecting-the-dots-in-a-multicomponent-network
#20
REVIEW
Roopa Rajan, Traian Popa, Angelo Quartarone, Maria Felice Ghilardi, Asha Kishore
Levodopa-induced dyskinesias are motor complications following long term dopaminergic therapy in Parkinson's disease (PD). Impaired brain plasticity resulting in the creation of aberrant motor maps intended to encode normal voluntary movement is proposed to result in the development of dyskinesias. Traditionally, the various nodes in the motor network like the striato-cortical and the cerebello-thalamic loops were thought to function independent of each other with little communication among them. Anatomical evidence from primates revealed the existence of reciprocal loops between the basal ganglia and the cerebellum providing an anatomical basis for communication between the motor network loops...
June 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
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