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https://www.readbyqxmd.com/read/28527234/impaired-postural-balance-correlates-with-complex-walking-performance-in-mildly-disabled-persons-with-multiple-sclerosis
#1
John Brincks, Elisabeth Due Andersen, Henrik Sørensen, Ulrik Dalgas
BACKGROUND: It is relevant to understand the possible influence of impaired postural balance on walking performance in multiple sclerosis (MS) gait rehabilitation. OBJECTIVE: We expected associations between impaired postural balance and complex walking performance in mildly disabled persons with MS, but not in healthy controls. METHODS: Thirteen persons with MS (Expanded Disability Status Scale = 2.5) and 13 healthy controls' walking performance were measured at fast walking speed, Timed Up & Go and Timed 25 Feet Walking...
May 13, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28526585/impaired-response-selection-during-stepping-predicts-falls-in-older-people-a-cohort-study
#2
Daniel Schoene, Kim Delbaere, Stephen R Lord
BACKGROUND: Response inhibition, an important executive function, has been identified as a risk factor for falls in older people. This study investigated whether step tests that include different levels of response inhibition differ in their ability to predict falls and whether such associations are mediated by measures of attention, speed, and/or balance. METHODS: A cohort study with a 12-month follow-up was conducted in community-dwelling older people without major cognitive and mobility impairments...
May 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28525782/the-performativity-of-numbers-in-illness-management-the-case-of-swedish-rheumatology
#3
Anna Essén, Eivor Oborn
While there is a proliferation of numerical data in healthcare, little attention has been paid to the role of numbers in constituting the healthcare reality they are intended to depict. This study explores the performativity of numbers in the microlevel management of rheumatoid disease. We draw on a study of patients' and physicians' use of the numbers in the Swedish Rheumatology Quality Registry, conducted between 2009 and 2014. We show how the numbers performed by constructing the disease across time, and by framing action...
May 10, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28523980/diverse-endometrial-mrna-signatures-during-the-window-of-implantation-in-patients-with-repeated-implantation-failure
#4
Cheng Shi, Hong Jing Han, Li Juan Fan, Jing Guan, Xing Bang Zheng, Xi Chen, Rong Liang, Xiao Wei Zhang, Kun Kun Sun, Qing Hua Cui, Huan Shen
High endometrial receptivity in the window of implantation (WOI) is essential for successful implantation. However, a diagnostic tool with high specificity for impaired endometrial receptivity remains to be developed. We collected endometrium specimens during the WOI from patients with RIF and women who conceived after one IVF/ICSI attempt. We conducted mRNA microarray on the samples followed by relevant comparative and functional analysis. Microarray analysis revealed 357 dysregulated mRNAs between the two groups...
May 19, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28521740/going-to-scale-design-and-implementation-challenges-of-a-program-to-increase-access-to-skilled-birth-attendants-in-nigeria
#5
Edward N Okeke, Emma Pitchforth, Josephine Exley, Peter Glick, Isa Sadeeq Abubakar, Amalavoyal V Chari, Usman Bashir, Kun Gu, Obinna Onwujekwe
BACKGROUND: The lack of availability of skilled providers in low- and middle- income countries is considered to be an important barrier to achieving reductions in maternal and child mortality. However, there is limited research on programs increasing the availability of skilled birth attendants in developing countries. We study the implementation of the Nigeria Midwives Service Scheme, a government program that recruited and deployed nearly 2,500 midwives to rural primary health care facilities across Nigeria in 2010...
May 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28515070/even-mealtime-distribution-of-protein-intake-is-associated-with-greater-muscle-strength-but-not-with-3-y-physical-function-decline-in-free-living-older-adults-the-quebec-longitudinal-study-on-nutrition-as-a-determinant-of-successful-aging-nuage-study
#6
Samaneh Farsijani, Hélène Payette, José A Morais, Bryna Shatenstein, Pierrette Gaudreau, Stéphanie Chevalier
Background: Functional status declines with aging, thus impeding autonomy. Recently, a more even mealtime distribution of dietary protein was positively associated with muscle mass, but the relation of this distribution to physical performance remains unknown.Objective: We examined the relation between mealtime protein-intake distribution and physical performance and its 3-y decline in community-dwelling older adults.Design: Three-year follow-up data from 827 men and 914 women (67-84 y) in the longitudinal study on nutrition and aging [Quebec longitudinal study on Nutrition as a Determinant of Successful Aging (NuAge study); Quebec, Canada] were analyzed...
May 17, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28514123/-telemedicine-a-novel-service-in-pediatric-emergency-care
#7
Alon Nevet, Yves Bitton, Lior Wolf, Yehezkel Waisman
INTRODUCTION: Telemedicine is a field that deals with monitoring and caring for patients who are physically apart from the caregivers, so they cannot communicate without technological means. The use of telemedicine has been recognized by a number of official organizations worldwide. This article reviews a unique service, "pediatrician online", provided by Clalit HMO, through Medtrix Ltd, with Schneider Children's Hospital specialists' supervision. With this service, parents can receive medical consultation from pediatricians beyond community clinic hours...
July 2016: Harefuah
https://www.readbyqxmd.com/read/28513203/automating-the-incremental-evolution-of-controllers-for-physical-robots
#8
Andrés Faíña, Lars Toft Jacobsen, Sebastian Risi
Evolutionary robotics is challenged with some key problems that must be solved, or at least mitigated extensively, before it can fulfill some of its promises to deliver highly autonomous and adaptive robots. The reality gap and the ability to transfer phenotypes from simulation to reality constitute one such problem. Another lies in the embodiment of the evolutionary processes, which links to the first, but focuses on how evolution can act on real agents and occur independently from simulation, that is, going from being, as Eiben, Kernbach, & Haasdijk [2012, p...
May 17, 2017: Artificial Life
https://www.readbyqxmd.com/read/28511643/long-noncoding-rna-expression-profile-in-hle-b-3-cells-during-tgf-%C3%AE-2-induced-epithelial-mesenchymal-transition
#9
Bingyu Zhang, Yang Chen, Meiyuan Qiu, Zhixiang Ding
BACKGROUND: Recent evidence has shown that long noncoding RNAs (lncRNAs) are involved in the process of epithelial-mesenchymal transition (EMT). However, little research has focused on the expression profile of lncRNAs during EMT in human lens epithelial cells (LECs) and their functions have not yet been described. METHODS: Dysregulated lncRNAs and mRNAs in normal human lens epithelial B-3(HLE B-3) cells and during transforming growth factor β2(TGF-β2)-induced EMT were analyzed via lncRNA microarray...
May 16, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28508810/timed-up-and-go-device-for-unsupervised-functional-assessment-of-elderly-patients
#10
Andreas Ziegl, Robert Modre-Osprian, Alberto Sánchez, Markus Falgenhauer, Peter Kastner, Günter Schreier
Functional evaluation of elderly patients is one key component in a comprehensive Geriatric Assessment. The increased workload and high costs associated to close and continuous monitoring in clinical settings may be counterbalanced by the application of ICT-supported remote follow-up. Although clinical parameters and questionnaires can be supported with smartphones and smart gadgets, physical performance trials pose a challenge for community-based approaches with difficulties arising from setting up trials, the lack of guidance and supervision...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28506775/supervised-or-unsupervised-rehabilitation-after-total-hip-replacement-provides-similar-improvements-for-patients-a-randomised-controlled-trial
#11
Corinne Coulter, Diana M Perriman, Teresa M Neeman, Paul N Smith, Jennifer M Scarvell
OBJECTIVE: To determine do patients do better with unsupervised home PT or in an outpatient setting Are the outcomes after a supervised (centre-based) and an independent (home-based) physical rehabilitation program delivered in the early post-discharge phase (<8weeks) equivalent in an adult THR population. SETTING: Acute care public hospital in the region, supporting a population of almost 540,000. DESIGN: Single blinded randomised controlled trial...
May 12, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28506350/-a-preliminary-study-on-the-disappearance-time-of-influenza-virus-antigen
#12
Hao-Feng Chen, Li-Li Zhang, Yi-Bing Fang, Min Chen, Chun Guo, Hong-Ling Yi, Mei-Ting Tao, Yan Li, Chu-Feng Dai
OBJECTIVE: To investigate the antigen clearance time, time to symptom disappearance, and the association between them using immunofluorescence assay for dynamic monitoring of influenza virus antigen in children with influenza. METHODS: A total of 1 063 children suspected of influenza who visited the Hunan People's Hospital from March to April, 2016 were enrolled. The influenza A/B virus antigen detection kit (immunofluorescence assay) was used for influenza virus antigen detection...
May 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/28506273/inertial-measurement-systems-for-segments-and-joints-kinematics-assessment-towards-an-understanding-of-the-variations-in-sensors-accuracy
#13
Karina Lebel, Patrick Boissy, Hung Nguyen, Christian Duval
BACKGROUND: Joints kinematics assessment based on inertial measurement systems, which include attitude and heading reference system (AHRS), are quickly gaining in popularity for research and clinical applications. The variety of the tasks and contexts they are used in require a deep understanding of the AHRS accuracy for optimal data interpretation. However, published accuracy studies on AHRS are mostly limited to a single task measured on a limited number of segments and participants...
May 15, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28505994/effect-of-three-dimensional-spine-stabilization-exercise-on-trunk-muscle-strength-and-gait-ability-in-chronic-stroke-patients-a-randomized-controlled-trial
#14
Sung-Jun Moon, Tae-Ho Kim
BACKGROUND: Three-dimensional spine stabilization exercise can strengthen the trunk muscles with minimal spine movement. OBJECTIVE: To investigate the effects of the newly developed Spine Balance three-dimensional (3D) system on trunk strength and gait abilities of chronic stroke patients. METHODS: Twenty-four chronic stroke patients were randomly assigned to an experimental (n = 12) or control group (n = 12). The experimental and control groups performed spine stabilization exercise by using the newly developed Spine Balance 3D system and the well-known Bridge exercise thrice a week for 30 min per day for 7 weeks...
May 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28503457/the-association-between-fall-history-and-physical-performance-tests-in-the-community-dwelling-elderly-a-cross-sectional-analysis
#15
Jin Chul Kim, Jinmann Chon, Hee Sang Kim, Jong Ha Lee, Seung Don Yoo, Dong Hwan Kim, Seung Ah Lee, Yoo Jin Han, Hyun Seok Lee, Bae Youl Lee, Yun Soo Soh, Chang Won Won
OBJECTIVE: To evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population. METHODS: A total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28503450/balance-assessment-in-subacute-stroke-patients-using-the-balance-control-trainer-balpro
#16
Jin Won Song, Jong Min Kim, Youn Soo Cheong, Yang-Soo Lee, Seong Min Chun, Yu-Sun Min, Tae-Du Jung
OBJECTIVE: To demonstrate the efficacy of the balance control trainer (BCT), developed for training patients with balance problems, as a balance assessment tool in subacute stroke patients. METHODS: A prospective cross-sectional study was carried out on 38 subacute stroke patients in their first episode of a stroke, and having the ability to maintain a standing position without aid for at least 5 minutes. Patients were assessed using the BCT (BalPro) 43.7±35.7 days after stroke...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28503449/feasibility-of-rehabilitation-training-with-a-newly-developed-portable-gait-assistive-robot-for-balance-function-in-hemiplegic-patients
#17
Junhyun Sung, Sehoon Choi, Hyunbae Kim, Gyuhan Lee, Changsoo Han, Younghoon Ji, Dongbin Shin, Seunghoon Hwang, Deokwon Yun, Hyeyoun Jang, Mi Jung Kim
OBJECTIVE: To investigate the clinical feasibility of a newly developed, portable, gait assistive robot (WA-H, 'walking assist for hemiplegia') for improving the balance function of patients with stroke-induced hemiplegia. METHODS: Thirteen patients underwent 12 weeks of gait training on the treadmill while wearing WA-H for 30 minutes per day, 4 days a week. Patients' balance function was evaluated by the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMAS), Timed Up and Go Test (TUGT), and Short Physical Performance Battery (SPPB) before and after 6 and 12 weeks of training...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28502833/overactive-bladder-is-strongly-associated-with-frailty-in-older-individuals
#18
Anne M Suskind, Kathryn Quanstrom, Shoujun Zhao, Mark Bridge, Louise C Walter, John Neuhaus, Emily Finlayson
OBJECTIVES: To understand the relationship between age, frailty and overactive bladder (OAB). METHODS: This is a prospective study of individuals age ≥65 presenting to an academic urology practice between December 2015 and July 2016. All patients had a Timed Up and Go Test (TUGT), a parsimonious measure of frailty, on intake and were thereby categorized as fast (≤10 sec), intermediate (11-14 sec) and slow (≥15 sec). The TUGT and other clinical data were abstracted from the electronic medical record (EMR) using direct queries...
May 11, 2017: Urology
https://www.readbyqxmd.com/read/28501805/neurological-tests-improve-after-olympic-style-boxing-bouts-a-pretournament-and-post-tournament-study-in-the-2016-women-s-world-boxing-championships
#19
David R Howell, William P Meehan, Michael P Loosemore, Joseph Cummiskey, Jean-Paul Grabner von Rosenberg, David McDonagh
AIM: To prospectively examine the neurocognitive, postural, dual-task and visual abilities of female Olympic-style boxers before and after participation in a tournament. METHODS: Sixty-one females completed the modified Balance Error Scoring System (mBESS), King-Devick test and 3 m timed-up-and-go test in single-task and dual-task conditions. A subset (n=31) completed the CogState computerised neurocognitive test. Initial testing was completed prior to the 2016 Women's World Boxing Championships; each participant repeated the testing protocol within a day of elimination...
May 13, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28500479/-catheter-ablation-of-persistent-atrial-fibrillation-where-do-we-go
#20
C Lemeš, K-H Kuck, S Mathew
Despite the very promising initial results of clinical studies, catheter ablation of persistent atrial fibrillation (AF) remains a challenge in modern electrophysiology. On the basis of the hypothesized pathophysiological mechanisms, a variety of ablation strategies have been developed over the course of time. The current ablation strategies range from pulmonary vein isolation (PVI) alone as first-line therapy, through ablation of multiple linear lesions, ablation of complex fractionated atrial electrograms (CFAE), rotor ablation, isolation of fibrotic and scar tissue up to isolation of the left atrial appendage (LAA); however, it is unclear even to the present day whether these complex and time-consuming strategies actually improve the success rate of ablation therapy...
May 12, 2017: Herz
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