Digital Commons Network^™

Ultrasound Diagnosis Of Recurrent Multiple Neurilemmomas Of Median Nerve: A Casereport, Yi-Ping Chiang, Baii-Jia Yang, Shih-Chia Liu, Kuan-Wen Chen

Rehabilitation Practice and Science

A 31-year-old lady complained of multiple painless masses on her left arm. Two masses were clearly visible in the left palm and distal forearm, and a smaller lump was also palpable in the left antecubital area. A neurogenic tumor in the left palm was diagnosed by magnetic resonance image (MRI). Sonography demonstrated highly vascular neurilemmomas along the median nerve in the palm, distal forearm, and antecubital area. A nerve conduction velocity study of the median nerve showed prolonged distal latency of the motor nerve portion but normal sensory function. The tumors were resected, and pathology examination confirmed the diagnosis of …

A Pilot Trial Of A Telephone-Linked Patient Service System: Spinal Cord Injury Patients As An Example, Tsung-Yu Wei, Shao-Li Han, Wen-Hsien Tseng, Fong-Bin Yan, Kwan-Yu Chan, Polun Chang, Wai-Keung Lee

Rehabilitation Practice and Science

The pressure of lack of enough resources on our National Health Insurance program and an increasing population of the aged and chronic patients has made the tele-home care technology an important choice. The tele-home care service is also regarded by our government as one of the core new service businesses for 2008. In this study, a prototype Tele-Home Care system, composed of Telephone-linked Care (TLC), Automatic Speech Recognition (ASR), Text-To-Speech (TTS) and automatic questionnaire recognition, was developed and evaluated for spinal cord injury patient care.The prototype systems included a personal computer with an EASYTAPI voice card, a Fax card and …

Aphasics' Needs And Performance In Functional Communication, Yu-Chen Liao, Chin-Hsing Tseng

Rehabilitation Practice and Science

The purpose of the study was to find out aphasics' needs for functional communication and their performance in it. Using a functional communication activities questionnaire as tool, we investigated the needs and performance on functional communication among 32 stroke patients with aphasia and 60 normal subjects.The researcher discovers that the importance of needs for functional communication and the independence of communication performance are significantly different between the two groups. Furthermore, a significant correlation is found between the importance of needs and the performance independence in the aphasic group. Finally, the language impairment level is moderately correlated with the importance of …

Ultrasound Examination Of Shoulders In Wheelchair Users With Paraplegia, Jiann-Perng Chen, Yi-Pin Chiang, Gwo-Chi Hu, Wan-Yi Shih, Kuan-Wen Chen

Rehabilitation Practice and Science

Due to the prolonged use of upper extremities for weight-bearing, the shoulder joints of paraplegic wheelchair-users are prone to injury. Once shoulder pain occurs, performance of activities required for daily living would thus be disturbed. In past studies, the shoulders of the spinal cord injured patients were evaluated with arthrography or magnetic resonance images and the rotator cuff injuries were found. In the current study, we used ultrasonography to detect rotator cuff injuries of paraplegic wheelchair-users. The factors associated with ultrasonographic findings were also investigated.Thirty paraplegic wheelchair-users, 26 males and 4 females, were recruited for this study. Both shoulder joints …

Rehabilitation And Prognosis Of Childhood Arterial Ischemic Stroke: A Casereport, Chia-Huang Dai, Wei-Jang Yen, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

The incidence of ischemic stroke in childhood is two to 13 per 100,000 children per year. Although the incidence is much lower than adults, strokes in children not only cause a large number of deaths, but also induce significant disabilities. Because childhood ischemic strokes are rare, multi center, controlled trials should be performed to provide evidence based data related to effectiveness of medical treatment and rehabilitation. Current studies on the management of stroke in children are mainly based on casereports, uncontrolled trials, or are adapted from adult literature.An eleven-year-old, obese boy presented to the Emergency Department with an initial presentation …

Rehabilitation In A Patient With Delayed Post-Hypoxic Encephalopathy: A Casereport, Yao-Jen Chen, Su-Ju Tsai, Yueh-Lin Tsai

Rehabilitation Practice and Science

Carbon monoxide poisoning from accidents or suicide attempts often result in delayed post-hypoxic encephalopathy. Patients with delayed post-hypoxic encephalopathy typically present with recurrent apathy, confusion, agitation, and/or progressive neurological deficits, despite apparent transient recovery. Autopsy reports often reveal diffuse demyelination of subcortical white matter, but the exact pathogenesis is not clear. While comprehensive physical examination and history taking is necessary in diagnosing delayed post-hypoxic encephalopathy, magnetic resonance imaging can be very helpful in the diagnostic work-up. Rehabilitation for severe post-hypoxic encephalopathy can prevent complications such as immobilization and can improve patients' functional status.We report the history, diagnosis, and rehabilitative outcome …

Paroxysmal Nocturnal Hemoglobinuria Complicated By An Arterial Cerebral Infarction: A Casereport, Cheng-Hui Huang, Liang-Wei Huang, Mu-Jung Kao, Teh-Chen Wang, Hui-Chi Shu, Zong-Jing Wang

Rehabilitation Practice and Science

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disorder caused by a somatic mutation of the hematopoietic stem cells, which results in a loss of the complement regulatory proteins usually present on the membrane of blood cells. The outcome is an increased tendency for complement to damage the blood cells and, after a series of reactions, hemolytic and thrombotic episodes may occur. On reviewarticleing past reports, PNH-related thrombosis usually occurs in the venous system and only rarely happens in the arterial system.In our case, a male patient was found to have suffered from dark urine and anemia after each of …

Effects Of Occupation On Fitness In Taiwan Adults, Ching-Fang Hu, Tieh-Cheng Fu, Cheng-Hsiu Lai, Shih-Wei Chou, Alice M. K. Wang, Chia-Lin Shu

Rehabilitation Practice and Science

Physical fitness is the state of health measured by body composition, muscular strength and endurance, flexibility, and cardiopulmonary endurance. Occupational difference in physical fitness results in differing physical demands of working environments. This study compared occupational fitness in 32,950 Taiwan adults aging from 18 to 65 years. Volunteers were classified by gender, age and occupation. The purpose of this study was to provide information for physical fitness training.Statistical differences among various occupations were found by this research. Students, and educational workers had the lowest body mass index as well as the best flexibility and endurance in all analyzed subjects. Male …

The Effect Of Taping Therapy On Patients With Myofascial Pain Syndrome: A Pilot Study, Ying-Hsuan Wang, Shu-Min Chen, Jo-Tong Chen, Wei-Chang Yen, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

Taping therapy has been widely used for treating soft tissue pain. It has been suggested that this therapy can provide pain relief and prevent over-contraction of the treated muscles. There are few studies about its application on the treatment of myofascial pain syndrome (MPS). The aim of this study is to investigate the therapeutic effect of taping therapy on MPS with involvement of the upper trapezius muscle.Thirty-three participants having active myofascial trigger points (MTrPs) in upper trapezius muscles were enrolled in this study. They were randomized to two groups; a Treatment Group (N=17) and a Control Group (N=16). The visual …

The Cost-Effectiveness Analysis Between Outreach And Hospital Rehabilitation Models, Wei-Ni Chou, Shu-Yen Huang, Shu-Chuan Jennifer Yeh, Hing-Man Wu, Ming-Yang Koe, Yi-Ru Chen

Rehabilitation Practice and Science

Hospitals and clinics are usually the places where patients receive medicare. However, it is extremely inconvenient for the elderly to frequently go between the homes and hospitals/clinics for long-term medicare. With doctor-served home care, the accessibility of medical treatment would increase; the risk of trauma or infection from traveling in-between would be avoided; more prompt and timely treatment-offered effectiveness would rise. However, there has been no study on the difference between the cost effectiveness of outreach versus hospital rehabilitation. Thence, the peculiarity of the outreach rehabilitation regarding the physiatrists providing medical services and the physical therapists and occupational therapists offering …

Comparison Of Motor Performance Between Elderly Patients With Mild Alzheimer And Vascular Dementia In Motion Analysis, Jing-Jung Chen, Hen-Yu Lien, Wei-Hsien Hong, Chin-Chang Huang, Wen-Chun Hsu, Alice Mk Wong

Rehabilitation Practice and Science

In the past research, most factors caused motor and gait impairment in patients with dementia were related to the lesions of different areas and lobes. However, patients with different types of dementia may have distinct motor impairment features because of different neuropsychological dysfunction that may result in different motor features. At present time, clinical diagnosis of dementia patients were depended on subjective rating scales, but lack of objective measurement. The purpose of this study was to compare the patients with mild Alzheimer's dementia (AD) and patients with mild vascular dementia (VaD) in motion analysis of gait and upper limbs function …

Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Schwannoma is a benign encapsulated nerve sheath tumor. It typically develops in middle age with unknown cause and usually involves spinal root and peripheral nerves. We report two cases of schwannoma presenting as palpable mass over lower limbs. Both masses had heterogeneous hypoechogenicity, faint posterior enhancement, and were located eccentric to a nerve fascicle. Preoperative sonography revealed both patients had nerve tumors derived from nerve fascicles. These cases illustrate how sonographic information about the relationship between mass and surrounding structures can facilitate surgical planning.

Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo

Rehabilitation Practice and Science

Hippotherapy is used to improve gross motor function in children with cerebral palsy (CP). However, the therapeutic effects of hippotherapy using specific position and its longitudinal improvements in children of hypotonic CP have not been thoroughly examined. A 6-year-old girl with hypotonic quadriplegic CP was noted to have generalized hypotonia and global delay in development before intervention. There was sustained improvement in gross motor function after 12-month hippotherapy. She received a 15-minute intervention twice a week for one year with two treatment positions being used, sitting backwards for the first 3 months and prone propped position for the next 9 …

Interval Perfusional Changes Of Unilateral Basal Ganglion In A Neuroleptic Naive Patient With Rabbit Syndrome, Ming-Hsien Chou, Kao-Chung Tsai, Tsung-Ying Li, Chun-Fu Wang, Liang-Cheng Chen, Shin-Tsu Chang

Rehabilitation Practice and Science

Rabbit syndrome has been demonstrated as one of the extrapyramidal side effects, which is associated strongly with chronic neuroleptic therapy in neurological patients, but less discussion in patients without therapy. We herein present a rare case of rabbit syndrome that occurred with neuroleptic naive patient. The study of cerebral perfusion with single photon emission computed tomography (SPECT) revealed increased perfusion in the right basal ganglion upon presentation of the oral-lip movement disorder and presented with a return to normal in a repeated SPECT perfusion when those movement ceased.

Acute Spontaneous Cervical Spinal Epidural Hematoma With Hemiparesis: A Casereport, Shu-Wei Chang, Chi-Lun Rau, Shin-Liang Pan, Yen-Ho Wang

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma is a rare disease. The cardinal presentations include acute unilateral radicular pain, corresponding dermatomal hypesthesia, hemiparesis, hemiplegia, paraparesis, paraplegia, and sphincter dysfunction. If the initial symptoms include acute hemiplegia, it is important to differentiate spontaneous spinal epidural hematoma from stroke, tumor, infection, arteriovenous malformation, or autoimmune diseases.We report the case of a 42-year-old man, who visited the emergency department in September, 2006, with the chief complaints of right limbs weakness and neck pain. After the initial work-up, the impression was ischemic stroke. He was admitted for conservative treatment, but his neurological status progressively deteriorated. A cervical …

Cardiopulmonary Function And Exercise Capacity In Children With Kawasaki Disease, Yu-Ling Wang, Ai-Lun Yang, Jue-Long Wang, Chun-Han Yang, Zheng-Yu Hoe, Chien-Ming Huang, Ko-Long Lin

Rehabilitation Practice and Science

Kawasaki disease complicated by coronary artery disease is the leading cause of acquired heart disease in children. Maximal anaerobic capacity and factors of restrictive exercise capacity need to be evaluated.To study the influence of Kawasaki disease on cardiopulmonary function and exercise capacity, sixteen children were recruited for the experimental group and given a cardiopulmonary exercise stress test. Sixteen healthy children were recruited as the control group. Based on the findings, the VO2(subscript max) (8.06±2.13/10.24±2.39MET, p=0.01) and the maximal systolic blood pressure (144.19±27.39/163.40±21.64mmHg, p=0.02) demonstrated statistically significant differences between children with Kawasaki disease and healthy children, but no significant difference in …

Etiology And Seasonal Variation For Young Stroke Patients In Taiwan, Ying-Fang Chen, Baii-Jia Yang, Yi-Pin Chiang

Rehabilitation Practice and Science

Over a 3-year period, 3852 patients with the first stroke were admitted to a medical center in Taiwan, of whom 227 (5.89%) were 15 to 45 years old. The diagnosis of stroke was confirmed by either MRI or CT scan. The incidence was skewed toward the older end of the age range, and men predominated (153/227, 67.4%). The stroke was the hemorrhagic type in 56.3% (128/227) versus the infarction type in 43.7% (99/227), a reversal of the ratio usually seen in patients over 45 years with infarction 64.9% (2500) versus hemorrhage 35.1% (1352). The case-fatality rate was 13.2% (30/227), including …

Femoral Nerve Injury Following Transfemoral Angiography: A Casereport, Chien-Ching Yu, Ying-Ju Shih, Su-Ju Tsai

Rehabilitation Practice and Science

Femoral nerve injury is a rare complication after femoral angiography. Symptoms including quadriceps weakness and atrophy, absent or reduced knee jerk and sensory impairment along the anterior thigh and medial lower leg have been found. This leads to both muscular weakness and sensory deficit, which impairs walking and interferes with quality of life. Early identification and management of femoral nerve injury could result in better prognosis.We report on the history, diagnosis and rehabilitative outcome of a 54-year-old woman with a medical history of peripheral arterial occlusion disease. She developed significant femoral neuropathy one month after angiography. Severe neurological deficits were …

Clinical Features And Rehabilitation Of Systemic Lupus Erythematosus Complicated With Moyamoya Syndrome: A Casereport, Wei-Chih Lien, Jo-Tong Chen, Shu-Cheng Lin, Nai-Wen Guo, Da-Shen Kuan

Rehabilitation Practice and Science

Moyamoya disease is an uncommon clinical entity characterized by progressive narrowing and occlusion of the bilateral distal internal carotid arteries, as well as the proximal parts of their major branches, namely, the middle and anterior cerebral arteries. Concomitant development of prominent collateral vascularity in the basal regions of the brain results in the typical angiographic appearance of moyamoya, which literally means a wavering puff of smoke. Moyamoya syndrome refers to findings of moyamoya vasculopathy in the context of known systemic disease. We present a 26-year-old woman with systemic lupus erythematosus who had several episodes of ischemic stroke. Her cerebral angiograms …

Spontaneous Spinal Epidural Hemorrhage With Shoulder And Neck Pain As Initial Presentation: A Casereport, Yu-Min Kuo, Wai-Keung Lee, Cheng-Chih Liao, Li-Rong Chen

Rehabilitation Practice and Science

Spontaneous spinal epidural hemorrhage is a very rare disease, with an annual incidence estimated at one per million. Emergency surgery is indicated for a good prognosis, without which the death rate would be higher. Although the initial symptoms of cervical, thoracic, and back pain make it difficult to differentiate spontaneous spinal epidural hemorrhage from other common disease with similar symptoms, magnetic resonance imaging (MRI) is a highly sensitive diagnostic method.We report the case of a 22-year-old male patient who initially complained of pain over the left shoulder and left cervical area. After nine days, numbness was noted in his left …

Delayed Diagnosis Of Spinal Arteriovenous Malformation And Management Of Its Urological Complication: A Casereport, Yuan-Jen Wang, Peir-Renn Wang, Yu-Hui Huang, Su-Ju Tsai, Liu-In Bih

Rehabilitation Practice and Science

Spinal arteriovenous malformations (Spinal AVM) are a rare disorder with an estimated incidence of about 1 per million people per year. Because of the diversity of the presenting symptoms, this disorder is difficult to diagnose, despite new advances in neuronimaging. We report the case of a girl who was diagnosed at 12 years old to have spinal AVM at a high cervical level and presented with four limbs weakness and dyspnea. She was found to have extremely high voiding pressure and a rapid development of grade 2 vesicoureteral reflux (VUR), which was thought to be a chronic complication after spinal …

Polar Diversity Of The Tardigrada: A Combined Morphological / Molecular Approach., Cj Sands, Sj Mcinnes, Nj Marley, Wp Goodall-Copestake, Et Al

School of Biological and Marine Sciences

POLAR DIVERSITY OF THE TARDIGRADA: A COMBINED MORPHOLOGICAL / MOLECULAR APPROACH C.J. Sands1 , S.J. McInnes1 , N.J. Marley2 , W.P. Goodall-Copestake1 , P. Convey1 , L. Linse1 1 - Natural Environment Research Council, British Antarctic Survey, High Cross, Madingley Road, Cambridge, CB3 0ET, United Kingdom 2 - Marine Biology and Ecology Research Centre, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, United Kingdom [email protected] Examining the spatial distributions of organisms can provide information regarding their evolutionary history. We are investigating the origins and the processes that influence the contemporary distribution and diversity of Antarctic terrestrial biota. Tardigrades were chosen …

Review Of Patrick Heelan, Space-Perception And The Philosophy Of Science, Cliff Hooker

Research Resources

Heelan has taken a rich philosophical framework and within its categories woven a marvellously detailed and wondrously wide tapestry. That tapestry includes an exciting illumination of Western art and pictorial understanding generally; the sweep of history, scientific and cultural; the enterprise of science and the nature and roles of technology in both science and culture. Heelan's book then has interest at several different levels; in ascending order: there are the specific theses about vision and about science; there is the connecting of philosophy of visual art and philosophy of science; there is Heelan's attempt to set both of these latter …

Cal Poly Early Music Ensemble To Present Music Of California Missions Jan. 24, Public Affairs Office

Press Releases

No abstract provided.

Taiwan Top Five, Paul Katz

China Beat Blog: Archive 2008-2012

As we prepare to ring out 2008, here are a few thoughts about some of the leading stories that have shaped Taiwan during the past year:

1. Back and Blue: Ma Ying-jeou sweeps into office as Taiwan’s new president, winning a convincing majority of the popular vote based on a platform promising a more stable relationship with China, economic prosperity, and clean government. Cross-Straits tensions have declined markedly, while the opening of direct links should bring great benefits to the citizens of both China and Taiwan. At the same time, however, the economy remains in the doldrums (see #2) …

Deafdigest: Deaf Sports News December 30, 2008, Barry Strassler

DeafDigest Sports 2008

No abstract provided.

Kajian Keamanan Pemakaian Obat Anti-Hipertensi Di Poliklinik Usia Lanjut Instalasi Rawat Jalan Rs Dr Sardjito, Zullies Ikawati

Majalah Ilmu Kefarmasian

Increasing age is generally followed by increasing chronic diseases so that the elderly needs much therapy using drugs for therapy of numerous diseases they have. Hyper-tension is one of diseases of which its prevalence increases along with increasing age. Most of the elderly diagnosed as having hypertension finally take therapy using anti-hypertension drugs. Physiological changes that happen to the elderly lead to use of drugs for side effect diseases of which their consumption should be considered while having anti-hypertension drugs. Changes in biological system to the elderly will af-fect the process of drug molecular interaction, which finally affects clinical efficacy …

Studi Mutasi Titik A3243g Dna Mitokondria Penyebab Maternally Inherited Diabetes And Deafness, Sriwidodo Sriwidodo, O Suprijana, Toto Subroto, Iman Permana Maksum

Majalah Ilmu Kefarmasian

Point mutation of mitochondrial DNA A3243G has been known as a cause of Mater-nally Inherited Diabetes and Deafness (MIDD). Potency of MIDD can be identified from patient phenotype of Non Insulin Dependent Diabetes Mellitus (NIDDM). The objective of this study is acquiring information about MIDD on patient of NIDDM type and obtaining the simple method to detect the point mutation of mtDNA A3243G. 50 NIDDM patients were attained from RSCM Hospital, Jakarta. Information con-cerning family history with NIDDM and existences of deafness, medication, and other complication and manifestation were obtained through interview and ques-tioner. Point mutation of A3243G was determined …

Bioanalisis Metabolit Gliklazida Dalam Mikrosom Hati Manusia Dengan Metode Hplc, Suharjono Suharjono

Majalah Ilmu Kefarmasian

Gliclazide (GZ) is oral sulphonylurea-2 generation used for treatment of diabetes mellitus type-2. Gliclazide is metabolized in the smooth endoplasmic reticulum of liver, which can be made in preparation of human liver microsomes. These microsomes rich in cytochrome P450 (CYP450). Major metabolite of GZ in the microsomes are, 7β-OH-GZ, 6α-OHGz, 6β-OH-GZ, and Me-OH-GZ. HPLC method for GZ me-tabolites was done without extraction by organic solvents, but with direct precipita-tion GZ incubation results in the human liver microsomes using perchloric acid. The aim of the study is to determine the level of four GZ metabolites in human liver microsomes by HPLC …

Pengembangan Pendidikan Profesi Apoteker Untuk Mendukung Eksistensi Apoteker Di Apotek, Sukrasno Sukrasno

Majalah Ilmu Kefarmasian

Aphothec is a place for pharmacy services especially for pharmacist who dedicates his competency in the community. The policy no pharmacist no service is a strategic policy that has to be supported by all members of Indonesian Pharmacist Association. This policy can only be accomplished if pharmacists produced are equipped with com-petencies that are needed to run an apothec and also supported with adequate motiva-tion. Transformation of senior pharmacist that has been socially established will not give significant impact. To produce competent pharmacist, transformation in educa-tion process especially for pharmacist in the apothec is needed. Transformation must be based on …