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Moyamoya Disease Presenting With Hemichorea: A Casereport, Min-Hsin Lai, Shin-Yo Lu, Pei-Chi Chou, Shin-Tsu Chang, Heng-Yi Chu

Rehabilitation Practice and Science

We report an unusual case of a 13-year-old boy with moyamoya disease whose predominant manifestation was right hemichorea with initial dystonic spasms of the right limbs and face. A diffusion-weighted MR image of the brain in the initial stage showed no infarcted or other parenchymal lesions. However, MR angiography and intracranial angiography showed stenosis of the bilateral internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Chorea or hemichorea is one of the rarer presenting features of moyamoya disease. Our findings suggest that moyamoya disease should be included in the differential diagnosis of …

Novel Orthoses For Male Hemiplegic Patients To Perform Clean Intermittent Catheterization: A Casereport, Yu-Lin Tsai, Mao-Hsiung Huang, Chia-Hsin Chen

Rehabilitation Practice and Science

A 37-year-old male suffered from hemorrhagic stroke with left side hemiplegia and neurogenic bladder. On admission, due to post-renal acute renal failure with hydronephrosis, he received indwelling catheterization but felt very uncomfortable. However, he was physically unable to perform clean intermittent catheterization (CIC) due to his hemiplegia. Two novel devices were designed to help him perform CIC using one side of his body. As in our experience with this case, hemiplegic patients may now be able to perform CIC by themselves to achieve adequate bladder drainage using one-sided limbs under the assistance of the novel orthoses.

Carpal Tunnel Syndrome As An Initial Presentation Of Glioblastoma Multiforme: A Casereport, Chih-Hung Tseng, Kun-Lin Wu, Sin-Hao Ho, Su-Ju Tsai

Rehabilitation Practice and Science

A 43-year-old woman was clinically diagnosed as carpal tunnel syndrome due to the presentation of intermittent numbness, tingling and pain in her right thumb and index finger. The symptoms gradually exacerbated together with positive Phalen's test and Tinel's sign. Endoscopic carpal tunnel release procedure failed to relieve her symptoms. Ensuing symptoms developed such as headache, extensive numbness and mild weakness in her right upper and lower limbs. MRI of brain revealed a left thalamic tumor. Stereotactic biopsy confirmed the pathologic diagnosis as glioblastoma. Post-operative radiotherapy and temozolomide chemotherapy were performed to suppress disease progression. She also received comprehensive rehabilitation program, …

Posterior Interosseous Neuropathy Related To Cumulative Trauma Disorder: A Casereport, Cheng-Hao Tseng, Tsung-Cheng Huang, Jen-Wen Hung, Bin-Chi Chang

Rehabilitation Practice and Science

Work related cumulative posterior interosseous neuropathy is a rare cumulative trauma disorder. To the best of our knowledge, a locksmith with this kind of disorder has never been reported. The locksmith was a 57-year-old man, and he had to perform repeated supination and pronation movements when working. He complained of weakness of right third and fourth finger extension when typing on a computer keyboard. Radial deviation was also noted when his wrist was extended. Electromyography was performed and right posterior interosseous neuropathy was suspected. Magnetic resonance imaging (MRI) showed perineural muscle edema, obliteration and fluid accumulation at the level of …

Multiple Heterotopic Ossifications In A Patient With Traumatic Brain Injury And Femoral Fracture: A Casereport, Chun-Sheng Ho, Chein-Wei Chang, Eou-Ting Hsieh, Jen-Li Pan

Rehabilitation Practice and Science

Sporadic heterotopic ossification is a common complication in patients with spinal cord injury, traumatic brain injury, electrical burns, hip fracture, elbow fracture or total hip arthroplasty. However, multiple heterotopic ossifications in a traumatic brain injury case are quite rare. We report a case of a 23 year-old female patient with traumatic brain injury and a right femoral open fracture due to a traffic accident. She started to develop local erythema, swelling, warmth and pain over the left elbow and right hip about two months after the accident. The range of motion of the affected joints decreased and this severely impeded …

The Effect Of A New Gelatinous Elastomers Cushion On Reducing Pressure And Temperature, Mu-Jung Kao, Yang-Hwei Tsuang, Chi-Jou Kuo, Jen-Ling Chou, Hung-Wen Wei, Mei-Wun Tsai

Rehabilitation Practice and Science

Objective: The aim of this study was to analyze the effectiveness of a new air cell cushion (Elaston cushion) made of gelatinous elastomers, a newly developed material with a novel structure on reducing pressure and temperature.Methods: We compared the pressure and thermal responses of the Elastone cushion to three other available cushions (foam, gel-filled and air-filled villous) and four regular wooden or spongy chair seats. The skin temperature at the buttocks was also continuously measured for eight-hours sitting. Results: The Elastone cushion reduced the peak pressure (39.7 mmHg) compared with foam (60.0 mmHg), gel-filled (60.3 mmHg) and air-filled cushions (69.3 …

Primary Reasons For Rehabilitation Service Referrals: The Recent Experience Of A Medical Center In Taiwan, Chung-Po Su, Ssu-Yuan Chen, Tyng-Guey Wang, Yen-Ho Wang, I-Nan Lien

Rehabilitation Practice and Science

Objectives: To better understand the current utilization of rehabilitation services and to project future trends, this study investigated the primary reasons for rehabilitation services referrals in a medical center in Taiwan. Methods: We reviewarticleed records of those patients who visited rehabilitation clinics (4,305 new and 12,163 returned patients) or received a rehabilitation consultation during their hospital stay (1,345 patients) between June and October 2007 at the National Taiwan University Hospital. The primary diagnoses of study patients were classified into 12 groups: musculoskeletal and soft tissue diseases, brain diseases, spinal cord diseases, peripheral neuropathy, myopathy, fractures and amputations, language disorders, cardiovascular …

Ultrasound Assessment Of Primary Pyomyositis In A Man With Uncontrolled Type 2 Diabetes: A Casereport, Ya-Chen Lee, Ya-Wen Tu, Wei-Ting Wu, Shao-Li Han

Rehabilitation Practice and Science

A 38-year-old man with uncontrolled type 2 diabetes mellitus complained of a mild painful swelling over the right posterior thigh that had been present for 3 days. He was initially diagnosed as having a right hamstring strain. After a 7-day treatment with non-steroidal anti-inflammatory drugs, the symptoms progressed to a prominent painful swelling over the right posterior thigh. Leukocytosis and high inflammation indices were noted. The ultrasonography of the right posterior thigh showed an ill-defined heteroechoic lesion surrounded by an irregularly thick hyperechoic and hypervascular wall in the muscle layer. The diagnosis was pyomyositis of the right biceps femoris muscle, …

Spinal Cord Injury And Diffuse Asymptomatic Pulmonary Embolism After Percutaneous Vertebroplasty: A Casereport, Yao-Jen Chen, Pei-Pi Shih, Su-Ju Tsai

Rehabilitation Practice and Science

A 30-year-old woman with a history of 9th to 11th thoracic vertebral compression fracture developed complete thoracic spinal cord injury immediately after percutaneous vertebroplasty. The patient did not have any sign of neurological recovery after two operations for spinal decompression. The postoperative chest X ray and thoracic computed tomography scan revealed diffuse asymptomatic pulmonary embolism, but the patient did not have dyspnea or chest pain.Percutaneous vertebroplasty has been generally considered a minimally invasive and effective procedure for treatment of painful compression fracture. Complications after percutaneous vertebroplasty include infection, spinal cord injury, cardiopulmonary complications and stroke. In previous literature search, there …

Early-Stage Myeloid Sarcoma Presenting As Back Pain In An Adolescent: A Casereport, Chao-Pin Yang, Shih-Chung Wang, Ta-Sen Wei, Sen-Yung Liu, Tsung-Ju Wu, Albert D. Yang

Rehabilitation Practice and Science

Myeloid sarcoma (MS) is a rare disease. MS is a malignant solid tumor resulting from the extramedullary proliferation of myeloblasts or immature myeloid cells.It is often described in association with acute myeloid leukemia (AML). In the absence of overt leukemia, MS is rarely considered in the differential diagnosis of a soft-tissue mass, and the diagnosis of MS is usually delayed or misdiagnosed. We present the case of a female adolescent who initially complained of back pain. Conservative treatment including medication and rehabilitation was given to her, but in vain, and the symptoms gradually progressed to severe neurological function loss, including …

Phylogenetic Relationships Of The Metazoan Parasites Of The Clariid Fishes Of Lake Victoria Inferred From Partial 18s Rdna Sequences, C. J. Mwita, G. Nkwengulila

Tanzania Journal of Science

Phylogenetic relationships among twenty two metazoan parasites recovered from seven species of clariid fish from Lake Victoria were analysed using partial 18S rDNA sequences. The 18S rDNA gene was amplified by polymerase chain reaction, directly sequenced, aligned and phylogenies inferred using maximum parsimony. Heuristic bootstrap MP searches yielded one most parsimonious tree (CI = 61%, HI = 39%), which showed that clariid parasites are monophyletic at higher taxonomic levels (Cestodea, Nematodea, Digenea and Crustacea). However the position of two trematodes (Allocredium mazoensis and Clinostomum sp.) and a nematode (Contracaecum sp.) were not stable. Despite the present findings, the study utilised …

Heavy Metal Levels In Paddy Soils And Rice (Oryza Sativa (L)) From Wetlands Of Lake Victoria Basin, Tanzania, J. F. Machiwa

Tanzania Journal of Science

A survey of paddy fields in Lake Victoria Basin (LVB) wetlands was conducted at a wider scale in different locations including closer to mining and within urbanized areas in Tanzania. The objective of the study was mainly to assess the present situation with regard to levels of heavy metals in O. sativa grains harvested locally as well as to set the baseline levels of some heavy metals in paddy fields. The results showed that the levels of Cadmium, Chromium, Copper, Lead, Zinc and total Mercury in brown rice are generally within the acceptable levels for human food. However, higher concentration …

Knowledge And Education: Pro-Access Implications Of New Technologies, Dalindyebo Shabalala

School of Law Faculty Publications

This book examines the social impact of intellectual property laws. It addresses issues and trends relating to health, food security, education, new technologies, preservation of bio-cultural heritage and contemporary challenges in promoting the arts. It explores how intellectual property frameworks could be better calibrated to meet socio-economic needs in countries at different stages of development, with local contexts and culture in mind. A resource for policy-makers, stakeholders, non-profits and students, this volume furthermore highlights alternative modes of innovation that are emerging to address such diverse challenges as neglected or resurgent diseases in developing countries and the harnessing of creative possibilities …

Review Of The Transition Period From Scrapping To Ship Recycling And Analysis Of Contemporary Issues, Burak. Kemerci

World Maritime University Dissertations

No abstract provided.

The Stcw Manila Amendments : Its Challenges To The Far East, Chong Ju. Chae

World Maritime University Dissertations

No abstract provided.

Analytical Review Of Market-Based Measures For Reducing Marine Ghg Emissions And The Impacts On The Chinese Shipping Sector, Jian Zhao

World Maritime University Dissertations

No abstract provided.

Oil Spill Contingency Management, Its Financial Arrangement And Implications In The South Asian Region, Agampodi Jagath Mendis. Gunasekara

World Maritime University Dissertations

No abstract provided.

An Analysis Of The Creation Of A Global Ship Recycling Fund In The Framework Of The Hong Kong International Convention For The Safe And Environmentally Sound Recycling Of Ships, 2009, Gopal Krishna Choudhary

World Maritime University Dissertations

No abstract provided.

A Study On The Imo Regulatory Instruments Concerning The Evaluation Of Safety And Pollution Hazards Of Chemicals In Bulk Transported By Sea (Based On Marpol Annex Ii And Ibc Code), Gimoon Jea

World Maritime University Dissertations

No abstract provided.

Analysis Of Possibilities The North Aegean Candarli Port Of Being A Regional Hub Port In The Mediterranean Sea Region, Hasan Tarcan

World Maritime University Dissertations

No abstract provided.

The Major Cause Of Observed Erosion Surge On The Beaches North Of Dar Es Salaam City, N. Nyandwi

Tanzania Journal of Science

Surges in coastal erosion north of Dar es Salaam city have been documented from 1977 to the early 1980s and around 1997/98. Analysis of the wind data shows that the documented increase in coastal erosion coincided with increased wind speeds. Extreme winds in excess of 10-11 m s-1 were experienced during 1976-78, 1984 and after 1996. Their coincidence with extreme high tides produced the high erosion rates. Using beach profile data for the years 1998-2000 the evolution of the beach profile with the changing monsoon winds and sediment input by rivers could be demonstrated. The beach erosion took place during …

Geomorphological Potential Of Coelacanth Habitat Across Mozambique-Tanzania Border, N. Nyandwi

Tanzania Journal of Science

The coelacanth is a new fish in Tanzania. It was first discovered in September 2003 after it was spotted by a tourist in a fish market. It was caught by fishermen in the deep waters off Songo Mnara Island offshore of Kilwa Masoko Town in Southern Tanzania. The find potentially added southern Tanzania to the list of known coelacanth areas of the southern Western Indian Ocean Region. Observed current conditions indicate that the waters are swept by strong (2 m/sec) northward flowing current. This suggests that there must exist hideouts for the fish, such as caves in canyons and overhangs. …

What Determines The Co-Operative Potential For Firms In Western European And Cee Border Regions? A Comparative Micro-Level Analysis, Birgit Leick

Economic and Business Review

The present article investigates whether Eastern European enlargement influences the co-operative potential of firms in the borderland between Western and Central Eastern Europe more than of other firms, i.e. of those not being located in the borderland. Based on theoretical arguments as well as empirical evidence, we build a micro-level framework of factors, which determine a firm’s likelihood of cross-border business co-operation. Using logistic regression, this framework is empirically tested and compared for two cross-sectional datasets of firms located in the border regions in Northern Bohemia (the Czech Republic) and Saxony (East Germany).

ϒ(1s)→Γf'2(1525); F'2(1525)->K0sk0s Decays, Raymond Mountain, Marina Artuso, T. Skwarnicki, S. Stone

Physics - All Scholarship

We report on a study of exclusive radiative decays of the Upsilon(1S) resonance into a final state consisting of a photon and two K0s candidates. We find evidence for a signal for Upsilon(1S)->gamma f_2'(1525); f_2'(1525)->K0sK0s, at a rate (4.0+/-1.3+/-0.6)x10^{-5}, consistent with previous observations of Upsilon(1S)->gamma f_2'(1525); f_2'(1525)->K+K-, and isospin. Combining this branching fraction with existing branching fraction measurements of Upsilon(1S)->gamma f_2'(1525) and J/psi->gamma f_2'(1525), we obtain the ratio of branching fractions: B(Upsilon(1S)->gamma f_2'(1525))/B(J/psi->gamma f_2'(1525))=0.09+/-0.02, approximately consistent with expectations based on soft collinear effective theory.

Oracle And Multiple Robustness Properties Of Survey Calibration Estimator In Missing Response Problem, Kwun Chuen Gary Chan

UW Biostatistics Working Paper Series

In the presence of missing response, reweighting the complete case subsample by the inverse of nonmissing probability is both intuitive and easy to implement. However, inverse probability weighting is not efficient in general and is not robust against misspecification of the missing probability model. Calibration was developed by survey statisticians for improving efficiency of inverse probability weighting estimators when population totals of auxiliary variables are known and when inclusion probability is known by design. In missing data problem we can calibrate auxiliary variables in the complete case subsample to the full sample. However, the inclusion probability is unknown in general …

Modification And Improvement Of Empirical Likelihood For Missing Response Problem, Kwun Chuen Gary Chan

UW Biostatistics Working Paper Series

An empirical likelihood (EL) estimator was proposed by Qin and Zhang (2007) for a missing response problem under a missing at random assumption. They showed by simulation studies that the finite sample performance of EL estimator is better than some existing estimators. However, the empirical likelihood estimator does not have a uniformly smaller asymptotic variance than other estimators in general. We consider several modifications to the empirical likelihood estimator and show that the proposed estimator dominates the empirical likelihood estimator and several other existing estimators in terms of asymptotic efficiencies. The proposed estimator also attains the minimum asymptotic variance among …

Modification And Improvement Of Empirical Liklihood For Missing Response Problem, Gary Chan

UW Biostatistics Working Paper Series

An empirical likelihood (EL) estimator was proposed by Qin and Zhang (2007) for a missing response problem under a missing at random assumption. They showed by simulation studies that the finite sample performance of EL estimator is better than some existing estimators. However, the empirical likelihood estimator does not have a uniformly smaller asymptotic variance than other estimators in general. We consider several modifications to the empirical likelihood estimator and show that the proposed estimator dominates the empirical likelihood estimator and several other existing estimators in terms of asymptotic efficiencies. The proposed estimator also attains the minimum asymptotic variance among …

Spatial Distribution Of Calcium-Gated Chloride Channels In Olfactory Cilia, Donald A. French, Dorjsuren Badamdorj, Steven J. Kleene

Mathematical Sciences Faculty Research

Background

In vertebrate olfactory receptor neurons, sensory cilia transduce odor stimuli into changes in neuronal membrane potential. The voltage changes are primarily caused by the sequential openings of two types of channel: a cyclic-nucleotide-gated (CNG) cationic channel and a calcium-gated chloride channel. In frog, the cilia are 25 to 200 µm in length, so the spatial distributions of the channels may be an important determinant of odor sensitivity.

Principal Findings

To determine the spatial distribution of the chloride channels, we recorded from single cilia as calcium was allowed to diffuse down the length of the cilium and activate the channels. …

Eksipien Koproses Pregelatinisasi Pati Singkong Metilselulosa Sebagai Bahan Penyalut Tablet, Rangga Pradana, Effionora Anwar, Chaidir Chaidir

Majalah Ilmu Kefarmasian

Coating is one of the effective methods used in controlled release dosage form. Lots of variety in the form of a hydrophilic polymer excipient that is used to control the drug release many polymers that can be used for coating purposes, but only a few have been known to serve as a polymeric coating which functions to control the rate of drug release Pregelatinized cassava starch (PCS) is a physically modified starch. The purposes of the study were to improve functionality of PCS with making coprocess composed of PCS and methylcellulose (MC) by proportionally variation, which are 2:1, 3:1, and …

Pengaruh Kombinasi Hidroksipropil Metilselulosa-Xanthan Gum Sebagai Matriks Pada Profil Pelepasan Tablet Teofilin Lepas Terkendali, Iskandarsyah Iskandarsyah, Sutriyo Sutriyo, Dian Hayati

Majalah Ilmu Kefarmasian

Theophylline is a bronchodilator used for the treatment of bronchial asthma and other respiratory diseases. Theophylline has a narrow therapeutic index (10-20 µg/ml) and relatively short elimination half-life (6,19 ± 0,031 hours). Causes rapid elimination rate of theophylline should be given periodically to maintain drug levels in blood for the desired therapeutic effect can be achieved. The preparation of theophylline controlled release is expected to produce blood concentrations of theophylline in a more stable. The physical properties of tablets and drug release from matrix systems are influenced by the nature of the composition of the matrix. This research, theophylline controlled …