Medicine and Health Sciences Commons^™

Part 2: Preparing Entry-Level Occupational And Physical Therapy Students To Promote Healthy Lifestyles Emphasizing Healthy Eating With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein, Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

Rehabilitation professionals including occupational therapists (OT) and physical therapists (PT) are increasingly called upon to incorporate health promotion of lifestyle behaviors including physical activity and healthy eating into routine clinical care. While OTs and PTs may be comfortable promoting activity-related behaviors, many are less comfortable with nutrition behaviors. To address entry-level OT and PT students’ perceived discomfort with discussing diet-related behaviors, faculty developed a healthy eating module for students to use during a community-based service learning program. The purpose of this paper is to describe the formative evaluation process of developing the healthy eating module, and to discuss results of …

A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke, Pei-Yi Chou, Shu-Chun Lee

Rehabilitation Practice and Science

Introduction: Making turn is a challenging task that is reported as one of the activities that most frequently leads to fall in stroke patients. Among community-dwelling older adults, hip fractures are eight times more likely to result from falls while making turns than from falls while walking straight. The stroke patients have asymmetric posture and movements due to hemiparesis, thus their turning performance may varied depending on the direction of the turn. Therefore, the purpose of this systematic reviewarticle was to summarize the characteristics of turning after stroke and discuss the possible neuromuscular mechanisms of turning difficulties. Methods: Searches of …

Comparison Of Laryngeal Excursion In Stroke Patients With And Without Penetration/Aspiration By Videofluoroscopy Swallowing Study, Yun-Fang Lee, Yung-Chun Chi, Shih-Chung Chang

Rehabilitation Practice and Science

Objective: Post-stroke dysphagia is associated with increased morbidity and mortality in acute stroke patients due to malnutrition or aspiration. This study compares the hyolaryngeal movement during swallowing between post-stroke dysphagia patients with and without penetration/aspiration by videofluoroscopy swallowing study (VFSS). The goal was to find out possible defects in swallow mechunism for improving post-stroke dysphagia swallowing training. Method: We retrospectively collected VFSS images from stroke in-patients in a medical center in Central Taiwan from October 2015 to April 2017. The subjects were subdivided according to the VFSS results and 8-point penetration-aspiration scale (PAS) into those with penetration/aspiration (PAS ≥ 3) …

An Acute Non-Traumatic Rib Fracture Detected By Ultrasound And A Reviewarticle Of The Literature, Tze Chao Wee, Chueh-Hung Wu, Tyng-Guey Wang

Rehabilitation Practice and Science

Ultrasound is increasingly used for the diagnosis of musculoskeletal conditions, particularly in soft tissue injuries. In some cases, it is useful for the evaluation of fractures. A 54-year-old woman presented with focal a non-traumatic right-sided chest pain. Physical examination revealed a focal area of tenderness on palpation. Erect chest X-ray was unremarkable. A focused musculoskeletal ultrasound was carried out to examine the area of tenderness and a rib fracture which was not detected on the erect chest X-ray was diagnosed during sonographic examination. A brief literature reviewarticle on the use of ultrasound in the diagnosis of fracture, in particular rib …

Efficacy Of Low Level Laser Therapy In The Treatment Of Postherpetic Neuralgia, Lili Legiawati, Marsha Bianti

Journal of General - Procedural Dermatology & Venereology Indonesia

Background: Postherpetic neuralgia (PHN) is the most common complication of herpes zoster (HZ) and defined as pain that persists for more than 90 days after the onset of HZ rash. The chronic pain of PHN is debilitating and often associated with significant morbidity. It is a neuropathic pain and manifests as allodynia, hyperalgesia, or spontaneous pain. Although it is not considered to be life-threatening, sometime HZ is inadequately treated and may result in more severe PHN. Various treatment protocols for PHN are available; however, the result remains unsatisfactorily. The use of low level laser therapy (LLLT) in pain management …

Return To Work And Health Management In Patients With Work-Related Musculoskeletal Disorder: Literature Reviewarticle, Yi-Chieh Lien, Jang-Ting Wei, Yi-Shiung Horng

Rehabilitation Practice and Science

Work-related musculoskeletal disorders (WRMSDs) are cumulative traumatic disorders that result from work-related ergonomic factors, such as repetitive motion, forceful exertion, awkward posture, holding a vibrating tool, and working in an environment that causes whole-body vibration. These risk factors may induce tendinitis, tenosynovitis, entrapment neuropathy, bursitis, meniscus tear, and even herniation of the lumbar intervertebral disc. WRMSDs may not only affect a patient's health and quality of life but also entail substantial economic and labor costs. Methods for early diagnosis of WRMSDs and management of workplace risk factors must be determined. In addition, vocational rehabilitation should be offered to individuals with …

Effects Of Lidocaine On Migration, Proliferation, Collagen Expression And Cytotoxicity Of Tendon Cells, Hsiang-Ning Chang, Jong-Hwei S Pang, Miao-Sui Lin, Wen-Chung Tsai

Rehabilitation Practice and Science

Background: Lidocaine is commonly used for the treatment of a variety of tendinopathies in combination with corticosteroids injection. Purpose: The goal of this study was to evaluate the effect of lidocaine on migration, proliferation, protein expressions of type I and III collagen and cytotoxicity of tendon cells. Methods: Rat Achilles tendon cells were divided into control and study groups (treated with 0.1%, 0.15%, and 0.2% lidocaine). Tendon cell migration and proliferation were assessed using transwell filter migration assay and MTT assay, respectively. Cytotoxicity of lidocaine was evaluated by the LDH-Cytotoxicity assay. The protein expression of type I and type III …

Hand Temperature And Heart Rate Variability In Stroke Patients When Using Yole Hands And Conventional Elastic Bandages During Passive Upper Limb Exercises, Mei-Yi Lee, Chun-Han Yang, Ko-Long Lin, Shih-Ming Chen, Shu-Shi Chen

Rehabilitation Practice and Science

Therapeutic exercise can mitigate sensorimotor deficit and improve motor function in the upper limbs of stroke patients. During physical rehabilitation, elastic bandages (EB) are often used to secure stroke patients' affected upper limbs to exercise equipment. However, the application of EB can reduce blood flow and lower skin temperature in patients' hands. Furthermore, reduced skin temperature can lead to autonomic nervous reactions, of which heart rate variability (HRV) is an effective indicator. This study investigates the correlation between hand temperature and HRV. Stroke patients' hand temperatures and HRVs were documented during passive upper limb exercises, and the results between the …

Effect Of Aerobic Dance Training In Adults With Prader-Willi Syndrome: A Pilot Study, Fei-Chuan Chen, Shih-Yun Hon, Li-Ping Tsai

Rehabilitation Practice and Science

Objective: Aerobic Dance Training has beneficial effects in improving physical fitness. However, there were few studies validating the physical fitness effectiveness of Aerobic Dance Training in Prader-Willi Syndrome patients (PWS). This study aims to investigate the effects of Aerobic Dance Training in PWS adults, by using integrated clinical measurements of physical fitness. Methods: This is a matched controlled study design. Twelve Prader-Willi Syndrome patients received either Aerobic Dance Training or conventional physiotherapy for 8 weeks (2 times per week for 2 hours each session). Clinical measurements of physical fitness were analyzed before and after the intervention and were followed at …

Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport, Po-Cheng Hsu, Sung-Yin Chuang, Tsui-Fen Yang

Rehabilitation Practice and Science

Congenital fiber type disproportion（CFTD）為一非進行性先天性肌肉病變，須經肌肉切片病理確診，其特點為第一型骨骼肌纖維體積比第二型肌纖維至少小12%。現有文獻提及此疾病之臨床表現變異性大，除肌肉無力，可能併有弓狀顎（High-arched palate）、眼肌麻痺症（Ophthalmoplegia）、呼吸障礙等。患者皆因肌肉無力造成顯著功能障礙。本案例為一10歲確診CFTD男童之長期追蹤與復健介入之描述。患者出生時明顯肌張力不全，自四個月起因生長遲滯、吞嚥功能障礙而接受鼻胃管置入，但診斷未明；後續持續安排物理治療與與語言及吞嚥治療，該患者於一歲八個月時開始走路，三歲時成功移除鼻胃管，並於此時才確診CFTD。患者定期接受完整發展評估，結果顯示明顯動作發展遲緩，其社會心理領域評估結果皆為正常範圍。該患者的肌力與肌耐力隨著年紀增大與物理治療介入而有進步。日常生活能力評估於運動部分仍部分依賴。此外，長期追蹤過程發現該患者有多種肌肉病變之併發症，包括脊柱側彎、雞胸（pectus carinatum）、以及關節與肌肉疼痛。物理治療介入以及教導患者以及家屬運用節省能量之日常生活方式，包括輪椅使用、自我安排活動。本病例報告紀錄CFTD肌病變患者之長期追蹤與復健過程，根據患者之狀況設定個人化復健目標，及處理相關之併發症。

Idiopathic Thoracic Intradural Spinal Arachnoid Cyst Associated With Syringomyelia: A Casereport And Literature Reviewarticle, Jou Yu Lin, Michael Mu Huo Teng, Fu-Kong Lieu, Szu-Fu Chen

Rehabilitation Practice and Science

We report an adult woman who presented with lower limb weakness and dysesthesia caused by a thoracic spinal arachnoid cyst associated with syringomyelia. Before the diagnosis was made by thoracic magnetic resonance imaging, she was diagnosed with lumbar spondylosis and underwent lumbar spinal surgery; however, her symptoms were not relieved. The patient received multilevel laminectomy and cyst resection after thoracic pathology was identified. An upper motor neuron lesion, although rare, should be considered a differential diagnosis when leg symptoms and signs develop. For patients with leg weakness and pain, we emphasize a detailed neurological examination to localize the lesion to …

Front Matter

Michigan Journal of Public Health

No abstract provided.

Table Of Contents

Journal of the South Carolina Academy of Science

No abstract provided.

The Comprehensive Cancer Control National Partnership Celebrates The 20th Anniversary Of The National Comprehensive Cancer Control Program, National Chair

Michigan Journal of Public Health

No abstract provided.

Full Issue

Michigan Journal of Public Health

No abstract provided.

The Correlation Between Spasticity Of Upper Limbs And Functional Performance In Acute And Subacute Stroke Patients, Wan-Ling Hsu, Pei-Jung Huang, Wei-Hsiu Chang, Chi-Tzu Feng

Rehabilitation Practice and Science

Objective: This study attempted to investigate the correlation between severity of spasticity and functional recovery in acute and subacute stroke patients. Methods: A total of 22 acute and subacute stroke patients were analyzed. Methods used to evaluate outcomes included Modified Ashworth Scale (MAS) for assessing upper limbs spasticity; Fugl-Meyer Assessment (FMA-UE), Box and Block Test (BBT) for assessing the motor ability of upper limbs; Functional Independence Measure (FIM) for assessing independent of daily life, and Stoke Impact Scale (SIS) for evaluating the quality of life. Results: Correlation was found between MAS and FMA-UE (p=.01), BBT (p=.02) and two subtests of …

Effect Of Comorbidity On Functional Recovery In Patients With Stroke, Kuo-Chuan Chiu, Pei-Hsin Lin, Serena Y.C Lin, Mu-Jung Kao

Rehabilitation Practice and Science

Objectives: Stroke is a vital cause of acute neurological dysfunction. This study evaluated the prevalence of comorbidities and their effects on functional recovery in patients with stroke. Methods: This was a prospective study. The participants were 105 patients with acute stroke with moderate to severe functional disability who were admitted for comprehensive rehabilitation. The participants were 76 patients who underwent the Post-acute Care-Cerebrovascular Diseases program and 29 participants who accepted a regular rehabilitation program within 6 months after stroke. The effect of each comorbidity on the patients' post-hospitalization daily living activities was analyzed based on the Charlson Comorbidity Index (CCI). …

The Preliminary Results Of Extracorporeal Shockwave Therapy In Patients With Piriformis Syndrome, Ching-Fen Huang, Tien-Wen Chen, Cyuan-Fong Li, Yu-Hsuan Hsiao, Chia-Hsin Chen, Mao-Hsiung Huang

Rehabilitation Practice and Science

The study was designed to evaluate the therapeutic effect of extracorporeal shockwave therapy (ESWT) on the rehabilitation of patients with piriformis syndrome. Thirty-six patients diagnosed with unilateral piriformis syndrome were included and allocated randomly into three groups, Groups A-C, with twelve patients in each group. Patients in Groups A-C all received conventional physical modalities programs, including hot packs and interferential current therapy, three times weekly for six weeks. Patients in Group B received an extra twenty minutes of stretching exercise therapy after physical modalities therapy, and Group C received the same therapy as in Group B and extra shockwave therapy …

Accuracy Of Residual Urinary Volume Measurements In Patients With Neurogenic Bladder When Using A Portable Ultrasound Bladder Scanner, Yao-Hung Yang, Chung-Yao Chen

Rehabilitation Practice and Science

Estimating the post-voiding residual urine amount is essential for managing patients with neurogenic bladder. Accurate post-voiding residual urine estimation provides guidance for the appropriate frequency of catheter drainage and reduces the rate of urinary tract infection. Although urethral catheterization is the most accurate method of estimating post-voiding residual urine, a bladder scanner-a noninvasive portable ultrasound device-constitutes an alternative method. In this study, we retrospectively reviewarticleed the residual urine amount in patients with neurogenic bladder of different etiologies using a bladder scanner and urethral catheterization. Data for 144 bladder scans and urethral catheterizations in 39 patients were analyzed, revealing that the …

Correlation Between History Of Fall And Timed Up And Go Test In Geriatric, Mifta Nurmalasari, Novira Widajanti, Rwahita Satyawati Dharmanta

Jurnal Penyakit Dalam Indonesia

Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic …

Infection Of Plasmodium Knowlesi Malaria In Human, I Gede Yasa Asmara

Jurnal Penyakit Dalam Indonesia

Plasmodium knowlesi (P. knowlesi) has been recognised as the fifth of malaria infections in human after P. vivax, P. falciparum, P. malariae and P. ovale. Epidemiology and clinical features of the disease have much been discussed only in several literatures since the incidence increased in Kapit Division, Sarawak, Malaysia in 2004. A large-scale research investigating real incidence of the infection in South East Asia is important. Because of rapid life cycle, the number of parasite in the blood can increase significantly, result in potential severe malaria. Pathophysiology aspect of the disease has not been clear yet, particularly on how severe …

Profile Of Vitiligo Patients And Distribution Of Narrowband-Uvb Therapy At Dr. Cipto Mangunkusumo General Hospital, Lis Surachmiati Suseno, Putu Martha Gerynda Sukma, Rahadi Rihatmadja, Triana Agustin, Githa Rahmayunita, Endi Novianto

Journal of General - Procedural Dermatology & Venereology Indonesia

Background: Vitiligo is a disease marked by depigmented macules. Prevalence of vitiligo varies between 0.1- 2.3% worldwide. The objectives of this study are to identify the socio-demographic profile of vitiligo patients and distribution of narrowband-UVB given as a treatment modality. However, in Indonesia, including at dr. Cipto Mangunkusumo General Hospital, there has not been any study on the profile of vitiligo patients. Therefore, a preliminary study on the patients’ profile would be very useful for healthcare providers in calculating the need for narrowband-UVB equipment and evaluation of its current use.

Methods: A retrospective descriptive study, using secondary data …

Comparison Of Absolute Neutrophil Count Between Hospital And Community Acquired Methicillin-Resistant Staphylococcus Aureus Infection, Kurniyanto Kurniyanto, Widayat Djoko Santoso, Leonard Nainggolan, Juferdy Kurniawan

Jurnal Penyakit Dalam Indonesia

Introduction. The virulence factors from community acquired-methicillin resistant Staphylococcus aureus (CA-MRSA) mainly due to toxins like Panton Valentin Leukocidin (PVL) and Phenol Soluble Modulin (PSM). Both of toxins cause decrease of value through neutrophil lysis. This study aimed to identify different value of absolute neutrophil count between hospital and community acquired MRSA. Methods. A cross sectional was conducted which included subjects who were infected by MRSA and hospitalized during 2012-2017. Classification of MRSA were divided due to its sensitivity and resistance to non-beta lactam antibiotics. Isolate that resistance to ≤ 2 antibiotics were classified as CA-MRSA. The others with resistance …

Editorial: Michigan Cancer Consortium Celebrates 20 Years, Lorena Disha Mph, Tom Rich Mph, Dana Zakalik Md

Michigan Journal of Public Health

No abstract provided.

Identifikasi Profil Antropometri Dan Pemenuhan Zat Gizi Atlet Difabel Tenis Meja Di Indonesia, Mirza Hapsari Sakti Titis Penggalih, Kurnia Maratus Solichah, Diana Pratiwi, Ibtidau Niamilah, Mustika Cahya Nirmala Dewinta, Almira Nadia, Marina Dyah Kusumawati, Christofer Siagian, Rora Asyulia

Jurnal Keolahragaan

Para-atlet dikenal juga dengan sebutan atlet yang menyandang disabilitas pada bagian tertentu. Pembagian cabang olahraga pada difabel atlet hampir sama dengan atlet umumnya, namun memiliki penyesuaian terhadap jenis cacat fisik yang dialami. Tujuan penelitian ini untuk mengetahui dan mengidentifikasi profil antropometri dan pemenuhan asupan zat gizi pada atlet difabel tenis meja. Metode yang digunakan pada studi ini adalah deskriptif kuantitatif. Populasi dalam penelitian ini yaitu atlet difabel tenis meja di bawah pengawasan Kementrian Pemuda dan Olahraga, Indonesia yang sedang melakukan training centre untuk persiapan Sea Games 2017. Sampel yang diikutkan dalam penelitian ini yaitu seluruh populasi atlet difabel tenis meja …

Eccrine Poroma: The Prominent Mimicker, Nahla Shihab, Inge Ade Kristanti, Adhimukti T. Sampurna, Larisa Paramitha Wibawa

Journal of General - Procedural Dermatology & Venereology Indonesia

Background: Eccrine poroma (EP) is an adnexal benign tumor arising from the eccrine duct epithelium. The appearance of EP can mimic benign and malignant skin tumors, thus often making the diagnosis delayed or inaccurate.

Case Illustration: We report two cases of EP, with clinical and dermoscopic features mimicking Bowen’s disease, verruca vulgaris, pyogenic granuloma, skin metastases of breast cancer, and amelanotic melanoma. Both patients were surgically excised and biopsied. Histopathology examination of both cases revealed eccrine poroma.

Discussion: Both cases showed similarity with the theories, that EP is most found in middle age population and its predilection …

Elevated Homeostatic Model Assessment Of Insulin Resistance Level Increases The Risk Of Acne, Stefani Nurhadi, Igaa Praharsini, Aagp Wiraguna

Journal of General - Procedural Dermatology & Venereology Indonesia

Background: Insulin resistance and high carbohydrate diets are currently considered to be influential in acne aetiology. Insulin is a hormone that does not only regulate the concentration of blood glucose but also affects the production of sebum and through the Insulin Growth Factor-1 (IGF-1) receptor stimulates androgen synthesis which will increase the proliferation of keratinocytes duct and the production of sebum in acne of the pilosebaceous.

Methods: This is a cross sectional observational analytic study involving 38 acne patients and 38 controls. This study aims to determine whether the increase in Homeostatic Model Assessment of Insulin Resistance …

Diagnostic Procedures In Pediatric Dermatology, Arini Astasari Widodo, Githa Rahmayunita, Triana Agustin, Rinadewi Astriningrum

Journal of General - Procedural Dermatology & Venereology Indonesia

Diagnostic procedures in pediatric dermatology are different and significantly more challenging than those in adult patients, especially on how to approach the patients. We need to acknowledge that pediatric patients have unique anatomical, physiological, and psychological aspects. Compared to adults, children have smaller procedure area, are less cooperative, and more difficult to understand. For these reasons, we should perform diagnostic procedures on children cautiously. Having extensive knowledge in this field can facilitate us to carry out an ethical, efficient, targeted procedure with less risk. This article reviewed the most appropriate, most comfortable, and least invasive diagnostic procedures for children. Some …

Cumulative Exposure To Solar Ultraviolet A & B Increases Apoptosis Of Peripheral Blood Cutaneous Lymphocyte Antigen (Cla)+ T-Lymphocytes In Outdoor Workers, Afif Nurul Hidayati, Saut Sahat Pohan, Widodo J. Pudjirahardjo, Isaac Effendy

Journal of General - Procedural Dermatology & Venereology Indonesia

Background: Exposure to ultraviolet A & B (UVA-UVB) plays a role in the survival of human life, but it may cause negative effects, such as immunosuppression and skin cancer. The effect of solar UVA-UVB exposure on apoptosis (Bax/Bcl-2 ratio) of peripheral blood cutaneous lymphocyte antigen (CLA)+ T-lymphocyte; the immune competent cells in the skin, has not been investigated. Apoptosis of peripheral blood CLA+ Tlymphocyte affects its function; which serves as the skin's resistance and is involved in infectious diseases, skin inflammation, and malignancies. This study observed the effect of solar UVA-UVB to apoptosis (Bax/Bcl2 ratio) of peripheral blood CLA+ …

Depresi, Ansietas, Dan Komplikasi Pasca Sindrom Koroner Akut, Taufik Indrajaya

Jurnal Penyakit Dalam Indonesia

No abstract provided.