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2007

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Full-Text Articles in Medicine and Health Sciences

Annual Report, 2006-2007, David B. Nash Dec 2007

Annual Report, 2006-2007, David B. Nash

College of Population Health Annual Reports

No abstract provided.

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Self-Assessment Examination For Residents In Physical Medicine And Rehabilitation: First Experience In Taiwan, I-Nan Lien, Tyng-Guey Wang, Shin-Liang Pan, Rai-Chi Chan Dec 2007

Self-Assessment Examination For Residents In Physical Medicine And Rehabilitation: First Experience In Taiwan, I-Nan Lien, Tyng-Guey Wang, Shin-Liang Pan, Rai-Chi Chan

Rehabilitation Practice and Science

Objective: The national Self-Assessment Examination (SAE) for residents has been held in the United States for many years. However, no similar test has been held by any medical specialty association in Taiwan. The first national SAE in Physical Medicine and Rehabilitation (PM & R) aimed to provide a benchmark for residents and medical institutes.Material and Methods: The written questions of the Certification Examination 2005 of the Taiwan Board of PM & R were used in the SAE for residents. Participants were first to third year residents in PM & R from various medical institutes and candidates for the board examination …

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Medical Service Needs Of Special Education Students In Chiayi County, Taiwan, Shu-Yi Wang, Yuh-Chin Jean Dec 2007

Medical Service Needs Of Special Education Students In Chiayi County, Taiwan, Shu-Yi Wang, Yuh-Chin Jean

Rehabilitation Practice and Science

The Buddist Tzu Chi Dalin Hospital was responsible for providing medical services to special education students of Chiayi County in 2004. We evaluated the cognitive skills, activities of daily living, language skills, and gross and fine motor functions of 160 disabled students, 113 male and 47 female. Students with mental retardation were the most frequent, followed by students with dyslalia, then autism, and attention deficit and hyperactivity disorder. A needs assessment revealed that 155, 132, and 107 students fed, dressed, and bathed themselves independently, respectively. Ninety-three students had a language disorder, 75 students had fine motor impairment, and 52 students …

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Computer Alert System That Promotes Patient Safety By Identifying Possible Contraindications Of Prescribed Physical Agents, Hong-Nan Shih, Jing-Hwa Wey, Chun-Chieh Chiu, Po-Wei Lin, Tsan-Hon Liou, Chi-Hsien Chen Dec 2007

Computer Alert System That Promotes Patient Safety By Identifying Possible Contraindications Of Prescribed Physical Agents, Hong-Nan Shih, Jing-Hwa Wey, Chun-Chieh Chiu, Po-Wei Lin, Tsan-Hon Liou, Chi-Hsien Chen

Rehabilitation Practice and Science

This study investigated and analyzed the prevalence of contraindications that can co-exist with a prescribed physical agent. To prevent likely complications, this study implemented a computer warning system, which prompts physiatrists to possible contraindications. Once a physical agent is prescribed, the system automatically reviewarticles the ICD-9 codes in the patients’ medical chart. Two pre-established databases are used in the warning system: one contains contraindications for each physical agent and the other has possible contraindications for each selected ICD-9 code. By cross-referencing between ICD-9 codes in a patient's chart and the two databases, the warning system was able to identify possible …

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Bladder Management And Urologic Outcome In Patients With Chronic Spinal Cord Lesions, Je-Kuei Yang, Su-Ju Tsai, I-Chun Chen, Liu-Ing Bih Dec 2007

Bladder Management And Urologic Outcome In Patients With Chronic Spinal Cord Lesions, Je-Kuei Yang, Su-Ju Tsai, I-Chun Chen, Liu-Ing Bih

Rehabilitation Practice and Science

Between February and September 2004, 73 patients with spinal cord lesions of greater than 2 years duration were enrolled in this study. A chart reviewarticle was conducted to record the manner in which the patients' bladder management, previous urologic complications, and any corresponding treatments and effects. Among the patients, 55 were male and 18 were female, with an average age of 29.3±12.1 and 32.0±13.0 years, respectively. The mean duration of the patients' injuries was 9.5±6.9 years in men, and 7.0±4.5 years in women, respectively.Group Ⅰ included 8 patients (11.0%) who had indwelling catheters since the time of their injury and …

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Intensive Cardiopulmonary Rehabilitation Program For Patients With Severe Heart Failure And Acute Stroke: A Report Of Two Cases, Chyi-Yann Wang, Jue-Long Wang, Ai-Lun Yang, Ko-Long Lin Dec 2007

Intensive Cardiopulmonary Rehabilitation Program For Patients With Severe Heart Failure And Acute Stroke: A Report Of Two Cases, Chyi-Yann Wang, Jue-Long Wang, Ai-Lun Yang, Ko-Long Lin

Rehabilitation Practice and Science

Cardiovascular disease is a major factor restricting successful outcomes after stroke rehabilitation. While neurological recovery after stroke has been extensively investigated, cardiovascular adaptations to physical activities poststroke have received little attention. Severe heart failure patients have been well known for limitation of ambulation, but the influence over acute poststroke patients have rarely been investigated. Exercise testing has become a mainstay for the prognostic assessment of patients with heart failure. Various studies have shown that patients with impaired exercise capacity, as measured by low peak oxygen consumption (Vo2), have an unfavorable outcome, independent of other parameters. Whether parameters from submaximal test …

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Hereditary Neuropathy With Liability To Pressure Palsies: A Report Of Two Cases, Chu-Hsu Lin, Long-Sun Ro, Hung-Chih Hsu, Wei-Chi Hsieh, Chih-Jung Lin, Jian-Der Lee Dec 2007

Hereditary Neuropathy With Liability To Pressure Palsies: A Report Of Two Cases, Chu-Hsu Lin, Long-Sun Ro, Hung-Chih Hsu, Wei-Chi Hsieh, Chih-Jung Lin, Jian-Der Lee

Rehabilitation Practice and Science

Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal-dominant disorder characterized by self-limited, recurrent compressive mononeuropathies at common entrapment sites precipitated by trivial injuries. This disorder typically develops in early adulthood. Electrodiagnostic studies revealed diffuse mild demyelinating neuropathies with entrapment over common entrapment sites. Nerve biopsies frequently show segmental demyelination and thickening of the myelin sheath which is mostly caused by 1.5 Mb deletion of the 17p 11.2 site containing the peripheral myelin protein 22 (PMP22) gene on the 17(superscript th) chromosome. This report describes the clinical features, electrodiagnostic studies, and genetic studies of a Taiwanese family. Among …

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Bickerstaff's Brainstem Encephalitis Combined With Guillain-Barré Syndrome: A Casereport, Yi-Ping Cheng, Jo-Tong Chen, Ta-Shen Kuan Dec 2007

Bickerstaff's Brainstem Encephalitis Combined With Guillain-Barré Syndrome: A Casereport, Yi-Ping Cheng, Jo-Tong Chen, Ta-Shen Kuan

Rehabilitation Practice and Science

Bickerstaff's brainstem encephalitis is a post-infectious brainstem inflammatory disorder of unknown etiology. The characteristic symptoms include: acute ophthalmoplegia with diplopia, ataxia, disturbed consciousness, and extensor plantar response. In this report we describe a 33-year-old woman with Bickerstaff's brainstem encephalitis combined with Guillain-Barré syndrome that presented 25 days after a Cesarean section. After five treatments with plasmapheresis and intravenous immunoglobin for 5 days, the patient's muscle strength recovered to MRC 4/5. The ophthalmoplegia and bilateral extensor plantar responses also disappeared. The patient then was transferred to the PM&R department for persistent slurred speech, ataxia, and diplopia. The rehabilitation program included training …

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Low Back Pain Due To Infective Discitis: A Casereport, Hung Chi Lin, Chin-Liang Liu, The-Chen Wang, Mu-Jung Kao Dec 2007

Low Back Pain Due To Infective Discitis: A Casereport, Hung Chi Lin, Chin-Liang Liu, The-Chen Wang, Mu-Jung Kao

Rehabilitation Practice and Science

Infective discitis accompanying low back pain is uncommon. In general, risk factors for infective discitis include an age greater than 50 years, a history of cancer, unexplained weight loss, pain that lasts more than 1 month, a history of intravenous drug abuse, presence of a urinary tract infection or other infections, diabetes mellitus, and recent invasive procedures. The presence of an elevated erythrocyte sedimentation rate (ESR) and a C-reactive protein (CRP) level have proven to be reliable laboratory criteria consistent with infective discitis. Moreover, magnetic resonance (MR) imaging findings have been shown to have a good sensitivity for infective discitis. …

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A Reviewarticle Of Psychometric Properties Of Five Tests Of Attention Commonly Used In Patients With Stroke, Hui-Yan Chiau, I-Ping Hsueh, Chia-Lin Koh, Hui-Chun Chen, Chin-Ling Hsieh Dec 2007

A Reviewarticle Of Psychometric Properties Of Five Tests Of Attention Commonly Used In Patients With Stroke, Hui-Yan Chiau, I-Ping Hsueh, Chia-Lin Koh, Hui-Chun Chen, Chin-Ling Hsieh

Rehabilitation Practice and Science

Background and purpose: Comparison of the psychometric properties of tests of attention can provide guidelines with which clinicians and researchers can determine a useful measurement. The purpose of this study is to reviewarticle and appraise the psychometric properties of attentional tests frequently used during the last 3 years in empirical studies of stroke and to determine how well these tests can be applied on people with stroke.Methods: This study included two parts: first, a search from the MEDLINE, PsycINFO, CINAHL and Index to Chinese Periodical Literature databases for attentional tests used more than twice in empirical studies of stroke in …

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Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang Dec 2007

Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang

Rehabilitation Practice and Science

Objective: Children with cerebral palsy (CP) have complicated disabilities, and also have the tendency to suffer from osteoporotic fractures. The aim of this study was to explore the bone mineral density (BMD) and to estimate the fracture rate in Taiwanese CP subjects.Materials and methods: To study the BMD and its related factors in 28 Taiwanese CP subjects (16 males, 12 females; age range, 2-24 years; mean age, 9.8 years), we evaluated their BMD in the lumbar spine (LS-BMD) with dual energy x-ray absorptiometry, clinical characteristics, biochemical bone metabolism-related factors, and nutritional status. The fracture rate was evaluated during a three-year …

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Analysis Of Hospitalization-Related Factors Among Nursing Home Residents: A Preliminary Report, I-Chun Chen, May-Lien Liu, Cheng-Hsiu Lin Dec 2007

Analysis Of Hospitalization-Related Factors Among Nursing Home Residents: A Preliminary Report, I-Chun Chen, May-Lien Liu, Cheng-Hsiu Lin

Rehabilitation Practice and Science

There are increasing numbers of elderly people spending the last years of their lives in a nursing home (NH) or other long-term care institution, mostly because of physical and/or mental disabilities. NH residents may have a variety of acute illnesses; hospitalization is an important treatment option for the frail NH resident owing to the insufficient resources of NHs. The purpose of this study is to investigate the cause of hospitalization, and to analyze the correlation between the NH residents’ characteristics and hospitalization.Residents staying in the participating NH for more than one year were recruited into this study, and from September …

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Epidemiology And Associated Factors Related To Congenital Muscular Torticollis In A Taiwan Regional Hospital, Miao-Ming Chen, Sung-Kai Lin, Chuan-Fa Hsieh, Hsiu-Hsi Chen Dec 2007

Epidemiology And Associated Factors Related To Congenital Muscular Torticollis In A Taiwan Regional Hospital, Miao-Ming Chen, Sung-Kai Lin, Chuan-Fa Hsieh, Hsiu-Hsi Chen

Rehabilitation Practice and Science

Introduction: Congenital muscular torticollis (CMT) is the common disease among newborn. The diagnosis of CMT was based on clinical presentation and physical examination, typically. In 1900, ultrasonography for the CMT had first been described and it had been found to be a more sensitive diagnostic tool. However, such data was scarcely in Taiwan.Purpose: To measure the incidence of CMT in Taiwan and identify associated factors in order to provide evidence for a possible etiology for CMT. Methods: We used of CMT sonography of 1021 newborns at Li-Shin hospital. Sonographic studies of the bilateral sternocleidomastoid muscle (SCM) were performed on all …

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The Relationship Of Quality Of Life And Peak (The Symbol Is Abbreviated)O2 In Patients Short-Term After Coronary Artery Bypass Graft, Chen-Liang Chou, Chia-Ling Chang, Su-Ying Hung, Yu-Chen Chai, Chen-Ming Chiu, Tcho-Jen Liu, Shian-Ting Lai Dec 2007

The Relationship Of Quality Of Life And Peak (The Symbol Is Abbreviated)O2 In Patients Short-Term After Coronary Artery Bypass Graft, Chen-Liang Chou, Chia-Ling Chang, Su-Ying Hung, Yu-Chen Chai, Chen-Ming Chiu, Tcho-Jen Liu, Shian-Ting Lai

Rehabilitation Practice and Science

The purpose of this study was to investigate the quality of life and physical fitness in patients after coronary artery bypass graft (CABG). We used WHOQOL-BREF (Taiwan) to evaluate the quality of life, and (The symbol is abbreviated) O(subscript 2peak) to evaluate physical fitness. We also collected the data of pre-operative left ventricle cardiac ejection fraction and analyzed the correlation within the data.There were 33 male post-CABG patients enrolled in this study. Each patient received a cardiopulmonary exercise stress test 3~4 weeks after the surgery. Each of them completed the WHOQOL-BREF questionnaire (Taiwan version). We applied Pearson's correlation coefficient to …

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Attack Of Gouty Arthritis After Intraarticular Injection Of Naturally Derived Hyaluronic Acid, Chih-Kuang Chen, Chin-Yew Lin, Ngok-Kiu Chu, Cheng-Yi Lin, Simon Fuk-Tan Tang Dec 2007

Attack Of Gouty Arthritis After Intraarticular Injection Of Naturally Derived Hyaluronic Acid, Chih-Kuang Chen, Chin-Yew Lin, Ngok-Kiu Chu, Cheng-Yi Lin, Simon Fuk-Tan Tang

Rehabilitation Practice and Science

Viscosupplementation by intraarticular administration of exogenous hyaluronic acid has been a favorable treatment option to alleviate the symptoms of knee osteoarthritis. The potential but uncommon adverse reactions associated with intraarticular hyaluronic acid injection are local pain, swelling, and allergic response. These reactions are typically mild, transient, and self-limiting. The focus of this report is an 80-year-old man who presented with acute painful swelling of his knee joint after an injection of naturally derived hyaluronic acid. Aspiration of knee joint effusion yielded 40 mL of turbid straw-colored fluid. Synovial fluid cell counts revealed numerous leukocytes with a marked predominance of neutrophils. …

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Antiphospholipid Antibody Syndrome With Chronic Subdural Hemorrhage: A Casereport, Yun-Fu Chou, Wei-Jang Yen, Chia-Hui Dai, Ta-Shen Kuan, Chang-Zern Hong Dec 2007

Antiphospholipid Antibody Syndrome With Chronic Subdural Hemorrhage: A Casereport, Yun-Fu Chou, Wei-Jang Yen, Chia-Hui Dai, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

Patients who suffer antiphosphlipid antibody syndrome may have two kinds of antibodies, Anticardiolipin and Lupus anticoagulant. These antibodies may increase the risk of ischemic stroke and cerebral ischemia. However, the incidence of cerebral bleeding is relative rare. As a result, patients with antiphosphlipid syndrome often take oral anticoagulants for a long-term period to prevent ischemic stroke attack.We report a female patient who was diagnosed antiphosphlipid antibody syndrome in 1998, and took oral anticoagulants for a long period to restrain the symptom of thrombosis. The INR(International Normalized Ratio)value has been kept between 1.5 to 2.0 by controlling the dosage of oral …

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Cerebellar Mutism Syndrome Following Arteriovenous Malformation Rupture Of The Cerebellum: A Report Of Two Cases, Shih-Chung Chang, Su-Ju Tsai, Wei-Liang Nieh Dec 2007

Cerebellar Mutism Syndrome Following Arteriovenous Malformation Rupture Of The Cerebellum: A Report Of Two Cases, Shih-Chung Chang, Su-Ju Tsai, Wei-Liang Nieh

Rehabilitation Practice and Science

Cerebellar mutism syndrome is a rare but devastating consequence following posterior fossa surgery or lesion. It tends to occure predominantly in children, and is characterized by transient mutism, oromotor apraxia, apathy, hypokinesis, irritability and mood lability. The vermis, paravermian region and deep cerebellar nuclei are important structures which are highly correlated with the occurrence of cerebellar mutism syndrome. We report two cases, aged 11 and 15 years, who developed cerebellar mutism after rupture of posterior fossa arteriovenous malformation. Swallowing difficulty, irritability and aggressive behavior occurred concomitant with mutism. For the two cases, their symptoms of mutism lasted for 6 months …

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Power Spectrum Analysis Of Heart Rate Variability In Full-Term And Preterm Neonates, Tsui-Fen Yang, Nien-Tzu Kao, Rai-Chi Chan, Terry-Bj Kuo, Shu-Jen Chen Dec 2007

Power Spectrum Analysis Of Heart Rate Variability In Full-Term And Preterm Neonates, Tsui-Fen Yang, Nien-Tzu Kao, Rai-Chi Chan, Terry-Bj Kuo, Shu-Jen Chen

Rehabilitation Practice and Science

Objective: Prematurely born infants have been believed to be neurologically less mature than full-term neonates. The purpose of this study was to investigate the regulation and maturation of autonomic nervous systems, in both full-term and preterm neonates of different conceptional ages.Methods: One hundred and thirteen infants, both clinically and neurologically healthy and with conceptional ages of between 33 and 42 weeks, were enrolled in the study. Power spectrum analyses of heart rate variability were performed under standard conditions when the subjects were in a sleeping state. Results: Conceptional age did exert a significant influence over heart rate variability. There was …

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Effects Of Standing, Bicycling, And Running On The Foot Arch Index, Gwo-Chi Hu, Yao-Chia Chuang, Jiann-Perng Chen, Chien-Shen Chen, Tzu-Kai Su, Ying-Fang Chen Dec 2007

Effects Of Standing, Bicycling, And Running On The Foot Arch Index, Gwo-Chi Hu, Yao-Chia Chuang, Jiann-Perng Chen, Chien-Shen Chen, Tzu-Kai Su, Ying-Fang Chen

Rehabilitation Practice and Science

The functions of the foot and leg depend on several structural characteristics of the foot, of which the height of the medial longitudinal arch is the most important. This height is most commonly measured by using the arch index. However, the relation between arch height and leg injury in athletes is unclear. The purpose of this study was to determine the effect of various sport-related activities on the foot arch index.Seventeen college students (nine women and eight men) with no history of leg surgery or trauma were recruited for this study. Each subject participated in three 20-minute sessions over a …

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Effects Of Residence On Physical Fitness Among Adults In Taiwan, Jih-Rong Lin, Yin-Chou Lin, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou, Alice M. K. Wong Dec 2007

Effects Of Residence On Physical Fitness Among Adults In Taiwan, Jih-Rong Lin, Yin-Chou Lin, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou, Alice M. K. Wong

Rehabilitation Practice and Science

Health-related physical fitness can be assessed using four principal attributes: body composition; muscular strength and endurance; flexibility; and cardiorespiratory endurance. Factors such as the lifestyle behaviors or dietetic habits can affect physical fitness. The aim of this study is to investigate the differences in physical fitness among adults residing in different areas of Taiwan. The study was conducted between April and November 2002. In total, 19638 subjects aged 18-65 years were recruited and divided into the following three groups: (1) urban group (subjects living in Taipei and Kaohsiung City); (2) rural group (subjects living in Yunlin County, Chiayi County, Chiayi …

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Quality Of Life And Peak Oxygen Consumption In Patients With Congestive Heart Failure, Chen-Liang Chou, Chia-Ling Chang, Chantelle Wu, Su-Ying Hung, Shun-Ping Chen, Tcho-Jen Liu Dec 2007

Quality Of Life And Peak Oxygen Consumption In Patients With Congestive Heart Failure, Chen-Liang Chou, Chia-Ling Chang, Chantelle Wu, Su-Ying Hung, Shun-Ping Chen, Tcho-Jen Liu

Rehabilitation Practice and Science

Although the physical consequences of congestive heart failure are well known, its effects on patient well-being, severity of exercise intolerance, and quality of life are largely unknown. The purpose of this study was to examine the relationship of physical fitness (as measured by O2 peak), quality of life (as measured with the WHOQOL-BREF in Taiwan), and severity of left ventricle dysfunction (as measured by left ventricle ejection fraction) in patients with congestive heart failure.Twenty patients were enrolled in this study, but only 11 had completed the ”WHOQOL-BREF”. We used the Statistical Package for Social Science (SPSS14.0) for statistical analysis. The …

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Diagnosis Of An Aneurysm By Musculoskeletal Ultrasonography: A Casereport, Chih-Yang Wu, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang Dec 2007

Diagnosis Of An Aneurysm By Musculoskeletal Ultrasonography: A Casereport, Chih-Yang Wu, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang

Rehabilitation Practice and Science

High resolution musculoskeletal ultrasonography has been a comprehensive tool for differentiation of soft tissue mass. However, it is not commonly used as a standard examination in the diagnosis of an aneurysm. We present a case of a growing mass in the medial aspect of the left thigh status post internal fixation of periprosthetic fracture. Initial examination with a 10 MHz linear array probe revealed a blurred hypoechoic lesion at a depth of 5 cm. After switching to a 7.5 MHz curve-linear array probe, we found a well-defined, ovoid, hypoechoic cystic lesion with posterior enhancement. In color Doppler mode, a half-blue/half-red …

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Autonomic Dysreflexia In Ankylosing Spondylitis With Double Spinal Cord Injuries: A Casereport, Shu-Chun Huang, Wun-Jhong Tsai, Shih-Wei Chou, Chin-Man Wang, Alice M. K. Wong Dec 2007

Autonomic Dysreflexia In Ankylosing Spondylitis With Double Spinal Cord Injuries: A Casereport, Shu-Chun Huang, Wun-Jhong Tsai, Shih-Wei Chou, Chin-Man Wang, Alice M. K. Wong

Rehabilitation Practice and Science

This 54-year-old man underlying ankylosing spondylitis suffered from double spinal cord injuries with traumatic C6/7 dislocation and a neglected L1 vertebral body fracture which progressed to transverse fracture three weeks after the injury, acting as a powerful precipitant to autonomic dysreflexia. The dysreflexic symptoms happened at least three times when he practiced sitting during mat exercise and ameliorated soon by virtue of lying down. Compared with the previous record checked three weeks ago, neurologic examination revealed alteration of sensory level and loss of deep anal sensation. The patient received L1 laminectomy as well as T12 and L2 transpedicle screws fixation, …

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Choreoathetosis As Side Effect Of Gabapentin Therapy In A Patient With Spontaneous Spinal Epidural Hematoma: A Casereport, Min-Hsin Lai, Tzu-Yun Wang, Tsung-Ying Li, Cheng-Chiang Chang, Shin-Tsu Chang Dec 2007

Choreoathetosis As Side Effect Of Gabapentin Therapy In A Patient With Spontaneous Spinal Epidural Hematoma: A Casereport, Min-Hsin Lai, Tzu-Yun Wang, Tsung-Ying Li, Cheng-Chiang Chang, Shin-Tsu Chang

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma (SSEH) is attributed to a spinal epidural hematoma which is not caused by incidental, traumatic, or iatrogenic (for example, lumbar puncture) procedures. SSEH is an uncommon condition causing spinal cord lesion and subsequent neurologic deficits. Spinal cord pathology is often followed by neuropathic pain which may be treated with a combination of drug regimens, such as gabapentin, tricyclic antidepressants, topic lidocaine, opioids and serotoninnorepinephrine reuptake inhibitor. We present a case of SSEH with neuropathic pain that was treated with gabapentin, morphine and imipramine. The patient developed choreoathetosis temporally related to adjunctive therapy with gabapentin at dosages …

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Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen Dec 2007

Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen

Rehabilitation Practice and Science

Children with spastic cerebral palsy (CP) usually exhibit motor deficits and limited daily activities. Studies in recent years indicated that constraint-induced movement therapy (CIMT) might improve motor performance in CP patients. Combining kinematic analysis with clinical assessments, this study investigated the effect of modified CIMT (mCIMT) in four children with spastic CP immediately and one month after treatment. During the 3-week intervention, subjects underwent task-related training using the affected hand with restraint of the unaffected hand.The experimental results revealed significant improvements of the affected hand in use frequency, movement quality, grasping pattern, and bimanual coordination, both immediately and one month …

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Effects Of A Lateral Wedged Insole In Patients With Medial Compartment Osteoarthritis Of The Knee, Li-Wei Chou, Mu-Jung Kao, Pey-Yu Yang, Nai-Hsin Meng, Sui-Foon Lo, Hong-Wen Wu, Horng-Chaung Hsu Dec 2007

Effects Of A Lateral Wedged Insole In Patients With Medial Compartment Osteoarthritis Of The Knee, Li-Wei Chou, Mu-Jung Kao, Pey-Yu Yang, Nai-Hsin Meng, Sui-Foon Lo, Hong-Wen Wu, Horng-Chaung Hsu

Rehabilitation Practice and Science

Background: Medial compartment osteoarthritis (OA) of the knee is one of the most prevalent and disabling chronic conditions affecting older adults. This study assesses the efficacy of an inserted lateral wedged insole for the conservative treatment of medial compartment knee OA.Methods: Thirteen outpatients (9 females and 4 males with a mean age of 71.0 and a standard deviation of 5.5) with medial compartment knee OA were prospectively treated with an inserted lateral wedged insole with an elevation of 12 mm for three months. The baseline and three-month visual analog scale (VAS) scores for subjective knee pain and the remission score …

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Exploring The Relationship Between Body Build And Pressure Under The Ischial Tuberosity, Li-Ru Chen, Kuo-Hu Chen, Chia Lee, Ming-Shin Wang, Ting-Chang Chen, Cheng-Hsun Hsieh Dec 2007

Exploring The Relationship Between Body Build And Pressure Under The Ischial Tuberosity, Li-Ru Chen, Kuo-Hu Chen, Chia Lee, Ming-Shin Wang, Ting-Chang Chen, Cheng-Hsun Hsieh

Rehabilitation Practice and Science

Pressure ulcers usually occur over the ischial tuberosity of the people bound in wheelchairs. The objective of the study is to make a comparison between age, genders, and different factors of body build, including height, weight, body mass index, body fat percentage, waist circumference, buttock circumference, and mid-upper arm circumference, on their influences upon pressure under the ischial tuberosity.This experiment is a cross-sectional comparison study. We recruited 38 participants, including twenty-five males and thirteen females aged from 24 to 57. Our results showed that there were no differences on pressure under the ischial tuberosity among people of different age and …

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Illness Stories: From Recognizing The Significance In Care To Planning My Own Storied Practice, Jane Lachance Dec 2007

Illness Stories: From Recognizing The Significance In Care To Planning My Own Storied Practice, Jane Lachance

Critical and Creative Thinking Capstones Collection

In this paper, stories of illness are identified as belonging to a specific genre of story that represents an ill person's interpretation of experience and hence the meaning(s) of illness. The ill person is recognized as member of a family embedded in a social setting with cultural mores that contribute to experience and meanings. The meaning of illness is significant because it affects the care of illness. This paper focuses on chronic illness, an illness without cure that is managed over a lifetime and is characterized by remission and exacerbation of symptoms. Our current bio-medical health care system reframes the …

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Identifying Methods Nurse Managers Can Implement To Foster A Supportive Environment For Staff Where Disruptive Behavior Exists, Kathleen Leavitt Dec 2007

Identifying Methods Nurse Managers Can Implement To Foster A Supportive Environment For Staff Where Disruptive Behavior Exists, Kathleen Leavitt

Critical and Creative Thinking Capstones Collection

We can all imagine the ideal work environment, where you are respected, empowered, and provided with the resources to perform to the best of your ability everyday. Your skills would be acknowledged and the challenging work that is accomplished each day would be appreciated by peers, team members, and managers. However, in my work environment, an operating room, a phenomenon called "disruptive behavior" often interrupts the ability of achieving this desired state. Initially I was focused on this behavior being displayed by physicians but was awakened to the fact that they are not the only offenders and that many caregivers …

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The "Crossroads" And Beyond, David B. Nash Dec 2007

The "Crossroads" And Beyond, David B. Nash

College of Population Health Faculty Papers

No abstract provided.

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