scholarly journals Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Takanori Kikumoto ◽  
Kazuma Akatsuka ◽  
Emi Nakamura ◽  
Wataru Ito ◽  
Ryo Hirabayashi ◽  
...  
2019 ◽  
Vol 9 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Sandra Corradini ◽  
Renata de Sousa Mota ◽  
Maíra Macêdo ◽  
Marina Brasil ◽  
Selena Márcia Dubois-Mendes ◽  
...  

INTRODUCTION: The gait in people with HTLV-1 associated myelopathy or tropical spastic paraparesis (HAM / TSP) is little known. OBJECTIVE: To evaluate the kinematic profile of gait in people with HAM/TSP. METHODS: A cross-sectional study with 25 people with HAM/TSP and 25 healthy participants. Spatiotemporal and angular data from filming of gait were submitted to kinematic analysis using CVMob software. The gait of partipants with HAM/TSP was analized quantitatively through t Student test (alpha 5% and Power of 80%). The project was approved by Ethical Committee of the Bahiana School of Medicine and Public Health with CAAE 13568213.8.0000.5544. RESULTS: The HAM/TSP group showed significant changes in two different domains of biomechanical gait analysis when compared to healthy controls. The angular variables showed increased trunk inclination, flexion and extension (p<0.05); increased hip flexion and decreased hip extension (p<0.05); decreased knee flexion and extension (p<0.05); decreased ankle dorsi and plantar flexion (p<0.05). Range of Motion was also reduced in all those joints. The spatiotemporal variables showed decreased stride length and increased stride time and speed gait cycle (p<0.001). Those changes point out to reduction in joint amplitudes of hip, knee and ankle, changes in support base and double support time asymmetry between right and left sides, reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing. CONCLUSION: People with HAM/TSP have gait characterized by reduction in joint amplitudes of hip, knee and ankle, asymmetry between right and left sides and reduction of pre-swing time, hip lift in the mid-swing, and foot drop throughout the swing.


2013 ◽  
Vol 35 (2) ◽  
pp. 361-367 ◽  
Author(s):  
Takashi Honda ◽  
Keiichi Itatani ◽  
Manabu Takanashi ◽  
Eri Mineo ◽  
Atsushi Kitagawa ◽  
...  

2016 ◽  
Vol 49 (3) ◽  
pp. 246-255 ◽  
Author(s):  
Maryam Okhovati ◽  
Fatemeh Karami ◽  
Reza Khajouei

This research aims to determine the usability of the central library websites of medical sciences universities in Iran. This was a descriptive, cross-sectional study which employed a heuristic evaluation method to evaluate the usability of the websites. Three trained evaluators independently examined the 12 library websites from 11 July to 10 September 2013 using Nielsen’s usability heuristics. A list of usability problems was obtained and the severity of identified problems was determined. We identified 668 usability problems. The highest number of problems concerned ‘aesthetic and minimalist design’ (27.1%) and the lowest number concerned the ‘help and documentation’ heuristic (1%). Since the importance of libraries’ websites cannot be understated, the websites should consider the identified problems and attempt to address them.


Angiology ◽  
2017 ◽  
Vol 68 (9) ◽  
pp. 769-775 ◽  
Author(s):  
Yoshimi Kubota ◽  
Aya Higashiyama ◽  
Mikio Marumo ◽  
Masami Konishi ◽  
Yoshiko Yamashita ◽  
...  

We investigated the relationship between smoking and the risk of nonnormal (≤0.99) ankle–brachial index (ABI) at rest and after ankle plantar flexion exercise in healthy male community dwellers. A cross-sectional study was performed including 228 Japanese men aged 40 to 64 years without a history of cardiovascular diseases. Participants were classified as never, ex-, and current smokers. We estimated the multivariate-adjusted odds ratios (ORs) for nonnormal ABI of ex- and current smokers in relation to never smokers after adjusting for age and other confounding factors. At rest, the prevalence of nonnormal ABI was not significantly different by smoking status. After exercise, the prevalence of nonnormal ABI increased from 1.8% to 11.5% in ex-smokers and from 3.8% to 17.0% in current smokers, while the prevalence did not significantly change in never smokers. The multivariate-adjusted OR for nonnormal ABI after ankle plantar flexion exercise, in relation to never smokers, was 3.85 (95% confidence interval [CI]: 0.79-18.9) for ex-smokers and 6.97 (95% CI: 1.32-36.7) for current smokers. Our results suggest that ABI after ankle plantar flexion exercise is useful for early detection of subclinical peripheral artery ischemia in male smokers without typical symptoms.


Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2094
Author(s):  
Sho Totsuka ◽  
Tomofumi Nishino ◽  
Ryunosuke Watanabe ◽  
Masashi Yamazaki ◽  
Hajime Mishima

Digital tomosynthesis (DTS) is a new imaging technique derived from radiography, and its usefulness has been gradually reported in the field of orthopedic diagnosis in recent years. A fully hydroxyapatite (HA)-coated stem, which is used for total hip arthroplasty (THA), is a type of cementless stem that has been widely used recently and reported to have good results. However, stem loosening on plain radiographs is difficult to determine in some cases due to cancellous condensation around the stem. In this retrospective cross-sectional study, we compared the results of plain radiography versus DTS to evaluate the imaging findings after THA using a fully HA-coated stem. Twenty joints each in the 3 y and 1 y postoperative groups underwent plain radiography and DTS. On DTS, bone formation around the stem was confirmed in all cases; however, this formation was not reproducible on plain radiography, and there were cases in which the reaction could not be confirmed or cases with cancellous condensation resembling reactive lines. This reaction was not reproducible on plain radiographs, and in some cases, the reaction could not be confirmed, or there were cases with cancellous condensation that resembled reactive lines. Therefore, DTS was useful in the diagnosis of bone formation around the implant.


2020 ◽  
Vol 4 (2) ◽  
pp. 140
Author(s):  
Novfitri Syuryadi ◽  
Drajat Martianto ◽  
Dadang Sukandar

Background: Methods of evaluation of the regional government’s commitment in the development of food and nutrition security are not yet available. The index that measures the government’s commitment to national food and nutrition security is HANCI. Therefore, this study aimed to develop a method of evaluating the commitment of the regional government in the development of food and nutrition security.Objectives: This study aimed to develop a method of evaluating the commitment of regional government in the development of food and nutrition security.  Methods: The design of this study was a cross-sectional study using secondary data that refers to HANCI measurements. This research stage consisted of identification of potential indicators, qualitative selection of candidate indicator, assessment of indicator used the scoring method, and applied the method to provinces in Indonesia. Results: The result showed shortlist of 42 commitment indicators of food and nutrition security and aggregate score of provinces. Only 2.9% of provinces had high commitment and 17.6% of provinces with low commitment level. Highest rank was achieved by East Java Province and the lowest rank was East Nusa Tenggara Province. Low political commitment could lead to low priority of food and nutrition interventions. The government was in need to make regulations/policies and prepare adequate budgets for specific and sensitive food and nutrition programs.Conclusions: Development of this evaluation method is relevant to show the commitment of the regional government. The government needs to improve efforts to address problems of food and nutrition.ABSTRAK Latar Belakang: Metode evaluasi komitmen pemerintah daerah provinsi dalam pembangunan ketahanan pangan dan gizi saat ini belum tersedia. Index yang mengukur komitmen pemerintah terhadap ketahanan pangan dan gizi secara nasional adalah HANCI. Oleh karena itu, studi ini bertujuan untuk mengembangkan metode evaluasi komitmen pemerintah daerah provinsi dalam pembangunan ketahanan pangan dan gizi.Tujuan: Penelitian ini bertujuan untuk mengembangkan metode evaluasi komitmen pemerintah daerah provinsi dalam pengembangan ketahanan pangan dan gizi.Metode: Desain penelitian ini adalah cross-sectional study dengan menggunakan data sekunder yang mengacu pada pengukuran HANCI. Tahap penelitian terdiri dari identifikasi indikator potensial, seleksi calon indikator secara kualitatif, perhitungan skor menggunakan metode scoring, dan aplikasi metode pada provinsi di Indonesia.Hasil: Hasil menunjukkan shortlist 42 indikator komitmen ketahanan pangan dan gizi dan skor agregat provinsi. Berdasarkan hasil penelitian diketahui bahwa hanya 2,9% provinsi yang memiliki komitmen tinggi dan 17,6% provinsi memiliki tingkat komitmen rendah. Provinsi Jawa Timur berada pada peringkat pertama sedangkan peringkat terakhir ditempati oleh Provinsi Nusa Tenggara Timur. Komitmen politik yang rendah dapat menyebabkan rendahnya prioritas intervensi pangan dan gizi. Pemerintah perlu membuat peraturan/kebijakan dan menyiapkan anggaran yang memadai untuk program pangan dan gizi secara spesifik maupun sensitif.Kesimpulan: Pengembangan metode telah relevan digunakan untuk melihat komitmen pemerintah daerah provinsi. Pemerintah perlu meningkatkan upaya berupa pembuatan peraturan dan kebijakan serta anggaran untuk penanganan masalah pangan dan gizi. 


2018 ◽  
Vol 25 (07) ◽  
pp. 1013-1017
Author(s):  
Muhammad Azeem ◽  
Aqeel Ahmad ◽  
Arfan ul Haq

Introduction: The Index of Orthodontic Treatment Need (IOTN) was proposedby Brook and Shaw, included an Aesthetic portion having ten levels and a Dental HealthComponent (D-IOTN) with five levels. The aim of present cross sectional research was to applythe D-IOTN in Pakistani subjects visiting Orthodontic centres of Faisalabad Medical Universityand de’Montmorency College of Dentistry. Study Design: Cross sectional study. Setting:Orthodontic centres, Faisalabad Medical University and de’Montmorency Dental College.Period: From 1.3.2017 to 1.10.2017. Materials & Methods: D-IOTN was applied to subjectsusing clinical intraoral evaluation method in which patients were evaluated on dental chair tograde various aspects of D-IOTN. The intraoral examination was done for missing teeth, cleftsof lip and maxilla, impeded tooth eruption and sagittal molar relationship. Vernier calliper wasused to measure the horizontal and vertical overlapping of incisors, transverse cross bite anddisplacement of incisal or posterior segments of arch. Findings were collected and recorded ona predesigned D-IOTN Performa. Results: Results showed that 68 % of the subjects neededdefinite orthodontic treatment, out of which 55% were females and 45% were males. Nosignificant gender difference was found for treatment need in any of the grade of D-IOTN.DIOTNanalysis revealed: 15% (Grade 5), 53% (Grade 4), 16% (Grade 3), 14=% (Grade 2) and2% (Grade1) results.16 % of the subjects were found to be in moderate need of treatment, whileonly2 % were found to be having no orthodontic treatment need. Conclusion: It was concludedthat a high number of cases were in need of the orthodontic therapy.


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