scholarly journals Clinical-enabled aspects after Neurotoxoplasmosis in a patient with immunosuppression: a case report

2021 ◽  
Author(s):  
Adrielle Galanti ◽  
Verônia Corrêa César Rodrigues ◽  
Daniela Maria Ribeiro Vaz ◽  
Ana Paula Oliveira Borges
Keyword(s):  
Case Report ◽  
Motor Coordination ◽  
Clinical Investigation ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Fine Motor ◽  
Cross Sectional ◽  
Right Cerebral Hemisphere ◽  
The Right ◽  
Immunodeficiency Syndrome

Background: Neurotoxoplasmosis is an opportunistic infection caused by the protozoan Toxoplasma Gondii, frequent in patients with Acquired Immunodeficiency Syndrome who become immunosuppressed by the presence of the disease. It can be presented by one or more brain abscesses, encephalitis or ventriculitis. Objectives: case report of a volunteer after neurological sequelae of neurotoxoplasmosis in order to highlight the relevant findings for a neurofunctional rehabilitation. Design and setting: This is an observational, cross-sectional case report type study conducted at the Clínica Escola de Fisioterapia of the University of Franca (UNIFRAN), with CEP approval (CAAE 83164918.2.0000.5495). Methods: Female patient, 53 years old. In the physiotherapy sector, neurological evaluation of the components was performed: sensitivity, movement, tone, reflexes, motor coordination, balance and gait. Balance and gait were assessed using the Berg Balance Scale, the Standing and Walking Test and the Dynamic Walking Index. Results: After clinical investigation, neurological toxoplasmosis infection was found in the right cerebral hemisphere. The physiotherapeutic evaluation showed the presence of left hemiparesis, the presence of spastic hypertonia, patellar and achilles hyperreflexia, the absence of fine motor skills and the presence of a reaping gait. The BSE result was 32 points, the TUG was 10.3 seconds and IMD was 20 points. Conclusion: The compromises found have an impact on the functionality of the volunteer. This study emphasizes the valorization of neurofunctional physiotherapeutic semiology for a treatment proposal that promotes greater functional independence.

scholarly journals The Influence of the Univent® Endotracheal Tube on Internal Jugular Vein Cannulation

2005 ◽  
Vol 33 (1) ◽  
pp. 82-86 ◽  
Author(s):  
W. Schummer ◽  
C. Schummer ◽  
R. Frober ◽  
J. Fuchs ◽  
M. Simon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endotracheal Tube ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Clinical Investigation ◽  
Lateral Displacement ◽  
Left Internal Jugular Vein ◽  
Jugular Veins ◽  
Cross Sectional ◽  
The Right

This prospective clinical investigation assessed the effect of placement of a Univent® tube on the anatomy of the internal jugular veins and the success of cannulation of the left internal jugular vein. After obtaining informed consent, 48 adult patients were enrolled. Of these, 42 patients were eligible and were divided into two groups: Univent® tube (group U, n=21) and wire enforced endotracheal tube (group C, n=21). The Univent® tube group were having a left thoracotomy. Using horizontal ultrasound scans just above the thyroid gland, the internal jugular vein was visualized and measured before and after Univent® placement. The number of needle passes necessary to cannulate the left internal jugular vein in the two groups was also compared. Univent® tubes were associated with lateral displacement of the right carotid artery and internal jugular vein on the convex side of the Univent® tube, with compression of the right internal jugular vein by the artery, resulting in a kidney-shaped cross-section of the vein. On the left (concave side of the tube), the neck was indented, the sheath of the left carotid artery was displaced medially, and the left internal jugular vein distorted to an ellipse. There was a significant increase in the lateral diameter and a decrease in the cross-sectional area of the left internal jugular vein (t-test, P<0.05). The first attempt at cannulation of the left internal jugular vein failed significantly more often in the Univent® group (13/21 vs 5/21 in group C, Chi-square 6.22, P=0.025). Cannulation of the internal jugular vein before placement of the Univent® tube, or placement with ultrasound guidance is suggested.

scholarly journals Correlation between balance and the level of functional independence among elderly people

2012 ◽  
Vol 130 (2) ◽  
pp. 97-101 ◽  
Author(s):  
Melina Galetti Prata ◽  
Marcos Eduardo Scheicher
Keyword(s):  
Elderly People ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Daily Activities ◽  
Cross Sectional ◽  
Persons With Disabilities ◽  
Physical Independence ◽  
The Mean

CONTEXT AND OBJECTIVE: As the overall number of elderly people increases there is a corresponding rise in the number of older persons with disabilities. In order to examine whether there is any relationship between balance and activities of daily living, we evaluated balance and daily activities among elderly people living in the community. DESIGN AND SETTING: Cross-sectional study at Universidade Estadual Paulista (Unesp), Marília, São Paulo, Brazil. METHODS: The study included 70 community-dwelling elderly people aged 65 and over. Balance was evaluated using the Berg Balance Scale (BBS) and physical independence in daily activities was evaluated using the Barthel Index (BI). The Spearman correlation coefficient was used to examine the relationship between the parameters evaluated. Significance was set at the level of 5% (P < 0.05). RESULTS: The population's mean age was 70.5 ± 5 years. The mean BBS score was 50.9 ± 4.1, whereas the mean BI score was 98.1 ± 2.8. Statistically significant relationships were found between the BBS and BI (r = 0.41; P = 0.0004); between age and BI (r = -0.24; P = 0.04); and between age and BBS (r = -0.57; P = 0.0001). CONCLUSIONS: The results showed that among elderly people, there are correlations between age, balance and independence level.

scholarly journals Sleep disorders and starting time to school impair balance in 5-year-old children

2005 ◽  
Vol 63 (3a) ◽  
pp. 571-576 ◽  
Author(s):  
Cristiane Aparecida Moran ◽  
Luciane B.C. Carvalho ◽  
Lucila B.F. Prado ◽  
Gilmar F. Prado
Keyword(s):  
Sleep Disorders ◽  
Motor Coordination ◽  
Dynamic Balance ◽  
Fine Motor ◽  
Study Group ◽  
Balance Test ◽  
Cross Sectional ◽  
Starting Time ◽  
Cross Sectional Design ◽  
School Period

OBJECTIVE: To verify if sleep disorders and differents starting time to school have impaired motor skills in 5-year-old children. METHOD: Cross-sectional design consisting of 132 children with sleep disorders and 136 normal controls of the public school in the city of São Paulo. The group with sleep disorders was identified based on a questionnaire, and motor tests for global motor coordination, fine motor coordination, perceptual-motor coordination, and static and dynamic balance were applied in all children. RESULTS: In the static balance test, more specifically in the sharpened Romberg (Tandem) test, 34% of boys from the study group, who studied in the morning, failed the test (p < 0.05). In the single leg stance test, 62% of boys from the study group who studied in the morning failed (p< 0.05). CONCLUSION: This study suggests that sleep disorders may interact with the school period and alter motor performance, especially in boys studying in the morning.

scholarly journals Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy

2021 ◽  
Author(s):  
Daniela Maria RIbeiro Vaz ◽  
Adrielle Galanti ◽  
Veronica Corrêa César Rodrigues ◽  
Ana Paula Oliveira Borges
Keyword(s):  
Case Report ◽  
Motor Coordination ◽  
Olivopontocerebellar Atrophy ◽  
Functional Impairments ◽  
Trunk Flexion ◽  
Cross Sectional ◽  
Male Individual ◽  
The Individual ◽  
And Function

Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic- functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.

scholarly journals Fingerprint patterns of thumb and index in the right and left-handed male and female medical and paramedical students

2020 ◽  
Vol 11 (SPL2) ◽  
pp. 64-70
Author(s):  
Aadhyyanth R Allu ◽  
Sudakshina Chakrabarti
Keyword(s):  
Forensic Science ◽  
Personal Identification ◽  
Fine Motor ◽  
Cross Sectional ◽  
Medical College ◽  
Left Handed ◽  
Loop Pattern ◽  
The Right ◽  
Hands And Feet ◽  
Ethical Clearance

Dermatoglyphics is the scientific study of the epidermal ridge configuration of hands and feet. Digital dermatoglyphics are unique and specific evidence that greatly contribute to personal identification in forensic science. Hand dominance is an uneven distribution of fine motor skills between the left and right hands. The objective of the study is to observe gender variation in fingerprinting pattern of thumb and index fingers and also to determine the relationship between handedness and digital dermatoglyphics. The study was conducted at Saveetha Medical College and Hospital. Ethical clearance for this study was obtained from the Ethical Clearance Committee of the institute. This cross-sectional study was conducted on a sample size of 500 students, of 18-25 years of age, pursuing their education in the constituent courses of Saveetha Medical College. Handedness was assessed using the Edinburgh Handedness Inventory. The fingerprints were obtained by a 'Lipstick' method. The prints were studied using a magnifying lens. The various patterns of fingerprints were observed, categorized and compared according to standard guidelines. A total of 500 students were studied. There were 228 right-handed males, 18 left-handed males, 233 right-handed females and 21 left-handed females. In right-handed males, the thumb showed a predominance of loop pattern in (57.9 %) study participants and in right-handed females loop pattern was observed in thumb was 61.1%. In the right-handed female thumb, loops were predominant patterns in 70.8. Arch pattern is distinctively absent for both right and left-handed thumb in both males and females. 19.3 % of female right-hander had arch patterns predominantly in their index finger. Widespread interest is developing in the field of medicine and forensic science with regard to epidermal ridges. Our present study was able to observe gender variations and variations in the dermatoglyphic pattern in the right and left-hander for the first two digits.

scholarly journals Pregnancy planning does not interfere with child development in children aged from 11 to 23 months old

2021 ◽  
Vol 29 ◽  
Author(s):  
Katherine Solís-Cordero ◽  
Luciana Assis Couto ◽  
Luciane Simões Duarte ◽  
Ana Luiza Vilela Borges ◽  
Elizabeth Fujimori
Keyword(s):  
Child Development ◽  
Motor Coordination ◽  
Unplanned Pregnancy ◽  
Low Frequency ◽  
Cross Sectional Study ◽  
Fine Motor ◽  
Cross Sectional ◽  
Pregnancy Planning ◽  
Socially Disadvantaged ◽  
Bolsa Familia

Objective: to analyze the correlation between child development and pregnancy planning and other associated aspects. Method: a cross-sectional study conducted with 125 mother-child dyads, the children aged from 11 to 23 months old and attending daycare centers located in socially disadvantaged areas. Child development according to domains was assessed using the Ages & Stages Questionnaire-BR and pregnancy planning was evaluated through the London Measure of Unplanned Pregnancy. The mothers were interviewed at their homes and non-parametric tests were used for data analysis. Results: 17.6% of the pregnancies were unplanned, 24.8% were planned and 57.6% were ambivalent. Inadequate development in the different domains ranged from 21% to 40% and was not associated with pregnancy planning. However, the “communication” domain was associated with Bolsa Família and the “personal/social” and “communication” domains, with gender; while “personal/social”, “broad motor coordination” and “fine motor coordination” were domains related to the child’s age. Conclusion: no correlation between pregnancy planning and child development was observed; however, the low frequency of planned pregnancies and the high percentages of inadequate child development show the need to invest in the training of health professionals, both for contraceptive care and preconception health and for the promotion of child development, especially in socioeconomically disadvantaged contexts.

scholarly journals Clinical Dilemma and the Role of Cone-Beam Computed Tomography in the Diagnosis of an Unusual Presentation of Central Odontogenic Tumor—A Case Report

2021 ◽  
Vol 31 (03) ◽  
pp. 782-788
Author(s):  
Mouttoukichenin Surenthar ◽  
Subramanian Vasudevan Srinivasan ◽  
Vannathan Kumaran Jimsha ◽  
Ramanathan Vineeth
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Unusual Presentation ◽  
Odontogenic Tumor ◽  
Cone Beam ◽  
Diagnostic Challenge ◽  
Cross Sectional ◽  
Clinical Dilemma ◽  
The Right

AbstractCone beam computed tomography (CBCT) provides a detailed analysis of the dentition and of cortical and medullary bone free of superimposition inherent in radiographs, which are effortlessly plausible, easily available, and relatively inexpensive when compared with other cross-sectional imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). This article presents a case report of a 23-year-old male patient with a complaint of a mass in the right side lower back tooth region for the past 2 and a half months, which had the unusual presentation of prominent exophytic growth masking the central odontogenic tumor, wherein the diagnostic performances of CBCT in unveiling the diagnostic challenge that led to the clinical dilemma is emphasized. Routine radiographs such as orthopantomogram, mandibular occlusal view were taken along with CBCT, which accentuated the precise diagnosis in this case. The lesion was surgically enucleated with curettage and extraction of the involved teeth. CBCT unveiled the classic multilocularity of ameloblastoma, which routine imaging failed to display. CBCT played a pivotal role in counteracting the diagnostic challenges faced and also in distinguishing it from a cystic lesion that was initially deceived by routine two-dimensional radiographs.

scholarly journals A presentation of aids-related ophthalmic disease in a severely immunocompromised patient

2010 ◽  
Vol 72 (2) ◽  
pp. 19
Author(s):  
Sally Chetrit
Keyword(s):  
Case Report ◽  
Highly Active Antiretroviral Therapy ◽  
Immune Status ◽  
Opportunistic Infections ◽  
Management Options ◽  
Cmv Retinitis ◽  
Highly Active ◽  
The Right ◽  
Immunodeficiency Syndrome ◽  
Ophthalmic Disease

Background: Human immunodeficiency virus (HIV) retinopathy is the most common ocular manifestation of the acquired immunodeficiency syndrome (AIDS), serving as an important marker for patients with significantly compromised immune status who are at risk for developing severe and visionthreatening ocular opportunistic infections. This case report describes a presentation of HIV retinopathy and cytomegalovirus (CMV) retinitis, and reviews the current management options. Case Report: A 40-year-old black male presented for a comprehensive eye exam to rule out HIV-related ophthalmic disease. At his initial visit, a dilated fundus examination revealed HIV retinopathy of the left eye. Upon subsequent examinations and as his immune status diminished, the patient developed CMV retinitis of the right eye. The patient was treated successfully with a course of highly active antiretroviral therapy (HAART) and oral valgancyclovir.  Conclusion: CMV retinitis is the most common ocular opportunistic infection associated with AIDS. Treatment with systemic HAART and concomitant anti-CMV therapy leads to reconstitution of the immune system and regression of the retinitis.  

scholarly journals Right cerebral hemisphere and central auditory processing in children with developmental dyslexia

2013 ◽  
Vol 71 (11) ◽  
pp. 883-889 ◽  
Author(s):  
Paulina C. Murphy-Ruiz ◽  
Yolanda R. Penaloza-Lopez ◽  
Felipe Garcia-Pedroza ◽  
Adrian Poblano
Keyword(s):  
Developmental Dyslexia ◽  
Auditory Processing ◽  
Right Hemisphere ◽  
Cross Sectional Study ◽  
Central Auditory Processing ◽  
Cross Sectional ◽  
Right Cerebral Hemisphere ◽  
Processing Abilities ◽  
The Right ◽  
Sound Duration

Objective We hypothesized that if the right hemisphere auditory processing abilities can be altered in children with developmental dyslexia (DD), we can detect dysfunction using specific tests. Method We performed an analytical comparative cross-sectional study. We studied 20 right-handed children with DD and 20 healthy right-handed control subjects (CS). Children in both groups were age, gender, and school-grade matched. Focusing on the right hemisphere’s contribution, we utilized tests to measure alterations in central auditory processing (CAP), such as determination of frequency patterns; sound duration; music pitch recognition; and identification of environmental sounds. We compared results among the two groups. Results Children with DD showed lower performance than CS in all CAP subtests, including those that preferentially engaged the cerebral right hemisphere. Conclusion Our data suggests a significant contribution of the right hemisphere in alterations of CAP in children with DD. Thus, right hemisphere CAP must be considered for examination and rehabilitation of children with DD.

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