Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com

Αρχειοθήκη ιστολογίου

! # Ola via Alexandros G.Sfakianakis on Inoreader

Η λίστα ιστολογίων μου

Τετάρτη 17 Μαΐου 2017

Desert dust contribution to PM10 loads in Italy: Methods and recommendations addressing the relevant European Commission Guidelines in support to the Air Quality Directive 2008/50

Publication date: July 2017
Source:Atmospheric Environment, Volume 161
Author(s): Francesca Barnaba, Andrea Bolignano, Luca Di Liberto, Matteo Morelli, Franco Lucarelli, Silvia Nava, Cinzia Perrino, Silvia Canepari, Sara Basart, Francesca Costabile, Davide Dionisi, Spartaco Ciampichetti, Roberto Sozzi, Gian Paolo Gobbi
In 2011 the European Commission (EC) released specific 'Guidelines' describing the methods to quantify and subtract the contribution of natural sources from the PM10 values regulated by the European Air Quality Directive (2008/50/EC). This work investigates the applicability to Italy of the EC-Methodology suggested for desert-dust, describes main limitations encountered and proposes specific modifications embedded within a 'revised-Methodology' to extend/improve its use. The revised-Methodology capabilities are evaluated using original, chemically-resolved mineral-dust mass concentration measurements, showing better performances in predicting timing and absolute values of the desert-dust contribution to the daily-PM10 with respect to the current EC-approach. The revised-Methodology is then translated into an automatic (user-independent) tool tailored to the expected final-users. This tool is applied over Central Italy across a 3-year long period (2012–2014), and over the whole Italian country for a calendar year (2012). The derived results confirm and extend to Italian regions never addressed before some previously observed features of the desert-dust impact over the country, such as a clear latitudinal dependence of the desert-dust impact on the yearly average PM10 (from more than 5 μg/m3 to less than 0.5 μg/m3, going from south to north Italy). The modifications introduced within the revised-Methodology also suggest a non-negligible role of desert-dust resuspension in areas characterized by both high traffic levels and soil sealing (urban areas and along the major Italian routes). In the Rome area, such an effect is found to add a contribution of about 2 μg/m3 (i.e., of 20%) to the mean desert-dust load per dust day (about 10 μg/m3). At the national level, this effect contributes increasing the total number of desert-dust-driven exceedances of the PM10 daily limit value even in the northern regions, where the desert-dust impact on the PM10 yearly average is otherwise limited. These results also indicate the direction for possible mitigation strategies to be applied over impacted areas. The successful implementation of the revised-Methodology over Italy suggests it could represent a valid option for a nationwide standard procedure to quantify the desert-dust contribution to PM10, promoting the homogenisation of the relevant values annually reported to the EC.

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Association of neck circumference and pulmonary function in children

Publication date: Available online 17 May 2017
Source:Annals of Allergy, Asthma & Immunology
Author(s): Onur Akın, Mutluay Arslan, Cem Haymana, Erdem Karabulut, Bulent Hacihamdioglu, Suleyman Tolga Yavuz
BackgroundChildhood obesity leads to many complications including impaired respiratory function. There are various anthropometric parameters related to obesity.ObjectiveTo investigate the correlation between anthropometric indices and pulmonary function test results in children without asthma.MethodsChildren without any respiratory disorders were enrolled in this study. Anthropometric measurements, such as height, weight, neck circumference (NC), and waist circumference, were obtained from the enrollees and body mass index was calculated. Afterward, pulmonary function tests were performed using spirometry.ResultsA total of 178 children (106 boys, 59.5%) with a mean age of 9.7 years were included the study. NC was above the 90th percentile in 65 children. Importantly, pulmonary parameters, such as forced expiratory volume during the first second (FEV1) and the ratio of FEV1 to forced vital capacity (FVC), were lower in subjects with a large NC. Similarly, waist circumference was above the 90th percentile in 67 children, and FEV1/FVC was significantly lower in children with a large waist circumference. Moreover, there was a statistically significant negative correlation among FEV1, FEV1/FVC, and body mass index SD score. Also, multivariable linear regression analysis showed that an NC above the 90th percentile was associated with lower FEV1 and FEV1/FVC values.ConclusionWe identified NC as a novel anthropometric index that is strongly correlated with respiratory functions in children. Therefore, close monitoring of respiratory symptoms, particularly in children with obesity and a large NC, could help with early and prompt determination of respiratory complications of obesity.



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Computing the Social Brain Connectome Across Systems and States

Abstract
Social skills probably emerge from the interaction between different neural processing levels. However, social neuroscience is fragmented into highly specialized, rarely cross-referenced topics. The present study attempts a systematic reconciliation by deriving a social brain definition from neural activity meta-analyses on social-cognitive capacities. The social brain was characterized by meta-analytic connectivity modeling evaluating coactivation in task-focused brain states and physiological fluctuations evaluating correlations in task-free brain states. Network clustering proposed a functional segregation into (1) lower sensory, (2) limbic, (3) intermediate, and (4) high associative neural circuits that together mediate various social phenomena. Functional profiling suggested that no brain region or network is exclusively devoted to social processes. Finally, nodes of the putative mirror-neuron system were coherently cross-connected during tasks and more tightly coupled to embodied simulation systems rather than abstract emulation systems. These first steps may help reintegrate the specialized research agendas in the social and affective sciences.

http://ift.tt/2pNOgq4

Infliximab wirkt rasch gegen Psoriasis

In einer Vergleichsstudie haben Patienten mit Psoriasis unter Infliximab rascher einen PASI 75 erreicht als unter Etanercept. Längerfristig war aber kein Unterschied im Therapieerfolg festzustellen.



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Schwimmbadgranulom



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Ein Glomustumor unter dem Fingernagel



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Bullöses Pemphigoid: Doxycyclin statt Prednisolon?

Bekommen Patienten mit bullösem Pemphigoid weniger schwere Nebenwirkungen unter Doxycyclin als unter der Standardtherapie mit oralem Prednisolon? Eine aktuelle Studie gibt Aufschluss.



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Kutane Nebenwirkungen der Immuntherapie



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Melanom: Lymphknotendissektion auch therapeutisch von Nutzen?

Eine Sentinellymphknotendissektion bei Melanompatienten könnte nicht nur einen diagnostischen, sondern auch einen therapeutischen Nutzen haben. Hinweise dafür liefert eine Studie mit fast 600 Patienten ohne Fernmetastasen.



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Inhaltsverzeichnis



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Jahreshighlight der Kongresssaison

Offensichtlich kam das Konzept 2015 gut an: Auch in diesem Jahr wurde bei der Tagung der Deutschen Dermalogischen Gesellschaft (DDG) vom 26.–29. April im Berliner City Cube in über 60 Kursen, Symposien und Plenarvorträgen versucht, die Neuerungen auf dem weiten Feld der Dermatologie abzudecken. Präsentiert und diskutiert wurden unter anderem kutane Nebenwirkungen der Immuntherapie, Biosimilars bei Psoriasis und die Zukunft molekularer Diagnostik von entzündlichen Dermatosen.



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Streifen auf dem Nagel: Wann besteht Melanomverdacht?

Hochauflösende Dermatoskopie-Aufnahmen haben europäische Dermatologen retrospektiv ausgewertet, um zu prüfen, wie gut sich ein Melanom bei streifenförmiger Nagelpigmentierung dermatoskopisch diagnostizieren lässt.



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PDT: Wie wird die Haut optimal vorbereitet?

Um die Aufnahme von topischen Photosensibilisatoren zu erleichtern, wird eine physikalische Vorbehandlung der Haut empfohlen. Die effektivste Methode wurde nun in einer Vergleichsstudie ermittelt.



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Spielt das Aquarium eine Rolle?



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Die Rente der Ärzte ist sicher – aber...

Auch die ärztlichen Versorgungswerke müssen die Gürtel in Zeiten niedriger Zinsen enger schnallen. Daher lohnt es sich für Ärzte durchaus, eine komplementäre Vorsorgestrategie zu ihrer – an sich sicheren – Rente zu verfolgen.



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Klinische Studien: Viele Patienten sind interessiert und wissbegierig

Klinische Arzneimittelstudien sind integraler Bestandteil des medizinischen Versorgungsalltags. Optimierungspotenzial gibt es laut Umfrage aber bei der Rekrutierung der Probanden.



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Histaminarme Diät gegen chronische Urtikaria

Kann man durch den Verzicht auf stark histaminhaltige Lebensmittel die Symptome einer chronisch spontanen Urtikaria bessern? In einer deutschen Studie funktionierte das Rezept.



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Molekulare Diagnostik entzündlicher Dermatosen



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Sentinellymphknotenbiopsie beim malignen Melanom: ja oder nein?



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Mukosales Melanom: Kombination geprüft

Mit einer gepoolten Datenanalyse wurde erstmals die Sicherheit und Wirksamkeit von Nivolumab als Monosubstanz und in Kombination mit Ipilimumab beim seltenen, hochaggressiven Schleimhautmelanom untersucht.



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Junge Ärzte wollen sanften Einstieg in die eigene Praxis

Niederlassung als Chance? Viele junge Mediziner sehen das eher skeptisch. Dabei bietet die Selbstständigkeit tatsächlich gute Entfaltungsmöglichkeiten – wenn man es richtig anpackt.



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Narben als Schmuck und Initiation

Feine Linien überziehen die Gesichter der Bétamarribé. Die Männer der Kaningara ahmen die schuppige, raue Haut des Krokodils nach. Viele Kulturen kennen Narben als Zeichen der Schönheit und der Initiation.



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Ringförmige Läsionen auf Stirn und Händen



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Pediatric nasal surgery prior to puberty is not only safe, but may prevent facial deformity in certain patients.


Pediatric nasal surgery: timing and technique.
από Gary, Celeste C. στο Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print
Μετάφραση άρθρου
Purpose of review: Timing of pediatric nasal surgery has always been a controversial topic. Concern over disrupting growing parts of the face and causing permanent facial deformity has led to a primarily conservative approach. Many surgeons feel that it is prudent to wait until the patient has completed nasal growth after puberty to pursue nasal surgery. Recent findings: Recently, this attitude has been challenged with evidence that not only is nasal surgery in the pediatric age group not a detriment to facial growth, but failure to correct significant nasal deformity may actually cause dysmorphic facial growth secondary to obligate mouth breathing. Because of this, recent studies have focused on determining safe surgical techniques for pediatric nasal surgery, including inferior turbinate reduction, septoplasty and rhinoplasty. Research focus on this topic has also been expanded to include quality-of-life measures after nasal surgery. Summary: Pediatric nasal surgery prior to puberty is not only safe, but may prevent facial deformity in certain patients. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.


Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480

Steroid metabolism in breast cancer: Where are we and what are we missing?

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Publication date: Available online 17 May 2017
Source:Molecular and Cellular Endocrinology
Author(s): Donita Africander, Karl-Heinz Storbeck
It is well-known that breast cancer is hormone-dependent and that steroid hormones exert their mitogenic effects by binding to estrogen, progesterone and androgen receptors. Vital to our understanding and treatment of this malignancy, is the local metabolism of steroid hormones in breast cancer tissue. This review summarises our current knowledge on steroid producing pathways in the adrenal, ovary and breast, while focussing on the availability of specific circulating hormone precursors and steroidogenic enzymes involved in the local synthesis and metabolism of steroid hormones in the breast. Consequently, we highlight alternate pathways that may be instrumental in the etiology of breast cancer.



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Self-Selection of Frequency Tables with Bilateral Mismatches in an Acoustic Simulation of a Cochlear Implant



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Speech Recognition in Nonnative versus Native English-Speaking College Students in a Virtual Classroom



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The Use of the Gaps-In-Noise Test as an Index of the Enhanced Left Temporal Cortical Thinning Associated with the Transition between Mild Cognitive Impairment and Alzheimer’s Disease

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Under Pressure: Vestibular-Evoked Myogenic Potentials and the Auditory Stimuli That Evoke Them



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Hearing Loss and Age-Induced Changes in the Central Auditory System Measured by the P3 Response to Small Changes in Frequency

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Big Stimulus, Little Ears: Safety in Administering Vestibular-Evoked Myogenic Potentials in Children



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Evaluation of Adaptive Noise Management Technologies for School-Age Children with Hearing Loss



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Acute Acoustic Trauma among Soldiers during an Intense Combat



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The Impact of Single-Sided Deafness upon Music Appreciation



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JAAA CEU Program



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Improve the Treatment of Thoracic Esophageal Cancer

Condition:   Thoracic Esophageal Squamous Cell Carcinoma
Interventions:   Drug: adjuvant chemotherapy;   Procedure: standard two field Lymphadenectomy;   Procedure: Total two field Lymphadenectomy;   Procedure: three field Lymphadenectomy
Sponsor:   Sun Yat-sen University
Recruiting - verified May 2017

http://ift.tt/2qUgmjR

Improve the Treatment of Thoracic Esophageal Cancer

Condition:   Thoracic Esophageal Squamous Cell Carcinoma
Interventions:   Drug: adjuvant chemotherapy;   Procedure: standard two field Lymphadenectomy;   Procedure: Total two field Lymphadenectomy;   Procedure: three field Lymphadenectomy
Sponsor:   Sun Yat-sen University
Recruiting - verified May 2017

http://ift.tt/2qUgmjR

Endogenous Formation of Preferences: Choices Systematically Change Willingness-to-Pay for Goods.

Author: Voigt, Katharina; Murawski, Carsten; Bode, Stefan
DOI: 10.1037/xlm0000415
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Orthography Affects Second Language Speech: Double Letters and Geminate Production in English.

Author: Bassetti, Bene
DOI: 10.1037/xlm0000417
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


http://ift.tt/2pW6XnJ

The Importance of Arousal for Variation in Working Memory Capacity and Attention Control: A Latent Variable Pupillometry Study.

Author: Unsworth, Nash; Robison, Matthew K.
DOI: 10.1037/xlm0000421
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Cue Integration in Spatial Search for Jointly Learned Landmarks but Not for Separately Learned Landmarks.

Author: Du, Yu; McMillan, Neil; Madan, Christopher R.; Spetch, Marcia L.; Mou, Weimin
DOI: 10.1037/xlm0000416
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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The Role of Familiarity in Correcting Inaccurate Information.

Author: Swire, Briony; Ecker, Ullrich K. H.; Lewandowsky, Stephan
DOI: 10.1037/xlm0000422
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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The Testing Effect Under Divided Attention.

Author: Buchin, Zachary L.; Mulligan, Neil W.
DOI: 10.1037/xlm0000427
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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The Cause of Category-Based Distortions in Spatial Memory: A Distribution Analysis.

Author: Sampaio, Cristina; Wang, Ranxiao Frances
DOI: 10.1037/xlm0000424
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Framing Affects Scale Usage for Judgments of Learning, Not Confidence in Memory.

Author: England, Benjamin D.; Ortegren, Francesca R.; Serra, Michael J.
DOI: 10.1037/xlm0000420
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Effects of Vaccination with the C-Strain Vaccine on Immune Cells and Cytokines of Pigs Against Classical Swine Fever Virus

Viral Immunology , Vol. 0, No. 0.


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Glucagon-induced extracellular cAMP regulates hepatic lipid metabolism

Hormonal signals help to maintain glucose and lipid homeostasis in the liver during periods of fasting. Glucagon, a pancreas-derived hormone induced by fasting, promotes gluconeogenesis through induction of intracellular cAMP production. Glucagon also stimulates hepatic fatty acid oxidation but the underlying mechanism is poorly characterized. Here we reported that following the acute induction of gluconeogenic genes Glucose 6 phosphatase (G6Pase) and Phosphoenolpyruvate carboxykinase (Pepck) expression through CREB, glucagon triggers a second delayed phase of fatty acid oxidation genes Acyl-coenzyme A oxidase (Aox) and Carnitine palmitoyltransferase 1a (Cpt1a) expression via extracellular cAMP. Increase in extracellular cAMP promotes PPARα activity through direct phosphorylation by AMPK, while inhibition of cAMP efflux greatly attenuates Aox and Cpt1a expression. Importantly, cAMP injection improves lipid homeostasis in fasted mice and obese mice, while inhibition of cAMP efflux deteriorates hepatic steatosis in fasted mice. Collectively, our results demonstrate the vital role of glucagon-stimulated extracellular cAMP in the regulation of hepatic lipid metabolism through AMPK mediated PPARα activation. Therefore, strategies to improve cAMP efflux could serve as potential new tools to prevent obesity-associated hepatic steatosis.



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A fully integrated distance readout ELISA-Chip for point-of-care testing with sample-in-answer-out capability

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Dan Liu, Xingrui Li, Junkai Zhou, Shibo Liu, Tian Tian, Yanling Song, Zhi Zhu, Leiji Zhou, Tianhai Ji, Chaoyong Yang
Enzyme-linked immunosorbent assay (ELISA) is a popular laboratory technique for detection of disease-specific protein biomarkers with high specificity and sensitivity. However, ELISA requires labor-intensive and time-consuming procedures with skilled operators and spectroscopic instrumentation. Simplification of the procedures and miniaturization of the devices are crucial for ELISA-based point-of-care (POC) testing in resource-limited settings. Here, we present a fully integrated, instrument-free, low-cost and portable POC platform which integrates the process of ELISA and the distance readout into a single microfluidic chip. Based on manipulation using a permanent magnet, the process is initiated by moving magnetic beads with capture antibody through different aqueous phases containing ELISA reagents to form bead/antibody/antigen/antibody sandwich structure, and finally converts the molecular recognition signal into a highly sensitive distance readout for visual quantitative bioanalysis. Without additional equipment and complicated operations, our integrated ELISA-Chip with distance readout allows ultrasensitive quantitation of disease biomarkers within 2h. The ELISA-Chip method also showed high specificity, good precision and great accuracy. Furthermore, the ELISA-Chip system is highly applicable as a sandwich-based platform for the detection of a variety of protein biomarkers. With the advantages of visual analysis, easy operation, high sensitivity, and low cost, the integrated sample-in-answer-out ELISA-Chip with distance readout shows great potential for quantitative POCT in resource-limited settings.



http://ift.tt/2rhkMkt

Early-stage detection of VE-cadherin during endothelial differentiation of human mesenchymal stem cells using SPR biosensor

Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Farzaneh Fathi, Aysa Rezabakhsh, Reza Rahbarghazi, Mohammad-Reza Rashidi
Surface plasmon resonance (SPR) biosensors are most commonly applied for real-time dynamic analysis and measurement of interactions in bio-molecular studies and cell–surface analysis without the need for labeling processes. Up to present, SPR application in stem cell biology and biomedical sciences was underused. Herein, a very simple and sensitive method was developed to evaluate human mesenchymal stem cells trans-differentiation to endothelial lineage of over a period of 14 days based on VE-cadherin biomarker. The SPR signals increased with the increase of the amount of VE-cadherin expression on the cell surface during cell differentiation process. The method was able to detect ≈27 cells permm2. No significant effect was observed on the cell viability during the cell attachment to the surface of immune-reactive biochips and during the SPR analysis. Using this highly sensitive SPR method, it was possible to sense the early stage of endothelial differentiation on day 3 in label-free form, whereas flow cytometry and fluorescent microscopy methods were found unable to detect the cell differentiation at the same time. Therefore, the proposed method can rapidly and accurately detect cell differentiation in live cells and label-free manner without any need of cell breakage and has great potential for both diagnostic and experimental approaches.

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Healthy Aging Is Associated With Decreased Risk-Taking in Motor Decision-Making.

Author: Valsecchi, Matteo; Billino, Jutta; Gegenfurtner, Karl R.
DOI: 10.1037/xhp0000436
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Introspection of Subjective Feelings Is Sensitive and Specific.

Author: Questienne, Laurence; van Dijck, Jean-Philippe; Gevers, Wim
DOI: 10.1037/xhp0000437
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Decomposition of a Sensory Prediction Error Signal for Visuomotor Adaptation.

Author: Butcher, Peter A.; Taylor, Jordan A.
DOI: 10.1037/xhp0000440
Publication Date: POST AUTHOR CORRECTIONS, 15 May 2017


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Novel photoelectrochemical immunosensor for disease-related protein assisted by hemin/G-quadruplex-based DNAzyme on gold nanoparticles to enhance cathodic photocurrent on p-CuBi2O4 semiconductor

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Shuzhen Lv, Kangyao Zhang, Zhenzhen Lin, Dianping Tang
A novel p-type semiconductor material (p-CuBi2O4) is designed for the construction of split-type photoelectrochemical (PEC) immunosensor for alpha-fetoprotein (AFP) with the hemin assistant to enhance the cathodic photocurrent. Initially, the photocathode of PEC immunosensor is fabricated by p-CuBi2O4 on a layer of gold nanoparticles (AuNPs, as a front contact of p-CuBi2O4) to enhance the efficiency of charge separation. In the presence of target AFP, a sandwich-type immunoreaction was carried out in capture antibody-coated microplate by using detection antibody and hemin-based G-quadruplex (labeled on the AuNP) as the signal probe. Upon exonuclease I (Exo I) introduction, the enzyme digested the hemin/G-quadruplex-based DNAzyme to release the hemin[Fe(III)], which captured the generated electrons of p-CuBi2O4-based photocathode to enhance photocurrent via the reduction of hemin[Fe(III)] to hemin[Fe(II)] in PEC detection system. Under the optimal conditions, the split-type photocathodic immunosensor showed a wide linear dynamic range from 50pgmL−1 to 20ngmL−1 at a limit of detection (LOD) of 14.7pgmL−1 toward target AFP. Moreover, the PEC immunosensor also displayed high specificity and good reproducibility. Favorably, method accuracy was evaluated to analyze human serum specimens, and gave matched-well results in comparison with commercially available enzyme-linked immunosorbent assay (ELISA) method.



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Photoelectrochemical sensitive detection of insulin based on CdS/polydopamine co-sensitized WO3 nanorod and signal amplification of carbon nanotubes@polydopamine

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Rongyu Wang, Hongmin Ma, Yong Zhang, Qi Wang, Zhongping Yang, Bin Du, Dan Wu, Qin Wei
An ultrasensitive photoelectrochemical sandwich immunosensor was designed for detection of insulin based on WO3/CdS/polydopamine (WO3/CdS/PDA) co-sensitized and PDA@carbon nanotubes (PDA@CNT) conjugates for signal amplification. The CdS nanoparticles were first deposited on the WO3 nanorods via sequential chemical bath deposition to form the WO3/CdS structure to enhance photocurrent. Then equipped with PDA to form the WO3/CdS/PDA photosensitive structure. The PDA was used not only to reduce the toxicity of CdS but also adsorb insulin primary antibodies (Ab1). Meanwhile, insulin secondary antibodies (Ab2) were decorated by PDA@CNT conjugates for signal amplification and further enhance photocurrent. Different photocurrent intensities were obtained by the photoelectrochemical workstation at applied bias of 0V due to the different amount of the PDA@CNT conjugates introduced by the different concentrations of insulin. A good linear relationship was obtained between the increased photocurrent and insulin concentrations range from 0.01ngmL−1 to 50ngmL−1. And a detection limit of 2.8pgmL−1 was obtained. The proposed sensor was applied to the determination of the insulin in human serum sample, and satisfactory results were obtained. The sensor presented good specificity, reproducibility and stability, thus it might find application in the clinical diagnosis of insulin or other biomarkers in the near future.



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An amplified comparative fluorescence resonance energy transfer immunosensing of CA125 tumor marker and ovarian cancer cells using green and economic carbon dots for bio-applications in labeling, imaging and sensing

Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Somayeh Hamd-Ghadareh, Abdollah Salimi, Fardin Fathi, Saman Bahrami
CA125, is a marker in the clinical diagnosis of several cancers and currently is the best serum-based tumor marker for ovarian cancer. Here, we developed an ultrasensitive antibody-ssDNA aptamer sandwich-type fluorescence immunosensor for CA125 detection. Based on a novel signal amplification strategy the carbon dots (CDs) functionalized with aptamer (CD-aptamer) used as detection probe and PAMAM-Dendrimers/AuNPs was used for covalent attachment of CA125-antibody and completing the sandwich assay method. By measuring of fluorescence resonance energy transfer (FRET) signals between CDs and AuNPs as nanoquenchers, the fluorescence signal quenched during sandwich complex formed between anti-CA125, CA125 and CDs-Aptamer and decreasing of fluorescence response signal is related to CA125 concentrations. Under optimal conditions, the immunosensor exhibited an extremely low calculated detection limit of 0.5fg/mL with wide linear range 1.0fg/mL to 1.0ng/mL of CA 125. The application of the immunosensor for CA125 detection in serum samples and measuring of ovarian-cancer cells was also investigated. The immunosensor revealed good sensitivity and specificity with ovarian cell concentrations from 2.5×103 to 2×104cells/mL with correlation coefficient of 0.9937 and detection limit of 400cells/mL (4 cell in 10μL), indicating potential application of immunosensor in clinical monitoring of tumor biomarkers. Furthermore, the cell viability was not changed upon treatment with CDs probe during 24h, showing the low cytotoxicity of the probe. More importantly, CDs-antibody hybrid was achieved in selective imaging of the cancer cells over the OVCAR-3 line cells, implying its potential applications in biosensing, as well as in cancer diagnosis.

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Highly-sensitive aptasensor based on fluorescence resonance energy transfer between l-cysteine capped ZnS quantum dots and graphene oxide sheets for the determination of edifenphos fungicide

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Majid Arvand, Aazam A. Mirroshandel
With the advantages of excellent optical properties and biocompatibility, single-strand DNA-functionalized quantum dots have been widely applied in biosensing and bioimaging. A new aptasensor with easy operation, high sensitivity, and high selectivity was developed by immobilizing the aptamer on water soluble l-cysteine capped ZnS quantum dots (QDs). Graphene oxide (GO) sheets are mixed with the aptamer-QDs. Consequently, the aptamer-conjugated QDs bind to the GO sheets to form a GO/aptamer-QDs ensemble. This aptasensor enables the energy transfer based on a fluorescence resonance energy transfer (FRET) from the QDs to the GO sheets, quenching the fluorescence of QDs. The GO/aptamer-QDs ensemble assay acts as a "turn-on'' fluorescent sensor for edifenphos (EDI) detection. When GO was replaced by EDI, the fluorescence of QDs was restored and its intensity was proportional to the EDI concentration. This GO-based aptasensor under the optimum conditions exhibited excellent analytical performance for EDI determination, ranging from 5×10−4 to 6×10−3mg L−1 with the detection limit of 1.3×10−4mgL−1. Furthermore, the designed aptasensor exhibited excellent selectivity toward EDI compared to other pesticides and herbicides with similar structures such as diazinon, heptachlor, endrin, dieldrin, butachlor and chlordane. Good reproducibility and precision (RSD =3.9%, n =10) of the assay indicates the high potential of the aptasensor for quantitative trace analysis of EDI. Moreover, the results demonstrate the applicability of the aptasensor for monitoring EDI fungicide in spiked real samples.



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Absolute quantification of DNA methylation using microfluidic chip-based digital PCR

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Zhenhua Wu, Yanan Bai, Zule Cheng, Fangming Liu, Ping Wang, Dawei Yang, Gang Li, Qinghui Jin, Hongju Mao, Jianlong Zhao
Hypermethylation of CpG islands in the promoter region of many tumor suppressor genes downregulates their expression and in a result promotes tumorigenesis. Therefore, detection of DNA methylation status is a convenient diagnostic tool for cancer detection. Here, we reported a novel method for the integrative detection of methylation by the microfluidic chip-based digital PCR. This method relies on methylation-sensitive restriction enzyme HpaII, which cleaves the unmethylated DNA strands while keeping the methylated ones intact. After HpaII treatment, the DNA methylation level is determined quantitatively by the microfluidic chip-based digital PCR with the lower limit of detection equal to 0.52%. To validate the applicability of this method, promoter methylation of two tumor suppressor genes (PCDHGB6 and HOXA9) was tested in 10 samples of early stage lung adenocarcinoma and their adjacent non-tumorous tissues. The consistency was observed in the analysis of these samples using our method and a conventional bisulfite pyrosequencing. Combining high sensitivity and low cost, the microfluidic chip-based digital PCR method might provide a promising alternative for the detection of DNA methylation and early diagnosis of epigenetics-related diseases.



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Sensitive sulfide ion detection by optofluidic catalytic laser using horseradish peroxidase (HRP) enzyme

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Publication date: 15 October 2017
Source:Biosensors and Bioelectronics, Volume 96
Author(s): Chaoyang Gong, Yuan Gong, Maung Kyaw Khaing Oo, Yu Wu, Yunjiang Rao, Xiaotian Tan, Xudong Fan
We report an optofluidic catalytic laser for sensitive sulfide ion detection. In the catalytic reaction, horseradish peroxidase (HRP) enzyme is used for catalyzing the non-fluorescent substrate, 10-Acetyl-3,7-dihydroxyphenox-azine (ADHP), to produce highly fluorescent resorufin, which was used as gain medium for lasing. Using sulfide ions as inhibitors, the catalytic reaction slows down, resulting in a delay in the lasing onset time, which is used as the sensing signal. The sensing mechanism of the catalytic laser is theoretically analyzed and the performance is experimentally characterized. Sulfide anion is chosen as a model ion because of its broad adverse impacts on both environment and human health. Due to the optical feedback provided by the laser, the small difference in the sulfide ion concentration can be amplified. Consequently, a detection limit of 10nM is achieved with a dynamic range as large as three orders of magnitude, representing significant improvement over the traditional fluorescence and colorimetric methods. This work will open a door to a new catalytic-laser-based chemical sensing platform for detecting a wide range of species that could inhibit the catalytic reaction.



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Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii; +17 new citations

17 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

These pubmed results were generated on 2017/05/17

PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.



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Interventional Audiology to Address Hearing Health Care Disparities: Oyendo Bien Pilot Study

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Semin Hear 2017; 38: 198-211
DOI: 10.1055/s-0037-1601575

Interventional audiology, specifically community-based outreach, can connect people with the hearing health care system. Community-based participatory research methods were applied in two phases of research to: (1) investigate the needs of families affected by hearing loss in a rural Arizona community on the U.S.–Mexico border; and (2) evaluate an outreach program on hearing health. The needs assessment included interviews with persons with hearing loss and focus groups with family members and the greater community. The needs assessment revealed that despite perceived severity of hearing loss, help-seeking for audiologic care was limited due to barriers, stigma, and low self-efficacy. Results informed development of a community-based pilot study conducted as part of an academic-community partnership between audiology, public health, and community health workers of a federally qualified health center. An outreach program, Oyendo Bien (hearing wellness), a 5-week, Spanish-language health education program for older adults (n = 21) incorporated communication strategies and behavioral change techniques. Postprogram focus groups revealed increased self-efficacy and decreased stigma. After 1 year, 7 of 9 participants with hearing loss contacted for follow-up had sought some form of hearing-related health care. Future research should further investigate interventional audiology approaches to address health disparities.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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Interventional Audiology: Moving from Concept to Clinical Practice

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Semin Hear 2017; 38: 151-152
DOI: 10.1055/s-0037-1601569



Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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Enhancing Communication in Adults with Dementia and Age-Related Hearing Loss

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Semin Hear 2017; 38: 177-183
DOI: 10.1055/s-0037-1601573

For many adults with dementia, age-related hearing loss is undiagnosed and/or untreated. Untreated hearing loss can exacerbate common dementia-related behavioral symptoms, such as depression, apathy, agitation. Despite the potential benefits to the individual and the family, pursuing and adopting hearing aids for persons with dementia presents with many challenges. As such, this group of vulnerable older adults is well suited for alternative approaches that adopt an interventional audiology framework. This article reviews alternative hearing care models that we have tested when working with older adults with cognitive impairments. We have found that some individuals show improvements in dementia-related problem behaviors and/or in measures of social engagement after brief aural rehabilitation interventions that provide non-custom amplification. We have developed simple training materials to help family and professional caregivers use communication strategies and non-custom amplification. Providing services that can be integrated into the person's broader dementia care has the potential to improve communication and quality of life for individuals and families. There are opportunities in this population to provide basic, simple strategies and make substantial improvements as long as we adopt approaches that bring the services to the people, instead of bringing the people to us in the audiology clinic.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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Hearing and Health Outcomes: Recognizing and Addressing Hearing Loss in Hospitalized Older Adults

Semin Hear 2017; 38: 153-159
DOI: 10.1055/s-0037-1601570

As age increases, the prevalence of hearing loss significantly increases, reaching up to 89% of those 80 years and older. Hearing loss in older patients is often unrecognized and its consequences are often underappreciated. Hearing loss can interfere with the ability to exchange important health information and to participate in health care decision-making. Hearing loss during hospitalization increases the risk of misdiagnosis. There is a lack of empirical data regarding prevalence and recognition of hearing loss in hospitalized older adults. In this article, we describe a variety of negative outcomes that may result when older inpatients are functioning with unrecognized hearing loss.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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The Role of Audiology in an Outpatient Interdisciplinary Post-Trauma Clinic

Semin Hear 2017; 38: 169-176
DOI: 10.1055/s-0037-1601572

Patients in the process of recovering from severe bodily injury will encounter several barriers to effective treatment. When present, untreated hearing loss can create additional obstacles in a process that is already difficult. This article describes an outpatient post-trauma clinic associated with a tertiary care hospital trauma unit that consolidates rehabilitation resources 2 weeks after inpatient discharge to help these patients on their path to recovery. The role of audiology in the interdisciplinary clinic is described and data related to services are presented. Some practical tips for implementation of audiologic services in this type of environment are provided.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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The Effect of Outpatient Interventional Audiology on Inpatient Audiology Services

Semin Hear 2017; 38: 160-168
DOI: 10.1055/s-0037-1601571

Although older adults are likely to experience some degree of hearing loss that if untreated will interfere with treatment for other disorders and result in less-than-optimal health care outcomes, health care providers do not have a reliable and cost-effective way to identify these individuals when admitted to a hospital for inpatient care. This article addresses the impact of untreated hearing loss on health care in a hospital setting and shares how the implementation of interventional audiology in an outpatient clinic has impacted the inpatient audiology services provided at a large tertiary care hospital. A discussion of how these services can be further expanded is provided.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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HearCARE: Hearing and Communication Assistance for Resident Engagement

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Semin Hear 2017; 38: 184-197
DOI: 10.1055/s-0037-1601574

Impaired hearing is related to poor health outcomes, including compromised cognitive function, in aging individuals. Hearing loss is the third most common chronic health condition after arthritis and heart disease in older adults and the fourth most detrimental condition related to quality of life in older adults. Only 18% of aging adults who have impactful hearing loss actually use custom-fit amplification. Therefore, the majority of aging individuals entering senior living facilities will have untreated hearing loss. Older adults move to senior communities to maintain or increase their social engagement, to receive care from qualified staff, and to ultimately enhance their quality of life. We know that the majority of individuals over 65 years of age have significant hearing loss, which leaves them with complex listening needs due to low incidence of hearing aid use, group communication situations that are common for social activities, interactive dining environments, and the need for telephone use to connect with loved ones. Busy staff and family members may not be aware of the impact of decreased hearing on quality of life, as well as caregiver burden. HearCARE (Hearing and Communication Assistance for Resident Engagement) is an initiative to provide communication assistance on a day-to-day basis in senior living facilities in a cost-effective manner. This innovative model for delivering audiology services and communication assistance in senior living communities employing communication facilitators who are trained and supervised by an audiologist will be described. Data related to the communication facilitator training, daily activities, interactions with the audiologist, use of devices, and impact on residents, staff, and families will be described.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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A Hearing Loss Prevention Outreach Program for Farmers and Motorsports Enthusiasts

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Semin Hear 2017; 38: 212-222
DOI: 10.1055/s-0037-1601576

Many farmers and motorsports enthusiasts in rural areas attend tractor pulls, which are loud motorsport competitions using tractors and trucks with powerful, modified engines. The high noise levels experienced by farmers and motorsports fans in their recreational and occupational activities are not addressed by traditional hearing conservation programs. The University of Wisconsin–Madison audiology group has established an annual hearing loss prevention outreach project at the Dairyland Super National Truck and Tractor Pull in Tomah, Wisconsin. The objectives of the outreach are to provide hearing protection to those at the tractor pull, to document tractor pull noise levels, and to encourage tractor pull attendees to use hearing protection at work and in their other recreational activities. This study establishes that hearing loss prevention outreach at tractor pulls is necessary due to the high noise levels during the competitions. The number of earplugs distributed and the percentage of individuals who accept them indicates that this outreach is effective in the short term. It is yet to be determined if this type of hearing loss prevention project can create long-term shifts in cultural attitudes about rural noise and lead to increased hearing protection usage in the occupational and recreational lives of tractor pull attendees.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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Self-Assessment Questions

Semin Hear 2017; 38: C1-C8
DOI: 10.1055/s-0037-1601855



Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

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Masthead



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A Systematic Review of Isometric Lingual Strength-Training Programs in Adults With and Without Dysphagia

Purpose
This systematic review summarizes the effects of isometric lingual strength training on lingual strength and swallow function in adult populations. Furthermore, it evaluates the designs of the reviewed studies and identifies areas of future research in isometric lingual strength training for dysphagia remediation.
Method
A comprehensive literature search of 3 databases and additional backward citation search identified 10 studies for inclusion in the review. The review reports and discusses the isometric-exercise intervention protocols, pre- and postintervention lingual-pressure data (maximum peak pressures and lingual-palatal pressures during swallowing), and oropharyngeal swallowing measures such as penetration-aspiration scales, oropharyngeal residue and duration, lingual volumes, and quality-of-life assessments.
Results
Studies reported gains in maximum peak lingual pressures following isometric lingual strength training for both healthy adults and select groups of individuals with dysphagia. However, due to the variability in study designs, it remains unclear whether strength gains generalize to swallow function.
Conclusion
Although isometric lingual strength training is a promising intervention for oropharyngeal dysphagia, the current literature is too variable to confidently report specific therapeutic benefits. Future investigations should target homogenous patient populations and use randomized controlled trials to determine the efficacy of this treatment for individuals with dysphagia.

http://ift.tt/2mJZ2ei

Consonant Acquisition in Young Cochlear Implant Recipients and Their Typically Developing Peers

Purpose
Consonant acquisition was examined in 13 young cochlear implant (CI) recipients and 11 typically developing (TD) children.
Method
A longitudinal research design was implemented to determine the rate and nature of consonant acquisition during the first 2 years of robust hearing experience. Twenty-minute adult–child (typically a parent) interactions were video and audio recorded at 3-month intervals following implantation until 24 months of robust hearing experience was achieved. TD children were similarly recorded between 6 and 24 months of age. Consonants that were produced twice within a 50-utterance sample were considered "established" within a child's consonant inventory.
Results
Although the groups showed similar trajectories, the CI group produced larger consonant inventories than the TD group at each interval except for 21 and 24 months. A majority of children with CIs also showed more rapid acquisition of consonants and more diverse consonant inventories than TD children.
Conclusions
These results suggest that early auditory deprivation does not significantly affect consonant acquisition for most CI recipients. Tracking early consonant development appears to be a useful way to assess the effectiveness of cochlear implantation in young recipients.

http://ift.tt/2qKDJYQ

Maintenance of Social Anxiety in Stuttering: A Cognitive-Behavioral Model

Purpose
Stuttering is a speech disorder frequently accompanied by anxiety in social-evaluative situations. A growing body of research has confirmed a significant rate of social anxiety disorder among adults who stutter. Social anxiety disorder is a chronic and disabling anxiety disorder associated with substantial life impairment. Several influential models have described cognitive-behavioral factors that contribute to the maintenance of social anxiety in nonstuttering populations. The purpose of the present article is to apply these leading models to the experience of social anxiety for people who stutter.
Method
Components from existing models were applied to stuttering in order to determine cognitive-behavioral processes that occur before, during, and after social-evaluative situations, which may increase the likelihood of stuttering-related social fears persisting.
Results
Maintenance of social anxiety in stuttering may be influenced by a host of interrelated factors, including fear of negative evaluation, negative social-evaluative cognitions, attentional biases, self-focused attention, safety behaviors, and anticipatory and postevent processing.
Conclusion
Given the chronic nature of social anxiety disorder, identifying factors that contribute to the persistence of stuttering-related social fears has the potential to inform clinical practice and the development of psychological treatment programs to address the speech and psychological needs of people who stutter with social anxiety.

http://ift.tt/2nIHf84

Observed and Parent-Report Measures of Social Communication in Toddlers With and Without Autism Spectrum Disorder Across Race/Ethnicity

Purpose
This study investigated whether measures of early social communication vary among young children of diverse racial/ethnic status with and without autism spectrum disorder (ASD).
Method
Participants were 364 toddlers between ages 18 and 36 months with a diagnosis of ASD confirmed (n = 195) or ruled out (n = 169), from 3 racial/ethnic categories: non-Hispanic White (n = 226), non-Hispanic Black (n = 74), and Hispanic (n = 64). Group differences in social communication were examined using an observational measure—the Communication and Symbolic Behavior Scales Behavior Sample (CSBS-BS; Wetherby & Prizant, 2002)—and a parent-report measure, the Early Screening for Autism and Communication Disorders (Wetherby, Woods, & Lord, 2007).
Results
Controlling for maternal education, children with ASD scored significantly lower on the CSBS-BS than children without, indicating poorer social communication skills, and higher on the Early Screening for Autism and Communication Disorders, indicating more ASD features. Racial/ethnic groups did not differ on 6 CSBS-BS clusters, but Non-Hispanic White toddlers scored significantly higher than both other groups on the Understanding cluster. There were no significant Diagnosis × Race/Ethnicity interactions.
Conclusion
These findings indicate good agreement between observed and parent-report measures in this sample. Results suggest that the CSBS-BS and Early Screening for Autism and Communication Disorders could be viable tools in the detection process for toddlers with ASD in these racial/ethnic groups.

http://ift.tt/2nVyKTl

Employer Reactions to Adductor Spasmodic Dysphonia: Exploring the Influence of Symptom Severity and Disclosure of Diagnosis During a Simulated Telephone Interview

Purpose
The purpose of this study was to determine the influence of symptom severity and disclosure of adductor spasmodic dysphonia (ADSD) on the perceptions of human resource personnel members (HRPs) during a simulated phone interview.
Method
One female speaker with ADSD was recorded reading an interview script at two time points: (a) pre-BOTOX injection (severe), and (b) post-BOTOX injection (mild). Thirty-two HRPs evaluated the recording in one of the two conditions via a qualitative structured interview. HRPs gave their recommendations regarding when and how to disclose ADSD.
Results
In the mild condition, no HRP perceived that the applicant had a voice disorder. Disclosure was not recommended as often, as an impairment was not initially noticed. However, 15/16 HRPs commented on the applicant's voice in the severe condition, with most suspecting she was a smoker or had lung/throat cancer. Disclosure in the severe condition was recommended more often, as it clarified symptoms that were noted at the outset.
Conclusions
Symptom severity in ADSD influences employer perceptions during the phone interview process. Incorrect assumptions may be made about applicants with severe symptoms, and apparentness of symptoms influences whether or not disclosure is recommended. Results have implications for counseling individuals with ADSD who are navigating the job interview process.

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Addressing the Communication and Other Needs of Persons With Severe Disabilities Through Engaged Interprofessional Teams: Introduction to a Clinical Forum

Purpose
Interprofessional collaborative practice (IPCP) is introduced as a viable and preferred clinical methodology for speech-language pathologists and others serving persons with severe disabilities. Contributions to this clinical forum dedicated to IPCP and severe disabilities are described.
Method
This clinical focus article introduces IPCP and reviews literature specific to its origins and effectiveness, defines severe disabilities, and proposes IPCP as a vital tenet in effective communication-related and other service delivery for this population.
Conclusion
IPCP is supported as a recommended practice methodology for speech-language pathologists and other team members providing services to persons with severe disabilities.

http://ift.tt/2pVgZWc

The Effect of Information and Severity on Perception of Speakers With Adductor Spasmodic Dysphonia

Purpose
The purpose of this study was to examine the effect of severity of adductor spasmodic dysphonia (ADSD) and information about it on unfamiliar listeners' attitudes about speakers' personal characteristics, perceived vocal effort, and listener comfort on the basis of ratings of speech recordings.
Method
Fifteen women with ADSD and 5 controls provided speech samples. Forty-five unfamiliar listeners were randomized into 3 groups. Listeners in Group 1 received no information, listeners in Group 2 were told that some speakers had voice disorders or had no voice concerns, and listeners in Group 3 were provided diagnostic labels for each speaker and information about ADSD. Listeners then rated speech samples for attitudes, perceived vocal effort, and listener comfort.
Results
Speakers with ADSD were judged significantly worse than controls for attitudes related to "social desirability" and "intellect." There was no effect of severity on "personality" attributes. However, provision of a diagnostic label resulted in significantly more favorable personality ratings than when no label was provided. Perceived vocal effort and comfort became significantly more negative as ADSD severity increased. Finally, most listener ratings were unaffected by provision of additional information about ADSD.
Conclusions
Listeners' perceptions about speakers with ADSD are difficult to change. Directions for counseling and public education need future study.

http://ift.tt/2lcMm04

Effective Team Practices: Interprofessional Contributions to Communication Issues With a Parent's Perspective

Purpose
This clinical focus article contains a detailed description of how to build effective teams that use interprofessional collaborative practice (IPCP) with special-education professionals, speech-language pathologists, and families of children with severe disabilities.
Method
This clinical focus article provides information on using the essential elements of team building and IPCP to provide quality care to families who have children with severe disabilities. The 6 essential elements for team building are described, with suggestions for including families in each: goal-setting, roles and responsibilities, effective and efficient process, communication and interpersonal relationships, collaborative problem solving, and evaluation. The 4 competency domains of IPCP are embedded into each of the team-building elements to demonstrate how teams can implement IPCP.
Results
A case study illustrates the difficulty one parent experienced working with a team across the 6 essential team-building elements when seeking communication services for her child with severe disabilities.
Conclusions
Building teams with IPCP can be effective for including families and creating high-quality outcomes for individuals with severe disabilities.

http://ift.tt/2pVurZX

Comprehensive Literacy Instruction, Interprofessional Collaborative Practice, and Students With Severe Disabilities

Purpose
The purpose of this clinical focus article is to briefly describe comprehensive emergent and conventional literacy instruction for students with severe disabilities. Specific attention is given to interprofessional collaborative practice and the roles of team members in planning and delivering instruction.
Method
A rationale for the delivery of comprehensive instruction that balances skill and meaning emphases is provided with reference to new college and career readiness standards, the literature on literacy acquisition for students without disabilities, and, when possible, the literature on literacy acquisition for students with severe disabilities. Specific instructional approaches are presented to demonstrate how teams can actively engage students with severe disabilities in instruction that is collaborative, participatory, and interactive.
Results/Conclusions
Successful provision of comprehensive literacy instruction that allows students with severe disabilities to achieve conventional literacy takes time and the efforts of a collaborative interprofessional team. Speech-language pathologists play a critical role on these teams as they ensure that students with severe disabilities have the language and communication supports they need to be successful.

http://ift.tt/2pVqvZr

The Trifocus Framework and Interprofessional Collaborative Practice in Severe Disabilities

Purpose
Individuals with severe disabilities are a diverse group of learners with complex communication needs. This article presents a synthesis of the literature addressing the five strategies of the trifocus framework, with its triadic structure of learner with disability, communication partner, and environment. The application of interprofessional collaborative practice (IPCP) to the implementation of trifocus framework communication strategies is emphasized.
Method
A literature search was conducted using Google Scholar and EBSCO to identify literature and research studies on IPCP and communication intervention for learners with severe disabilities, published 1994–2015, and then organized within the trifocus framework. The trifocus strategies are enhancing sensitivity, utilizing routines, increasing communication opportunities, modifying the communication environment, and augmenting input. Studies that included at least one participant with severe disabilities and their communication partners were considered. A secondary search was then conducted by reviewing the articles referenced in the original articles.
Conclusion
Effective IPCP in communication intervention considers the learner's characteristics, the knowledge and skills required of communication partners, and effective environmental arrangements to support communication. Future research should include clear participant descriptions, documentation of fidelity measures, and evidence of generalization to support professionals to know when findings are relevant to the individuals they serve.

http://ift.tt/2pVNLpP

Longitudinal Impacts of Print-Focused Read-Alouds for Children With Language Impairment

Purpose
Preschoolers with language impairment (LI) are prime candidates for early-literacy interventions, given their susceptibility for future reading difficulties. To date, most studies of early-literacy interventions for this population has assessed short-term impacts, with limited attention to whether initial effects are sustained over time. This study was designed to evaluate longitudinal impacts of print-focused read-alouds implemented by early childhood special education teachers for a clinic sample of children with LI.
Method
Assessment data available for 172 children with LI were analyzed to examine their print knowledge 1-year postintervention. Measures examined children's alphabet knowledge, print concepts, and name-writing skills, which were used to derive a print-knowledge composite.
Results
Results of hierarchical linear models examining children's print knowledge at 1-year postintervention showed that the effect size (d = 0.20) favoring the treatment group was similar to that observed one year prior (d = 0.21) at the end of intervention, suggesting that results did not fade over time. Results also showed that children with LI and comorbid low nonverbal cognition benefited the most from the intervention delivered 1 year earlier.
Conclusion
The maintenance of short-term effects to 1-year postintervention supports the value of early childhood teachers using print-focused read-alouds to improve the early-literacy skills of children with LI in their classrooms.

http://ift.tt/2oS84Vi

Investigating the Adequacy of Intervention Descriptions in Recent Speech-Language Pathology Literature: Is Evidence From Randomized Trials Useable?

Purpose
To evaluate the completeness of intervention descriptions in recent randomized controlled trials of speech-language pathology treatments.
Method
A consecutive sample of entries on the speechBITE database yielded 129 articles and 162 interventions. Interventions were rated using the Template for Intervention Description and Replication (TIDieR) checklist. Rating occurred at 3 stages: interventions as published in the primary article, secondary locations referred to by the article (e.g., protocol papers, websites), and contact with corresponding authors.
Results
No interventions were completely described in primary publications or after analyzing information from secondary locations. After information was added from correspondence with authors, a total of 28% of interventions was rated as complete. The intervention elements with the most information missing in the primary publications were tailoring and modification of interventions (in 25% and 13% of articles, respectively) and intervention materials and where they could be accessed (18%). Elements that were adequately described in most articles were intervention names (in 100% of articles); rationale (96%); and details of the frequency, session duration, and length of interventions (69%).
Conclusions
Clinicians and researchers are restricted in the usability of evidence from speech-language pathology randomized trials because of poor reporting of elements essential to the replication of interventions.

http://ift.tt/2pPtGm6

Fear of Negative Evaluation, Trait Anxiety, and Judgment Bias in Adults who Stutter

Purpose
Persons who stutter (PWS) and those with social anxiety disorder may exhibit fear of negative evaluation (FNE) and anxiety in social situations. However, the information processing biases that perpetuate these characteristics have had limited investigation. This study investigated judgment bias in social situations.
Method
Participants included 50 adults who stutter and 45 age- and gender-matched fluent persons who do not stutter (PWNS), who made up the control group. Participants completed the Interpretation and Judgmental Questionnaire (Voncken, Bögels, & deVries, 2003), and threat scores were calculated.
Results
There were no significant differences between PWS and PWNS in social threat or nonsocial threat scores. When the PWS group was divided on the basis of FNE and compared with PWNS participants without heightened anxiety (n = 35), the PWS with high FNE had significantly higher total social threat scores than the PWS with low FNE. The three groups did not differ in threat ratings for ambiguous or profoundly negative social situations.
Conclusions
Judgment bias in PWS is mediated by the magnitude of FNE present; not all PWS exhibit judgment bias for social situations. Treatment implications include the need for psychosocial support addressing the negative impacts on quality of life and restrictions on social engagement that stuttering may cause in some individuals.

http://ift.tt/2pPsL4Q

Cotreatment as a Vehicle for Interprofessional Collaborative Practice: Physical Therapists and Speech-Language Pathologists Collaborating in the Care of Children With Severe Disabilities

Purpose
This article defines interprofessional collaborative practice and links its key features with accepted practice conceptualizations of physical therapy. Cotreatment with speech-language pathology is described as a vehicle for interprofessional collaborative practice for children with severe disabilities.
Method
The article reviews the International Classification of Functioning, Disability, and Health (WHO, 2015) and the Hypothesis-Oriented Algorithm for Clinicians II (Rothstein, Echternach, & Riddle, 2003) as existing service-delivery frameworks in physical therapy and discusses how interprofessional collaborative practice between speech-language pathologists and physical therapists can be useful within these practice guidelines.
Results
A case illustration featuring interprofessional collaborative practice during cotreatment for a child with severe disabilities through physical therapy and speech-language pathology showed more seamless care and better progress in the pursuit of three main goals: physical movement, communication of needs, and participation in classroom activities.
Conclusions
Interprofessional collaborative practice is supported as a recommended practice methodology for physical therapists and speech-language pathologists serving persons with severe disabilities.

http://ift.tt/2rh2Fen

Assessing the Amount of Spontaneous Real-World Spoken Language in Aphasia: Validation of Two Methods

Purpose
The purpose of this article is to present the results of a study evaluating the psychometric properties of 2 new measures that exclusively assess the amount of real-world spoken language in patients with aphasia.
Method
Forty individuals with aphasia were evaluated on several measures of spoken language in real-world settings. The Verbal Activity Log (VAL; Johnson et al., 2014) has participants, aided by caregivers, indicate current amount and quality of real-world spoken language compared with before stroke. In addition, digital voice recorders objectively measured the amount of real-world spoken language. The Communicative Effectiveness Index (Lomas et al., 1989), a previously validated measure of functional communication, was used as a comparison measure. Nineteen participants received follow-up assessment ≥ 3 weeks later.
Results
Validity was supported by Pearson correlations between spoken language recordings and the VAL, r(38) = .70, p .001. Likewise, correlation with the Communicative Effectiveness Index was strong, r(38) = .73, p .001. Test–retest reliability for both VAL and audio recording was high, with intraclass correlations ≥ .96 and .90, respectively.
Conclusions
These results present preliminary evidence for the reliability and validity of the VAL and spoken language recording for assessment of the amount of real-world spoken language in aphasia. As a simple patient-reported outcome, the VAL may assist diverse therapies for aphasia.

http://ift.tt/2oegNAI

Mary's Case: An Illustration of Interprofessional Collaborative Practice for a Child With Severe Disabilities

Purpose
The principles of interprofessional collaborative practice (IPCP) are illustrated through the case of Mary, a child with severe disabilities.
Method
Mary's experiences from early childhood to young adulthood are highlighted by both optimal and less-than-ideal examples of clinical services and collaborative practice. The range of collaboration illustrates potential variations in service delivery. Thematic comments and resources are provided by professionals experienced with and committed to IPCP who represent the following four disciplines: occupational therapy, physical therapy, special education, and speech-language pathology.
Conclusions
Although potentially challenging, IPCP is a dynamic practice methodology appropriate for speech-language pathologists and others serving persons with severe disabilities.

http://ift.tt/2rgZt2l

Language Development in Children With Cleft Palate With or Without Cleft Lip Adopted From Non–English-Speaking Countries

Purpose
The purpose of this study was to determine whether language skills differed between children with cleft palate or cleft lip and palate (CP±CL) who were adopted into an English-speaking home from a non–English-speaking country (late English exposure [LE]) and children with CP±CL raised from birth in an English-speaking home (early English exposure [EE]).
Method
Children (51 LE, 67 EE), ages 3;0 (years;months) to 9;0, completed the Clinical Evaluation of Language Fundamentals (CELF), Preschool Second Edition or Fourth Edition. Linear regression analysis was used to assess the impact of age of adoption and time in an English-speaking home on language skills, as measured by the CELF-P2 and CELF-4.
Results
Children with CP±CL who were adopted scored less well on all language indices, with mean adjusted differences between LE and EE children ranging from 0.4 to 0.7 SD on the CELF index scales. Only 53% of the EE children and 57% of the LE children obtained scores above 90 on all indices. For LE children, younger age at adoption was associated with better language skills.
Conclusion
CP±CL increases risk for language delay, with the highest risk for LE children. LE children with CP±CL should receive language services soon after adoption.

http://ift.tt/2nnTx5a

Comparing the Effects of Speech-Generating Device Display Organization on Symbol Comprehension and Use by Three Children With Developmental Delays

Purpose
Three children ages 3;6 to 5;3 with developmental and language delays were provided experience with a traditional grid-based display and a contextually organized visual scene display on a speech-generating device to illustrate considerations for practice and future research in augmentative and alternative communication assessment and intervention.
Method
Twelve symbols were taught in a grid display and visual scene display using aided input during dramatic play routines. Teaching sessions were 30 minutes a day, 5 days a week for 3 weeks. Symbol comprehension and use was assessed pre and post 3 weeks of experience.
Results
Comprehension of symbol vocabulary on both displays increased after 3 weeks of experience. Participants 1 and 2 used both displays largely for initiation. Participant 3 had limited expressive use of either display.
Conclusions
The methods used in this study demonstrate one way to inform individual differences in learning and preference for speech-generating device displays when making clinical decisions regarding augmentative and alternative communication supports for a child and their family. Future research should systematically examine the role of extant comprehension, symbol experience, functional communication needs, and the role of vocabulary type in the learning and use of grid displays versus visual scene displays.

http://ift.tt/2lPGFjX

Exploring Expressive Communication Skills in a Cross-Sectional Sample of Children and Young Adults With Angelman Syndrome

Purpose
This study explores data on expressive communication skills of 300 individuals aged 0.0–21.11 years with Angelman syndrome (AS). These data provide a composite portrait of communication skills in a large sample of children and young adults with this rare disorder, specifying new detailed information about expressive communication.
Method
The database associated with the Communication Matrix assessment (Rowland, 2004, 2011; Rowland & Fried-Oken, 2010) was mined for data regarding individuals with AS. We extracted data on the reasons for communicating, level of communication achieved, and use of various expressive communication modes to convey 24 specific messages. The performance of children and young adults in 5 age groups in the cross-sectional sample were contrasted.
Results
Results confirmed earlier studies showing that few individuals with AS use natural speech. However, in addition to using presymbolic modes, many children used alternative symbolic modes such as picture symbols, object symbols, and manual signs. Assessment scores increased slightly with age, F(4, 295) = 2.416, p = .049.
Conclusions
Aggregating data on a large sample of individuals with AS provides a reference point for practitioners and family members and a basis for future investigations.

http://ift.tt/2o37hko

Evidence that eating baked egg or milk influences egg or milk allergy resolution: a systematic review

Summary

Background

It has been proposed that the frequent ingestion of baked hen's egg or cow's milk accelerates the resolution of hen's egg or cow's milk allergy. This practice is being introduced into clinical practice.

Objective

To systematically review the evidence to determine whether the introduction of baked hen's egg or cow's milk into the diet of children with hen's egg or cow's milk allergies respectively leads to a larger proportion of children outgrowing these allergies than expected.

Methods

A systematic review of the literature was conducted in Medline, Embase and CINAHL. The inclusion criteria were as follows: randomized control trials, case-control or cohort studies; children aged 0–18 years with hen's egg or cow's milk allergy; baked hen's egg or cow's milk intervention with or without a comparator; and resolution of the hen's egg or cow's milk allergy as determined by food challenge as the outcome. Studies were critically appraised using the quality assessment tool for quantitative studies. PROSPERO reference CRD42015026029.

Results

We identified 851 and 2816 hen's egg and cow's milk articles respectively. Only three hen's egg and three cow's milk studies fulfilled our pre-specified inclusion criteria. The studies concluded that baked products either increased the likelihood of the resolution of allergy or accelerated resolution. However, when critiqued, all studies were classified as weak because they were observational, lacking an appropriate control group; this brings into doubt the study's conclusions. There were a number of examples of severe reactions to baked products.

Conclusion

There is little evidence to address the hypothesis that the ingestion of baked hen's egg or cow's milk results in more patients outgrowing their hen's egg or cow's milk allergy respectively. Data are required from a trial comparing the resolution rates of baked-tolerant participants who are randomized to ingest or avoid baked products to assess the accuracy of this hypothesis.



http://ift.tt/2quCfVN

Evidence that eating baked egg or milk influences egg or milk allergy resolution: a systematic review

Summary

Background

It has been proposed that the frequent ingestion of baked hen's egg or cow's milk accelerates the resolution of hen's egg or cow's milk allergy. This practice is being introduced into clinical practice.

Objective

To systematically review the evidence to determine whether the introduction of baked hen's egg or cow's milk into the diet of children with hen's egg or cow's milk allergies respectively leads to a larger proportion of children outgrowing these allergies than expected.

Methods

A systematic review of the literature was conducted in Medline, Embase and CINAHL. The inclusion criteria were as follows: randomized control trials, case-control or cohort studies; children aged 0–18 years with hen's egg or cow's milk allergy; baked hen's egg or cow's milk intervention with or without a comparator; and resolution of the hen's egg or cow's milk allergy as determined by food challenge as the outcome. Studies were critically appraised using the quality assessment tool for quantitative studies. PROSPERO reference CRD42015026029.

Results

We identified 851 and 2816 hen's egg and cow's milk articles respectively. Only three hen's egg and three cow's milk studies fulfilled our pre-specified inclusion criteria. The studies concluded that baked products either increased the likelihood of the resolution of allergy or accelerated resolution. However, when critiqued, all studies were classified as weak because they were observational, lacking an appropriate control group; this brings into doubt the study's conclusions. There were a number of examples of severe reactions to baked products.

Conclusion

There is little evidence to address the hypothesis that the ingestion of baked hen's egg or cow's milk results in more patients outgrowing their hen's egg or cow's milk allergy respectively. Data are required from a trial comparing the resolution rates of baked-tolerant participants who are randomized to ingest or avoid baked products to assess the accuracy of this hypothesis.



http://ift.tt/2quCfVN

X-linked Carriers of Chronic Granulomatous Disease: Illness, Lyonization and Stability

Comprehensive long term follow up of X-CGD carriers identifies low %DHR as a critical predictor of infection susceptibility, whereas the %DHR is unrelated to autoimmune or inflammatory manifestations.

http://ift.tt/2qU05eD

Sputum transcriptomics reveal up-regulation of IL-1 receptor family members in severe asthma

The study shows the value of sputum transcriptomics for understanding severe asthma mechanisms and identifies different IL-1R family members with different inflammatory phenotypes. Suppressing the inflammasome attenuates Th2 and non-Th2 features in vivo.

http://ift.tt/2rt4VfF

Deep tissue massage: What are we talking about?

Publication date: Available online 17 May 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): Yogev Koren, Leonid Kalichman
BackgroundMassage is a common treatment in complementary and integrative medicine. Deep tissue massage, a form of therapeutic massage, has become more and more popular in recent years. Hence, the use of massage generally and deep tissue massage specifically, should be evaluated as any other modality of therapy to establish its efficacy and safety.AimTo determine the definitions used for deep tissue massage in the scientific literature and to review the current scientific evidence for its efficacy and safety.MethodsNarrative review.ResultsThere is no commonly accepted definition of deep tissue massage in the literature. The definition most frequently used is the intention of the therapist. We suggest separating the definitions of deep massage and deep tissue massage as follows: deep massage should be used to describe the intention of the therapist to treat deep tissue by using any form of massage and deep tissue massage should be used to describe a specific and independent method of massage therapy, utilizing the specific set of principles and techniques as defined by Riggs: "The understanding of the layers of the body, and the ability to work with tissue in these layers to relax, lengthen, and release holding patterns in the most effective and energy efficient way possible within the client's parameters of comfort".Heterogeneity of techniques and protocols used in published studies have made it difficult to draw any clear conclusions. Favorable outcomes may result from deep tissue massage in pain populations and patients with decreased range of motion. In addition, several rare serious adverse events were found related to deep tissue massage, probably as a result of the forceful application of massage therapy.ConclusionsFuture research of deep tissue massage should be based on a common definition, classification system and the use of common comparators as controls.



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Impact of age and obstacle negotiation on timing measures of gait initiation

Publication date: Available online 17 May 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): Maryam Hayati, Saeed Talebian, Catherine Sherrington, Hassan Ashayeri, Behrouz Attarbashi Moghadam
IntroductionThe separate and combined impacts of age and walkway obstruction on the reaction time, anticipatory postural adjustment phases of gait initiation and cognitive dual task performance are not well understood. This study aimed to a) examine the impact of age and task complexity on reaction and anticipatory postural adjustment phases separately b) examine the impact of age and walkway obstruction on cognitive task performance while walking.MethodNineteen older adults (mean age± SD: 66.73 ± 3.38 years) and twelve younger adults (mean age± SD: 26.5 ± 4.37 years), participated in this study. The tests were performed in four conditions: a smooth walkway; a smooth walkway with concurrent cognitive task; an obstructed walkway; and an obstructed walkway with a concurrent cognitive task. Reaction and anticipatory postural adjustment phases were measured from the recorded center of pressure trajectory data.ResultsReaction time phase was significantly longer in the older group (P = 0.04), but there was no significant impact of task complexity (P = 0.95). Conversely, there was a significant impact of task complexity on anticipatory postural adjustment phase (P = 0.04), but there was no significant difference between the age groups (P = 0.38). Cognitive task response time was not significantly different between age groups or with walkway obstruction (P = 0.19 and P = 0.90 respectively).There were no significant interactions between age group and task complexity.ConclusionReaction time phase but not anticipatory postural adjustment phase was longer in healthy older than younger adults. Anticipatory postural adjustment phase but not reaction time phase was slower for more complex gait initiation tasks. Cognitive task performance was similar across age groups and conditions.



http://ift.tt/2quELv8

Interexaminer Reliability Study of a Standardized Myofascial Diagnostic Technique of the Superior Thoracic Inlet

Publication date: Available online 17 May 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): Daniel Hutchinson, Scott Hines, Nevin Vijayaraghavan, Andrew Sammond, Kristen Metzler-Wilson, Michael L. Kuchera
Regional fascial motion palpation is often incorporated by osteopathic practitioners to enable them to identify superior thoracic inlet (STI) myofascial somatic dysfunction motion patterns; however without standardized instruction, diagnostic outcomes may vary between examiners. This study proposes a protocol for diagnosing the STI motion pattern that standardizes examiner hand placement, palpatory discrimination, posture, and relative body positioning. The study design incorporated useful infrastructure recommended by the Fédération Internationale de Médecine Manuelle (FIMM) including protocol agreement steps prior to conducting the formal interexaminer reliability study with the goals of attaining >80% interexaminer agreement and kappa values >0.6 for each cardinal plane. The agreement phase comprised of testing 52 participants acquired agreements of 92.3% (rotation), 88.9% (translation), and 94.2% (sagittal). Kappa value testing involving an additional 82 participants obtained values of 0.65 (rotation), 0.59 (translation), and 0.70 (sagittal). Such kappa values endorse fair-to-excellent positive interexaminer correlations, demonstrating utility of this standardized palpatory protocol for STI myofascial dysfunctional diagnosis.



http://ift.tt/2rsVn3D

Fragen für die Facharztprüfung

2847157_10-1055-s-0043-102234-1.jpg

Laryngo-Rhino-Otol 2017; 96: 332-333
DOI: 10.1055/s-0043-102234



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Psychoonkologische Betreuung von Patienten mit Kopf-Hals-Tumoren

2847135_10-1055-s-0043-102814-1.jpg

Laryngo-Rhino-Otol 2017; 96: 319-331
DOI: 10.1055/s-0043-102814

Onkologische Erkrankungen und ihre Behandlungen führen zu starken Einschränkungen in der körperlichen sowie psychosozialen Lebensqualität, wobei Patienten mit Kopf-Hals-Tumoren zu den am stärksten belasteten Gruppen von Krebspatienten zählen. Der Beitrag vermittelt einen aktuellen Überblick über zentrale Aspekte der psychoonkologischen Betreuung dieser Patienten.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

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Tiefer Halsabzess: Verspätete Drainage bei Erwachsenen nachteilig, bei Kindern nicht

2498139_10-1055-s-0042-123653-1.jpg

Laryngo-Rhino-Otol 2017; 96: 275-276
DOI: 10.1055/s-0042-123653

Cramer JD et al. The Impact of Delayed Surgical Drainage of Deep Neck Abscesses in Adult and Pediatric Populations. Laryngoscope 2016; 126: 1753–1760 Bei Erwachsenen besteht die konventionelle Therapie des tiefen Halsabzesses aus Antibiotikagabe und rascher chirurgischer Drainage. Bei Kindern ist man oft zurückhaltender. Hintergrund sind Berichte über Fälle von erfolgreicher alleiniger Antibiose. Unklar ist, inwieweit der Zeitpunkt der Drainage den Therapieerfolg bei Erwachsenen und Kindern beeinflusst. US-Mediziner haben das untersucht.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

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Seltene Differenzialdiagnose bei Tinnitus und Hörstörung

0628_10-1055-s-0043-105794-1.jpg

Laryngo-Rhino-Otol 2017; 96: 314-315
DOI: 10.1055/s-0043-105794



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Peritonsillarabszess – Schmerzfreiheit durch kraniale Tonsil-lotomie

2636554_10-1055-s-0043-101049-1.jpg

Laryngo-Rhino-Otol 2017; 96: 276-277
DOI: 10.1055/s-0043-101049

Windfuhr JP et al. Cranial tonsillotomy for peritonsillar abscess: what a relief! Eur Arch Otorhinolaryngol 2016; 273: 4507–4513 Beim Peritonsillarabszess (PTA) hat sich u. a. die Inzisionsdrainage (ID) als wirksam erwiesen, erfordert aber immer wieder ein schmerzhaftes Nachspreizen. HNO-Ärzte der Kliniken Maria Hilf in Mönchengladbach ergänzten daher die ID um eine kraniale Tonsillotomie zur zuverlässigen Drainage von Wundsekret.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

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Kommentar der Schriftleitung

2847085_10-1055-s-0043-102241-1.jpg

Laryngo-Rhino-Otol 2017; 96: 273-273
DOI: 10.1055/s-0043-102241

Liebe Leserinnen und Leser,in den Mai starten wir mit der Diskussion, wann ein tiefer Halsabszess drainiert werden muss; eine wichtige Frage im klinischen Alltag, die selten wissenschaftlich untersucht wird. Dann wird eine Modifikation der Abszessdrainage bei Peritonsillarabszess diskutiert, die für den Patient weniger Schmerzen zu Bedeuten scheint. Hörtest per App, ein Thema, das uns sicher noch die nächsten Jahre begleiten wird, rundet die Rubrik „Referat + Kommentar" ab.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Hörtests funktionieren mit entsprechender App auch am heimischen Tablet-Computer

2636571_10-1055-s-0043-101081-1.jpg

Laryngo-Rhino-Otol 2017; 96: 277-278
DOI: 10.1055/s-0043-101081

Whitton PJ et al; Validation of a Self-Administered Audiometry Application: An Equivalence Study; Laryngoscope 2016; 126: 2382–2388 Die Häufigkeit von Hörverlusten wird in den nächsten Jahrzehnten noch deutlich zunehmen. Das flächendeckende Angebot entsprechender Hörtests durch speziell geschultes Personal kann somit leicht an seine Grenzen stoßen. US-amerikanische HNO-Ärzte aus Boston haben jetzt untersucht, ob sich mit einer entsprechenden Software das eigene Hörvermögen nicht auch am heimischen Computer testen lässt.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Aus der Gutachtenpraxis: Gibt es Gehörschäden durch Vibrationen, Infraschall, Ultraschall und/oder Körperschall?

2847146_10-1055-s-0043-102233-1.jpg

Laryngo-Rhino-Otol 2017; 96: 316-318
DOI: 10.1055/s-0043-102233



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Schluckstörungen bei tracheo(s)tomierten Patienten

0657_10-1055-s-0043-103279-1.jpg

Laryngo-Rhino-Otol 2017; 96: 280-292
DOI: 10.1055/s-0043-103279

Hintergrund Seit vielen Jahren sind in der Fachliteratur Hinweise zu finden, wonach bei tracheo(s)tomierten Patienten mit Schluckstörungen zu rechnen ist, deren schwerwiegendster Aspekt die Aspiration darstellt. Die vorliegende Arbeit soll einen aktuellen Beitrag zur Diskussion leisten, ob ein Tracheostoma eine Dysphagie verursacht oder verstärkt oder lediglich eine zeitliche Koinzidenz vorliegt. Material und Methoden Die Übersichtsarbeit beruht auf einer Recherche in der textbasierten Datenbank PubMed des National Center for Biotechnology Information (NCBI). Ergebnisse Es wurden die Effekte einer Tracheotomie/Tracheostomie sowie die Effekte einzelner Kanülentypen auf motorische und sensorische Aspekte des Schluckvorgangs geprüft. Die erfassten Studien fokussieren dabei in besonderer Weise die Aspirationshäufigkeit und zeigen eine insgesamt uneinheitliche Datenlage, welche keine zwingenden Beweise für eine eindeutige und kausale Beziehung zwischen dem Vorhandensein eines Tracheostomas und einer schweren Beeinträchtigung des Schluckens erkennen lassen. Schlussfolgerungen Patienten mit einem Tracheostoma bedürfen ohne Zweifel einer besonderen Aufmerksamkeit im Hinblick auf das Vorhandensein relevanter Schluckstörungen. Diese sind aber möglicherweise eher einer schweren Grunderkrankung geschuldet als dem Vorhandensein des Tracheostomas per se.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

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Korrektur einzelner Septumabschnitte

2847209_10-1055-s-0043-107264-1.jpg

Laryngo-Rhino-Otol 2017; 96: 334-340
DOI: 10.1055/s-0043-107264



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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Psychoonkologische Betreuung von Patienten mit Kopf-Hals-Tumoren

2847135_10-1055-s-0043-102814-1.jpg

Laryngo-Rhino-Otol 2017; 96: 319-331
DOI: 10.1055/s-0043-102814

Onkologische Erkrankungen und ihre Behandlungen führen zu starken Einschränkungen in der körperlichen sowie psychosozialen Lebensqualität, wobei Patienten mit Kopf-Hals-Tumoren zu den am stärksten belasteten Gruppen von Krebspatienten zählen. Der Beitrag vermittelt einen aktuellen Überblick über zentrale Aspekte der psychoonkologischen Betreuung dieser Patienten.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Abstract  |  Full text



http://ift.tt/2pYb8hR

Tiefer Halsabzess: Verspätete Drainage bei Erwachsenen nachteilig, bei Kindern nicht

2498139_10-1055-s-0042-123653-1.jpg

Laryngo-Rhino-Otol 2017; 96: 275-276
DOI: 10.1055/s-0042-123653

Cramer JD et al. The Impact of Delayed Surgical Drainage of Deep Neck Abscesses in Adult and Pediatric Populations. Laryngoscope 2016; 126: 1753–1760 Bei Erwachsenen besteht die konventionelle Therapie des tiefen Halsabzesses aus Antibiotikagabe und rascher chirurgischer Drainage. Bei Kindern ist man oft zurückhaltender. Hintergrund sind Berichte über Fälle von erfolgreicher alleiniger Antibiose. Unklar ist, inwieweit der Zeitpunkt der Drainage den Therapieerfolg bei Erwachsenen und Kindern beeinflusst. US-Mediziner haben das untersucht.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Abstract  |  Full text



http://ift.tt/2qtyC21

Seltene Differenzialdiagnose bei Tinnitus und Hörstörung

0628_10-1055-s-0043-105794-1.jpg

Laryngo-Rhino-Otol 2017; 96: 314-315
DOI: 10.1055/s-0043-105794



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Full text



http://ift.tt/2pYbntt

Peritonsillarabszess – Schmerzfreiheit durch kraniale Tonsil-lotomie

2636554_10-1055-s-0043-101049-1.jpg

Laryngo-Rhino-Otol 2017; 96: 276-277
DOI: 10.1055/s-0043-101049

Windfuhr JP et al. Cranial tonsillotomy for peritonsillar abscess: what a relief! Eur Arch Otorhinolaryngol 2016; 273: 4507–4513 Beim Peritonsillarabszess (PTA) hat sich u. a. die Inzisionsdrainage (ID) als wirksam erwiesen, erfordert aber immer wieder ein schmerzhaftes Nachspreizen. HNO-Ärzte der Kliniken Maria Hilf in Mönchengladbach ergänzten daher die ID um eine kraniale Tonsillotomie zur zuverlässigen Drainage von Wundsekret.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Abstract  |  Full text



http://ift.tt/2qtq9fc

Kommentar der Schriftleitung

2847085_10-1055-s-0043-102241-1.jpg

Laryngo-Rhino-Otol 2017; 96: 273-273
DOI: 10.1055/s-0043-102241

Liebe Leserinnen und Leser,in den Mai starten wir mit der Diskussion, wann ein tiefer Halsabszess drainiert werden muss; eine wichtige Frage im klinischen Alltag, die selten wissenschaftlich untersucht wird. Dann wird eine Modifikation der Abszessdrainage bei Peritonsillarabszess diskutiert, die für den Patient weniger Schmerzen zu Bedeuten scheint. Hörtest per App, ein Thema, das uns sicher noch die nächsten Jahre begleiten wird, rundet die Rubrik „Referat + Kommentar" ab.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Abstract  |  Full text



http://ift.tt/2pYotGM

Hörtests funktionieren mit entsprechender App auch am heimischen Tablet-Computer

2636571_10-1055-s-0043-101081-1.jpg

Laryngo-Rhino-Otol 2017; 96: 277-278
DOI: 10.1055/s-0043-101081

Whitton PJ et al; Validation of a Self-Administered Audiometry Application: An Equivalence Study; Laryngoscope 2016; 126: 2382–2388 Die Häufigkeit von Hörverlusten wird in den nächsten Jahrzehnten noch deutlich zunehmen. Das flächendeckende Angebot entsprechender Hörtests durch speziell geschultes Personal kann somit leicht an seine Grenzen stoßen. US-amerikanische HNO-Ärzte aus Boston haben jetzt untersucht, ob sich mit einer entsprechenden Software das eigene Hörvermögen nicht auch am heimischen Computer testen lässt.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Abstract  |  Full text



http://ift.tt/2qtoi9Y

Aus der Gutachtenpraxis: Gibt es Gehörschäden durch Vibrationen, Infraschall, Ultraschall und/oder Körperschall?

2847146_10-1055-s-0043-102233-1.jpg

Laryngo-Rhino-Otol 2017; 96: 316-318
DOI: 10.1055/s-0043-102233



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Full text



http://ift.tt/2pYai4J

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