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Ralph Panos and William Eschenbacher

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Fernanda Daniel, Rodrigo Vale, Tânia Giani, Sílvia Bacellar and Estélio Dantas

Baraúna MA, Barbosa SRM, Canto RST, Silva RAV, Silva CDC, Baraúna KMP. Estudo do equilíbrio estático de idosos e sua correlação com quedas. Rev Fisioter Brasil. 2004;5(2):136-141. Tainaka K, Takizawa T, Katamoto S, Aoki J. Six-year prospective study of physical fitness and incidence of disability among community-dwelling Japanese elderly women. Geriatr Gerontol Int. 2009;9(1):21-28. doi:10.1111/j.1447-0594.2008.00492.x PMID:19260976 Perracine MR, Ramos LR. Fatores associadas às quedas em um coorte de idosos

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Georgios Lypas

. This makes access easier for patients who would need to travel a long distance to receive their counselling. The only limitation with distance counselling would be physical findings, such as skin/mucosal lesions, indicative of rare syndromes (such as Cowden’s, Peutz-Jeghers, etc.). Genetic testing Genetic testing is offered to members of families, taking into consideration the probability of a positive result. As an attempt to quantify this probability, various models such as BRCAPRO, BOADICEA, Myriad Tables etc. may be utilised, using medical and family

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Aziz K. Alfeeli, Shothour M. Alghunaim, Ayyoub B. Baqer, Diaa K. Shehab and Mohieldin M. Ahmed

. Clin Rehabil. 1993; 7:189-95. 12. Bogle Thorbahn LD, Newton RA. Use of the Berg balance test to predict falls in elderly persons. Phys Ther. 1996; 76(6):576-83. 13. Clark S, Rose DJ. Evaluation of dynamic balance among community- dwelling older adult fallers: a generalizability study of the limits of stability test. Arch Phys Med Rehabil. 2001; 82:468-74. 14. Wallmann HW. Comparison of elderly nonfallers and fallers on performance measures of functional reach, sensory organization, and limits of stability. J Gerontol A

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Jairo Silva, Amandio Geraldes, Antônio Natali, João Pereira, Rodrigo Vale and Estélio Dantas

-1999). Rev Soc Cardiol RJ. 2001;13 (supl.a):13. Cleroux J, Feldman RD, Petrella RI. Lifestyle modifications to prevent and control hypertension. Recommendations on physical exercise training. Can Med Assoc J. 1999;160:521-8. American College Of Sports Medicine. Diretrizes do ACSM para os testes de esforço e sua prescrição (ACSM's Guidelines for effort tests and their prescription). Rio de Janeiro: 6.ed. Guanabara Koogan, 2003. Liane MPV, Ribeiro ML, Farinatti PTV. Influěncia de programas não

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Dimitrinka Jordanova Peshevska, Marijana Markovik, Dinesh Sethi, Eleonora Serafimovska and Tamara Jordanova

and Welfare THL. Prevalence study of violence and abuse against older women (AVOW). Helsinki: National Institute for Health and Welfare THL; 2010. Accessed October 9, 2011. 15. Krsteska R. Mini Mental Test kaj Alchajmerova i vaskularna demencija. [Mini Mental Test in Alzheimer's and vascular dementia.]. Makedonski Medicinski Pregled [Macedonian Medical Review]. Skopje: University “Ss Cyril and Methodius”, 2007. 16. APA Committee on Aging. Life plan for the life span. Washington DC: APA; 2005. www

Open access

Luljeta Ahmetaj, Fatime Kokollari and Violeta Lokaj

Prevalence of Aspirin-Induced Asthma in Certain Group of Kosovo Population and its Presentation

Background. Aspirin-induced asthma (AIA) is characterized by onset of asthma attack 30 minutes to 3 hours after ingestion of aspirin or NSAIDs (Non steroid antiinflammatory drugs). The typical reaction may be accompanied by intense rhinorhea, periorbital edema with conjunctival irritation and facial flushing. Often, at physical examination, nasal polyposis and serum eosinophilia are notable.

Aim: The aim of this study is to identify the behavior of aspirin induced asthma in a certain group of Kosovo population, in terms of age and its presentation.

Material and methods. At the University Hospital Centre in Prishtina, 172 adult patients with asthma were diagnosed, while 16 (9.3 %) of them were with aspirininduced asthma (f/m=12/4).

Results. The average age was 40.2 years. Nine of them showed triad of symptoms (aspirin-intolerance, asthma, nasal polyposis) while 7 (43.7%) showed tetrad of symptoms (aspirin-intolerance, asthma, nasal polyposis, and sinusitis). Total IgE levels were increased only in 3 patients (18.8%), while eosinophilia was increased only in 8 (50%) of the patients. The skin prick test with standard set of inhalant allergens was positive only in 3 patients (18.8%). There was no correlation between in vitro and in vivo tests.

Conclusion. Since there is no reliable in vitro test for the diagnosis of aspirin sensitivity, definitive diagnosis requires an oral or nasal aspirin challenge, which needs to be performed in a hospital.

Open access

Mohieldin Ahmed, Douaa Mosalem, Sherif Khairet, Thabat Ismail, Fawzy Hamido and Waleed Al-Busairi

Evaluation of Dynamic Posturography in Anterior Cruciate Ligament Injury Patients

Background: The incidence of the anterior cruciate ligament is high in the general population.

Aim: To identify quantitative postural sway assessed by unilateral stance test using computerized dynamic posturography in unilateral anterior cruciate ligament injury patients and healthy individuals.

Subjects and Methods: We studied 30 knees in 30 male patients suffering from chronic ACL injury and twenty five healthy individuals. There were selected from Al-Razi Orthopedics Hospital and Physical Medicine and Rehabilitation Hospital, Ministry of Health, Kuwait. All subjects were evaluated clinically and submitted to computerized dynamic posturography for the unilateral stance test. Mean COG (centre of gravity) sway velocity which displays COG stability was computerized assessed.

Results: A significantly increase of means (± SD) of COG sway velocity on left or right leg standing with eyes open and eye closed in ACL group as compared to control group. Also, there was a significantly increase of means (± SD) of the percentage difference score of COG sway velocity during standing on left and right foot with eyes open and eyes closed in ACL group as compared to control group.

Conclusion: The patients with chronic ACL injury had impairment in postural control and balance which can be quantitatively evaluated by using computerized dynamic posturegraphy.

Open access

D. Fleskova, G. Nosalova, Sudipta Saha, Shruti Bandyopadhyay, Ray Bimalendu and L. Jurecek

Antitussive Effect of a Pectic Arabinogalactans Isolated from Adhatoda Vasica in Vivo Experimental Conditions

The herbal polysaccharides have been the subject of many studies for a very long time, especially because of their physical properties, chemical and physical modification and application. Adhatoda vasica has also been traditionally included in preparations for the relief of cough, asthma and bronchitis recommended by Ayurvedic physicians for the management of various types of respiratory disorders. In this study, we have focused on activities of pectic arabinogalactans isolated from Adhatoda vasica on experimentally induced cough reflex and the changes of specific airway resistance in vivo conditions. The substance from leaves of Adhatoda vasica was marked as P-601 and the substance from stem bark of this shrub as P-602. The aim of presented study was to compare the antitussive activity of isolated arabinogalactans with cough suppressive activity of codeine ("positive" control) and effect acquired after application of water for injection ("negative" control). Conscious male Trik guinea pigs (200-350g) were exposed to citric acid aerosol. Peroral administration of these substances in a dose of 50 body weight decreased the number of citric acid induced cough efforts in guinea pigs more effectively than codeine. They did not induce any significant changes in the values of specific airway resistance and did not provoke any observable adverse effects. Our test results confirmed that polysaccharides isolated from Adhatoda vasica in vivo conditions have expressive antitussive effect compared with the oldest and the most effective cough suppressive agent - the codeine. The positive thing is the studied substances, despite strong supressive activity, did not induced any adverse side effects.

Open access

Daniela Lubenova, Ekaterina Titianova and Dance Vasileva

exercising of elderly patients with diabetic polyneuropathy. Sport and Science. 1997; (1): 63-69. 7. Thulesius O. Pathophysiological classification and diagnosis of hypotension. Cardiology. 1976; (1): 180-190. 8. Grahan C, Losko M, Carthey P. Exercise option for persons with diabetes complication. Diabetes Educ. 1990; (16): 212-220. 9. Mueller M, Kwon O. Walking pattern used to reduce forefoot plantar pressures in people with diabetes neuropathies. Physical Therapy. 2001; (81): 828-835. 10. Yamamoto Y, Hughson