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Ralph Panos and William Eschenbacher

Open access

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

Open access

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. http://www.thl.fi/avow. 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

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

Open access

Soha M. Abd El Dayem, Osama N. Saleh, Nahed A. Emara, Manal E. Kandil, Rania H. Shatla and Sara Elgammal

Abstract

Objective: To evaluate relationship between homocysteine (Hcy), folic acid and vitamin B12 with anti-epileptic drugs in epileptic patients and their role in epilepsy control.

Patient and Methods: The study included 60 patients with idiopathic epilepsy and thirty non-epileptic children of the same age and sex served as controls. All cases were subjected to physical and neurological examination and electroencephalogram (EEG). Serum level of folic acid, homocysteine (Hcy) and vitamin B12 were done for both epileptic patients and controls. Non parametric test, one way ANOVA and Pearson’s correlation were used for analysis of data.

Result: 44 patients (73.3%) had generalized epilepsy and the remaining patients had partial epilepsy (simple or complex). 37 patients (61.6%) were in grade I, 3 patients (5 %) were in grade II and the remaining 20 patients (33.3 %) were in grade III epilepsy. Vitamin B12 was significantly higher in epileptic patients. Duration of anti-epileptic drug treatment was correlated significantly to folic acid and Hcy level.

Conclusion: antiepileptic drugs might upset the homeostatic balance of Hcy and its cofactors and cause abnormalities of their serum levels. The duration of anti-epileptic drug treatment was related to decrease of folic acid and increase in homocysteine levels.

Open access

Hassan Boskabadi, Gholamali Maamouri, Shahin Mafinejad and Farzaneh Rezagholizadeh

Clinical Course and Prognosis of Hemolytic Jaundice in Neonates in North East of Iran

Background: Hemolytic jaundice is the most serious cause of hyperbilirubinemia among neonates. It may develop to kernicterus due to misdiagnosis or inappropriate treatment. The aim of this study is to determine the prevalence rate of hemolytic jaundice, predisposing factors and assessment of treatment and complications in hemolytic jaundice.

Methods: This prospective descriptive study has been performed on 1568 newborns with jaundice as their chief complaint, in a seven-year period at Ghaem hospital in Mashhad, Iran. 795 neonates were included in our study (237 infants with hemolytic jaundice and 558 infants with idiopathic jaundice). Complete physical examinations and laboratory tests were performed and data were recorded. Statistical analysis was carried out, using SPSS 11.5 statistical package.

Results: In the present study, significant differences were determined between two groups of hemolytic and idiopathic jaundice for total serum bilirubin, hematocrit, time of jaundice appearance, age of admission, hospitalization period and incidence of kernicterus (p<0.001). Newborns with ABO incompatibility (17%), Rh disease (7%), G6PD deficiency (6%) and minor blood group immunization (2%) were developed to hyperbilirubinemia, respectively. Among the newborns affected with kernicterus, 12 cases were placed in group with ABO hemolytic disease (9%), 3 cases were in Rh isoimmunization group (5.5%), 4 cases were in G6PD deficiency group (8.9%) and 9 cases were idiopathic (1.6%).

Conclusion: Jaundice due to hemolysis is associated with a higher serum bilirubin and more complications like kernicterus. ABO incompatibility was the most common reason of hemolytic jaundice among neonates in north east of Iran. Special attention to ABO incompatibility and G6PD enzyme screening may decrease complications and improve the prognosis.