Dynamic balance measurements: Reliability of smartphone attachment sites

IntroductionDynamic balance devices are costly and uncommon, requiring dedicated space for use. Thus, studies often utilize smartphones to measure dynamic balance by attaching them to body parts, as they are inexpensive, small, and readily available. However, little consideration has been given to determine which body part would yield the most reliable measurements.Methodː A total of 25 healthy college students consented to stand on a balance pad on their dominant leg for 30 s. The test and retests were performed at a one-week interval.Resultsː Agreement between the test and retest values was moderate for those obtained from the sternum and waist (0.50 ≤ ICC ≤ 0.74) and was good for those obtained from the shin (0.75 ≤ ICC ≤ 0.89). There were significant moderate positive correlations between the test and retest results for all the attachment sites (0.40 < r < 0.69, p < 0.05).DiscussionBased on a review of related literature and the experiment's results, this study determined the pros and cons of using a smartphone as a measuring tool and the various measurement locations in the body. Despite the smartphone being a low-cost measuring tool, greater care must be taken to ensure the validity of the interpreted data.Conclusionː Although quantifying balance is necessary for evidence-based medicine, clinics seldom use existing modern devices due to their costliness. This study's results suggest that a smartphone, which is a cheaper alternative, produces the most reliable results when attached to the shin.     

新冠肺炎危重型患者气管切开术初步经验与体会(附1例报告)

新型冠状病毒肺炎(新冠肺炎,COVID-19)是指由2019新型冠状病毒(新冠病毒,2019-nCoV)感染导致的肺炎。新冠病毒传播途径主要为呼吸道飞沫传播和接触传播,并存在气溶胶传播可能。由于肺部严重感染易导致急性呼吸窘迫综合征,新冠肺炎危重型患者气管切开术可作为一种救治手段,但术中可能会产生大量的病毒飞沫通过气道扩散在空气中形成气溶胶,增加院内感染风险。本文根据国家卫健委新冠肺炎相关诊疗方案和措施,结合我院的1例危重型患者在重症监护隔离病区行气管切开术的经验,探讨危重型新冠肺炎患者气管切开的必要性、手术方式、术前准备、术中操作、术后护理及医护防护措施等相关问题。     

一体化链式急救措施结合Orem自理干预模式在糖尿病伴创伤性骨折患者中的应用价值

目的分析一体化链式急救措施结合Orem自理干预模式对糖尿病(DM)伴创伤性骨折患者救治情况及生活质量综合评定问卷(GQOLI-74)评分、心理健康自评量表(SAS/SDS)评分的影响。方法选取中国医科大学附属第一医院2017年1月-2019年4月收治的120例DM合并创伤性骨折患者,随机分为观察组与对照组,每组60例。对照组采用常规护理方案,观察组在对照组的基础上采用一体化链式急救措施结合Orem自理干预模式护理。记录两组患者的抢救成功率、急救时间,比较两组入组时、治疗2周及治疗1个月时的空腹血糖水平。治疗1个月后,对患者家属满意度及疾病相关知识知晓率进行调查,并记录患者的并发症发生情况。入组后及治疗3个月时采用GQOLI-74评分量表、SAS/SDS评分量表对患者生活质量及心理状态进行评估。结果观察组的抢救成功率为100.00%,明显高于对照组的95.00%,差异有统计学意义(P<0.05)。观察组的病情评估时间、生命体征判断时间及基本生命支持抢救时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组治疗2周及治疗1个月时的血糖水平为(6.74±0.61)、(6.32±0.54)mmol/L,明显低于对照组的(7.58±0.55)、(7.11±0.38)mmol/L,差异有统计学意义(P<0.05)。观察组治疗后的满意率及疾病相关知识知晓率为93.33%、100.00%,明显高于对照组的80.00%、88.33%,差异有统计学意义(P<0.05)。观察组治疗3个月时GQOLI-74评分中的躯体功能、心理功能、社会功能及物质功能分别为(74.59±6.17)、(77.84±6.18)、(70.29±5.02)、(77.34±7.39)分,明显高于对照组的(67.85±5.75)、(69.43±6.05)、(66.12±4.95)、(70.93±6.55)分,差异有统计学意义(P<0.05)。观察组治疗3个月时的SAS评分及SDS评分为(34.28±5.03)、(35.58±5.73)分,明显低于对照组的(45.54±5.65)、(44.73±6.15)分,差异有统计学意义(P<0.05)。观察组治疗后的并发症发生率为5.00%,明显低于对照组的18.33%,差异有统计学意义(P相似文献   

Comparative value and determinants of suitability of outcome measures in treated chronic inflammatory demyelinating polyneuropathy

Coronavirus disease 2019 has created unprecedented challenges for amyotrophic lateral sclerosis (ALS) clinical care and research in the United States. Traditional evaluations for making an ALS diagnosis, measuring progression, and planning interventions rely on in-person visits that may now be unsafe or impossible. Evidence- and experience-based treatment options, such as multidisciplinary team care, feeding tubes, wheelchairs, home health, and hospice, have become more difficult to obtain and in some places are unavailable. In addition, the pandemic has impacted ALS clinical trials by impairing the ability to obtain measurements for trial eligibility, to monitor safety and efficacy outcomes, and to dispense study drug, as these also often rely on in-person visits. We review opportunities for overcoming some of these challenges through telemedicine and novel measurements. These can reoptimize ALS care and research in the current setting and during future events that may limit travel and face-to-face interactions.     

Evaluation of admittance control as an alternative to passive arm supports to increase upper extremity function for individuals with Duchenne muscular dystrophy

The degree of upper extremity active range of motion provided by an admittance control robot compared with a commercially available passive arm support for individuals with DMD who have limited arm function was investigated in this study. The reachable workspace evaluation was used to assess active range of motion provided by both devices. A visual analog scale was also used to secure participant-reported outcome measures. The admittance control robot significantly increased reachable surface area scores compared with the passive arm support for the dominant arm (Wilcoxon T = 5, P = .022, r² = 0.263) and for the nondominant arm (paired-samples t test, t(9) = 4.66, P = .001, r² = 0.71). The admittance control robot also significantly decreased participant-reported exertion compared with the passive arm support. Results of this study substantiated the benefits of admittance control for individuals with DMD compared with a commercially available passive arm support.