Validation of comprehensive assessment of activities of daily living in stroke survivors

This study determined whether the Functional Independence Measure (FIM) and the Frenchay Activities Index (FAI) could be used together as a more comprehensive score to assess the activities of daily living (ADL) in stroke survivors. Subjects were recruited from stroke patients consecutively admitted to the inpatient neurology or rehabilitation department at a university hospital in southern Taiwan. We interviewed 209 first stroke survivors at least 1 year after stroke onset during their clinical visits, at home, or in long-term care institutions. Combinations of FIM and FAI as a comprehensive assessment of ADL were measured. All items of the FIM and the FAI were included in a non-parametric factor analysis to determine their underlying constructs. Two comprehensive functional independence scores were then computed as functions of the FIM and FAI scores. The distributional characteristics of the comprehensive scores were examined. Approximately 90% of the total variation was explained by three factors. One single factor comprised all the items from FIM, while the FAI items loaded on two other factors, suggesting that FIM supplements FAI without overlap in content. We further demonstrated that the presence of ceiling or floor effects when either the FIM or the FAI was used could be removed using combined scores of the two instruments. The FIM and the FAI assessed different domains with good construct validity. A comprehensive assessment of functional independence obtained by combining the FIM and the FAI scores is potentially more appropriate and useful for clinical and research applications in stroke patients.

Preliminary study of the effect of low-intensity home-based physical therapy in chronic stroke patients

This study was a preliminary examination of the effect of low-intensity home-based physical therapy on the performance of activities of daily living (ADL) and motor function in patients more than 1 year after stroke. Twenty patients were recruited from a community stroke register in Nan-Tou County, Taiwan, to a randomized, crossover trial comparing intervention by a physical therapist immediately after entry into the trial (Group I) or after a delay of 10 weeks (Group II). The intervention consisted of home-based physical therapy once a week for 10 weeks. The Barthel Index (BI) and Stroke Rehabilitation Assessment of Movement (STREAM) were used as standard measures for ADL and motor function. At the first follow-up assessment at 11 weeks, Group I showed greater improvement in lower limb motor function than Group II. At the second follow-up assessment at 22 weeks, Group II showed improvement while Group I had declined. At 22 weeks, the motor function of upper limbs, mobility, and ADL performance in Group II had improved slightly more than in Group I, but the between-group differences were not significant. It appears that low-intensity home-based physical therapy can improve lower limb motor function in chronic stroke survivors. Further studies will be needed to confirm these findings.

Prediction of functional oucomes in stroke inpatients receiving rehabilitation

Background and Purpose: Early identification of predictive factors relevant to functional outcomes for stroke patients is important to the establishment of an effective continuing care program. The objective of this studywas to identify the predictive factors related to functional outcome at discharge after stroke rehabilitation therapy. Methods: 105 first-time stroke patients admitted to the inpatient rehabilitation department of a university-based medical center were recruited for this prospective study. The functional outcomes of the patients were assessed at admission and at discharge using the Functional Independence Measure (FIM). Severity of stroke was determined using the Canadian Neurological Scale (CNS). Age, gender, side of hemiplegia (SIDE), type of stroke (TYPE), onset to admission interval (OAI), and length of rehabilitation stay (LORS) were also included as predictor variables. Results: The mean (′SD) FIM score at discharge (76.6 ′ 26.4) correlated strongly (r = 0.78, p < 0.001) with the admission FIM score (56.3 ′ 24.1), moderately (r = 0.46, p < 0.001) with the admission CNS score (6.1 ′ 2.2), negatively (r = -0.38, p < 0.001) with age (63.2 ′ 12.3 years), negatively (r = -0.26, p = 0.009) with OAI (24.2 ′ 16.0 days), and negatively (r = -0.29, p = 0.002) with LORS (34.7 ′ 16.8 ays). Stepwise regression analyses indicated that admission FIM score, age, and admission CNS score were the stronge predictors of functional outcome and accounted for 66% of the total variation in discharge FIM total score. The admission FIM score was the best predictor and accounted for 61% of the variation. Conclusions: The findings of this study imply that the admission FIM scores for inpatients receiving stroke rehabilitation can be used to predict functional outcomes at discharge from hospital.

The relative and absolute reliability of two balance performance measures in chronic stroke patients

Purpose. To examine the relative reliability and absolute reliability of the Berg Balance Scale (BBS) and the Postural Assessment Scale for Stroke Patients (PASS) in chronic stroke patients. Method. A total of 52 mild to moderate stroke patients, who had a stroke more than 6 months previously, participated in the study. Both balance measures were administered twice, seven days apart, to the patients. A relative reliability index (intra-class correlation coefficient, ICC2,1) was used to examine the level of agreement between test and retest. Absolute reliability indices, including the Bland and Altman method, the standard error of measurement (SEM), and the smallest real differences (SRD), were used to define the extent to which a balance score varies on test-retest measurements. Results. Test-retest agreements were high (ICC2,1: BBS = 0.98; PASS = 0.97), indicating excellent agreement from a relative perspective. The SEM of the BBS and PASS, representing the smallest change threshold that indicates a real improvement for a group of individuals, were 2.4 and 1.1, respectively. The SRD of the BBS and PASS were 6.7 and 3.2, respectively, exhibiting the smallest change threshold that indicates a real improvement for a single individual. Conclusions. The test-retest agreements of the BBS and PASS were high in mild to moderate chronic stroke patients. The thresholds of both measures to detect real change are acceptable in research and clinical settings.

Cross-cultural adaptation of the Portuguese version of the patient-generated subjective global assessment

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Myxobolus cordeiroi n. sp., a parasite of Zungaro jahu (Siluriformes: Pimelodiade) from Brazilian Pantanal: Morphology, phylogeny and histopathology

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Interações socioculturais com a fauna silvestre em uma unidade de conservação na Amazônia: relações de gênero e geração

Este artigo descreve as interações socioculturalmente estabelecidas entre os moradores do rio Unini, Parque Nacional do Jaú, Amazônia central, com o conjunto da fauna silvestre local. Analisa a diversidade dessas interações e a reprodução das mesmas quando influenciadas por fatores de gênero e geração. Os procedimentos metodológicos adotados foram observação participativa e oficinas de grupos focais. Nessas oficinas, foram produzidas free-listings de animais silvestres relacionados a um determinado habitat. O grau de similaridade e dissimilaridade entre as listas foi analisado utilizando-se o Índice de Jaccard, ilustrado em dendrogramas. de maneira geral, as associações mentais entre elementos da fauna, habitat da floresta e nichos ecológicos que expressam as interações socioculturais dos indivíduos com os animais silvestres são bastante similares entre os membros da comunidade. No entanto, os efeitos de geração e de gênero são perceptíveis. A reprodução dessas interações perpassa pela questão do habitus, que estrutura o processo de socialização das interações culturais com a fauna local.

Mastite subclínica bubalina por Aspergillus fumigatus

This research aimed to report the occurrence of subclinical mastitis in a buffalo from a study carried out with 548 milk samples of 137 Murrah and Mediterranean buffalos from seven milk properties, located in the cities of Jau, Botucatu and Sorocaba, State of São Paulo. The animals of the study were submitted to a clinical examination of the mammary gland by the inspection and to the diagnosis of clinical and subclinical mastitis by California Mastitis Test (CMT), being the milk samples later directed to the laboratory for microbiological studies and also to the test of Whiteside Modified (WSM). The isolated agents were identified by the morphological characteristics of its colonies and through microcultive staining with blue cotton. Two (02) pure fungi samples were isolated representing 2.86% of the total isolated microorganism, corresponding to two mammary rooms in one animal, and were classified as pertaining to the Aspergillus fumigatus specie. The animal in question showed reaction of ++ to the CMT in both affected rooms and negative reaction to the WSM. In this way it is concluded that the Aspergillus fumigatus participates in a discrete way as a determinant agent of bubaline subclinical mastitis, however it is important because the affected animals can act as potential reservoirs and may be able to generate the infection in human beings.

Caracteristicas gerais e classificacao de solos basalticos da regiao Central do Estado de Sao Paulo.

Giving a special emphasis on soil classification relative to their positions in the landscape, five soil profiles in the Barra Bonita-Jau area were characterized through morphological, granulometric and chemical routine soil analysis. It was observed that the soil structure gradually changes from strong blocks with cutans (lowlands and smooth parts - Jau). In this direction, the silt/clay ratio and the base saturation is reduced, and the aluminium saturation increases. -from English summary

Comportamento espacial da cultura canavieira no Estado de Sao Paulo, 1980

Data from the agricultural and Cattle Raising Census for 1980 show that most of the sugar cane producing counties lie in the administrative regions of Campinas, Ribeirao Preto and Sao Jose do Rio Preto. A comparison with the 1975 data shows two important facts; 1) an increase of the cultivated area in 118 counties and 2) an increase in the number of counties with area under sugar cane. There was also an expansion in the sub-regions of Catanduva, Assis and Ourinhos. Nevertheless, Piracicaba, Araraquara, Ribeirao Preto, Jaboticabal and Jau, have continued to be important sugar cane producing nuclei in the State since 1960. -from English summary

Comparação entre hipertensão autoreferida e pressão arterial casual e presença de fatores de risco em funcionários da saúde Bauru e Jaú

Model: Prevalence study. Objectives: To evaluate the presence of self-reported hypertension to compare with blood pressure measurements. Besides, this work investigated health information level of workers and if the job position has any influence on blood pressure (BP). Methods: This study evaluated 349 health workers (44±10 years old) from Bauru and Jau cities, who answered some questions about history of health condition, use of medicines, past surgeries as well as social, scholar and physical conditions and had their blood pressure measured. Each subject selfreported as normotensive or hypertensive. Values of systolic ≥ 140 mmHg and/or diastolic PA ≥ 90 mmHg were considered elevated. Among the health workers evaluated, 198 were submitted to anthropometric and biochemical evaluations. Values are presented as means ± SD and frequency of distribution. It was used T-student test (p<0.05). Results: From all workers evaluated only 16% self-reported as hypertensive, which 56% presented high BP, however 91% used to take antihypertensive medicines. Among the 84% who self-reported as normotensive, 24% presented high BP and 8% used to take medicines. Although most of the employees of each section self-reported as normotensive, more than a half presented high BP and which was more common in the health's section (76.3%). Conclusion: These results suggest that besides the majority of the employees self-reported as normotensive, an elevated number of health workers presented high blood pressure and used to take medicines inappropriately, which indicates that they did not have enough knowledge about their health. Furthermore, it was observed that Health Section presented the higher blood pressure values.

Respostas fisiológicas de cultivares de cana-de-açúcar a herbicidas seletivos

The use of selective herbicides to control weeds has caused different responses in cultivars of sugar cane, and some products affect physiological characteristics and reduce the photosynthetic activity. This study aimed to evaluate the physiological traits in cultivars of sugar cane under the effect of applying post-emergence herbicides. The test was developed in Jau, SP. The experimental design was randomized blocks in factorial scheme 5 x 4 (cultivar x herbicide) with four replications. SP81-3250, RB855156, RB855453, RB867515, IACSP95-5000 were grown in this studied. Herbicides clomazone (1200 g i.a.ha-1); commercial mixture of clomazone + ametryn (1000 + 1500 g i.a.ha-1) and ametryn (3000 g i.a.ha-1) and a control were applied at 30 days after planting. Cultivars IACSP95-5000 and RB867515 were less affected physiologically and can be considered selective to these herbicides. The application of clomazone and ametryn affected negatively the traits maximum photochemical efficiency of photosystem II (Fv/Fm), SPAD index and photosynthetic pigments, but the mixture of these herbicides caused higher reductions, indicating to be the more aggressive to the cultivars.

Avaliação das alterações orais em candidatos ao transplante de células-tronco hematopoéticas: identificação de fatores de risco para complicações clínicas

Pós-graduação em Bases Gerais da Cirurgia - FMB

Os processos de comunicação interna das organizações no contexto das tecnologias da comunicação digital: reflexões a partir das práticas de interatividade da geração y

Pós-graduação em Comunicação - FAAC