Miracle-dz/UniFAR-FTUs huggingface dataset:
Spontaneous uterine rupture in the 33rd week of IVF pregnancy after laparoscopically assisted enucleation of uterine adenomatoid tumor

Although a uterine leiomyomectomy or adenomyomectomy is an accepted procedure to treat symptoms such as dysmenorrhea or hypermenorrhea to enhance fertility, the risk of future uterine rupture is a major concern for patients who become pregnant following these surgery. Although uterine rupture very rarely occurs, this is the most feared complication in pregnancy and is associated with a high rate of maternal and fetal morbidity and mortality.
The validity of a non-differential global positioning system for assessing player movement patterns in field hockey

Abstract Nine games players (mean age 23.3 years, s = 2.8; height 1.73 m, s = 0.08; body mass 70.0 kg, s = 12.7) completed 14 laps of a measured circuit that incorporated intermittent running and directional changes, representative of the movements made by field hockey players during match-play. The distances and speeds recorded by a global positioning satellite (GPS) system (Spi Elite™) were compared statistically with speed measurements made using timing gates and distances measured using a calibrated trundle wheel, to establish the criterion validity of the GPS system. A validation of the speed of movement of each participant separately was also made, using data from each timing gate, over a range of speeds. The mean distance recorded by the GPS system was 6821 m (s = 7) and the mean speed was 7.0 km · h−1 (s = 1.9), compared with the actual distance of 6818 m and recorded mean speed of 7.0 km · h−1 (s = 1.9). Pearson correlations (r) among timing gate speed and GPS speed were ≥0.99 (P < 0.001) and the mean difference and 95% limits of agreement were 0.0 ± 0.9 km · h−1. These results suggest that a GPS system (Spi Elite™) offers a valid tool for measuring speed and distance during match-play, and can quickly provide the scientist, coach, and player with objective information about certain movement patterns during competitive games.
The effects of vibration on explosive and reactive strength when applying individualized vibration frequencies

Abstract The aim of this study was to assess the effects of 8 weeks of whole-body vibrations on explosive and reactive leg strength. Thirty-three physically active students took part in the study and were randomly assigned to an individualized-vibration group, a fixed-vibration group or a control group. The frequency of vibration was set to 30 Hz for the fixed-vibration group, whereas the frequency for the individualized-vibration group was determined by monitoring the participants' EMGrms activity. The participants in the two vibration groups were exposed three times a week for 8 weeks to a series of 10 × 1-min whole-body vibrations with a 1-min pause between series of vibrations and a 4-min pause after the first five series of vibrations. Jump height in the squat jump increased significantly in all three groups (by 11% for the individualized-vibration group, p = 0.001; by 3% for the fixed-vibration group, p = 0.011; and by 2% for the control group, p = 0.006), but countermovement jump height was not affected. In continuous rebound jumps by the individualized-vibration group, jumping height increased by 22% (p = 0.006) and power increased by 18% (p = 0.002). The results of this study suggest that the use of an individualized vibration frequency produces a greater response from the neuromuscular system and is more beneficial than vibrations at a fixed pre-selected frequency.
The relationship between heart rate intensity and pedometer step counts in adolescents

Abstract The primary objective of this study was to examine the relationship between heart rate intensity and pedometer step counts in adolescents. To determine cardiorespiratory fitness, 106 participants (47 boys, 59 girls, mean age 14.2 years, s = 0.8) completed the Queen's College Step Test and were classified as having low, moderate or high cardiorespiratory fitness. Adolescents also completed a 10-min treadmill trial while wearing a pedometer and heart rate monitor. The participants were instructed to maintain their heart rate between 65 and 75% of their maximum heart rate while running or walking on a treadmill. A heart rate of 65–75% maximum was associated with 146 steps per minute (s = 22) in boys and 137 steps per minute (s = 22) in girls. Results of analysis of variance indicated that there was a main effect for level of fitness (F 2,102 = 9.36, P < 0.001). The correlation between mean steps per minute and estimated maximum oxygen consumption was statistically significant (r = 0.44, P < 0.001). The results from this study suggest that a step rate of 130 steps per minute is equal to 65–75% maximum heart rate in low-fit adolescents and achieving 130 steps per minute could be used as an initial goal to improve fitness.
Service Dogs as Interventions: State of the Science

&NA; Currently, the supply of service dogs is limited. Of the more than 49 million Americans with a disability, fewer than 16,000 have a service dog. Every year, the Delta Society's National Service Dog Center—a clearinghouse for information about obtaining or training service dogs—receives thousands of calls from people who want, but cannot obtain, such a dog. This article reviews for professionals in rehabilitation the current research into the use of service dogs and/or animal‐assisted therapy. Service dogs may help the clients of rehabilitation nurses meet their rehabilitation goals; therefore, it is incumbent upon nurses to be familiar with the research in this area. Another article by Susan Modlin, which discusses the author's personal experience with a service dog training program, will be published in the January/February 2001 issue of Rehabilitation Nursing.
Maternal experiences of preterm birth and neonatal intensive care

Thirty-six mothers of infants admitted to three neonatal intensive care units were interviewed to explore their experiences. The main enquiry focused on: (a) interactions with professional caregivers, (b) maternal feelings, perceptions and sensitivities and (c) psychological adaptation to preterm birth and events around the early new-born period. Interviews were conducted between 4 and 9 days following birth when infants were no longer considered to be critically ill. Findings highlight the crisis nature of the event for mothers and provide insight into their adaptive processes. There are indications of how practitioners might best support families in their efforts to develop their parental role.
Heart rate prescribed walking training improves cardiorespiratory fitness but not glycaemic control in people with type 2 diabetes

Abstract In this study, we examined the effects of a supervised, heart rate intensity prescribed walking training programme on cardiorespiratory fitness and glycaemic control in people with type 2 diabetes mellitus. After receiving local ethics approval, 27 individuals (21 males, 6 females) with type 2 diabetes were randomly assigned to an experimental (“walking”) or control group. Participants completed a Balke-Ware test to determine peak heart rate, peak oxygen consumption ([Vdot]O2peak), and peak gradient. The walking group then completed a 7-week (four sessions a week) supervised, heart rate prescribed walking training programme, whereas the control group continued daily life. After training, participants completed another Balke-Ware test. Fasting blood glucose and glycosylated haemoglobin were measured at rest. The results showed that walking training elicited 80% (s = 2) of peak heart rate and a rating of perceived exertion of 11 (s = 1). Peak heart rate and [Vdot]O2peak were higher in the walking than in the control group after training (P < 0.05). Based on the peak gradient before training, the respiratory exchange ratio was significantly lower (P < 0.05) and there was a strong trend for [Vdot]O2 (P = 0.09) and heart rate (P = 0.09) to be lower after training at the same gradient in the walking compared with the control group. These improvements increased walking peak gradient by 5 min (s = 4 min) compared with the control (P < 0.05). There was no change in fasting blood glucose or glycosylated haemoglobin after training. Despite no change in glycaemic control, heart rate prescribed walking improved peak and sub-maximal cardiorespiratory responses. The beneficial adaptations support the use of heart rate monitoring during walking in people with type 2 diabetes mellitus.
Early diagnosis of postpartum acute myocardial infarction with combined use of troponin T and heart‐type fatty acid‐binding protein rapid assay

Acute myocardial infarction (AMI) during pregnancy or in the early postpartum period is a rare event but may cause perinatal morbidity and mortality. Early diagnosis of AMI is critical for appropriate treatment. We report a case of postpartum AMI in a 40‐year‐old multiparous woman with varicose veins. On postpartum day 3, the patient suffered severe chest pain. She had been administered oral methylergometrine. In addition to ST‐segment elevation in her electrocardiogram, the patient presented with a positive result on whole blood rapid panel tests for troponin T and heart‐type fatty acid‐binding protein (H‐FABP). These findings indicated AMI in the anterolateral wall. The chest pain disappeared with the prompt administration of intravenous pentazocine hydrochloride and sublingual nitroglycerin spray. Angiography did not reveal any signs of coronary stenosis. To our knowledge, this is the first report of postpartum AMI diagnosed rapidly with combined use of troponin T and H‐FABP qualitative panel tests.
Recurrence Rate of Lumbar Disc Herniation After Open Discectomy in Active Young Men

Study Design. A retrospective clinical study. Objective. To estimate the recurrence rate of lumbar disc herniation after open discectomy in active young men using survival analysis. Summary of Background Data. There are few reports on the recurrence rate of lumbar disc herniation in young adults, even though this age group shows a higher incidence of disc herniation than the other age groups. In addition, most of the studies on the recurrence rate of disc herniation have reported percentages without regard to the effect of the time course. Methods. Medical records were retrospectively reviewed and phone call surveys were undertaken for 241 patients aged from 20 to 39 who had undergone open discectomies over a period of 14 years. A diagnosis of recurrence was based on the development of new symptoms and magnetic resonance imaging showing compatible lesions in the same segment as the initial diagnosis. The recurrence rate was calculated using a survival analysis based on the Kaplan-Meier product-limit method and the log-rank test was used to evaluate the effect of patient age, level of occurrence, and type of herniated disc on the recurrence rate. Results. The overall recurrence rate was 7.1% (17 patients) at a mean follow-up of 8.55 years, and the cumulative survival rate was 91.5% at a follow-up of 14 years. Survival analysis estimated a higher rate of recurrence at longer follow-up, although there was no recurrence after ninth year from the primary surgery. The recurrence rate was significantly higher for protruded discs compared with other types. Conclusion. Survival analysis provides a more accurate estimation of true recurrence rate. Protruded discs are more likely to show recurrence than other types.
Improving Community Skills After Lower Extremity Joint Replacement

The purpose of this study was to examine the effect of an occupational therapy intervention focused on improving community skills after a lower extremity major joint replacement. One hundred and seven subjects, status-post total hip or total knee replacement, were examined pre- and post-community reintegration intervention involving practice of community skills in a natural environment. Participants reported significantly higher scores post-intervention on measures of satisfaction with performance, performance, and confidence (p < .0001) related to community living skills. Self-reported scores were significantly higher for individual community skills as well as the overall score (p < .0001). Limitations and recommendations for future research are discussed.
Papillary squamotransitional cell carcinoma of the vagina

A case of a papillary squamotransitional cell carcinoma (PSTCC) of the vagina with a follow‐up of 3 years is presented here. The characteristics of this case support a squamous rather than urothelial origin of this rare entity. Unlike its counterparts in the cervix uteri, the clinical behavior of vaginal PSTCC is more favorable than squamous cell carcinoma. Histological and clinical features are compared to those of previously described cases of vaginal and cervical PSTCC.
Postnatal Growth, Differentiation, and Aging of the Mouse Intervertebral Disc

Study Design. This study follows postnatal intervertebral disc (IVD) growth and differentiation in the mouse. Objective. To initiate use of the mouse as a model system for postnatal IVD differentiation and growth, and to serve as a basis for assaying changes caused by disease or genetic or experimental perturbation. Summary of Background Data. Lower back pain caused by disc degeneration is one of the most common clinical conditions worldwide. There is currently no completely effective treatment, largely because of a lack of basic knowledge of the molecular and cellular controls of disc growth, differentiation, and maintenance after birth. Methods. Conventional histology of decalcified IVDs, differential interference contrast, polarizing optics, immunocytochemistry, laser capture microscopy followed by molecular analysis of the dissected cells by reverse transcriptase polymerase chain reaction. Results. There is a single postnatal growth spurt in the mouse IVD, between birth and 9 weeks of age. Cell proliferation was found in the nucleus pulposus (NP) and anulus fibrosus (AF) only until 3 weeks of age. Most of the postnatal growth of the IVD is due to accumulating extracellular matrix. NP cell numbers decline steadily after 2 weeks of age, because of apoptosis. Laser capture microscopy was used to dissect NP cells from the disc, and showed that these cells express markers of the embryonic notochord. The postnatal AF appears initially as a continuous structure surrounding the NP. This structure differentiates, during the first 2 postnatal weeks, to form the mineralized, but nonossified endplate over the surfaces of the vertebral growth plates, and the mature fibrous AF (fAF) passing between adjacent vertebrae. The fact that the mature fAF and the endplate form from an originally continuous layer of cells explains the anatomic relationship between these 2 structures, in which the fAF inserts into the vertebral endplate. Conclusion. Growth of the IVD takes place during the first 9 postnatal weeks, although cell proliferation ceases after 3 weeks. After birth, the early postnatal IVD differentiates into 3 tissue types, the NP, the fAF between the vertebrae, and the mineralized endplates over the surfaces of the vertebrae.
Which Lateral Radiographic Positioning Technique Provides the Most Reliable and Functional Representation of a Patient’s Sagittal Balance?

Study Design. Prospective nonscoliotic cohort evaluation of the effects of various positions for obtaining standing lateral thoracolumbar radiographs. Objective. The purpose of this study was to compare the effects of various upper extremity positions on thoracolumbar sagittal spinal alignment. Summary of Background Data. The standing position used to capture a lateral plane radiograph can have marked effects on measurements of sagittal spinal alignment and may compound the variability between measurements from successive radiographs. Methods. Twenty-two healthy female adolescents performed 3 repeated trials of 4 standing positions in a motion analysis laboratory. The positions included: (1) relaxed standing with arms at sides (CONTROL), (2) standing with fists overlying ipsilateral clavicles (CLAVICLE), (3) active shoulder flexion to 30° with elbows extended (30 ACTIVE), and (4) passive shoulder flexion to 30° with hand supports (30 PASSIVE). Sagittal alignment of the spine was described by kyphosis, lordosis, and the sagittal vertical axis (SVA), all of which were measured from the positions of reflective markers attached to the surface of the back and pelvis. Differences between alignment measures obtained for each of the 3 radiographic positions relative to the functional position (CONTROL) were calculated. Mean differences were then compared between positions using repeated measures ANOVAs (&agr; = 0.05). Results. Relative to the CONTROL position, all other positions resulted in negative shifts in SVA (range = −1.1 cm–−4.6 cm), decreased kyphosis (range = −1°–−3°), and increased lordosis (4° for all positions). The shift in the SVA with the 30 PASSIVE position was significantly less than the other 2 positions (P < 0.05) and demonstrated the least variability. Discussion. Standing with the hands supported while flexing the shoulders 30° during positioning for lateral spinopelvic radiographic acquisition resulted in an SVA and measures of sagittal plane curvature that were comparable with a functional standing position with arms at the side. This seems to be the best way to move the arms anterior to the spine with the least effect on overall sagittal balance.
Surgical Correction and Fusion Using Posterior-Only Pedicle Screw Construct for Neuropathic Scoliosis in Patients With Cerebral Palsy: A Three-Year Follow-up Study

Study Design. It is a retrospective study of 52 neuromuscular scoliosis patients with cerebral palsy (CP). Objective. To determine the effectiveness and amount of correction using posterior-only pedicle screw construct. Summary of Background Data. Although there have been many reports in literature supporting the use of pedicle screw-only constructs for the correction of adolescent idiopathic scoliosis, similar studies have not been reported in patients with CP. Methods. We retrospectively evaluated outcomes of 52 neuropathic scoliosis patients (28 males and 24 females) with CP over minimum 2 years of follow-up. All patients underwent pedicle screw fixation without any anterior procedure for the correction. Pelvic fixation was done in 10 patients who had pelvis obliquity more than 15°. All coronal and sagittal parameters were noted after surgery and at final follow-up. Patient’s functional outcome was measured using modified Rancho Los Amigos Hospital system criteria. Complications were recorded from record sheets and any change in the ambulatory status was also recorded. Results. Mean age was 22 years at the time of operation and average follow-up was 36.1 month. Cobb’s angle was improved to 62.9% (P < 0.0001) from 76.8° to 30.1° after surgery and 31.5° at final follow-up. This correction of scoliosis (41%∼92%) was found to be statistically significant (P < 0.0001). Overall correction in pelvic obliquity was 56.2% from 9.2° before surgery to 4.0° after surgery which was 43.1% at final follow-up to 5.2°. Twenty-one patients (42%) improved their functional ability by grade 1 with 2 patients by grade 2. After the operation parent or caretakers of patients exhibited better sitting balance and nursing care. There were 32% complications in the series major being pulmonary. There were 2 perioperative deaths and 1 patient developed neurologic deficit due to screw impingement in canal, which was resolved after removal. Conclusion. We reported satisfactory coronal and sagittal correction with posterior-only pedicle screw fixation without higher complication rate in CP patients. Further long-term study is recommended to evaluate the success of pedicle screw in this population.
Outcome of Conservative Surgery for Giant Cell Tumor of the Sacrum

Study Design. Retrospective analysis. Objective. To estimate the clinical outcome of conservative surgery (intralesional curettage or partial excision) aided by effective intraoperative hemorrhage control in patients with giant cell tumors of the sacrum. Summary of Background Data. Giant cell tumors of the sacrum present a challenging therapeutic problem. Wide resection is associated with higher morbidity and spinal instability. Whether conservative surgery aided by effective intraoperative hemorrhage control can achieve low recurrence rates remains uncertain. Methods. The clinical records of 24 patients with an average age of 35 years who had undergone conservative surgery for sacral giant cell tumor between 1996 and 2005 were evaluated retrospectively. The disease onset, tumor size, operation records, complications, follow-up status, and functional outcome were analyzed. Results. The mean duration of follow-up was 58 months (median, 50 months; range: 25–132 months). All the patients had a conservative procedure aided by intraoperative occlusion of the abdominal aorta. The mean estimated blood loss was 3217 mL. The mean length of the operation was 190 minutes. Seven (29.2%) patients developed recurrences. The mean time from the index surgical procedure to the first recurrence was 13 months (range: 8–31 months). The 5-year local recurrence-free survival rate was 69.6%. Seventeen (70.8%) patients retained normal urinary function and 16 (66.7%) patients preserved normal bowel function. No patients had urinary or bowel dysfunction when both S3 nerves were preserved. Ten (41.7%) patients had complications perioperatively or during the follow-up. Seven (29.2%) patients had wound complications. Conclusion. Considering the acceptable local recurrence rate, conservative surgery aided by effective control of intraoperative hemorrhage should be considered as an alternative procedure for patients with giant cell tumors of the sacrum. The advantages include lower morbidity, reduced neurologic deficits, speed and ease of the surgical procedure, reduced blood loss, preservation of spinal and pelvic continuity, and a low recurrence rate.
Stress responses during aerobic exercise in relation to motivational dominance and state

Abstract We examined the hypothesis that congruence between motivational dominance and state results in optimal psychological responses and performance during exercise. Twenty participants (10 telic dominant and 10 paratelic dominant) rated their stress at 5 min intervals as they cycled on an ergometer at gas exchange threshold for 30 min in both telic and paratelic state manipulated conditions. Participants then performed a test to exhaustion at a resistance equivalent to 110% of [Vdot]O2max. The hypothesized interaction between condition and dominance was significant for internal tension stress, as paratelic dominants were more stressed than telic dominants when exercising in the telic state and telic dominants were more stressed than paratelic dominants when exercising in the paratelic state. Similarly, the condition×dominance interaction for internal stress discrepancy was significant, as paratelic dominants reported greater internal stress discrepancy exercising in the telic compared with the paratelic state. Findings are discussed in relation to the application of reversal theory for understanding stress responses during aerobic exercise.