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Comparison of the effects of an exergame-based program with conventional physiotherapy on postural control, functional mobility and quality of life in patients with Parkinson\'s disease: Randomized clinical trial
No full textIntrodução: O comprometimento do controle postural e da mobilidade funcional são os dois sintomas mais debilitantes da doença de Parkinson. Além de limitar o desempenho nas atividades de vida diária, está associado à maior prevalência de quedas nessa população. Particularmente, a disfunção no controle postural não responde adequadamente à terapia de reposição dopaminérgica, mas os programas de fisioterapia convencional podem ser efetivos sobre esse desfecho em pacientes com doença de Parkinson. Objetivo: Desta maneira, o objetivo primário deste estudo foi analisar os efeitos do treinamento baseado em exergames Kinect em comparação com a fisioterapia convencional baseada nas áreas centrais da diretriz europeia de fisioterapia sobre o controle postural em pacientes com doença de Parkinson. Os objetivos secundários analisaram a efetividade das duas modalidades da fisioterapia sobre a mobilidade funcional, autopercepção de confiança no equilíbrio, qualidade de vida, força muscular de membros inferiores, habilidade de transferência, função motora e risco de quedas, além de observar a adesão e segurança das intervenções. Métodos: Trinta e oito pacientes diagnosticados com doença de Parkinson idiopática foram aleatorizados em dois grupos, e realizaram 14 sessões de treinamento, duas vezes por semana, por 60 minutos. O desfecho primário avaliou o controle postural por meio do Mini-BESTest. Foram avaliados como desfechos secundários: o limite de estabilidade, a reserva funcional do equilíbrio e a área do centro de pressão pela posturografia computadorizada; mobilidade funcional pelo teste Timed Up and Go (TUG); autoconfiança no equilíbrio por meio da Activities-specific Balance Confidence (ABC) scale; qualidade de vida por meio da versão brasileira do Parkinson\'s Disease Questionnaire (PDQ-39); força muscular de membros inferiores e habilidade de transferência pelo Five times Sit-To-Stand test (FTSST); função motora pelo Unified Parkinson\'s Disease Rating Scale (UPDRS-III); e o risco de quedas em comparação com a nota de corte no Mini-BESTest. Resultados: Aproximadamente 85% dos pacientes de ambos os grupos completaram as sessões de treinamento com altos índices de segurança e adesão. Ambos os grupos apresentaram melhora na UPDRS-III, Mini-BESTest e PDQ-39 (p> 0,05) com manutenção dos efeitos após 30 dias de segmento. Adicionalmente, o aumento significativo na pontuação do Mini-BESTest, após as intervenções, correlacionou-se com a redução no risco de quedas em ambos os grupos. Conclusão: As intervenções mostraram-se seguras e eficazes para melhorar o controle postural, função motora, risco de quedas e qualidade de vida em pacientes com doença de Parkinson. No entanto, não houve diferença entre os efeitos do exergame Xbox Adventures e a fisioterapia convencional baseada nas áreas centrais da diretriz europeia de fisioterapia para Doença de ParkinsonIntroduction: Impaired postural control and functional mobility are the two most debilitating symptoms of Parkinson\'s disease. In addition to limiting performance in activities of daily living, it is associated with a higher prevalence of falls in this population. Particularly, postural control dysfunction does not respond adequately to dopaminergic replacement therapy, but conventional physical therapy programs can be effective on this outcome in patients with Parkinson\'s disease. Objective: Thus, the primary objective of this study was to analyze the effects of training based on Kinect exergames compared to conventional physiotherapy based on the core areas of the European physiotherapy guideline on postural control in patients with Parkinson\'s disease. The secondary objectives were to analyze the effectiveness of the two physiotherapy modalities on functional mobility, self-perception of confidence in balance, quality of life, lower limb muscle strength, transfer ability, motor function and risk of falls, in addition to observing the adherence and safety of the interventions. Method: Thirty-eight patients diagnosed with idiopathic Parkinson\'s disease were randomly divided into two groups, and performed 14 training sessions, twice a week, for 60 minutes. The primary outcome assessed postural control using the Mini-BESTest. The following were evaluated as secondary outcomes: limit of stability, balance functional reserve and center of pressure area by computerized posturography; functional mobility by the Timed up and Go test; self-confidence in balance through the Activities-specific Balance Confidence scale; quality of life through the Brazilian version of the Parkinson\'s Disease Questionnaire; lower limb muscle strength and transfer ability by the Five times Sit-To-Stand test; motor function by the Unified Parkinson\'s Disease Rating Scale; and the risk of falls compared to the cut-off score on the Mini-BESTest. Result: Approximately 85% of patients in both groups completed training sessions with high rates of safety and adherence. Both groups showed improvement in UPDRS-III, Mini-BESTest and PDQ-39 (p>0.05) with maintenance of the effects after 30 days of follow-up. Additionally, the significant increase in the Mini-BESTest score after the interventions was correlated with a reduction in the risk of falls in both groups. Conclusion: The interventions proved to be safe and effective to improve postural control, quality of life and motor function in patients with Parkinson\'s disease. However, there was no difference between the effects of the Xbox Adventures exergame and conventional physiotherapy based on the core areas of the European physiotherapy guideline for Parkinson\'s diseas
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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