191 research outputs found
Article - Ethelwyn Wetherald
No full textAn article about the life and work of Ethelwyn Wetherald printed in The Challenge. The article discusses that she not only wrote about nature, but also emotion and life. The author mentions "Sir Wilfrid Laurier was one of her many admirers and in one of his speeches in the House of Commons, he quoted her poem, 'My Orders'. 'My orders are to fight. Then if I bleed, or fail, Or strongly win, what matters it? God only doth prevail. The servant craveth naught Except to serve with might. I was not told to win or lose - My orders are to fight'". The article is also signed by the author with a note that reads "with much love from Elsie Pomeroy"
Electrostimulation for promoting recovery of movement or functional ability after stroke: systematic review and meta-analysis
No full textBACKGROUND: Electrostimulation might improve motor recovery after stroke by providing neuromuscular re-training. OBJECTIVES: To find if electrostimulation improved functional motor ability, and the ability to undertake activities of daily living. SEARCH STRATEGY: We searched the Cochrane Stroke Group Trials Register (last searched August 2005), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 1, 2004), MEDLINE (1966 to January 2004), EMBASE (1980 to January 2004), CINAHL (1982 to January 2004), AMED - Allied and Complementary Medicine Database (1985 to January 2004), Physiotherapy Evidence Database (PEDro), REHABDATA and the ISI Science Citation Index (1981 to 2003). We placed a request on the PHYSIO e-mail discussion list and contacted authors of relevant studies to elicit any unpublished or ongoing studies, searched the reference lists of included trials and contacted trialists. SELECTION CRITERIA: Randomised controlled trials of electrostimulation delivered to the peripheral neuromuscular system which was designed to improve voluntary movement control, functional motor ability and activities of daily living. DATA COLLECTION AND ANALYSIS: Two review authors independently selected trials for inclusion, assessed trial quality and extracted the data. MAIN RESULTS: Of the 2077 references identified, 24 trials were included in this review. For electrostimulation compared with no treatment this review found that electrostimulation improved some aspects of functional motor ability and some aspects of motor impairment and normality of movement. In addition, there was a significant difference in favour of no treatment compared with electrostimulation for an aspect of functional motor ability. For electrostimulation compared with placebo this review found that electrostimulation improved an aspect of functional motor ability. For electrostimulation compared with conventional physical therapy this review found that electrostimulation improved an aspect of motor impairment. There were no statistically significant differences between electrostimulation and control treatment for all other outcomes. However, these results need to be interpreted with reference to the following: (1) the majority of analyses only contained one trial; (2) variation was found between included trials in time after stroke, level of functional deficit, and dose of electrostimulation; and (3) the possibility of selection and detection bias in the majority of included trials. AUTHORS' CONCLUSIONS: At present, there are insufficient robust data to inform clinical use of electrostimulation for neuromuscular re-training. Research is needed to address specific questions about the type of electrostimulation that might be most effective, in what dose and at what time after stroke
Physiotherapy treatment approaches for stroke
No full textThere are several different approaches to physiotherapy treatment after stroke. These can broadly be divided into approaches that are based on neurophysiological, motor learning, or orthopaedic principles. Some physiotherapists base their treatment on a single approach, whereas others use a mixture of components from a number of different approaches. The practical application of these approaches can result in substantial differences in patient treatment. At present, the Bobath Approach, based on neurophysiological principles, probably remains the most widely used approach in the Western world.1–5 However, there is a lack of convincing evidence to support any specific physiotherapy treatment approach.3,6 This systematic review aims to assess the effects of physiotherapy treatment if it is based on orthopaedic, motor learning, or neurophysiological principles, or on a mixture of these treatment principles
Electrostimulation for promoting recovery of movement or functional ability after stroke
No full textEstimating demographic parameters for capture-recapture data in the presence of multiple mark types
No full textIn mark-recapture studies, various techniques can be used to uniquely identify individual animals, such as ringing, tagging or photo-identification using natural markings. In some long-term studies more than one type of marking procedure may be implemented during the study period. In these circumstances, ignoring the different mark types can produce biased survival estimates since the assumption that the different mark types are equally catchable (homogeneous capture probability across mark types) may be incorrect.We implement an integrated approach where we simultaneously analyse data obtained using three different marking techniques, assuming that animals can be cross-classified across the different mark types. We discriminate between competing models using the AIC statistic. This technique also allows us to estimate both relative mark-loss probabilities and relative recapture efficiency rates for the different marking methods.We initially perform a simulation study to explore the different biases that can be introduced if we assume a homogeneous recapture probability over mark type, before applying the method to a real dataset. We make use of data obtained from an intensive long-term observational study of UK female grey seals (Halichoerus grypus) at a single breeding colony, where three different methods are used to identify individuals within a single study: branding, tagging and photo-identification based on seal coat pattern or pelage.Peer reviewe
Effectiveness of treadmill retraining on gait of hemiparetic stroke patients: systematic review of current evidence
No full textBackground Treadmill retraining of gait has been proposed as a useful adjunct to conventional physical therapy to restore ability to walk after stroke. Aim: To inform clinical practice by evaluating the research evidence for the effectiveness of treadmill retraining of gait after stroke. Design: A systematic review. Search strategy: An electronic search of Medline, Embase, Cinahl, Amed and PEDro combined with a hand search of papers published in relevant peer-reviewed journals. Inclusion criteria for and identification of studies: Published, human, English language, controlled studies investigating treadmill retraining of gait for adults with a diagnosis of stroke and hemiplegia. The two authors independently examined the abstracts of studies highlighted to identify those which met the inclusion criteria. Data collection and analysis: Studies which met the inclusion criteria were reviewed by both authors independently and classified into categories: treadmill versus no treatment, treadmill plus partial bodyweight support (PBWS) versus no treatment, treadmill plus PBWS versus treadmill, treadmill versus physical therapy and treadmill plus PBWS versus physical therapy. Each author independently extracted relevant data on the subjects, study design, interventions, outcome measures and results. Any disagreements were resolved through discussion. Findings: Twelve studies fulfilled the inclusion criteria – five single case studies and seven randomised controlled trials. The review suggests that although treadmill retraining of gait, especially with PBWS, might improve gait parameters and functional mobility, unless treadmill retraining is directed at improving gait speed it might be no more effective than conventional physical therapy at improving gait parameters. Limitations: The findings of this review are limited by a lack of comprehensive investigation of conventional physical therapy interventions, difficulty comparing primary studies which investigated subjects at different time points after stroke using a variety of outcome measures, and the quality of the included primary studies. Implications for clinical practice: This review suggests that there is little evidence as yet to justify changing clinical practice in favour of treadmill retraining of gait after stroke
Book Review: Alliances & Armor: Communist Diplomacy and Armored Warfare During the War in Vietnam
No full textAuthor: Jim Pomeroy
Reviewed by: Dr. Gregory A. Daddis, Melbern G. Glasscock Endowed Chair in American History, Texas A&M University
In Alliances & Armor, Jim Pomeroy reveals how Cold War diplomacy shaped North Vietnam’s battlefield tactics, transforming guerrilla warfare into Soviet-style armored offensives. Drawing from multi-archival sources, the book traces Hanoi’s strategic pivot from China to the USSR amid shifting global alliances and escalating US involvement. With gripping detail, Pomeroy chronicles the rise of the People’s Army of Vietnam’s tank-led campaigns, culminating in the dramatic fall of Saigon.https://press.armywarcollege.edu/parameters_bookshelf/1120/thumbnail.jp
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