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Cabaraux P, Agrawal SK, Cai H, Calabro RS, Casali C, Damm L, Doss S, Habas C, Horn AKE, Ilg W, Louis ED, Mitoma H, Monaco V, Petracca M, Ranavolo A, Rao AK, Ruggieri S, Schirinzi T, Serrao M, Summa S, Strupp M, Surgent O, Synofzik M, Tao S, Terasi H, Torres-Russotto D, Travers B, Roper JA, Manto M. Correction to: Consensus Paper: Ataxic Gait. Cerebellum 2023; 22:431-432. [PMID: 35536510 DOI: 10.1007/s12311-022-01413-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
Affiliation(s)
- Pierre Cabaraux
- Unite Des Ataxies Cerebelleuses, Department of Neurology, CHU de Charleroi, Charleroi, Belgium.
| | | | - Huaying Cai
- Department of Neurology, School of Medicine, Neuroscience Center, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, 310016, China
| | | | - Carlo Casali
- Department of Medico‑Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy
| | - Loic Damm
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - Sarah Doss
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, USA
| | - Christophe Habas
- Universite Versailles Saint-Quentin, Versailles, France
- Service de NeuroImagerie, Centre Hospitalier National des 15‑20, Paris, France
| | - Anja K E Horn
- Institute of Anatomy and Cell Biology I, Ludwig Maximilians-University Munich, Munich, Germany
| | - Winfried Ilg
- Section Computational Sensomotorics, Hertie Institute for Clinical Brain Research, University Tubingen, Tubingen, Germany
| | - Elan D Louis
- Department of Neurology, University of Texas Southwestern, Dallas, TX, USA
| | - Hiroshi Mitoma
- Department of Medical Education, Tokyo Medical University, Tokyo, Japan
| | - Vito Monaco
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Maria Petracca
- Department of Human Neurosciences, Sapienza University, Rome, Italy
| | - Alberto Ranavolo
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy
| | - Ashwini K Rao
- Department of Rehabilitation & Regenerative Medicine (Programs in Physical Therapy), Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Serena Ruggieri
- Neuroimmunology Unit, IRCSS Fondazione Santa Lucia, Rome, Italy
- Department of Human Neurosciences, Sapienza University, Rome, Italy
| | - Tommaso Schirinzi
- Department of Systems Medicine, University of Roma Tor Vergata, Rome, Italy
| | - Mariano Serrao
- Department of Medico‑Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy
- Movement Analysis LAB, Policlinico Italia, Rome, Italy
| | - Susanna Summa
- MARlab, Neuroscience and Neurorehabilitation Department, Bambino Gesu Children's Hospital - IRCCS, Rome, Italy
| | - Michael Strupp
- Department of Neurology and German Center for Vertigo and Balance Disorders, Hospital of the Ludwig Maximilians-University Munich, Munich, Germany
| | - Olivia Surgent
- Neuroscience Training Program and Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - Matthis Synofzik
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research and Centre of Neurology, Tubingen, Germany
| | - Shuai Tao
- Dalian Key Laboratory of Smart Medical and Health, Dalian University, Dalian, 116622, China
| | - Hiroo Terasi
- Department of Neurology, Tokyo Medical University, Tokyo, Japan
| | - Diego Torres-Russotto
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, USA
| | - Brittany Travers
- Department of Kinesiology and Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - Jaimie A Roper
- School of Kinesiology, Auburn University, Auburn, AL, USA
| | - Mario Manto
- Unite Des Ataxies Cerebelleuses, Department of Neurology, CHU de Charleroi, Charleroi, Belgium
- Service Des Neurosciences, University of Mons, UMons, Mons, Belgium
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Cabaraux P, Agrawal SK, Cai H, Calabro RS, Casali C, Damm L, Doss S, Habas C, Horn AKE, Ilg W, Louis ED, Mitoma H, Monaco V, Petracca M, Ranavolo A, Rao AK, Ruggieri S, Schirinzi T, Serrao M, Summa S, Strupp M, Surgent O, Synofzik M, Tao S, Terasi H, Torres-Russotto D, Travers B, Roper JA, Manto M. Consensus Paper: Ataxic Gait. Cerebellum 2022; 22:394-430. [PMID: 35414041 DOI: 10.1007/s12311-022-01373-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/20/2022] [Indexed: 12/19/2022]
Abstract
The aim of this consensus paper is to discuss the roles of the cerebellum in human gait, as well as its assessment and therapy. Cerebellar vermis is critical for postural control. The cerebellum ensures the mapping of sensory information into temporally relevant motor commands. Mental imagery of gait involves intrinsically connected fronto-parietal networks comprising the cerebellum. Muscular activities in cerebellar patients show impaired timing of discharges, affecting the patterning of the synergies subserving locomotion. Ataxia of stance/gait is amongst the first cerebellar deficits in cerebellar disorders such as degenerative ataxias and is a disabling symptom with a high risk of falls. Prolonged discharges and increased muscle coactivation may be related to compensatory mechanisms and enhanced body sway, respectively. Essential tremor is frequently associated with mild gait ataxia. There is growing evidence for an important role of the cerebellar cortex in the pathogenesis of essential tremor. In multiple sclerosis, balance and gait are affected due to cerebellar and spinal cord involvement, as a result of disseminated demyelination and neurodegeneration impairing proprioception. In orthostatic tremor, patients often show mild-to-moderate limb and gait ataxia. The tremor generator is likely located in the posterior fossa. Tandem gait is impaired in the early stages of cerebellar disorders and may be particularly useful in the evaluation of pre-ataxic stages of progressive ataxias. Impaired inter-joint coordination and enhanced variability of gait temporal and kinetic parameters can be grasped by wearable devices such as accelerometers. Kinect is a promising low cost technology to obtain reliable measurements and remote assessments of gait. Deep learning methods are being developed in order to help clinicians in the diagnosis and decision-making process. Locomotor adaptation is impaired in cerebellar patients. Coordinative training aims to improve the coordinative strategy and foot placements across strides, cerebellar patients benefiting from intense rehabilitation therapies. Robotic training is a promising approach to complement conventional rehabilitation and neuromodulation of the cerebellum. Wearable dynamic orthoses represent a potential aid to assist gait. The panel of experts agree that the understanding of the cerebellar contribution to gait control will lead to a better management of cerebellar ataxias in general and will likely contribute to use gait parameters as robust biomarkers of future clinical trials.
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Affiliation(s)
- Pierre Cabaraux
- Unité Des Ataxies Cérébelleuses, Department of Neurology, CHU de Charleroi, Charleroi, Belgium.
| | | | - Huaying Cai
- Department of Neurology, Neuroscience Center, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016, China
| | | | - Carlo Casali
- Department of Medico-Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy
| | - Loic Damm
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - Sarah Doss
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, USA
| | - Christophe Habas
- Université Versailles Saint-Quentin, Versailles, France.,Service de NeuroImagerie, Centre Hospitalier National des 15-20, Paris, France
| | - Anja K E Horn
- Institute of Anatomy and Cell Biology I, Ludwig Maximilians-University Munich, Munich, Germany
| | - Winfried Ilg
- Section Computational Sensomotorics, Hertie Institute for Clinical Brain Research, University Tübingen, Tübingen, Germany
| | - Elan D Louis
- Department of Neurology, University of Texas Southwestern, Dallas, TX, USA
| | - Hiroshi Mitoma
- Department of Medical Education, Tokyo Medical University, Tokyo, Japan
| | - Vito Monaco
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Maria Petracca
- Department of Human Neurosciences, University of Rome Sapienza, Rome, Italy
| | - Alberto Ranavolo
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy
| | - Ashwini K Rao
- Department of Rehabilitation & Regenerative Medicine (Programs in Physical Therapy), Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Serena Ruggieri
- Department of Human Neurosciences, University of Rome Sapienza, Rome, Italy.,Neuroimmunology Unit, IRCSS Fondazione Santa Lucia, Rome, Italy
| | - Tommaso Schirinzi
- Department of Systems Medicine, University of Roma Tor Vergata, Rome, Italy
| | - Mariano Serrao
- Department of Medico-Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy.,Movement Analysis LAB, Policlinico Italia, Rome, Italy
| | - Susanna Summa
- MARlab, Neuroscience and Neurorehabilitation Department, Bambino Gesù Children's Hospital - IRCCS, Rome, Italy
| | - Michael Strupp
- Department of Neurology and German Center for Vertigo and Balance Disorders, Hospital of the Ludwig Maximilians-University Munich, Munich, Germany
| | - Olivia Surgent
- Neuroscience Training Program and Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - Matthis Synofzik
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research and Centre of Neurology, Tübingen, Germany
| | - Shuai Tao
- Dalian Key Laboratory of Smart Medical and Health, Dalian University, Dalian, 116622, China
| | - Hiroo Terasi
- Department of Neurology, Tokyo Medical University, Tokyo, Japan
| | - Diego Torres-Russotto
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, USA
| | - Brittany Travers
- Department of Kinesiology and Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
| | - Jaimie A Roper
- School of Kinesiology, Auburn University, Auburn, AL, USA
| | - Mario Manto
- Unité Des Ataxies Cérébelleuses, Department of Neurology, CHU de Charleroi, Charleroi, Belgium.,Service Des Neurosciences, University of Mons, UMons, Mons, Belgium
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Travers B, Taylor D, Klans N, Reynolds A, Kissinger L, Skaletski E, Brown J. Specific Daily Living Skills Are Associated With Motor Profiles in Children With and Without Autism. Am J Occup Ther 2021. [DOI: 10.5014/ajot.2021.75s2-po17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Date Presented 04/13/21
Motor challenges are commonly reported in children with autism spectrum disorder and have been linked to challenges with daily living skills (DLS). However, greater specificity is needed to understand which DLS are most associated with motor challenges. This work shows that motor challenges in children are most highly associated with DLS challenges in the domains of dressing, bathing, cleaning, and meal preparation. OTs can use this to inform clinical intervention.
Primary Author and Speaker: Brittany Travers
Additional Authors and Speakers: Szu-Wei Chen
Contributing Authors: Britney Ferri
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Rosenberg A, Sunkara A, Jiang H, Chang TY, Kim B, Sabel K, Jacquot S, Dinges A, Travers B. Diminished contextual learning in autism spectrum disorders. J Vis 2018. [DOI: 10.1167/18.10.1072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Ari Rosenberg
- Department of Neuroscience, School of Medicine and Public Health, University of Wisconsin-Madison
| | - Adhira Sunkara
- Department of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison
| | - Haorui Jiang
- Department of Neuroscience, School of Medicine and Public Health, University of Wisconsin-Madison
| | - Ting-Yu Chang
- Department of Neuroscience, School of Medicine and Public Health, University of Wisconsin-Madison
| | - Byounghoon Kim
- Department of Neuroscience, School of Medicine and Public Health, University of Wisconsin-Madison
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Larsen K, Benedict R, Travers B. Effects of Intrathecal Baclofen Pump on Leisure Participation Among Children With Cerebral Palsy. Am J Occup Ther 2016. [DOI: 10.5014/ajot.2016.70s1-po2098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Date Presented 4/7/2016
This poster will explain the results of a quasi-experimental study using a one-way, repeated-measures within-subjects design on the effects that intrathecal baclofen therapy, which assists with spasticity management, has on several components of leisure participation among children with cerebral palsy.
Primary Author and Speaker: Kayla Larsen
Contributing Authors: Ruth Benedict, Brittany Travers
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Monaghan M, Travers B, Kinsella M, Gallagher J, O'Connell E, Watson C, O'Hanlon R, Ledwidge M, Mailey J, Henderson JA, Dixon L, McDonald K. 30 Lack of specialist involvement in heart failure diagnosis leave concerning gaps in management: an all ireland analysis: Abstract 30 Table 1. Heart 2015. [DOI: 10.1136/heartjnl-2015-308621.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Mahon C, Kenny C, Lim R, Earls S, Travers B, McDonald K. 24 Anaemia in heart failure unit St. Michaels hospital dun laoghaire. Heart 2015. [DOI: 10.1136/heartjnl-2015-308621.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Duffield T, Trontel H, Bigler ED, Froehlich A, Prigge MB, Travers B, Green RR, Cariello AN, Cooperrider J, Nielsen J, Alexander A, Anderson J, Fletcher PT, Lange N, Zielinski B, Lainhart J. Neuropsychological investigation of motor impairments in autism. J Clin Exp Neuropsychol 2013; 35:867-81. [PMID: 23985036 PMCID: PMC3907511 DOI: 10.1080/13803395.2013.827156] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
It is unclear how standardized neuropsychological measures of motor function relate to brain volumes of motor regions in autism spectrum disorder (ASD). An all-male sample composed of 59 ASD and 30 controls (ages 5-33 years) completed three measures of motor function: strength of grip (SOG), finger tapping test (FTT), and grooved pegboard test (GPT). Likewise, all participants underwent magnetic resonance imaging with region of interest (ROI) volumes obtained to include the following regions: motor cortex (precentral gyrus), somatosensory cortex (postcentral gyrus), thalamus, basal ganglia, cerebellum, and caudal middle frontal gyrus. These traditional neuropsychological measures of motor function are assumed to differ in motor complexity, with GPT requiring the most followed by FTT and SOG. Performance by ASD participants on the GPT and FTT differed significantly from that of controls, with the largest effect size differences observed on the more complex GPT task. Differences on the SOG task between the two groups were nonsignificant. Since more complex motor tasks tap more complex networks, poorer GPT performance by those with ASD may reflect less efficient motor networks. There was no gross pathology observed in classic motor areas of the brain in ASD, as ROI volumes did not differ, but FTT was negatively related to motor cortex volume in ASD. The results suggest a hierarchical motor disruption in ASD, with difficulties evident only in more complex tasks as well as a potential anomalous size-function relation in motor cortex in ASD.
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Affiliation(s)
- Tyler Duffield
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Haley Trontel
- Department of Psychology, University of Montana, Missoula, Montana
| | - Erin D. Bigler
- Department of Psychology, Brigham Young University, Provo, Utah
- Neuroscience Center, Brigham Young University, Provo, Utah
- Department of Psychiatry, University of Utah, Salt Lake City, Utah
- The Brain Institute of Utah, University of Utah, Salt Lake City, Utah
| | - Alyson Froehlich
- Department of Psychiatry, School of Medicine, University of Utah, Salt Lake City, Utah
| | - Molly B. Prigge
- Department of Psychiatry, School of Medicine, University of Utah, Salt Lake City, Utah
- Interdepartmental Neuroscience Program, University of Utah, Salt Lake City, Utah
| | - Brittany Travers
- Department of Medical Physics, University of Wisconsin, Madison, Wisconsin
| | - Ryan R. Green
- Department of Psychology, Brigham Young University, Provo, Utah
| | - Annahir N. Cariello
- Department of Psychiatry, School of Medicine, University of Utah, Salt Lake City, Utah
| | - Jason Cooperrider
- Department of Psychiatry, School of Medicine, University of Utah, Salt Lake City, Utah
- Interdepartmental Neuroscience Program, University of Utah, Salt Lake City, Utah
| | - Jared Nielsen
- Department of Psychiatry, School of Medicine, University of Utah, Salt Lake City, Utah
- Interdepartmental Neuroscience Program, University of Utah, Salt Lake City, Utah
| | - Andrew Alexander
- Waisman Laboratory for Brain Imaging and Behavior, University of Wisconsin, Madison, WI, USA
- Department of Medical Physics, University of Wisconsin, Madison, Wisconsin
- Department of Psychiatry, University of Wisconsin, Madison, Wisconsin
| | - Jeffrey Anderson
- Department of Radiology, University of Utah, Salt Lake City, Utah
| | - P. Thomas Fletcher
- The Brain Institute of Utah, University of Utah, Salt Lake City, Utah
- School of Computing, University of Utah, Salt Lake City, Utah
| | - Nicholas Lange
- Departments of Psychiatry and Biostatistics, Harvard University, Boston, Massachusetts
- Neurostatistics Laboratory, McLean Hospital, Belmont, Massachusetts
| | - Brandon Zielinski
- Department of Pediatrics and Neurology, School of Medicine, University of Utah, Salt Lake City, Utah
| | - Janet Lainhart
- Waisman Laboratory for Brain Imaging and Behavior, University of Wisconsin, Madison, WI, USA
- Department of Psychiatry, University of Wisconsin, Madison, Wisconsin
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Travers B, Henderson S, Vasireddy S, SeQueira EJ, Cornell PJ, Richards S, Khan A, Hasan S, Withrington R, Leak A, Sandhu J, Joseph A, Packham JC, Lyle S, Martin JC, Goodfellow RM, Rhys-Dillon C, Morgan JT, Mogford S, Rowan-Phillips J, Moss D, Wilson H, McEntegart A, Morgan JT, Martin JC, Rhys Dillon C, Goodfellow R, Gould L, Bukhari M, Hassan S, Butt S, Deighton C, Gadsby K, Love V, Kara N, Gohery M, Keat A, Lewis A, Robinson R, Bastawrous S, Roychowdhury B, Roskell S, Douglas B, Keating H, Giles S, McPeake J, Molloy C, Chalam V, Mulherin D, Price T, Sheeran T, Benjamin SR, Thompson PW, Cornell P, Siddle HJ, Backhouse MR, Monkhouse RA, Harris NJ, Helliwell PS, Azzopardi L, Hudson S, Mallia C, Cassar K, Coleiro B, Cassar PJ, Aquilina D, Camilleri F, Serracino Inglott A, Azzopardi LM, Robinson S, Peta H, Margot L, David W, Mann C, Gooberman-Hill R, Jagannath D, Healey E, Goddard C, Pugh MT, Gilham L, Bawa S, Barlow JH, MacFarland L, Tindall L, Leddington Wright S, Tooby J, Ravindran J, Perkins P, McGregor L, Mabon E, Bawa S, Bond U, Swan J, O'Connor MB, Rathi J, Regan MJ, Phelan MJ, Doherty T, Martin K, Ruth C, Panthakalam S, Bondin D, Castelino M, Evin S, Gooden A, Peacock C, Teh LS, Ryan SJ, Bryant E, Carter A, Cox S, Moore AP, Jackson A, Kuisma R, Pattman J, Juarez M, Quilter A, Williamson L, Collins D, Price E, Chao Y, Mooney J, Watts R, Graham K, Birrell F, Reed M, Croyle S, Stell J, Vasireddy S, Storrs P, McLoughlin YM, Scott G, McKenna F, Papou A, Rahmeh FH, Richards SC, Westlake SL, Birrell F, Morgan L, Baqir W, Walsh NE, Ward L, Caine R, Williams M, Breslin A, Owen C, Ahmad Y, Morgan L, Blair A, Birrell F, Ramachandran Nair J, Zia A, Mewar D, Peffers GM, Larder R, Dockrell D, Wilson S, Cummings J, Bansal J, Barlow J. BHPR: Audit/Service Delivery [239-277]: 239. Arma-Based Audit of Rheumatology Service Delivered Predominantly Outside the Traditional Hospital Setting. Rheumatology (Oxford) 2010. [DOI: 10.1093/rheumatology/keq730] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Abstract
It has been known for a long time that acoustic measurements offer some unique features for characterizing liquid food products in their intact state, without any preparation or destruction of the product sample. Acoustic characterization can yield information about fat content, droplet size distribution, and kinetics of product variation with time. Furthermore, acoustic methods are very attractive for on-line process control. This paper addresses several questions: Why does ultrasound attenuate when propagating through a heterogeneous system? What properties of dairy products can be extracted from such ultrasound measurements? Which measurement is better for product characterization: attenuation or sound speed? What measurement precision is required to adequately characterize product properties? What frequency range is of most value for determining these product properties?It is possible to provide answers to many of these questions using experimental data, thereby avoiding, for the moment, any complex mathematical analysis. We present several applications of acoustic spectroscopy for characterizing dairy products, including characterization of the fat content in a wide variety of dairy products; calculation of the fat droplet size distribution in milk without dilution; and calculation of water droplet size in butter, without dilution or melting.
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Affiliation(s)
- A S Dukhin
- Dispersion Technology, Inc., 364 Adams Street, New York, NY 10507, USA.
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Cahill J, Travers B, Ryder M, Quigley P, Maurer B, Ledwidge M, McDonald K. 3-Month morbidity and follow-up medical requirements comparing systolic dysfunction with preserved systolic function in sequential heart failure admissions. Eur J Heart Fail 2004. [DOI: 10.1016/s1388-9842(00)80093-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- J.M. Cahill
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
| | - B. Travers
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
| | - M. Ryder
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
| | - P. Quigley
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
| | - B. Maurer
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
| | | | - K. McDonald
- ST. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin Ireland
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McDonald K, Ledwidge M, Cahill J, Kelly J, Quigley P, Maurer B, Begley F, Ryder M, Travers B, Timmons L, Burke T. Elimination of early rehospitalization in a randomized, controlled trial of multidisciplinary care in a high-risk, elderly heart failure population: the potential contributions of specialist care, clinical stability and optimal angiotensin-converting enzyme inhibitor dose at discharge. Eur J Heart Fail 2001; 3:209-15. [PMID: 11246059 DOI: 10.1016/s1388-9842(00)00134-3] [Citation(s) in RCA: 68] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Despite a growing body of data demonstrating the benefits of multidisciplinary care in heart failure, persistently high rates of readmission, especially within the first month of discharge, continue to be documented. AIMS As part of an ongoing randomized study on the value of multidisciplinary care in a high risk (NYHA Class IV), elderly (mean age 69 years) heart failure population, we examined the effects of this intervention on previously high (20%) 1-month readmission rates. METHODS Unlike previous studies of this approach, both multidisciplinary (MC) and routine care (RC) populations were cared for by the cardiology service, complied with adherence to clinical stability criteria prior to discharge (100% of patients) and received at least target dose angiotensin-converting enzyme (ACE) inhibition with perindopril prior to discharge (94% of indicated patients). We analysed death and unplanned readmission for heart failure at 1 month. RESULTS This early report from the first 70 patients (67% male, 71% systolic dysfunction with a mean ejection fraction of 31.0+/-6.7%) enrolled in this study demonstrates elimination of 1-month hospital readmission in both RC and MC groups. This unexpected result represents a dramatic improvement both for this patient cohort (20% 30-day readmission rate prior to enrollment reduced to 0% following the index admission in both care groups) and in comparison with available data. CONCLUSIONS Critical contributors to this improvement appear to be specialist cardiology care, adherence to clinical stability criteria prior to discharge and routine use of target or high-dose ACE inhibitor therapy prior to discharge. Widespread application of this approach may have a dramatic improvement in morbidity of CHF while limiting the escalating costs of this condition.
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Affiliation(s)
- K McDonald
- St. Vincent's University Hospital Cardiomyopathy Research Group, Elm Park, Dublin 4, Ireland
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Ryder M, Cahill J, Travers B, Ledwidge M, Burke T, Maurer B, Quigley P, McDonald K. Patients' and their carers' perceptions of the role of education in the management of heart failure. Eur J Heart Fail 2000. [DOI: 10.1016/s1388-9842(00)80088-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- M. Ryder
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | - J.M. Cahill
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | - B. Travers
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | | | - T. Burke
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | - B. Maurer
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | - P. Quigley
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
| | - K. McDonald
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin UK
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McDonald K, Cahill J, Ledwidge M, Ryder M, Travers B, Burke T, Quigley P, Maurer B. Integration of best practice into multidisciplinary care for heart failure in the elderly: New benefits realised. Eur J Heart Fail 2000. [DOI: 10.1016/s1388-9842(00)80086-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- K. McDonald
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
| | - J.M. Cahill
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin United Kingdom
| | | | - M. Ryder
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
| | - B. Travers
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
| | - T. Burke
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
| | - P. Quigley
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
| | - B. Maurer
- Cardiomyopathy Research Centre, St. Vincent's University; Dublin United Kingdom
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Burke T, Cahill J, Ledwidge M, Quigley P, Maurer B, Ryder M, Travers B, Timmons L, McDonald K. Improved patient understanding is associated with reduction in sodium intake in an elderly heart failure population. Eur J Heart Fail 2000. [DOI: 10.1016/s1388-9842(00)80087-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- T. Burke
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - J.M. Cahill
- St. Vincent's University Hospital, Cardiomyopathy Research Centre; Dublin United Kingdom
| | | | - P. Quigley
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - B. Maurer
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - M. Ryder
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - B. Travers
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - L. Timmons
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
| | - K. McDonald
- Cardiomyopathy Research Centre; St. Vincent's University Hospital; Dublin United Kingdom
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Delchier JC, Soule JC, Mignon M, Goldfain D, Cortot A, Travers B, Isal JP, Bader JP. Effectiveness of omeprazole in seven patients with Zollinger-Ellison syndrome resistant to histamine H2-receptor antagonists. Dig Dis Sci 1986; 31:693-9. [PMID: 2873001 DOI: 10.1007/bf01296445] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The inhibitory effect of omeprazole, a benzimidazole derivative, on gastric acid secretion was investigated in seven patients with Zollinger-Ellison syndrome resistant to treatment with large doses of histamine H2-receptor antagonists administered alone or in combination with pirenzepine. In two patients with an acute form of the syndrome, rapid control of acid overproduction was achieved with 180-mg intravenous and 120-mg oral daily doses, respectively. The other five patients, who were free of complication, initially received a standard regimen of omeprazole 60 mg orally once a day; dosage was subsequently adjusted until the basal acid output, measured 1 hr before the next dose of the drug, was less than 10 mmol/hr. The initial daily dose proved to be adequate in three patients and had to be increased to 80 mg and 60 mg bid, respectively in the remaining two patients. In all patients omeprazole therapy resulted in clinical recovery and rapid healing of mucosal lesions. The seven patients have now been followed up for 4-24 months (average 15 months). The adequacy of the daily dosage was periodically reassessed by measuring basal acid output in the hour preceding the morning dose. In one patient initially treated with 180 mg/day, dosage could be reduced to 60 mg/day. In three others, who were initially controlled with 60 mg/day, dosage had to be increased during follow-up. Despite adequate control of gastric acid secretion, one patient underwent total gastrectomy and tumor resection and another died of extensive liver metastases. The five patients still receiving omeprazole remain free of symptoms and mucosal lesions.(ABSTRACT TRUNCATED AT 250 WORDS)
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Pignon JP, Travers B, Zerbib M, Louvel A, Couturier D, Guerre J, Legall R. [Voluminous exogastric myoid tumor. Contribution of echotomography and x-ray computed tomography]. J Radiol 1984; 65:463-6. [PMID: 6387107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
We described a case of voluminous exogastric leiomyoblastoma revealed by abdominal pain and clinical mass. Ultrasonography showed a mixed mass, with both solid and liquid components, without determining specifically the organ of origin. CT body examination showed an intense hypervascularization, associated with cystic components. Laparotomy with tumor excision was done without any metastases. Such US and CT aspects can lead to the exact diagnostic, if they prove the gastric origin of the mass. Otherwise, the discussion is between pancreatic or epiploic tumors.
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Travers B, Marie C, Bélaïche J, Kalifat R, Cattan D. [A very rare cause of intrahepatic calcification: polycystic liver]. Gastroenterol Clin Biol 1983; 7:1039-40. [PMID: 6662325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Travers B. ON THE ARSENICAL TREATMENT OF CASES OF SNAKE-BITE. West J Med 1853. [DOI: 10.1136/bmj.s3-1.37.812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Travers B. THE OUT-PATIENT NUISANCE. West J Med 1853. [DOI: 10.1136/bmj.s3-1.22.492-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Travers B. Observations upon Injuries of the Head. West J Med 1849; 13:645-9. [DOI: 10.1136/bmj.s1-13.24.645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Travers B. Observations upon Injuries of the Head. West J Med 1849; 13:589-91. [DOI: 10.1136/bmj.s1-13.22.589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Travers B. Case of strangulated hernia, in which the bowel was ruptured by the patient in his efforts to reduce it. J R Soc Med 1840; 23:1-19. [PMID: 20895699 DOI: 10.1177/095952874002300102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Travers B. History of a case in which the operation of tracheotomy was performed, with observations. J R Soc Med 1840; 23:108-20. [PMID: 20895700 DOI: 10.1177/095952874002300110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Travers B. A Case of unusual Dislocation of the Thigh-Bone, with Observations. J R Soc Med 1837; 20:112-7. [PMID: 20895633 DOI: 10.1177/095952873702000110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Travers B. Observations on the Local Diseases termed Malignant. Being a Sequel to the Paper Published in Vol. XV. of the Society's Transactions. J R Soc Med 1832; 17:300-422. [PMID: 20895588 DOI: 10.1177/095952873201700113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Travers B. Cases of Diseased and Wounded Arteries. Lond Med Phys J 1827; 3:25-30. [PMID: 30495462 PMCID: PMC5673429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Travers B. Cases of Wounded and Diseased Arteries. Lond Med Phys J 1827; 2:327-334. [PMID: 30495533 PMCID: PMC5674609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
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Travers B. Two Cases of Aneurism, in which the temporary Ligature was employed. J R Soc Med 1818; 9:405-21. [PMID: 20895361 DOI: 10.1177/09595287180090p207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Travers B. Further observations on the Ligature of Arteries. J R Soc Med 1815; 6:632-676.11. [PMID: 20895261 DOI: 10.1177/095952871500600127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Travers B. Further Observations on the Cataract. Med Chir Trans 1814; 5:391-421. [PMID: 20895229 PMCID: PMC2128958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Travers B. Observations on the Ligature of Arteries and the Causes of Secondary Hemorrhage, with a suggestion of a new method of employing the ligature in cases of Aneurism. J R Soc Med 1813; 4:438-480.15. [PMID: 20895204 DOI: 10.1177/095952871300400127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Travers B. Observations on the Cataract. J R Soc Med 1813; 4:281-480.5. [PMID: 20895191 DOI: 10.1177/095952871300400116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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