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1
Green, Ari M. "Automatic 'Timed-Up and Go' (TUG) test segmentation." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/119691.
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Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2018.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (pages 44-45).
The Timed-Up and Go test (TUG) is a well-known medical test that is used as an indicator of mental and physical health. I developed the TUG-Segmenter, an automatic segmentation tool that can divide recorded TUG test data into the six main phases of the test: Sitting, Standing-Up, Walking-Forward, Turning, Walking-Back, and Sitting-Down. I created an annotation tool as well that greatly speeds up the creation of ground truth from TUG test data. Using both these tools I was able to evaluate the accuracy of the TUG-Segmenter in terms of the duration of the segmented phases ( 83.4 % accurate ) and the start times of the segmented phases ( 83.6 % accurate). Lastly, I found a 0.3 cm difference for jitteriness and an 8.5 mm/s difference for speed between healthy elderly subjects and healthy young subjects when comparing the features extracted from the individual TUG test phases.
by Ari M. Green.
M. Eng.
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Read, Ann L. "A detailed analysis of the temporal phases of the timed Up & Go test." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0017/MQ49430.pdf.
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Mukherjee, Anuradha. "Effect of Secondary Motor and Cognitive Tasks on Timed Up and Go Test in Older Adults." University of Toledo / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1375713209.
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Aoki(Sakuma), Kaoru. "Immediate effects of stance and swing phase training on gait in patients with stroke." Doctoral thesis, Kyoto University, 2021. http://hdl.handle.net/2433/265169.
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京都大学新制・論文博士
博士(人間健康科学)
乙第13430号
論人健博第8号
新制||人健||6(附属図書館)
京都大学大学院医学研究科人間健康科学系専攻
(主査)教授 黒木 裕士, 教授 青山 朋樹, 教授 松田 秀一
学位規則第4条第2項該当
Doctor of Human Health Sciences
Kyoto University
DFAM
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Dumas, Jacynthe. "Fidélité, validité et sensibilité au changement du Timed Up and Go chez les enfants avec déficits moteurs cérébraux." Sherbrooke : Université de Sherbrooke, 2004.
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Dumas, Jacynthe. "Fidélité, validité et sensibilité au changement du Timed Up and Go chez les enfants avec déficits moteurs cérébraux." Mémoire, Université de Sherbrooke, 2004. http://savoirs.usherbrooke.ca/handle/11143/3366.
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Dans le milieu de la réadaptation, il est important que les physiothérapeutes puissent mesurer les changements survenus suite à leurs interventions afin d'ajuster celles-ci. En pédiatrie, il existe peu d'instruments de mesure dont la fidélité, validité et sensibilité au changement ont été étudiées chez les enfants ayant un déficit moteur cérébral (DMC). Le Gross Motor Function Measure (GMFM) est l'instrument le plus utilisé auprès de cette clientèle pour mesurer les changements moteurs parce que ses qualités métrologiques ont été bien démontrées. Par contre, ce test est long à administrer et peut difficilement être utilisé en dehors d'un gymnase de physiothérapie. Cette recherche vise à valider un test plus rapide pour mesurer les progrès moteurs des enfants DMC, le Timed Up and Go (TUG), test fréquemment utilisé en gériatrie. Cette étude, qui s'échelonnait sur 10 mois, a été réalisée auprès de vingt enfants ambulants de 3 à 16 ans ayant différents diagnostics de déficit moteur cérébral.--Résumé abrégé par UMI.
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Ott, Franziska [Verfasser], and Walter [Akademischer Betreuer] Maetzler. "Einflussfaktoren des Timed up and go Tests - eine Untersuchung von 1068 gesunden, älteren Probanden / Franziska Ott ; Betreuer: Walter Maetzler." Tübingen : Universitätsbibliothek Tübingen, 2016. http://d-nb.info/1197695141/34.
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Barillas, Danielle (Danielle Celeste). "Analysis of human coordination patterns between a younger and older age group during the timed up and go test." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/112568.
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Thesis: S.B., Massachusetts Institute of Technology, Department of Mechanical Engineering, 2017.Cataloged from PDF version of thesis.
Includes bibliographical references (page 25).
An experimental study was performed to understand lower limb movement patterns between older and young adults, and to explore a new metric of coordination. Lower limb and torso movement in an older and younger population was captured using both IMU sensors and an optical tracking system. Only data from the optical method was processed and analyzed for this thesis. The participants executed several trials of a Timed-Up-and-Go test (TUGT), a 10 meter Walk Test (10MWT), and a Standing Balance Test (SBT). This paper specifically analyzed data from seven of the participants when executing the TUG test. The Relative Coordination Metric (RCM) from Hip to Knee and from Knee to Ankle was briefly explored for one subject from each age group. Several qualitative differences in motion were seen between the younger subject and the older subject for the Hip-Knee RCM, while similarities were identified for the Knee-Ankle RCM. The TUG time for the younger age group (M = 11.48s, SD = 1.26s) and the older age group (M = 12.06s, SD = 0.69s) was also compared and it was found that they were significantly different (t =1.998, p = 0.017).
by Danielle Barillas.
S.B.
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Panisson, Renata D'Agostini Nicolini. "Valores normativos para o teste Timed “Up & Go” em pediatria e validação para pacientes com Síndrome de Down." Pontifícia Universidade Católica do Rio Grande do Sul, 2012. http://hdl.handle.net/10923/4643.
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Previous issue date: 2012Introduction : The Timed “Up &Go” (TUG) test has been used in the assessment of the functional mobility and only few studies have tested it in a healthy pediatric population, as well as in patients with Down Syndrome (DS).Objectives : To determine normative values for the TUG test in healthy children and adolescents and to validate its use in a sample of patients with DS. Methods : A cross-sectional study divided into two phases. Children and adolescents, from 3 to 18 years old, healthy (phase1), or with DS (phase 2), were selected by convenience to be assessed with the TUG test. The assessments were performed in the following order: anthropometric measurements, actual lower limb length, TUG and Gross Motor Functional Measurements (GMFM) – this one was only performed in phase 2. The association between the TUG test values and the possible predictive variables was analyzed using a model of multiple linear regression. Results : In phase 1 (459 participants), the TUG test values were different across the participants age and, because of that, they were stratified in age groups that serve as normative values for both genders. The regression model has demonstrated that the age and the weight (R2=0,25) were the best variables for the TUG test prediction. The intraclass correlation coefficient (ICC) demonstrated excellent within-session and between-session reliability. In phase 2 (40 individuals with DS), the test also showed excellent reproducibility. The performance time was significantly higher in individuals with DS compared with gender, age and weight matched healthy controls. Also, the dimension E of the GMFM was the variable that best correlated with the TUG test. Conclusion : This study provides normative values for the TUG test and shows that its behavior can be explained according to the age and weight in healthy children and adolescents. The TUG test is a reliable and valid assessment of functional mobility in patients with SD and correlates with the gross motor function.
Introdução : O teste Timed “Up & Go” (TUG) vem sendo utilizado na avaliação da mobilidade funcional e poucos estudos o avaliaram na população pediátrica saudável e em pacientes com Síndrome de Down (SD).Objetivos : Determinar valores normativos para o teste TUG em crianças e adolescentes saudáveis e validar a sua utilização em uma amostra de pacientes com SD. Material e métodos : Estudo observacional transversal dividido em duas fases. Crianças e adolescentes, de 3 a 18 anos, saudáveis (fase 1) ou com SD (fase 2),foram selecionadas por conveniência para a avaliação com o teste TUG. As avaliações foram realizadas na seguinte ordem: medidas antropométricas, comprimento real dos membros inferiores, TUG e Gross Motor Function Measure (GMFM), este último realizado apenas na fase 2. A associação entre os valores do teste TUG com as potenciais variáveis preditoras foi analisada utilizando um modelo de regressão linear múltipla. Resultados : Na fase 1 (459 participantes), os valores do teste TUG diferiram no decorrer das idades e por isso foram estratificadas em faixas etárias que servem como valores normativos para ambos os sexos. O modelo de regressão demonstrou que a idade e o peso (R2=0,25) foram as melhores variáveis para a predição do TUG. O coeficiente de correlação intraclasse (ICC) demonstrou excelente confiabilidade intra-sessão e inter-sessão. Na fase 2 (40 indivíduos com SD), o teste também apresentou excelente reprodutibilidade. O tempo de realização foi significativamente maior nos indivíduos com SD quando comparados com os saudáveis pareados por sexo, idade e peso. Ainda, a dimensão E do GMFM foi a variável que melhor se correlacionou com o teste TUG. Conclusão : Este estudo apresenta valores normativos para o teste TUG e demonstra que o seu comportamento pode ser explicado em função da idade e do peso em crianças e adolescentes saudáveis. O TUG é confiável e válido para avaliação da mobilidade funcional em pacientes com SD e se correlaciona com a função motora grossa.
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Muhla, Frédéric. "Impact de l’utilisation d’un dispositif de réalité virtuelle immersive sur le contrôle moteur lors d’un Timed Up and Go." Thesis, Université de Lorraine, 2020. http://www.theses.fr/2020LORR0206.
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Le risque de chute chez la personne âgée est un enjeu majeur de santé publique. Sa détection précoce permettrait d’intervenir en amont de la première chute ou en prévenir la récidive en proposant de l’activité physique préventive adaptée. Or, l’évaluation d’un risque de chute avec les tests et échelles fréquemment utilisés ne donne pas pleinement satisfaction. Les récentes innovations technologiques dans le domaine de la réalité virtuelle immersive laissent penser que son utilisation dans l’évaluation des risques de chute pourrait combler certains manques de contextualisation et d’uniformité des tests actuels. Toutefois, avant d’utiliser ces technologies dans l’évaluation du risque de chute, il est important de connaître leur impact sur le comportement moteur. Pour cela, nous avons choisi de tester une tâche locomotrice, le Timed Up and Go (TUG - test clinique très utilisé par les cliniciens et véritable « gold standard » dans l’évaluation des risques de chute chez la personne âgée), en environnement réel et en environnement virtuel auprès de personnes âgées ainsi que de jeunes adultes. Des différences sont observées avec des augmentations du temps et du nombre de pas en réalité virtuelle. Ainsi, la réalité virtuelle immersive pourrait être une piste de choix dans l’évaluation du risque de chute par l’augmentation de la sensibilité et de la spécificité des tests puisqu’elle permet de contextualiser l’environnement de test. Toutefois, cette solution pourrait n’être que temporaire étant donné les promesses de la réalité mixte qui permettrait, elle, à la fois de contextualiser le test dans l’environnement réel avec un contrôle numérique des contraintes qui peuvent être ajoutées à cet environnementRisk of fall in the elderly is a major public health issue. Its early detection would make it possible to intervene before the first fall or prevent its recurrence by offering suitable preventive physical activity. However, the assessment of a fall risk with frequently used tests and scales is not fully satisfactory. Recent technological innovations in the field of immersive virtual reality suggest that its use in the assessment of fall risk could fill some gaps in contextualization and uniformity of current tests. However, before using these technologies in the fall risk assessment, it is important to know their impact on motor behavior. To do this, we chose to test a locomotor task, the Timed Up and Go (TUG - a clinical test widely used by clinicians and a real “gold standard” in the evaluation of the risk of falls in the elderly), in a real environment. and in a virtual environment with the elderly as well as young adults. Differences are observed with increases in time and number of steps in virtual reality. Thus, immersive virtual reality could be an avenue of choice in the assessment of the risk of falls by increasing the sensitivity and specificity of the tests since it allows to contextualize the test environment. However, this solution could only be temporary given the promises of mixed reality which would allow both to contextualize the test in the real environment with digital control of the constraints that can be added to this environment
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McGregor, Cindy June. "Reliability and validity of a functional measure of change in canine lameness : the canine timed up and go test." Diss., NSUWorks, 2012. https://nsuworks.nova.edu/hpd_pt_stuetd/41.
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Bevins, MaKenzie R. "What is the best combination of exercises to implement in multi-modal exercise programs to treat bradykinesia for patients with Parkinson's disease? A systematic review." Walsh University Honors Theses / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors1524147679264416.
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Sample, Renee Lynn. "The Influence of Dual-Task Conditions on Postural Control and Instrumented Timed Up and Go Performance in Fallers and Non-Fallers." University of Dayton / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1469031688.
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Jiménez, González Mª Mercè. "Caigudes en població anciana comunitària: característiques epidemiològiques i utilitat clínica dels tests d'equilibri i marxa Timed up and go i Tinetti." Doctoral thesis, Universitat Autònoma de Barcelona, 2009. http://hdl.handle.net/10803/4541.
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Objectiu: 1-Conèixer la capacitat predictiva i la utilitat clínica per predir caigudes de dos tests d'equilibri i marxa "Timed up & go" i Tinetti en població geriàtrica ambulatòria ≥65 anys.
2-Conèixer la incidència,característiques epidemiològiques, i factors de risc que estan relacionats amb major risc de caigudes en el nostre medi.
Estudi: Cohorts prospectiu multicèntric.
Subjectes: 555 pacients majors de 65 anys visitats en els centres de salut del Maresme (Alella, Mataró, Premià i Canet). S´han exclòs els institucionalitzats i els domiciliaris.
Material i mètodes: Es van recollir les variables sociodemogràfiques (sexe, edat i convivència), els factors de risc coneguts asociats a caigudes (caigudes prèvies, bastó, barreres arquitectòniques, el consum de fàrmacs i estat dels òrgans sensitius -vista i oïda-) i la capacitat per realitzar els test Timed up and Go, i Tinetti. Seguiment quadrimestral telefònic de 12 mesos de duració. Es va calcular la incidència de caigudes i de caiguts, la morbiditat soferta en les caigudes, incidència de caigudes múltiples i factors relacionats amb aquestes, correlació entre les diferents variables, i es va calcular l´anàlisi multivariant.
Resultats: Incidència de caiguts: 23,6%(n=146), taxa d´incidència caigudes (*100 pers/any) 41,17% (n= 223)(21,15% en homes i 56% en dones), incidència caigudes múltiples 9%(n=50) (el 82% són dones). Les variables que es van relacionar de forma estadísticament significativa amb risc de tenir caigudes han estat: haver presentat caigudes prèvies,ser dona,augment de l´edat,caminar amb bastó,tenir major puntuació en l´índex de Charlson (morbiditat), pendre antidepressius o benzodiazepines,la polifarmàcia, presentar puntuacions més baixes en el test de Tinetti (tant en puntuació total com en els subapartats d´equilibri i marxa) o trigar més temps per a realitzar el test d´equilibri "Timed Up and Go".La sensibilitat i l´especificitat dels dos tests emprats és relativament baixa. En el model resultant en l´anàlisi multivariant els factors de risc escollits com a predicció de caigudes van ser: ser dona, presentar caigudes prèvies, utilitzar bastó, tenir un índex de Charlson ≥3, prendre antidepressius i tenir un test de Tinetti (subescala equilibri) alterat.El 68% de les caigudes han tingut conseqüències (n=100), originant en un 43,8% conseqüències moderades (contusions,esquinços,distensions,talls, abrassions o reducció de les funcions físiques en els 3 dies posteriors a la caiguda), seguit en un 19% de fractures.Les variables que es van relacionar de forma estadísticament significativa amb risc de caigudes múltiples han estat: ser dona,tenir caigudes prèvies, pendre antidepressius i la polifarmàcia. Els tests d´equilibri i marxa Timed up and Go (que es mesura en segons) i Tinetti no van resultar estadísticament significatius per la predicció de caigudes múltiples.
Conclusions: La capacitat predictiva dels tests emprats és limitada i poc útil en la pràctica clínica. La incidència de caigudes ha estat d´un 26,3% (taxa d´incidència d´un 41,17%). En l´anàlisi univariant les variables significativament asociadse a presentar caigudes han estat: sexe femení, edad més avançada, presenta caigudes prèvies, caminar amb bastó, presentar un índex de comorbilitat elevat de Charlson, la polifarmàcia (sobretot antidepressius) o el Lawton en dones. En l´anàlisi multivariant les variables més significatives són: haver presentat caigudes prèvies, utilitzar bastó, ser dona, índex Charlson igual o major de 3, prendre antidepressius i tenir alteracions en la subescala d´equilibri del test de Tinetti.
La població comunitària estudiada és,en general, molt sana, i sembla que a aquesta població no caldria utilitzar de forma sistemàtica els de Tinetti ni el TU&G, i es podrien reservar per pacients d´altres nivells assistencials, amb problemas més específics de marxa i equilibri.
Objective:
1 - Know the predictive ability and clinical usefulness in predicting falls in tests of balance and motion "Timed up & go" and Tinetti in ambulatory geriatric population ≥ 65 years.
2 - Knowing the incidence, epidemiological characteristics, and factors risks that are associated with increased risk of falls in our environment.
Type of study: multicentre prospective cohort.
Subjects: 555 patients over 65 years visited the health centers in Maresme (Alella, Mataró, awards and Canet). Have been excluded institutionalized and home.
Material and Methods: We collected sociodemographic variables (sex, age and cohabitation), the known risk factors associated with falls (previous falls, stick, architectural barriers, drug consumption and state of the light-sensitive organs i heard) and the ability to perform the Timed Up and Go test and Tinetti. Quarterly telephone monitoring for 12 months. We calculated the incidence of falls and falls, morbidity and mortality suffered in falls, the incidence of falls and the multiple factors associated with them. Has calculated the correlation between these variables and the analysis was performed multivariate.
Results: Incidence of falls: 23.6% (n=146), incidence rate falls (*100 pers/year) 41.17%(n=223) (21.15% in men i 56% in women), multiple incidence falls 9% (n=50) (82% are gifts). Variables that were statistically significantly related to risk of falls were: previous falls have presented, being female, increasing age, walking with a cane, have higher scores on the Charlson index (disease), taking antidepressants or benzodiazepines, polypharmacy, present lower scores on the Tinetti test (both total score and in the subsections of balance and walking) or take longer to perform the balancing test "Timed Up and Go." The sensitivity and specificity of two tests used is relatively low. In the resulting model in the multivariate analysis the risk factors selected to predict falls were: being female, prior falls present, use a cane, having a Charlson index ≥ 3, take antidepressants and have a test of Tinetti (balance subscale) upset. 68% of the falls have had consequences (n=100), resulting in a 43.8% a moderate (bruises, sprains, tension, cuts, abrasions, or reduction of physical functions in the 3 days after the fall) followed by 19% of fractures. Variables that were associated with a statistically significant risk of multiple falls were: being female, having a history of previous falls, take antidepressants and polypharmacy. Tests of balance and motion Timed Up and Go (which is measured in seconds) and Tinetti were not statistically significant for predicting multiple falls.
Conclusions: The predictive ability of the tests used is limited and not very useful in clinical practice. The incidence of falls was 26.3% (incidence rate of 41.17%). In the univariate analysis the variables significantly associated to file falls were: female sex, older age, previous falls present, walking with a cane, to present a high rate of comorbidity, polypharmacy (particularly antidepressants) or a low Lawton women. In multivariate analysis the most significant variables are: having filed previous falls, use a cane, being a woman, Charlson index ≥ 3, take antidepressants and have alterations in the balance subscale of the Tinetti test. Community population studied is generally very healthy, and seems that in this population would need to use a systematic testing or Tinetti TU&G, and could be reserved for patients in other levels of care, with more specific problems of motion and balance.
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Almajid, Rania. "AGING-RELATED DECREMENTS DURING THE ACTIVITIES OF THE TIMED UP AND GO TEST WHEN COMBINED WITH MOTOR TASK AND VISUAL STIMULATION." Diss., Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/515845.
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Physical TherapyPh.D.
Falls in older adults are linked with increased morbidity and mortality, and remain a major public health concern. Aging is associated with increased reliance on the visual system for postural control, termed “visual dependence”. Discordance between visual, vestibular and proprioceptive sensory information can lead to balance loss and falls. In addition to increased visual dependence (VD), older adults have more difficulty than younger adults in multi-tasking, performing simultaneous tasks (e.g. walk and talk), which may further increase fall risk. A common clinical test of physical function, the Timed Up and Go (TUG), requires the individual to stand from a seated position, walk forward, turn, walk back to the seat, turn and sit back down. Previous studies have explored the effect of multi-tasking during the TUG; however, the role of visual dependence and its interaction with multi-tasking on specific movement components of the TUG has not been deeply explored in the existing literature. The primary goal of this project was to understand the effects of aging and visual dependence on physical function as measured by the TUG. The three aims that guided this work are 1) to examine how aging affects performance metrics and movement components of the TUG (e.g. sit-to-stand, walking, turning, stand-to-sit) when simultaneously performing a motor task with or without with visual stimulation; 2) to examine how visual dependence affects performance metrics and movement components of the TUG when simultaneously performing a motor task with or without visual stimulation; and 3) to determine the effect of wearing a head mounted display (HMD) on performance metrics and movement components of the TUG in older and younger adults. Twelve younger adults (6 males) and sixteen older adults (8 males) participated in this work. They were further classified as sixteen visually independent adults (VI) (9 younger adults, 7 older adults, 9 males) and 12 visually dependent adults (VD) (3 young adults, 9 older adults, 5 males). Participants completed eight conditions: The dependent variables, measured using 6 inertial measurement unit sensors, included spatiotemporal variables of the TUG (total time, sub-component movement times, gait speed, step cadence during turning); three-dimensional peak trunk velocity (PTV) (i.e. around the mediolateral, vertical, and anteroposterior axes); acceleration range and jerk of sit-to-stand and stand-to-sit; and multitask cost. Multitask cost reflects the change in the motor behavior that occurs due to high attentional demanding conditions, with the lowest multitask cost reflecting poorer motor performance. The multitask cost was calculated as the percent change of each dependent variable in relation to the single task performance (i.e. TUG with no secondary task) in the third chapter. Our results demonstrated that the wear of HMD has an impact on TUG kinematics, regardless of adding a visual stimulus, more than holding a cup of water. Providing a visual stimulus decreased the PTV in walking and acceleration range in sit-to-stand. Particularly, presenting a visual stimulus in a pitch up rotation decreased the PTV in turning and increased the peak trunk velocity in stand-to-sit when compared to standard TUG. Older adults showed a decrease in the multitask cost (i.e. poorer performance) of turn and sit-to-stand time and the PTV in turning and a lower variability in trunk velocity in turning and sit-to-stand and the acceleration jerk in sit-to-stand and stand-to-sit compared to younger adults. Older adults who were visually dependent showed a lower mean and variability in the mediolateral and vertical acceleration range of sit-to-stand than older adults who were visually independent. Our results indicate that the wear of HMD has an impact on posture that should be taken into account in clinical research. Assessing the kinematics in turning and sitting-to-standing could be of a great interest for future studies that would include older adults with functional limitations (e.g. fallers versus non-fallers). Sit-to-stand motion, in particular, can differentiate older adults who are more sensitive to visual stimulation.
Temple University--Theses
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Nicolini-Panisson, Renata D'Agostini. "Valores normativos para o teste Timed Up & Go em pediatria e valida??o para pacientes com S?ndrome de Down." Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2012. http://tede2.pucrs.br/tede2/handle/tede/1398.
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Previous issue date: 2012-08-31INTRODUCTION: The Timed Up &Go (TUG) test has been used in the assessment of the functional mobility and only few studies have tested it in a healthy pediatric population, as well as in patients with Down Syndrome (DS). OBJECTIVES: To determine normative values for the TUG test in healthy children and adolescents and to validate its use in a sample of patients with DS. METHODS: A cross-sectional study divided into two phases. Children and adolescents, from 3 to 18 years old, healthy (phase1), or with DS (phase 2), were selected by convenience to be assessed with the TUG test. The assessments were performed in the following order: anthropometric measurements, actual lower limb length, TUG and Gross Motor Functional Measurements (GMFM) this one was only performed in phase 2. The association between the TUG test values and the possible predictive variables was analyzed using a model of multiple linear regression. RESULTS: In phase 1 (459 participants), the TUG test values were different across the participants age and, because of that, they were stratified in age groups that serve as normative values for both genders. The regression model has demonstrated that the age and the weight (R2=0,25) were the best variables for the TUG test prediction. The intraclass correlation coefficient (ICC) demonstrated excellent within-session and between-session reliability. In phase 2 (40 individuals with DS), the test also showed excellent reproducibility. The performance time was significantly higher in individuals with DS compared with gender, age and weight matched healthy controls. Also, the dimension E of the GMFM was the variable that best correlated with the TUG test. CONCLUSION: This study provides normative values for the TUG test and shows that its behavior can be explained according to the age and weight in healthy children and adolescents. The TUG test is a reliable and valid assessment of functional mobility in patients with SD and correlates with the gross motor function.
INTRODU??O: O teste Timed Up & Go (TUG) vem sendo utilizado na avalia??o da mobilidade funcional e poucos estudos o avaliaram na popula??o pedi?trica saud?vel e em pacientes com S?ndrome de Down (SD). OBJETIVOS: Determinar valores normativos para o teste TUG em crian?as e adolescentes saud?veis e validar a sua utiliza??o em uma amostra de pacientes com SD. MATERIAL E M?TODOS: Estudo observacional transversal dividido em duas fases. Crian?as e adolescentes, de 3 a 18 anos, saud?veis (fase 1) ou com SD (fase 2),foram selecionadas por conveni?ncia para a avalia??o com o teste TUG. As avalia??es foram realizadas na seguinte ordem: medidas antropom?tricas, comprimento real dos membros inferiores, TUG e Gross Motor Function Measure (GMFM), este ?ltimo realizado apenas na fase 2. A associa??o entre os valores do teste TUG com as potenciais vari?veis preditoras foi analisada utilizando um modelo de regress?o linear m?ltipla. RESULTADOS: Na fase 1 (459 participantes), os valores do teste TUG diferiram no decorrer das idades e por isso foram estratificadas em faixas et?rias que servem como valores normativos para ambos os sexos. O modelo de regress?o demonstrou que a idade e o peso (R2=0,25) foram as melhores vari?veis para a predi??o do TUG. O coeficiente de correla??o intraclasse (ICC) demonstrou excelente confiabilidade intra-sess?o e inter-sess?o. Na fase 2 (40 indiv?duos com SD), o teste tamb?m apresentou excelente reprodutibilidade. O tempo de realiza??o foi significativamente maior nos indiv?duos com SD quando comparados com os saud?veis pareados por sexo, idade e peso. Ainda, a dimens?o E do GMFM foi a vari?vel que melhor se correlacionou com o teste TUG. CONCLUS?O: Este estudo apresenta valores normativos para o teste TUG e demonstra que o seu comportamento pode ser explicado em fun??o da idade e do peso em crian?as e adolescentes saud?veis. O TUG ? confi?vel e v?lido para avalia??o da mobilidade funcional em pacientes com SD e se correlaciona com a fun??o motora grossa.
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Oliveira, Gabriela Guimar?es. "Desempenho de longevos caidores e n?o caidores na avalia??o do Timed up and go (Tug) utilizando um aplicativo de smartphone." Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2018. http://tede2.pucrs.br/tede2/handle/tede/8192.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
Performance of oldest-old fallers and do non fallers in the evaluation of Timed Up and Go (TUG) using a smartphone application The falling is a serious event in the elderly population. Oldest-old (80 years or more) are more susceptible to their occurrence. Mobile technologies are shown as a facilitative and preventive alternative in actions in the field of public health. It is a cross-sectional observational and analytical study, with the objective to observe the performance of oldest-old fallers and non-fallers during the Timed Up and Go (TUG) test using a smartphone application. Participants were oldest-old (?90 years old), from Porto Alegre (RS), accompanied by the Care for the Oldest-Old Multiprofessional Project. We included in the study oldest-old that walked independently (without caregiver, family member or health professional) and safely, with or without the aid of gait devices (walking stick, crutch and walker) were included in the study; as well as those who understood verbal commands. Oldest-old patients who reported significant lower limb or spine pain on the day of the test were excluded from the study. In the analysis we use the sociodemographic variables (sex, age, schooling and monthly income), clinical variables (Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), presence of multimorbities( ) and polypharmacy 5? medications) and variables related to falls (history of falling in the last six months and fear of falling). As well as, parameters tracked by the application, which are temporal (Total TUG Duration, Transition Length from Seating to Standing (s) and Duration of Transition from Standing to Seating) and Angular (Maximum Trunk Angle Variation (g) and Maximum angular velocity during the forward lean phase (g / s) of the application). Significance levels of less than 5% were considered to be statistically significant and those between 5 and 10% were indicative of significance. The data were analyzed in the Epi InfoTM 7.2 program. From the 98 volunteers that participated at the study, 26.5% reported fall in the last six months. Women (25.76%) reported more frequent falls than men (p=0.492). Oldest-old fallers had mean age (92?3.14 years) higher than non-fallers (p=0.636), as well as more depressive symptoms (p<0.001). In the complete TUG, 97% of the non-fallers presented a medium or high risk of falling, compared to 92% of the fallers, showing an inadequacy of this classification for oldest-old. Fallers presented worse performance in each of the phases of the TUG, demonstrating to be more able to find differences between the groups than the complete test. Cut-off points for risk of falls were >1.68 seconds, in the sitting to standing phase, <1.91 seconds, in the standing to sitting phase, >42.2 degrees in the angle variation, and >84 degrees/second at the speed angle. The UAH Mobility Suite? smartphone application was able to evaluate the performance of oldest-old fallers and do non fallers through TUG time and its parameters, although any parameters were significant when compared to groups. Depression proved to be the only statistically significant variable, indicating that oldest-old depressive symptoms are more likely to fall. This was the first report of the use of UAHMobilitySuite? in oldest-old ones. The application has proved to be useful for being used in the home environment, and can be used in future researches.
Desempenho de longevos caidores e n?o caidores na avalia??o do Timed Up and Go (TUG) utilizando um aplicativo de smartphone A queda ? um evento grave na popula??o idosa. Longevos (80 anos ou mais) est?o mais suscept?veis ? sua ocorr?ncia. Tecnologias m?veis mostram-se como uma alternativa facilitadora e preventiva em a??es no ?mbito da sa?de p?blica. Este estudo consiste em uma investiga??o transversal observacional e anal?tica, tendo por objetivo observar o desempenho de longevos caidores e n?o caidores atrav?s do teste Timed Up and Go (TUG) utilizando um aplicativo de smartphone. Participaram longevos (?90 anos), de Porto Alegre (RS), acompanhados domiciliarmente pelo projeto de Aten??o Multiprofissional ao Longevo. Foram inclu?dos no estudo longevos que deambulavam de forma independente (sem aux?lio de cuidador, familiar ou profissional da sa?de) e segura, com ou sem o aux?lio de dispositivos de marcha (bengala, muleta e andador); assim como aqueles que compreendiam comandos verbais. Utilizou-se para an?lise as vari?veis sociodemogr?ficas (sexo, idade, escolaridade e renda mensal), vari?veis cl?nicas (Mini Exame do Estado Mental (MEEM), Escala de Depress?o Geri?trica (Geriatric Depression Scale - GDS), presen?a de multimorbidades (2? doen?as) e polifarm?cia 5? medicamentos) e vari?veis relacionadas as quedas (hist?rico de queda nos ?ltimos seis meses e medo de cair). Assim como, par?metros rastreados pelo aplicativo, sendo eles temporais (Dura??o total do TUG (s); Dura??o da transi??o de sentado para em p? (s) e Dura??o da transi??o de em p? para sentado) e angulares (Varia??o m?xima do ?ngulo do tronco na fase de inclina??o para frente (g) e Velocidade angular m?xima durante a fase de inclina??o para frente (g/s) do aplicativo). Os graus de signific?ncia menores que 5% foram considerados estatisticamente significativos e os entre 5 e 10% como indicativos de signific?ncia. Os dados foram analisados no programa Epi InfoTM 7.2. Dos 98 avaliados, 26,5% referiram quedas nos ?ltimos seis meses. As mulheres (25,76%) referiam quedas mais frequentemente que os homens (p=0,492). Longevos caidores apresentaram m?dia de idade (92?3,14 anos) superior aos n?o caidores (p=0,636), assim como mais sintomas depressivos (p<0,001). No TUG completo, 97% dos longevos n?o caidores apresentaram a classifica??o de risco m?dio ou alto de queda, contra 92% dos caidores, demonstrando a inadequa??o dessa classifica??o para longevos. Caidores apresentaram pior desempenho em cada uma das fases do TUG, atrav?s do aplicativo, demonstrando ser mais capaz de observar diferen?as entre os grupos do que o teste completo. Pontos de corte para o risco de queda foram >1,68 segundos, na fase de sentado para em p?, <1,91 segundos, na fase de p? para sentado, >42,2 graus na varia??o do ?ngulo e >84 graus?segundos na velocidade do ?ngulo. O aplicativo de smartphone UAH Mobility Suite? foi capaz de avaliar o desempenho de longevos caidores e n?o caidores atrav?s do tempo do TUG e seus par?metros, embora nenhum par?metro tenha sido significativo quando comparado os grupos. A depress?o mostrou-se a ?nica vari?vel estatisticamente significativa, indicando que, longevos com sintomas depressivos apresentam mais chances de cair. Este foi o primeiro relato da utiliza??o do UAHMobilitySuite? em longevos. O aplicativo mostrou-se ?til para utiliza??o no ambiente domiciliar, podendo ser utilizado em investiga??es futuras.
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Porto, Jaqueline Mello. "Associação entre função muscular do quadril e do tronco, equilíbrio e funcionalidade em idosos da comunidade." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17152/tde-04012017-113909/.
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Estudos pregressos têm investigado causas e fatores de risco para quedas e incapacidade funcional em idosos. Porém, no que se refere a fatores biomecânicos envolvidos no desempenho funcional e controle postural, a contribuição dos grupos musculares proximais de quadril e de tronco ainda recebe pouca atenção. Assim, o objetivo deste estudo foi verificar a associação entre a função muscular dos abdutores e adutores do quadril e dos extensores e flexores do tronco com o desempenho do equilíbrio semi-estático e dinâmico e da funcionalidade de idosos independentes que vivem na comunidade. Métodos: oitenta e um idosos de ambos os sexos foram submetidos à avaliação do equilíbrio e da funcionalidade por meio dos testes: (1) marcha tandem sobre a plataforma de força Balance Master (Neurocom International Inc., Clackamas, OR) para obtenção das variáveis velocidade da marcha tandem e velocidade de oscilação corporal ao final da marcha tandem; e (2) testes clínicos de apoio unipodal e Timed Up and Go (TUG). Também foram submetidos à avaliação da função muscular em dinamômetro isocinético (Biodex System 4 Pro, Nova York, EUA) por meio de 3 contrações isométricas máximas de abdução e adução do quadril e flexão e extensão do tronco para obtenção das variáveis pico de torque (PT) e taxa de desenvolvimento de força (TDF) proporcionais ao peso corporal. Após aplicação do teste de normalidade de Shapiro-Wilk, foi realizado teste de correlação de Pearson (dados com distribuição normal) e de Spearman (dados com distribuição não-normal). Para aquelas variáveis com coeficiente de correlação significativo, foi aplicado teste de regressão linear para quantificar o índice de determinação (r2) da função muscular do quadril e tronco no equilíbrio e funcionalidade de idosos. Foi adotado nível de significância de 5% (p < 0,05). Resultados: houve correlação com índice de determinação significativo do PT dos grupos musculares do quadril e do tronco sobre o desempenho dos testes de equilíbrio e funcionalidade. Em relação à TDF, foi encontrada correlação com índice de determinação significativo da TDF de abdução de quadril e de extensão de tronco sobre a velocidade de oscilação ao final da marcha tandem e sobre o TUG e também da TDF de extensão de tronco sobre o apoio unipodal. Conclusões: esses 10 achados podem ser clinicamente relevantes considerando que (1) diferentes parâmetros da função muscular (como PT e TDF) apresentam diferentes estratégias de intervenção para seu aprimoramento e que (2) problemas de equilíbrio e/ou de funcionalidade em idosos podem estar associados com comprometimentos da TDF e do PT da musculatura proximal, os quais são parâmetros passíveis de intervenção.Previous studies have investigated causes and risk factors for falls and functional disability in the elderly. However, regarding biomechanical factors involved in the functional performance and postural control, the contribution of the proximal muscle groups of the hip and trunk still receives little attention. The objective of this study was to assess the association between muscle function of hip abductors and adductors and trunk flexors and extensors muscles with the performance of static and dynamic balance and functionality of community-dwelling older adults. Methods: eighty-one elderly of both sexes underwent assessment of balance and functionality through: (1) tandem gait test on the Balance Master force platform (Neurocom International Inc., Clackamas, OR) to obtain the variable tandem gait speed and body sway velocity in the end of tandem gait; and (2) clinical tests of single-leg stance and Timed Up and Go (TUG). The participants also underwent assessment of muscle function in isokinetic dynamometer (Biodex System 4 Pro, New York, USA) through 3 maximal isometric contractions of abduction and adduction of the hip and flexion and extension of the trunk to obtain the variables peak torque (PT) and rate of force development (RFD) in proportion to body weight. The Shapiro-Wilk normality test was performed and then, Pearson correlation test (data with normal distribution) and Spearman (data with non-normal distribution) were applied. Linear regression test was applied to quantify the determination index (r2) of muscle function of the hip and trunk in balance and functionality of the elderly for those variables with significant correlation coefficient. It was adopted a significance level of 5% (p < 0.05). Results: there was correlation with a significant determination index of PT of muscle groups of the hip and trunk in the performance of balance and functionality tests. Regarding the RFD, it was found correlation with significant determination index of RFD of the hip abduction and trunk extension in the body sway velocity in the end of tandem gait and TUG; and of RFD of the trunk extension in single-leg stance. Conclusions: These findings may be clinically relevant considering that (1) different parameters of muscle function (such as PT and RDF) have different intervention strategies for their improvement and (2) problems of balance and / or functionality in the elderly may be 12 associated with impairments of RFD and PT of proximal muscles, which are parameters that can be treated.
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Farina, Emma. "Gold standard per i test di valutazione della capacità motoria in clinica." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021.
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Il Five Times Sit-To-Stand e il Timed Up-and-Go sono due dei test di valutazione della capacità motoria più diffusi. Vengono impiegati nello screening della popolazione anziana per individuare precocemente disfunzioni che possono essere sintomo di fragilità, elevato rischio di cadute o patologie, tra cui demenza, malattia di Parkinson e disturbi vestibolari. Tuttavia, ad oggi non esiste un metodo standard per l’analisi del movimento applicato a questi test e nemmeno per definire e misurare la durata di ogni fase in cui ciascun test si compone. Sviluppare un metodo di riconoscimento standardizzato ed automatico migliorerebbe l’affidabilità dei test e consentirebbe una diagnosi basata su dati oggettivi e specifici rispetto alla sola durata dell’intero task motorio. Il presente lavoro di tesi propone un metodo per quantificare la performance motoria a partire dai dati acquisiti dalla stereofotogrammetria e dalla pedana dinamometrica, strumenti considerati il gold standard nell’analisi del movimento. L’elaborato descrive l’algoritmo sviluppato per identificare gli istanti di transizione tra le diverse fasi dei task motori. Nella parte finale sono presentate le analisi statistiche, svolte sul campione di soggetti che hanno partecipato allo studio, che forniscono dati preliminari per la definizione di un criterio clinico su cui basare la valutazione. Dai risultati dello studio emerge che attraverso questo tipo di analisi è possibile ottenere delle misure affidabili e ripetibili che, se ricavate per un campione rappresentativo della popolazione generale, consentirebbero di definire delle fasce di normalità per valutare la funzionalità motoria considerando l’effetto dei principali fattori confondenti quali età, sesso, altezza e peso. Questo metodo, inoltre, costituisce un gold standard utile per la cross-validazione di altri metodi di analisi del movimento basati su sensori indossabili, utilizzabili al di fuori del laboratorio.
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Maansson, Lykke Wilhardt, and Line Petersen. "Et studie om hvilken effekt Range of Motion i en ankel-fod-ortose har på dynamisk balance hos stroke patienter." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-40727.
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After a stroke, gait and balance are often affected and an orthosis is typically required to facilitate postural control. This study has been conducted to examine how the Range of Motion in an Ankle-Foot-Orthosis (AFO) impacts on stroke patients’ dynamic balance. It was hypothesized that better dynamic balance would be recorded when individuals were wearing a flexible AFO. The tests that was used in this study were the Timed Up and Go test (TUG), and the Center of Pressure (CoP)/Center of Mass (CoM) inclination angle, both in Anterior-Posterior (AP) and Medio-Lateral (ML) planes. The three patients participating in this study were all users, or had been users of AFO’s, and during the study they were asked to wear a customized AFO with the possibility to change the settings to open, flexible and rigid ankle joints. The order was randomized within each patient. No clear pattern was observed across all patients, either in the TUG test or CoP/CoM inclination angles. Further studies are required to explore the impact that AFO flexibility has on dynamic balance in individuals who have had a stroke.
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Chen, Tzurei. "Clinical and Laboratory Balance Assessment in the Elderly." Thesis, University of Oregon, 2013. http://hdl.handle.net/1794/12945.
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Falls can have severe consequences for elderly adults. In 2000, nearly 10,300 people aged 65 years or older died as a result of falls, and 2.6 million individuals were treated for non-fatal fall-related injuries. In order to reduce fall incidences, it is important to identify possible causes of falls, such as muscle weakness and imbalance. In this study, we examined balance control in the elderly during task transitions while performing the Timed Up and Go test (TUG). The TUG is a commonly used clinical balance test that includes transition phases between three daily activity tasks: sit-to-stand, walking and turning.
Our findings suggested that elderly adults, especially fallers, have reduced balance control ability while making transitions during TUG. During sit-to-walk (STW), when compared to young adults, elderly adults demonstrated a smaller forward center of mass (COM) velocity, a smaller anterior-posterior (A-P) COM-Ankle angle, and a larger upward kinetic energy ratio at seat-off. Additionally, the medial-lateral COM control in elderly fallers was also perturbed due to their significant reduction in forward COM velocity. The reduced initial hip extensor moment and increased ankle plantarflexor moment in elderly fallers was associated with their reduced generation of horizontal momentum during STW. Smaller A-P COM-Ankle angles and taking more steps when making a turn demonstrated a reduction in balance control ability in elderly adults. Our analyses suggest that balance control is an important factor contributing to longer STW and turning durations of TUG. Furthermore, lower extremity muscle strength at hip and knee joints demonstrated a stronger association with STW than turning duration.
To enhance the early detection of fall risk, we also assessed the ability of balance tests to predict future risk of falling in elderly adults. Our results indicated that biomechanical balance parameters measured during TUG were associated with future fall status. Among all biomechanical parameters investigated, frontal plane balance control parameters appear to be the most significant predictors for future falls.
This dissertation includes unpublished co-authored material.
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Sousa, Nelson Joaquim Fortuna de. "Prevenção da queda do idoso : As Alterações induzidas pelo treino da força no desempenho do Timed Get-up & Go Test e do Functional Reach Test." Master's thesis, Instituições portuguesas -- UP-Universidade do Porto -- -Faculdade de Ciências do Desporto e de Educação Física, 2001. http://dited.bn.pt:80/29416.
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Sousa, Nelson Joaquim Fortuna de. "Prevenção da queda do idoso : As Alterações induzidas pelo treino da força no desempenho do Timed Get-up & Go Test e do Functional Reach Test." Master's thesis, Universidade do Porto. Reitoria, 2001. http://hdl.handle.net/10216/10661.
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Marusczyk, Deborah [Verfasser], and Vera von [Akademischer Betreuer] Dossow. "Stellenwert des Timed up and go Tests und des Tinetti Tests auf den postoperativen Verlauf bei geriatrischen Patienten mit urologischer Tumoroperation / Deborah Marusczyk ; Betreuer: Vera von Dossow." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2019. http://d-nb.info/1179694945/34.
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Fennell, Meredith A. "What is the Most Effective Type of Gait/Ambulation Physical Therapy Treatment for Patients with Parkinson’s Disease? A Systematic Review." Walsh University Honors Theses / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors1524169116812503.
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Zanni, Giorgia. "Correlazioni preliminari fra i parametri strumentali del Timed Up & Go Test eseguito con sensore inerziale indossabile e il rischio di caduta in una popolazione di persone con esiti di ictus." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2018. http://amslaurea.unibo.it/16889/.
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Introduzione: questa tesi è inserita all’interno di uno studio osservazionale che ha l’obiettivo di valutare il rischio di caduta in persone colpite da ictus tramite un sensore inerziale indossato durante l’esecuzione di 5 test funzionali. Sono state analizzate le correlazioni statisticamente significative fra i parametri strumentali del TUG e gli indici clinico-funzionali e si è realizzata un’analisi preliminare per individuare parametri predittivi e protettivi del rischio di caduta.
Materiali e metodi: Il campione è costituito da 161 persone. I dati sono stati analizzati dal software Matlab e confrontati coi follow-up telefonici a 3, 6 e 12 mesi per valutare preliminarmente il rischio di caduta. Fra i parametri strumentali del TUG Test presi in esame ci sono 180° turn duration e turn-to-sit duration relativi al tempo impiegato per eseguire le svolte e Trunk mean pitch angle sit-to-walk e Trunk mean pitch angle walk relativi all’angolo di inclinazione anteriore del tronco durante la fase di alzata e di cammino.
Risultati: Le correlazioni più forti e significative sono quelle fra alcuni parametri strumentali del TUG e le scale BIM e CIRS. Il cammino autonomo, la presenza di simmetria di forza fra i due arti inferiori e una patogenesi ischemica dell’ictus sono correlati con esecuzioni delle diverse fasi del test più performanti. I parametri 180° turn duration e turn-to-sit duration correlano con un maggior rischio di caduta mentre i parametri Trunk mean pitch angle sit-to-walk e Trunk mean pitch angle walk con un minor rischio di caduta.
Conclusioni: I sensori inerziali rilevano parametri non visibili e compiono misurazioni dei movimenti più precise e oggettive di quanto si possa fare con la sola osservazione. Dalle analisi dei dati si potrebbe in futuro realizzare un’analisi precisa del rischio di caduta individuando i parametri predittivi e protettivi, definendo profili specifici per ogni soggetto e personalizzando le strategie di prevenzione e trattamento.
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Altmeppen, Sarah [Verfasser]. "Einfluss des präoperativen funktionellen Status, gemessen mit ADL und Timed-up-and-go Test, auf die 1-Jahres-Mortalität und die postoperativen Komplikationen bei älteren Krebspatienten nach Onkochirurgie / Sarah Altmeppen." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2017. http://d-nb.info/1128150166/34.
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Menarini, Luca. "Valutazione automatica della risposta motoria alla dose test di Levodopa con metodi di apprendimento supervisionato." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2017. http://amslaurea.unibo.it/13981/.
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La malattia di Parkinson è una patologia neurodegenerativa caratterizzata dalla perdita di neuroni, in un'area del cervello chiamata “substantia nigra”. Il farmaco più utilizzato per contrastare i sintomi la malattia è la Levodopa che viene assunta dal paziente regolarmente. La valutazione dell’efficacia del farmaco avviene tipicamente tramite l’assunzione di una dose test, una serie di prelievi di sangue per misurare la concentrazione del farmaco e con l’osservazione medica per verificare la risposta motoria; la valutazione ha una durata che varia tra le tre e le quattro ore. L’obiettivo del presente lavoro di tesi è stato quello di verificare se fosse possibile ottenere una classificazione automatica della risposta alla terapia tramite misure ripetute della funzionalità motoria ottenute somministrando un Timed Up and Go (TUG) test; ciò consentirebbe al medico di non dover osservare continuativamente il paziente per alcune ore ed in alcuni casi potrebbe evitare il prelievo di sangue.
La performance nel TUG viene misurata tramite un sensore inerziale posizionato sul tronco tramite il quale è possibile estrarre informazioni sulle caratteristiche del movimento.
Matlab è stato impiegato per l’analisi dei dati motori cercando una possibile metodo per automatizzare il processo.
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Dicke, Jessica D. "Discriminative Ability of Fall Risk Outcome Measures." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1437403665.
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Borradale, David. "Investigating the links between muscle strength, sun exposure, dietary vitamin D intake and the vitamin D status of ambulatory older adults in South East Queensland." Queensland University of Technology, 2008. http://eprints.qut.edu.au/26359/.
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Vitamin D deficiency and insufficiency are now seen as a contemporary health problem in Australia with possible widespread health effects not limited to bone health1. Despite this, the Vitamin D status (measured as serum 25-hydroxyvitamin D (25(OH)D)) of ambulatory adults has been overlooked in this country. Serum 25(OH)D status is especially important among this group as studies have shown a link between Vitamin D and fall risk in older adults2. Limited data also exists on the contributions of sun exposure via ultraviolet radiation and dietary intake to serum 25(OH)D status in this population. The aims of this project were to assess the serum 25(OH)D status of a group of older ambulatory adults in South East Queensland, to assess the association between their serum 25(OH)D status and functional measures as possible indicators of fall risk, obtain data on the sources of Vitamin D in this population and assess whether this intake was related to serum 25(OH)D status and describe sun protection and exposure behaviors in this group and investigate whether a relationship existed between these and serum 25(OH)D status. The collection of this data assists in addressing key gaps identified in the literature with regard to this population group and their Vitamin D status in Australia. A representative convenience sample of participants (N=47) over 55 years of age was recruited for this cross-sectional, exploratory study which was undertaken in December 2007 in south-east Queensland (Brisbane and Sunshine coast). Participants were required to complete a sun exposure questionnaire in addition to a Calcium and Vitamin D food frequency questionnaire. Timed up and go and handgrip dynamometry tests were used to examine functional capacity. Serum 25(OH)D status and blood measures of Calcium, Phosphorus and Albumin were determined through blood tests. The Mean and Median serum 25-Hydroxyvitamin D (25(OH)D) for all participants in this study was 85.8nmol/L (Standard Deviation 29.7nmol/L) and 81.0nmol/L (Range 22-158nmol/L), respectively. Analysis at the bivariate level revealed a statistically significant relationship between serum 25(OH)D status and location, with participants living on the Sunshine Coast having a mean serum 25(OH)D status 21.3nmol/L higher than participants living in Brisbane (p=0.014). While at the descriptive level there was an apparent trend towards higher outdoor exposure and increasing levels of serum 25(OH)D, no statistically significant associations between the sun measures of outdoor exposure, sun protection behaviors and phenotypic characteristics and serum 25(OH)D status were observed. Intake of both Calcium and Vitamin D was low in this sample with sixty-eight (68%) of participants not meeting the Estimated Average Requirements (EAR) for Calcium (Median=771.0mg; Range=218.0-2616.0mg), while eighty-seven (87%) did not meet the Adequate Intake for Vitamin D (Median=4.46ug; Range=0.13-30.0ug). This raises the question of how realistic meeting the new Adequate Intakes for Vitamin D is, when there is such a low level of Vitamin D fortification in this country. However, participants meeting the Adequate Intake (AI) for Vitamin D were observed to have a significantly higher serum 25(OH)D status compared to those not meeting the AI for Vitamin D (p=0.036), showing that meeting the AI for Vitamin D may play a significant role in determining Vitamin D status in this population. By stratifying our data by categories of outdoor exposure time, a trend was observed between increased importance of Vitamin D dietary intake as a possible determinant of serum 25(OH)D status in participants with lower outdoor exposures. While a trend towards higher Timed Up and Go scores in participants with higher 25(OH) D status was seen, this was only significant for females (p=0.014). Handgrip strength showed statistically significant association with serum 25(OH)D status. The high serum 25(OH)D status in our sample almost certainly explains the limited relationship between functional measures and serum 25(OH)D. However, the observation of an association between slower Time Up and Go speeds, and lower serum 25(OH)D levels, even with a small sample size, is significant as slower Timed Up and Go speeds have been associated with increased fall risk in older adults3. Multivariable regression analysis revealed Location as the only significant determinant of serum 25(OH)D status at p=0.014, with trends (p=>0.1) for higher serum 25(OH)D being shown for participants that met the AI for Vitamin D and rated themselves as having a higher health status. The results of this exploratory study show that 93.6% of participants had adequate 25(OH)D status-possibly due to measurement being taken in the summer season and the convenience nature of the sample. However, many participants do not meet their dietary Calcium and Vitamin D requirements, which may indicate inadequate intake of these nutrients in older Australians and a higher risk of osteoporosis. The relationship between serum 25(OH)D and functional measures in this population also requires further study, especially in older adults displaying Vitamin D insufficiency or deficiency.
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Hall, Courtney D., Samuel C. Karpen, Brian Odle, Peter C. Panus, and Zachary F. Walls. "Development and Evaluation of the Medication-Based Index of Physical Function (MedIP)." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2706.
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Background: The development of an objective and comprehensive drug-based index of physical function for older adults has the potential to more accurately predict fall risk.
Design: the index was developed using 862 adults (ages 57–85) from the National Social Life, Health, and Aging Project (NSHAP) Wave 1 study. The index was evaluated in 70 adults (ages 51–88) from a rehabilitation study of dizziness and balance.
Methods: The prevalence among 601 drugs for 1,694 side effects was used with fall history to determine the magnitude of each side effect's contribution towards physical function. This information was used to calculate a Medication-based Index of Physical function (MedIP) score for each individual based on his or her medication profile. The MedIP was compared to the timed up and go (TUG) test as well as drug counts using receiver operating characteristic (ROC) analysis. The associations between various indices of physical function and MedIP were calculated.
Results: Within the NSHAP data set, the MedIP was better than drug counts or TUG at predicting falls based on ROC analysis. Using scores above and below the cutpoint, the MedIP was a significant predictor of falls (OR = 2.61 [95% CI 1.83, 3.64]; P < 0.001). Using an external data set, it was shown that the MedIP was significantly correlated with fall number (P = 0.044), composite physical function (P = 0.026) and preferred gait speed (P = 0.043).
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Yee, David E. "All Dressed Up, Nowhere to Go." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1492614814004489.
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Hassani, Asma. "Analyse des mouvements 3D en temps réel pour un dispositif médical destiné au maintien de l'indépendance fonctionnelle des personnes âgées à domicile." Thesis, Dijon, 2016. http://www.theses.fr/2016DIJOS004/document.
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Dans ce manuscrit, nous proposons un système d'analyse automatique des mouvements 3D entemps réel permettant l'évaluation des capacités fonctionnelles chez les personnes âgées àdomicile. Dans un premier temps, l'objectif est de contribuer à maintenir l'indépendancefonctionnelle de cette population et permettre une détection précoce d'une décompensationmotrice pour faciliter une démarche de rééducation. Pour quantifier la qualité d'équilibre d'unsujet en temps réel, nous avons conçu un système en utilisant le capteur Kinect et permettantd'analyser un test clinique simple et validé en rééducation gériatrique: le Timed Up and Go (TUG).Trois expériences, réalisées dans des environnements hétérogènes (laboratoire, hôpital de jouret domicile) ont montré une bonne fiabilité de la mesure des paramètres identifiés. Ellespermettent notamment d'attribuer une note de contrôle moteur indiquant la fragilité motrice.Dans un second temps, nous avons proposé une chaîne de traitement vidéo permettantd'augmenter la robustesse d'analyse de différentes phases du TUG : détection automatique de laposition assise, segmentation du patient et extraction de 3 articulations du corps. Les résultats deces travaux nous permettent d'envisager plusieurs perspectives. Tout d'abord, nous pensonseffectuer des expérimentations sur une population plus large afin de confirmer la fiabilité dusystème. Puis, différentes améliorations techniques et ergonomiques seraient nécessaires pourfaciliter l'utilisation grand public. Enfin, il serait intéressant d'étendre la méthodologie proposéepour d'autres tests cliniques en vue de prolonger l'autonomie à domicileWe propose in this manuscript a realtime3D movement analysis system for inhomefunctionalabilities assessment in aged adults. As a first step, the purpose is to maintain the functionalindependence of this population and to allow an earlier detection of a motor decompensation inorder to facilitate a rehabilitation process. To quantify the equilibrium quality of a subject, webuilt a system using the Kinect sensor in order to analyze a simple clinical test validated in geriatricrehabilitation: the Timed Up and Go (TUG). Three experiments conducted in heterogeneousenvironments (laboratory, day hospital and home) showed good measurement reliability of theidentified parameters. In particular, they allow to assign a motor control note indicating themotor frailty. Then, we proposed a video processing chain to increase the robustness of theanalysis of the various TUG phases: automatic detection of the sitting posture, patientsegmentation and three body joints extraction. The results of this work allow us to considerseveral perspectives. First, we believe conduct experiments on a larger population in order toconfirm the system reliability. Then, various technical and ergonomic improvements would benecessary to facilitate general public use. Finally, it would be interesting to extend the proposedmethodology for other clinical test to prolong the autonomy at home
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Savecs, Vladimirs, and Benavente Manuela Larsson. "Antropometriska mått och prestation på GIH:s hälsotester : en kvantitativ studie på individer mellan 30-49 år." Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-4465.
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Syfte och frågeställningar Syftet med den här studien har varit att undersöka och jämföra kvinnor och män i åldersgrupperna 30-39 år respektive 40-49 år avseende antropometriska mått samt prestation på GIH:s hälsotester. En vidare målsättning var att undersöka om det förekom några skillnader mellan två separata testtillfällen. Frågeställningarna har varit om resultaten på hälsotesterna skiljer sig mellan könen, åldersgrupperna samt mellan två separata testtillfällen. Metod Totalt fullföljde 41 deltagare GIH:s hälsotester, av dem var 20 kvinnor och 21 män mellan 30-49 år. Det enda som krävdes för att delta var att man uppfattade sig själv som frisk. Personer som tidigare haft stroke, hjärtinfarkt eller opererats på grund av hjärtproblem har inte inkluderats, ej heller gravida och personer med ledbesvär. Testerna utfördes på LTIV (Laboratoriet för tillämpad idrottsvetenskap) mellan februari och mars 2016. Resultat Signifikanta skillnader mellan de två separata testtillfällena noterades för några av styrketesterna framför allt hos männen: axelpressar, handgrip och stolresningar. Mellan könen sågs signifikanta skillnader i de antropometriska måtten, samt i flera konditions- och styrketester. Bland dessa kunde signifikant högre värden ses för kvinnorna än för männen i ryggstyrketestet. Signifikanta skillnader mellan åldersgrupperna 30-39 år och 40-49 år sågs näst intill endast för kvinnor. De yngre jämfört med de äldre kvinnorna presterade bättre i flera av testerna, de vägde mindre och hade mindre kroppsmått. Slutsats Det framkom vanligtvis inte några signifikanta skillnader mellan det första och andra testtillfället, med enstaka undantag. När så är fallet behövs bara ett test utföras initialt inför en period med exempelvis fysisk aktivitet som senare kanske ska följas upp med ett återtest. Skillnader mellan könen och olika åldersgrupper framkom i vissa tester men inte i alla. Resultaten i denna studie beror bland annat på urvalet av individer. Eftersom att syftet med den här studien har varit att endast utföra de tester som ingår i GIH:s hälsotester har inga tester lagts till eller exkluderats. I arbetet diskuteras bland annat hur optimala testerna är som ett mått på hälsa. För att effektivisera hälsotestundersökningar framöver behöver nödvändigtvis inte alla tester utföras.
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Baumhof, Sarah [Verfasser]. "„Nowhere to Go But Up“? – Die Gattungsmerkmale des Musicals / Sarah Baumhof." Hamburg : Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky, 2021. http://d-nb.info/1226936334/34.
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Kettler, Frank (Frank Nitsche). "What goes up ... continues to go up : momentum in commercial real estate forecasting price appreciation via cap rates." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/120653.
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Thesis: S.M. in Real Estate Development, Massachusetts Institute of Technology, Program in Real Estate Development in conjunction with the Center for Real Estate, 2018.Cataloged from PDF version of thesis.
Includes bibliographical references (page 31).
In equity markets, dividend yields are highly correlated with future returns, largely through capital appreciation. Taking the same logic and applying it to the commercial real estate market -- could cap rates therefore predict future appreciation return? This paper finds that absolute cap rates are not significantly correlated with future appreciation or depreciation. However, regressions of first-differenced cap rates on future price appreciation find strong statistical significance at one, two, and three-quarter forecasts. The relation is strongest at a two quarter forecast, declining at four-quarter forecasts and thereafter. These findings support a case for momentum in commercial real estate pricing. Pricing movements, via cap rate changes, predict future appreciation or depreciation. The statistical results show that changes in cap rates are inversely correlated with future price appreciation or depreciation. When cap rates shift downward. properties tend to appreciate in future quarters, on average. And when cap rates shift upward, properties tend to depreciate in future quarters, on average. The analysis is bifurcated by asset type and market size. When analyzing this relation on an asset-class level, the predictive power of cap rate changes on future appreciation and depreciation is strongest in retail. Additionally, this relation is stronger in Primary CSAs than in Secondary CSAs. Astute investors should keep a close watch on the capital markets as they implement portfolio management strategies. While not to be utilized in isolation, these findings on momentum should be taken in context of a greater acquisition and disposition strategy.
by Frank Kettler.
S.M. in Real Estate Development
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Reed, J. "All dressed up and nowhere to go : Nursing assessment in geriatric care." Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.234416.
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Lam, Fred, and Ali Bokhari. "New Onset Hypoglycemia in Non-diabetic Adult Patients: Where Do We Go from Here?" Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/55.
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Background:
Hypoglycemia is a commonly encountered metabolic state in the patient population. It can be medically defined as a blood sugar <70mg/dL in a diabetic patient or <50mg/dL in a non-diabetic patient. It is less frequently seen in non-diabetics due to the body’s ability to autoregulate insulin administration. Common symptoms are sweating, tremors, palpitations, dizziness, drowsiness, and confusion. If left untreated, these symptoms can progress to seizures, arrythmias, or other complications that ultimately lead to death.
Objective:
To highlight the possible causes of hypoglycemia and the appropriate work-up for normally euglycemic patients.
Case Description:
We herein report a case of hypoglycemia in a 36-year-old female with Lupus related end-stage renal disease on hemodialysis via Ash-catheter who presented with peritonitis due to a defunct peritoneal dialysis catheter. The patient was found to be bacteremic; therefore both catheters were removed and antibiotics were started. Repeat blood cultures showed no growth for 48 hours, so the patient was held fasting at midnight for placement of a new catheter. On the day of surgery, she registered multiple blood sugar readings as low as 15mg/dL. Her symptoms were limited to drowsiness and shortness of breath. She was given four D50 boluses, glucagon IV, and a D5 drip that was adjusted to a D15 drip to stabilize her blood sugar. It was discovered that at an admission two months ago, the patient had a few readings in the 30s. She denied any recollection of this and claimed to have been asymptomatic. She also denied a history of low blood sugars and a diagnosis of diabetes. In surgery that day, the patient went into cardiac arrest on the operating table after being sedated. She was resuscitated after one round of chest compressions, and her catheter was placed. During the episodes of low blood sugar, specific labs were drawn for the work-up of hypoglycemia (glucose, insulin, C-peptide, proinsulin, beta-hydroxybutyrate, insulin antibodies, and sulfonylurea/meglitinide screen), but results yielded inconclusive values that prevented a diagnosis. The patient’s blood sugars became steady once her diet was restarted, and she was discharged in stable condition to a rehab facility after cautionary counseling was given.
Discussion:
This case highlights an optimal way to work-up a patient with new onset hypoglycemia, focusing on patient history and drawing the appropriate labs during hypoglycemic episodes. The specific labs listed above can be used to differentiate between various causes of hypoglycemia (exogenous insulin administration, an insulin secreting tumor [insulinoma], insulin antibodies, insufficient cortisol or glucagon levels, or improper sulfonylurea/meglitinide use) by comparing them to standards. If labs are unable to be obtained, a 72-Hour Fast can be conducted to create a controlled environment, and a Glucagon Tolerance Test can further explore if the cause of hypoglycemia is insulin related. The goal of all of this testing is to be able to identify and treat the underlying cause of the hypoglycemia and prevent future episodes and the complications that accompany it.
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Didsbury, Jennifer Goff. "All dressed up and nowhere to go women and first-class performances in the plays of Tennessee Williams /." CONNECT TO ELECTRONIC THESIS, 2008. http://dspace.wrlc.org/handle/1961/5513.
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Harrison-Rexrode, Jill. ""I don't want to go up the hill": Symbolic Boundary Work Among Residents of an Assisted Living Community." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/28728.
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In this study I explore boundary work processes that older adults do which influences friendships among residents of a progressive care retirement community. Accounts of boundary work as mechanisms for including some and excluding other residents as potential friends were collected by using a combination of quantitative surveys and qualitative interviews from residents (age 65+) of a progressive care retirement community in the United States. First, a survey explored symbolic boundaries related to cultural capital, defined as music and leisure interest and participation, as well as structural and social aspects of friendships among residents (N=66). Second, in-depth interviews of a sub-sample of residents of an assisted living facility within the community (N=15), were conducted to examine older adultsâ narratives of how they use cultural capital as a mechanism of symbolic boundary work that influences their friendships with others in the retirement community. The administrator of the assisted living facility (N=1) was also interviewed. Findings from this study suggested that cultural capital was associated with sociability which offers some support for the relational â tool kitâ model of the theory. However, findings from in-depth interviews suggested that while music and leisure interests and participation may be important, valuations of bodies were more likely to influence â otheringâ of residents, although the two are related. This study enriches our understanding of how symbolic boundary use varies by group and context, as well as makes theoretical contributions to the literature on symbolic boundaries by exploring the ways in which aging may alter the use of boundaries.Ph. D.
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Börjeson, Mauritz, and Andreas Pettersson. "Moving from Practice toward Science : Defining Go-To-Market model and setting it up to turn potential into profit." Thesis, Umeå University, Umeå School of Business, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-26476.
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Firms are today struggling with setting up successful go-to-market models. Go-to-market (GMT)expenses are reported to be a considerable part of company spending, but in many cases withoutyielding enough return. This case study investigated the concept of go-to-market models and howcompanies successfully can set it up to turn potential into profit. Atea was struggling with setting up their go-to-market model for Midmarket in Stockholm for their Product/volume offering and their dilemma constituted a great opportunity for expanding the relative young field of GTM research.
The problem was approached using an abductive research strategy. The study moved back and forth between theory and empirical data gathered primarily by in-depth and semi-structured interviews with managers at high level in Atea. The nature of the GTM concept was thoroughly examined including its relation to other parts of the organization and the assumptions about underlying economics. Structure throughout the whole research process was achieved by thematization of the problem and methodological adherence.
Merging the empirical findings with existing theory resulted in the first holistic definition of model successfully connects the different components of the GTM-model with each other. Relevant theories are connected to the framework as aid for using the concept as a tool for analysis.
Our findings show that the GTM-model should be an extension of the marketing strategy and the overall business strategy. When setting up a GTM-model it is therefore crucial that the setup has its roots in the overall strategy of the company to ensure a setup that is consistent with the go-tomarketthat relates the concept to overall strategy and marketing strategy. Itcompany’s brand promise. The GTM-model itself is constructed from four main areas; GTM-strategy, segmentation, channel choices and systems and support. GTM-strategy concerns aligning the GTM setup with the overall firm and marketing strategies but also setting priorities based on the underlying economics of target clients as well as priorities based on market data of what are the driving factors of those underlying economics. The segmentation must all available data and should be based on variables of customer needs in terms of problems, buying behavior or desired customer experience. The channels have to reflect the potential of the client and a model has been developed for prioritizing channel choices. The channel choices also depend on the product or service the company is taking to the market. Finally the supporting functions need to have a lean set-up where focus is on cost efficiency while providing the core functions with the support they need. The support function should be responsible for tracking the data required to assess the underlying economics. The four distinct parts are closely integrated and changes in one part will have implications in the other parts.
For Atea a series of actions were developed to improve their performance and profitability of their GTM-model for their Midmarket in Stockholm. The findings of this case study are transferable to the other regions of Atea Sweden but also to other companies within the same industry. The generic concept definition of GTM model is transferable beyond this limit to include all complex business but further research has been suggested to validate these findings. The building blocks and relative importance of the four parts will vary from industry to industry, and from company to company, with regard to the unique capabilities of each specific case.
The model is the first holistic model of the GTM concept that puts the GTM-model in the context of the whole company and provides a definition to avoid concept confusion while being a practical framework to use for analysis. It will therefore be of help to both practitioners setting up successful GTM-models and to researcher of the field of GTM strategy and GTM models.
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Kornberg, Krogh Linda. "When translators go barking up the wrong tree : A study of metaphor translation strategies in a dog breed book." Thesis, Linnéuniversitetet, Institutionen för språk (SPR), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-75906.
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The translation of metaphors can cause problems for a translator since what is typical for a metaphor is that the intended meaning does not match its literal meaning, which can lead to misunderstandings. Apart from this, language differences and cultural differences can also cause problems. This essay deals with the translation of metaphors in a dog breed book from English to Swedish. The aim of the essay is to investigate which translation strategies that are used when translating metaphors and whether lexicalized and non-lexicalized source language metaphors require different translation strategies. The source language metaphors were found by using the Metaphor Identification Procedure which in this study means determining the lexical units in the source text, deciding the meaning of each unit and then comparing with dictionaries to see whether the lexical unit has a more basic or contemporary meaning and if the meaning in this particular context can be understood based on the more basic or contemporary meaning. If so, the lexical unit was determined to be metaphorically used in this context. The source language metaphors were then classified according to whether they are lexicalized or non-lexicalized, based on Dickins (2005) classification. The study finds that the most common way of translating a source language metaphor is by paraphrasing it into a non-metaphorical expression followed by using the same or a similar target language metaphor. No clear indications of lexicalized and non-lexicalized metaphors requiring different translation strategies were found.
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Bundy, J. G. "The use of biological methods for the assessment of oil contamination and bioremediation." Thesis, University of Aberdeen, 1999. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU602050.
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There is a concern that concentration-based targets for soil clean-up are arbitrary, and do not necessarily relate to the environmental threat posed by the residual contamination. The development of sensitive, reliable, and ecologically relevant biological tests for oil-polluted soils would address these problems, and form a valuable complement to chemical analysis. Three biological test systems were chosen for examining the impact of oil contamination on soil microbes: (1) lux-marked bacterial biosensors, (2) Biological carbon source utilization profiles, and (3) phospholipid fatty acid (PLFA) community profiles. This allowed the testing of effects at three different levels of ecological complexity: respectively, single species; culturable bacteria; and eubacteria and eukaryotes. The use of specific bioluminescent biosensors (i.e. with lux genes fused to promoters from hydrocarbon degradation pathways) allowed the rapid detection of different hydrocarbon classes. The bacterial biosensors were optimized for the assessment of hydrocarbon compounds. Development of quantitative structure-activity relationships (QSARs) increased understanding of their responses to hydrocarbons and other petroleum-derived compounds. The three biological methods were then used to monitor the nutrient-assisted bioremediation of oil-spiked soils in two separate microcosm experiments: (1) remediation of four crude oils and one refined oil compared using bacterial biosensors, and (2) effects of diesel on three different soil types, and effects of three refined oils on one soil type, assessed using Biolog and PLFA profiling. All three biological test methods were sensitive to the oil contamination levels applied in the microcosm experiments. Individual species (biosensor tests) gave different responses to different oils; however, the community-level responses showed no differences. The microbial communities of the three different soil types could still be distinguished after 14-15 weeks of hydrocarbon contamination. The community response of the contaminated soils had changed from that of the control soils after four weeks of bioremediation, and did not return in similarity to the control over the course of the experiment.
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Boggs, Christy F. "Where do we go from here? The impact of immigration on the educational pathway of Sri Lankan women growing up in Italy." Bowling Green State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1462472681.
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Bodner, Coreen H. "Prevalence of, and risk factors for, adult onset wheeze : a thirty year follow-up study." Thesis, University of Aberdeen, 1998. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU100360.
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A thirty year follow-up survey was carried out to determine the prevalence of adult onset wheeze in a randomly selected community cohort of 2,056 adults who had had no childhood respiratory symptoms when they were originally studied in 1964. New onset wheezing symptoms developed at a steady rate of 0.5 per 100 person years between age 15 and 14; 11.5% of subjects reported having had an attack of wheezing for the first time during this period of their lives. Adult onset disease accounted for a greater proportion (62.9%) of current wheezing in middle age than child onset disease (37.1%). The risk of adult onset wheeze among all cases who had ever wheezed since age 15 increased with low socioeconomic status, current smoking, positive atopic status and positive family history of atopic disease. Gender was not related to risk of wheeze. Vitamin C and E consumption were inversely related to the risk of current wheeze (i.e. wheeze in the previous 12 months); analyses stratified by social class and smoking habit suggested that these inverse associations were stronger in the manual compared to the nonmanual class, and among smokers compared to nonsmokers. Childhood factors, including father's social class, sibship structure and common childhood infections were not related to adult onset wheeze. The pattern of significant independent risk factors differed between three distinct subgroups of cases who reported doctor-diagnosed asthma (n=24), chronic cough and phlegm (n=31) or other wheeze (n=47). Manual social class was associated with cough and phlegm and other wheeze. Smoking was only related to cough and phlegm. Atopy was associated with doctor-diagnosed asthma and with cough and phlegm. Family history of atopic disease was related to all subgroups, suggesting that despite apparent heterogeneity in diagnostic labelling, concurrent symptoms and other risk factors, the different forms of adult onset wheeze may share a common allergic basis.
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Murchie, Peter. "Development, implementation and evaluation of an integrated follow-up programme for people with cutaneous malignant melanoma." Thesis, University of Aberdeen, 2008. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU505636.
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Aim: To establish if GP-led integrated melanoma follow-up is feasible, and comparable to hospital-based follow-up, in terms of patient satisfaction, guideline adherence, quality of life and cost. Methods: Intervention design: GP-led integrated melanoma follow-up was designed and tested according to the MRC framework for the design and evaluation of complex healthcare interventions. Exploratory randomised trial: An exploratory randomised trial involving 35 practices and 142 patients was conducted to determine whether patients were more satisfied with the GP-led follow-up than hospital-based follow-up. The study also explored guideline adherence; health-related quality of life; and costs. Parallel qualitative interviews: Semi-structured interviews were conducted with 18 patient recipients and 17 intervention GPs, ascertaining their experiences and views of the new service. Results: A GP-led integrated melanoma follow-up is feasible. It was attractive to most patients eligible to receive it. Patients that received the programme reported better satisfaction with follow-up during the study year in 6 out of 15 aspects of follow-up care. Patients receiving GP-led follow-up were more likely to be seen within guidelines. The GP-led integrated melanoma follow-up did not adversely affect health-related quality of life. Integrated GP-led follow-up for cutaneous malignant was cheaper than traditional hospital follow-up. Most patients who received the integrated follow-up from their GP had positive opinions about it. Conclusions: GP-led integrated melanoma follow-up is feasible; satisfactory to most patients; facilitated guideline adherence; produced no deterioration in health related quality of life; was cheaper than traditional hospital-based follow-up; and viewed positively by patients and GPs. A full-scale randomised controlled trial of integrated GP-led melanoma follow-up is feasible.
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Gorham, Richard Arthur. "All dredged up and no place to go : the disposal of contaminated dredged material from greater Vancouver, British Columbia, into the neighbouring strait of Georgia." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24673.
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The thesis provides an integrated review and analysis of strategic scientific information from which management procedures for the environmentally acceptable disposal of dredged materials from Greater Vancouver into the Strait of Georgia are determined. An analysis of reported and suspected contamination of Vancouver's waterways identifies trace metals and hydrophobic organic chemicals that warrant concern by authorities responsible for the management of dredged material disposal. The processes, transformations and pathways of these contaminants in the marine environment subsequent to dredged material disposal are reviewed. It is argued that a really confined degradation of suitable disposal sites is of negligible concern, but that release of contaminants from the disposal area, were it to occur, could have unpredictable and perhaps substantial environmental consequences. The major potential pathway of contaminant release from dredged material during or subsequent to disposal is via the resuspension and transport of fine particulate material. Biological accumulation of contaminants and their transport through the food chain is a potentially significant release pathway for hydrophobic organic contaminants. Biological transformation to more soluble metabolites is also potentially significant for mercury and some of the less chlorinated and lower molecular weight organic compounds of concern. Desorptive release of contaminants from the disposed sediments into solution is usually negligible, with the possible exceptions of cadmium and mercury. A review of the physical factors that promote contaminated sediment erosion and dispersion during or subsequent to dredged material disposal identifies oceanographic characteristics where such release will be minimal. There are only four areas within the Strait of Georgia that exhibit these characteristics. Two of these areas are adjacent to valuable and sensitive biological resources and are consequently unsuitable as ocean dumping sites. Dredged material disposal at the other two sites, one near Smelt Bay, Cortes Island, and the other off McNaughton Point, Sechelt Peninsula, should result in minimal adverse environmental impact. Available methodologies to identify dredged materials with contaminant levels that preclude their environmentally acceptable disposal at these recommended sites are discussed.Science, Faculty of
Resources, Environment and Sustainability (IRES), Institute for
Graduate
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CARNEIRO, JANDERSON BAX. "I LL GO UP THE SLUMS TO FIND OUT WHO IS COMING TO UMBANDA: ZÉ PELINTRA AND THE REINTERPRETATION OF THE RASCAL IN THE RELIGIOUS PRACTICE OF UMBANDA." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2012. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=21448@1.
Full textAbstract:
PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIROA umbanda é uma religião codificada na primeira metade do século XX. Sua difusão foi notável, especialmente nas capitais brasileiras em processo de urbanização e industrialização, como Rio de Janeiro, São Paulo e Porto Alegre. Essa modalidade religiosa tem como uma das principais características o culto a entidades espirituais representativas de arquétipos nacionais, quase sempre caracterizados pela subalternidade. Dentre elas, chama atenção a figura de Zé Pelintra, representado em suas imagens visuais como o típico malandro carioca das décadas de 1920 e 1930. Terno branco, Chapéu de Panamá e sapatos bicolores são elementos constitutivos da indumentária da entidade, consideravelmente popularizada nos espaços laicos da cidade do Rio de Janeiro. No entanto, mais do que um símbolo difuso, tal entidade é percebida por seus fiéis como o espírito de alguém que, após a morte, ganhou o direito de incorporar nos centros de umbanda e intervir de forma concreta nas vidas dos seus devotos. Nesse sentido, a pergunta que move esta dissertação é a seguinte: quais são as expectativas dos fiéis em relação a essa entidade? Melhor dizendo: a quais desafios ela é convocada a responder? Assim, o objetivo deste trabalho é identificar possíveis sentidos atribuídos à versão sacralizada do malandro na prática umbandista atual. Sob essa perspectiva, a presente análise lança mão principalmente da observação participante, bem como do emprego de entrevistas abertas entre os religiosos de um terreiro carioca, onde salta aos olhos a patente proximidade experimentada entre os devotos e as entidades da categoria malandragem.
Umbanda is a religion codified during the first half of the twentieth century. Its diffusion was remarkable, especially in capitals in urbanization and industrialization process, as Rio de Janeiro, São Paulo and Porto Alegre. The fundamental feature of this type of religion is the cult of spiritual entities representing national archetypes, often characterized by subordination. Among them, draws attention the Zé Pelintra figure, represented in his visual images as the typical carioca rascal of the 1920s and 1930s. White suit, Panama hat and saddle shoes are the constitutive elements of the entity s costume, greatly popularized in secular areas in the city of Rio de Janeiro. However, more than a diffuse symbol, such entity is seen by its followers as the spirit of one who won, after death, the right to incorporate in Umbanda centers and to interfere concretely in the lives of its devotees. In this regard, the question this dissertation is based is: what are the believers expectations in relation to that entity? Or rather: what are the challenges the entity is requested to respond? Thus, the purpose of this study is to identify possible meanings assigned to the sacralized version of the carioca rascal in umbandist current practice. From this perspective, the present analysis utilizes mainly participant observation as well as the use of open interviews among religious of terreiro (umbandist temple) where leaps out the evident closeness experienced between the devotees and the entities of the rascality category.
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Balčiūnienė, Jolita. "Grupinių ir individualių kineziterapijos procedūrų poveikis pacientų, patyrusių galvos smegenų insultą, mobilumui." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080618_125648-20390.
Full textAbstract:
Tyrimo objektas: pacientų, patyrusių galvos smegenų insultą funkcinis mobilumas.
Tyrimo problema. Insultas yra trečioji pagal dažnį mirties priežastis išsivysčiusiose šalyse (Dias et al., 2007). Įvykus insultui sutrinka motorinės, sensorinės ir pažintinės funkcijos. Gali būti labai pažeista ėjimo funkcija. Eisenos atgavimas yra svarbiausias reabilitacijos tikslas (Dias et al., 2007).
Tyrimo tikslas – nustatyti grupinių ir individualių kineziterapijos procedūrų poveikį pacientų, patyrusių galvos smegenų insultą, mobilumui.
Tyrimo uždaviniai. 1) Įvertinti tiriamųjų pusiausvyrą pagal Berg skalę prieš ir po grupinių ir individualių kineziterapijos procedūrų taikymo; 2) Įvertinti tiriamųjų pusiausvyrą sėdint, atsistojimą iš sėdimos padėties bei ėjimą pagal judesių įvertinimo skalę prieš ir po grupinių ir individualių kineziterapijos procedūrų taikymo; 3) Įvertinti tiriamųjų ėjimą pagal testą „Stotis ir eiti“ prieš ir po grupinių ir individualių procedūrų taikymo; 4) Nustatyti koreliacinius ryšius tarp tirtų rodiklių.
Tyrimo metodika. Taikant grupinius ir individualius užsiėmimus buvo vertinama 30-ties tiriamųjų (amžius 74,4±4,3 m.) patyrusių insultą ne mažiau kaip prie 36 mėn. pusiausvyra ir ėjimas pagal Berg pusiausvyros skalę, modifikuotą judesių įvertinimo skalę bei „Stotis ir eiti“ testą prieš ir po kineziterapijos.
Rezultatai. Berg pusiausvyros skalės rezultatai individualios kineziterapijos grupėje prieš kineziterapiją buvo 39,6±5,89, po kineziterapijos – 44,5±6,0 balo... [toliau žr. visą tekstą]Problem. Stroke is the third common cause of mortality in developed countries (Dias et al., 2007). Several disabilities occur after stroke, including loss of motor, sensory and cognitive functions. Gait in stroke patients can be greatly disrupted. Restoration of gait is a major goal in the rehabilitation of stroke patients (Dias et al., 2007). Aim: to compare the effectiveness of group therapy and individual physiotherapy on the functional mobility in stroke patients. Objectives. 1) to assess balance in stroke patients according Berg Balance Scale before and after group and individual physiotherapy; 2) to assess sitting balance, standing and walking in stroke according Motor Assessment Scale before and after group and individual physiotherapy; 3) to evaluate walking in stroke patients according Up & Go test before and after group and individual physiotherapy; 4) to find correlation among assessed values. Methods. Balance and walking were assessed in 30 stroke patients (age 74.4±4.3 years) according to Berg Balance Scale, Motor Assessment Scale and Up & Go test applying group or individual physiotherapy. Time after stroke was no less than 36 months. All measures were done before and after physiotherapy. Results. Results of Berg Balance Scale before and after individual physiotherapy were: 39.6±5.89 and 44.5±6.0 score respectively; Results of Berg Balance Scale before and after group physiotherapy were: 39.0±6.21 and – 44.6±5.99 scores respectively. Results of Motor... [to full text]
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Lo, Wei-Hsiang, and 羅瑋翔. "The Implementation of Timed Up-and-Go Test on a Smartphone System." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/m6rbq5.
Full textAbstract:
碩士中原大學
電子工程研究所
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In recent years, elder population grows consistently in the world. In particular, Taiwan’s elder population grows faster than the others of the world because of the very low birth rate. Taiwan has been become an aged society and then the geriatric care become important issues in Taiwan. One important test about the geriatric care is called Timed Up and Go Test. It is recommended as a screening tool for fall risk in elder people. In traditional, occupational therapist uses stopwatch to achieve this test. In this thesis, we want to implement a system to do the Timed Up-and-Go Test automatically. Smart phone is a good choice, because it equipped many sensors like triaxial accelerometer and gyroscope and wireless telecommunications like WiFi and Bluetooth. Another advantage to use mobile phone is that when doing field test it doesn’t need to deploy any else device. We analyzed human motion depends on Three-Axis Acceleration. In our system we use two smartphones as the measurement device, the first one is called control device, and the another one is called sensor device. Subject wears sensor device to perform test, occupational therapist observes test data on control device. Our algorithm can determine the steps while subject walks, and can also distinguish between object’s state of sitting and walking. This thesis also compares the traditional test method with ours. Experiments show that there is no significant different between them.