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spinal leptomeningeal medulloblastoma</title> <meta name="description" content="Search results for: primary spinal leptomeningeal medulloblastoma"> <meta name="keywords" content="primary spinal leptomeningeal medulloblastoma"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" 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class="col-md-9 mx-auto"> <form method="get" action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="primary spinal leptomeningeal medulloblastoma"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 4720</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: primary spinal leptomeningeal medulloblastoma</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4720</span> Malignant Idiopathic Intracranial Hypertension Revealed a Hidden Primary Spinal Leptomeningeal Medulloblastoma</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Naim%20Izet%20Kajtazi">Naim Izet Kajtazi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Context: Frequently, the cause of raised intracranial pressure remains unresolved and rarely is related to spinal tumors, moreover less to spinal medulloblastoma without primary brain focus. Process: An 18-year-old woman had a 3-month history of headaches and impaired vision. Neurological examination revealed bilateral sixth cranial nerve palsies with bilateral papilloedema of grade III. No focal brain or spine lesion was found on imaging. Consecutive lumbar punctures showed high opening pressure and subsequent increasing protein level. The meningeal biopsy was negative. At one point, she developed an increasing headache, vomiting and back pain. Spine MRI showed diffuse nodular leptomeningeal enhancement with the largest nodule at T6–T7. Malignant cells were detected in cerebrospinal fluid. She underwent laminectomy with excisional biopsy, and pathology showed medulloblastoma WHO grade IV. Outcome: She was treated with chemotherapy and craniospinal irradiation and made a good recovery. Relevance: Primary spinal leptomeningeal medulloblastoma is extremely rare, especially without primary brain focus, but may cause increased intracranial pressure, even in the early microscopic phases, and it should be considered in the differential diagnosis if conventional and aggressive treatment of idiopathic intracranial hypertension fails. We assume that arachnoiditis from tumor seeding caused increased intracranial pressure. Appropriate neurosurgical intervention and surgical biopsy are mandated if a suspicious lesion is detected. Consider proper rescreening of the whole neuroaxis in refractory cases of intracranial hypertension. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CNS%20infection" title="CNS infection">CNS infection</a>, <a href="https://publications.waset.org/abstracts/search?q=IIH" title=" IIH"> IIH</a>, <a href="https://publications.waset.org/abstracts/search?q=headache" title=" headache"> headache</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20spinal%20leptomeningeal%20medulloblastoma" title=" primary spinal leptomeningeal medulloblastoma"> primary spinal leptomeningeal medulloblastoma</a> </p> <a href="https://publications.waset.org/abstracts/160863/malignant-idiopathic-intracranial-hypertension-revealed-a-hidden-primary-spinal-leptomeningeal-medulloblastoma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160863.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">67</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4719</span> Morphometry of Cervical Spinal Cord in Rabbit Using Design-Based Stereology</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hamed%20Chavoshi%20Pour">Hamed Chavoshi Pour</a>, <a href="https://publications.waset.org/abstracts/search?q=Javad%20Sadeghinejad"> Javad Sadeghinejad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The spinal cord is a long structure that starts at the end of the medulla oblongata and is located within the vertebral canal. Physiologically, the spinal cord connects the brain with the peripheral nervous system for sensory and motor activities. The cervical spinal cord is an area of particular interest in medicine and veterinary medicine due to the high prevalence of diseases in this region. This study describes the morphometric features of the cervical spinal cord in rabbits using design-unbiased stereology. The cervical spinal cords of five male rabbits were dissected, and slabs were taken according to systematic uniform random sampling. Each slab was embedded in paraffin and cut into a 6-µm thick section, and stained with cresyl violet 0.1% for stereological estimations. The total spinal cord volume, volume fraction of grey and white matter, and also dorsal and ventral horns were estimated using point counting and Cavalieri's estimator. The total cervical spinal cord volume was 0.98 ± 0.07 cm³. The relative volume of white matter and grey matter was 70.6 ± 1.7% and 29.31 ± 1.67%, respectively. The dorsal horn and ventral horn volume were 13.86 ± 1.36% and 14.9 ± 0.62% of the whole cervical spinal cord. This knowledge of rabbit spinal cord findings may serve as a foundation for a translational model in spinal cord experimental research and provide basic findings for the diagnosis and treatment of spinal cord disorders. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=stereology" title="stereology">stereology</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord" title=" spinal cord"> spinal cord</a>, <a href="https://publications.waset.org/abstracts/search?q=rabbit" title=" rabbit"> rabbit</a>, <a href="https://publications.waset.org/abstracts/search?q=cervical" title=" cervical"> cervical</a> </p> <a href="https://publications.waset.org/abstracts/161334/morphometry-of-cervical-spinal-cord-in-rabbit-using-design-based-stereology" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/161334.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">76</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4718</span> The Analgesic Impact of Adding Intrathecal Ketamine to Spinal Anaesthesia for Hip or Knee Arthroplasty: A Clinical Audit</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Carl%20Ashworth">Carl Ashworth</a>, <a href="https://publications.waset.org/abstracts/search?q=Matthys%20Campher"> Matthys Campher</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Spinal anaesthesia has been identified as the “gold standard” for primary elective total hip and knee arthroplasty, which is most commonly performed using longer-acting local anaesthetics, such as hyperbaric bupivacaine, to prolong the duration of anaesthesia and analgesia suitable for these procedures. Ketamine is known to have local anaesthetic effects with potent analgesic properties and has been evaluated as a sole anaesthetic agent via intrathecal administration; however, the use of intrathecal ketamine as an adjunct to intrathecal hyperbaric bupivacaine, morphine, and fentanyl has not been extensively studied. The objective of this study was to identify the potential analgesic effects of the addition of intrathecal ketamine to spinal anaesthesia and to compare the efficacy and safety of adding intrathecal ketamine to spinal anaesthesia for hip- or knee arthroplasty with spinal anaesthesia for hip- or knee arthroplasty without intrathecal ketamine. The medical records of patients who underwent elective hip- or knee arthroplasty under spinal anaesthesia performed by an individual anaesthetist with either intrathecal hyperbaric bupivacaine, morphine and fentanyl or intrathecal hyperbaric bupivacaine, morphine, fentanyl and ketamine between June 4, 2020, and June 4, 2022, were retrospectively reviewed. These encounters were reviewed and analyzed from a perioperative pain perspective, with the primary outcome measure as the oral morphine equivalent (OME) usage in the 48 hours post-spinal anaesthesia, and secondary outcome measures including time to breakthrough analgesia, self-reported pain scores at rest and during movement at 24 and 48 hours after surgery, adverse effects of analgesia, complications, and length of stay. There were 26 patients identified who underwent TKR between June 4, 2020, and June 4, 2022, and 25 patients who underwent THR with the same conditions. It was identified that patients who underwent traditional spinal anaesthesia with the addition of ketamine for elective hip- or knee arthroplasty had a lower mean total OME in the 48 hours immediately post-spinal anaesthesia yet had a shorter time to breakthrough analgesia administration. The proposed mechanism of action for intrathecal ketamine as an additive to traditional spinal anaesthesia for elective hip- or knee arthroplasty is that it may prolong and attenuate the analgesic effect of traditional spinal anaesthesia. There were no significant differences identified in comparing the efficacy and safety of adding intrathecal ketamine to spinal anaesthesia for hip- or knee arthroplasty with spinal anaesthesia for hip- or knee arthroplasty without intrathecal ketamine. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anaesthesia" title="anaesthesia">anaesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal" title=" spinal"> spinal</a>, <a href="https://publications.waset.org/abstracts/search?q=intra-thecal" title=" intra-thecal"> intra-thecal</a>, <a href="https://publications.waset.org/abstracts/search?q=ketamine" title=" ketamine"> ketamine</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal-morphine" title=" spinal-morphine"> spinal-morphine</a>, <a href="https://publications.waset.org/abstracts/search?q=bupivacaine" title=" bupivacaine"> bupivacaine</a> </p> <a href="https://publications.waset.org/abstracts/173833/the-analgesic-impact-of-adding-intrathecal-ketamine-to-spinal-anaesthesia-for-hip-or-knee-arthroplasty-a-clinical-audit" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173833.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">52</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4717</span> Traumatic Spinal Cord Injury in King Fahd Medical City: An Epidemiological Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Saeed%20Alshahri">Saeed Alshahri</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Our study aims to estimate the characteristics & causes of TSCI at King Fahad Medical City (KFMC) in Riyadh city in order to hypothesize strategy for primary prevention of traumatic spinal cord injury. Method: Cross-sectional, retrospective study was conducted on all TSCI patients who aged 14 and above and who were admitted to rehabilitation center of King Fahad Medical City from January 2012 to December 2015. Furthermore, a descriptive analysis was conducted while considering factors including age, gender, marital status, educational level and causes of injury and characteristics of injury. Results: Total of 216 patients were admitted during this period, mean age was 28.94, majority of patients were male (86.5%), 71.7% of total patients were high school level of education or less, 68% were single, RTA was the main cause with 90.7% and the main result of TSCI was complete paraplegia 37%. Furthermore, statistically, we found that males are at a low risk of having incomplete paraplegia compared to female (p = 0.035, RRR=0.35). Conclusion: The rate of TSCI related to RTA has increased in Saudi Arabia in previous years despite the government’s efforts to decrease RTA. It’s clear that we need TSCI registry data developed on the basis of international data standards to have a clear idea about the exact etiology of TSCI in Saudi Arabia. This will assist in planning for primary prevention. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=traumatic%20spinal%20cord%20injury" title="traumatic spinal cord injury">traumatic spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=road%20traffic%20accident" title=" road traffic accident"> road traffic accident</a>, <a href="https://publications.waset.org/abstracts/search?q=Saudi%20Arabia" title=" Saudi Arabia"> Saudi Arabia</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a> </p> <a href="https://publications.waset.org/abstracts/64874/traumatic-spinal-cord-injury-in-king-fahd-medical-city-an-epidemiological-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/64874.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">346</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4716</span> The Relationship Between Spirituality and Quality of Life in Patients with Spinal Cord Injury, Iran</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Khadije%20Khazaeli">Khadije Khazaeli</a>, <a href="https://publications.waset.org/abstracts/search?q=Farzane%20Saberi"> Farzane Saberi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Spinal cord injury is one of the traumatic events which has a great impact on the quality of life. spirituality has been used to improve many disorders and abnormalities in recent years and positive results have been seen; accordingly, the present study investigated the relationship between spirituality and quality of life in these patients. This study is a cross-sectional study of the correlation type was conducted on 100 people with spinal cord injury in Isfahan province in 2016 by the available sample method. Spirituality was assessed through the Spiritual Attitude Questionnaire and quality of life through the World Health Organization Quality of Life Questionnaire. Pearson correlation and regression tests were used to analyze the data. The results of this study showed that spirituality has a significant relationship with the quality of life of patients with spinal cord injury. It was also proved that all sub-units of spirituality, including attitude and spiritual ability, can affect all components of quality of life. The findings suggest that spirituality, along with other factors, can lead to a significant improvement in quality of life and, ultimately, general health of patients with SCI. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title="spinal cord injury">spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=spirituality" title=" spirituality"> spirituality</a>, <a href="https://publications.waset.org/abstracts/search?q=patients" title=" patients"> patients</a> </p> <a href="https://publications.waset.org/abstracts/163044/the-relationship-between-spirituality-and-quality-of-life-in-patients-with-spinal-cord-injury-iran" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/163044.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">98</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4715</span> Correction of Urinary Incontinence in Severe Spinal Canal Stenosis, Treated Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ilirian%20La%C3%A7i">Ilirian Laçi</a>, <a href="https://publications.waset.org/abstracts/search?q=Alketa%20Spahiu"> Alketa Spahiu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Ageing causes an increase in the number of patients with spinal canal stenosis. Most of the patients have back pain, leg pain, numbness of the legs, as well as urinary incontinence as a very common symptoms. Urinary incontinence impairs the quality of life. Correction of the symptom of urinary incontinence is possible in the early and adequate treatment of spinal stenosis. Methods: This study observed patients with urinary incontinence and spinal canal stenosis. These patients underwent mechanical decompression of the spinal stenosis through surgery. At the same time, these patients were observed clinically with clinical consultations. Cystoscopy and urodynamic tests were conducted at intervals of 2 and 6 months. As a result of treatment, 60% of patients did recover. The patients in this group who benefit from treatment were the patients who were early diagnosed and treated. Conclusions: An important factor in the prognosis of this pathology is the early diagnosis and treatment. The proper treatment of this pathology makes it curable in most cases. An important role in this pathology is played by the neurosurgeon. Surgery accompanied by laminotomy and mechanical decompression is the best way of treatment. Other factors that played a role in this pathology are also a large number of childbirths for women, obesity, etc. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=urinary%20incontinence" title="urinary incontinence">urinary incontinence</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20canal%20stenosis" title=" spinal canal stenosis"> spinal canal stenosis</a>, <a href="https://publications.waset.org/abstracts/search?q=early%20diagnosis" title=" early diagnosis"> early diagnosis</a>, <a href="https://publications.waset.org/abstracts/search?q=treatment" title=" treatment"> treatment</a> </p> <a href="https://publications.waset.org/abstracts/152503/correction-of-urinary-incontinence-in-severe-spinal-canal-stenosis-treated-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/152503.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">99</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4714</span> Value of Unilateral Spinal Anaesthesia For Hip Fracture Surgery In The Elderly (75 Cases)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fedili%20Benamar">Fedili Benamar</a>, <a href="https://publications.waset.org/abstracts/search?q=Beloulou%20Mohamed%20Lamine"> Beloulou Mohamed Lamine</a>, <a href="https://publications.waset.org/abstracts/search?q=Ouahes%20Hassane"> Ouahes Hassane</a>, <a href="https://publications.waset.org/abstracts/search?q=Ghattas%20Samir"> Ghattas Samir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and aims: While in Western countries, unilateral spinal anesthesia has been widely practiced for a long time, it remains little known in the local anesthesia community, and has not been the object of many studies. However, it is a simple, practical and effective technique. Our objective was to evaluate this practice in emergency anesthesia management in frail patients and to compare it with conventional spinal anesthesia. Methods: This is a prospective, observational, comparative study between hypobaric unilateral and conventional spinal anaesthesia for hip fracture surgery carried out in the operating room of the university military hospital of Staoueli. The work was spread over of 12-month period from 2019 to 2020. The parameters analyzed were hemodynamic variations, vasopressor use, block efficiency, postoperative adverse events, and postoperative morphine consumption. Results: -75 cases (mean age 72±14 years) -Group1= 41 patients (54.6%) divided into (ASA1=14.6% ASA2=60.98% ASA3=24.39%) single shoot spinal anaesthesia -Group2= 34 patients (45.3%) divided into (ASA1=2.9%, ASA2=26.4% ASA3=61.7%, ASA4=8.8%) unilateral hypobaric spinal anesthesia. -Hemodynamic variations were more severe in group 1 (51% hypotension) compared to 30% in group 2 RR=1.69 and odds ratio=2.4 -these variations were more marked in the ASA3 subgroup (group 1=70% hypotension versus group 2=30%) with an RR=2.33 and an odds ratio=5.44 -39% of group 1 required vasoactive drugs (15mg +/- 11) versus 32% of group 2 (8mg+/- 6.49) - no difference in the use of morphine in post-op. Conclusions: Within the limits of the population studied, this work demonstrates the clinical value of unilateral spinal anesthesia in ortho-trauma surgery in the frail patient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20anaesthesia" title="spinal anaesthesia">spinal anaesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=vasopressor" title=" vasopressor"> vasopressor</a>, <a href="https://publications.waset.org/abstracts/search?q=morphine" title=" morphine"> morphine</a>, <a href="https://publications.waset.org/abstracts/search?q=hypobaric%20unilateral%20%20spinal%20anesthesia" title=" hypobaric unilateral spinal anesthesia"> hypobaric unilateral spinal anesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=ropivacaine" title=" ropivacaine"> ropivacaine</a>, <a href="https://publications.waset.org/abstracts/search?q=hip%20surgery" title=" hip surgery"> hip surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=eldery" title=" eldery"> eldery</a>, <a href="https://publications.waset.org/abstracts/search?q=hemodynamic" title=" hemodynamic"> hemodynamic</a> </p> <a href="https://publications.waset.org/abstracts/174506/value-of-unilateral-spinal-anaesthesia-for-hip-fracture-surgery-in-the-elderly-75-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/174506.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">74</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4713</span> Description of the Process Which Determine the Criterion Validity of Semi-Structured Interview PARA-SCI.CZ</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jarmila%20%C5%A0t%C4%9Bp%C3%A1nov%C3%A1">Jarmila Štěpánová</a>, <a href="https://publications.waset.org/abstracts/search?q=Martin%20Kudl%C3%A1%C4%8Dek"> Martin Kudláček</a>, <a href="https://publications.waset.org/abstracts/search?q=Luk%C3%A1%C5%A1%20Jakubec"> Lukáš Jakubec</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The people with spinal cord injury are one of the least sport active members of our society. Their hypoactivity is determined by primary injury, i.e., the loss of motor function, the injured part of the body is connected with health complications and social handicap. Study performs one part of the standardization process of semi-structured interview PARA-SCI.CZ (Czech version of the Physical Activity Recall Assessment for People with Spinal Cord Injury), which measures the type, frequency, duration, and intensity of physical activity of people with spinal cord injury. The study focused on persons with paraplegia who use a wheelchair as their primary mode of mobility. The aim of this study was to perform a process to determine the criterion validity of PARA-SCI.CZ. The actual physical activity of wheelchair users was monitored during three days by using accelerometers Actigraph GT3X fixed on the non-dominant wrist, and semi-structured interview PARA-SCI.CZ. During the PARA-SCI.CZ interview, participants were asked to recall activities they had done over the past 3 days, starting with the previous day. PARA-SCI.CZ captured frequency, duration, and intensity (low, moderate, and heavy) of two categories of physical activity (leisure time physical activity and activities of a usual day). Accelerometer Actigraph GT3X captured duration and intensity (low and moderate + heavy) of physical activity during three days and nights. The study presented three potential recalculations of measured data. Standardization process of PARA-SCI.CZ is essential to critically approach issues of health and active lifestyle of persons with spinal cord injury in the Czech Republic. Standardized PARA-SCI.CZ can be used in practice by physiotherapists and sports pedagogues from the field of adapted physical activities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=physical%20activity" title="physical activity">physical activity</a>, <a href="https://publications.waset.org/abstracts/search?q=lifestyle" title=" lifestyle"> lifestyle</a>, <a href="https://publications.waset.org/abstracts/search?q=paraplegia" title=" paraplegia"> paraplegia</a>, <a href="https://publications.waset.org/abstracts/search?q=semi-structure%20interview" title=" semi-structure interview"> semi-structure interview</a>, <a href="https://publications.waset.org/abstracts/search?q=accelerometer" title=" accelerometer"> accelerometer</a> </p> <a href="https://publications.waset.org/abstracts/67412/description-of-the-process-which-determine-the-criterion-validity-of-semi-structured-interview-para-scicz" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/67412.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">325</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4712</span> Non-linear Analysis of Spontaneous EEG After Spinal Cord Injury: An Experimental Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jiangbo%20Pu">Jiangbo Pu</a>, <a href="https://publications.waset.org/abstracts/search?q=Hanhui%20Xu"> Hanhui Xu</a>, <a href="https://publications.waset.org/abstracts/search?q=Yazhou%20Wang"> Yazhou Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Hongyan%20Cui"> Hongyan Cui</a>, <a href="https://publications.waset.org/abstracts/search?q=Yong%20Hu"> Yong Hu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Spinal cord injury (SCI) brings great negative influence to the patients and society. Neurological loss in human after SCI is a major challenge in clinical. Instead, neural regeneration could have been seen in animals after SCI, and such regeneration could be retarded by blocking neural plasticity pathways, showing the importance of neural plasticity in functional recovery. Here we used sample entropy as an indicator of nonlinear dynamical in the brain to quantify plasticity changes in spontaneous EEG recordings of rats before and after SCI. The results showed that the entropy values were increased after the injury during the recovery in one week. The increasing tendency of sample entropy values is consistent with that of behavioral evaluation scores. It is indicated the potential application of sample entropy analysis for the evaluation of neural plasticity in spinal cord injury rat model. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury%20%28SCI%29" title="spinal cord injury (SCI)">spinal cord injury (SCI)</a>, <a href="https://publications.waset.org/abstracts/search?q=sample%20entropy" title=" sample entropy"> sample entropy</a>, <a href="https://publications.waset.org/abstracts/search?q=nonlinear" title=" nonlinear"> nonlinear</a>, <a href="https://publications.waset.org/abstracts/search?q=complex%20system" title=" complex system"> complex system</a>, <a href="https://publications.waset.org/abstracts/search?q=firing%20pattern" title=" firing pattern"> firing pattern</a>, <a href="https://publications.waset.org/abstracts/search?q=EEG" title=" EEG"> EEG</a>, <a href="https://publications.waset.org/abstracts/search?q=spontaneous%20activity" title=" spontaneous activity"> spontaneous activity</a>, <a href="https://publications.waset.org/abstracts/search?q=Basso%20Beattie%20Bresnahan%20%28BBB%29%20score" title=" Basso Beattie Bresnahan (BBB) score"> Basso Beattie Bresnahan (BBB) score</a> </p> <a href="https://publications.waset.org/abstracts/35148/non-linear-analysis-of-spontaneous-eeg-after-spinal-cord-injury-an-experimental-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/35148.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">465</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4711</span> A Brain Controlled Robotic Gait Trainer for Neurorehabilitation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Qazi%20Umer%20Jamil">Qazi Umer Jamil</a>, <a href="https://publications.waset.org/abstracts/search?q=Abubakr%20Siddique"> Abubakr Siddique</a>, <a href="https://publications.waset.org/abstracts/search?q=Mubeen%20Ur%20Rehman"> Mubeen Ur Rehman</a>, <a href="https://publications.waset.org/abstracts/search?q=Nida%20Aziz"> Nida Aziz</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohsin%20I.%20Tiwana"> Mohsin I. Tiwana</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper discusses a brain controlled robotic gait trainer for neurorehabilitation of Spinal Cord Injury (SCI) patients. Patients suffering from Spinal Cord Injuries (SCI) become unable to execute motion control of their lower proximities due to degeneration of spinal cord neurons. The presented approach can help SCI patients in neuro-rehabilitation training by directly translating patient motor imagery into walkers motion commands and thus bypassing spinal cord neurons completely. A non-invasive EEG based brain-computer interface is used for capturing patient neural activity. For signal processing and classification, an open source software (OpenVibe) is used. Classifiers categorize the patient motor imagery (MI) into a specific set of commands that are further translated into walker motion commands. The robotic walker also employs fall detection for ensuring safety of patient during gait training and can act as a support for SCI patients. The gait trainer is tested with subjects, and satisfactory results were achieved. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=brain%20computer%20interface%20%28BCI%29" title="brain computer interface (BCI)">brain computer interface (BCI)</a>, <a href="https://publications.waset.org/abstracts/search?q=gait%20trainer" title=" gait trainer"> gait trainer</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury%20%28SCI%29" title=" spinal cord injury (SCI)"> spinal cord injury (SCI)</a>, <a href="https://publications.waset.org/abstracts/search?q=neurorehabilitation" title=" neurorehabilitation"> neurorehabilitation</a> </p> <a href="https://publications.waset.org/abstracts/107088/a-brain-controlled-robotic-gait-trainer-for-neurorehabilitation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/107088.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">161</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4710</span> Evaluation of the Effect of Intravenous Dexamethasone on Hemodynamic Variables and Hypotension in Female Undergoing Cesarean Section With Spinal Anesthesia</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shekoufeh%20Behdad">Shekoufeh Behdad</a>, <a href="https://publications.waset.org/abstracts/search?q=Sahar%20Yadegari"> Sahar Yadegari</a>, <a href="https://publications.waset.org/abstracts/search?q=Alireza%20Ghehrazad"> Alireza Ghehrazad</a>, <a href="https://publications.waset.org/abstracts/search?q=Amirhossein%20Yadegari"> Amirhossein Yadegari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: In this study, we compared the effect of intravenous dexamethasone with placebo on hemodynamic variables and hypotension in patients undergoing cesarean section under spinal anesthesia. Materials and methods: This double-blind, randomized clinical trial was conducted with the approval of the university ethics committee. Written informed consent was obtained from all participating patients. Before spinal anesthesia, patients were randomly assigned to receive either dexamethasone (8 mg IV) or placebo (normal saline). Hemodynamic variables, including systolic, diastolic, and mean arterial blood pressures, as well as heart rate, were measured before drug administration and every 3 minutes until the birth of the neonate and then every 5 minutes until the end of surgery. Side effects such as hypotension, bradycardia, nausea, and vomiting were assessed and recorded for all the patients. Results: There were no significant differences in mean systolic, diastolic, and mean arterial blood pressures before and after administration of the studied drugs in both groups (P.Value>0.05), but heart rate and the incidence of hypotension in the dexamethasone group were less than placebo significantly. Conclusions: Intravenous administration of 8 mg dexamethasone before spinal anesthesia in females undergoing cesarean section can reduce the incidence of post-spinal hypotension without causing serious side effects. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cesarean%20section" title="cesarean section">cesarean section</a>, <a href="https://publications.waset.org/abstracts/search?q=hypotension" title=" hypotension"> hypotension</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20anesthesia" title=" spinal anesthesia"> spinal anesthesia</a>, <a href="https://publications.waset.org/abstracts/search?q=dexamethasone" title=" dexamethasone"> dexamethasone</a> </p> <a href="https://publications.waset.org/abstracts/176309/evaluation-of-the-effect-of-intravenous-dexamethasone-on-hemodynamic-variables-and-hypotension-in-female-undergoing-cesarean-section-with-spinal-anesthesia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/176309.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">77</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4709</span> Types of Neurons in the Spinal Trigeminal Nucleus of the Camel Brain: Golgi Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Qasim%20A.%20El%20Dwairi">Qasim A. El Dwairi</a>, <a href="https://publications.waset.org/abstracts/search?q=Saleh%20M.%20Banihani"> Saleh M. Banihani</a>, <a href="https://publications.waset.org/abstracts/search?q=Ayat%20S.%20Banihani"> Ayat S. Banihani</a>, <a href="https://publications.waset.org/abstracts/search?q=Ziad%20M.%20Bataineh"> Ziad M. Bataineh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Neurons in the spinal trigeminal nucleus of the camel were studied by Golgi impregnation. Neurons were classified based on differences in size and shape of their cell bodies, density of their dendritic trees, morphology and distribution of their appendages. In the spinal trigeminal nucleus of the camel, at least twelve types of neurons were identified. These neurons include, stalked, islets, octubus-like, lobulated, boat-like, pyramidal, multipolar, round, oval and elongated neurons. They have large number of different forms of appendages not only for their dendrites but also for their cell bodies. Neurons with unique large dilatations especially at their dendritic branching points were found. The morphological features of these neurons were described and compared with their counterparts in other species. Finding of large number of neuronal types with different size and shapes and large number of different forms of appendages for cell bodies and dendrites together with the presence of cells with unique features such as large dilated parts for dendrites may indicate to a very complex information processing for pain and temperature at the level of the spinal trigeminal nucleus in the camel that traditionally live in a very hard environment (the desert). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=camel" title="camel">camel</a>, <a href="https://publications.waset.org/abstracts/search?q=golgi" title=" golgi"> golgi</a>, <a href="https://publications.waset.org/abstracts/search?q=neurons" title=" neurons "> neurons </a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20trigeminal%20nucleus" title=" spinal trigeminal nucleus"> spinal trigeminal nucleus</a> </p> <a href="https://publications.waset.org/abstracts/30990/types-of-neurons-in-the-spinal-trigeminal-nucleus-of-the-camel-brain-golgi-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/30990.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">342</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4708</span> Network Based Molecular Profiling of Intracranial Ependymoma over Spinal Ependymoma</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hyeon%20Su%20Kim">Hyeon Su Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Sungjin%20Park"> Sungjin Park</a>, <a href="https://publications.waset.org/abstracts/search?q=Hae%20Ryung%20Chang"> Hae Ryung Chang</a>, <a href="https://publications.waset.org/abstracts/search?q=Hae%20Rim%20Jung"> Hae Rim Jung</a>, <a href="https://publications.waset.org/abstracts/search?q=Young%20Zoo%20Ahn"> Young Zoo Ahn</a>, <a href="https://publications.waset.org/abstracts/search?q=Yon%20Hui%20Kim"> Yon Hui Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Seungyoon%20Nam"> Seungyoon Nam</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Ependymoma, one of the most common parenchymal spinal cord tumor, represents 3-6% of all CNS tumor. Especially intracranial ependymomas, which are more frequent in childhood, have a more poor prognosis and more malignant than spinal ependymomas. Although there are growing needs to understand pathogenesis, detailed molecular understanding of pathogenesis remains to be explored. A cancer cell is composed of complex signaling pathway networks, and identifying interaction between genes and/or proteins are crucial for understanding these pathways. Therefore, we explored each ependymoma in terms of differential expressed genes and signaling networks. We used Microsoft Excel™ to manipulate microarray data gathered from NCBI’s GEO Database. To analyze and visualize signaling network, we used web-based PATHOME algorithm and Cytoscape. We show HOX family and NEFL are down-regulated but SCL family is up-regulated in cerebrum and posterior fossa cancers over a spinal cancer, and JAK/STAT signaling pathway and Chemokine signaling pathway are significantly different in the both intracranial ependymoma comparing to spinal ependymoma. We are considering there may be an age-dependent mechanism under different histological pathogenesis. We annotated mutation data of each gene subsequently in order to find potential target genes. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=systems%20biology" title="systems biology">systems biology</a>, <a href="https://publications.waset.org/abstracts/search?q=ependymoma" title=" ependymoma"> ependymoma</a>, <a href="https://publications.waset.org/abstracts/search?q=deg" title=" deg"> deg</a>, <a href="https://publications.waset.org/abstracts/search?q=network%20analysis" title=" network analysis"> network analysis</a> </p> <a href="https://publications.waset.org/abstracts/50168/network-based-molecular-profiling-of-intracranial-ependymoma-over-spinal-ependymoma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/50168.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">298</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4707</span> Intrathecal Sufentanil or Fentanyl as Adjuvants to Low Dose Bupivacaine in Endoscopic Urological Procedures</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shikha%20Gupta">Shikha Gupta</a>, <a href="https://publications.waset.org/abstracts/search?q=Suneet%20Kathuria"> Suneet Kathuria</a>, <a href="https://publications.waset.org/abstracts/search?q=Supriya%20Sampley"> Supriya Sampley</a>, <a href="https://publications.waset.org/abstracts/search?q=Sunil%20Katyal"> Sunil Katyal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Opioids are being increasingly used these days as adjuvants to local anesthetics in spinal anesthesia. The aim of this prospective, randomized, double‑blind study is to compare the effects of adding sufentanil or fentanyl to low dose bupivacaine in spinal anesthesia for endoscopic urological procedures. A total of 90 elective endoscopic urological surgery patients, 40‑80 years old, received spinal anesthesia with 7.5 mg hyperbaric bupivacaine 0.5% (Group A) or by adding sufentanil 10 μg (Group B) or fentanyl 25 μg (Group C) to 5 mg hyperbaric bupivacaine 0.5%. These groups were compared in terms of the quality of spinal anesthesia as well as analgesia. Analysis of variance and Chi‑square test were used for Statistical analysis. The onset of sensory and motor blockade was significantly rapid in Group A as compared with Groups B and C. The maximum upper level of sensory block was higher in Group A patients than Groups B and C patients. Quality of analgesia was significantly better and prolonged in sufentanil group as compared with other two groups. Motor block was more intense and prolonged in Group A as compared with Groups B and C patients. Request for post‑operative analgesic was significantly delayed in Group B patients. Hence in conclusions, spinal anesthesia for endoscopic urological procedures in elderly patients using low dose bupivacaine (5 mg) combined with 10 μg sufentanil is associated with a lower incidence of hemodynamic instability, better quality and prolonged duration as compared to that by adding 25 μg fentanyl. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=adjuvants" title="adjuvants">adjuvants</a>, <a href="https://publications.waset.org/abstracts/search?q=bupivacaine" title=" bupivacaine"> bupivacaine</a>, <a href="https://publications.waset.org/abstracts/search?q=fentanyl" title=" fentanyl"> fentanyl</a>, <a href="https://publications.waset.org/abstracts/search?q=intrathecal" title=" intrathecal"> intrathecal</a>, <a href="https://publications.waset.org/abstracts/search?q=low%20dose%20spinal" title=" low dose spinal"> low dose spinal</a>, <a href="https://publications.waset.org/abstracts/search?q=sufentanil" title=" sufentanil"> sufentanil</a> </p> <a href="https://publications.waset.org/abstracts/25450/intrathecal-sufentanil-or-fentanyl-as-adjuvants-to-low-dose-bupivacaine-in-endoscopic-urological-procedures" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25450.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">375</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4706</span> Defining of the Shape of the Spine Using Moiré Method in Case of Patients with Scheuermann Disease</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Petra%20Balla">Petra Balla</a>, <a href="https://publications.waset.org/abstracts/search?q=Gabor%20Manhertz"> Gabor Manhertz</a>, <a href="https://publications.waset.org/abstracts/search?q=Akos%20Antal"> Akos Antal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nowadays spinal deformities are very frequent problems among teenagers. Scheuermann disease is a one dimensional deformity of the spine, but it has prevalence over 11% of the children. A traditional technology, the moiré method was used by us for screening and diagnosing this type of spinal deformity. A LabVIEW program has been developed to evaluate the moiré pictures of patients with Scheuermann disease. Two different solutions were tested in this computer program, the extreme and the inflexion point calculation methods. Effects using these methods were compared and according to the results both solutions seemed to be appropriate. Statistical results showed better efficiency in case of the extreme search method where the average difference was only 6,09⁰. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20deformity" title="spinal deformity">spinal deformity</a>, <a href="https://publications.waset.org/abstracts/search?q=picture%20evaluation" title=" picture evaluation"> picture evaluation</a>, <a href="https://publications.waset.org/abstracts/search?q=Moir%C3%A9%20method" title=" Moiré method"> Moiré method</a>, <a href="https://publications.waset.org/abstracts/search?q=Scheuermann%20disease" title=" Scheuermann disease"> Scheuermann disease</a>, <a href="https://publications.waset.org/abstracts/search?q=curve%20detection" title=" curve detection"> curve detection</a>, <a href="https://publications.waset.org/abstracts/search?q=Moir%C3%A9%20topography" title=" Moiré topography "> Moiré topography </a> </p> <a href="https://publications.waset.org/abstracts/11648/defining-of-the-shape-of-the-spine-using-moire-method-in-case-of-patients-with-scheuermann-disease" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/11648.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">352</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4705</span> Rehabilitative Walking: The Development of a Robotic Walking Training Device Using Functional Electrical Stimulation for Treating Spinal Cord Injuries and Lower-Limb Paralysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Chung%20Hyun%20Goh">Chung Hyun Goh</a>, <a href="https://publications.waset.org/abstracts/search?q=Armin%20Yazdanshenas"> Armin Yazdanshenas</a>, <a href="https://publications.waset.org/abstracts/search?q=X.%20Neil%20Dong"> X. Neil Dong</a>, <a href="https://publications.waset.org/abstracts/search?q=Yong%20Tai%20Wang"> Yong Tai Wang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Physical rehabilitation is a necessary step in regaining lower body function after a partial paralysis caused by a spinal cord injury or a stroke. The purpose of this paper is to present the development and optimization of a training device that accurately recreates the motions in a gait cycle with the goal of rehabilitation for individuals with incomplete spinal cord injuries or who are victims of a stroke. A functional electrical stimulator was used in conjunction with the training device to stimulate muscle groups pertaining to rehabilitative walking. The feasibility and reliability of the design are presented. To validate the design functionality, motion analyses of the knee and ankle gait paths were made using motion capture systems. Key results indicate that the robotic walking training device provides a viable mode of physical rehabilitation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=functional%20electrical%20stimulation" title="functional electrical stimulation">functional electrical stimulation</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitative%20walking" title=" rehabilitative walking"> rehabilitative walking</a>, <a href="https://publications.waset.org/abstracts/search?q=robotic%20walking%20training%20device" title=" robotic walking training device"> robotic walking training device</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injuries" title=" spinal cord injuries"> spinal cord injuries</a> </p> <a href="https://publications.waset.org/abstracts/127966/rehabilitative-walking-the-development-of-a-robotic-walking-training-device-using-functional-electrical-stimulation-for-treating-spinal-cord-injuries-and-lower-limb-paralysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/127966.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">144</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4704</span> Surgical Collaboration in Managing Spinal Cord Compression Due to a Pre-Vertebral Chordoma: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rose%20Virginy%20S.%20Bautista">Rose Virginy S. Bautista</a>, <a href="https://publications.waset.org/abstracts/search?q=Ida%20Marie%20Tabangay-Lim"> Ida Marie Tabangay-Lim</a>, <a href="https://publications.waset.org/abstracts/search?q=Helen%20Bongalon-Amo"> Helen Bongalon-Amo</a>, <a href="https://publications.waset.org/abstracts/search?q=Jose%20Modesto%20B.%20Abellera"> Jose Modesto B. Abellera</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Chordomas, particularly those of the spine and the head and neck region, represent a rare and locally aggressive group of malignancies. The complexity of these tumors -given the rarity, location, and involvement of neurovascular structures- imposes a challenge in the diagnosis and management. We herein report a case of spinal cord compression due to a prevertebral cervical chordoma. The patient presented with a gradually enlarging lateral neck mass, with progressive bilateral extremity weakness and urinary incontinence; preoperative biopsy showed chordoma. A multidisciplinary approach for the management of this case was made, involving neurosurgery, head and neck surgery, and radiation oncology services. Surgical collaboration between the two cutting services was done to have a radical excision of the tumor and spinal cord decompression. The patient was then referred for adjuvant radiation therapy. With this collaborative treatment strategy, more comprehensive and quality care could be provided to our patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=chordoma" title="chordoma">chordoma</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20collaboration" title=" surgical collaboration"> surgical collaboration</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20compression" title=" spinal cord compression"> spinal cord compression</a>, <a href="https://publications.waset.org/abstracts/search?q=neurosurgery" title=" neurosurgery"> neurosurgery</a>, <a href="https://publications.waset.org/abstracts/search?q=head%20and%20neck%20surgery" title=" head and neck surgery"> head and neck surgery</a> </p> <a href="https://publications.waset.org/abstracts/177775/surgical-collaboration-in-managing-spinal-cord-compression-due-to-a-pre-vertebral-chordoma-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/177775.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">69</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4703</span> Health-Related QOL of Motorists with Spinal Cord Injury in Japan</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hiroaki%20Hirose">Hiroaki Hirose</a>, <a href="https://publications.waset.org/abstracts/search?q=Hiroshi%20Ikeda"> Hiroshi Ikeda</a>, <a href="https://publications.waset.org/abstracts/search?q=Isao%20Takeda"> Isao Takeda</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The Japanese version of the SF-36 has been employed to assess individuals’ health-related QOL (HRQOL). This study aimed to clarify the HRQOL of motorists with a spinal cord injury, in order to compare these individuals' SF-36 scores and national standard values. A total of 100 motorists with a spinal cord injury participated in this study. Participants’ HRQOL was evaluated using the Japanese version of the SF-36 (second edition). The score for each subscale was standardized based on data on the Japanese population. The average scores for NPF, NRP, NBP, NGH, NVT, NSF, NRE, and NMH were 10.9, 41.8, 45.9, 47.1, 46.1, 46.7, 46.0, and 47.4 points, respectively. Subjects showed significantly lower scores for NPF and NRP compared with national standard values, which were both ≤ 45.0 points, but relatively normal scores for the other items: NBP, NGH, NVT, NSF, NRE and NMH (> 45.0 points). The average scores for PCS, MCS and RCS were 21.9, 56.0, and 50.0 points, respectively. Subjects showed a significantly lower PCS score (≤ 20.0 points); however, the MCS score was higher (> 55.0 points) along with a relatively normal RCS score in these individuals (= 50.0 points). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=health-related%20QOL" title="health-related QOL">health-related QOL</a>, <a href="https://publications.waset.org/abstracts/search?q=HRQOL" title=" HRQOL"> HRQOL</a>, <a href="https://publications.waset.org/abstracts/search?q=SF-36" title=" SF-36"> SF-36</a>, <a href="https://publications.waset.org/abstracts/search?q=motorist" title=" motorist"> motorist</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=Japan" title=" Japan"> Japan</a> </p> <a href="https://publications.waset.org/abstracts/34304/health-related-qol-of-motorists-with-spinal-cord-injury-in-japan" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/34304.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">334</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4702</span> The Correlation between Body Composition and Spinal Alignment in Healthy Young Adults</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ferruh%20%20Taspinar">Ferruh Taspinar</a>, <a href="https://publications.waset.org/abstracts/search?q=Ismail%20Saracoglu"> Ismail Saracoglu</a>, <a href="https://publications.waset.org/abstracts/search?q=Emrah%20Afsar"> Emrah Afsar</a>, <a href="https://publications.waset.org/abstracts/search?q=Eda%20O.%20%20Okur"> Eda O. Okur</a>, <a href="https://publications.waset.org/abstracts/search?q=Gulce%20K.%20%20Seyyar"> Gulce K. Seyyar</a>, <a href="https://publications.waset.org/abstracts/search?q=Gamze%20Kurt"> Gamze Kurt</a>, <a href="https://publications.waset.org/abstracts/search?q=Betul%20Taspinar"> Betul Taspinar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Although it is thought that abdominal adiposity is one of the risk factor for postural deviation, such as increased lumbar lordosis, the body mass index is not sufficient to indicate effects of abdominal adiposity on spinal alignment and postural changes. The aim of this study was to investigate the correlation with detailed body composition and spine alignment in healthy young adults. This cross-sectional study was conducted with sixty seven healthy volunteers (37 men and 30 women) whose ages ranged between 19 and 27 years. All participants’ sagittal spinal curvatures of lumbar and thoracic region were measured via Spinal mouse® (Idiag, Fehraltorf, Switzerland). Also, body composition analysis (whole body fat ratio, whole body muscle ratio, abdominal fat ratio, and trunk muscle ratio) estimation by means of bioelectrical impedance was evaluated via Tanita Bc 418 Ma Segmental Body Composition Analyser (Tanita, Japan). Pearson’s correlation was used to analysis among the variables. The mean lumbar lordosis and thoracic kyphosis angles were 21.02°±9.39, 41.50°±7.97, respectively. Statistically analysis showed a significant positive correlation between whole body fat ratio and lumbar lordosis angle (r=0.28, p=0.02). Similarly, there was a positive correlation between abdominal fat ratio and lumbar lordosis angle (r=0.27, p=0.03). The thoracic kyphosis angle showed also positive correlation with whole body fat ratio (r=0.33, p=0.00) and abdominal fat ratio (r=0.40, p=0.01). The whole body muscle ratio showed negative correlation between lumbar lordosis (r=-0.28, p=0.02) and thoracic kyphosis angles (r=-0.33, p=0.00), although there was no statistically correlation between trunk muscle ratio, lumbar and thoracic curvatures (p>0.05). The study demonstrated that an increase of fat ratio and decrease of muscle ratio in abdominal region or whole body shifts the spinal alignment which may adversely affect the spinal loading. Therefore, whole body composition should be taken into account in spine rehabilitation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=body%20composition" title="body composition">body composition</a>, <a href="https://publications.waset.org/abstracts/search?q=lumbar%20lordosis" title=" lumbar lordosis"> lumbar lordosis</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20alignment" title=" spinal alignment"> spinal alignment</a>, <a href="https://publications.waset.org/abstracts/search?q=thoracic%20kyphosis" title=" thoracic kyphosis"> thoracic kyphosis</a> </p> <a href="https://publications.waset.org/abstracts/60279/the-correlation-between-body-composition-and-spinal-alignment-in-healthy-young-adults" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/60279.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">386</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4701</span> Outcome of Bowel Management Program in Patient with Spinal Cord Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Roongtiwa%20Chobchuen">Roongtiwa Chobchuen</a>, <a href="https://publications.waset.org/abstracts/search?q=Angkana%20Srikhan"> Angkana Srikhan</a>, <a href="https://publications.waset.org/abstracts/search?q=Pattra%20Wattanapan"> Pattra Wattanapan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Neurogenic bowel is common condition after spinal cord injury. Most of spinal cord injured patients have motor weakness, mobility impairment which leads to constipation. Moreover, the neural pathway involving bowel function is interrupted. Therefore, the bowel management program should be implemented in nursing care in the earliest time after the onset of the disease to prevent the morbidity and mortality. Objective: To study the outcome of bowel management program of the patients with spinal cord injury who admitted for rehabilitation program. Study design: Descriptive study. Setting: Rehabilitation ward in Srinagarind Hospital. Populations: patients with subacute to chronic spinal cord injury who admitted at rehabilitation ward, Srinagarind hospital, aged over 18 years old. Instrument: The neurogenic bowel dysfunction score (NBDS) was used to determine the severity of neurogenic bowel. Procedure and statistical analysis: All participants were asked to complete the demographic data; age gender, duration of disease, diagnosis. The individual bowel function was assessed using NBDS at admission. The patients and caregivers were trained by nurses about the bowel management program which consisted of diet modification, abdominal massage, digital stimulation, stool evacuation including medication and physical activity. The outcome of the bowel management program was assessed by NBDS at discharge. The chi-square test was used to detect the difference in severity of neurogenic bowel at admission and discharge. Results: Sixteen spinal cord injured patients were enrolled in the study (age 45 ± 17 years old, 69% were male). Most of them (50%) were tetraplegia. On the admission, 12.5%, 12.5%, 43.75% and 31.25% were categorized as very minor (NBDS 0-6), minor (NBDS 7-9), moderate (NBDS 10-13) and severe (NBDS 14+) respectively. The severity of neurogenic bowel was decreased significantly at discharge (56.25%, 18.755%, 18.75% and 6.25% for very minor, minor, moderate and severe group respectively; p < 0.001) compared with NBDS at admission. Conclusions: Implementation of the effective bowel program decrease the severity of the neurogenic bowel in patient with spinal cord injury. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=neurogenic%20bowel" title="neurogenic bowel">neurogenic bowel</a>, <a href="https://publications.waset.org/abstracts/search?q=NBDS" title=" NBDS"> NBDS</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=bowel%20program" title=" bowel program"> bowel program</a> </p> <a href="https://publications.waset.org/abstracts/62806/outcome-of-bowel-management-program-in-patient-with-spinal-cord-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62806.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">243</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4700</span> Intrathecal Fentanyl with 0.5% Bupivacaine Heavy in Chronic Opium Abusers</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Suneet%20Kathuria">Suneet Kathuria</a>, <a href="https://publications.waset.org/abstracts/search?q=Shikha%20Gupta"> Shikha Gupta</a>, <a href="https://publications.waset.org/abstracts/search?q=Kapil%20Dev"> Kapil Dev</a>, <a href="https://publications.waset.org/abstracts/search?q=Sunil%20Katyal"> Sunil Katyal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Chronic use of opioids in opium abusers can cause poor pain control and increased analgaesic requirement. We compared the duration of spinal anaesthesia in chronic opium abusers and non-abusers. This prospective randomised study included 60 American Society of Anesthesiologists (ASA) Grade I or II adults undergoing surgery under spinal anaesthesia with 10 mg bupivacaine, and 25 μg fentanyl in non-opium abusers (Group A); and chronic opium abusers (Group B), and 40 μg fentanyl in chronic opium abusers (Group C). Patients were assessed for onset and duration of sensory and motor blockade and duration of effective analgesia. Mean time to onset of adequate analgesia in opium abusers was significantly longer in chronic opium abusers than in opium-naive patients. The duration of sensory block and motor block was significantly less in chronic opium abusers than in non-opium abusers. Duration of effective analgesia in groups A, B and C was 255.55 ± 26.84, 217.85 ± 15.15, and 268.20 ± 18.25 minutes, respectively; this difference was statistically significant. In chronic opium abusers, the duration of spinal anaesthesia is significantly shorter than that in opium nonabusers. The duration of spinal anaesthesia with bupivacaine and fentanyl in chronic opium abusers can be improved by increasing the intrathecal fentanyl dose from 25 μg to 40 μg. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bupivacaine" title="bupivacaine">bupivacaine</a>, <a href="https://publications.waset.org/abstracts/search?q=chronic%20opium%20abusers" title=" chronic opium abusers"> chronic opium abusers</a>, <a href="https://publications.waset.org/abstracts/search?q=fentanyl" title=" fentanyl"> fentanyl</a>, <a href="https://publications.waset.org/abstracts/search?q=intrathecal" title=" intrathecal"> intrathecal</a> </p> <a href="https://publications.waset.org/abstracts/25490/intrathecal-fentanyl-with-05-bupivacaine-heavy-in-chronic-opium-abusers" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25490.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">297</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4699</span> Effect of One-Period of SEAS Exercises on Some Spinal Biomechanical and Postural Parameters in the Students with Idiopathic Scoliosis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Zandi%20Ahmad">Zandi Ahmad</a>, <a href="https://publications.waset.org/abstracts/search?q=Sokhanguei%20Yahya"> Sokhanguei Yahya</a>, <a href="https://publications.waset.org/abstracts/search?q=Saboonchi%20Reza"> Saboonchi Reza</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The new and modern lifestyle, especially in the twenty-first century and lack of movement in spinal structure have made patients and the physicians in the field of health and also other insurance companies in the developed and developing countries worry more than before about the abnormalities of spinal column- this great healthcare problem. The high prevalence of spinal column in all age groups -from children to adults- and in all professions have led the researchers to the idea of giving an opportunity to all those who worry about the dangers threatening the spinal column. Therefore, one of the corrective methods for these patients is using SEAS exercises. Materials and Methods: This study aims at investigating the effect of one-period of SEAS exercises on some spinal biomechanical and postural parameters in the students with idiopathic scoliosis. According to the nature of the study and research objectives as well as the data collection methods, the current research is a semi-empirical survey. The research population is comprised of students with idiopathic scoliosis. A total number of 30 students were selected using available sampling and divided into two groups of control and SEAS exercises. Scoliometer was used for data collection. Descriptive statistics were used to categorize the findings. Kolmogorov-Smirnov statistical models were used to confirm that the distribution of the data is normal and T-test was used for effectiveness. Hypothesis testing was done using SPSS21. Conclusion: Results show that SEAS exercises have a significant effect in Adam’s Test. Therefore, according to the obtained results, SEAS exercises can be used to recover idiopathic scoliosis among the students. Further studies in larger samples and treatment, periods as well as more follow-up investigations appear to be essential to prove these effects. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=SEAS%20exercises" title="SEAS exercises">SEAS exercises</a>, <a href="https://publications.waset.org/abstracts/search?q=idiopathic%20scoliosis" title=" idiopathic scoliosis"> idiopathic scoliosis</a>, <a href="https://publications.waset.org/abstracts/search?q=Adam%E2%80%99s%20test" title=" Adam’s test"> Adam’s test</a>, <a href="https://publications.waset.org/abstracts/search?q=exercise" title=" exercise"> exercise</a> </p> <a href="https://publications.waset.org/abstracts/38559/effect-of-one-period-of-seas-exercises-on-some-spinal-biomechanical-and-postural-parameters-in-the-students-with-idiopathic-scoliosis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/38559.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">291</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4698</span> Assessment of Sex Differences in Serum Urea and Creatinine Level in Response to Spinal Cord Injury Using Albino Rat Models</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Waziri%20B.%20I.">Waziri B. I.</a>, <a href="https://publications.waset.org/abstracts/search?q=Elkhashab%20M.%20M."> Elkhashab M. M.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: One of the most serious consequences of spinal cord injury (SCI) is progressive deterioration of renal function mostly as a result of urine stasis and ascending infection of the paralyzed bladder. This necessitates for investigation of early changes in serum urea and creatinine and associated sex related differences in response to SCI. Methods: A total of 24 adult albino rats weighing above 150g were divided equally into two groups, a control and experimental group (n = 12) each containing an equal number of male and female rats. The experimental group animals were paralyzed by complete transection of spinal cord below T4 level after deep anesthesia with ketamine 75mg/kg. Blood samples were collected from both groups five days post SCI for analysis. Mean values of serum urea (mmol/L) and creatinine (µmol/L) for both groups were compared. P < 0.05 was considered as significant. Results: The results showed significantly higher levels (P < 0.05) of serum urea and creatinine in the male SCI models with mean values of 92.12 ± 0.98 and 2573 ± 70.97 respectively compared with their controls where the mean values for serum urea and creatinine were 6.31 ± 1.48 and 476. 95 ± 4.67 respectively. In the female SCI models, serum urea 13.11 ± 0.81 and creatinine 519.88 ± 31.13 were not significantly different from that of female controls with serum urea and creatinine levels of 11.71 ± 1.43 and 493.69 ± 17.10 respectively (P > 0.05). Conclusion: Spinal cord injury caused a significant increase in serum Urea and Creatinine levels in the male models compared to the females. This indicated that males might have higher risk of renal dysfunction following SCI. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=albino%20rats" title="albino rats">albino rats</a>, <a href="https://publications.waset.org/abstracts/search?q=creatinine" title=" creatinine"> creatinine</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury%20%28SCI%29" title=" spinal cord injury (SCI)"> spinal cord injury (SCI)</a>, <a href="https://publications.waset.org/abstracts/search?q=urea" title=" urea"> urea</a> </p> <a href="https://publications.waset.org/abstracts/98471/assessment-of-sex-differences-in-serum-urea-and-creatinine-level-in-response-to-spinal-cord-injury-using-albino-rat-models" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/98471.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">139</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4697</span> Retrospective Audit of Antibiotic Prophylaxis in Spinal Patient at Mater Private Network Cork 2019 vs 2021</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ciaran%20Smiddy">Ciaran Smiddy</a>, <a href="https://publications.waset.org/abstracts/search?q=Fergus%20Nugent"> Fergus Nugent</a>, <a href="https://publications.waset.org/abstracts/search?q=Karen%20Fitzmaurice"> Karen Fitzmaurice</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A measure of prescribing and administration of Antimicrobial Prophylaxis before and during Covid-19(2019 vs. 2021) was desired to assess how these were affected by Covid-19. Antimicrobial Prophylaxis was assessed for 60 patients, under 3 Orthopaedic Consultants, against local guidelines. The study found that compliance with guidelines improved significantly, from 60% to 83%, but Appropriate use of Vancomycin reduced from 37% to 29%. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=antimicrobial%20stewardship" title="antimicrobial stewardship">antimicrobial stewardship</a>, <a href="https://publications.waset.org/abstracts/search?q=prescribing" title=" prescribing"> prescribing</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20surgery" title=" spinal surgery"> spinal surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=vancomycin" title=" vancomycin"> vancomycin</a> </p> <a href="https://publications.waset.org/abstracts/142816/retrospective-audit-of-antibiotic-prophylaxis-in-spinal-patient-at-mater-private-network-cork-2019-vs-2021" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/142816.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">172</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4696</span> Nutrition Intervention for Spinal Cord Injury in Critical Care</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Dina%20Muharib">Dina Muharib</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Specific metabolic challenges are present following spinal cord injury. The acute stage is characterized by a reduction in metabolic activity, as well as a negative nitrogen balance that cannot be corrected, even with aggressive nutritional support. Metabolic demands need to be accurately monitored to avoid overfeeding. Enteral feeding is the optimal route following SCI. When oral feeding is not possible, nasogastric, followed by nasojejunal, then by percutaneous endoscopic gastrostomy, if necessary, is suggested. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=SCI" title="SCI">SCI</a>, <a href="https://publications.waset.org/abstracts/search?q=energy" title=" energy"> energy</a>, <a href="https://publications.waset.org/abstracts/search?q=protein" title=" protein"> protein</a>, <a href="https://publications.waset.org/abstracts/search?q=nutrition%20assessment" title=" nutrition assessment"> nutrition assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=eneral%20feeding" title=" eneral feeding"> eneral feeding</a>, <a href="https://publications.waset.org/abstracts/search?q=nitrogen%20balance" title=" nitrogen balance "> nitrogen balance </a> </p> <a href="https://publications.waset.org/abstracts/21815/nutrition-intervention-for-spinal-cord-injury-in-critical-care" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/21815.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">466</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4695</span> Impact of Transgenic Adipose Derived Stem Cells in the Healing of Spinal Cord Injury of Dogs</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Imdad%20Ullah%20Khan">Imdad Ullah Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Yongseok%20Yoon"> Yongseok Yoon</a>, <a href="https://publications.waset.org/abstracts/search?q=Kyeung%20Uk%20Choi"> Kyeung Uk Choi</a>, <a href="https://publications.waset.org/abstracts/search?q=Kwang%20Rae%20Jo"> Kwang Rae Jo</a>, <a href="https://publications.waset.org/abstracts/search?q=Namyul%20Kim"> Namyul Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Eunbee%20Lee"> Eunbee Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Wan%20Hee%20Kim"> Wan Hee Kim</a>, <a href="https://publications.waset.org/abstracts/search?q=Oh-Kyeong%20Kweon"> Oh-Kyeong Kweon</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The primary spinal cord injury (SCI) causes mechanical damage to the neurons and blood vessels. It leads to secondary SCI, which activates multiple pathological pathways, which expand neuronal damage at the injury site. It is characterized by vascular disruption, ischemia, excitotoxicity, oxidation, inflammation, and apoptotic cell death. It causes nerve demyelination and disruption of axons, which perpetuate a loss of impulse conduction through the injured spinal cord. It also leads to the production of myelin inhibitory molecules, which with a concomitant formation of an astroglial scar, impede axonal regeneration. The pivotal role regarding the neuronal necrosis is played by oxidation and inflammation. During an early stage of spinal cord injury, there occurs an abundant expression of reactive oxygen species (ROS) due to defective mitochondrial metabolism and abundant migration of phagocytes (macrophages, neutrophils). ROS cause lipid peroxidation of the cell membrane, and cell death. Abundant migration of neutrophils, macrophages, and lymphocytes collectively produce pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), interleukin-1beta (IL-1β), matrix metalloproteinase, superoxide dismutase, and myeloperoxidases which synergize neuronal apoptosis. Therefore, it is crucial to control inflammation and oxidation injury to minimize the nerve cell death during secondary spinal cord injury. Therefore, in response to oxidation and inflammation, heme oxygenase-1 (HO-1) is induced by the resident cells to ameliorate the milieu. In the meanwhile, neurotrophic factors are induced to promote neuroregeneration. However, it seems that anti-stress enzyme (HO-1) and neurotrophic factor (BDNF) do not significantly combat the pathological events during secondary spinal cord injury. Therefore, optimum healing can be induced if anti-inflammatory and neurotrophic factors are administered in a higher amount through an exogenous source. During the first experiment, the inflammation and neuroregeneration were selectively targeted. HO-1 expressing MSCs (HO-1 MSCs) and BDNF expressing MSCs (BDNF MSC) were co-transplanted in one group (combination group) of dogs with subacute spinal cord injury to selectively control the expression of inflammatory cytokines by HO-1 and induce neuroregeneration by BDNF. We compared the combination group with the HO-1 MSCs group, BDNF MSCs group, and GFP MSCs group. We found that the combination group showed significant improvement in functional recovery. It showed increased expression of neural markers and growth-associated proteins (GAP-43) than in other groups, which depicts enhanced neuroregeneration/neural sparing due to reduced expression of pro-inflammatory cytokines such as TNF-alpha, IL-6 and COX-2; and increased expression of anti-inflammatory markers such as IL-10 and HO-1. Histopathological study revealed reduced intra-parenchymal fibrosis in the injured spinal cord segment in the combination group than in other groups. Thus it was concluded that selectively targeting the inflammation and neuronal growth with the combined use of HO-1 MSCs and BDNF MSCs more favorably promote healing of the SCI. HO-1 MSCs play a role in controlling the inflammation, which favors the BDNF induced neuroregeneration at the injured spinal cord segment of dogs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=HO-1%20MSCs" title="HO-1 MSCs">HO-1 MSCs</a>, <a href="https://publications.waset.org/abstracts/search?q=BDNF%20MSCs" title=" BDNF MSCs"> BDNF MSCs</a>, <a href="https://publications.waset.org/abstracts/search?q=neuroregeneration" title=" neuroregeneration"> neuroregeneration</a>, <a href="https://publications.waset.org/abstracts/search?q=inflammation" title=" inflammation"> inflammation</a>, <a href="https://publications.waset.org/abstracts/search?q=anti-inflammation" title=" anti-inflammation"> anti-inflammation</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=dogs" title=" dogs"> dogs</a> </p> <a href="https://publications.waset.org/abstracts/115125/impact-of-transgenic-adipose-derived-stem-cells-in-the-healing-of-spinal-cord-injury-of-dogs" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/115125.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">118</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4694</span> The Effect of Post Spinal Hypotension on Cerebral Oxygenation Using Near-Infrared Spectroscopy and Neonatal Outcomes in Full Term Parturient Undergoing Lower Segment Caesarean Section: A Prospective Observational Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shailendra%20Kumar">Shailendra Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Lokesh%20Kashyap"> Lokesh Kashyap</a>, <a href="https://publications.waset.org/abstracts/search?q=Puneet%20Khanna"> Puneet Khanna</a>, <a href="https://publications.waset.org/abstracts/search?q=Nishant%20Patel"> Nishant Patel</a>, <a href="https://publications.waset.org/abstracts/search?q=Rakesh%20Kumar"> Rakesh Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Arshad%20Ayub"> Arshad Ayub</a>, <a href="https://publications.waset.org/abstracts/search?q=Kelika%20Prakash"> Kelika Prakash</a>, <a href="https://publications.waset.org/abstracts/search?q=Yudhyavir%20Singh"> Yudhyavir Singh</a>, <a href="https://publications.waset.org/abstracts/search?q=Krithikabrindha%20V."> Krithikabrindha V.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Spinal anesthesia is considered a standard anesthesia technique for caesarean delivery. The incidence of spinal hypotension during caesarean delivery is 70 -80%. Spinal hypotension may cause cerebral hypoperfusion in the mother, but physiologically cerebral autoregulatory mechanisms accordingly prevent cerebral hypoxia. Cerebral blood flow remains constant in the 50-150 mmHg of Cerebral Perfusion Pressure (CPP) range. Near-infrared spectroscopy (NIRS) is a non-invasive technology that is used to detect Cerebral Desaturation Events (CDEs) immediately compared to other conventional intraoperative monitoring techniques. Objective: The primary aim of the study is to correlate the change in cerebral oxygen saturation using NIRS with respect to a fall in mean blood pressure after spinal anaesthesia and to find out the effects of spinal hypotension on neonatal APGAR score, neonatal acid-base variations, and presence of Postoperative Delirium (POD). Methodology: NIRS sensors were attached to the forehead of all the patients, and their baseline readings of cerebral oxygenation on the right and left frontal regions and mean blood pressure were noted. Subarachnoid block was given with hyperbaric 0.5% bupivacaine plus fentanyl, the dose being determined by the individual anaesthesiologist. Co-loading of IV crystalloid solutions was given to the patient. Blood pressure reading and cerebral saturation were recorded every 1 minute till 30min. Hypotension was a fall in MAP less than 20% of the baseline values. Patients going for hypotension were treated with an IV Bolus of phenylephrine/ephedrine. Umbilical cord blood samples were taken for blood gas analysis, and neonatal APGAR was noted by a neonatologist. Study design: A prospective observational study conducted in a population of Thirty ASA 2 and 3 parturients scheduled for lower segment caesarean section (LSCS). Results: Mean fall in regional cerebral saturation is 28.48 ± 14.7% with respect to the mean fall in blood pressure 38.92 ± 8.44 mm Hg. The correlation coefficient between fall in saturation and fall in mean blood pressure is 0.057, and p-value {0.7} after subarachnoid block. A fall in regional cerebral saturation occurred 2±1 min before a fall in mean blood pressure. Twenty-nine out of thirty patients required vasopressors during hypotension. The first dose of vasopressor requirement is needed at 6.02±2 min after the block. The mean APGAR score was 7.86 and 9.74 at 1 and 5 min of birth, respectively, and the mean umbilical arterial pH of 7.3±0.1. According to DRS-98 (Delirium Rating Scale), the mean delirium rating score on postoperative day 1 and day 2 were 0.1 and 0.7, respectively. Discussion: There was a fall in regional cerebral oxygen saturation, which started before with respect to a significant fall in mean blood pressure readings but was statistically not significant. Maximal fall in blood pressure requiring vasopressors occurs within 10 min of SAB. Neonatal APGAR scores and acid-base variations were in the normal range with maternal hypotension, and there was no incidence of postoperative delirium in patients with post-spinal hypotension. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cerebral%20oxygenation" title="cerebral oxygenation">cerebral oxygenation</a>, <a href="https://publications.waset.org/abstracts/search?q=LSCS" title=" LSCS"> LSCS</a>, <a href="https://publications.waset.org/abstracts/search?q=NIRS" title=" NIRS"> NIRS</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20hypotension" title=" spinal hypotension"> spinal hypotension</a> </p> <a href="https://publications.waset.org/abstracts/171322/the-effect-of-post-spinal-hypotension-on-cerebral-oxygenation-using-near-infrared-spectroscopy-and-neonatal-outcomes-in-full-term-parturient-undergoing-lower-segment-caesarean-section-a-prospective-observational-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/171322.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">69</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4693</span> Addressing Sexual Health in Males with Spinal Cord Injury in Rural South India: Using the Knowledge to Action Framework to Evaluate an Education Manual on Improving Knowledge, Attitudes and Practices</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Cassandra%20Maffei">Cassandra Maffei</a>, <a href="https://publications.waset.org/abstracts/search?q=Effie%20Pomaki"> Effie Pomaki</a>, <a href="https://publications.waset.org/abstracts/search?q=Salom%C3%A9%20Deslauriers-Brouillard"> Salomé Deslauriers-Brouillard</a>, <a href="https://publications.waset.org/abstracts/search?q=Levana%20Dahan"> Levana Dahan</a>, <a href="https://publications.waset.org/abstracts/search?q=Caroline%20Storr"> Caroline Storr</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramasubramanian%20Ponnusamy"> Ramasubramanian Ponnusamy</a>, <a href="https://publications.waset.org/abstracts/search?q=Philippe%20S.%20Archambault"> Philippe S. Archambault</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Sexual health education following spinal cord injury (SCI) remains poorly integrated into the rehabilitation process, especially in low-income countries where the topics of disability and sexuality are stigmatized. This research aimed to evaluate a sexual health manual that was created and distributed amongst males with SCI who had received rehabilitation services at Amar Seva Sangam (ASSA), a rehabilitation center located in rural South India. A service evaluation was completed to collect data from a convenience sample of 37 males with spinal cord injuries. Data were analyzed using descriptive statistics and content analysis. The service evaluation showed that the manual was well received by the sample and had positive impacts on secondary outcome measures, including relationship dynamics and quality of life. It can thus be used as an effective adjunct tool to support the improvement of sexual health knowledge, attitudes, and practices of individuals with SCI. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title="spinal cord injury">spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=sexual%20health" title=" sexual health"> sexual health</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=India" title=" India"> India</a>, <a href="https://publications.waset.org/abstracts/search?q=education" title=" education"> education</a>, <a href="https://publications.waset.org/abstracts/search?q=service%20evaluation" title=" service evaluation"> service evaluation</a> </p> <a href="https://publications.waset.org/abstracts/166580/addressing-sexual-health-in-males-with-spinal-cord-injury-in-rural-south-india-using-the-knowledge-to-action-framework-to-evaluate-an-education-manual-on-improving-knowledge-attitudes-and-practices" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/166580.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">95</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4692</span> The Development of Cardiac Tamponade after Spinal Surgery in a Patient with Duchenne Muscular Dystrophy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hacer%20Y.%20Teke">Hacer Y. Teke</a>, <a href="https://publications.waset.org/abstracts/search?q=Sultan%20Pehlivan"> Sultan Pehlivan</a>, <a href="https://publications.waset.org/abstracts/search?q=Mustafa%20Karap%C4%B1rl%C4%B1"> Mustafa Karapırlı</a>, <a href="https://publications.waset.org/abstracts/search?q=Asude%20G%C3%B6kmen"> Asude Gökmen</a>, <a href="https://publications.waset.org/abstracts/search?q=Sait%20%C3%96zsoy"> Sait Özsoy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The case is here presented of a patient with DMD with electrocardiograph findings within normal limits who underwent spinal surgery then developed the rarely seen complication of cardiac tamponade which resulted in death. A 17-year old male with DMD was admitted to hospital for spinal surgery. Due to a postoperative drop in hemoglobin, blood transfusion was administered to the patient, no complication developed and he was discharged on the third day. Four days after discharge, the patient worsened at home and an ambulance was called. Before the nearest hospital was reached, the patient died in the ambulance. An autopsy was performed. A fatal but rarely seen complication of Acute Myocardial Infarction (AMI) is myocardial rupture. 85% of ruptures occur in the first week of AMI but just as they can be seen on the day of the infarct, they can also be seen 2 weeks later. The case presented here had infarction findings related to different times and in different areas. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=duchenne%20muscular%20dystrophy" title="duchenne muscular dystrophy">duchenne muscular dystrophy</a>, <a href="https://publications.waset.org/abstracts/search?q=myocardial%20infarction" title=" myocardial infarction"> myocardial infarction</a>, <a href="https://publications.waset.org/abstracts/search?q=myocardial%20rupture" title=" myocardial rupture"> myocardial rupture</a>, <a href="https://publications.waset.org/abstracts/search?q=anesthesia" title=" anesthesia"> anesthesia</a> </p> <a href="https://publications.waset.org/abstracts/29469/the-development-of-cardiac-tamponade-after-spinal-surgery-in-a-patient-with-duchenne-muscular-dystrophy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/29469.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">482</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4691</span> Factors Contributing to the Risk and Vulnerability to HIV Infection among Individuals with Spinal Cord Injuries (SCI) in South Africa</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=J.%20J.%20Lloyd">J. J. Lloyd</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20S.%20Phillips"> J. S. Phillips</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: HIV/AIDS has made a huge impact on human development and sexual reproductive habits in this century in the world and especially in sub-Saharan Africa. It has only recently been acknowledged that HIV/AIDS has an equal if not greater effect on or threat to people with disabilities. Survivors of traumatic spinal cord injury (SCI) with resultant disability are incorrectly believed to be sexually inactive, unlikely to use drugs or alcohol and at less risk of violence or rape than their non-disabled peers. This group can thus be described as economically, educationally and socially disadvantaged, which in itself, suggest that they are a high-risk group for HIV infection. Objectives: Thus, the overall objective of this study was to assess the factors that exacerbate the risk and vulnerability of individuals with spinal cord injuries to HIV infection in order to develop a more effective HIV intervention. Methodology: This paper reports on the cross-sectional data gathered from individuals with a traumatic spinal cord injury in 4 conveniently selected provinces in South Africa. Data was collected by means of self-administered questionnaires. The questionnaire consisted of various sections requesting for information on Demographics; HIV-Knowledge (HIV- KQ-18); Sexual behaviours; sexual communication, and negotiation skills and Self-efficacy to refuse sex. Results: The majority of the study sample was males (72.7%) with a mean age of 34.6 years. The majority reported lifetime sexual intercourse (92.4%) but only 31.8% reported condom use with last sexual intercourse. Low level of HIV knowledge, and being male were the strongest predictor of risky sexual behaviours in this sample. Conclusion: Significant numbers of individuals with spinal cord injuries are thus engaging in risky sexual behaviours pointing to a need to strengthen comprehensive sexual health education to increase access to HIV testing, promote safe sex and condom use among this group. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Human%20Immunodeficiency%20Virus%20%28HIV%29" title="Human Immunodeficiency Virus (HIV)">Human Immunodeficiency Virus (HIV)</a>, <a href="https://publications.waset.org/abstracts/search?q=individuals%20with%20spinal%20cord%20injuries" title=" individuals with spinal cord injuries"> individuals with spinal cord injuries</a>, <a href="https://publications.waset.org/abstracts/search?q=risky%20sexual%20behaviours" title=" risky sexual behaviours"> risky sexual behaviours</a>, <a href="https://publications.waset.org/abstracts/search?q=HIV%20risk%20factors" title=" HIV risk factors"> HIV risk factors</a>, <a href="https://publications.waset.org/abstracts/search?q=sub-saharan%20Africa" title=" sub-saharan Africa"> sub-saharan Africa</a> </p> <a href="https://publications.waset.org/abstracts/15182/factors-contributing-to-the-risk-and-vulnerability-to-hiv-infection-among-individuals-with-spinal-cord-injuries-sci-in-south-africa" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/15182.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">435</span> </span> </div> </div> <ul class="pagination"> <li class="page-item disabled"><span class="page-link">&lsaquo;</span></li> <li class="page-item active"><span class="page-link">1</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=primary%20spinal%20leptomeningeal%20medulloblastoma&page=2">2</a></li> <li class="page-item"><a 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