Effects Of Core Strengthening And Proprioceptive Neuromuscular Facilitation Technique On The Barthel Index And Balance In Patients With Hemiplegic Stroke: A Quasi-Experimental Study.

OBJECTIVE: To determine the effectiveness of core strengthening exercises and proprioceptive neuromuscular facilitation techniques on functional performance and balance among patients with hemiplegic stroke. METHODS: The quasi-experimental study was conducted from March to August 2021 at Imran Idrees Hospital, Sialkot, Pakistan, and comprised stroke patients of either gender who were divided into proprioceptive neuromuscular facilitation group A and core strengthening group B. In both groups, the treatment was given for 6 weeks with 5 30-minute sessions per week. Functional performance and balance were measured using Barthel Index and Berg Balance Scale. Data were collected at baseline, 3 weeks and 6 weeks. Data was analysed using SPSS 22. RESULTS: Of the 48 patients, 24(50%) were in each of the 2 groups. There were 39 (81.25%) male and 9(18.75%) female subjects with an overall mean age of 45±4.919 years. Mean Barthel Index score in group A was 62.50±7.22 at baseline and 74.79±7.14 after 6 weeks. Mean Berg Balance Score was 25.04±2.15 at baseline and 41.66±6.04 after 6 weeks (p<0.05). In group B, Barthel Index score was 61.45±6.33 at baseline and 80.83±7.61 after 6 weeks. Mean Berg Balance score was 25.33±3.38 at baseline and 47.08±5.99 after 6 weeks (p<0.05). There was a significant difference in group B scores compared to group A (p<0.01). CONCLUSIONS: Core strengthening programme was more effective than the proprioceptive neuromuscular facilitation programme in terms of activity of daily living and balance in patients with stroke.

Non-Contact Inspection of Railhead via Laser-Generated Rayleigh Waves and an Enhanced Matching Pursuit to Assist Detection of Surface and Subsurface Defects.

Laser ultrasonic technology can provide a non-contact, reliable and efficient inspection of train rails. However, the laser-generated signals measured at the railhead are usually contaminated with a high level of noise and unwanted wave components that complicate the identification of defect echoes in the signal. This study explores the possibility of combining laser ultrasonic technology (LUT) and an enhanced matching pursuit (MP) to achieve a fully non-contact inspection of the rail track. A completely non-contact laser-based inspection system was used to generate and sense Rayleigh waves to detect artificial surface horizontal, surface edge, subsurface horizontal and subsurface vertical defects created at railheads of different dimensions. MP was enhanced by developing two novel dictionaries, which include a finite element method (FEM) simulation dictionary and an experimental dictionary. The enhanced MP was used to analyze the experimentally obtained laser-generated Rayleigh wave signals. The results show that the enhanced MP is highly effective in detecting defects by suppressing noise, and, further, it could also overcome the deficiency in the low repeatability of the laser-generated signals. The comparative analysis of MP with both the FEM simulation and experimental dictionaries shows that the enhanced MP with the FEM simulation dictionary is highly efficient in both noise removal and defect detection from the experimental signals captured by a laser-generated ultrasonic inspection system. The major novelty contributed by this research work is the enhanced MP method with the developments of, first, an FEM simulation dictionary and, second, an experimental dictionary that is especially suited for Rayleigh wave signals. Third, the enhanced MP dictionaries are created to process the Rayleigh wave signals generated by laser excitation and received using a 3D laser scanner. Fourth, we introduce a pioneer application of such laser-generated Rayleigh waves for inspecting surface and subsurface detects occurring in train rails.

Sebaceous carcinoma of the skin of the breast: a case report.

INTRODUCTION: Sebaceous gland tumours are rare and their presence should be considered as a marker for Muir-Torre Syndrome, alerting to search for an occult malignancy. CASE PRESENTATION: A 43-year-old Caucasian female patient underwent excision of a sebaceous cyst. Histopathology confirmed a sebaceous carcinoma. Further investigations revealed multiple intra-abdominal malignancies. She has been under regular follow-up in the relevant clinics. CONCLUSION: Sebaceous carcinoma should be excised completely and followed-up for the detection of possible metastases. Surgical removal of primary or metastatic cancers may be curative and should be attempted wherever possible. It is very important for clinicians not to miss such skin lesions as they may precede the presentation of internal malignancies.