Scoping review of outcome measures used in telerehabilitation and virtual reality for post-stroke rehabilitation.

Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature that reports outcome measures used in TR or VR for stroke rehabilitation. Our specific objectives included: 1) to identify the outcome measures used in TR and VR studies; and 2) to describe which parts of the International Classification of Functioning are measured in the studies. Methods We conducted a comprehensive search of relevant electronic databases (e.g. PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, PSYCOINFO, The Cochrane Central Register of Controlled Trial and the Physiotherapy Evidence Database). The scoping review included all study designs. Two reviewers conducted pilot testing of the data extraction forms and independently screened all the studies and extracted the data. Disagreements about inclusion or exclusion were resolved by consensus or by consulting a third reviewer. Results In total, 28 studies were included in this scoping review. The results were synthesized and reported considering the implications of the findings within the clinical practice and policy context. Discussion This scoping review identified a wide range of outcome measures used in VR and TR studies and helped identify gaps in current use of outcome measures in the literature. The review also informs researchers and end users (i.e. clinicians, policymakers and researchers) regarding the most appropriate outcome measures for TR or VR.

[Eosinophilia in a newborn: a case of giardiasis and milk allergy]. / Eosinofilia em recém-nascido: um caso de giardíase e alergia à proteína do leite de vaca.

BACKGROUND: Helminths induced eosinophilia is well known. Recent studies have been demonstrating that Giardia Lamblia is also able to cause eosinophilia and suggest that children with giardiasis have a higher risk of food allergy. CASE REPORT: Newborn premature male patient, admitted to neonatology unit since birth, who presented persistent eosinophilia, associated with vomiting and abdominal distention when he ingested a not hydrolyzed milk formula. The subsequent study revealed milk allergy (grade II/III) but also of Giardia on stool. The child was treated with metronidazol with clinical improvement. CONCLUSION: This case pretends to underline the importance of person-to-person transmission as far as Giardia infection is concerned and especially among young children. We also would like to emphasize a possible relation between giardiasis and food allergy, which has occasionally been described in recent literature.