Vestibular Rehabilitation as an Early Intervention in Athletes Who Are Post-Concussion: A Systematic Review

Background: Sports-related concussions (SRC) are a common injury sustained by many athletes of all different age groups and sports. The current standard treatment is rest followed by aerobic activity. Little has been researched on the effects of vestibular rehabilitation for concussion treatment, especially in physical therapy practice. Objective: The purpose of this systematic review was to research the effects of early intervention of vestibular rehabilitation and an athlete’s time to return to play compared to rest alone. Methods: Two searches were conducted (August 2021 & January 2022). Databases looked at were CINAHL complete, MEDLINE, PubMed, Wiley online database, and one hand search. Search terms included vestibular rehabilitation or vestibular therapy, concussion, or mild traumatic brain injury or mild TBI, athletes, sports, athletics or performance, and early interventions or therapy or treatment. Results: Yielded 11 articles (randomized control trials and retrospective cohort studies). Inclusion criteria were athletes who sustained a SRC, incorporation of vestibular rehabilitation in athletes recovery, and early vestibular intervention tools. Discussion: Incorporating visual interventions and cervical manual therapy into early rehabilitation significantly reduces symptoms and time to return to sport. However, balance interventions do not have a significant effect on reducing time to return to sport when used as a sole intervention. Conclusion: Beginning VRT as early as 10 to 30 days post-concussion has been shown to contribute to a quicker resolution of symptoms and a quicker return to sport. However, more data collection needs to be performed to determine the effectiveness of early intervention in concussion recovery.https://digitalcommons.misericordia.edu/research_posters2022/1018/thumbnail.jp

Low Susceptibility of Invasive Red Lionfish (Pterois volitans) to a Generalist Ectoparasite in Both Its Introduced and Native Ranges

Escape from parasites in their native range is one of many mechanisms that can contribute to the success of an invasive species. Gnathiid isopods are blood-feeding ectoparasites that infest a wide range of fish hosts, mostly in coral reef habitats. They are ecologically similar to terrestrial ticks, with the ability to transmit blood-borne parasites and cause damage or even death to heavily infected hosts. Therefore, being highly resistant or highly susceptible to gnathiids can have significant fitness consequences for reef-associated fishes. Indo-Pacific red lionfish (Pterois volitans) have invaded coastal habitats of the western tropical and subtropical Atlantic and Caribbean regions. We assessed the susceptibility of red lionfish to parasitic gnathiid isopods in both their native Pacific and introduced Atlantic ranges via experimental field studies during which lionfish and other, ecologically-similar reef fishes were caged and exposed to gnathiid infestation on shallow coral reefs. Lionfish in both ranges had very few gnathiids when compared with other species, suggesting that lionfish are not highly susceptible to infestation by generalist ectoparasitic gnathiids. While this pattern implies that release from gnathiid infestation is unlikely to contribute to the success of lionfish as invaders, it does suggest that in environments with high gnathiid densities, lionfish may have an advantage over species that are more susceptible to gnathiids. Also, because lionfish are not completely resistant to gnathiids, our results suggest that lionfish could possibly have transported blood parasites between their native Pacific and invaded Atlantic ranges

A large-scale experiment finds no evidence that a seismic survey impacts a demersal fish fauna

Seismic surveys are used to locate oil and gas reserves below the seabed and can be a major source of noise in marine environments. Their effects on commercial fisheries are a subject of debate, with experimental studies often producing results that are difficult to interpret. We overcame these issues in a large-scale experiment that quantified the impacts of exposure to a commercial seismic source on an assemblage of tropical demersal fishes targeted by commercial fisheries on the North West Shelf of Western Australia. We show that there were no short-term (days) or long-term (months) effects of exposure on the composition, abundance, size structure, behavior, or movement of this fauna. These multiple lines of evidence suggest that seismic surveys have little impact on demersal fishes in this environment

Rationale and design of a multicenter Chronic Kidney Disease (CKD) and at-risk for CKD electronic health records-based registry: CURE-CKD.

BACKGROUND: Chronic kidney disease (CKD) is a global public health problem, exhibiting sharp increases in incidence, prevalence, and attributable morbidity and mortality. There is a critical need to better understand the demographics, clinical characteristics, and key risk factors for CKD; and to develop platforms for testing novel interventions to improve modifiable risk factors, particularly for the CKD patients with a rapid decline in kidney function. METHODS: We describe a novel collaboration between two large healthcare systems (Providence St. Joseph Health and University of California, Los Angeles Health) supported by leadership from both institutions, which was created to develop harmonized cohorts of patients with CKD or those at increased risk for CKD (hypertension/HTN, diabetes/DM, pre-diabetes) from electronic health record data. RESULTS: The combined repository of candidate records included more than 3.3 million patients with at least a single qualifying measure for CKD and/or at-risk for CKD. The CURE-CKD registry includes over 2.6 million patients with and/or at-risk for CKD identified by stricter guide-line based criteria using a combination of administrative encounter codes, physical examinations, laboratory values and medication use. Notably, data based on race/ethnicity and geography in part, will enable robust analyses to study traditionally disadvantaged or marginalized patients not typically included in clinical trials. DISCUSSION: CURE-CKD project is a unique multidisciplinary collaboration between nephrologists, endocrinologists, primary care physicians with health services research skills, health economists, and those with expertise in statistics, bio-informatics and machine learning. The CURE-CKD registry uses curated observations from real-world settings across two large healthcare systems and has great potential to provide important contributions for healthcare and for improving clinical outcomes in patients with and at-risk for CKD

Abstracts from the 8th International Conference on cGMP Generators, Effectors and Therapeutic Implications

This work was supported by a restricted research grant of Bayer AG

Behavioral observations of lionfish at native Pacific and invaded Atlantic locations (Bahamas, Cayman Islands, Guam, Philippines) from 2009-2012 (Lionfish Invasion project)

Dataset: comparative lionfish behaviorBehavioral observations of lionfish, with a focus on hunting activity throughout the day, at native Pacific (Guam and the Philippines) vs. invasive Atlantic locations (Bahamas and Caymans) to assess possible differences between ranges. Particular emphasis was placed on species hunted, time spent hunting and total numbers of kills and strikes. The investigators hypothesized that lionfish at invaded locations would have higher success at killing prey and spend less time hunting. For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/3975NSF Division of Ocean Sciences (NSF OCE) OCE-085116

Data on lionfish juvenile growth patterns from tagged lionfish in the Cayman Islands from 2010-2011 (Lionfish Invasion project)

Dataset: comparative lionfish growth - CaymansData on lionfish juvenile growth patterns from tagged lionfish in the Cayman Islands from 2010-2011. For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/4016NSF Division of Ocean Sciences (NSF OCE) OCE-085116

Data on lionfish juvenile growth patterns from tagged lionfish in the Bahamas, Guam, and Philippines from 2009-2012 (Lionfish Invasion project)

Dataset: comparative lionfish growthData on lionfish juvenile growth patterns from tagged lionfish in the Bahamas, Guam, and Philippines from 2009-2012. For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/4015NSF Division of Ocean Sciences (NSF OCE) OCE-085116

Pubertad precoz incompleta inducida por hipotiroidismo

Se presenta el caso de una niña de siete años con diagnóstico de pubertad precoz. Se plantean los diagnósticos diferenciales, los posibles mecanismos fisiopatológicos, se hace una breve revisión bibliográfica y se discute el caso

Pubertad precoz incompleta inducida por hipotiroidismo

Se presenta el caso de una niña de siete años con diagnóstico de pubertad precoz. Se plantean los diagnósticos diferenciales, los posibles mecanismos fisiopatológicos, se hace una breve revisión bibliográfica y se discute el caso