1.Impact of virtual reality games on psychological well-being and upper limb performance in adults with physical disabilities: A pilot study
Devinder Kaur Ajit Singh ; Nor Najwatul Akmal Ab Rahman ; Seffiyah Rajiman ; Chang Shin Yin ; Zainura Abdul Karim ; Aida Safra Ruslan ; Rajwinder Kaur Hardev Singh
The Medical Journal of Malaysia 2017;72(2):119-121
Introduction: There is limited information regarding the
effects of interactive virtual reality (VR) games on
psychological and physical well-being among adults with
physical disabilities. We aimed to examine the impact of VR
games on psychological well-being, upper limb motor
function and reaction time in adults with physical
disabilities.
Methods: Fifteen participants completed the intervention
using Wii VR games in this pilot study. Depressive, Anxiety
and Stress Scales (DASS) and Capabilities of Upper
Extremity (CUE) questionnaires were used to measure
psychological well-being and upper limb motor function
respectively. Upper limb reaction time was measured using
reaction time test.
Results: Results showed that there was a significant
difference (p<0.05) in DASS questionnaire and average
reaction time score after intervention.
Conclusion: There is a potential for using interactive VR
games as an exercise tool to improve psychological wellbeing
and upper limb reaction time among adults with
disabilities.
2.Adult Stem Cells in Hibernation: Future Perspectives of Space Travel
Yu Chih CHEN ; Shin Peir AUI ; Yin Siew LAI ; Ko Tung CHANG
International Journal of Stem Cells 2019;12(3):381-387
Space traveling is imperative for mankind in the future. Expectedly, hibernation will become an option for space traveler to overcome the endless voyage. With regard to some of the studies pointed out that during hibernation, muscle will undergo atrophy and meantime neurogenesis will reduce, these obstacles were frequently related with stem cell regeneration. Thus, investigation on whether hibernation will lead to dysfunction of stem cell becomes an important issue. By going through four main systems in this article, such as, hematopoietic system, skeletal muscle system, central nervous system and orthopedic system, we are expecting that stem cells regeneration capacity will be affected by hibernation. To date, these researches are majorly the read-out from short term or seasonal hibernating mammals. Proposing and creating a simulated long-term hibernation animal model is turning essential for the further investigation on the effect of longer period of hibernation to human stem cells.
Adult Stem Cells
;
Adult
;
Arousal
;
Atrophy
;
Central Nervous System
;
Hematopoietic System
;
Hibernation
;
Humans
;
Mammals
;
Models, Animal
;
Muscle, Skeletal
;
Neurogenesis
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Orthopedics
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Regeneration
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Seasons
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Stem Cells
;
Torpor
3.Effect of exercise bike cadence and loads on pedaling force and lower extremity EMG
Cheng-Shuan CHANG ; Yin-shin LEE ; Tzyy-yuang SHIANG
Journal of Medical Biomechanics 2013;28(3):E326-E332
Objective To compare the pedaling force and lower extremity electromyography (EMG) with different cadences (60, 75, 90 r/min) and diverse cycling intensities (50%, 65%, 80% POV) and study the different influence on exerciser's pedaling force and lower extremity EMG. Methods Twelve healthy males participated in this study, and underwent two stages. In stage 1 the power output test at VO2max (POV) was got by cycle ergometer. In stage 2, nine conditions (3 kinds of intensities × 3 kinds of cadences) were completed respectively by using counter-balance design to record the changes for their pedaling force and lower extremity EMG. Results The negative pedaling work was significantly increased with the cadence increasing, and the appearing time of the peak pedaling force was significantly shifted forward in the cycle. When the crank angle was at 270°, the average increase of the pedaling force with the cadence increasing could obtain 1.84 times higher. In general, the firing rate of lower extremity muscular activation would be increased with the cadence increasing. Conclusions The cadence has greater effect on the pedaling force and lower extremity EMG. The tendency of pedaling force was shifted forward and the pattern of pedaling force became smoother with the cadence increasing. There are no significant differences among the diverse intensities. Based on the pedaling efficiency in this study, the optimal cadence for untrained people should be 60 r/min.
4.The Risk of Diabetes on Clinical Outcomes in Patients with Coronavirus Disease 2019: A Retrospective Cohort Study
Seung Min CHUNG ; Yin Young LEE ; Eunyeong HA ; Ji Sung YOON ; Kyu Chang WON ; Hyoung Woo LEE ; Jian HUR ; Kyung Soo HONG ; Jong Geol JANG ; Hyun Jung JIN ; Eun Young CHOI ; Kyeong-Cheol SHIN ; Jin Hong CHUNG ; Kwan Ho LEE ; June Hong AHN ; Jun Sung MOON
Diabetes & Metabolism Journal 2020;44(3):405-413
To determine the role of diabetes mellitus (DM) in the coronavirus disease 2019 (COVID-19), we explored the clinical characteristics of patients with DM and compared risk factors such as age, glycemic control, and medications to those without DM. This was a retrospective cohort study of 117 confirmed patients with COVID-19 which conducted at a tertiary hospital in Daegu, South Korea. The primary outcome was defined as the severe and critical outcome (SCO), of which the composite outcomes of acute respiratory distress syndrome, septic shock, intensive care unit care, and 28-day mortality. We analyzed what clinical features and glycemic control-related factors affect the prognosis of COVID-19 in the DM group. After exclusion, 110 participants were finally included. DM patients ( The COVID-19 patients with DM had higher severity and resulted in SCO. Intensive and aggressive monitoring of COVID-19 clinical outcomes in DM group, especially in elderly patients is warranted.
5.The Clinical Characteristics and Outcomes of Patients with Moderate-to-Severe Coronavirus Disease 2019 Infection and Diabetes in Daegu, South Korea
Mi Kyung KIM ; Jae-Han JEON ; Sung-Woo KIM ; Jun Sung MOON ; Nan Hee CHO ; Eugene HAN ; Ji Hong YOU ; Ji Yeon LEE ; Miri HYUN ; Jae Seok PARK ; Yong Shik KWON ; Yeon-Kyung CHOI ; Ki Tae KWON ; Shin Yup LEE ; Eon Ju JEON ; Jin-Woo KIM ; Hyo-Lim HONG ; Hyun Hee KWON ; Chi Young JUNG ; Yin Young LEE ; Eunyeoung HA ; Seung Min CHUNG ; Jian HUR ; June Hong AHN ; Na-young KIM ; Shin-Woo KIM ; Hyun Ha CHANG ; Yong Hoon LEE ; Jaehee LEE ; Keun-Gyu PARK ; Hyun Ah KIM ; Ji-Hyun LEE
Diabetes & Metabolism Journal 2020;44(4):602-613
Coronavirus disease 2019 (COVID-19) is a global pandemic that had affected more than eight million people worldwide by June 2020. Given the importance of the presence of diabetes mellitus (DM) for host immunity, we retrospectively evaluated the clinical characteristics and outcomes of moderate-to-severe COVID-19 in patients with diabetes. We conducted a multi-center observational study of 1,082 adult inpatients (aged ≥18 years) who were admitted to one of five university hospitals in Daegu because of the severity of their COVID-19-related disease. The demographic, laboratory, and radiologic findings, and the mortality, prevalence of severe disease, and duration of quarantine were compared between patients with and without DM. In addition, 1:1 propensity score (PS)-matching was conducted with the DM group. Compared with the non-DM group ( DM is a significant risk factor for COVID-19 severity and mortality. Our findings imply that COVID-19 patients with DM, especially if elderly, require special attention and prompt intensive care.