هدف: با توجه به کاستی‌های موجود، نظام سیاست‌گذاری سازمانی فرایندی سیستماتیک، هدفمند و منظم برای تولید داده‌های حاصل از عملکرد، پردازش آن‌ها اطلاعات تبدیل آن دانش سیاستی نیاز دارد تا نسبت کم کیف تحقق اهداف سیاست‌ها، آثار پیامدهای موفقیت یا ناکامی‌شان آگاهی داشته تصمیم‌گیری بهره گیرد. ازاین‌رو مسئله اصلی که محقق تلاش رفع می‌پردازد تبیین این موضوع است سیاست‌ها راهبردهای کلان چه پیامدها آثاری در پی...

BACKGROUND Primary monosymptomatic nocturnal enuresis (PMNE) is a common problem in the developmental ages; it is the involuntary loss of urine during the night in children older than 5 years of age. Several clinical observations have suggested an association between bedwetting and developmental delays in motricity, language development, learning disability, physical growth, and skeletal matura...

RATIONALE We report on a patient with traumatic brain injury who showed motor recovery concurrent with recovery of injured corticofugal tracts (CFTs), diagnosed by diffusion tensor tractography (DTT). PATIENT CONCERNS Four weeks after onset, when the patient started rehabilitation, he showed severe weakness of both upper and lower extremities [Motricity Index (MI, full score: 100/100): 9/30]....

OBJECTIVE To investigate the relationship between glycosylated hemoglobin A (HbA1c) and complex regional pain syndrome (CRPS) in stroke patients with type 2 diabetes mellitus (T2DM). METHODS A retrospective chart review was performed of stroke patients from January 2012 to December 2013. We reviewed 331 patients and included 200 in the analysis. We divided them into CRPS and non-CRPS groups a...

BACKGROUND No study on the characteristics of injury of the corticospinal tract (CST) or corticoreticular pathway (CRP) in patients with putaminal hemorrhage has been reported. In this study, using diffusion tensor tractography, we attempted to investigate the characteristics of injury of the CST and CRP in hemiparetic patients with putaminal hemorrhage. METHOD Fifty seven consecutive patient...

OBJECTIVE To assess the ability of the Motor Function Measure (MFM) to detect changes in the progression of spinal muscular atrophy (SMA). DESIGN Observational, retrospective, multicenter cohort study. SETTING Seventeen departments of pediatric physical medicine. PARTICIPANTS Volunteer patients with SMA (N=112) aged 5.7 to 59 years with no treatment other than physical therapy and nutriti...

Background and Purpose—This study aimed to assess the effectiveness of gait training using an electromechanical gait trainer with or without functional electrical stimulation for people with subacute stroke. Methods—This was a nonblinded randomized controlled trial with a 6-month follow-up. Fifty-four subjects were recruited within 6 weeks after stroke onset and were randomly assigned to 1 of 3...

Background and Purpose—Early poststroke depression (PSD) is a frequent and specific entity that impairs the rehabilitation and functional recovery of hemiplegic patients. This trial was designed to study the efficacy and tolerance of fluoxetine (FLX) in the treatment of early PSD. Methods—This was a multicenter, double-blind, placebo-controlled study. Recent hemiplegic patients (,3 months) suff...

Background and Purpose—To study the longitudinal relationship of functional change in walking ability and change in time-dependent covariates and to develop a multivariate regression model to predict longitudinal change of walking ability. Methods—A total of 101 acute stroke patients with first-ever ischemic middle cerebral artery strokes was used as the population. Prospective cohort study bas...

Phase three of the Quebec Cooperative Study of Friedreich's Ataxia was devoted to an understanding of the physiopathology of individual symptoms on the basis of previously discovered biochemical leads. The present paper attempts to pull these results together by presenting, as a hypothesis, a unifying scheme of possible interactions and relationships. The central core of this hypothesis is the ...