搜索结果：American journal of physical medicine & rehabilitation

BACKGROUND: Widespread application of pulmonary rehabilitation (also known as respiratory rehabilitation) in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function (health-related quality of life, functional and maximal exercise capacity) attributable to the programmes. This review updates the review reported in 2006. OBJECTIVES: To compare the effects of pulmonary rehabilitation versus usual care on health-related quality of life and functional and maximal exercise capacity in persons with COPD. SEARCH METHODS: We identified additional randomised controlled trials (RCTs) from the Cochrane Airways Group Specialised Register. Searches were current as of March 2014. SELECTION CRITERIA: We selected RCTs of pulmonary rehabilitation in patients with COPD in which health-related quality of life (HRQoL) and/or functional (FEC) or maximal (MEC) exercise capacity were measured. We defined 'pulmonary rehabilitation' as exercise training for at least four weeks with or without education and/or psychological support. We defined 'usual care' as conventional care in which the control group was not given education or any form of additional intervention. We considered participants in the following situations to be in receipt of usual care: only verbal advice was given without additional education; and medication was altered or optimised to what was considered best practice at the start of the trial for all participants. DATA COLLECTION AND ANALYSIS: We calculated mean differences (MDs) using a random-effects model. We requested missing data from the authors of the primary study. We used standard methods as recommended by The Cochrane Collaboration. MAIN RESULTS: Along with the 31 RCTs included in the previous version (2006), we included 34 additional RCTs in this update, resulting in a total of 65 RCTs involving 3822 participants for inclusion in the meta-analysis.We noted no significant demographic differences at baseline between members of the intervention group and those who received usual care. For the pulmonary rehabilitation group, the mean forced expiratory volume at one second (FEV1) was 39.2% predicted, and for the usual care group 36.4%; mean age was 62.4 years and 62.5 years, respectively. The gender mix in both groups was around two males for each female. A total of 41 of the pulmonary rehabilitation programmes were hospital based (inpatient or outpatient), 23 were community based (at community centres or in individual homes) and one study had both a hospital component and a community component. Most programmes were of 12 weeks' or eight weeks' duration with an overall range of four weeks to 52 weeks.The nature of the intervention made it impossible for investigators to blind participants or those delivering the programme. In addition, it was unclear from most early studies whether allocation concealment was undertaken; along with the high attrition rates reported by several studies, this impacted the overall risk of bias.We found statistically significant improvement for all included outcomes. In four important domains of quality of life (QoL) (Chronic Respiratory Questionnaire (CRQ) scores for dyspnoea, fatigue, emotional function and mastery), the effect was larger than the minimal clinically important difference (MCID) of 0.5 units (dyspnoea: MD 0.79, 95% confidence interval (CI) 0.56 to 1.03; N = 1283; studies = 19; moderate-quality evidence; fatigue: MD 0.68, 95% CI 0.45 to 0.92; N = 1291; studies = 19; low-quality evidence; emotional function: MD 0.56, 95% CI 0.34 to 0.78; N = 1291; studies = 19; mastery: MD 0.71, 95% CI 0.47 to 0.95; N = 1212; studies = 19; low-quality evidence). Statistically significant improvements were noted in all domains of the St. George's Respiratory Questionnaire (SGRQ), and improvement in total score was better than 4 units (MD -6.89, 95% CI -9.26 to -4.52; N = 1146; studies = 19; low-quality evidence). Sensitivity analysis using the trials at lower risk of bias yielded a similar estimate of the treatment effect (MD -5.15, 95% CI -7.95 to -2.36; N = 572; studies = 7).Both functional exercise and maximal exercise showed statistically significant improvement. Researchers reported an increase in maximal exercise capacity (mean Wmax (W)) in participants allocated to pulmonary rehabilitation compared with usual care (MD 6.77, 95% CI 1.89 to 11.65; N = 779; studies = 16). The common effect size exceeded the MCID (4 watts) proposed by Puhan 2011(b). In relation to functional exercise capacity, the six-minute walk distance mean treatment effect was greater than the threshold of clinical significance (MD 43.93, 95% CI 32.64 to 55.21; participants = 1879; studies = 38).The subgroup analysis, which compared hospital-based programmes versus community-based programmes, provided evidence of a significant difference in treatment effect between subgroups for all domains of the CRQ, with higher mean values, on average, in the hospital-based pulmonary rehabilitation group than in the community-based group. The SGRQ did not reveal this difference. Subgroup analysis performed to look at the complexity of the pulmonary rehabilitation programme provided no evidence of a significant difference in treatment effect between subgroups that received exercise only and those that received exercise combined with more complex interventions. However, both subgroup analyses could be confounded and should be interpreted with caution. AUTHORS' CONCLUSIONS: Pulmonary rehabilitation relieves dyspnoea and fatigue, improves emotional function and enhances the sense of control that individuals have over their condition. These improvements are moderately large and clinically significant. Rehabilitation serves as an important component of the management of COPD and is beneficial in improving health-related quality of life and exercise capacity. It is our opinion that additional RCTs comparing pulmonary rehabilitation and conventional care in COPD are not warranted. Future research studies should focus on identifying which components of pulmonary rehabilitation are essential, its ideal length and location, the degree of supervision and intensity of training required and how long treatment effects persist. This endeavour is important in the light of the new subgroup analysis, which showed a difference in treatment effect on the CRQ between hospital-based and community-based programmes but no difference between exercise only and more complex pulmonary rehabilitation programmes.

No AccessAmerican Journal of Speech-Language PathologyViewpoint1 Sep 1994Evaluation and Treatment of Swallowing Disorders Jeri A. LogemannPhD Jeri A. Logemann Department of Communication Sciences and Disorders, Otolaryngology - Head and Neck Surgery and Neurology, Northwestern University, 2299 North Campus Drive, Evanston, IL 60208 Google Scholar https://doi.org/10.1044/1058-0360.0303.41 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In References Connelly, A., & Goldacker, F. (1992). Dysphagia management: Are training programs meeting the needs of students? Unpublished survey. Google Scholar Fujiu, M., Toleikis, J. R., Logemann, J. A., & Larson, C. R. (in press). Glossopharyngeal evoked potentials in normal subjects following mechanical stimulation of the anterior faucial pillar.Electroencephalography and Clinical Neurophysiology. Google Scholar Horner, J., Massey, E., Riski, J., Lathrop, M., & Chase, K. (1988). Aspiration following stroke: Clinical correlates and outcomes.Neurology, 38, 1359–1362. Google Scholar Johnson, E. R., McKenzie, S. W., & Sievers, A. (1993). Aspiration pneumonia in stroke.Archives of Physical Medicine and Rehabilitation, 74, 973–976. Google Scholar Kahrilas, P. J., Logemann, J. A., Krugler, C., & Flanagan, E. (1991). Volitional augmentation of upper esophageal sphincter opening during swallowing.American Journal of Physiology, 260 (Gastrointestinal Physiology, 23), G450–456. MedlineGoogle Scholar Kahrilas, P. J., Logemann, J. A., & Gibbons, P. (1992). Food intake by maneuver: An extreme compensation for impaired swallowing.Dysphagia, 7, 155–159. Google Scholar Lazarus, C., Logemann, J. A., & Gibbons, P. (1993). Effects of maneuvers on swallowing function in a dysphagic oral cancer patient.Head and Neck, 15, 419–424. Google Scholar Lazarus, C., Logemann, J. A., Rademaker, A. W., Kahrilas, P. J., Pajak, T., Lazar, R., & Halper, A. (1993). Effects of bolus volume, viscosity and repeated swallows in nonstroke subjects and stroke patients.Archives of Physical Medicine and Rehabilitation, 74, 1066–1070. Google Scholar Logemann, J. A. (1990). Dysphagia.Seminars in Speech and Language, 11(3), 157–164. Google Scholar Logemann, J. A. (1993a). The dysphagia diagnostic procedure as a treatment efficacy trial.Clinics in Communication Disorders, 3(4), 1–10. Google Scholar Logemann, J. A. (1993b). A manual for videofluoroscopic evaluation of swallowing (2nd ed.). Austin, TX: Pro-Ed. Google Scholar Logemann, J. A. (1993c). Noninvasive approaches to deglutitive aspiration.Dysphagia, 8, 331–333. Google Scholar Logemann, J. A., Rademaker, A. W., Pauloski, B. R., & Kahrilas, P. J. (1994). Effects of postural change on aspiration in head and neck surgical patients.Otolaryngology–Head and Neck Surgery, 110(2), 222–227. Google Scholar Martin, B. J. W., Logemann, J. A., Shaker, R., & Dodds, W. J. (1993). Normal laryngeal valving patterns during three breath-hold maneuvers: A pilot investigation.Dysphagia, 8, 11–20. Google Scholar Martin, B. J., Corlew, M., Wood, H., Olson, D., Golopol, L., Wingo, M., & Kirmani, N. (1994). The association of swallowing dysfunction and aspiration pneumonia.Dysphagia, 9, 1–6. Google Scholar Rademaker, A. W., Pauloski, B. R., Logemann, J. A., & Shanahan, T. K. (in press). Oropharyngeal swallow efficiency as a representative measure of swallowing function.Journal of Speech and Hearing Research. Google Scholar Rasley, A., Logemann, J. A., Kahrilas, P. J., Rademaker, A. W., Pauloski, B. R., & Dodds, W. J. (1993). Prevention of barium aspiration during videofluoroscopic swallowing studies: Value of change in posture.American Journal of Roentgenology, 160, 1005–1009. CrossrefMedlineGoogle Scholar Schmidt, J., Holas, M., Halvorson, K., & Reding, M. (1994). Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke.Dysphagia, 9, 7–11. Google Scholar Shanahan, T. K., Logemann, J. A., Rademaker, A. W., Pauloski, B. R., & Kahrilas, P. J. (1993). Chin down posture effects on aspiration in dysphagic patients.Archives of Physical Medicine and Rehabilitation, 74, 736–739. Google Scholar Welch, M. W., Logemann, J. A., Rademaker, A. W., & Kahrilas, P. J. (1993). Changes in pharyngeal dimensions effected by chin tuck.Archives of Physical Medicine and Rehabilitation, 74, 178–181. MedlineGoogle Scholar Additional Resources FiguresReferencesRelatedDetailsCited ByAmerican Journal of Speech-Language Pathology8:2 (109-117)1 May 1999Ethical Issues Involved in Patients' Rights to Refuse Artificially Administered Nutrition and Hydration and Implications for the Speech-Language PathologistTracy L. LandesAmerican Journal of Speech-Language Pathology5:1 (15-22)1 Feb 1996Ethical Decision-Making in Dysphagia ManagementHelen M. Sharp and Leigh B. Genesen Volume 3Issue 3September 1994Pages: 41-44 Get Permissions Add to your Mendeley library History Published in issue: Sep 1, 1994 Metrics Downloaded 657 times Topicsasha-topicsleader-topicsasha-article-typesKeywordsdysphagicvideofluoroscopyevaluationtreatmentswallowingCopyright & PermissionsCopyright © 1994 American Speech-Language-Hearing AssociationPDF DownloadLoading ...

The development of miniature sensors that can be unobtrusively attached to the body or can be part of clothing items, such as sensing elements embedded in the fabric of garments, have opened countless possibilities of monitoring patients in the field over extended periods of time. This is of particular relevance to the practice of physical medicine and rehabilitation. Wearable technology addresses a major question in the management of patients undergoing rehabilitation, i.e. have clinical interventions a significant impact on the real life of patients? Wearable technology allows clinicians to gather data where it matters the most to answer this question, i.e. the home and community settings. Direct observations concerning the impact of clinical interventions on mobility, level of independence, and quality of life can be performed by means of wearable systems. Researchers have focused on three main areas of work to develop tools of clinical interest: 1)the design and implementation of sensors that are minimally obtrusive and reliably record movement or physiological signals, 2)the development of systems that unobtrusively gather data from multiple wearable sensors and deliver this information to clinicians in the way that is most appropriate for each application, and 3)the design and implementation of algorithms to extract clinically relevant information from data recorded using wearable technology. Journal of NeuroEngineering and Rehabilitation has devoted a series of articles to this topic with the objective of offering a description of the state of the art in this research field and pointing to emerging applications that are relevant to the clinical practice in physical medicine and rehabilitation.

Analyzing human motion is an active research area, with various applications. In this work, we focus on human motion analysis in the context of physical rehabilitation using a robot coach system. Computer-aided assessment of physical rehabilitation entails evaluation of patient performance in completing prescribed rehabilitation exercises, based on processing movement data captured with a sensory system, such as RGB and RGB-D cameras. As 2D and 3D human pose estimation from RGB images had made impressive improvements, we aim to compare the assessment of physical rehabilitation exercises using movement data obtained from both RGB-D camera (Microsoft Kinect) and estimation from RGB videos (OpenPose and BlazePose algorithms). A Gaussian Mixture Model (GMM) is employed from position (and orientation) features, with performance metrics defined based on the log-likelihood values from GMM. The evaluation is performed on a medical database of clinical patients carrying out low back-pain rehabilitation exercises, previously coached by robot Poppy.

BACKGROUND: The burden of cardiovascular disease world-wide is one of great concern to patients and health care agencies alike. Circulatory diseases, including myocardial infarction (MI) and stroke, kill more people than any other disease. Cardiac rehabilitation aims to restore patients who have suffered myocardial infarction to optimal health through exercise only based rehabilitation or comprehensive cardiac rehabilitation (eg. smoking cessation advice, diet and counselling as well as exercise). Data from two published and widely cited meta-analyses (Oldridge 1988, O'Connor 1989) of over 4,000 patients each have demonstrated that patients randomised to exercise-based cardiac rehabilitation after MI have a statistically significant reduction in all-cause and cardiac mortality of about 20 to 25% compared to patients receiving conventional care. However, the trials included were small and often of poor methodological quality. Incomplete literature review methods may have resulted in publication bias thereby resulting in an over-estimate of the benefit of cardiac rehabilitation. The randomised controlled trials used in the reviews have focused almost exclusively on low-risk, middle-aged males post MI, thereby excluding women and the elderly. OBJECTIVES: To determine the effectiveness of exercise only rehabilitation and exercise in addition to other rehabilitation interventions (termed comprehensive cardiac rehabilitation) compared with usual care on the mortality, morbidity, health-related quality of life (HRQoL) and modifiable cardiac risk factors of patients with coronary heart disease. SEARCH STRATEGY: Electronic databases were searched for randomised controlled trials, using standardised trial filters, from the earliest date available to December 31st 1998. SELECTION CRITERIA: Men and women of all ages, in both hospital-based and community-based settings, who have had myocardial infarction, coronary artery bypass graft or percutaneous transluminal coronary angioplasty, or who have angina pectoris or coronary artery disease defined by angiography have been included. Studies involving participants following heart transplant, heart valve surgery or heart failure have been excluded. Follow up periods of less than 6 months were excluded. DATA COLLECTION AND ANALYSIS: Studies were selected independently by two reviewers, and data extracted independently. Authors were contacted where possible to obtain missing information. MAIN RESULTS: The current systematic review has allowed analysis of an increased number of patients from approximately 4500 in the earlier meta-analyses to 7683 (2582 in exercise only and 5101 in the comprehensive cardiac rehabilitation group). The quality of reporting overall was poor, with generally high losses to follow up. The pooled effect estimate for total mortality for the exercise only intervention shows a 27% reduction in all cause mortality (random effects model OR 0.73 (0.54, 0.98)). Similarly, comprehensive cardiac rehabilitation reduced all cause mortality compared to usual care, but to a lesser degree (OR 0.87 (0.71, 1.05)). Total cardiac mortality was reduced by 31% (random effects model OR 0.69 (0.51, 0.94)) and 26% (random effects model OR 0.74 (0.57, 0.96)) in the exercise only and comprehensive cardiac rehabilitation intervention groups respectively when compared to usual care. Neither intervention had any effect on the ocurrence of non-fatal myocardial infarction. There was a significant net reduction in total cholesterol in the comprehensive cardiac rehabilitation group (pooled WMD random effects model -0.57 mmol/l (-0.83, -0.31)), but not the exercise only rehabilitation group. Similarly, LDL was significantly reduced in the comprehensive cardiac rehabilitation group (pooled WMD random effects model -0.51 mmol/l (-0.82, -0.19). The effect of exercise only rehabilitation or comprehensive cardiac rehabilitation interventions on revascularisation rates, blood pressure or smoking behaviour could not be determined by this meta-analysis due to the small number of trials reporting these outcomes and heterogeneity between trials. It was not possible to combine the data from studies reporting HRQoL as an outcome. Eighteen different instruments were used to assess HRQoL in the 11 studies reporting it as an outcome. The data are presented qualitatively, only one trial reporting significant improvements with the intervention. REVIEWER'S CONCLUSIONS: Exercise-based cardiac rehabilitation appears to be effective in reducing cardiac deaths but the evidence base is weakened by poor quality trials. It is not clear from this review whether exercise only or a comprehensive cardiac rehabilitation intervention is more beneficial. The population studied in this review is still predominately male, middle aged and low risk. Identification of the ethnic origin of the participants was seldom reported. (ABSTRACT TRUNCATED)

Physical rehabilitation exercises suggested by healthcare professionals can help recovery from various musculoskeletal disorders and prevent re-injury. However, patients' engagement tends to decrease over time without direct supervision, which is why there is a need for an automated monitoring system. In recent years, there has been great progress in quality assessment of physical rehabilitation exercises. Most of them only provide a binary classification if the performance is correct or incorrect, and a few provide a continuous score. This information is not sufficient for patients to improve their performance. In this work, we propose an algorithm for error classification of rehabilitation exercises, thus making the first step toward more detailed feedback to patients. We focus on skeleton-based exercise assessment, which utilizes human pose estimation to evaluate motion. Inspired by recent algorithms for quality assessment during rehabilitation exercises, we propose a Transformer-based model for the described classification. Our model is inspired by the HyperFormer method for human action recognition, and adapted to our problem and dataset. The evaluation is done on the KERAAL d

This study examines the social media uptake of scientific journals on two different platforms - X and WeChat - by comparing the adoption of X among journals indexed in the Science Citation Index-Expanded (SCIE) with the adoption of WeChat among journals indexed in the Chinese Science Citation Database (CSCD). The findings reveal substantial differences in platform adoption and user engagement, shaped by local contexts. While only 22.7% of SCIE journals maintain an X account, 84.4% of CSCD journals have a WeChat official account. Journals in Life Sciences & Biomedicine lead in uptake on both platforms, whereas those in Technology and Physical Sciences show high WeChat uptake but comparatively lower presence on X. User engagement on both platforms is dominated by low-effort interactions rather than more conversational behaviors. Correlation analyses indicate weak-to-moderate relationships between bibliometric indicators and social media metrics, confirming that online engagement reflects a distinct dimension of journal impact, whether on an international or a local platform. These findings underscore the need for broader social media metric frameworks that incorporate locally dom

In this work, we study the correlation between interdisciplinarity of papers within physical sciences and their citations by using meta data of articles published in American Physical Society's Physical Review journals between 1985 to 2012. We use the Weitzman diversity index to measure the diversity of papers and authors, exploiting the hierarchical structure of PACS (Physics and Astronomy Classification Scheme) codes. We find that the fraction of authors with high diversity is increasing with time, where as the fraction of least diversity are decreasing, and moderate diversity authors have higher tendency to switch over to other diversity groups. The diversity index of papers is correlated with the citations they received in a given time period from their publication year. Papers with lower and higher end of diversity index receive lesser citations than the moderate diversity papers.

We compare the network of aggregated journal-journal citation relations provided by the Journal Citation Reports (JCR) 2012 of the Science and Social Science Citation Indexes (SCI and SSCI) with similar data based on Scopus 2012. First, global maps were developed for the two sets separately; sets of documents can then be compared using overlays to both maps. Using fuzzy-string matching and ISSN numbers, we were able to match 10,524 journal names between the two sets; that is, 96.4% of the 10,936 journals contained in JCR or 51.2% of the 20,554 journals covered by Scopus. Network analysis was then pursued on the set of journals shared between the two databases and the two sets of unique journals. Citations among the shared journals are more comprehensively covered in JCR than Scopus, so the network in JCR is denser and more connected than in Scopus. The ranking of shared journals in terms of indegree (that is, numbers of citing journals) or total citations is similar in both databases overall (Spearman's \r{ho} > 0.97), but some individual journals rank very differently. Journals that are unique to Scopus seem to be less important--they are citing shared journals rather than bein

Rankings of scholarly journals based on citation data are often met with skepticism by the scientific community. Part of the skepticism is due to disparity between the common perception of journals' prestige and their ranking based on citation counts. A more serious concern is the inappropriate use of journal rankings to evaluate the scientific influence of authors. This paper focuses on analysis of the table of cross-citations among a selection of Statistics journals. Data are collected from the Web of Science database published by Thomson Reuters. Our results suggest that modelling the exchange of citations between journals is useful to highlight the most prestigious journals, but also that journal citation data are characterized by considerable heterogeneity, which needs to be properly summarized. Inferential conclusions require care in order to avoid potential over-interpretation of insignificant differences between journal ratings. Comparison with published ratings of institutions from the UK's Research Assessment Exercise shows strong correlation at aggregate level between assessed research quality and journal citation `export scores' within the discipline of Statistics.

RATIONALE: Pulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap between the knowledge of the science and benefits of PR and the actual delivery of PR services to suitable patients. OBJECTIVES: The objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide. METHODS: Members of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS. MAIN RESULTS: This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR. CONCLUSIONS: The ATS and ERS commit to undertake actions that will improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.

This paper tackles the challenge of automatically assessing physical rehabilitation exercises for patients who perform the exercises without clinician supervision. The objective is to provide a quality score to ensure correct performance and achieve desired results. To achieve this goal, a new graph-based model, the Dense Spatio-Temporal Graph Conv-GRU Network with Transformer, is introduced. This model combines a modified version of STGCN and transformer architectures for efficient handling of spatio-temporal data. The key idea is to consider skeleton data respecting its non-linear structure as a graph and detecting joints playing the main role in each rehabilitation exercise. Dense connections and GRU mechanisms are used to rapidly process large 3D skeleton inputs and effectively model temporal dynamics. The transformer encoder's attention mechanism focuses on relevant parts of the input sequence, making it useful for evaluating rehabilitation exercises. The evaluation of our proposed approach on the KIMORE and UI-PRMD datasets highlighted its potential, surpassing state-of-the-art methods in terms of accuracy and computational time. This resulted in faster and more accurate lear

Interdisciplinary research is critical for innovation and addressing complex societal issues. We characterise the interdisciplinary knowledge structure of PubMed research articles in medicine as correlation networks of medical concepts and compare the interdisciplinarity of articles between high-ranking (impactful) and less high-ranking (less impactful) medical journals. We found that impactful medical journals tend to publish research that are less interdisciplinary than less impactful journals. Observing that they bridge distant knowledge clusters in the networks, we find that cancer-related research can be seen as one of the main drivers of interdisciplinarity in medical science. Using signed difference networks, we also investigate the clustering of deviations between high and low impact journal correlation networks. We generally find a mild tendency for strong link differences to be adjacent. Furthermore, we find topic clusters of deviations that shift over time. In contrast, topic clusters in the original networks are static over time and can be seen as the core knowledge structure in medicine. Overall, journals and policymakers should encourage initiatives to accommodate int

Journal Article Handbook of Physical Medicine and Rehabilitation Get access Handbook of Physical Medicine and Rehabilitation. Selections authorized for publication by the Council on Physical Medicine and Rehabilitation, American Medical Association. By the Council on Physical Medicine and Rehabilitation of the American Medical Association and twenty-nine contributors. Cloth. Price $4.25. Pp. 573 with 56 illustrations and 25 tables. The Blakiston Co., Philadelphia 5, Pa. 1950. Physical Therapy, Volume 30, Issue 6, June 1950, Page 254, https://doi.org/10.1093/ptj/30.6.254a Published: 01 June 1950

To allow the development and assessment of physical rehabilitation by an intelligent tutoring system, we propose a medical dataset of clinical patients carrying out low back-pain rehabilitation exercises and benchmark on state of the art human movement analysis algorithms. This dataset is valuable because it includes rehabilitation motions in a clinical setting with patients in their rehabilitation program. This paper introduces the Keraal dataset, a clinically collected dataset to enable intelligent tutoring systems (ITS) for rehabilitation. It addresses four challenges in exercise monitoring: motion assessment, error recognition, spatial localization, temporal localization

Using the Scopus dataset (1996-2007) a grand matrix of aggregated journal-journal citations was constructed. This matrix can be compared in terms of the network structures with the matrix contained in the Journal Citation Reports (JCR) of the Institute of Scientific Information (ISI). Since the Scopus database contains a larger number of journals and covers also the humanities, one would expect richer maps. However, the matrix is in this case sparser than in the case of the ISI data. This is due to (i) the larger number of journals covered by Scopus and (ii) the historical record of citations older than ten years contained in the ISI database. When the data is highly structured, as in the case of large journals, the maps are comparable, although one may have to vary a threshold (because of the differences in densities). In the case of interdisciplinary journals and journals in the social sciences and humanities, the new database does not add a lot to what is possible with the ISI databases.

Interdisciplinary research, a process of knowledge integration, is vital for scientific advancements. It remains unclear whether prestigious journals that are highly impactful lead in disseminating interdisciplinary knowledge. In this paper, by constructing topic-level correlation networks based on publications, we evaluated the interdisciplinarity of more and less prestigious journals in medicine. We found research from prestigious medical journals tends to be less interdisciplinary than research from other medical journals. We also established that cancer-related research is the main driver of interdisciplinarity in medical science. Our results indicate a weak tendency for differences in topic correlations between more and less prestigious journals to be co-located. Accordingly, we identified that interdisciplinarity in prestigious journals mainly differs from interdisciplinarity in other journals in areas such as infections, nervous system diseases and cancer. Overall, our results suggest that interdisciplinarity in science could benefit from prestigious journals easing rigid disciplinary boundaries.

The academic journal zoning system is central to evaluating research talent, funding, and institutions. The CAS journal partition system, one of East Asia's most widely used tools, will cease operation in March 2026, creating a policy gap. Existing alternatives have major limitations: JCR depends on paid databases and excludes conferences; Scimago/CiteScore relies on Elsevier proprietary data; expert-based rankings such as CCF and CORE lack quantitative foundations and update slowly. This paper proposes the General Science Ranking (GSR), a multidimensional bibliometric framework built entirely on open-source data. GSR covers 500 computer science venues (397 journals and 103 conferences) and 500 medical journals using OpenAlex and Semantic Scholar. Scores combine four indicators: field-weighted citation impact (FWCI), two-year impact factor (IF2), five-year h-index (h5), and citation CAGR. For CS conferences lacking citation time-series data, IF2-approx was estimated from calibration on 1.41 million OpenAlex journal papers. Rankings adopt fixed quotas: Q1 (1-50), Q2 (51-100), Q3 (101-200), and Q4 (201+). All code and data are open source. In CS rankings, conferences and journals eac