Introduction: Chemotherapy-Induced Peripheral Neuropathy (CIPN) is one of the most concerning side-effect of chemotherapeutic agents and is known to cause loss of sensation, muscle weakness, deficits in balance, neuropathic pain as well as autonomic symptoms. It can lead to a reduced participation in activities of everyday life and a decreased quality of life. Physical therapy offers one possibility to approach these problems. The overall purpose of this paper was the development of a literature-based physiotherapeutic strategy for the treatment of CIPN in children and adolescents.

Methods: For concept construction a literature search in the medical databases MEDLINE, the Cochrane library, PEDro, CINAHL and Embasewas performed. Results have been reviewed and assessed according to their applicability to pediatric CIPN patients.

Results: Most studies found in the literature were conducted with adults or childhood cancer patients with no specifically diagnosed CIPN. No study could be found explicitly examining physical therapy options for CIPN in children and adolescents. The concept consists of twelve age- and severity-adapted therapy settings and is designed for children and adolescents between the ages of 2-17 years.

Conclusion: The proposed physiotherapeutic strategies are the first step towards an evidence-based approach in the treatment of CIPN symptoms in children and adolescents. According to literature, sensorimotor training seems to have the highest potential to improve CIPN symptoms. Further, some studies support evidence for foot bathing, exercises for strengthening and stretching as well as vibration therapy.

Background/Purpose: To evaluate the effectiveness of primary neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior capsulotomy in pediatric cataract surgeries.

Methods: Retrospective analyses of 19 eyes of 11 patients with developmental cataract who had undergone cataract surgery between 2012 to 2016 were included in the study. All the cases that had undergone phacoemulsification with foldable acrylic Intra Ocular Lens (IOL) in which the posterior capsule was left intact, and followed by Nd:YAG capsulotomy after one to two weeks’ of surgery were included. Traumatic cataracts and those which needed anterior vitrectomy due to dehiscence of posterior capsule were excluded from the study.

Results: The mean age of the study population was 7.42 ± 3.39 years withaminimum age of 3 years andamaximum of 14 years. The maximum follow-up period was found to be 33 months. The mean preoperative visual acuity in the study group was 0.87 log MAR units anda statistically significant improvement was noted post operatively. All 19 eyes had a clear visual axis at thelast follow up. No eye developed visual axis opacification or required any further intervention.

Conclusion: This study proposes that leaving the vitreous undisturbed and performing YAG capsulotomy after two weeks is moreeffective than a primary posterior capsulorhexis with anterior vitrectomy especially in children older than 3 years. It is a safe and easier method even at the hands of inexperienced surgeons who may have to take up a developmental cataract in under developed and less accessible parts of the world.

Introduction: The lack of physical activity in obese subjects, which is a major problem, can be explained by the presence of several brakes including non-medical. The objective of this study is to evaluate the impact of a physical activity education program during a week of hospitalization that was created at the University Hospital of Tours in the department of PRM in the context of the management of obese patients.

Material and Methods: This was a prospective, single-center, routine care study. Included were 30 adult obese patients, assessed 1 to 3 months prior to their admission to the clinic, where oral counseling was given (T0), day of hospitalization (T1) and 1 month of hospitalization (T2). The primary endpoint was the evaluation of kinesiophobia by TSK. The secondary judgment criteria were the assessment of beliefs in anxious avoidance by the FABQ, quality of life by the IWQOL-Lite questionnaire and physical activity practice with the IPAQ and the Dijon score. Our hypothesis was that variation in primary and secondary outcomes was greater after one week of physical activity education than after consultation with oral counsel.

Results: The change in the kinesiophobia score between T1 and T0 was -1.3 (p=0.1029), the change in this score between T2 and T1 was -4.4 (p=0.0001) with Δ2 (T2-T1) significantly greater than Δ1 (T1-T0), p=0.003448.

Conclusion: This work highlights that a week of physical activity education in hospitalization proposed to obese patients allows a significant improvement superior kinesiophobia compared to a medical consultation with oral counseling.

In article is considered, first, psychological processes of formation of thinking on the basis of tool mental energy. Secondly, new approach to realization of behavior tool mental energy. Thirdly, formation and improvement of consciousness tool spiritual mental energy.

Background: Access to primary care is vital for any patient. For patients with disabilities, particularly with spinal cord injuries, primary care is difficult to find. Most primary care providers do not have physically accessible clinics, nor do they have a provider knowledgeable of spinal cord injury care. With little to no access to a primary care provider, most individuals with spinal cord injuries will typically turn to rehabilitation centers and clinics for their healthcare needs. These clinics are generally equipped to handle the specialty care needs of these individuals, such as bowel and bladder care, neuropathic pain, spasticity, and other physical related issues. However, these centers typically do not provide primary care services; the focus is strictly on the specialty care needs of this population.

Purpose: The purpose of this project is to develop a model of care that integrates primary care into specialty care clinics for patients with spinal cord injuries, specifically at Rancho Los Amigos National Rehabilitation Center’s Outpatient Center.

Methods: A review of evidence based literate was completed on the healthcare needs of the spinal cord injury population including a review of models of care to integrate primary care into specialty care. The Donabedian framework was used to guide the Spinal Cord Injury Medical Home Model using three components: structure-process-outcomes [1]. This model will be validated by a panel of experts knowledgeable on spinal cord injury and primary care.

Results: The content of the model is organized by Donabedian’s structure, process, and outcomes framework. The model includes the relevance and importance on key components of care including physical space requirements, equipment needs, personnel, coordination, referral management and healthcare outcomes.

Conclusion/Implications: This model has the potential to improve overall access to care, improve care coordination, and improve patient outcomes. The next step will be to implement and evaluate the model. Once implemented and evaluated, the model of care can be further replicated at other outpatient spinal cord injury specialty care centers due to its scalability.

Mind control is a reductive process in which a man is reduced to an animal, machine or slave. The basic ideas of mind control originated in Tavistock and then they were developed in Germany, mainly in Dachau’s Nazi concentration camp. The Operation Paperclip recruited to the Nazi scientists who experienced the mental control in prisoners of Dachau thus Nazis participated in US mind control programs. Nowadays, recent researches give evidences of a classified US world mind control weapon program in full development organized by DARPA in illicit association with corrupt government’s American universities, technology transnational’s and mafias of prosecutors. DARPA’s organized crime is developing a secret, forced and illicit neuroscientific human experimentation with invasive neurotechnology as brain nanobots, microchips and implants to execute mind control. It is necessary that world society is informed on the truth about the mind control and that the honest authorities take the preventive measures to block the massive mind control that DARPA is developing in the world.