Faculty Bibliography

People with allergies should take comfort in the fact they they don't have to suffer. Important aspects of allergy care--such as prevention and early treatment--are discussed

OBJECTIVE: To assess the efficacy of biofeedback therapy in poststroke rehabilitation. DESIGN: A meta-analysis of the reported randomized control trials of biofeedback therapy in poststroke rehabilitation was performed. Data were analyzed using the effect size method and pooled using the Der Simonian-Laird Random Effects Model. Study quality was assessed according to the method of Chalmers. SETTING: All included studies were conducted in academically based rehabilitation settings. PATIENTS: Patients were in the rehabilitative phase of their illness. The timing of the intervention from the acute event did vary greatly between and within studies. INTERVENTION: Biofeedback therapy was applied to a paretic limb of patients in the study group. Both treatment and control groups received standard physical therapy. MAIN OUTCOME MEASURE: Change in range of motion of a joint of a paretic limb as a result of treatment was examined. This measure was chosen after the eligible studies were evaluated for combinable end points. RESULTS: A total of eight studies were included in the analysis. The mean effect size for change in lower extremity range of motion as a result of biofeedback therapy was 1.50 (95% confidence interval [CI]: -0.59, 3.59). For the upper extremity the effect size was 2.30 (95% CI: -1.06, 5.66). Both results were not significant at the p < .05 level. Statistical tests showed significant heterogeneity among studies, validating the use of the Random Effects Model. CONCLUSION: Results of pooling available randomized control trials do not support the efficacy of biofeedback in restoring the range of motion of hemiparetic joints. Nevertheless, because the calculated mean effect sizes were large, with associated wide confidence intervals, the possibility of a type II error masking an important clinical benefit needs to be considered in evaluating this result

Federal health officials issued a report on May 30, 1995 citing a wide variety of serious deficiencies in patient care at Dana-Farber Cancer Institute in Boston, a Harvard teaching hospital that is among the most prestigious cancer centers in the country

The World Health Organization on May 30, 1995 reported an increase, to 153, in the number of deaths from infection with the Ebola virus in Zaire. But it said the new numbers represent cases that occurred in the earliest phase of the epidemic, from January to March, and are just now being confirmed

The Centers for Disease Control and Prevention, which is in the front line of the world's response to the deadly Ebola virus epidemic in Zaire, is finding itself hard pressed to cope with the crisis. Budget constraints have left its highest security laboratory critically understaffed, and there is grave concern that overwork could lead to a fatal accident, officials of the agency here and independent experts said in interviews. They have led the inquiries into Legionnaires' disease, AIDS, the hantavirus outbreak and many other threats to public health. And, despite being understaffed, the laboratory was able to identify the cause of the Zaire outbreak as Ebola in just two days

Dipping a wafer into the communion cup does not abolish the risk of infection to the communicant but it is safer than sipping wine from a common cup, according to a study reported at a scientific meeting here this week. Anne LaGrange Loving, a professor of microbiology at Felician College in Lodi, N.J., undertook the study because of widespread concern about the potential hazards associated with sipping communal wine. Although no illness has been documented, the current concern is that the practice of sipping wine from a communion cup could be hazardous for those people with cancer and AIDS, as they have impaired immune systems, Loving said. For that reason, the alternative of dipping wafers into the wine, either by the communicant or the minister, has become popular among many denominations, Loving said

According to a study reported at a scientific meeting in Washington DC during the week of May 22, 1995, dipping a wafer into the communion cup does not abolish the risk of infection to the communicant, but it is safer than sipping wine from a common cup. The potential hazards from sipping communal wine has been a topic of religious debate and scientific investigation for more than a century

The World Health Organization, citing only six new cases of Ebola infection in the last week, said May 26, 1995 that the epidemic of the deadly viral disease in Zaire was 'coming under control.' WHO has now identified a total of 160 confirmed or suspected cases, including 121 deaths