Publications by authors named "Joshua Jacob"

Article Synopsis
  • Many individuals who have had a stroke struggle to use their affected arm effectively even though they have the capability, a situation known as arm nonuse.
  • *A study investigated how cognitive demand affects arm choice and motor performance in stroke patients using a virtual reality task that simulates real-life activities.
  • *Results revealed that higher cognitive loads led to poorer performance with the affected arm, slower movements, and increased difficulty in reaching, highlighting the influence of cognitive factors on arm usage in daily life for stroke survivors.*
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Perception of task goal influences motor performance and coordination. In bimanual actions, it is unclear how one's perception of task goals influences bimanual coordination and performance in individuals with unilateral stroke. We characterized inter-limb coordination differences in individuals with chronic right- and left-hemisphere damaged (RCVA: n = 24, LCVA: n = 24) stroke and age-matched neurotypical controls (n = 24) as they completed bimanual reaching tasks under distinct goal conditions.

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Recreating complex structures and functions of natural organisms in a synthetic form is a long-standing goal for humanity. The aim is to create actuated systems with high spatial resolutions and complex material arrangements that range from elastic to rigid. Traditional manufacturing processes struggle to fabricate such complex systems.

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Aim: Oral food challenges (OFC) are an important tool in the assessment of food allergy. We sought to identify factors available at initial assessment visit which were associated with successful outcome or challenge failure in Australian children.

Methods: We conducted a retrospective review of all paediatric patients who underwent OFC in our allergy service over a 5-year period.

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The perceptual feature of a task such as how a task goal is perceived influences performance and coordination of bimanual actions in neurotypical adults. To assess how bimanual task goal modifies paretic and non-paretic arm performance and bimanual coordination in individuals with stroke affecting left and right hemispheres, 30 participants with hemispheric stroke (15 right-hemisphere damage-RHD); 15 left-hemisphere damage-LHD) and 10 age-matched controls performed reach-to-grasp and pick-up actions under bimanual common-goal (i.e.

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Article Synopsis
  • - The study compared viral dynamics in vaccinated individuals versus unvaccinated individuals infected with SARS-CoV-2, focusing on breakthrough infections among vaccinated subjects.
  • - Findings indicated that vaccinated individuals experienced shorter periods of infectious virus shedding and milder symptoms compared to those who were unvaccinated, suggesting effective viral control in those who are vaccinated.
  • - The research concluded that vaccination not only reduces the potential for virus transmission but also limits the severity and spread of symptoms, indicating overall enhanced immunity against the virus.
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Acute compartment syndrome (ACS) of the thigh following femoral fracture has been rarely reported in previous literature. This condition must be diagnosed quickly to prevent the affected limb becoming ischaemic. We document the management of ACS of the thigh in a healthy male patient who suffered a proximal femur fracture following a high-speed road traffic accident.

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Article Synopsis
  • The study investigates the impact of concurrent COVID-19 infection on mortality rates following fragility hip fractures, highlighting a significant increase in 30-day mortality for infected patients.
  • Conducted across 10 hospitals in England, the research involved 746 patients, with those infected having higher mortality rates at 30 and 120 days post-surgery, though rates equalized significantly between 31 and 120 days.
  • The findings suggest that surviving patients with COVID-19 infection by day 31 do not have a greater risk of dying within 120 days, indicating that long-term mortality isn't adversely affected after a hip fracture in this context.
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Article Synopsis
  • The study investigates vaccine breakthrough infections in vaccinated individuals compared to unvaccinated individuals, amidst the ongoing SARS-CoV-2 pandemic and the emergence of new variants like Delta.
  • Results showed that vaccinated individuals have a significantly reduced duration of both infectious virus shedding and symptoms compared to those who are unvaccinated.
  • Additionally, vaccine breakthrough infections exhibit strong tissue compartmentalization, often only detectable in saliva, suggesting that vaccination can limit transmission potential and symptom severity.
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Background: Little consensus is available regarding the standard treatment for recurrent anterior instability of the shoulder. Typically, treatment selection has been based on training and tradition rather than the available evidence.

Purpose: This study aimed to compare the clinical outcomes between arthroscopic Bankart procedure and the Latarjet procedure in the treatment of recurrent anterior shoulder instability with emphasis on follow-up time.

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Background: There is a general consensus on the management of femoral fractures in children younger than two years and adolescents older than sixteen years. The best treatment for patients younger than sixteen years of age is still debatable. Titanium Elastic Nails (TEN), is widely used with some evidence, nonetheless, we undertook a systematic meta-analysis to assess the efficacy of TEN compared to Spica cast for the management of femoral shaft fracture in children aged between 2 to 16 years old.

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Currently, approximately half of all hip fractures are extracapsular, with an incidence as high as 50 in 100,000 in some countries. The common classification systems fail to explain the logistics of fracture classification and whether they all behave in the same manner. The Muller AO classification system is a useful platform to delineate stable and unstable fractures.

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Background: Hip hemiarthroplasty (HA) following an intracapsular neck of femur fracture is an increasingly common procedure as a result of an ageing population. Patients are often frail and so morbidity and mortality figures are significant. As a result the National Institute for Health and Clinical Excellence (NICE) has formulated guidelines and a Best Practice Tariff (BPT) in an attempt to improve the care of such patients.

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The aim of this study was to compare the biomechanical properties of medial and lateral plating of a medially comminuted supracondylar femoral fracture. A supracondylar femoral fracture model comparing two fixation methods was tested cyclically in axial loading. One-centimetre supracondylar gap osteotomies were created in six synthetic femurs approximately 6 cm proximal to the knee joint.

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Purpose Of The Study: We assess whether patient functional outcomes with the use of a tightrope in conjunction with trapeziectomy are better than traditional trapeziectomy alone.

Methods: Retrospective study of 56 trapeziectomies in 53 patients; 26 trapeziectomies alone without additional procedures, and 30 trapeziectomies performed in conjunction with tightrope suspensionplasty. All patients were scored using Quick DASH, Patient-Rated Wrist Evaluation and Nelson base of thumb arthritis scores pre- and post-operatively.

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