The first antenatal diagnosis of KBG syndrome: a microdeletion at chromosome 16q24.2q24.3 containing multiple genes including ANKRD11 associated with the disorder.

The loss of ANKRD11 gene confirms the diagnosis of KBG syndrome but does not elucidate the pediatric phenotype providing a counseling challenge. With the expansion of prenatal diagnosis, and the potential to perform whole-exome sequencing antenatally, we must describe the genetic abnormalities, antenatal ultrasound findings, and phenotype concurrently to facilitate counseling.

A demonstration of dual-task performance without interference in some older adults.

Highly efficient dual-task processing is demonstrated when reaction time to each of two tasks does not differ between the dual-task situation and the single-task situation. This has been demonstrated reliably in younger adults; nevertheless, the two extant studies of extensive dual-task training did not find evidence for it in any elderly adult. The origins of age-related differences after training were explored in a study in which the stimuli for the two tasks were perfectly redundant although two distinct responses were required.

Physician behavior changes following CME on the prospective payment system in long-term care: a pilot study.

Introduction: Physicians must understand regulatory changes in long-term care (LTC) and adhere to prospective payment system (PPS) guidelines for minimum data set (MDS), resource utilization groups (RUG) and resident assessment instrument (RAI) processes, documentation, and evaluation. We pilot-tested "Prospective Payment System in LTC," a 7.5 hour continuing medical education (CME) program designed to help participants make plans to implement and adhere to PPS guidelines and regulatory requirements.

Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points.

Background And Purpose: Myofascial trigger points (TPs) are found among patients who have neck and upper back pain. The purpose of this study was to determine the effectiveness of a home program of ischemic pressure followed by sustained stretching for the treatment of myofascial TPs.

Subjects: Forty adults (17 male, 23 female), aged 23 to 58 years (mean=30.

Energy costs of walking on a dual-action treadmill in men and women.

The physiological responses of normal walking and walking on a dual action treadmill which incorporates arm exercise were compared in 29 men and 37 women. Subjects completed six, 5-min steady-state exercises at 2.0, 3.