Explore the vast range of titles available.

Background Stroke rehabilitation in low- and middle-income countries, such as Mexico, is often hampered by lack of clinical resources and funding. To provide a cost-effective solution for comprehensive post-stroke rehabilitation that can alleviate the need for one-on-one physical or occupational therapy, in lower and upper extremities, we proposed and implemented a technology-assisted rehabilitation gymnasium in Chihuahua, Mexico. The Gymnasium for Robotic Rehabilitation (Robot Gym) consisted of low- and high-tech systems for upper and lower limb rehabilitation. Our hypothesis is that the Robot Gym can provide a cost- and labor-efficient alternative for post-stroke rehabilitation, while being more or as effective as traditional physical and occupational therapy approaches. Methods A typical group of stroke patients was randomly allocated to an intervention ( n  = 10) or a control group ( n  = 10). The intervention group received rehabilitation using the devices in the Robot Gym, whereas the control group ( n  = 10) received time-matched standard care. All of the study subjects were subjected to 24 two-hour therapy sessions over a period of 6 to 8 weeks. Several clinical assessments tests for upper and lower extremities were used to evaluate motor function pre- and post-intervention. A cost analysis was done to compare the cost effectiveness for both therapies. Results No significant differences were observed when comparing the results of the pre-intervention Mini-mental, Brunnstrom Test, and Geriatric Depression Scale Test, showing that both groups were functionally similar prior to the intervention. Although, both training groups were functionally equivalent, they had a significant age difference. The results of all of the upper extremity tests showed an improvement in function in both groups with no statistically significant differences between the groups. The Fugl-Meyer and the 10 Meters Walk lower extremity tests showed greater improvement in the intervention group compared to the control group. On the Time Up and Go Test, no statistically significant differences were observed pre- and post-intervention when comparing the control and the intervention groups. For the 6 Minute Walk Test, both groups presented a statistically significant difference pre- and post-intervention, showing progress in their performance. The robot gym therapy was more cost-effective than the traditional one-to-one therapy used during this study in that it enabled therapist to train up to 1.5 to 6 times more patients for the approximately same cost in the long term. Conclusions The results of this study showed that the patients that received therapy using the Robot Gym had enhanced functionality in the upper extremity tests similar to patients in the control group. In the lower extremity tests, the intervention patients showed more improvement than those subjected to traditional therapy. These results support that the Robot Gym can be as effective as traditional therapy for stroke patients, presenting a more cost- and labor-efficient option for countries with scarce clinical resources and funding. Trial registration ISRCTN98578807 .

The contamination of water by Pb2+ ions is a problem that requires an imminent solution. Design of hydrogels based on polymers as well as inorganic phases is an innovative alternative for the generation of matrices with adapted properties. This work proposes the synthesis of a novel composite hydrogel based on collagen-polyurethane-chitosan reinforced with manganite; this inorganic phase increases the velocity of the adsorption process of the Pb2+ ions. The effect of the concentration of manganite on the properties of composite hydrogels is studied. The results indicate that the composite reinforced with manganite presents an amorphous structure, improved mechanical properties and resistance to the both acidic and proteolytic degradation. The hydrogel with 35 wt% of manganite show a removal rate of Pb2+ of 91 ± 6% at 24 h. These hydrogel composites could represent an efficient and sustainable alternative for the removal of Pb2+ ions from contaminated water.Graphic Abstract