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This definitive guide to the Pilates discipline includes more than 100 mat and standing exercises from beginner to advanced levels, plus a comprehensive guide to the key principles and concepts of the program, including stance, breathing, control, and safety -- Source other than Library of Congress.

A practical introduction to epidemiology, biostatistics, and research methodology for the whole health care community This comprehensive text, which has been extensively revised with new material and additional topics, utilizes a practical slant to introduce health professionals and students to epidemiology, biostatistics, and research methodology. It draws examples from a wide range of topics, covering all of the main contemporary health research methods, including survival analysis, Cox regression, and systematic reviews and meta-analysis—the explanation of which go beyond introductory concepts. This second edition of Quantitative Methods for Health Research: A Practical Interactive Guide to Epidemiology and Statistics also helps develop critical skills that will prepare students to move on to more advanced and specialized methods. A clear distinction is made between knowledge and concepts that all students should ensure they understand, and those that can be pursued further by those who wish to do so. Self-assessment exercises throughout the text help students explore and reflect on their understanding. A program of practical exercises in SPSS (using a prepared data set) helps to consolidate the theory and develop skills and confidence in data handling, analysis, and interpretation. Highlights of the book include: * Combining epidemiology and bio-statistics to demonstrate the relevance and strength of statistical methods * Emphasis on the interpretation of statistics using examples from a variety of public health and health care situations to stress relevance and application * Use of concepts related to examples of published research to show the application of methods and balance between ideals and the realities of research in practice * Integration of practical data analysis exercises to develop skills and confidence * Supplementation by a student companion website which provides guidance on data handling in SPSS and study data sets as referred to in the text Quantitative Methods for Health Research, Second Edition is a practical learning resource for students, practitioners and researchers in public health, health care and related disciplines, providing both a course book and a useful introductory reference. 

Background Neoadjuvant chemoradiotherapy (nCRT) plus surgery is a standard treatment for locally advanced oesophageal cancer. With this treatment, 29% of patients have a pathologically complete response in the resection specimen. This provides the rationale for investigating an active surveillance approach. The aim of this study is to assess the (cost-)effectiveness of active surveillance vs. standard oesophagectomy after nCRT for oesophageal cancer. Methods This is a phase-III multi-centre, stepped-wedge cluster randomised controlled trial. A total of 300 patients with clinically complete response (cCR, i.e. no local or disseminated disease proven by histology) after nCRT will be randomised to show non-inferiority of active surveillance to standard oesophagectomy (non-inferiority margin 15%, intra-correlation coefficient 0.02, power 80%, 2-sided α 0.05, 12% drop-out). Patients will undergo a first clinical response evaluation (CRE-I) 4–6 weeks after nCRT, consisting of endoscopy with bite-on-bite biopsies of the primary tumour site and other suspected lesions. Clinically complete responders will undergo a second CRE (CRE-II), 6–8 weeks after CRE-I. CRE-II will include 18F–FDG-PET-CT, followed by endoscopy with bite-on-bite biopsies and ultra-endosonography plus fine needle aspiration of suspected lymph nodes and/or PET- positive lesions. Patients with cCR at CRE-II will be assigned to oesophagectomy (first phase) or active surveillance (second phase of the study). The duration of the first phase is determined randomly over the 12 centres, i.e., stepped-wedge cluster design. Patients in the active surveillance arm will undergo diagnostic evaluations similar to CRE-II at 6/9/12/16/20/24/30/36/48 and 60 months after nCRT. In this arm, oesophagectomy will be offered only to patients in whom locoregional regrowth is highly suspected or proven, without distant dissemination. The main study parameter is overall survival; secondary endpoints include percentage of patients who do not undergo surgery, quality of life, clinical irresectability (cT4b) rate, radical resection rate, postoperative complications, progression-free survival, distant dissemination rate, and cost-effectiveness. We hypothesise that active surveillance leads to non-inferior survival, improved quality of life and a reduction in costs, compared to standard oesophagectomy. Discussion If active surveillance and surgery as needed after nCRT leads to non-inferior survival compared to standard oesophagectomy, this organ-sparing approach can be implemented as a standard of care.

Exact solutions of nonlinear differential equations are of great importance to the theory and practice of complex systems. The main point of this review article is to discuss a specific methodology for obtaining such exact solutions. The methodology is called the SEsM, or the Simple Equations Method. The article begins with a short overview of the literature connected to the methodology for obtaining exact solutions of nonlinear differential equations. This overview includes research on nonlinear waves, research on the methodology of the Inverse Scattering Transform method, and the method of Hirota, as well as some of the nonlinear equations studied by these methods. The overview continues with articles devoted to the phenomena described by the exact solutions of the nonlinear differential equations and articles about mathematical results connected to the methodology for obtaining such exact solutions. Several articles devoted to the numerical study of nonlinear waves are mentioned. Then, the approach to the SEsM is described starting from the Hopf–Cole transformation, the research of Kudryashov on the Method of the Simplest Equation, the approach to the Modified Method of the Simplest Equation, and the development of this methodology towards the SEsM. The description of the algorithm of the SEsM begins with the transformations that convert the nonlinearity of the solved complicated equation into a treatable kind of nonlinearity. Next, we discuss the use of composite functions in the steps of the algorithms. Special attention is given to the role of the simple equation in the SEsM. The connection of the methodology with other methods for obtaining exact multisoliton solutions of nonlinear differential equations is discussed. These methods are the Inverse Scattering Transform method and the Hirota method. Numerous examples of the application of the SEsM for obtaining exact solutions of nonlinear differential equations are demonstrated. One of the examples is connected to the exact solution of an equation that occurs in the SIR model of epidemic spreading. The solution of this equation can be used for modeling epidemic waves, for example, COVID-19 epidemic waves. Other examples of the application of the SEsM methodology are connected to the use of the differential equation of Bernoulli and Riccati as simple equations for obtaining exact solutions of more complicated nonlinear differential equations. The SEsM leads to a definition of a specific special function through a simple equation containing polynomial nonlinearities. The special function contains specific cases of numerous well-known functions such as the trigonometric and hyperbolic functions and the elliptic functions of Jacobi, Weierstrass, etc. Among the examples are the solutions of the differential equations of Fisher, equation of Burgers–Huxley, generalized equation of Camassa–Holm, generalized equation of Swift–Hohenberg, generalized Rayleigh equation, etc. Finally, we discuss the connection between the SEsM and the other methods for obtaining exact solutions of nonintegrable nonlinear differential equations. We present a conjecture about the relationship of the SEsM with these methods.

This book is an essential guide for anyone intending to write effective case studies for educational purposes. The practical tips provided in this book would apply to case writers at all levels -- benefiting not only the novice, but also more experienced case writers who are looking to improve the quality of their case writing.The book covers all of the fundamental components of a case study, and provides tips on how to manage the common challenges encountered at each stage of writing. It also guides the reader on what makes a good case study, and best practices to ensure quality control. The book would not be complete without some tried and tested advice for writing a strong teaching note to accompany the case. Beyond the writing itself, it also provides an overview of possible avenues for case publication.

Long-term complications of critical illness include intensive care unit (ICU)-acquired weakness and neuropsychiatric disease. Immobilisation secondary to sedation might potentiate these problems. We assessed the efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. Sedated adults (≥18 years of age) in the ICU who had been on mechanical ventilation for less than 72 h, were expected to continue for at least 24 h, and who met criteria for baseline functional independence were eligible for enrolment in this randomised controlled trial at two university hospitals. We randomly assigned 104 patients by computer-generated, permuted block randomisation to early exercise and mobilisation (physical and occupational therapy) during periods of daily interruption of sedation (intervention; n=49) or to daily interruption of sedation with therapy as ordered by the primary care team (control; n=55). The primary endpoint—the number of patients returning to independent functional status at hospital discharge—was defined as the ability to perform six activities of daily living and the ability to walk independently. Therapists who undertook patient assessments were blinded to treatment assignment. Secondary endpoints included duration of delirium and ventilator-free days during the first 28 days of hospital stay. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00322010. All 104 patients were included in the analysis. Return to independent functional status at hospital discharge occurred in 29 (59%) patients in the intervention group compared with 19 (35%) patients in the control group (p=0·02; odds ratio 2·7 [95% CI 1·2–6·1]). Patients in the intervention group had shorter duration of delirium (median 2·0 days, IQR 0·0–6·0 vs 4·0 days, 2·0–8·0; p=0·02), and more ventilator-free days (23·5 days, 7·4–25·6 vs 21·1 days, 0·0–23·8; p=0·05) during the 28-day follow-up period than did controls. There was one serious adverse event in 498 therapy sessions (desaturation less than 80%). Discontinuation of therapy as a result of patient instability occurred in 19 (4%) of all sessions, most commonly for perceived patient-ventilator asynchrony. A strategy for whole-body rehabilitation—consisting of interruption of sedation and physical and occupational therapy in the earliest days of critical illness—was safe and well tolerated, and resulted in better functional outcomes at hospital discharge, a shorter duration of delirium, and more ventilator-free days compared with standard care. None.

Maintaining long-term euglycemia after intraportal islet transplantation is hampered by the considerable islet loss in the peri-transplant period attributed to inflammation, ischemia and poor angiogenesis. Here, we show that viable and functional islet organoids can be successfully generated from dissociated islet cells (ICs) and human amniotic epithelial cells (hAECs). Incorporation of hAECs into islet organoids markedly enhances engraftment, viability and graft function in a mouse type 1 diabetes model. Our results demonstrate that the integration of hAECs into islet cell organoids has great potential in the development of cell-based therapies for type 1 diabetes. Engineering of functional mini-organs using this strategy will allow the exploration of more favorable implantation sites, and can be expanded to unlimited (stem-cell-derived or xenogeneic) sources of insulin-producing cells. Islet transplantation is a feasible approach to treat type I diabetes, however inflammation and poor vascularisation impair long-term engraftment. Here the authors show that incorporating human amniotic epithelial cells into islet organoids improves engraftment and function of organoids, through enhanced revascularisation.