OBJECTIVE: This study investigated the spatiotemporal gait parameters and indicators of turning difficulty during the Timed Up and Go (TUG) test in older adults with BPPV.
METHODS: This case-controlled study collected data from older adults aged 65 and above with BPPV, young adults with BPPV and older adults without BPPV. Postural stability and self-perception of stability were measured using the Functional Gait Analysis and the Malay version of the Dizziness Handicap Inventory, respectively. The spatiotemporal gait parameters were recorded using a camera. The one-way ANOVA test was used for statistical analysis.
RESULTS: Older adults with BPPV presented with alteration in gait parameters (time and number of steps) compared to older adults without BPPV and adults with BPPV during the TUG test (p
LEARNING POINTS: There is a broad range of differential diagnosis for acromegaloid features such as acromegaly, pseudoacromegaly with severe insulin resistance, Marfan's syndrome, McCune-Albright and a rare condition called pachydermoperiostosis.Once a patient is suspected to have acromegaly, the first step is biochemical testing to confirm the clinical diagnosis, followed by radiologic testing to determine the cause of the excess growth hormone (GH) secretion. The cause is a somatotroph adenoma of the pituitary in over 95 percent of cases.The first step is measurement of a serum insulin-like growth factor 1 (IGF1). A normal serum IGF1 concentration is strong evidence that the patient does not have acromegaly.If the serum IGF1 concentration is high (or equivocal), serum GH should be measured after oral glucose administration. Inadequate suppression of GH after a glucose load confirms the diagnosis of acromegaly.Once the presence of excess GH secretion is confirmed, the next step is pituitary magnetic resonance imaging (MRI).Atypical presentation warrants revision of the diagnosis. This patient presented with clubbing with no gigantism, which is expected in adolescent acromegalics as the growth spurt and epiphyseal plate closure have not taken place yet.
Materials and Methods: This study included pre-weaning kids aged 1 month, as well as post-weaning kids aged 3-6 months. 10 pre-weaning purebred Saanen kids (n = 5 male and n = 5 female) and 20 post-weaning Saanen kids (n = 10 male and n = 10 female) were employed in this investigation. Pre-and post-weaning kids' live weights were assessed weekly on a weighing scale, and BCS was calculated based on their body frame. In the data analysis, the two-sample t-test with Minitab Software was utilized.
Results: The findings revealed that pre-weaning Saanen kids gained weight steadily from week 1 to week 6, with males being heavier than females. The p-value, on the other hand, suggested that there was no difference in live weight between pre-weaning male and female Saanen kids. Over 6 weeks of sampling, the male had a larger proportion of live weight gain (80%) than the female (75%). Meanwhile, the BCS of pre-weaning Saanen kids grew from week 1 to week 6. It is critical to account for the development of muscle mass while still evaluating the fat cover to determine whether the kids are maintaining an adequate BCS. However, the live weight of post-weaning kids was inconsequential because they were still in the growing phase. As a result, from the 1st to 6th week, post-weaning kids' body weight and BCS increased as their growth progressed. After 6 weeks of sampling, females had a higher percentage of live weight than males. This is because the kids raised on the farm do not have complete control over the environmental effects. Over 6 weeks of sampling, female post-weaning Saanen kids grew a slightly higher percentage of live weight (88%) than males (85%).
Conclusion: This study conducted a direct assessment study, which monitored and determined the live weight and BCS of pre-and post-weaning Saanen kids. Pre-weaning kids' average values of live weight were calculated as insignificant at the age of 1 month. The mean live weight is most affected by milk consumption from its mothers, the management of the farm, and the environment. For the post-weaning Saanen kids, the females have a slightly higher average live weight gained for 6 weeks than the males (p > 0.05). In conclusion, the live weight changes of Saanen kids during the weaning stages are independent of the BCS.