ଝଝ This text is protected by copyright owned by SPILF. Reproduction and distribution rights are granted by SPILF on request, provided the text is reproduced in full, with no addition or deletion, and provided SPILF and the references of the original article published in Médecine et Maladies Infectieuses are indicated. Chikungunya (CHIK) is both an arbovirus transmitted by Aedes mosquitoes and an arthrogenic alphavirus, the clinical consequences of which were revealed in France by the southwest Indian Ocean outbreak (Mayotte, Reunion) in 2005-2006. The recent epidemic spread of CHIK in the French South American and Pacific territories (departments) and communities led to a steady increase of infected individuals, confronting local and metropolitan healthcare professionals with the difficulties http://dx.

termining the minimal clinically important difference for the six-minute walk test and the 200-meter fast-walk test during cardiac rehabilitation program in coronary artery disease patients after acute coronary syndrome..

Background:There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation.Objectives:To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking.Study Design:Validation of a diagnostic procedure.Methods:Sixty-four patients were included. Outcome measures: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function.Results:The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83–0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance.Conclusions:2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders.Clinical relevanceThis validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments – especially prosthetics – at the definitive prosthetic phase.

Background and Purpose-The organization of poststroke care will be a major challenge in coming years. We aimed to assess hospital disposition after stroke and its associated factors in clinical practice. Methods-All cases of stroke from 2006 to 2010 were identified from the population-based Stroke Registry of Dijon, France. Demographic features, risk factors, and prestroke treatments were recorded. Admission stroke severity was assessed using the National Institutes of Health Stroke Scale score. At discharge, we collected dementia, disability using the modified Rankin Scale, length of stay, and hospital disposition (home, rehabilitation, convalescent home, and nursing home). Multivariate analyses were performed using logistic regression models to identify associated factors of postdischarge disposition. Results-Of the patients with 1069 stroke included, 913 survived acute care. Among them, 433 (47.4%) returned home, whereas 206 (22.6%) were discharged to rehabilitation, 134 (14.7%) were admitted to a convalescent home, and 140 (15.3%) to a nursing home. Old patients, those under anticoagulants before stroke, those with severe stroke on admission, severe disability at discharge, dementia, or prolonged length of stay were less likely to return home. Moreover, advanced age, severe initial stroke, severe disability at discharge, and dementia were associated with admission to convalescent and nursing homes rather than rehabilitation centers. Conclusion-This