Background/Purpose: Poliomyelitis (polio) was prevalent in certain parts of the world in the 1950s. As post-polio patients age, low-energy proximal, shaft, and distal femoral fractures are becoming more common in this population. Unique problems include altered bony anatomy affecting reduction and conventional implant placement. Impaired bone quality and muscle strength pose significant challen...

The social rejection of the polio eradication campaign in endemic countries challenges an assumption underlying the goal itself: the full compliance of an entire population to a public health programme. The polio campaign, which has been an extraordinary public health enterprise, is at risk of becoming irremediably unpopular if the eradication goal is pursued at all costs. The Global Polio Erad...

BACKGROUND The government of India launched the pulse polio immunization (PPI) programme in 1995 with the aim of eradicating poliomyelitis by the end of 2000. Despite this, 733 children with polio were reported in 2009 alone. Therefore, there is a need to understand the reason underlying such high numbers of cases after so many years of programme implementation. This study was performed to asse...

OBJECTIVES To examine the characteristics of fatigued and non-fatigued post-polio patients and to define potential subgroups across the fatigue continuum. DESIGN Multi-centre study. SUBJECTS A total of 143 post-polio patients were subdivided on the basis of percentile distribution into a fatigue group, a intermediate group, and a non-fatigue group, using the Multi Fatigue Inventory 20 gener...

Language use is even more central to the practice and theory of medicine, or indeed any other kind of healing, than it is to other sciences and activities that require a specialized lexicon. As the author of this valuable study remarks, in medicine, "language is both tool and product simultaneously". As psychosocial and psychoneurological explanations become ever more persuasive within orthodox...

objective: as we are approaching the global eradication of wild poliovirus, laboratory surveillance of poliovirus by the gold standard cell culture method becomes increasingly important. as there is a lot of concern about accurate and sensitive detection of imported wild and vaccine derived polioviruses (vdpvs) in polio-free countries, in this study we assessed and compared the sensitivity of t...

OBJECTIVE To investigate perceived health and its relation to residual paresis from polio, late onset neuromuscular symptoms following poliomyelitis (LSP), and sex, in a population based sample of polio survivors. METHODS 350 subjects traced from the notification records of the Dutch 1956 polio epidemic received a mailed questionnaire on residual polio paresis and new neuromuscular symptoms. ...

BACKGROUND To prevent importations of wild polioviruses into a polio free region a high level of population immunity must be kept. Standard methodology for determination of polio antibodies is a feature aimed at obtaining consistent results. An International Standard Serum for polio antibodies exists, but no protective level in International Units is defined. METHODS A representative study wa...

OBJECTIVE To evaluate the construct validity of a new rating scale for self-reported impairments in persons with late effects of polio. DESIGN Psychometric analysis of data on self-perceived impairments in persons with prior polio. PARTICIPANTS Two hundred seventy-three persons with prior polio (119 men and 154 women; mean age, 63.5 years). METHOD Rasch analysis of a 13-item rating scale ...

Objectives Transmission of polio poses a threat to military forces when deploying to regions where such viruses are endemic. US-born soldiers generally enter service with immunity resulting from childhood immunization against polio; moreover, new recruits are routinely vaccinated with inactivated poliovirus vaccine (IPV), supplemented based upon deployment circumstances. Given residual protecti...