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Functional Rehab

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https://www.readbyqxmd.com/read/27885099/rotationplasty-in-adult-cancer-patients-what-is-the-rehab-strategy-and-what-results-can-be-expected-a-case-study
#1
Mattia Morri, Cristiana Forni
BACKGROUND AND AIM: Rotationplasty is an important and demanding challenge for physiotherapists. The aim of this paper is to describe the functional outcome achieved by a patient undergoing rotationplasty in adult age following osteosarcoma. CASE DESCRIPTION AND METHODS: The patient was followed throughout the rehabilitation course and the results achieved were recorded at 6, 9 and 12 months after surgery. FINDINGS AND OUTCOMES: The results progressively improved in terms of function, functional performance and quality of life...
November 24, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27776222/neck-dissection-s-burden-on-the-patient-functional-and-psychosocial-aspects-in-1-652-patients-with-oral-squamous-cell-carcinomas
#2
Simon Spalthoff, Rüdiger Zimmerer, Philipp Jehn, Nils-Claudius Gellrich, Jörg Handschel, Gertrud Krüskemper
PURPOSE: In this study of patients with oral squamous cell carcinoma, the authors sought to clarify the functional and psychosocial harms of neck dissection (ND), which lessens quality of life. MATERIALS AND METHODS: The study included questionnaire responses from patients with oral squamous cell carcinoma (n = 1,652) and clinicians (n = 1,489), as collected in the DÖSAK Rehab Study. Psychosocial and functional factors were assessed. Functional and psychosocial outcomes in patients who did not receive ND were compared with those in patients who underwent selective supraomohyoid ND (SND), modified radical ND (MND), and radical ND (RND)...
September 28, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27728937/-burdens-at-admission-short-term-effects-and-predictors-of-health-status-at-discharge-among-1%C3%A2-803-patients-with-fibromyalgia-syndrome
#3
N Gerdes, E Farin
Objective: Taking Fibromyalgia syndrome (FMS) as an example, the article illustrates a problem that to our knowledge has not been addressed in rehabilitation research so far: According to our large dataset, a sizeable proportion of patients had to be sent home with extremely severe burdens (<2(nd) percentile in the normal population) at discharge - in spite of good improvements during their stay. Data and methods: Since 2009, patients in the RehaKlinikum Bad Säckingen, an in-patient rehab center for orthopedic-rheumatic diseases, answer the questionnaire "Indicators of Rehabilitation Status" (IRES) at the beginning and the end of their stay...
October 2016: Die Rehabilitation
https://www.readbyqxmd.com/read/27723572/zinc-oxide-nanoparticles-and-a-standard-antidiabetic-drug-restore-the-function-and-structure-of-beta-cells-in-type-2-diabetes
#4
Rehab Mohmed El-Gharbawy, Ashraf Mahmoud Emara, Sally El-Sayed Abu-Risha
The aim of this study was to use Zinc oxide nanoparticles and a standard antidiabetic drug to restore the function and structure of beta cells in a rat model of Type-2 diabetes and compare the effects of a DPP-IV inhibitor with or without zinc oxide nanoparticles (ZnONPs) using a model of type 2 diabetes (rats fed a high fat diet that was treated with a low dose of streptozotocin). Ninety male Wistar rats were randomly divided into three groups 10days after the induction of diabetes: group I: non-diabetic animals that received only the chow diet plus 2ml of 0...
October 7, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27676926/prospective-payment-in-french-post-acute-care-comparison-to-international-funding-of-rehabilitation-systems
#5
Jean-Pascal Devailly, Laurence Josse
OBJECTIVE: In all countries, the boundaries are ambiguous between acute and post-acute as well as defining the dimensions of care. The aim of this study is to analyze relations between segmentation of care and payment systems. In the new prospective payment system implemented in French SSR, the grouping unit is inpatient stay and the week for day hospitalization. In 1991, the field of SSR mixed structures as diverse in their purposes as public or private hospital units of rehabilitation and "nursing homes"...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27585525/comparative-study-of-allogenic-and-xenogeneic-mesenchymal-stem-cells-on-cisplatin-induced-acute-kidney-injury-in-sprague-dawley-rats
#6
Rehab H Ashour, Mohamed-Ahdy Saad, Mohamed-Ahmed Sobh, Fatma Al-Husseiny, Mohamed Abouelkheir, Amal Awad, Doaa Elghannam, Hassan Abdel-Ghaffar, Mohamed Sobh
BACKGROUND: The paracrine and regenerative activities of mesenchymal stem cells (MSCs) may vary with different stem cell sources. The aim of the present study is to compare the effects of MSCs from different sources on acute kidney injury (AKI) induced by cisplatin and their influence on renal regeneration. METHODS: A single intraperitoneal injection of cisplatin (5 mg/kg) was used to induce AKI in 120 Sprague-Dawley rats. Rats were treated with either rat bone marrow stem cells (rBMSCs), human adipose tissue-derived stem cells (hADSCs), or human amniotic fluid-derived stem cells (hAFSCs)...
September 1, 2016: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/27566981/strengthening-quality-of-care-through-standardized-reporting-based-on-the-world-health-organization-s-reference-classifications
#7
Delgerjargal Dorjbal, Alarcos Cieza, Hans Peter Gmünder, Anke Scheel-Sailer, Gerold Stucki, T Bedirhan Üstün, Birgit Prodinger
QUALITY ISSUE: Responding to person's health and related needs requires the availability of health information that reflects relevant aspects of a health condition and how this health condition impacts on a person's daily life. INITIAL ASSESSMENT: Health information is routinely collected at different time points by diverse professionals, in different settings for various purposes with varying methods. Consequently, health information is not always comparable, posing a challenge to the regular monitoring of quality...
August 27, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27552458/successful-nonoperative-management-of-hagl-humeral-avulsion-of-glenohumeral-ligament-lesion-with-concurrent-axillary-nerve-injury-in-an-active-duty-us-navy-seal
#8
Justin J Ernat, Craig R Bottoni, Douglas J Rowles
Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion that has been recognized as a cause of recurrent shoulder instability. To our knowledge there are no reports of successful return to full function in young, competitive athletes or return to manual labor following nonoperative management of a HAGL lesion. A 26-year-old Navy SEAL was diagnosed with a HAGL injury, and associated traction injury of the axillary nerve as well as a partial tear of the rotator cuff. Operative intervention was recommended; however, due to issues with training and with inability to properly rehab with the axillary nerve injury, surgical plans were delayed...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27494170/impact-of-early-mobilization-and-rehabilitation-on-global-functional-outcome-one-year-after-aneurysmal-subarachnoid-hemorrhage
#9
Tanja Karic, Cecilie Røe, Tonje Haug Nordenmark, Frank Becker, Angelika Sorteberg
OBJECTIVE: To assess the impact of early mobilization and rehabilitation on global functional outcome one year after aneurysmal subarachnoid haemorrhage. METHODS: Prospective, controlled, interventional study comprising patients managed in the neuro-intermediate ward following repair of a ruptured intracranial aneurysm. Patients in the Control group (n = 76) received standard treatment, whereas those in the Early Rehab group (n = 92) in addition underwent early mobilization and rehabilitation...
October 5, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27451589/respiratory-rehabilitation-in-healing-depression-and-anxiety-in-copd-patients
#10
Maria-Mădălina Bodescu, Adina Magdalena Turcanu, Maria-Cristina Gavrilescu, T Mihăescu
UNLABELLED: Chronic Obstructive Pulmonary Disease (COPD) is an inflammatory affection of the whole lung, characterized by an accelerated loss of the pulmonary functions, that reduces the patients' independence and stops them from having a normal, active life. The medical rehabilitation is considered "Third class rehabilitation", after preventive medicine and pharmaceutical medicine, and the respiratory rehabilitation recovery represents a complex structure of service addressing to patients with chronic pulmonary illnesses whose aim is to optimize the physical performances, psycho-social and autonomy...
October 2015: Pneumologia: Revista Societății Române de Pneumologie
https://www.readbyqxmd.com/read/27447483/effectiveness-of-a-very-early-stepping-verticalization-protocol-in-severe-acquired-brain-injured-patients-a-randomized-pilot-study-in-icu
#11
Giuseppe Frazzitta, Ilaria Zivi, Roberto Valsecchi, Sara Bonini, Sara Maffia, Katia Molatore, Luca Sebastianelli, Alessio Zarucchi, Diana Matteri, Giuseppe Ercoli, Roberto Maestri, Leopold Saltuari
BACKGROUND AND OBJECTIVE: Verticalization was reported to improve the level of arousal and awareness in patients with severe acquired brain injury (ABI) and to be safe in ICU. We evaluated the effectiveness of a very early stepping verticalization protocol on their functional and neurological outcome. METHODS: Consecutive patients with Vegetative State or Minimally Conscious State were enrolled in ICU on the third day after an ABI. They were randomized to undergo conventional physiotherapy alone or associated to fifteen 30-minute sessions of verticalization, using a tilt table with robotic stepping device...
2016: PloS One
https://www.readbyqxmd.com/read/27426088/amniotic-fluid-derived-mesenchymal-stem-cells-cut-short-the-acuteness-of-cisplatin-induced-nephrotoxicity-in-sprague-dawley-rats
#12
Fatma Al-Husseiny, Mohamed Ahmed Sobh, Rehab H Ashour, Samah Foud, Tarek Medhat, Abdel-Hady El-Gilany, Doaa Elghannam, Hassan Abdel-Ghaffar, Mohamed-Ahdy Saad, Mohamed Sobh
BACKGROUND AND OBJECTIVES: Cisplatin is a nephrotoxic chemotherapeutic agent. So, preventive measures worth to be evaluated. Human amniotic fluid stem cells (hAFSCs) in prevention or amelioration of cisplatin-induced acute kidney injury (AKI) in Sprague-Dawley rates have been tested. METHODS: 80 Sprague-Dawley rats (250~300 g) were used and divided into 4 major groups, 20 rats each. Group I: Saline-injected group. Group II: Cisplatin-injected group (5 mg/kg I.P)...
May 30, 2016: International Journal of Stem Cells
https://www.readbyqxmd.com/read/27405440/renoprotective-effect-of-a-combination-of-garlic-and-telmisartan-against-ischemia-reperfusion-induced-kidney-injury-in-obese-rats
#13
Sousou Ibrahim Ali, Naglaa Fathy Alhusseini, Hebatallah Husseini Atteia, Reham Abd El-Satar Idris, Rehab Abdallah Hasan
Obesity enhances the frequency and severity of acute kidney injury (AKI). Telmisartan pre-treatment was used experimentally in the amelioration of ischemia/reperfusion (IR)-induced AKI. However, there is a lack of evidence regarding its beneficial effects on AKI in obese animals. The present study, therefore, aimed to explore the protective effects of garlic and/or telmisartan against renal damage induced by unilateral IR in obese rats. Meloxicam was used as a standard anti-inflammatory agent. Prophylactic oral administration of meloxicam (3 mg kg(-1)), garlic (500 mg kg(-1)) and/or telmisartan (5 and 10 mg kg(-1)) for 4 wk protected against renal function deterioration induced by IR in obese rats...
September 2016: Free Radical Research
https://www.readbyqxmd.com/read/27380119/impact-of-early-inpatient-rehabilitation-on-adult-burn-survivors-functional-outcomes-and-resource-utilization
#14
Manuel Gomez, Morris Tushinski, Marc G Jeschke
On July 2012, a rehabilitation hospital merged with a trauma center where the regional burn center is located. That rehabilitation center provides the only burn rehabilitation program in our region. The objective of this study was to determine if earlier initiation of inpatient rehabilitation after merger had an effect on burn survivors' functional outcomes and resource utilization. A retrospective review of electronic data of burn survivors' functional outcomes (functional independence measure [FIM] ratings on admission, at discharge, and percent change), and resource utilization (waiting time for rehab, burn center length of stay [LOS], rehab LOS, physiotherapy and occupational therapy rehabilitation workload [RehabWorkload], and discharge destination) was undertaken...
June 29, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27351983/rehabilitation-needs-in-oncological-patients-the-on-rehab-project-results-on-patients-operated-for-musculoskeletal-tumors
#15
Maria G Benedetti, Silayan Erfe Delayon, Marco Colangeli, Federica Parisini, Stefano Ferrari, Marco Manfrini, Isabella Springhetti
BACKGROUND: Rehabilitation plays an important role in improving functional outcome in patients operated on musculoskeletal tumors. Literature in the field is scarce and the specific needs for rehabilitation of these patients are still unknown. AIM: To analyze the rehabilitation needs of patients with primary malignant musculoskeletal tumours. DESIGN: Observational, longitudinal study on both inpatient and outpatient operated on musculoskeletal tumours...
June 28, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27297242/day-of-surgery-impacts-outcome-rehabilitation-utilization-on-hospital-length-of-stay-in-patients-undergoing-elective-meningioma-resection
#16
Christopher A Sarkiss, Joseph A Papin, Amy Yao, James Lee, Roberta K Sefcik, Eric K Oermann, Errol L Gordon, Kalmon D Post, Joshua B Bederson, Raj K Shrivastava
OBJECTIVE/BACKGROUND: Meningiomas account for approximately one third of all brain tumors in the United States. In high-volume medical centers, the average length of stay (LOS) for a patient is 6.8 days compared with 8.8 days in low-volume centers with median total admission charges equaling approximately $55,000. To our knowledge, few studies have evaluated day of surgery and its effect on hospital LOS. Our primary goal was to analyze patient outcome as a direct result of surgical date, as well as to characterize the individual variables that may impact their hospital course, early access to rehabilitation, and long-term functional status...
September 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27275221/lactoferrin-enhanced-apoptosis-and-protected-against-thioacetamide-induced-liver-fibrosis-in-rats
#17
Alyaa Hessin, Rehab Hegazy, Azza Hassan, Nemat Yassin, Sanaa Kenawy
BACKGROUND: Liver fibrosis is the common pathologic consequence of all chronic liver diseases. AIM: Lactoferrin (Lf) was investigated for its possible hepatoprotective effect against thioacetamide (TAA)-induced liver fibrosis rat model. MATERIAL AND METHODS: Rats received TAA (200 mg/kg/biweekly, ip) for four successive weeks. Lf (200 mg/kg/day, p.o.) or vehicle (VHC) was administered for one month before and another month during TAA injection...
June 15, 2015: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27268564/efficacy-of-inpatient-rehabilitation-following-left-ventricular-assist-device-implantation
#18
Gardner Yost, Laura Coyle, Kristen Milkevitch, Roy Adair, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist devices (LVADs) have become an increasingly popular and effective means for treating advanced heart failure. LVAD implantation requires extensive surgery and postoperative rehabilitation. The functional independence measure (FIM) has been used to quantify functional gains in numerous patient populations including those with stroke and spinal cord injury. This study investigated functional improvements in patients undergoing left ventricular assist device implantation using the FIM score...
June 3, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27018474/mutations-in-smg9-encoding-an-essential-component-of-nonsense-mediated-decay-machinery-cause-a-multiple-congenital-anomaly-syndrome-in-humans-and-mice
#19
Ranad Shaheen, Shams Anazi, Tawfeg Ben-Omran, Mohammed Zain Seidahmed, L Brianna Caddle, Kristina Palmer, Rehab Ali, Tarfa Alshidi, Samya Hagos, Leslie Goodwin, Mais Hashem, Salma M Wakil, Mohamed Abouelhoda, Dilek Colak, Stephen A Murray, Fowzan S Alkuraya
Nonsense-mediated decay (NMD) is an important process that is best known for degrading transcripts that contain premature stop codons (PTCs) to mitigate their potentially harmful consequences, although its regulatory role encompasses other classes of transcripts as well. Despite the critical role of NMD at the cellular level, our knowledge about the consequences of deficiency of its components at the organismal level is largely limited to model organisms. In this study, we report two consanguineous families in which a similar pattern of congenital anomalies was found to be most likely caused by homozygous loss-of-function mutations in SMG9, encoding an essential component of the SURF complex that generates phospho-UPF1, the single most important step in NMD...
April 7, 2016: American Journal of Human Genetics
https://www.readbyqxmd.com/read/26920909/systemic-inflammatory-response-syndrome-and-outcomes-in-intracerebral-hemorrhage
#20
Amelia K Boehme, Angela N Hays, Kimberly P Kicielinski, Kanika Arora, Niren Kapoor, Michael J Lyerly, Alissa Gadpaille, Harn Shiue, Karen Albright, David Miller, Mitchell S V Elkind, Mark R Harrigan
BACKGROUND: To identify the patients at greatest odds for systemic inflammatory response syndrome (SIRS) and examine the association between SIRS and outcomes in patients presenting with intracerebral hemorrhage (ICH). METHODS: We retrospectively reviewed consecutive patients presenting to a tertiary care center from 2008 to 2013 with ICH. SIRS was defined according to standard criteria as 2 or more of the following: (1) body temperature <36 or >38 °C, (2) heart rate >90 beats per minute, (3) respiratory rate >20, or (4) white blood cell count <4000/mm(3) or >12,000/mm(3) or >10 % polymorphonuclear leukocytes for >24 h in the absence of infection...
August 2016: Neurocritical Care
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