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https://www.readbyqxmd.com/read/27892441/a-prospective-study-of-commonly-prescribed-drugs-in-the-management-of-neuropathic-pain-and-its-medication-adherence-pattern
#1
R Shrestha, P Silwal, N Basnet, S Shakya Shrestha, R Shrestha, B R Pokharel
Background Neuropathic pain is one of the common complains of patients visiting neurology and orthopedic departments in hospitals. Management of neuropathic pain is difficult and is often symptomatic rather than being curative. Adherence to medication is necessary for pain management to be effective. However, there are various factors related to patient, physician, drug regimen and other socio-economic affecting adherence. Objective To study commonly prescribed drugs in neuropathic pain management and the medication adherence pattern including its associated factors...
January 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/27881585/partial-interhemispheric-disconnection-syndrome-p-ihds-secondary-to-marchiafava-bignami-disease-type-b-mbd-b
#2
Carlo Canepa, Lorena Arias
A 53-year-old man with a 35-year history of excessive alcohol intake presents to our neurology department with 4-year history of progressive neurocognitive deterioration and disconnection syndrome. MRI head demonstrates extensive demyelination of the corpus callosum (and of extracallosal sites as well), leading to a diagnosis of Marchiafava-Bignami disease. He was given treatment with vitamin B complex (including folate) and was assessed and managed by psychology, occupational therapy and physiotherapy with initial signs of improvement...
November 23, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27852879/examining-the-sources-of-occupational-stress-in-an-emergency-department
#3
S Basu, C Yap, S Mason
BACKGROUND: Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress. AIMS: To develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED...
November 16, 2016: Occupational Medicine
https://www.readbyqxmd.com/read/27846653/-assessment-of-occupational-problems-in-neurological-rehabilitation
#4
J D Rollnik, S B Schmidt, J Allmann, M Boltzmann
Introduction: The so-called Würzburg Screening (WS) is recommended for assessing occupational problems among rehabilitation patients. However, it is unclear whether it can be used in neurological rehabilitation. Data of the WS as well as of a medical opinion of occupational problems (both assessed at the beginning of rehabilitation) was compared with prognoses of occupation at the end of rehabilitation. Methods: Data of 347 neurological post-acute rehabilitation patients were analyzed. Data of the WS as well as of a medical opinion of occupational problems (both assessed at the beginning of rehabilitation) was compared with prognoses of occupation at the end of rehabilitation...
November 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27806425/-an-association-between-autonomy-and-national-ideology-the-founding-of-the-association-for-psychiatry-and-neurology-in-mecklenburg
#5
E Kumbier
Following the end of World War II, regional associations for psychiatry and neurology were founded in the Soviet Occupation Zone. Using the association in Mecklenburg as an example and considering the way society developed in the German Democratic Republic (GDR), it will be shown whether and to what degree these were increasingly subject to state control.
October 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27796833/neurotoxicity-effect-of-formaldehyde-on-occupational-exposure-and-influence-of-individual-susceptibility-to-some-metabolism-parameters
#6
Rezvan Zendehdel, Zohreh Fazli, Mohammad Mazinani
Over the years, neurotoxicity and cognitive dysfunction have separately been associated with endogenous formaldehyde and reduction of acetylcholine signals. However, a limited number of studies have shown a relationship between cholinergic neurotransmitter and formaldehyde exposure. Therefore, the aim of this study was to assess the neurological effect on workers from melamine-dish preparation workshop, who were exposed to formaldehyde. A total of 35 formaldehyde-exposed workers were compared with 32 control employees from the food industry...
December 0: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/27795365/entry-of-botulinum-neurotoxin-subtypes-a1-and-a2-into-neurons
#7
Abby R Kroken, Faith C Blum, Madison Zuverink, Joseph T Barbieri
Botulinum neurotoxins (BoNTs) are the most toxic proteins for humans, but also common therapies for neurological diseases. BoNTs are di-chain toxins, comprising an N-terminal catalytic domain (LC) disulfide bond linked to a C-terminal heavy chain (HC) which includes a translocation domain (HN) and a receptor-binding domain (HC). Recently, the BoNT/A subtypes A1 and A2 were reported to possess similar potency, but different rates of cellular intoxication and pathology in a mouse model of botulism. The current study measured HCA1 and HCA2 entry into rat primary neurons and cultured Neuro2A cells...
October 17, 2016: Infection and Immunity
https://www.readbyqxmd.com/read/27762167/demographic-and-clinical-characteristics-of-persons-with-spinal-cord-injury-in-turkey-one-year-experience-of-a-primary-referral-rehabilitation-center
#8
Özlem Taşoğlu, Engin Koyuncu, Rabia Daylak, Derya Yumuşak Karacif, Zerrin I Nce, Didem Yenigün, Neşe Özgirgin
OBJECTIVE: To define the demographic and clinical characteristics of persons with spinal cord injury, rehabilitated in a primary referral rehabilitation center in Turkey. DESIGN: Retrospective study. SETTING: Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey Methods: Medical records of all patients with spinal cord injury (acute-subacute-chronic) at a single academic referral center over the course of one year were reviewed...
October 20, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27760535/the-haiti-medical-education-project-development-and-analysis-of-a-competency-based-continuing-medical-education-course-in-haiti-through-distance-learning
#9
Robert Battat, Marc Jhonson, Lorne Wiseblatt, Cruff Renard, Laura Habib, Manouchka Normil, Brian Remillard, Timothy F Brewer, Galit Sacajiu
BACKGROUND: Recent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works in alliance with Haitian medical leadership, faculty and students to support the Country's medical education system. We present the creation, delivery and evaluation of a competency-based continuing medical education curriculum for physicians in rural Haiti...
October 19, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27748877/occupational-exposure-to-pesticides-as-a-possible-risk-factor-for-the-development-of-chronic-diseases-in-humans%C3%A2-review
#10
Silvia Gangemi, Edoardo Miozzi, Michele Teodoro, Giusi Briguglio, Annamaria De Luca, Carmela Alibrando, Irene Polito, Massimo Libra
It is well known that pesticides are widely used compounds. In fact, their use in agriculture, forestry, fishery and the food industry has granted a huge improvement in terms of productive efficiency. However, a great number of epidemiological surveys have demonstrated that these toxic compounds can interact and exert negative effects not only with their targets (pests, herbs and fungi), but also with the rest of the environment, including humans. This is particularly relevant in the case of workers involved in the production, transportation, preparation and application of these toxicants...
November 2016: Molecular Medicine Reports
https://www.readbyqxmd.com/read/27746727/evaluation-of-handwriting-movement-kinematics-from-an-ecological-to-a-magnetic-resonance-environment
#11
Ambra Bisio, Ludovico Pedullà, Laura Bonzano, Piero Ruggeri, Giampaolo Brichetto, Marco Bove
Writing is a means of communication which requires complex motor, perceptual, and cognitive skills. If one of these abilities gets lost following traumatic events or due to neurological diseases, handwriting could deteriorate. Occupational therapy practitioners provide rehabilitation services for people with impaired handwriting. However, to determine the effectiveness of handwriting interventions no studies assessed whether the proposed treatments improved the kinematics of writing movement or had an effect at the level of the central nervous system...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27721368/the-opinion-of-professional-caregivers-about-the-platform-understaid-for-patients-with-dementia
#12
Roksana Malak, Agnieszka Krawczyk-Wasielewska, Ewa Mojs, Bartosz Grobelny, Katarzyna B Głodowska, José Carlos Millán-Calenti, Laura Núñez-Naveira, Włodzimierz Samborski
BACKGROUND The person with dementia should be treated as an unique person regarding symptoms directly associated with dementia, such as problems with memory, hallucinations, and delusions, as well as other physical, mental, or neurological deficits. The symptoms not directly typical of dementia, such as musculoskeletal disorders or depression, should be also be considered in order to improve the quality of life of a person with dementia. That is why professional caregivers have to broaden their current knowledge not only of medical symptoms but also of the patient's psychosocial condition and increase their inquisitiveness about the individual condition of the patient...
October 10, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27703571/the-role-of-rehabilitation-in-the-management-of-patients-with-charcot-marie-tooth-disease-report-of-two-cases
#13
Erieta Nikolikj Dimitrova, Ivana Božinovikj, Simona Ristovska, Aleksandra Hadzieva Pejcikj, Aleksandra Kolevska, Mirjeta Hasani
BACKGROUND: Charcot-Marie-Tooth (CMT) disease is a hereditary disease with signs of chronic non-progressive motor-sensory neuropathy which is characterised by symmetric muscle atrophy and weakness of the distal portion of lower extremities. AIM: The aim is to present two cases with peroneal muscular atrophy, applied rehabilitation procedures and rehabilitation outcome. MATERIAL AND METHODS: Patient DR, aged 51, and patient KH, aged 78. Both patients had weakness and pronounced atrophy of the distal portion of lower extremities, numbness down the legs, contractures in the ankles and walking difficulties...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27688152/a-modelling-tool-for-capacity-planning-in-acute-and-community-stroke-services
#14
Thomas Monks, David Worthington, Michael Allen, Martin Pitt, Ken Stein, Martin A James
BACKGROUND: Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year...
September 29, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27682579/occupational-safety-measures-and-morbidity-among-welders-in-vellore-southern-india
#15
Vijay Alexander, Kulandaipalayam Natarajan C Sindhu, Pradeep Zechariah, Abigail Veravolu Resu, Suryanarayan Rajendran Nair, Deepthi Kattula, Venkata Raghava Mohan, Reginald George Alex T
BACKGROUND: Welders in the unorganized occupational sector in the economically developing world are exposed to respiratory, skin, eye, ear, and neurological problems exacerbated by non-usage of personal protective equipment (PPE). OBJECTIVE: To study the frequency of health problems and the usage of PPE among welders in unorganized welding units in Vellore, India. METHODS: A cross-sectional survey was conducted among 150 welders to determine the frequency of skin, ear, eye, and respiratory morbidity and the usage of PPE...
September 28, 2016: International Journal of Occupational and Environmental Health
https://www.readbyqxmd.com/read/27676908/mobile-team-rehabilitation-rehabilitation-an-activity-outside-results-of-3-years-of-functioning-to-the-p%C3%A3-le-saint-helier
#16
Aurélie Duruflé, Claire Le-Meur, Marie-Pierre Reillon, Claire Lozach, Benoit Nicolas
Many mobile teams were created over the past decade in various medical specialties including physical medicine and rehabilitation (MPR). The Pôle Saint-Helier has created a mobile team of rehabilitation-reintegration (EM2R) in December 2012 with support from the Regional Health Agency of Brittany. It operates on the health territory No. 5 of Brittany near people experiencing neurological disability. Its main mission is to implement the necessary devices to facilitate the home return of people hospitalized after a neurological event or maintaining to home people with neurological disorders...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676846/hemipass-87-three-years-of-experience-of-a-mobile-home-team-care-for-post-stroke-patients-improved-cooperation-between-stakeholders-to-increase-patients-services
#17
David Bernikier, Katia Raetz, David Chaparro, Jessica Delvert, Jean-Christophe Daviet, Jean Yves Salle
OBJECTIVE: HEMIPASS is a post-stroke interdisciplinary mobile home team care, which aims to provide home care services for post-stroke patients. Describe the evolution of HEMIPASS program over the past three years by looking at its level of activities. The hypothesis is that the HEMIPASS program is more in demand by liberal sector than hospital services; indeed, it increases its efficacy over time. MATERIALS/PATIENTS AND METHODS: Retrospective study design conducted from 2013 to 2015, involving all post-stroke patients enrolled in HEMIPASS program during this period...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676785/physical-and-rehabilitation-medicine-management-of-heterotopic-ossification-in-brain-injury
#18
Khawla Achour, Eya Mersni, Bassem Krifa, Emna Bahlouli, Sonia Lebib, Catherine Dziri
OBJECTIVE: The aim of this work is to determine the epidemiological and characteristics and the therapeutic modalities of heterotopic ossification in brain injury. MATERIAL/PATIENTS AND METHODS: Retrospective study conducted between January 2010 and January 2016, including patients hospitalized for management of sequelae of an isolated head injury or associated with multiple trauma, and in whom the diagnosis of of heterotopic ossification (HO) was increased. A review of epidemiological data (including age, sex, occupation, type of neurological injury, discovering circumstances of HO), clinical data, the therapeutic choice and evolutivity...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27669813/transitioning-from-hospitals-to-the-community-perspectives-of-rehabilitation-patients-with-neurological-disorders-and-their-service-providers
#19
Sung-Hui Tseng, Feng-Hang Chang
PURPOSE: To identify the contextual factors that influence community participation in rehabilitation outpatients from the perspectives of patients and their service providers. METHOD: Five focus groups with rehabilitation outpatients (n = 22) and three focus groups with occupational and physical therapists (n = 17) were conducted. Two independent coders thematically analyzed the transcribed data. RESULTS: Patients and their providers identified three common personal factors (personal interests, personal values, and finances) and four major categories of environmental factors (products and technology; support and relationships; attitudes; and services, systems, and policies) that have great influence on patients' participation in the community...
September 26, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27661040/lead-poisoning-in-a-16-year-old-girl-a-case-report-and-a-review-of-the-literature-care-compliant
#20
Cristina Oana Mărginean, Lorena Elena Meliţ, Horaţiu Moldovan, Vasile Valeriu Lupu, Maria Oana Mărginean
BACKGROUND: Lead is a toxic element of the environment which leads to major complications once it enters the blood stream, affecting multiple organs and systems of the body. METHODS: We present the case of a 16-year-old girl, diagnosed with lead poisoning after occupational exposure due to the fact that the girl was actively involved in the family's pottery business.History revealed that the girl participated in the process of pottery, her father was also diagnosed with lead poisoning 2 years before...
September 2016: Medicine (Baltimore)
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