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https://www.readbyqxmd.com/read/29458195/human-dorsal-root-ganglion-pulsed-radiofrequency-treatment-modulates-cerebrospinal-fluid-lymphocytes-and-neuroinflammatory-markers-in-chronic-radicular-pain
#1
Basabjit Das, Melissa Conroy, David Moore, Joanne Lysaght, Connail McCrory
Radicular pain is a common cause of disability. Traditionally treatment has been either epidural steroid injection providing short-term relief or surgery with associated complications. Pulsed radiofrequency (PRF) applied to the Dorsal Root Ganglion (DRG) is a minimally invasive day-care treatment, which is gaining significant clinical acceptance in a selective group of patients with pure radicular pain. Greater insights into the immunomodulatory effects of this procedure may help to further optimise its application and find alternative treatment options...
February 16, 2018: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/29457672/gambling-related-cognitive-distortions-predict-level-of-function-among-us-veterans-seeking-treatment-for-gambling-disorders
#2
Steven D Shirk, Megan M Kelly, Shane W Kraus, Marc N Potenza, Kendra Pugh, Christopher Waltrous, Edward Federman, Christopher Krebs, Charles E Drebing
BACKGROUND AND OBJECTIVES: Gambling Disorder (GD) is characterized by recurrent gambling behavior that is associated with significant impairment and distress, high psychiatric comorbidities, and high functional disability. The military veteran population appears particularly susceptible to developing the disorder, but relatively little has been studied among this population. The purpose of the present study is to investigate the clinical psychopathologies and comorbidities of veterans seeking treatment for problem gambling and how problem gambling may impact functioning...
February 19, 2018: American Journal on Addictions
https://www.readbyqxmd.com/read/29457585/training-nurses-in-a-competency-framework-to-support-adults-with-epilepsy-and-intellectual-disability-the-epaid-cluster-rct
#3
Howard Ring, James Howlett, Mark Pennington, Christopher Smith, Marcus Redley, Caroline Murphy, Roxanne Hook, Adam Platt, Nakita Gilbert, Elizabeth Jones, Joanna Kelly, Angela Pullen, Adrian Mander, Cam Donaldson, Simon Rowe, James Wason, Fiona Irvine
BACKGROUND: People with an intellectual (learning) disability (ID) and epilepsy have an increased seizure frequency, higher frequencies of multiple antiepileptic drug (AED) use and side effects, higher treatment costs, higher mortality rates and more behavioural problems than the rest of the population with epilepsy. The introduction of nurse-led care may lead to improvements in outcome for those with an ID and epilepsy; however, this has not been tested in a definitive clinical trial...
February 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29457189/development-of-a-questionnaire-to-assess-nursing-competencies-for-the-care-of-people-with-psychiatric-disabilities-in-a-hospital-environment
#4
Danjun Feng, Hongyao Li, Lu Meng, Gengkun Zhong
The recovery of people with psychiatric disabilities requires high-quality nursing care. However, the existing research on the nursing competencies needed for caring for people with psychiatric disabilities have been based on a narrow competency framework. By adopting a broader competency framework, this study aimed to find the competencies needed for the nursing care of people with psychiatric disabilities in a hospital environment. Accordingly, a questionnaire will be developed to measure these competences...
February 19, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29456943/transnasal-endoscopic-optic-nerve-decompression-in-post-traumatic-optic-neuropathy
#5
Devang Gupta, Monica Gadodia
To quantify the successful outcome in patients following optic nerve decompression in post traumatic unilateral optic neuropathy in form of improvement in visual acuity. A prospective study was carried out over a period of 5 years (January 2011 to June 2016) at civil hospital Ahmedabad. Total 20 patients were selected with optic neuropathy including patients with direct and indirect trauma to unilateral optic nerve, not responding to conservative management, leading to optic neuropathy and subsequent impairment in vision and blindness...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29456823/health-hazards-related-to-soba-sewage-treatment-plant-sudan
#6
Rasha Osman Abdelwahab Abdelmoneim, Ranien Mohamed El Mortada Mahi Eldin Mahdi, Rawia Moawia Elamin Elahmer, Rogaya Adel Derar Elansary, Safaa Elsafi Widaa Mohamed, Said Hashim Ahmed Abdelgader, Sakina Salah Abbasher Ahmed, Sally Mohamed Alfatih Abdalrhman
The aim of this study was to determine the health hazards acquired by the residents nearby Soba sewage treatment plant. A descriptive cross-sectional study was carried out in Soba locality, Khartoum, Sudan. An interviewer-administrated questionnaire was assigned to 462 residents of the area living in four geographically distributed squares around the sewage plant. The data was analyzed in SPSS; Cronbach's alpha reliability scale of measurement was used to check the internal validity of six variables related to the quality of life...
December 31, 2017: Journal of Public Health in Africa
https://www.readbyqxmd.com/read/29456447/a-preliminary-analysis-of-outcomes-and-end-range-procedures-used-to-achieve-centralization-in-people-with-low-back-pain
#7
Thomas Stowell, Ronald Schenk, Madeleine Hellman, Carlos Ladeira
Objectives: To investigate the relationship between clinical outcome and the types of end range procedures used to achieve centralization in a sample of patients with low back pain (LBP) and/or peripheral symptoms. Methods: Small sample retrospective analysis of an observational cohort. Patients with LBP who centralized during initial visit at two physical therapy clinics were recruited to participate. The types of end range procedures used to achieve centralization were documented during each office visit and a chart review was performed after 4 weeks...
February 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29456442/the-effect-of-direction-specific-thoracic-spine-manipulation-on-the-cervical-spine-a-randomized-controlled-trial
#8
Steve Karas, Megan J Olson Hunt, Bill Temes, Martin Thiel, Trenton Swoverland, Brett Windsor
Objectives: To determine the difference on neck outcomes with directional manipulation to the thoracic spine. There is evidence that thoracic spine manipulation is effective in treating patients with neck pain. However, there is no research that determines if the assessment of directional hypomobility and the selection of thrust direction offer improved outcomes. Methods: A total of 69 patients with cervical spine pain were randomly assigned to receive either a manipulation that was consistent with their thoracic spine motion loss (matched) or opposite their motion loss (unmatched)...
February 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29456093/validation-of-the-french-canadian-pelvic-girdle-questionnaire
#9
Marie-Pier Girard, Julie O'Shaughnessy, Chantal Doucet, Emeline Lardon, Britt Stuge, Stephanie-May Ruchat, Martin Descarreaux
OBJECTIVE: Pain in the pelvic girdle area is commonly reported during pregnancy and the postpartum period, and its impact on quality of life is considerable. The Pelvic Girdle Questionnaire (PGQ), developed in 2011 in Norway, is the only condition-specific tool assessing pelvic girdle pain-related symptoms and disability. The questionnaire was recently translated and adapted for the French-Canadian population. The objective of this study was to assess the measurement properties of the previously translated French-Canadian PGQ...
February 15, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29455629/functional-outcome-of-open-surgical-a1-pulley-release-in-diabetic-and-nondiabetic-patients
#10
A Ashour, A Alfattni, A Hamdi
PURPOSE: Trigger finger, also referred to as stenotic flexor tenosynovitis, is a common condition affecting the digits, with a lifetime incidence of 2.6% among the healthy population and up to 16.5% in diabetic patients. Diabetes mellitus is associated with multiple musculoskeletal conditions including trigger finger. In this study, we aimed to compare the functional outcome of trigger finger release in diabetic and nondiabetic patients to evaluate whether the management of trigger finger in diabetic patients should be the same as that in nondiabetic patients, or whether diabetic patients would benefit from a more tailored management plan to optimize results...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29455430/existential-meaning-of-patients-with-chronic-facial-pain
#11
Silvia Regina Dowgan Tesseroli de Siqueira
Coping strategies are necessary to deal with pain, one of the most disabling conditions. Treatments are often refractory, and the elaboration of existential meaning is necessary to live with residual pain. The objective of this study was to discuss the relevance of the meaning of life in coping with refractory chronic neuropathic facial pain according to singular cases. Each patient is unique and needs a singular approach to understand and treat the pain phenomenon. Self-transcendence, existential issues and philosophical values are central concepts to assess chronic conditions and should be highlighted in medical practice these days...
February 17, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29455250/systematic-review-and-meta-analysis-of-prevalence-of-sarcopenia-in-post-acute-inpatient-rehabilitation
#12
REVIEW
I Churilov, L Churilov, R J MacIsaac, E I Ekinci
Sarcopenia is associated with poor function and increased risk of falls and disability. This work reports a systematic review and meta-analysis of prevalence of sarcopenia in post acute inpatient rehabilitation. Sarcopenia is found to be present in approximately 50% of rehabilitation patients and its prevalence may vary with admission diagnosis. PURPOSE: To conduct a systematic review and meta-analysis of reported prevalence of sarcopenia in post acute inpatient rehabilitation. METHODS: Systematic review conducted according to PRISMA guidelines (PROSPERO registration number CRD42016054135)...
February 18, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29455161/assessing-factors-associated-with-long-term-work-disability-after-cancer-in-belgium-a-population-based-cohort-study-using-competing-risks-analysis-with-a-7-year-follow-up
#13
Régine Levo Kiasuwa Mbengi, Alina Mioara Nicolaie, Els Goetghebeur, Renee Otter, Katrien Mortelmans, Sarah Missinnne, Marc Arbyn, Catherine Bouland, Christophe de Brouwer
OBJECTIVES: The number of workers with cancer has dramatically increasing worldwide. One of the main priorities is to preserve their quality of life and the sustainability of social security systems. We have carried out this study to assess factors associated with the ability to work after cancer. Such insight should help with the planning of rehabilitation needs and tailored programmes. PARTICIPANTS: We conducted this register-based cohort study using individual data from the Belgian Disability Insurance...
February 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29454606/psychosocial-outcome-in-epilepsy-after-extratemporal-surgery
#14
Katrin Walther, Müjgan Dogan Onugoren, Michael Buchfelder, Stephanie Gollwitzer, Wolfgang Graf, Burkhard S Kasper, Peter Kriwy, Katrin Kurzbuch, Johannes Lang, Karl Rössler, Stefan Schwab, Michael Schwarz, Hermann Stefan, Hajo M Hamer
OBJECTIVE: Only limited data exist on psychosocial long-term outcome after epilepsy surgery in patients with extratemporal epilepsy. The aim of this study was to investigate psychosocial outcome after extratemporal epilepsy surgery and to assess factors predicting favorable outcome. METHOD: Sixty-five out of 104 eligible patients who had undergone extratemporal epilepsy surgery at our epilepsy center between 1990 and 2015 (mean age: 42.2. years; 75% of the resections in the frontal lobe) completed a questionnaire asking about seizure status, employment status, marital and living situation, driving status, depressive symptoms, and quality of life (QOL)...
February 14, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29454562/long-term-functional-subjective-and-psychological-results-after-single-digit-replantation
#15
Jing Chen, Ai Xian Zhang, Qing Zhong Chen, Shuai Mu, Jun Tan
OBJECTIVE: The aim of this study was to analyse the long-term functional, subjective, and psychological results after single-digit replantation. METHODS: Thirty cases of digital replantation (14 thumbs, 12 index fingers, 2 middle fingers, 1 ring finger, and 1 little finger) in 30 patients (7 females and 23 males) with a mean age of 44.2 years (20-65 years) were evaluated at the end of a mean follow-up time of 36 months (19-50 months). The active range of motion of joints, grip and pinch strength, cutaneous sensibility, upper-extremity functioning, and subjective satisfaction were determined using the Disability of Arm, Shoulder, and Hand (DASH) questionnaire and the Michigan Hand Outcomes questionnaire (MHQ)...
February 14, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29454511/musical-deficits-and-cortical-thickness-in-people-with-schizophrenia
#16
Ryosuke Fujito, Masayoshi Minese, Sanae Hatada, Naoto Kamimura, Shigeru Morinobu, Donna J Lang, William G Honer, Ken Sawada
Investigation of acquired amusia caused by brain damage suggested that cortical lesions of the right hemisphere contributed to musical deficits. We previously reported reduced musical ability in schizophrenia; these deficits were correlated with clinical manifestations such as cognitive dysfunction and negative symptoms. However, the neural substrate underlying the musical disability in schizophrenia remains unclear. We investigated the relationship between musical deficits and cortical thickness in patients with schizophrenia using structural MRI...
February 14, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29454059/towards-a-regulatory-use-of-alternative-developmental-neurotoxicity-testing-dnt
#17
Andrea Terron, Susanne Hougaard Bennekou
There is a need for a more effective Developmental Neurotoxicity (DNT) screening which is scientifically driven by the fact that the developing nervous system might be more sensitive to exposures to some hazardous chemical. Additional concern comes from the recent societal concerns that toxic chemicals can contribute to the prevalence of neurodevelopment disabilities. Consequently, hazard identification and actions to reduce exposure to these chemicals is a priority in chemical risk assessment. To reach this goal a cost-efficient testing strategy based on a reliable in-vitro testing battery should be developed...
February 14, 2018: Toxicology and Applied Pharmacology
https://www.readbyqxmd.com/read/29452899/influence-of-dominant-as-compared-with-nondominant-side-symptoms-on-disabilities-of-the-arm-shoulder-and-hand-and-western-ontario-rotator-cuff-scores-in-patients-with-rotator-cuff-tendinopathy
#18
David Høyrup Christiansen, Lori Michener, Jean-Sébastien Roy
HYPOTHESIS AND BACKGROUND: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Western Ontario Rotator Cuff (WORC) index are 2 widely used patient-reported questionnaires in individuals with rotator cuff (RC) tendinopathy. In contrast to the WORC index, for which the items are specific to the affected shoulder, the items of the DASH questionnaire assess the ability to perform activities regardless of the arm used. The objective of this study is to determine whether scores on the DASH questionnaire and WORC index are affected if the symptoms are on the dominant or nondominant side in individuals with RC tendinopathy...
February 13, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29452781/physical-training-maintains-or-improves-gait-ability-in-long-term-nursing-home-residents-a-systematic-review-of-randomized-controlled-trials
#19
REVIEW
Haritz Arrieta, Chloe Rezola-Pardo, Susana María Gil, Jon Irazusta, Ana Rodriguez-Larrad
Numerous studies have reported the benefits of physical exercise in older adults. However, studies performed in long-term nursing home (LTNH) residents are scarce. A literature search was conducted to identify physical exercise intervention studies that were randomized and controlled and that assessed gait ability in older LTNH residents using both walking speed and timed up-and-go (TUG) tests simultaneously. Together, these tests have been defined under the term "gait ability"; they are widely used to screen for impaired physical function, and can predict accelerated functional decline, difficulty with activities of daily living (ADL), falls, and disability in older adults...
March 2018: Maturitas
https://www.readbyqxmd.com/read/29452685/behavioural-outcomes-of-subthalamic-stimulation-and-medical-therapy-versus-medical-therapy-alone-for-parkinson-s-disease-with-early-motor-complications-earlystim-trial-secondary-analysis-of-an-open-label-randomised-trial
#20
Eugénie Lhommée, Lars Wojtecki, Virginie Czernecki, Karsten Witt, Franziska Maier, Lisa Tonder, Lars Timmermann, Thomas D Hälbig, Fanny Pineau, Franck Durif, Tatiana Witjas, Marcus Pinsker, Maximilian Mehdorn, Friederike Sixel-Döring, Andreas Kupsch, Rejko Krüger, Saskia Elben, Stephan Chabardès, Stéphane Thobois, Christine Brefel-Courbon, Fabienne Ory-Magne, Jean-Marie Regis, David Maltête, Anne Sauvaget, Jörn Rau, Alfons Schnitzler, Michael Schüpbach, Carmen Schade-Brittinger, Gunther Deuschl, Jean-Luc Houeto, Paul Krack
BACKGROUND: Although subthalamic stimulation is a recognised treatment for motor complications in Parkinson's disease, reports on behavioural outcomes are controversial, which represents a major challenge when counselling candidates for subthalamic stimulation. We aimed to assess changes in behaviour in patients with Parkinson's disease receiving combined treatment with subthalamic stimulation and medical therapy over a 2-year follow-up period as compared with the behavioural evolution under medical therapy alone...
March 2018: Lancet Neurology
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