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https://www.readbyqxmd.com/read/29778340/prospective-randomized-controlled-trial-of-polymer-cable-ties-versus-standard-wire-closure-of-midline-sternotomy
#1
Silvana F Marasco, Louise Fuller, Adam Zimmet, David McGiffin, Michael Seitz, Stephanie Ch'ng, Shivanand Gangahanumaiah, Michael Bailey
OBJECTIVE: Midline sternotomy remains the most common access incision for cardiac operations. Traditionally, the sternum is closed with stainless steel wires. Wires are well known to stretch and break, however, leading to pain, nonunion, and potential deep sternal wound infection. We hypothesized that biocompatible plastic cable ties would achieve a more rigid sternal fixation, reducing postoperative pain and analgesia requirements. METHODS: A prospective, randomized study compared the ZIPFIX (De Puy Synthes, West Chester, Pa) sternal closure system (n = 58) with standard stainless steel wires (n = 60)...
April 16, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29718846/high-risk-pulmonary-embolism-assessed-by-transthoracic-echocardiography-a-case-report
#2
Jiahong Wu, Jing Zhang, Fangfang Yang, Chuanbao Li, Mei Ni
RATIONALE: Acute pulmonary embolism (APE) as a life-threatening illness may present with a wide range of manifestations. APE was diagnosed using computed tomographic pulmonary angiography (CTPA); however, transthoracic echocardiography (TTE) can reveal hemodynamic status. Early thrombolysis is the most effective therapy for the treatment of massive pulmonary embolism. PATIENTS CONCERNS: Herein, we report a case of high-risk APE with a wide range of manifestations, including chest pain, dyspnea, low-blood pressure, and syncope...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29714431/emotion-regulation-and-premedication-success-relationship-in-children-who-underwent-general-anesthesia
#3
Aslıhan Aykut, Berrin Işık
Background/aim: This study aims to investigate the relationship between emotion regulation characteristics and the efficacy of midazolam premedication. Materials and methods: Sixty-three children, aged 3 to 8 years old, with tonsillectomy and/or adenoidectomy and taking premedication with midazolam (Group 2) or without premedication (Group 1), were included in this study. The behavioral and emotional status of the children was evaluated with the Conners Parent Rating Scale-48 (CPRS-48) and Emotion Regulation Checklist (ERC)...
April 30, 2018: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29709300/foot-longitudinal-arches-in-obese-overweight-and-normal-weight-females-who-differ-in-age
#4
Agnieszka Jankowicz-Szymańska, Katarzyna Wódka, Małgorzata Kołpa, Edyta Mikołajczyk
Nowadays, excessive body weight is the cause of death of more people than malnutrition. Obesity is a growing health problem worldwide, which also results in a considerable number of movement dysfunctions, including degenerative changes and foot pain. The study aimed to assess the effect of overweight and obesity on the height of foot arches in females aged 10-84 years, as well as to establish which factor - age or BMI - affected the height of medial longitudinal arch (MLA) to a greater extent. Three groups of females (96 pupils, 86 young adults and 88 seniors) were selected to participate in the study...
March 27, 2018: Homo: Internationale Zeitschrift Für die Vergleichende Forschung Am Menschen
https://www.readbyqxmd.com/read/29708871/spino-pelvic-radiological-parameters-in-normal-indian-population
#5
Roop Singh, Sushil Kumar Yadav, Sushma Sood, Rohtas Kumar Yadav, Ravi Rohilla
INTRODUCTION: There is increasing emphasis on the sagittal spino-pelvic alignment and its interpretation is of critical importance in the management of spinal disorders. A cross-sectional study of several spino-pelvic radiographic parameters was conducted to determine the physiological values of these parameters, to calculate the variations of these parameters according to epidemiological data, and to study the relationships among these parameters. MATERIAL AND METHOD: Fifty normal healthy volunteers (29 males and 21 females) with no history of back pain were selected and were subjected to standing sagittal spino-pelvic radiographs...
2018: SICOT-J
https://www.readbyqxmd.com/read/29703242/an-ehealth-program-versus-a-standard-care-supervised-health-program-and-associated-health-outcomes-in-individuals-with-mobility-disability-study-protocol-for-a-randomized-controlled-trial
#6
Daniel Berglind, Gisela Nyberg, Mikaela Willmer, Margareta Persson, Michael Wells, Yvonne Forsell
BACKGROUND: Young adults with mobility disability (MD) are less likely to engage in regular physical activity (PA) compared with their able-bodied peers and inactive adults with a MD are more likely to report one or more chronic diseases compared to those who are physically active. Despite the vast amount of research published in the field of PA interventions over the past decades, little attention has been focused on interventions aiming to increase PA among individuals with MD. Thus, we propose to compare the effects of an eHealth program compared to a usual care supervised health program on levels of PA and other health behaviors...
April 27, 2018: Trials
https://www.readbyqxmd.com/read/29692535/t-pa-power-pulse-spray-with-rheolytic-mechanical-thrombectomy-using-cross-sectional-image-guided-portal-vein-access-for-single-setting-treatment-of-subacute-superior-mesenteric-vein-thrombosis
#7
Mubin I Syed, Ryan M Gallagher, Rukan S Ahmed, Azim Shaikh, Edward Roberto, Sumeet Patel
Background: Isolated superior mesenteric vein (SMV) thrombosis is a rare but potentially fatal condition if untreated. Current treatments include transjugular or transhepatic approaches for rheolytic mechanical thrombectomy and subsequent infusions of thrombolytics. Tissue plasminogen activator (t-PA) power-pulse spray can provide benefit in a single setting without thrombolytic infusions. Computed tomography (CT) guidance for portal vein access is underutilized in this setting. Materials and Methods: Case 1 discusses acute SMV thrombosis treated with rheolytic mechanical thrombectomy alone using ultrasound guidance for portal vein access...
January 2018: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29686793/invasive-group-b-streptococcus-multiloculated-perinephric-abscesses-treated-with-percutaneous-drainage
#8
J Isaac Peña-Garcia, Sana Shaikh, Alexandre Lacasse
Group B streptococcus infections (GBSI) are commonly associated with neonates and pregnant women, but may also affect nonpregnant adults. Among its spectrum of manifestations, perinephric abscess (PA) is exceedingly rare. Comorbid conditions such as diabetes mellitus (DM) and immunosuppression increase the risk of GBSI. We describe a 61-year-old Vietnamese man with compensated alcoholic cirrhosis, who presented with acute encephalopathy following subacute, progressive abdominal pain. He was afebrile and hemodynamically stable...
2018: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29675547/the-association-between-fatigue-and-pain-symptoms-and-decreased-physical-activity-after-cancer
#9
Sally A D Romero, Lee Jones, Joshua M Bauml, Q Susan Li, Roger B Cohen, Jun J Mao
PURPOSE: Patients with cancer frequently experience symptoms such as fatigue and pain that can influence their ability to maintain their usual physical activity (PA). This study aimed to evaluate whether symptoms of fatigue and pain are associated with decreased PA among patients with cancer. METHODS: We recruited patients with a cancer diagnosis from one academic medical center and 11 affiliated community hospitals to participate in a cross-sectional survey. Multivariate logistic regression models were used to examine the association between symptoms, demographics, and clinical characteristics and decreased PA since cancer diagnosis...
April 19, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29669086/effects-of-a-home-based-telephone-supported-physical-activity-program-for-older-adult-veterans-with-chronic-low-back-pain
#10
Adam P Goode, Shannon Stark Taylor, Susan N Hastings, Catherine Stanwyck, Cynthia J Coffman, Kelli D Allen
Background: Chronic low back pain (CLBP) is highly prevalent in older adults, leading to functional decline. Objective: The objective of this study was to evaluate physical activity (PA) only and PA plus cognitive-behavioral therapy for pain (CBT-P) among older adult veterans with CLBP. Design: This study was a pilot randomized trial comparing a 12-week telephone-supported PA-only intervention group (PA group) or PA plus CBT-P intervention group (PA + CBT-P group) and a wait-list control group (WL group)...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29626268/intervertebral-disc-status-is-associated-with-vertebral-marrow-adipose-tissue-and-muscular-endurance
#11
Matthew Quittner, Timo Rantalainen, Nicola D Ridgers, Guy Trudel, Adnan Sheikh, David Connell, Daniel L Belavý
PURPOSE: Low back pain is a major public health issue. Identifying factors associated with better intervertebral disc (IVD) characteristics gives insight into IVD metabolism and highlights intervention targets for improvement of IVD health. This cross-sectional study investigates whether IVD T2-relaxation time on magnetic resonance imaging (MRI) is associated with vertebral fat fraction (VFF; to quantify marrow adipose tissue), trunk muscle cross-sectional area (CSA), muscle function and physical activity (PA)...
April 6, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29618267/a-multidimensional-theory-of-suicide
#12
Antoon A Leenaars, Gudrun Dieserud, Susanne Wenckstern, Kari Dyregrov, David Lester, Jennifer Lyke
BACKGROUND: Theory is the foundation of science; this is true in suicidology. Over decades of studies of suicide notes, Leenaars developed a multidimensional model of suicide, with international (crosscultural) studies and independent verification. AIM: To corroborate Leenaars's theory with a psychological autopsy (PA) study, examining age and sex of the decedent, and survivor's relationship to deceased. METHOD: A PA study in Norway, with 120 survivors/informants was undertaken...
April 5, 2018: Crisis
https://www.readbyqxmd.com/read/29608733/a-physical-therapist-administered-physical-activity-intervention-after-total-knee-replacement-protocol-for-a-randomized-controlled-trial
#13
Meredith B Christiansen, Louise M Thoma, Hiral Master, Laura A Schmitt, Ryan Pohlig, Daniel K White
Background: The definitive treatment for knee osteoarthritis is a total knee replacement, which results in a clinically meaningful improvement in pain and physical function. However, evidence suggests that physical activity (PA) remains unchanged after total knee replacement (TKR). Objective: The objective of this study is to investigate the efficacy, fidelity, and safety of a physical therapist-administered PA intervention for people after TKR. Design: This study is a protocol for a randomized controlled trial...
March 28, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29597084/pain-adaptability-in-individuals-with-chronic-musculoskeletal-pain-is-not-associated-with-conditioned-pain-modulation
#14
Dawn Wong Lit Wan, Lars Arendt-Nielsen, Kelun Wang, Charlie Changli Xue, Yanyi Wang, Zhen Zheng
Healthy humans can be divided into the pain adaptive (PA) and the pain non-adaptive (PNA) groups; PA showed a greater decrease in pain rating to a cold pressor test (CPT) than PNA. This study examined if the dichotomy of pain adaptability existed in individuals with chronic musculoskeletal pain (MSK). CPTs at 2°C and 7°C were used to assess the status of pain adaptability in participants with either chronic non-specific low back pain or knee osteoarthritis. The participants' potency of conditioned pain modulation (CPM) and local inhibition were measured...
March 26, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29594190/complex-pulmonary-aspergilloma-surgical-challenges-in-a-third-world-setting
#15
Bernadette Ngo Nonga, Guy Aristide Bang, Bonaventure Jemea, Eric Savom, Perfura Yone, Ngahane Mbatchou, Jean Jacques Ze
Background: Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon. We report our experience of surgical management of PA in this environment. Method: We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29588622/physical-activity-after-total-joint-arthroplasty-a-narrative-review
#16
REVIEW
Gustavo J Almeida, Samannaaz S Khoja, Sara R Piva
Background: Total joint arthroplasty (TJA) is a common procedure to treat individuals with hip and knee osteoarthritis. While TJAs are successful in decreasing pain and improving quality of life, it is unclear whether individuals who undergo TJA become more physically active after surgery. It is possible that TJA, by itself, is not sufficient to affect the behavior of patients toward physical activity (PA) participation. To increase PA participation, individuals with TJA may need to be exposed to exercise/behavioral interventions specifically aimed to promote PA (ie, in addition to the surgery)...
2018: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/29581692/rupture-of-cystic-artery-pseudoaneurysm-a-rare-complication-of-acute-cholecystitis
#17
P R V Praveen Kumar Sunkara, Parth Ketankumar Shah, Kamalesh Rakshit, Shuvro Roy Choudhary, N P Bohidar, Sanjay Kumar Dubey
Pseudoaneurysm (PA) of the cystic artery is rare. Most of the reported cases are iatrogenic and develop secondary to liver biopsy, laparoscopic cholecystectomy, ERCP, and liver transplant. Other reported causes include trauma, malignancy, arteriovenous malformations, and inflammation in the hepatobiliary and pancreatic system. Cystic artery psuedoaneurysm is usually asymptomatic but may also present as vague abdominal pain, intra-abdominal mass, and hemobilia. In the event of rupture, it may present as a catastrophic intra-peritoneal bleeding with hemorrhagic shock...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29576859/effectiveness-and-toxicity-of-conventional-radiotherapy-treatment-for-painful-spinal-metastases-a-detailed-course-of-side-effects-after-opposing-fields-versus-a-single-posterior-field-technique
#18
Paulien G Westhoff, Alexander de Graeff, Evelyn M Monninkhof, Ilse de Pree, Marco van Vulpen, Jan Willem H Leer, Corrie A M Marijnen, Yvette M van der Linden
Background: Conventional radiotherapy for painful spinal metastases can be delivered with a single posterior-anterior (PA) or two opposed anterior-posterior (APPA) fields. We studied the effectiveness and toxicity of both techniques and studied whether treatment technique was predictive for abdominal and skin toxicity. Patients and methods: Within the Dutch Bone Metastasis Study, 343 patients received 8 Gray in a single fraction or 24 Gray in six fractions for painful spinal metastases...
2018: Journal of Radiation Oncology
https://www.readbyqxmd.com/read/29549134/successful-treatment-of-concomitant-metastatic-prostate-cancer-and-b-cell-non-hodgkin-s-lymphoma-with-r-epoch-chemotherapy-regimen-and-antiandrogen-therapy
#19
Fayez Hanna, Ajay Prakash, Ebony Allan, Alhossain A Khalafallah
A 70-year-old man presented with left loin pain without urinary symptoms. Initial investigations with CT showed enlarged para-aortic, mediastinal lymph nodes, right-side renal mass and enlarged prostate. A prostatic-specific antigen (PSA) was alarmingly high at 4750 μg/L (normal <4.0 μg/L). Further investigations included positron emission tomography (PET); both prostate-specific membrane antigen and 18-fluorodeoxyglucose as well as bone scan and bone marrow examination confirmed dual malignancies with B-cell non-Hodgkin's lymphoma (B-NHL) and wide spread metastatic prostatic adenocarcinoma (PA) to the skull, spine, pelvis, liver and lungs...
March 16, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29546510/the-quadriceps-active-ratio-a-dynamic-mri-based-assessment-of-patellar-height
#20
Sergio Barroso Rosa, Zaid Bahho, Kenji Doma, Kaushik Hazratwala, Peter McEwen, Varaguna Manoharan, Brent Matthews, Matthew Wilkinson
INTRODUCTION: Patella alta (PA) is one of the primary correctable risk factors for patellofemoral instability (PFI). Both an accurate diagnosis of PA and a clinically relevant target for correction are necessary for optimal treatment. An ideal test for PA should relate the position of the patella to the femur rather than tibia, should do so with the quadriceps contracted and the patellar tendon under tension and should have good sensitivity and specificity. None of the currently used radiographic tests PA meet these criteria, most of which are based on the position of the patella relative to the tibia with diagnostic cutoffs based on 2 standard deviations from the mean rather than optimal sensitivity and specificity...
March 15, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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