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https://www.readbyqxmd.com/read/28077019/independence-proposing-an-initial-framework-for-occupational-therapy
#1
Bethan Collins
BACKGROUND: The concept of independence is common in occupational therapy theory and practice but has rarely been clearly defined or conceptualized within in occupational therapy literature and there seems to be no standard definition. This can result in ambiguity, which potentially jeopardizes client-centred practice. AIM: This paper proposes an occupational therapy independence framework (OTIF) that synthesizes the range of characterizations of independence in a practically useful and occupation-centred manner...
January 12, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28048338/we-de-202-00-connecting-radiation-physics-with-computational-biology
#2
Jan Schuemann
: Radiation therapy for the treatment of cancer has been established as a highly precise and effective way to eradicate a localized region of diseased tissue. To achieve further significant gains in the therapeutic ratio, we need to move towards biologically optimized treatment planning. To achieve this goal, we need to understand how the radiation-type dependent patterns of induced energy depositions within the cell (physics) connect via molecular, cellular and tissue reactions to treatment outcome such as tumor control and undesirable effects on normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047687/we-de-202-01-connecting-nanoscale-physics-to-initial-dna-damage-through-track-structure-simulations
#3
J Schuemann
: Radiation therapy for the treatment of cancer has been established as a highly precise and effective way to eradicate a localized region of diseased tissue. To achieve further significant gains in the therapeutic ratio, we need to move towards biologically optimized treatment planning. To achieve this goal, we need to understand how the radiation-type dependent patterns of induced energy depositions within the cell (physics) connect via molecular, cellular and tissue reactions to treatment outcome such as tumor control and undesirable effects on normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047038/we-de-202-02-are-track-structure-simulations-truly-needed-for-radiobiology-at-the-cellular-and-tissue-levels
#4
R Stewart
: Radiation therapy for the treatment of cancer has been established as a highly precise and effective way to eradicate a localized region of diseased tissue. To achieve further significant gains in the therapeutic ratio, we need to move towards biologically optimized treatment planning. To achieve this goal, we need to understand how the radiation-type dependent patterns of induced energy depositions within the cell (physics) connect via molecular, cellular and tissue reactions to treatment outcome such as tumor control and undesirable effects on normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046382/we-de-202-03-modeling-of-biological-processes-what-happens-after-early-molecular-damage
#5
S McMahon
: Radiation therapy for the treatment of cancer has been established as a highly precise and effective way to eradicate a localized region of diseased tissue. To achieve further significant gains in the therapeutic ratio, we need to move towards biologically optimized treatment planning. To achieve this goal, we need to understand how the radiation-type dependent patterns of induced energy depositions within the cell (physics) connect via molecular, cellular and tissue reactions to treatment outcome such as tumor control and undesirable effects on normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27886695/pathogenesis-and-management-of-sarcopenia
#6
REVIEW
Robinder J S Dhillon, Sarfaraz Hasni
Sarcopenia represents a loss of muscle strength and mass in older individuals. Sarcopenia in the elderly has now become a major focus of research and public policy debate due to its impact on morbidity, mortality, and health care expenditure. Despite its clinical importance, sarcopenia remains under-recognized and poorly managed in routine clinical practice. This is, in part, due to a lack of available diagnostic testing and uniform diagnostic criteria. The management of sarcopenia is primarily focused on physical therapy for muscle strengthening and gait training...
February 2017: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/27855474/-utilization-of-physical-therapy-services-in-germany-from-2004-until-2014-analysis-of-statutory-health-insurance-data
#7
C Kopkow, T Lange, J Schmitt, T Petzold
Background: Both at the national and international levels, direct access for patients to physical therapy services is currently under debate. Direct access for patients seeking physical therapy care might reduce waiting time and costs, and thus be of benefit for patients and health insurance companies. To critically evaluate this situation, reliable and valid data are needed, but currently lacking. The aim of this study is to evaluate the health care situation for physical therapy services included in the catalogue of remedies from 2004 up to 2014 in Germany...
November 17, 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27720922/interaction-between-g-protein-coupled-receptor-143-and-tyrosinase-implications-for-understanding-ocular-albinism-type-1
#8
Elisabetta De Filippo, Anke C Schiedel, Prashiela Manga
Developmental eye defects in X-linked ocular albinism type 1 are caused by G-protein coupled receptor 143 (GPR143) mutations. Mutations result in dysfunctional melanosome biogenesis and macromelanosome formation in pigment cells, including melanocytes and retinal pigment epithelium. GPR143, primarily expressed in pigment cells, localizes exclusively to endolysosomal and melanosomal membranes unlike most G protein-coupled receptors, which localize to the plasma membrane. There is some debate regarding GPR143 function and elucidating the role of this receptor may be instrumental for understanding neurogenesis during eye development and for devising therapies for ocular albinism type I...
October 6, 2016: Journal of Investigative Dermatology
https://www.readbyqxmd.com/read/27719870/explanation-as-treatment-for-functional-neurologic-disorders
#9
J Stone, A Carson, M Hallett
There is widespread agreement that the way health professionals communicate the diagnosis of functional neurologic disorders (FND) has a central role in treatment, as it does arguably for most conditions. In this chapter we discuss barriers to effective diagnosis, different models of explanation and evidence regarding the importance of effective communication of the diagnosis in FND, especially movement disorders, and dissociative (nonepileptic) seizures. Debates and disagreements about how to go about this task often reflect different theoretic models held by health professionals rather than evidence...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27676648/optical-coherence-tomography-in-drug%C3%A2-eluting-stent-restenosis-a-technique-in-need-of-a-strategy
#10
Sebastian Kufner, Erion Xhepa, Christoph Lutter, Salvatore Cassese, Michael Joner
Owing to the overall increase in the use of DES, the number of patients presenting with DES restenosis is not insignificant in absolute terms. When DES restenosis occurs, it represents a challenging clinical entity in terms of classification and treatment. By providing near histology-level images, intravascular optical coherence tomography (OCT) has been used to describe vascular responses following PCI. Subsequently, OCT has been introduced to assess neointimal morphology and tissue characteristics of restenotic lesions to clarify the underlying pathophysiology...
February 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27542648/local-recurrence-of-extremity-soft-tissue-sarcoma
#11
REVIEW
Whitney M Guerrero, Jeremiah L Deneve
The management of recurrent soft tissue sarcoma is a challenging problem for clinicians and has a significant physical, mental, emotional, and oncologic impact for the patient. Despite excellent limb-preservation therapies, approximately one-quarter of patients may eventually develop recurrence of disease. How to most appropriately manage these patients is a matter of debate. Several treatment options exist, including surgical resection, irradiation, systemic chemotherapy, amputation, and regional therapies...
October 2016: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27217662/stem-cell-therapy-in-spinal-cord-injury-hollow-promise-or-promising-science
#12
Aimee Goel
Spinal cord injury (SCI) remains one of the most physically, psychologically and socially debilitating conditions worldwide. While rehabilitation measures may help limit disability to some extent, there is no effective primary treatment yet available. The efficacy of stem cells as a primary therapeutic option in spinal cord injury is currently an area under much scrutiny and debate. Several laboratory and some primary clinical studies into the use of bone marrow mesenchymal stem cells or embryonic stem cell-derived oligodentrocyte precursor cells have shown some promising results in terms of remyelination and regeneration of damaged spinal nerve tracts...
April 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27212186/the-news-advances-on-alzheimer-s-disease-s-therapeutics
#13
H-Q Sun, X Zhang, W-J Huang, W-W Chen
Alzheimer's disease (AD) is a multifaceted disorder, characterized by the failure of memory and dementia. AD affects mostly elder above 65 years of age and is confirmed by post-mortem detection in the brain, of extracellular senile plaques of amyloid-beta (Aβ) and intracellular neurofibrillary tangles. These pathological hallmarks appear in the brain when the disease is already installed. The difficulty of earlier diagnosis and possibly, the poor understanding of the disease etiology, limit the benefits afforded by available treatments...
May 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27197567/developing-services-for-patients-with-depression-or-anxiety-in-the-context-of-long-term-physical-health-conditions-and-medically-unexplained-symptoms-evaluation-of-an-iapt-pathfinder-site
#14
Stephen Kellett, Kimberley Webb, Nic Wilkinson, Paul Bliss, Tom Ayers, Gillian Hardy
BACKGROUND: There are national policy drivers for mental health services to demonstrate that they are effectively meeting the psychological needs of people with long-term health conditions/medically unexplained symptoms (LTC/MUS). AIMS: To evaluate the implementation of a stepped-care service delivery model within an Improving Access to Psychological Therapies (IAPT) service for patients with depression or anxiety in the context of their LTC/MUS. METHOD: A stepped-care model was designed and implemented...
September 2016: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/27113770/primary-prevention-of-cardiovascular-disease-in-older-adults
#15
REVIEW
Arden R Barry, Deirdre E O'Neill, Michelle M Graham
Primary prevention of cardiovascular events in older adults is challenging because of a general paucity of evidence for safe and efficacious therapy. Furthermore, there is no validated cardiovascular risk assessment tool for older adults (≥75 years of age), yet most are intermediate-to high-risk. Assessment of cardiovascular risk should include a discussion of the potential benefits and risks of therapy, and allow for incorporation of the patients' values and preferences, functionality and/or frailty, comorbidities, and concomitant medications (eg, polypharmacy, drug-drug interactions, adherence)...
September 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27088929/assessment-of-intralesional-injection-of-botulinum-toxin-type-a-injection-for-hypertrophic-scars
#16
Alhasan M Elhefnawy
BACKGROUND: Hypertrophic scars are dermal fibroproliferative disorders that typically develop after a skin injury heals. They can cause physical, psychological, and cosmetic problems. The management of such scars remains a matter of debate due to lack of effective treatment methods and the inability to prevent recurrences. Recent reports have demonstrated that botulinum toxin type A improves wound healing so it may play a role in treating hypertrophic scars. AIMS: We assessed the effectiveness of intralesional botulinum toxin type A injection for treating hypertrophic scars...
May 2016: Indian Journal of Dermatology, Venereology and Leprology
https://www.readbyqxmd.com/read/27084663/consensus-statement-on-proton-therapy-in-early-stage-and-locally-advanced-non-small-cell-lung-cancer
#17
REVIEW
Joe Y Chang, Salma K Jabbour, Dirk De Ruysscher, Steven E Schild, Charles B Simone, Ramesh Rengan, Steven Feigenberg, Atif J Khan, Noah C Choi, Jeffrey D Bradley, Xiaorong R Zhu, Antony J Lomax, Bradford S Hoppe
Radiation dose escalation has been shown to improve local control and survival in patients with non-small cell lung cancer in some studies, but randomized data have not supported this premise, possibly owing to adverse effects. Because of the physical characteristics of the Bragg peak, proton therapy (PT) delivers minimal exit dose distal to the target volume, resulting in better sparing of normal tissues in comparison to photon-based radiation therapy. This is particularly important for lung cancer given the proximity of the lung, heart, esophagus, major airways, large blood vessels, and spinal cord...
May 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/26914525/physiotherapy-for-patients-with-sciatica-awaiting-lumbar-micro-discectomy-surgery-a-nested-qualitative-study-of-patients-views-and-experiences
#18
Jonathan Boote, Ruth Newsome, Michael Reddington, Ashley Cole, Munyaradzi Dimairo
BACKGROUND AND PURPOSE: Sciatica is a common clinical condition that can be extremely painful, disabling and life-changing. Whether conservative or surgical treatment for sciatica secondary to an intervertebral disc prolapse is most effective is still much debated. An important component of conservative treatment is physiotherapy, which aims to promote physical and psychological health for the patient, whilst resorption of the disc takes place. This paper reports a qualitative study of patients' views and experiences of a bespoke physiotherapy intervention for the treatment of sciatica...
February 23, 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/26860516/electrocardiographic-and-scintigraphic-evaluation-of-patients-with-subclinical-hyperthyroidism-during-workout
#19
Grzegorz Kaminski, Mirosław Dziuk, Ewelina Szczepanek-Parulska, Ariadna Zybek-Kocik, Marek Ruchala
Subclinical hyperthyroidism (sHT) was found to be associated with elevated heart rate, blood pressure and increased risk of extrasystoles. However, the full clinical relevance of morphological and functional implications of sHT on the cardiovascular system is still a matter of debate. The aim of the study was to prospectively assess the influence of endogenous sHT on exercise capacity and cardiac function during workout with the use of exercise electrocardiography (ExECG) and perfusion scintigraphy. The studied group consisted of 44 consecutively recruited patients diagnosed with sHT...
August 2016: Endocrine
https://www.readbyqxmd.com/read/26828235/accommodating-a-viewpoint
#20
J Haxby Abbott
In this month's issue, we debut a new feature: Viewpoint. Viewpoint articles are scholarly papers containing opinion or perspectives relevant to musculoskeletal and sports physical therapy. They are editorial-/perspective-/professional commentary-type articles, authored by experts in their topic field, and intended to put research into context for readers by delivering clinically meaningful synopsis, debate, and discussion. J Orthop Sports Phys Ther 2016;46(2):37. doi:10.2519/jospt.2016.0102.
February 2016: Journal of Orthopaedic and Sports Physical Therapy
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