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Aaron Legler, Megan Price, Megha Parikh, Jonathan R Nebeker, Merry C Ward, Linda Wedemeyer, Steven D Pizer
PURPOSE: To examine associations between patient perceptions that their provider was knowledgeable of their medical history and clinicians' early adoption of an application that presents providers with an integrated longitudinal view of a patient's electronic health records (EHR) from multiple healthcare systems. METHOD: This retrospective analysis utilizes provider audit logs from the Veterans Health Administration Joint Legacy Viewer (JLV) and patient responses to the Survey of Patient Healthcare Experiences Patient-Centered Medical Home (SHEP/PCMH) patient satisfaction survey (FY2016) to assess the relationship between the primary care provider being an early adopter of JLV and patient perception of the provider's knowledge of their medical history...
October 18, 2018: Journal of General Internal Medicine
Samuel O Ewalefo, Malcolm Dombrowski, Takashi Hirase, Jorge L Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney, MaCalus V Hogan
PURPOSE OF REVIEW: Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. RECENT FINDINGS: Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint...
October 16, 2018: Current Reviews in Musculoskeletal Medicine
Masatoshi Morimoto, Kosaku Higashino, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita, Yoichiro Takata, Shoichiro Takao, Toshinori Sakai, Takashi Chikawa, Akihiro Nagamachi, Koichi Sairyo
BACKGROUND: Despite facet joints being three-dimensional structures, previous computed tomography and magnetic resonance imaging studies have evaluated facet joint orientation in only the axial plane. Facet joint orientation in the sagittal plane has rarely been studied using these imaging techniques. The aim of this study was to elucidate facet joint orientation in both the axial and sagittal planes on computed tomography. METHODS: A total of 568 patients (343 men, 225 women) (excluding orthopedic outpatients) for whom abdominal and pelvic computed tomography scans were obtained at our hospital between September 2010 and October 2012 were included...
October 11, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Alexandros P Apostolopoulos, R K Yallapragada, I Katsougrakis, S Khan, G Tselentakis
The frequency of anterior cruciate ligament (ACL) reconstruction performed worldwide has been significantly increasing per year. Despite the common nature of the procedure, controversy remains regarding the natural history of ACL injuries, surgical technique, graft choice, and long-term outcomes. We present a case report of a 33-year-old male who had a history of an ACL reconstruction that was performed 12 years ago using bone patella tendon bone (BPTB) graft, by using a press-fit femoral technique. He was referred to our outpatient department due to a re-rupture of his ACL following a football injury...
2018: Journal of Long-term Effects of Medical Implants
Louis McCusky Gendron, Andre Nyberg, Didier Saey, François Maltais, Yves Lacasse
BACKGROUND: Active mind-body movement therapies (AMBMTs), including but not limited to yoga, tai chi, and qigong, have been applied as exercise modalities for people with chronic obstructive pulmonary disease (COPD). AMBMT strategies have been found to be more effective than usual care; however, whether AMBMT is inferior, equivalent, or superior to pulmonary rehabilitation (PR) in people with COPD remains to be determined. OBJECTIVES: To assess the effects of AMBMTs compared with, or in addition to, PR in the management of COPD...
October 10, 2018: Cochrane Database of Systematic Reviews
Eirik Ikdahl, Silvia Rollefstad, Grunde Wibetoe, Anne Salberg, Frode Krøll, Kjetil Bergsmark, Tore K Kvien, Inge C Olsen, Dag Magnar Soldal, Gunnstein Bakland, Åse Lexberg, Clara G Gjesdal, Christian Gulseth, Glenn Haugeberg, Anne Grete Semb
Objective: The European League Against Rheumatism recommends implementing cardiovascular disease (CVD) risk assessments for patients with inflammatory joint diseases (IJDs) into clinical practice. Our goal was to design a structured programme for CVD risk assessments to be implemented into routine rheumatology outpatient clinic visits. Methods: The NOrwegian Collaboration on Atherosclerosis in patients with Rheumatic joint diseases (NOCAR) started in April 2014 as a quality assurance project including 11 Norwegian rheumatology clinics...
2018: RMD Open
Aisha Khatoon, Samia Husain, Sonia Husain, Saba Hussain
Context: Due to increased life expectancy worldwide, women are expected to spend a significant portion of their lives in menopause. Proven prevention strategies against serious risks and tested effective treatments for common symptoms may remain unutilized in our population if these women are not asked about these symptoms. Aim: This study aims to assess the prevalence of different menopausal symptoms and their severity according to menopause rating scale (MRS) in women...
July 2018: Journal of Mid-life Health
D Ai, X J Li, W R Yao, Q Zhang, M Zhou, L Tang, X B Luo, N N Zhang, S Yang, Y Wang, P Ding, S Y Cai, Z P Chen, R H Wu
Objective: To detect the arthropathies on no bleeding history joints in pre-school hemophilia A children in order to provide evidence for further prevention and control of joint disease in children with hemophilia A. Methods: This study was a cross-sectional study based on China Hemophilia Individualized prophylaxis study (CHIPS). The basic data of outpatients with hemophilia in Beijing Children's Hospital and Chengdu Women's and Children's Central Hospital between August 2016 and June 2017 were collected and a three-month follow-up was conducted...
October 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Hsin-Chen He, Ming-Chun Hsu, Chun-Sheng Hsu, Yuan-Yang Cheng, Shin-Tsu Chang
RATIONALE: The brain circulation of the dentato-rubro-thalamo-cortical tract (DRTT) has been reported for decade, but is rarely observed using nuclear medicine imaging tools, to analyze a patient with midbrain hemiatrophy syndrome. We present a case that revealed notable interruption in the middle of the DRTT. Finding out whether the superior cerebellar peduncle of the midbrain was injured was a decisive element for developing bidirectional effect of DRTT. PATIENT CONCERNS: A 34-year-old right-handed female presented with progressive weakness and bradykinesia in the left-sided limbs for about 6 months...
October 2018: Medicine (Baltimore)
L M Kershen, N C Nacey, J T Patrie, M G Fox
BACKGROUND AND PURPOSE: The effectiveness of facet injections is unclear in the literature. Our objective was to determine the immediate and short-term efficacy of intra-articular and periarticular steroid/anesthetic injections for facet-mediated lumbar pain. MATERIALS AND METHODS: All outpatient fluoroscopically guided facet injections at a single institution during a 54-month period were retrospectively and independently reviewed by 2 musculoskeletal (MSK) trained radiologists...
October 4, 2018: AJNR. American Journal of Neuroradiology
Victor A van de Graaf, Julia C A Noorduyn, Nienke W Willigenburg, Ise K Butter, Arthur de Gast, Ben W Mol, Daniel B F Saris, Jos W R Twisk, Rudolf W Poolman
Importance: Despite recent studies suggesting arthroscopic partial meniscectomy (APM) is not more effective than physical therapy (PT), the procedure is still frequently performed in patients with meniscal tears. Objective: To assess whether PT is noninferior to APM for improving patient-reported knee function in patients with meniscal tears. Design, Setting, and Participants: Noninferiority, multicenter, randomized clinical trial conducted in 9 hospitals in the Netherlands...
October 2, 2018: JAMA: the Journal of the American Medical Association
Lyndon J Hawke, Nora Shields, Michelle M Dowsey, Peter F M Choong, Nicholas F Taylor
Usual care after hip or knee joint replacement does not adequately address the problem of low physical activity levels. We aimed to determine whether exercise delivered in a group setting in the early stage of outpatient rehabilitation influenced self-reported physical activity levels after hip or knee joint replacement. A case series of 79 participants referred to a 6-week outpatient orthopaedic exercise group after total hip or knee replacement were evaluated using the International Physical Activity Questionnaire (IPAQ) short form...
October 3, 2018: Clinical Rheumatology
A Krause, P M Aries, S Berger, C Fiehn, H Kellner, H-M Lorenz, L Meier, G A Müller, U Müller-Ladner, A Schwarting, H-P Tony, M A Peters, J Wendler
OBJECTIVE: To assess safety, effectiveness and onset of effect of rituximab (RTX) in routine clinical treatment of severe, active rheumatoid arthritis (RA). METHODS: Prospective, multi-centre, non-interventional study in rheumatological outpatient clinics or private practices in Germany. RTX-naïve adult patients were to receive RTX according to marketing authorisation and at their physician's discretion. Also according to their physician's discretion, patients could receive a second cycle of RTX (re-treatment = treatment continuation)...
October 1, 2018: Zeitschrift Für Rheumatologie
N Junge, J Dingemann, C Petersen, M P Manns, N Richter, J Klempnauer, U Baumann, A Schneider
BACKGROUND: A growing number of patients with biliary atresia and congenital cholestatic syndromes are reaching adulthood. These patients often have a number of typical medical features, including specific characteristics of liver transplantation medicine. OBJECTIVE: What are the special features in the care of adults suffering from liver diseases with manifestation in childhood and adolescence, both before and after liver transplantation (LTX). How does the progression of individual diseases differ depending on age at manifestation? What are specific aspects following pediatric LTX? PATIENTS AND METHODS: Evaluation and discussion of existing guidelines and recommendations of the individual disciplines and professional societies as well as the current literature...
September 27, 2018: Der Internist
A Voigt, E Seipelt, H Bastian, A Juche, A Krause
AIM OF THE PROJECT: To establish an open rheumatological outpatient consultation service for early diagnosis of inflammatory rheumatic diseases and initiation of further diagnostics and treatment. METHODS: In 2015 an open consultation service was initiated for patients with signs of an early rheumatic disease after referral by primary care physicians. Patients could attend once a week without the need for a prior appointment if they fulfilled at least one of the following criteria: positive rheumatoid factor, increased CRP, anti-CCP antibody or antinuclear antibody, joint pain or back pain for over 3 months, swollen joints, fever of unknown origin or acute muscle pain with or without headache of unknown origin...
September 25, 2018: Zeitschrift Für Rheumatologie
Elizabeth I Deans, Alison L Batig, Sarah Cordes, Alicia N Scribner, Peter E Nielsen, Denise J Jamieson, Eva Lathrop, Carrie Cwiak
Introduction: Within the active duty U.S. military population, the age-adjusted unintended pregnancy rate is higher than the national average. Unplanned pregnancy within the military impacts individual and unit medical readiness. Contraceptive education and availability are means to reduce unintended pregnancy rates; health care providers are key facilitators in provision of contraception. Understanding provider knowledge and practices related to contraceptive provision may identify strengths and gaps in order to provide focal points for sustainment or improvement in family planning practices...
September 25, 2018: Military Medicine
Jannie Laursen, Jonatan Kornholt, Cecilie Betzer, Tonny S Petersen, Mikkel B Christensen
Purpose: The aim of this study was to explore whether general practitioners (GPs) experienced barriers toward medication reviews in polymedicated, multimorbid patients, and how a clinical pharmacologist with a focus on pharmacotherapy can support the GPs in an outpatient clinic. Design: The study was descriptive and exploratory and had a qualitative design with a phenomenological/hermeneutic orientation for the interviews. Participants: The study comprised 14 interviews with 14 different GPs from the Capital Region of Denmark...
January 2018: Health Services Research and Managerial Epidemiology
Aymeric Amelot, Christian Mazel
BACKGROUND: Intervertebral discs (ID) degeneration represents the number one cause for outpatient clinic visits worldwide. Mechanisms are discussed but not yet clearly established. Consequently, back pain management is commonly limited to symptomatic treatment therapies. OBJECTIVES: the aim of this review is to evaluate major progress and to unravel the biology and pathology of ID discogenic pain. STUDY DESIGN: the design of this study is a systematic review...
September 12, 2018: World Neurosurgery
Minning Shen, Junyu Zhang, Kai Qian, Chunmei Li, Wenyu Xu, Bingjie Gu, Xiaoqin Wang, Qijie Ren, Leilei Yang, Hai Yuan, Dinglei Su, Xingguo Chen
To retrospectively analyze the efficacy and safety of febuxostat on gout patients with low serum uric acid level. A study was conducted in Nanjing First Hospital from October 2015 to September 2016. Thirty nine acute gouty arthritis patients from the emergency and outpatient department were included. Patients met the 2015 Gout Classification Criteria revised by American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) and had urate deposition around the joints detected by dual-energy computerized tomography (DECT)...
September 9, 2018: Clinical Rheumatology
Gökçe Kenar, Handan Yarkan, Berrin Zengin, Gerçek Can, Merih Birlik, Fatoş Önen
The aim of the study was to investigate the relationship of CPDAI with other follow-up parameters and to evaluate gender differences in measures in psoriatic arthritis (PsA) patients. This cross-sectional study included patients with PsA followed up at a rheumatology outpatient clinic. Disease activity was assessed using CPDAI, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Visual Analog Scale (VASglobal ) and Disease Activity Score (DAS28). Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels were measured...
September 8, 2018: Rheumatology International
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