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https://www.readbyqxmd.com/read/30113791/-paradigm-shift-in-management-of-patients-with-vertigo-and-imbalance
#1
REVIEW
Andrea Mike, T László Tamás
Dizziness is one of the most common causes of medical visits. Management of the dizzy patient may be challenging both for the general practitioner, in emergency departments, and special clinics, as behind a seemingly homogeneous clinical presentation several very different etiologies may occur. Research of the last two century enriched our knowledge about physiology and pathophysiology of the vestibular system. Much knowledge is now available about the labyrinth being able to sense head motions and gravity, processing of afferent vestibular stimuli, reflectory oculomotor and postural control, or recovery of the vestibular system...
July 30, 2018: Ideggyógyászati Szemle
https://www.readbyqxmd.com/read/30111502/early-outcomes-of-locked-noncemented-stems-for-the-management-of-proximal-humeral-fractures-a-comparative-study
#2
Alberto Jorge-Mora, Samer Amhaz-Escanlar, Sabela Fernández-Pose, Cristina Lope-Del-Teso, Jesús Pino-Mínguez, José Ramón Caeiro-Rey, Juan Pretell-Mazzini, Rodolfo Gómez
BACKGROUND: Proximal humeral fractures are common and a major concern in public health resources utilization. There is an increase in the use of reverse total shoulder arthroplasty (RTSA) as an option for complex fractures in the elderly. The complexity of the technique in RTSA is increased because of the fracture. To find an advantage of locking stems in RTSA for the treatment of proximal humeral fractures, we designed a comparative study between fracture-dedicated locking stems vs. cemented stems...
August 13, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30111500/congenital-dislocation-of-the-knee-in-a-three-year-old-child-with-larsen-syndrome-treatment-with-a-hexapod-type-external-fixator
#3
Céline Klein, Yassine Bulaid, François Deroussen, Marie-Christine Plancq, Camille Printemps, Richard Gouron
Congenital knee dislocation (CDK) is a rare condition, and its treatment is subject to debate. Here, we report on a new treatment for CDK (using a hexapod-type external fixator, HEF) in a three-year-old child with Larsen syndrome and grade III anterior dislocations of both knees. The left knee was treated with serial splints, whereas an HEF was used to treat an irreducible dislocation of the right knee. Two HEF aluminium rings were applied surgically. The procedure involved a distraction of the knee, then tibial posterior translation, and lastly progressive flexion...
August 12, 2018: Knee
https://www.readbyqxmd.com/read/30110784/management-of-matter-wave-solitons-in-bose-einstein-condensates-with-time-dependent-atomic-scattering-length-in-a-time-dependent-parabolic-complex-potential
#4
E Kengne, W M Liu
In this paper, we consider a Gross-Pitaevskii (GP) equation with a time-dependent nonlinearity and a spatiotemporal complex linear term which describes the dynamics of matter-wave solitons in Bose-Einstein condensates (BECs) with time-dependent interatomic interactions in a parabolic potential in the presence of feeding or loss of atoms. We establish the integrability conditions under which analytical solutions describing the modulational instability and the propagation of both bright and dark solitary waves on a continuous wave background are obtained...
July 2018: Physical Review. E
https://www.readbyqxmd.com/read/30109763/micropulse-%C3%A2-transscleral-cyclophotocoagulation-in-the-treatment-of-canine-glaucoma-preliminary-results-12-dogs
#5
Lionel Sebbag, Rachel A Allbaugh, Rachel A Strauss, Travis D Strong, Rita F Wehrman, Braidee C Foote, Gil Ben-Shlomo
OBJECTIVE: To describe the clinical application and effect of MicroPulse™ transscleral cyclophotocoagulation (MP-TSCPC) in dogs with glaucoma. ANIMALS STUDIED: Twelve dogs with primary (n = 8) or secondary (n = 4) glaucoma, aged 2-13 years (mean ± SD, 7.2 ± 3.8 years). PROCEDURES: MP-TSCPC was performed under sedation or general anesthesia. Laser duty cycle was 31.3%, laser power varied from 2000-2800 mW, and each hemisphere was treated for 90-180 seconds...
August 15, 2018: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/30107902/clinical-spectrum-and-management-implications-of-left-ventricular-outflow-obstruction-with-mild-ventricular-septal-thickness-in-hypertrophic-cardiomyopathy
#6
Ethan J Rowin, Barry J Maron, Aalap Chokshi, Muhil Kannappan, Knarik Arkun, Wendy Wang, Hassan Rastegar, Martin S Maron
Hypertrophic cardiomyopathy (HC) has historically been characterized as a disease of substantial left ventricular hypertrophy, often associated with dynamic left ventricular outflow tract obstruction. However, we have recently encountered patients with subaortic obstruction and only minimal basal septal thickness, raising important management implications. Thereby, we sought to characterize the natural history and treatment strategies for this under-recognized subgroup of HC patients with dynamic obstruction...
July 17, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/30107789/passive-exercise-to-improve-quality-of-life-activities-of-daily-living-care-burden-and-cognitive-functioning-in-institutionalized-older-adults-with-dementia-a-randomized-controlled-trial-study-protocol
#7
Marelle Heesterbeek, Eddy A Van der Zee, Marieke J G van Heuvelen
BACKGROUND: Dementia affects cognitive functioning, physical functioning, activities of daily living (ADLs), and quality of life (QOL). Pharmacological treatments to manage, cure or prevent dementia remain controversial. Therefore development of non-pharmacological approaches to prevent, or at least delay the onset and progression of dementia is urgently needed. Passive exercise is proposed to be such a non-pharmacological alternative. This study primarily aims to investigate the effects of three different forms of passive exercise on QOL and ADLs of institutionalized patients with dementia...
August 14, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30104925/do-orthopedic-trauma-surgeons-adhere-to-aaos-guidelines-when-treating-distal-radius-fractures
#8
Ugochi C Okoroafor, Lisa K Cannada
Background: The American Academy of Orthopedic Surgeons (AAOS) has provided Clinical Practice Guidelines (CPG) and Appropriate Use Criteria (AUC) regarding management of distal radius fractures. The purpose of this study was to evaluate current practices in management of distal radius fractures among orthopedic trauma surgeons and to examine adherence to the AAOS criteria. Methods: An online survey was posted and distributed via the Orthopaedic Trauma Association (OTA) website...
2018: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/30104150/-image-guided-radiotherapy-in-lung-cancer
#9
A Aboudaram, J Khalifa, C Massabeau, L Simon, A Hadj Henni, S Thureau
Image-guided radiotherapy takes place at every step of the treatment in lung cancer, from treatment planning, with fusion imaging, to daily in-room repositioning. Managing tumoral and surrounding thoracic structures motion has been allowed since the routine use of 4D computed tomography (4DCT). The integration of respiratory motion has been made with "passive" techniques based on reconstruction images from 4DCT planning, or "active" techniques adapted to the patient's breathing. Daily repositioning is based on regular images, weekly or daily, low (kV) or high (MV) energy...
August 10, 2018: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/30104078/plate-fixation-with-cancellous-graft-for-scaphoid-nonunion-with-avascular-necrosis
#10
Jill G Putnam, Ryan M DiGiovanni, Sean M Mitchell, Paulo Castañeda, Scott G Edwards
PURPOSE: Currently, there is no consensus on the optimal treatment for scaphoid nonunion with avascular necrosis (AVN). Various techniques, often involving vascularized corticocancellous bone grafting, have been proposed. The authors hypothesized that similar outcomes might be possible with volar plate fixation augmented with autogenous pure cancellous graft. METHODS: The authors performed a retrospective chart review of 13 cases of scaphoid nonunions with AVN in 12 patients treated with plate fixation and pure cancellous bone grafting...
August 10, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/30103752/case-report-synovial-sarcoma-of-the-axilla-with-brachial-plexus-involvement
#11
Ziyad M Mohaidat, Abed-Allah A Saleh, Salah Al-Gharaibeh, Ibrahim R Yousef
BACKGROUND: Synovial sarcoma is a rare soft tissue sarcoma which most commonly affects the extremities of young adults. Axilla involvement by this sarcoma is very rare especially with involvement of the brachial plexus. This combination adds to the challenge in approaching such tumors which might significantly affect survival and function. CASE PRESENTATION: Herein, we present a 48-year-old female patient who presented with an isolated painless lump in her right axilla...
August 13, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/30103367/characterization-of-load-reduction-while-lifting-drywall-using-an-unpowered-drywall-lifting-device
#12
Mark Eilertsen, Andrew Merryweather, Shad Roundy
BACKGROUND: Drywall installation has an injury rate four times that of the construction industry average. Workers are exposed to hazards related to slips, falls, and falling objects, in addition to the large and awkward loads they must carry. Drywall sheets can weigh more than 100 lb. and contribute to disabling musculoskeletal injuries of the shoulders and back. OBJECTIVE: In this study, an unpowered lift assist device was developed to manage the load of a drywall sheet during the installation process...
August 9, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/30102073/surgical-management-of-madelung-deformity-a-systematic-review
#13
Abbas Peymani, Anna Rose Johnson, Arriyan S Dowlatshahi, Johannes G G Dobbe, Samuel J Lin, Joseph Upton, Geert J Streekstra, Simon D Strackee
BACKGROUND: Madelung deformity is a congenital wrist condition characterized by volar subluxation of the wrist caused by premature growth arrest of the distal radius. Progressive symptoms can necessitate surgical intervention, yet optimal treatment strategy remains unknown. The aim of this study is to determine treatment options, surgical indications, and operative outcomes for Madelung deformity. METHODS: This study adhered to the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) guidelines...
August 13, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30100219/the-shape-and-mobility-of-the-thoracic-spine-in-asymptomatic-adults-a-systematic-review-of-in-vivo-studies
#14
REVIEW
Fumin Pan, Ali Firouzabadi, Sandra Reitmaier, Thomas Zander, Hendrik Schmidt
A comprehensive knowledge of the thoracic shape and kinematics is essential for effective risk prevention, diagnose and proper management of thoracic disorders and assessment of treatment or rehabilitation strategies as well as for in silico and in vitro models for realistic applications of boundary conditions. After an extensive search of the existing literature, this study summarizes 45 studies on in vivo thoracic kyphosis and kinematics and creates a systematic and detailed database. The thoracic kyphosis over T1-12 determined using non-radiological devices (34°) was relatively less than measured using radiological devices (40°) during standing...
August 4, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/30098923/increased-scapular-spine-fractures-after-reverse-shoulder-arthroplasty-with-a-humeral-onlay-short-stem-an-analysis-of-485-consecutive-cases
#15
Francesco Ascione, Christopher M Kilian, Mitzi S Laughlin, Giulia Bugelli, Peter Domos, Lionel Neyton, Arnaud Godeneche, T Bradley Edwards, Gilles Walch
BACKGROUND: Scapular stress fractures after reverse shoulder arthroplasty (RSA) are a potentially serious complication with modern lateralized and onlay implants. The aim of this study was to report the scapular spine stress fracture rate after RSA with an onlay, 145° humeral stem, analyzing potential fracture risk factors and clinical outcomes in a large cohort of patients. METHODS: A consecutive series of 485 RSAs were implanted with the Aequalis Ascend Flex stem...
August 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30097054/a-new-less-invasive-surgical-technique-in-the-management-of-acute-achilles-tendon-rupture-through-limited-open-procedure-combined-with-a-single-anchor-and-circuit-suture-technique
#16
Hao Zhang, Pei-Zhao Liu, Xin Zhang, Chen Ding, Hao-Chen Cui, Wen-Bin Ding, Ren-Kai Wang, Da-Jiang Wu, Qiang Wei, Sheng Qin, Xue-Lin Wu, Da-Ke Tong, Guang-Chao Wang, Hao Tang, Fang Ji
BACKGROUND: Traditional incision repair and minimally invasive repair for acute Achilles tendon repair have limitations. This study aimed to present our series of 23 patients with acute Achilles tendon rupture that was repaired using two small incisions to assist the anchor repair of the tear and a new "circuit" suture technique. METHODS: This was a retrospective study of 23 patients with acute Achilles tendon rupture treated with the new technique at Changhai Hospital between January 2015 and December 2016 and followed up for 14-33 months...
August 10, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/30095858/low-frequency-high-intensity-versus-medium-frequency-low-intensity-combined-therapy-in-the-management-of-active-myofascial-trigger-points-a-randomized-controlled-trial
#17
Mary Kamal Nassif Takla
BACKGROUND: Electrotherapeutic modalities have proven to be one of the best therapeutic options for myofascial pain syndrome, targeting the myofascial trigger points (MTrPs). Combined therapy (CT) is described with paucity in literature as the application of ultrasound (US) and electrical stimulating current concurrently and at the same site. AIM: The aim was to compare between low-frequency, high-intensity burst transcutaneous electrical nerve stimulation CT (burst-TENS-CT) and medium-frequency, low-intensity amplitude modulated frequency CT (AMF-CT) on upper trapezius active MTrPs (A-MTrPs)...
August 10, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/30081578/vehicle-counting-based-on-vehicle-detection-and-tracking-from-aerial-videos
#18
Xuezhi Xiang, Mingliang Zhai, Ning Lv, Abdulmotaleb El Saddik
Vehicle counting from an unmanned aerial vehicle (UAV) is becoming a popular research topic in traffic monitoring. Camera mounted on UAV can be regarded as a visual sensor for collecting aerial videos. Compared with traditional sensors, the UAV can be flexibly deployed to the areas that need to be monitored and can provide a larger perspective. In this paper, a novel framework for vehicle counting based on aerial videos is proposed. In our framework, the moving-object detector can handle the following two situations: static background and moving background...
August 4, 2018: Sensors
https://www.readbyqxmd.com/read/30078903/management-of-neglected-lateral-condyle-fracture-of-humerus-a-comparison-between-two-modalities-of-fixation
#19
Rahul Ranjan, Abhinav Sinha, Naiyer Asif, Syed Ifthekar, Ashish Kumar, Suresh Chand
Background: Implant for fixation of neglected fracture lateral condyle humerus remains an issue of controversy. This study compares the clinical and radiological outcome of fixation with Kirschner wire (K-wire) and with cancellous screw (CS) in neglected fracture lateral condyle humerus. Materials and Methods: 42 patients of neglected lateral condyle humerus fracture, treated either by open reduction and internal fixation (ORIF) with K-wire or ORIF with CS were included in study...
July 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/30076672/quality-assurance-tests-for-the-gamma-knife-%C3%A2-icon%C3%A2-image-guidance-system
#20
Ismail AlDahlawi, Dheerendra Prasad, Matthew B Podgorsak
INTRODUCTION: The Gamma Knife® Icon™ comes with an image guidance system for tracking patient motion and correcting for inter- and intrafractional shifts, mainly used with frameless thermoplastic immobilization. The system consists of a cone-beam CT (CBCT) and a couch-mounted infrared camera (IFMM). We report our quality assurance program for Icon's image guidance system. METHODS: The manufacturer-provided tool is used for daily checks of CBCT positional precision...
August 3, 2018: Journal of Applied Clinical Medical Physics
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