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https://www.readbyqxmd.com/read/30509609/characterization-of-an-anatomic-safe-zone-surrounding-the-lower-subscapular-nerve-during-an-open-deltopectoral-approach
#1
Kempland C Walley, Kaitlin L Saloky, Gary F Updegrove, Hector Lopez, April D Armstrong
BACKGROUND: Due to anatomic variance in subscapular nerve innervation patterns, it is theorized that the dysfunction of the subscapularis could be the result of iatrogenic denervation during mobilization of the subscapularis while exposing the anterior glenohumeral joint in anterior surgical approaches. The purpose of this study was to describe innervation patterns of the subscapularis and to characterize a safe zone when conducting an anterior surgical approach. METHODS: The study used 6 human cadaveric shoulder specimens (12 shoulders total)...
November 30, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30473030/radiation-doses-for-endovascular-aortic-repairs-performed-on-mobile-and-fixed-c-arm-fluoroscopes-and-procedure-phase-specific-radiation-distribution
#2
Johannes Frederik Schaefers, Kevin Wunderle, Marco Virgilio Usai, Giovanni Federico Torsello, Giuseppe Panuccio
OBJECTIVE: The objective of this study was to analyze radiation risk to patients during endovascular aneurysm repair (EVAR) using mobile C-arm (MA) or fixed C-arm (FA) fluoroscopes and to describe the dose distribution during the different phases of the procedure. METHODS: Patients treated with EVAR using a single stent graft system between November 2009 and June 2016 were included in this study. The patients were divided into one of two groups (MA or FA) according to the type of C-arm used in the procedure...
December 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/30428863/protocol-for-evaluating-the-effects-of-a-foot-ankle-therapeutic-exercise-program-on-daily-activity-foot-ankle-functionality-and-biomechanics-in-people-with-diabetic-polyneuropathy-a-randomized-controlled-trial
#3
Renan L Monteiro, Cristina D Sartor, Jane S S P Ferreira, Milla G B Dantas, Sicco A Bus, Isabel C N Sacco
BACKGROUND: Diabetic polyneuropathy (DPN) negatively affects foot and ankle function (strength and flexibility), which itself affects the daily physical activity and quality of life of patients. A physical therapy protocol aiming to strengthen the intrinsic and extrinsic foot muscles and increase flexibility may be a promising approach to improve lower-extremity function, prevent further complications, and improve autonomy for daily living activities in these patients. Thus, the inclusion of a specific foot-related exercises focused on the main musculoskeletal impairments may have additional effects to the conventional interventions in the diabetic foot...
November 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30427241/understanding-the-impact-of-trunk-and-arm-impairment-on-wheelchair-rugby-performance-during-competition
#4
Barry S Mason, Viola C Altmann, Victoria L Goosey-Tolfrey
PURPOSE: To determine the effect of trunk and arm impairment on physical and technical performance during wheelchair rugby (WR) competition. METHODS: Thirty-one highly trained WR players grouped according to their trunk (no trunk [NT]; some trunk [T] function) and arm impairment (poor [PAF]; moderate [MAF]; good [GAF] arm function) participated in 5 WR matches. Player's physical (wheelchair mobility) and technical (ball handling) activities were analysed using an indoor tracking system and video analysis respectively...
November 14, 2018: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/30408305/a-mass-spectrometry-based-modelling-workflow-for-accurate-prediction-of-igg-antibody-conformations-in-the-gas-phase
#5
Kjetil Hansen, Andy M C Lau, Kevin Giles, James M McDonnell, Weston B Struwe, Brian J Sutton, Argyris Politis
Immunoglobulins are biomolecules involved in defence against foreign substances. Flexibility is key to their functional properties in relation to antigen binding and receptor interactions. Here we develop an integrative strategy combining ion mobility mass spectrometry (IM-MS) with molecular modelling to study the conformational dynamics of human IgG antibodies. Predictive models of all four human IgG subclasses were assembled and their dynamics sampled in the transition from extended to collapsed state during IM-MS...
November 8, 2018: Angewandte Chemie
https://www.readbyqxmd.com/read/30339271/mobile-c-arm-with-a-cmos-detector-technical-assessment-of-fluoroscopy-and-cone-beam-ct-imaging-performance
#6
Niral M Sheth, Wojciech Zbijewski, Matthew W Jacobson, Godwin Abiola, Gerhard Kleinszig, Sebastian Vogt, Stefan Soellradl, Jens Bialkowski, William S Anderson, Clifford R Weiss, Greg M Osgood, Jeffrey H Siewerdsen
PURPOSE: Indirect-detection CMOS flat-panel detectors (FPDs) offer fine pixel pitch, fast readout, and low electronic noise in comparison to current a-Si:H FPDs. This work investigates the extent to which these potential advantages affect imaging performance in mobile C-arm fluoroscopy and cone-beam CT (CBCT). METHODS: FPDs based on CMOS (Xineos 3030HS, 0.151 mm pixel pitch) or a-Si:H (PaxScan 3030X, 0.194 mm pixel pitch) sensors were outfitted on equivalent mobile C-arms for fluoroscopy and CBCT...
October 19, 2018: Medical Physics
https://www.readbyqxmd.com/read/30336745/analysis-of-intraoperative-radiation-use-in-vascular-surgery-catalyst-for-quality-improvement-in-patient-and-personnel-safety
#7
Sharon C Kiang, Khwaja A Ahmed, Victoria J Cha, Donald V Farley, Udochukwu E Oyoyo, Ahmed M Abou-Zamzam, Roger T Tomihama
Objectives There is paucity in the literature reporting radiation usage analysis in vascular surgery. In the era of endovascular surgeries, analyzing the surgeons' use of radiation in vascular procedures can help establish quality improvement initiatives. Methods A retrospective review was undertaken of intraoperative fluoroscopic-guided vascular surgery procedures at a single institution from 2010 to 2017. Mobile C-arms were utilized to gather the six radiation usage metrics and cases were categorized into 6 anatomic surgical fields and 10 surgical procedure types...
October 18, 2018: Vascular
https://www.readbyqxmd.com/read/30322833/mobile-phone-text-messaging-for-tobacco-risk-communication-among-young-adult-community-college-students-protocol-and-baseline-overview-for-a-randomized-controlled-trial
#8
Alexander V Prokhorov, Georges Elias Khalil, Karen Sue Calabro, Tamara Costello Machado, Sophia Russell, Katarzyna W Czerniak, Gabrielle C Botello, Minxing Chen, Adriana Perez, Damon J Vidrine, Cheryl L Perry
BACKGROUND: Community-college students are at high risk for tobacco use. Because the use of mobile phone text messaging is nearly ubiquitous today, short message service (SMS) may be an effective strategy for tobacco risk communication in this population. Little is known, however, concerning the message structure significantly influencing perceived tobacco risk. OBJECTIVE: We aim to outline the rationale and design of Project Debunk, a randomized trial comparing the effects of different SMS text message structures...
October 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/30304635/concomitant-acute-stroke-pulmonary-and-myocardial-infarction-due-to-in-transient-thrombus-across-a-patent-foramen-ovale
#9
Sergio Barros-Gomes, Abdallah El Sabbagh, Mackram F Eleid, Sunil V Mankrad
Non-atherosclerotic myocardial infarction (MI) is an important but often misdiagnosed cause of acute MI. Furthermore, non-atherosclerotic MI with concomitant acute stroke and pulmonary embolism due to in-transit thrombus across a patent foramen ovale (PFO) is a rare but potentially fatal combination (1, 2, 3). Early detection of this clinical entity can facilitate delivery of targeted therapies and avoid poor outcome (1, 2). Here, we describe a 68-year-old female with hypertension, tobacco abuse and chronic obstructive pulmonary disease presenting with facial droop, right arm weakness and aphasia...
December 1, 2018: Echo Research and Practice
https://www.readbyqxmd.com/read/30287676/financial-incentives-to-increase-uptake-of-pediatric-hiv-testing-fit-study-protocol-for-a-randomised-controlled-trial-in-kenya
#10
Anjuli D Wagner, Irene N Njuguna, Jillian Neary, Vincent O Omondi, Verlinda A Otieno, Joseph Babigumira, Elizabeth Maleche-Obimbo, Dalton C Wamalwa, Grace C John-Stewart, Jennifer A Slyker
INTRODUCTION: Index case testing (ICT) to identify HIV-infected children is efficient but has suboptimal uptake. Financial incentives (FI) have overcome financial barriers in other populations by offsetting direct and indirect costs. A pilot study found FI to be feasible for motivating paediatric ICT among HIV-infected female caregivers. This randomised trial will determine the effectiveness of FI to increase uptake of paediatric ICT. METHODS AND ANALYSIS: The Financial Incentives to Increase Uptake of Pediatric HIV Testing trial is a five-arm, unblinded, randomised controlled trial that determines whether FI increases timely uptake of paediatric ICT...
October 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/30282400/ionizing-radiation-dose-exposure-to-the-ocular-region-of-pain-physicians-during-c-arm-guided-pain-interventions
#11
Raymond Kelly, Aisling McMahon, Dominic Hegarty
BACKGROUND: The growth of interventional pain medicine in recent years has resulted in more procedures being carried out under fluoroscopic guidance. The proximity of the pain physician (PP) to ionization radiation (IR) potentially increases the risk of radiation exposure to the ocular region. A European directive has reduced the limits of occupational ocular dose 7.5-fold. OBJECTIVES: The objectives of this study are to quantify the typical IR exposure in the ocular region of PP and to compare it to recommended international guidelines...
September 2018: Pain Physician
https://www.readbyqxmd.com/read/30280142/patient-dose-comparison-for-intraoperative-imaging-devices-used-in-orthopaedic-lumbar-spinal-surgery
#12
Bria Moore, K Roland Womack, Giao Nguyen, Norah Foster, William Richardson, Terry Yoshizumi
Background: The aim of this study was to determine the amount of radiation exposure from intraoperative imaging during two-level and four-level lumbar fusions. Methods: Five imaging systems were studied: multidetector CT (MDCT) scanner (CT A); two mobile CT units (CT B and CT C); a C-arm (D); and fluoroscopy (E). Metal oxide semiconductor field effect transistor dosimeters measured doses at 25 organ locations using an anthropomorphic phantom. A fat-equivalent phantom was used to simulate an obese body mass index (BMI)...
July 2018: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
https://www.readbyqxmd.com/read/30264137/effect-of-digital-cognitive-behavioral-therapy-for-insomnia-on-health-psychological-well-being-and-sleep-related-quality-of-life-a-randomized-clinical-trial
#13
Colin A Espie, Richard Emsley, Simon D Kyle, Christopher Gordon, Christopher L Drake, A Niroshan Siriwardena, John Cape, Jason C Ong, Bryony Sheaves, Russell Foster, Daniel Freeman, Joan Costa-Font, Antonia Marsden, Annemarie I Luik
Importance: Digital cognitive behavioral therapy (dCBT) is a scalable and effective intervention for treating insomnia. Most people with insomnia, however, seek help because of the daytime consequences of poor sleep, which adversely affects quality of life. Objectives: To investigate the effect of dCBT for insomnia on functional health, psychological well-being, and sleep-related quality of life and to determine whether a reduction in insomnia symptoms was a mediating factor...
September 25, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/30192981/single-molecule-tracking-reveals-that-the-bacterial-smc-complex-moves-slowly-relative-to-the-diffusion-of-the-chromosome
#14
Sonja Schibany, Luise A K Kleine Borgmann, Thomas C Rösch, Tobias Knust, Maximilian H Ulbrich, Peter L Graumann
Structural Maintenance of Chromosomes (SMC) proteins and their complex partners (ScpA and ScpB in many bacteria) are involved in chromosome compaction and segregation in all kinds of organisms. We employed single molecule tracking (SMT), tracking of chromosomal loci, and single molecule counting in Bacillus subtilis to show that in slow growing cells, ∼30 Smc dimers move throughout the chromosome in a constrained mode, while ∼60 ScpA and ScpB molecules travel together in a complex, but independently of the nucleoid...
September 6, 2018: Nucleic Acids Research
https://www.readbyqxmd.com/read/30192371/the-daily-grind-sex-and-age-related-activity-patterns-inferred-from-cross-sectional-geometry-of-long-bones-in-a-pre-columbian-muisca-population-from-tibanica-colombia
#15
Melanie J Miller, Sabrina C Agarwal, Lucero Aristizabal, Carl Langebaek
OBJECTIVES: Daily activities involve biomechanical strains acting on skeletal structures. This study identifies differences in activity patterns between males and females, and between young, middle, and older aged individuals within an excavated Muisca skeletal sample from the Eastern Andes region of Northern South America. MATERIALS AND METHODS: The Tibanica archaeological site (AD 1000-1400) is located at 2600 masl on the Sabana de Bogotá, Colombia. Cross-sectional geometric analysis of femurs from 63 individuals and paired-humerii from 33 individuals was used to examine bone size (TA), strength (J) and diaphyseal shape (Imax /Imin , Ix /Iy )...
September 7, 2018: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/30172060/does-the-pectoralis-minor-length-influence-acromiohumeral-distance-shoulder-pain-function-and-range-of-movement
#16
S Navarro-Ledesma, M Fernandez-Sanchez, A Luque-Suarez
OBJECTIVE: To determine the association between pectoralis minor length (PML) and the acromiohumeral distance (AHD) in the symptomatic (S) and the asymptomatic (A) shoulder of subjects with chronic shoulder pain, and in shoulder free of pain controls (C). Furthermore, to analyze the relationship between PML and shoulder pain-function and range of movement (ROM) free of pain. DESIGN: A cross sectional study. SETTING: Primary care centres. PARTICIPANTS: A sample of fifty-four participants with chronic shoulder pain in their dominant arm was recruited, as well as fifty-four participants with shoulder free of pain...
November 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/30168510/-the-using-the-modern-technologies-simulators-for-the-strengthening-of-the-back-muscles-in-the-schoolchildren-suffering-from-first-degree-scoliosis
#17
V S Malysheva, V V Gorelik, V N Vlasov
BACKGROUND: Strengthening the health of the young people and adolescents is a priority task for the health care system. The posture, as a habitual position of the body of a person standing at ease, is formed in the course of the child's physical development including the development of the static-dynamic functions. The problems of rehabilitation of the school-age children arising from the necessity to correct impaired posture, including scoliosis, are associated with their life activity and the socio-economic status...
2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/30099387/concomitant-acute-stroke-pulmonary-and-myocardial-infarction-due-to-in-transient-thrombus-across-a-patent-foramen-ovale
#18
Sergio Barros-Gomes, Abdullah El Sabbagh, Mackram F Eleid, Sunil V Mankad
Non-atherosclerotic myocardial infarction (MI) is an important but often misdiagnosed cause of acute MI. Furthermore, non-atherosclerotic MI with concomitant acute stroke and pulmonary embolism due to in-transit thrombus across a patent foramen ovale (PFO) is a rare but potentially fatal combination (1-3). Early detection of this clinical entity can facilitate delivery of targeted therapies and avoid poor outcome (1, 2). Here, we describe a 68-year-old female with hypertension, tobacco abuse, and chronic obstructive pulmonary disease presenting with facial droop, right arm weakness and aphasia...
August 11, 2018: Echo Research and Practice
https://www.readbyqxmd.com/read/30092429/fusion-imaging-for-evar-with-mobile-c-arm
#19
Adrien Kaladji, Alexandre Villena, Remy Pascot, Florent Lalys, Anne Daoudal, Elodie Clochard, Antoine Lucas, Alain Cardon
INTRODUCTION: Fusion imaging is a technique that facilitates endovascular navigation but is only available in hybrid rooms. The goal of this study was to evaluate the feasibility of fusion imaging with a mobile C-arm in a conventional operating room through the use of an angio-navigation station. METHODS: From May 2016 to June 2017, the study included all patients who underwent an aortic stent graft procedure in a conventional operating room with a mobile flat-panel detector (Cios Alpha, Siemens) connected to an angio-navigation station (EndoNaut, Therenva)...
August 6, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30089018/efficacy-of-bingocize-%C3%A2-a-game-centered-mobile-application-to-improve-physical-and-cognitive-performance-in-older-adults
#20
RANDOMIZED CONTROLLED TRIAL
Matthew C Shake, K Jason Crandall, Rilee P Mathews, Dustin G Falls, A Kathryn Dispennette
OBJECTIVE: A significant barrier to improving the health and well-being of older adults is that they often do not adhere to health-promoting programs. The present study examined whether Bingocize® , a game-centered mobile app that can combine bingo with healthy activities such as exercise and/or health topic education, could (1) engender high rates of adherence among sedentary community-dwelling older adults, and (2) potentially improve aspects of physical and cognitive performance. MATERIALS AND METHODS: Participants used the app for ∼1 hour, twice per week, for 10 weeks...
August 2018: Games for Health
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