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https://www.readbyqxmd.com/read/27903941/prep-t1-preteen-re-education-with-parents-type-1-diabetes-feasibility-intervention-results
#1
Susan Sullivan-Bolyai, Sybil Crawford, Kim Johnson, Neesha Ramchandani, Diane Quinn, Bianca D'Alesandro, Kailyn Stern, Terry Lipman, Gail Melkus, Randi Streisand
There has been a 2% to 3% increase in Type 1 diabetes (T1D) in children below 11 years old. Preteens (9-12 years old) with T1D are often overlooked regarding future diabetes self-management (DSM) expectations because parents are still in the "driver's seat." The study purpose was to explore feasibility/ability to recruit and conduct a two-arm trial on reeducation, collaboration, and social support. One component of DSM was reviewed (hypoglycemia) with preteens (n = 22) and parents (n = 22). The experimental preteens discussed hypoglycemia management with a teen mentor and nurse educator using a human patient simulator for practice, and working collaboratively with parents...
November 2016: Journal of Family Nursing
https://www.readbyqxmd.com/read/27882044/the-importance-of-rehabilitation-concerning-upper-extremity-amputees-a-systematic-review
#2
REVIEW
Kardem Soyer, Banu Unver, Seval Tamer, Ozlem Ulger
OBJECTIVE: To evaluate and point out the importance of prosthetic rehabilitation of upper extremity. METHODS: A systematic literature search was performed to identify studies concerning prosthetic rehabilitation in upper extremity. The PRISMA Statement 2009 was used to establish the study and the methodological quality was assessed. RESULTS: The literature search identified 620 studies. Of these 620, 9 studies fulfilled the inclusion criteria and were included for data extraction...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27818682/current-trends-in-neuromuscular-blockade-management-and-monitoring-amongst-singaporean-anaesthetists
#3
Wendy H Teoh, Thomas Ledowski, Phillip S Tseng
Introduction. This survey aimed to investigate the attitudes/practice pertaining the use, management, and monitoring of neuromuscular blockade amongst Singaporean anaesthetists. Methods. All specialist accredited anaesthetists registered with the Singapore Medical Council were invited to complete an anonymous online survey. Results. The response rate was 39.5%. Neuromuscular monitoring (NM) was used routinely by only 13.1% despite the widespread availability of monitors. 82% stated residual NMB (RNMB) was a significant risk factor for patient outcome, but only 24% believed NMB monitoring should be compulsory in all paralyzed patients...
2016: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/27787382/abuse-related-trauma-forward-medical-care-in-a-randomly-sampled-nationwide-population
#4
Cheng-Maw Ho, Chih-Hsin Lee, Jann-Yuan Wang, Po-Huang Lee, Hong-Shiee Lai, Rey-Heng Hu, Jin-Shing Chen
Abuse-related trauma remains a global health issue. However, there is paucity in nationwide reports. We aim to estimate the incidence of abuse-related trauma forward medical care and identify its characteristics and clinical course in Taiwan. Patients with trauma between 2005 and 2007 that occurred 3 months before or after a diagnosis of abuse were identified from a randomly sampled nationwide longitudinal health insurance database of 1 million beneficiaries. The patients' demographic data, injury pattern, and medical resource utilization were measured, stratified by age and sex, and compared using chi-square test...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27726841/-masticatory-apparatus-disorder-how-can-rehabilitation-treatment-help
#5
Isabelle Breton-Torres, Manon Serre, Patrick Jammet, Jacques Yachouh
INTRODUCTION: The temporomandibular joint is highly adaptive and masticatory apparatus disorders (MAD) can occur when its ability to adapt is overwhelmed. Occlusal etiologies were long pinpointed as the sole culprits. However, a consensus now exists which minimizes their involvement. It is recognized that the etiology of MAD is multifactorial, combining occlusal problems, parafunctions, postural anomalies, orofacial dyspraxia and stress. MATERIALS AND METHODS: In this article, the authors review the role of physiotherapy in managing these pathologies...
September 2016: L' Orthodontie Française
https://www.readbyqxmd.com/read/27676828/contribution-of-isokinetic-in-tendinopathy-of-the-rotator-cuff-experience-of-physical-medicine-and-rehabilitation-casablanca
#6
Karima Belhaj, Soumia Meftah, Hicham Elhyaoui, Laila Mahir, Amine Tahir, Mohamed Rahmi, Mohamed Rafai, Abdelhak Garch, Mohamed Nechad, Fatima Lmidmani, Abdellatif Elfatimi
OBJECTIVE: Originally developed for the purpose of muscle strengthening, mainly for knee muscles, the isokinetic has gradually seen its scope expand to other joints, especially in muscle testing, becoming one of reference. Son methods applied to the pathology of the shoulder is relatively recent and, to date, the rules for implementing the tests and rehabilitation remain unclear. The aim of study is to define the contribution of the isokinetic evaluation in the management of shoulder tendon...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27587423/quality-improvement-intervention-to-decrease-prolonged-mechanical-ventilation-after-coronary-artery-bypass-surgery
#7
Jennifer L Hefner, Ravi S Tripathi, Erik E Abel, Michelle Farneman, Jason Galloway, Susan D Moffatt-Bruce
BACKGROUND: In 2010, the incidence of prolonged mechanical ventilation (> 24 hours) after isolated coronary artery bypass graft (CABG) surgery was 26.9% at the study site, The Ohio State University Wexner Medical Center, compared with the national like-hospital rate of 10.9%. OBJECTIVES: To use the principles of lean management to reduce the incidence of prolonged mechanical ventilation and to assess the sustainability of that reduction over time. METHODS: A multidisciplinary prolonged ventilation task force conducted a gap analysis leading to 3 interventions: (1) a standardized extubation protocol, (2) dry erase boards in patients' rooms to facilitate team communication, and (3) edits of the postoperative order set within the electronic health record...
September 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27499255/-contribution-of-the-physical-and-rehabilitation-medicine-in-pediatric-plastic-surgery
#8
L Gottrand, F Devinck, V Martinot Duquennoy, P Guerreschi
Physical, non-painful processes guide the scar reshaping in children in order to prevent growth anomalies due to cutaneous shrinkage. The objective of the surgical treatment, coordinated with the reeducation care, is to improve the physical abilities of the skin, to restore the function and avoid the deformations. Reeducation uses various techniques (i.e. sensitive-motility, massage and mobilizations) with or without physical agent (water, aspiration and touch-drive technique). Posture and positioning rely on the small or major aids, from orthosis to prosthesis...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27437710/global-postural-reeducation-for-patients-with-musculoskeletal-conditions-a-systematic-review-of-randomized-controlled-trials
#9
Giovanni E Ferreira, Rodrigo G P Barreto, Caroline C Robinson, Rodrigo D M Plentz, Marcelo F Silva
OBJECTIVES: To systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system. METHOD: An electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their inception to June 2015. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. The Cochrane Collaboration's Risk of Bias Tool was used to evaluate risk of bias, and the quality of evidence was rated following the GRADE approach...
April 1, 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27383347/psychological-distress-and-work-stress-in-correctional-officers-a-literature-review
#10
Cláudia de Magalhães Bezerra, Simone Gonçalves de Assis, Patricia Constantino
This article presents a review of literature based on a survey of national and international journals on psychological distress and stress in the work of correctional officers between 2000 and 2014. The databases used were the Biblioteca Virtual em Saúde, Web of Science, and Scopus, and the descriptors were psychological distress, stress and correctional officers. We analyzed 40 articles, mainly about stress. The concept of burnout appeared in several works. The United States is the country that most publishes on the subject...
June 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27340540/postural-rehabilitation-for-adolescent-idiopathic-scoliosis-during-growth
#11
REVIEW
Hans-Rudolf Weiss, Marc Michael Moramarco, Maksym Borysov, Shu Yan Ng, Sang Gil Lee, Xiaofeng Nan, Kathryn Ann Moramarco
Long-term follow-up of untreated patients with adolescent idiopathic scoliosis (AIS) indicates that, with the exception of some extremely severe cases, AIS does not have a significant impact on quality of life and does not result in dire consequences. In view of the relatively benign nature of AIS and the long-term complications of surgery, the indications for treatment should be reviewed. Furthermore, recent studies have shown that scoliosis-specific exercises focusing on postural rehabilitation can positively influence the spinal curvatures in growing adolescents...
June 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27330516/shoulder-internal-derangement-and-osteoarthritis-in-a-25-year-old-female-softball-athlete
#12
Stacey M Cornelson, William Hogarth, Daniel L Ault, Norman W Kettner
OBJECTIVE: The purpose of this report is to describe osteoarthritis and internal derangement of the shoulder in a collegiate softball player. CLINICAL FEATURES: A 25-year-old female softball athlete presented with a history of chronic right shoulder pain. A thorough clinical examination and multiple imaging studies were performed. Osteoarthritis was demonstrated on radiographs, and ligamentous and rotator cuff tendon tears were displayed on magnetic resonance imaging...
June 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27323225/temporal-variability-in-sung-productions-of-adolescents-who-stutter
#13
Simone Falk, Elena Maslow, Georg Thum, Philip Hoole
UNLABELLED: Singing has long been used as a technique to enhance and reeducate temporal aspects of articulation in speech disorders. In the present study, differences in temporal structure of sung versus spoken speech were investigated in stuttering. In particular, the question was examined if singing helps to reduce VOT variability of voiceless plosives, which would indicate enhanced temporal coordination of oral and laryngeal processes. Eight German adolescents who stutter and eight typically fluent peers repeatedly spoke and sang a simple German congratulation formula in which a disyllabic target word (e...
July 2016: Journal of Communication Disorders
https://www.readbyqxmd.com/read/27264901/role-of-muscles-in-the-stabilization-of-ligament-deficient-wrists
#14
Mireia Esplugas, Marc Garcia-Elias, Alex Lluch, Manuel Llusá Pérez
This article reviews the results of a series of cadaver investigations aimed at clarifying the role of muscles in the stabilization of ligament-deficient wrists. According to these studies, isometric contraction of some forearm muscles induces midcarpal (MC) supination (ie, the abductor pollicis longus, extensor carpi radialis longus, and flexor carpi ulnaris), whereas other muscles induce MC pronation (ie, the extensor carpi ulnaris). Because MC supination implies tightening of the volar scaphoid-distal row ligaments, the MC supination muscles are likely to prevent scaphoid collapse of wrists with scapholunate ligament insufficiency...
April 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27233593/rehabilitation-after-surgical-reconstruction-to-restore-function-to-the-upper-limb-in-tetraplegia-a-changing-landscape
#15
M Elise Johanson
Upper limb reconstructive surgical procedures for individuals with tetraplegia are performed in many centers internationally. Most recipients of surgery return to local communities and nonsurgical centers for postoperative rehabilitation and long-term follow-up. This supplement focuses on the clinical significance of upper extremity reconstruction, addressing issues related to the availability and choice for surgery, preoperative assessments, postoperative training paradigms, and appropriate outcome measures...
June 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27233591/rehabilitation-of-supinator-nerve-to-posterior-interosseous-nerve-transfer-in-individuals-with-tetraplegia
#16
Jodie Hahn, Catherine Cooper, Stephen Flood, Michael Weymouth, Natasha van Zyl
Despite being a routine part of the early surgical management of brachial plexus injury, nerve transfers have only recently been used as a reconstructive option for those with tetraplegia. Subsequently, there is limited published literature on the rehabilitation theories and techniques for optimizing outcomes in this population. This article seeks to address this void by presenting our centers' working model for rehabilitation after nerve transfers for individuals with tetraplegia. The model is illustrated with the example of the rehabilitation process after a supinator nerve to posterior interosseous nerve transfer...
June 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27233585/multicenter-survey-of-the-effects-of-rehabilitation-practices-on-pinch-force-strength-after-tendon-transfer-to-restore-pinch-in-tetraplegia
#17
M Elise Johanson, Jeffrey P Jaramillo, Christine A Dairaghi, Wendy M Murray, Vincent R Hentz
OBJECTIVE: To identify key components of conventional therapy after brachioradialis (BR) to flexor pollicis longus (FPL) transfer, a common procedure to restore pinch strength, and evaluate whether any of the key components of therapy were associated with pinch strength outcomes. DESIGN: Rehabilitation protocols were surveyed in 7 spinal cord injury (SCI) centers after BR to FPL tendon transfer. Key components of therapy, including duration of immobilization, participation, and date of initiating therapy activities (mobilization, strengthening, muscle reeducation, functional activities, and home exercise), were recorded by the patient's therapist...
June 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27216036/improvement-of-insulin-injection-technique-examination-of-current-issues-and-recommendations
#18
Geralyn Spollett, Steven V Edelman, Patricia Mehner, Claudia Walter, Alfred Penfornis
PURPOSE: Correct insulin injection technique is a crucial aspect of diabetes management. The purpose of this article is (1) to outline the medical literature, including patient-based studies and surveys, surrounding the type of issues and problems that patients encounter with injectable insulin therapy and the degree to which correct insulin technique is being applied and (2) to review the latest recommendations for insulin injection technique and discuss the key aspects that diabetes educators and other health care professionals should be communicating to their patients to ensure that injection technique is optimized...
August 2016: Diabetes Educator
https://www.readbyqxmd.com/read/27197187/il6-blockade-reprograms-the-lung-tumor-microenvironment-to-limit-the-development-and-progression-of-k-ras-mutant-lung-cancer
#19
Mauricio S Caetano, Huiyuan Zhang, Amber M Cumpian, Lei Gong, Nese Unver, Edwin J Ostrin, Soudabeh Daliri, Seon Hee Chang, Cesar E Ochoa, Samir Hanash, Carmen Behrens, Ignacio I Wistuba, Cinthya Sternberg, Humam Kadara, Carlos Gil Ferreira, Stephanie S Watowich, Seyed Javad Moghaddam
Activating mutations of K-ras are the most common oncogenic alterations found in lung cancer. Unfortunately, attempts to target K-ras-mutant lung tumors have thus far failed, clearly indicating the need for new approaches in patients with this molecular profile. We have previously shown NF-κB activation, release of IL6, and activation of its responsive transcription factor STAT3 in K-ras-mutant lung tumors, which was further amplified by the tumor-enhancing effect of chronic obstructive pulmonary disease (COPD)-type airway inflammation...
June 1, 2016: Cancer Research
https://www.readbyqxmd.com/read/27062453/turning-point-or-selection-the-effect-of-rustication-on-subsequent-health-for-the-chinese-cultural-revolution-cohort
#20
Wen Fan
During the Chinese Cultural Revolution (1966-76), Chairman Mao sent 17 million urban youth to rural areas to be "reeducated." These "sent-down" youth spent years working alongside peasants, enduring inadequate diets, shelter and medical attention. What were the consequences for subsequent health? Was there a benefit to individuals in the leading or trailing edges of this cohort? Was this a fundamental turning point or were selection process at work? Drawing on the 1994 State and Life Chances in Urban China Survey, I find the health disadvantage at midlife is mostly borne by members of the trailing-edge sub-cohort who lived in the countryside for more than five years...
May 2016: Social Science & Medicine
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