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Compression therapy ambulant

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https://www.readbyqxmd.com/read/27649404/minimally-invasive-repair-of-bilateral-calcaneal-fractures-with-unilateral-external-fixation-a-case-report
#1
Louis V DeFazio, Guido A LaPorta
INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk of soft tissue compromise caused by the traumatic nature of the injury. A percutaneous approach allows the soft tissue envelope to remain viable, while still fixating the fractures. The purpose of this presentation is to highlight the use of percutaneous repair, the role of external fixation in calcaneal fractures, and lastly discuss the outcome for this particular patient...
September 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27476844/decompression-surgery-for-spinal-metastases-a-systematic-review
#2
Dara Bakar, Joseph E Tanenbaum, Kevin Phan, Vincent J Alentado, Michael P Steinmetz, Edward C Benzel, Thomas E Mroz
OBJECTIVE The aim of this study was to systematically review the literature on reported outcomes following decompression surgery for spinal metastases. METHODS The authors conducted MEDLINE, Scopus, and Web of Science database searches for studies reporting clinical outcomes and complications associated with decompression surgery for metastatic spinal tumors. Both retrospective and prospective studies were included. After meeting inclusion criteria, articles were categorized based on the following reported outcomes: survival, ambulation, surgical technique, neurological function, primary tumor histology, and miscellaneous outcomes...
August 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27158570/refractory-orthostatic-hypotension-caused-by-a-recurrent-hemangioblastoma-case-report-and-review-of-the-literature
#3
Raj Nangunoori, Sravanthi Koduri, Anil Singh, Khaled Aziz
Refractory orthostatic hypotension (OH) has been described following surgery for posterior fossa tumors. We present the case of a patient with refractory OH following attempted surgical resection. We also reviewed the available literature to describe pathophysiologic mechanisms for this rare entity. A 58-year-old female was found to have a hemangioblastoma at the cervicomedullary junction following workup for dysphagia and coordination difficulties. She underwent successful suboccipital craniotomy and gross total resection...
2016: Curēus
https://www.readbyqxmd.com/read/26948870/paramedics-involvement-in-planned-home-birth-a-one-year-case-study
#4
Gayle McLelland, Lisa McKenna, Amee Morgans, Karen Smith
OBJECTIVE: to report findings from a study performed prior to the introduction of publicly funded home birth programmes in Victoria, Australia, that investigated the incidence of planned home births attended by paramedics and explored the clinical support they provided as well as the implications for education and practice. METHODS: retrospective data previously collected via an in-field electronic patient care record (VACIS(®)) was provided by a state-wide ambulance service...
July 2016: Midwifery
https://www.readbyqxmd.com/read/26856189/the-voluntary-driven-exoskeleton-hybrid-assistive-limb-hal-for-postoperative-training-of-thoracic-ossification-of-the-posterior-longitudinal-ligament-a-case-report
#5
Kengo Fujii, Tetsuya Abe, Shigeki Kubota, Aiki Marushima, Hiroaki Kawamoto, Tomoyuki Ueno, Akira Matsushita, Kei Nakai, Kosaku Saotome, Hideki Kadone, Ayumu Endo, Ayumu Haginoya, Yasushi Hada, Akira Matsumura, Yoshiyuki Sankai, Masashi Yamazaki
Context The hybrid assistive limb (HAL) is a wearable robot suit that assists in voluntary control of knee and hip joint motion by detecting bioelectric signals on the surface of the skin with high sensitivity. HAL has been reported to be effective for functional recovery in motor impairments. However, few reports have revealed the utility of HAL for patients who have undergone surgery for thoracic ossification of the posterior longitudinal ligament (thoracic OPLL). Herein, we present a postoperative thoracic OPLL patient who showed remarkable functional recovery after training with HAL...
February 9, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/26586194/surgical-results-of-metastatic-spinal-cord-compression-mscc-from-non-small-cell-lung-cancer-nsclc-analysis-of-functional-outcome-survival-time-and-complication
#6
Se-Jun Park, Chong-Suh Lee, Sung-Soo Chung
BACKGROUND CONTEXT: A number of studies have reported favorable surgical results for metastatic spinal tumors from various solid tumors. However, there are few data available on metastatic spinal cord compression (MSCC) from lung cancer despite its considerable frequency. PURPOSE: The study aims to present the functional outcomes, survival time, and complications after surgical treatment for MSCC from non-small cell lung cancer (NSCLC). STUDY DESIGN/SETTING: This is a longitudinal observational study...
March 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26374726/-ambulant-compression-therapy-for-crural-ulcers-an-effective-treatment-when-applied-skilfully
#7
REVIEW
Edith M de Boer, Maud Geerkens, Michael C Mooij
The incidence of crural ulcers is high. They reduce quality of life considerably and create a burden on the healthcare budget. The key treatment is ambulant compression therapy (ACT). We describe two patients with crural ulcers whose ambulant compression treatment was suboptimal and did not result in healing. When the bandages were applied correctly healing was achieved. If correctly applied ACT should provide sufficient pressure to eliminate oedema, whilst taking local circumstances such as bony structures and arterial qualities into consideration...
2015: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/26293711/venous-thromboembolism-prophylaxis-during-and-following-caesarean-section-a-survey-of-clinical-practice
#8
Sean K M Seeho, Tanya A Nippita, Christine L Roberts, Jonathan M Morris, Natasha Nassar
BACKGROUND: Caesarean section (CS) is a significant risk factor for venous thromboembolism; however, the optimal method of thromboprophylaxis around the time of CS is unknown. AIMS: To examine current thromboprophylaxis practice during and following CS in Australia and New Zealand, and the willingness of obstetricians to participate in a randomised controlled trial (RCT) comparing different methods of thromboprophylaxis after CS. MATERIALS AND METHODS: An online survey was sent to fellows and trainees of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists...
February 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/26180666/long-term-survival-in-a-patient-with-metastatic-spinal-cord-compression-from-a-prostate-cancer-with-ultra-high-psa-case-report-and-review-of-the-literature
#9
Nhu Tram Nguyen, Sebastien Hotte, Ian Dayes
A 77-year-old man presented to the hospital for non-ambulation of 48 hours prior to admission.  He was found to have a metastatic spinal cord compression (MSCC), a PSA exceeding 27,000, and biopsy-confirmed prostate cancer. After palliative radiation (RT) to the spine and medical treatment, the patient recovered his functions fully and survived for more than 7.5 years, far beyond what would be expected based on current published literature.  A systematic review of the literature of MSCC in patients with prostate cancer was carried out...
January 2015: Curēus
https://www.readbyqxmd.com/read/25882483/successful-management-of-severe-unilateral-lower-extremity-lymphedema-in-an-outpatient-setting
#10
Teresa Leard, Carrie Barrett
BACKGROUND AND PURPOSE: Non-cancer-related lymphedema is frequently unrecognized until it has advanced and, therefore, presents substantial management challenges. Treatment for lymphedema reflects cancer research and not the distinct complexities of non-cancer-related lymphedema. This case report describes an outpatient intervention for a patient with non-cancer-related unilateral lower extremity lymphedema. CASE DESCRIPTION: The patient was a 42-year-old woman who was morbidly obese and had left lower extremity chronic stage III lymphedema...
September 2015: Physical Therapy
https://www.readbyqxmd.com/read/25673312/classification-of-compression-stockings-report-of-the-meeting-of-the-international-compression-club-copenhagen
#11
Hendrik A Neumann, Hugo Partsch, Giovanni Mosti, Milke Flour
The classification of medical elastic compression stockings (MECS) according to pressure classes varies from country to country and neither provides any information on the elastic property nor on the ambulatory interface pressure profiles of the different products. Beside elasticity, MECS are also characterized by other properties such as stiffness and hysteresis. Recent research showed that MECS behaved differently in static and ambulatory conditions. Since compression therapy is most effective during ambulation, MECS should be labelled in such a way that the user can interpret its effect during walking...
April 2016: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/25435007/early-results-of-a-posterolateral-polyaxial-angle-stable-plate-for-tibiotalocalcaneal-arthrodesis
#12
Benedikt A Heck, Uwe Schenk, Youssef Benali, Jens-Peter Stahl
Tibiotalocalcaneal arthrodesis is still considered the reference standard therapy for salvage of severe osteoarthritic deformities of the ankle and hindfoot. Because of the unique anatomy and biomechanics of the ankle, even minor injuries can progress to end-stage osteoarthritis over time. This can be debilitating to patients' general health and physiologic ambulation. Arthrodesis aims to correct the misalignment and should comply with Glissan's principles (i.e., maintenance of permanent stability and sound compression between the fused elements)...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25300208/full-recovery-after-prolonged-cardiac-arrest-and-resuscitation-with-mechanical-chest-compression-device-during-helicopter-transportation-and-percutaneous-coronary-intervention
#13
Alessandro Forti, Giovanna Zilio, Paolo Zanatta, Marialuisa Ferramosca, Cristiano Gatto, Antonio Gheno, Paolo Rosi
BACKGROUND: Despite early cardiopulmonary resuscitation (CPR) by bystanders and early advanced cardiac life support (ACLS) maneuvers, some patients present to the emergency department with persistent cardiac arrest caused by a coronary artery occlusion. Although emergency percutaneous intervention (PCI) has been shown to be effective in improving survival, transporting patients in cardiac arrest to the hospital is not considered to be effective, due to the poor quality of CPR in the ambulance...
December 2014: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24747465/preinjury-ambulatory-status-is-associated-with-1-year-mortality-following-lateral-compression-type-i-fractures-in-the-geriatric-population-older-than-80-years
#14
COMPARATIVE STUDY
Beverlie Ting, David Zurakowski, Lindsay Herder, Katiri Wagner, Paul Appleton, Edward K Rodriguez
BACKGROUND: Lateral compression pelvic Type I fractures in the elderly population are most often low-energy osteoporosis related fractures. Previous literature comparing pelvic fractures in young versus elderly patients called into question the general consideration of these injuries as benign injuries with favorable prognoses; however, the geriatric population older than 80 years is often underrepresented. This article focuses on the mortality and functional outcomes after low-energy pelvic fractures in a population of patients older than 80 years...
May 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/24573025/evaluation-of-back-pain-caused-by-epidural-neoplasm
#15
R K Portenoy
Back pain is a common symptom in the cancer population. For some patients, the complaint reflects a process independent of the underlying disease, such as myofascial pain, discogenic disease, or osteoporosis. Many patients, however, experience pain as the first indication of a spinal neoplasm, and this possibility increases the diagnostic challenge. This article discusses the presentation, evaluation, and treatment of spinal epidural neoplasm in patients with cancer.Symptomatic epidural neoplasm occurs in approximately 5 to 10% of patients with metastatic cancer...
January 1, 1993: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/24482995/-paradigm-shift-in-the-management-of-metastatic-epidural-spinal-cord-compression-the-importance-of-preserving-ambulation
#16
EDITORIAL
Eyal Itshayek
In 2005, a Landmark study showed that direct decompressive surgery, followed by postoperative external beam radiotherapy (EBRT) is superior to EBRT alone in patients with metastatic epidural spinal cord compression (MESCC). Patients undergoing both surgery and EBRT had similar median survival but experienced longer ambulation than with EBRT alone. Additional studies have shown improvements in quality-of-life, higher cost-effectiveness, improved pain control, and higher functional status with surgery plus EBRT...
December 2013: Harefuah
https://www.readbyqxmd.com/read/24222709/aarc-clinical-practice-guideline-effectiveness-of-nonpharmacologic-airway-clearance-therapies-in-hospitalized-patients
#17
Shawna L Strickland, Bruce K Rubin, Gail S Drescher, Carl F Haas, Catherine A O'Malley, Teresa A Volsko, Richard D Branson, Dean R Hess
Airway clearance therapy (ACT) is used in a variety of settings for a variety of ailments. These guidelines were developed from a systematic review with the purpose of determining whether the use of nonpharmacologic ACT improves oxygenation, reduces length of time on the ventilator, reduces stay in the ICU, resolves atelectasis/consolidation, and/or improves respiratory mechanics, versus usual care in 3 populations. For hospitalized, adult and pediatric patients without cystic fibrosis, 1) chest physiotherapy (CPT) is not recommended for the routine treatment of uncomplicated pneumonia; 2) ACT is not recommended for routine use in patients with COPD; 3) ACT may be considered in patients with COPD with symptomatic secretion retention, guided by patient preference, toleration, and effectiveness of therapy; 4) ACT is not recommended if the patient is able to mobilize secretions with cough, but instruction in effective cough technique may be useful...
December 2013: Respiratory Care
https://www.readbyqxmd.com/read/24082687/giant-cell-tumor-of-dorsal-vertebral-body
#18
Rakesh Redhu, Rajpal Poonia
A 30-year-old female patient presented with complaints of backache, weakness in both lower limbs and bladder/bowel dysfunction. Imaging showed an osteolytic lesion at tenth dorsal (D10) vertebra with anterior compression on the spinal cord. Complete intralesional tumor excision with reconstruction was carried out using the anterolateral extrapleural approach. Histopathological examination was suggestive of giant cell tumor (GCT). Because of complete intralesional tumor excision and fear of post-radiation osteonecrosis of bone used for delayed bony union, a conservative approach was used, and radiation therapy was not given...
July 2012: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/23993109/low-molecular-weight-heparin-for-prevention-of-venous-thromboembolism-after-varicose-vein-surgery-in-moderate-risk-patients-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Enrique María San Norberto García, Borja Merino, James Henry Taylor, Inmaculada Vizcaíno, Carlos Vaquero
BACKGROUND: Deep vein thrombosis (DVT) after varicose vein surgery (VVS) is not well recognized. Observational studies have yielded variable estimates of the risk, but evidence from randomized trials is lacking. Our aim was to compare the use of thromboprophylaxis with and without low-molecular-weight heparin (LMWH). METHODS: We prospectively randomized moderate-risk patients scheduled for VVS in two arms. The first group of patients received bemiparin for 10 days at a prophylactic dose, early ambulation, and compression therapy for 3 months; the second group received early ambulation and compression therapy alone...
October 2013: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/23917244/-pulmonary-thromboembolism-that-developed-16-days-after-surgery-for-lung-cancer
#20
Takehiro Tsuchiya, Atsushi Sano, Takeshi Fukami
An 79-year-old man underwent right upper lobectomy with mediastinal lymph node dissection for lung cancer. He was discharged without complications on postoperative day( POD) 8. However, on POD 16 he become dyspneic at home and was transported to a hospital by ambulance. Pulmonary thromboembolism (PTE) was detected by contrast-enhanced computed tomography. Anticoagulant therapy was initiated and inferior vena cava filter placement was performed.Due to its many possible clinical manifestations, early detection of postoperative PTE is difficult...
August 2013: Kyobu Geka. the Japanese Journal of Thoracic Surgery
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