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Britta Kristina Ischebeck, Jurryt de Vries, Jos N Van der Geest, Malou Janssen, Jan Paul Van Wingerden, Gert Jan Kleinrensink, Maarten A Frens
BACKGROUND: Many people with Whiplash Associated Disorders (WAD) report problems with vision, some of which may be due to impaired eye movements. Better understanding of such impaired eye movements could improve diagnostics and treatment strategies. This systematic review surveys the current evidence on changes in eye movements of patients with WAD and explains how the oculomotor system is tested. METHODS: Nine electronic data bases were searched for relevant articles from inception until September 2015...
October 21, 2016: BMC Musculoskeletal Disorders
Alan G Wade, Gordon M Crawford, David Young, Joyce Leman, Neil Pumford
BACKGROUND: Scottish Intercollegiate Guidelines Network and National Institute of Health and Care Excellence guidelines stress the importance of assessing patients with psoriasis for psoriatic arthritis, comorbidities associated with severe disease and quality of life (QoL). The purpose of the study was to evaluate the primary care management of psoriasis in relation to disease severity and QoL from a patient's perspective. METHODS: A cross-sectional survey of adults (≥18 years) with psoriasis managed in primary care was conducted in Scotland over 1-year (2012-2013)...
October 14, 2016: BMC Family Practice
Goneppanavar Umesh, John George Karippacheril, Rahul Magazine
With a large output of medical literature coming out every year, it is impossible for readers to read every article. Critical appraisal of scientific literature is an important skill to be mastered not only by academic medical professionals but also by those involved in clinical practice. Before incorporating changes into the management of their patients, a thorough evaluation of the current or published literature is an important step in clinical practice. It is necessary for assessing the published literature for its scientific validity and generalizability to the specific patient community and reader's work environment...
September 2016: Indian Journal of Anaesthesia
Mariel G Slater, Ian D Pavord, Dominick E Shaw
Many people with asthma do not achieve disease control, despite bronchodilators and inhaled corticosteroid therapy. People with uncontrolled asthma are at higher risk of an asthma attack and death, with mortality rates estimated at 1000 deaths/year in England and Wales. The recent National Review of Asthma Deaths (NRAD) report, 'Why asthma still kills', recommended that patients at step 4 or 5 of the British Thoracic Society/Scottish Intercollegiate Guidelines Network (BTS/SIGN) guidance must be referred to a specialist asthma service...
2016: BMJ Open Respiratory Research
Benhildah N Rumbwere Dube, Tom P Marshall, Ronan P Ryan
BACKGROUND: Antiretroviral therapies for human immunodeficiency virus are more effective if infected individuals are diagnosed early, before they have irreversible immunologic damage. A large proportion of patients that are diagnosed with HIV, in United Kingdom, would have seen a general practitioner (GP) within the previous year. Determining the demographic and clinical characteristics of HIV-infected patients prior to diagnosis of HIV may be useful in identifying patients likely to be HIV positive in primary care...
September 20, 2016: Systematic Reviews
Shayan Abdollah Zadegan, Seyed Mohammad Ghodsi, Jalil Arabkheradmand, Abbas Amirjamshidi, Abdolreza Sheikhrezaei, Masoud Khadivi, Morteza Faghih Jouibari, Seyed Mahmood Tabatabaeifar, Guive Sharifi, Jalal Abbaszadeh Ahranjani, Farhad Motlagh Pirooz, Seyed Fakhredin Tavakoli, Parviz Mohit, Yadollah Alimohammadi, Vafa Rahimi-Movaghar
CONTEXT: The National institute for health and care excellence (NICE) and scottish intercollegiate guidelines network (SIGN) are two well-known sources of clinical guideline development. In the past years, they have developed clinical guidelines for the management of head injury. In this report, we will highlight our modifications to these guidelines according to the domestic situation in a developing country. EVIDENCE ACQUISITION: The guidelines were appraised using the appraisal of guidelines for research and evaluation (AGREE) instrument...
May 2016: Trauma Monthly
Eun Young Kim, Sung Dong Hwang, Eun Joo Kim
PURPOSE: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. METHODS: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs)...
August 2016: Journal of Korean Academy of Nursing
Carol Cancelliere, James Donovan, Mette Jensen Stochkendahl, Melissa Biscardi, Carlo Ammendolia, Corrie Myburgh, J David Cassidy
BACKGROUND: Work disability is a major personal, financial and public health burden. Predicting future work success is a major focus of research. OBJECTIVES: To identify common prognostic factors for return-to-work across different health and injury conditions and to describe their association with return-to-work outcomes. METHODS: Medline, Embase, PsychINFO, Cinahl, and Cochrane Database of Systematic Reviews and the grey literature were searched from January 1, 2004 to September 1, 2013...
2016: Chiropractic & Manual Therapies
Stephanie M Mazerolle, Christianne M Eason
CONTEXT: Motherhood has been identified as a barrier to the head athletic trainer (AT) position. Role models have been cited as a possible facilitator for increasing the number of women who pursue and maintain this role in the collegiate setting. OBJECTIVE: To examine the experiences of female ATs balancing motherhood and head AT positions in the National Collegiate Athletic Association Division II and III and National Association of Intercollegiate Athletics settings...
July 2016: Journal of Athletic Training
Frances C Gilbert, G Trey Burdette, A Barry Joyner, Tracy A Llewellyn, Thomas A Buckley
BACKGROUND: Concussions have been associated with elevated musculoskeletal injury risk; however, the influence of unreported and unrecognized concussions has not been investigated. HYPOTHESIS: The purpose of this study was to examine the association between concussion and lower extremity musculoskeletal injury rates across a diverse array of sports among collegiate student-athletes at the conclusion of their athletic career. The hypothesis was that there will be a positive association between athletes who reported a history of concussions and higher rates of lower extremity injuries...
September 1, 2016: Sports Health
Gene Kim, Bernadette Mele, Karen Myrick, Richard Feinn, Ramon Gonzales, Juan C Garbalosa
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Sjaak Pouwels, David Hageman, Lindy N M Gommans, Edith M Willigendael, Simon W Nienhuijs, Marc R Scheltinga, Joep A W Teijink
OBJECTIVES: Several systematic reviews have focused on the role of preoperative exercise therapy (PET) in various fields of surgical care. Aims of the present scoping review are to summarize research findings and to identify gaps in existing literature. METHODS: Two authors independently conducted a comprehensive literature search on systematic reviews regarding PET. The risk of bias was assessed using "the methodology checklist for systematic reviews and meta-analyses of the Scottish Intercollegiate Guidelines Network (SIGN)...
September 2016: Journal of Clinical Anesthesia
E Lord, A J Stockdale, R Malek, C Rae, I Sperle, D Raben, A Freedman, D Churchill, J Lundgren, A K Sullivan
OBJECTIVES: European guidelines recommend HIV testing for individuals presenting with indicator conditions (ICs) including AIDS-defining conditions (ADCs). The extent to which non-HIV specialty guidelines recommend HIV testing in ICs and ADCs is unknown. Our aim was to pilot a methodology in the UK to review specialty guidelines and ascertain if HIV was discussed and testing recommended. METHODS: UK and European HIV testing guidelines were reviewed to produce a list of 25 ADCs and 49 ICs...
August 18, 2016: HIV Medicine
Earl R Cooper, Michael S Ferrara, Douglas J Casa, John W Powell, Steven P Broglio, Jacob E Resch, Ronald W Courson
CONTEXT: Knowledge about the specific environmental and practice risks to participants in American intercollegiate football during preseason practices is limited. Identifying risks may mitigate occurrences of exertional heat illness (EHI). OBJECTIVE: To evaluate the associations among preseason practice day, session number, and wet bulb globe temperature (WBGT) and the incidence of EHI. DESIGN: Descriptive epidemiology study. SETTING: Sixty colleges and universities representing 5 geographic regions of the United States...
August 9, 2016: Journal of Athletic Training
Jonathan A Drezner, David S Owens, Jordan M Prutkin, Jack C Salerno, Kimberly G Harmon, Shelley Prosise, Alana Clark, Irfan M Asif
The most effective protocol for cardiovascular screening of competitive athletes remains highly controversial. This study was a prospective, multicenter trial of cardiovascular screening at 35 National Collegiate Athletic Association institutions. Screening included a standardized history and physical examination (PE) as recommended by the American Heart Association and a 12-lead electrocardiogram (ECG) at rest. Centralized electrocardiographic interpretation was provided using the Seattle criteria. Athletes with screening abnormalities underwent additional evaluation directed by the host institution medical team...
September 1, 2016: American Journal of Cardiology
Samir Gupta, Emily Paolucci, Alan Kaplan, Louis-Philippe Boulet
Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS) asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes. Methods. We identified the latest CTS asthma guideline update (2012) and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
Sun-Chin Yang, Chia-Chi Wang, Shin-Da Lee, Yu Chung Lee, Kuei-Hui Chan, Yi-Liang Chen, Donovan L Fogt, Chia-Hua Kuo
INTRODUCTION: A recent US Major League Baseball (MLB) rule change requires baseball pitchers to deliver pitches within 12 sec. PURPOSES: To examine the effect of three, between-pitch rest intervals on throwing performance during a simulated 7-inning game and muscle damage during post-game recovery. DESIGN: A randomized counter-balanced study. METHODS: Seven intercollegiate pitchers threw 15 pitches per inning for 7 innings with rest interval trials of 8, 12, and 20 sec between pitches and 5 min between innings...
July 18, 2016: Medicine and Science in Sports and Exercise
David Light Shields, Christopher D Funk, Brenda Light Bredemeier
According to contesting theory (Shields & Bredemeier, 2011), people conceptualize competition either through a metaphor of partnership or war. These two alternate metaphors suggest differing sociomoral relationships among the participants. In the current study of intercollegiate athletes (n = 610), we investigated the two approaches to contesting in relation to formalist and consequentialist moral frameworks (Brady & Wheeler, 1996) and individualizing and binding moral foundations (Haidt, 2001). Correlational analysis indicated that the partnership approach correlated significantly with all four moral dimensions, while the war approach correlated with formalist and consequentialist frameworks and binding foundations (i...
April 2016: Journal of Sport & Exercise Psychology
Kristoffer Wibring, Johan Herlitz, Lennart Christensson, Markus Lingman, Angela Bång
BACKGROUND: Chest pain is a common symptom among patients contacting the emergency medical services (EMS). Risk stratification of these patients is warranted before arrival in hospital, regarding likelihood of an acute life-threatening condition (LTC). AIM: To identify factors associated with an increased risk of acute LTC among patients who call the EMS due to non-traumatic chest pain. METHODS: Several databases were searched for relevant articles...
September 15, 2016: International Journal of Cardiology
I Vanessa Marin Collazo, William O Tatum
Sudden unexpected death in epilepsy (SUDEP) is a devastating direct epilepsy-related cause of death. Although its occurrence has some risk factors, it is unanticipated and very traumatic to the families of affected patients. Effective preventive measures for SUDEP are lacking; therefore, efforts are directed at modifiable risk factors. The majority of caregivers of patients with epilepsy and SUDEP wish they would have known more about the topic before the terminal event. SUDEP is a difficult topic for physicians and clearly even more challenging to discuss with patients and caregivers...
July 2016: Neurologist
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