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https://www.readbyqxmd.com/read/29151089/capgras-syndrome-and-other-delusional-misidentification-syndromes
#1
Alain Barrelle, J-P Luauté
The delusional misidentification syndromes (DMS) are a group of disorders, characterized by patients mistaking the identity of people they know, although they recognize them physically. The term DMS is an umbrella term which may cover disorders whose definition extends to objects other than people, such as animals, places, or familiar material objects. The most common and best known DMS is Capgras syndrome. In this disorder, the misidentification leads to the delusional conviction that a close friend or relative has been replaced by an identical - or almost identical - "double," whose original has disappeared...
2018: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/29149891/how-do-occupational-rehabilitation-clinicians-approach-participants-on-long-term-sick-leave-in-order-to-facilitate-return-to-work-a-focus-group-study
#2
M Eftedal, A M Kvaal, E Ree, I Øyeflaten, S Maeland
BACKGROUND: The objective of this study was to explore occupational rehabilitation clinicians' experiences on how to approach their participants on long-term sick leave in order to facilitate return to work (RTW). METHODS: An exploratory qualitative design was used. Four focus groups were conducted with 29 clinicians working on interdisciplinary inpatient and outpatient occupational rehabilitation teams in Norway. The clinicians shared narratives from clinical practice...
November 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29147056/organizing-integrated-health-care-services-to-meet-older-people-s-needs
#3
Islene Araujo de Carvalho, JoAnne Epping-Jordan, Anne Margriet Pot, Edward Kelley, Nuria Toro, Jotheeswaran A Thiyagarajan, John R Beard
In most countries, a fundamental shift in the focus of clinical care for older people is needed. Instead of trying to manage numerous diseases and symptoms in a disjointed fashion, the emphasis should be on interventions that optimize older people's physical and mental capacities over their life course and that enable them to do the things they value. This, in turn, requires a change in the way services are organized: there should be more integration within the health system and between health and social services...
November 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29146633/comparison-of-outcomes-of-antibiotic-drugs-and-appendectomy-coda-trial-a-protocol-for-the-pragmatic-randomised-study-of-appendicitis-treatment
#4
Giana H Davidson, David R Flum, David A Talan, Larry G Kessler, Danielle C Lavallee, Bonnie J Bizzell, Farhood Farjah, Skye D Stewart, Anusha Krishnadasan, Erin E Carney, Erika M Wolff, Bryan A Comstock, Sarah E Monsell, Patrick J Heagerty, Annie P Ehlers, Daniel A DeUgarte, Amy H Kaji, Heather L Evans, Julianna T Yu, Katherine A Mandell, Ian C Doten, Kevin S Clive, Karen M McGrane, Brandon C Tudor, Careen S Foster, Darin J Saltzman, Richard C Thirlby, Erin O Lange, Amber K Sabbatini, Gregory J Moran
INTRODUCTION: Several European studies suggest that some patients with appendicitis can be treated safely with antibiotics. A portion of patients eventually undergo appendectomy within a year, with 10%-15% failing to respond in the initial period and a similar additional proportion with suspected recurrent episodes requiring appendectomy. Nearly all patients with appendicitis in the USA are still treated with surgery. A rigorous comparative effectiveness trial in the USA that is sufficiently large and pragmatic to incorporate usual variations in care and measures the patient experience is needed to determine whether antibiotics are as good as appendectomy...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29145817/family-context-and-individual-situation-of-teens-before-during-and-after-pregnancy-in-mexico-city
#5
Reyna Sámano, Hugo Martínez-Rojano, David Robichaux, Ana Lilia Rodríguez-Ventura, Bernarda Sánchez-Jiménez, Maria de la Luz Hoyuela, Estela Godínez, Selene Segovia
BACKGROUND: In the last 20 years, adolescent pregnancy has become one of the most critical problems affecting women in Latin America and the Caribbean. METHODS: This qualitative study was based on in-depth interviews with 29 teen mothers. All of the pregnant teens were from low- to lower-middle-class social strata in the Mexico City metropolitan area. The family (living with the girl) and the individual context of pregnant teens were analysed on the basis of data from at least three interviews: during pregnancy and at approximately 6 and 24 months following delivery...
November 16, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29144107/safe-return-to-driving-following-severe-acquired-brain-injury-role-of-a-short-neuropsychological-assessment
#6
Donatella Saviola, Antonio DE Tanti, Jessica Conforti, Lucio Posteraro, Alessia Manfredini, Chiara Bagattini, Benedetta Basagni
BACKGROUND: Driving is a complex ability requiring a broad range of motor, cognitive- behavioural and visual skills that may be impaired after severe Acquired Brain Injury (sABI). Resumption of driving is perceived as a major need by patients, being closely linked to personal autonomy, work and social activities. AIM: The objective of this study was to identify a short battery of neuropsychological tests with predictive value with regard to safe return to driving after sABI...
November 16, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29143585/having-the-conversation-about-work-with-people-with-multiple-sclerosis-a-guide-for-healthcare-professionals
#7
Antonella Cardone
The ability to work is important for people with multiple sclerosis (MS). However, only 37% of those with mild MS are in work. Across Europe, lost work productivity accounts for a third of the €15 billion total annual cost of MS. Supporting people with MS into employment should be a clinical care priority in order to maximize work productivity, inclusiveness and therapeutic benefit. A guide for healthcare professionals on having conversations about work with people with MS has been developed through the 'Ready for Work' project...
November 2017: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/29141598/worklife-expectancy-in-a-cohort-of-danish-employees-aged-55-65%C3%A2-years-comparing-a-multi-state-cox-proportional-hazard-approach-with-conventional-multi-state-life-tables
#8
Jacob Pedersen, Jakob Bue Bjorner
BACKGROUND: Work life expectancy (WLE) expresses the expected time a person will remain in the labor market until he or she retires. This paper compares a life table approach to estimating WLE to an approach based on multi-state proportional hazards models. The two methods are used to estimate WLE in Danish members and non-members of an early retirement pensioning (ERP) scheme according to levels of health. METHODS: In 2008, data on self-rated health (SRH) was collected from 5212 employees 55-65 years of age...
November 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29141520/a-simple-suture-guiding-device-for-minimally-invasive-achilles-tendon-repair
#9
Sinan Obut, Alper Gultekin, Meric Unal, Ulaş Serarslan, Ümit Tuhanioğlu
BACKGROUND: Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair using a simple ovarian clamp for suture guiding. MATERIALS AND METHODS: Twenty patients with acute Achilles tendon rupture were treated with minimally invasive repair by an expert orthopaedic surgeon...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29140931/hemispheric-cerebral-oximetry-monitoring-during-pediatric-seizure-activity-in-a-pediatric-emergency-department
#10
Thomas J Abramo, Shane McKinney, James Moore, Richard Jacobs, Gregory Albert, Mark Meredith, Nicholas Hobart Porter, Elizabeth Storm, Errin Willis, Cruz Velasco Gonzalez, Hailey Hargrave, Brad Schneider, Gergory Sharp
BACKGROUND: Sustained neuronal activity during seizures causes cellular perturbations, alterations in cerebral physiology, and potentially neurological injury, a neurological emergency. With variable clinical manifestations of seizures, frequent failure of seizure recognition by providers in pediatric and developmentally challenged patients can increase seizure complications. Neuroresuscitation should include rapid cerebral physiology assessment for increased seizure recognition and optimal neurological outcomes...
November 15, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29140170/clinical-diagnostic-tests-versus-mri-diagnosis-of-acl-tears
#11
Megan P Brady, Windee Weiss
CLINICAL SCENARIO: A common injury among elite, recreational, and youth athletes is the anterior cruciate ligament (ACL) tear.(1) Approximately 200,000 ACL injuries occur every year.(2) The gold standard in ACL injury evaluation is diagnostic arthroscopy,(3,4) however the diagnostic accuracy of clinical diagnostic tests and magnetic resonance imaging (MRI) is debatable.(1,3-6) Due to the frequency of knee injury,(3) MRI is a common diagnostic tool used for imaging and diagnosis(5). ACL tears are also diagnosed using clinical diagnostic tests...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29139017/short-term-and-long-term-outcomes-of-a-vocational-rehabilitation-program-for-patients-with-acquired-brain-injury-in-the-netherlands
#12
Caroline H van Dongen, Paulien H Goossens, Inge E van Zee, Kirsten N Verpoort, Thea P M Vliet Vlieland, Judith M van Velzen
Purpose To describe short-term and long-term work status after a vocational rehabilitation (VR) program in patients with acquired brain injury (ABI) in the Netherlands. Methods Patients with ABI who participated in a VR program between 2007 and 2010 were included in this study. The 4-month VR program included a multidisciplinary assessment, three meetings with all stakeholders and reintegration with coaching on the job. Short-term results at the end of the VR program were based on data extracted from medical records...
November 14, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29138960/probable-post-traumatic-stress-disorder-and-self-harming-behaviour-potential-barriers-to-employment
#13
J S Hansen, E Simonsen
The current study screened for post-traumatic stress disorder (PTSD) and self-harming behaviours, often related to borderline personality disorder (BPD), among individuals in a job centre considered unemployable primarily for psychological reasons. Participants (N = 112) filled in questionnaires on PTSD symptoms (n = 62) and self-harming behaviours (n = 59) as part of participating in team-meetings providing the individuals with a return-to-work plan. Differences in demographic variables between individuals with and without valid protocols were small to moderate...
November 14, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/29138743/renal-adenocarcinoma-associated-erythrocytosis-in-a-cat-clinicopathological-features-and-immunohistochemical-results
#14
Roberta Troia, Chiara Agnoli, Federico Fracassi, Giuliano Bettini, Alessandra Sfacteria, Luciano Pisoni, Francesco Dondi
This report documents a case of secondary inappropriate erythrocytosis in a cat with renal cell adenocarcinoma, its stabilization through manual erythrocytapheresis, and the EPO-immunostaining on the affected kidney. An 11-year-old cat was presented with lethargy, weight loss and polyuria/polydipsia. An abdominal mass was detected upon physical examination. Clinicopathological work-up revealed marked erythrocytosis (HCT value 64.8%), renal azotemia and decreased urine specific gravity (USG). An abdominal ultrasound was performed, localizing the mass in the right kidney...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/29135434/work-disability-prevention-a-primer-for-occupational-therapists
#15
Alicia McDougall, Behdin Nowrouzi-Kia
An estimated 313 million workplace accidents resulting in injury occur worldwide every year. Therefore, the burden of workplace injury and disability is present at the individual and the societal level and involves several stakeholders. There has been a shift in paradigm from workplace disability and injury treatment to workplace disability prevention. Occupational therapy practitioners are well positioned to address this multifaceted societal issue. Opening communication lines among stakeholders allows for a more holistic, collaborative, and comprehensive approach to disability, injury, and pain management...
November 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29135124/are-male-cancer-patients-more-affected-by-losing-their-jobs-than-female-patients-gender-as-a-moderator-of-the-relationship-between-losing-the-job-and-well-being-in-a-sample-of-romanian-cancer-patients
#16
Eva Kallay, Csaba L Degi, Sebastian Pintea
PURPOSE: Research indicates the heightened need of cancer patients to return to work, which would be beneficial for their emotional/mental health and well-being. The major aim of this study was to identify the overall effect of losing the job upon different dimensions of well-being, and possible gender differences related to this influence. METHODS: A sample of 800 Romanian cancer patients was screened in 2014 (461 female and 338 male). RESULTS: Our results indicate that losing one's job after being diagnosed with cancer affects male more than female patients on the physical, emotional, and functional dimensions of well-being...
September 2017: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/29134797/the-importance-of-collaboration-between-industry-academics-and-nonprofits-in-tropical-disease-drug-discovery
#17
Lori Ferrins, Michael P Pollastri
Collaborations between academic, industrial, and nonprofit companies can provide sufficient impetus to propel projects that have little economic return; such projects are prevalent in tropical disease drug discovery. In these collaborations, each partner contributes a unique set of skills and technical expertise which is advantageous to the project as a whole. Highly product-focused processes and specialized expertise sets dominate industry groups. When coupled with the strategic guidance from public-private partnerships and the academic tendency to work on high-risk projects with low financial rewards, a powerful combination results...
November 14, 2017: ACS Infectious Diseases
https://www.readbyqxmd.com/read/29130771/return-to-work-success-despite-conflicts-an-exploration-of-decision-making-during-a-work-rehabilitation-program
#18
Marie-Michelle Gouin, Marie-France Coutu, Marie-José Durand
PURPOSE: Collective decision-making by stakeholders appears important to return-to-work success, yet few studies have explored the processes involved. This study aims to explore the influence of decision-making on return-to-work for workers with musculoskeletal or common mental disorders. METHOD: This study is a secondary analysis using data from three earlier multiple-case studies that documented decision-making during similar and comparable work rehabilitation programs...
November 12, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29128736/optimal-practice-conditions-enhance-the-benefits-of-gradually-increasing-error-opportunities-on-retention-of-a-stepping-sequence-task
#19
Danielle Levac, Kate Driscoll, Jessica Galvez, Kathleen Mercado, Lindsey O'Neil
INTRODUCTION: Physical therapists should implement practice conditions that promote motor skill learning after neurological injury. Errorful and errorless practice conditions are effective for different populations and tasks. Errorful learning provides opportunities for learners to make task-relevant choices. Enhancing learner autonomy through choice opportunities is a key component of the Optimizing Performance through Intrinsic Motivation and Attention for Learning (OPTIMAL) theory of motor learning...
November 9, 2017: Human Movement Science
https://www.readbyqxmd.com/read/29127034/balancing-nanotoxicity-and-returns-in-health-applications-the-prisoner-s-dilemma
#20
D A Gkika, L Magafas, P Cool, J Braet
Over the past 30 years, there have been significant advancements in the field of nanomaterials. The possibility to use them in applications such as cancer treatment is extremely promising; however, the toxicity of many nanomaterials as well as the high costs associated with their use is still a concern. This paper aims to study the connection between nanomaterial toxicity and cost. This synergy may be interpreted as a different version of the classic "Prisoner's Dilemma" game, which in this case attempts to explain the possible outcomes of cooperation versus conflict between science advocating for the use of high-risk, possibly toxic materials due to their high returns, and society that might be dubious about the use of high-risk materials...
November 7, 2017: Toxicology
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