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https://www.readbyqxmd.com/read/27889288/quiet-dissent-the-attitudes-beliefs-and-behaviours-of-uk-osteopaths-who-reject-low-back-pain-guidance-a-qualitative-study
#1
Joanna Figg-Latham, Dévan Rajendran
INTRODUCTION: Clinical guidelines are derived from best research evidence and aim to: improve quality of non-specific low back pain (nsLBP) management and identify patients at risk of suffering chronic pain. However, guideline discordant attitudes and beliefs have been identified in healthcare students and practitioners, including osteopaths. DESIGN: A qualitative approach with elements of grounded theory was used to explore underlying attitudes and beliefs of practitioners/students working in a British osteopathic education institution...
October 18, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27880073/an-interprofessional-health-assessment-program-in-rural-amateur-sport
#2
Sandra Grace, Rosanne Coutts
Effective interprofessional learning (IPL) in multisectoral collaborations such as those linking health services within communities can provide an authentic experience for students and also appears to be the most effective way to achieve health changes in targeted population groups. The aim of this study was to facilitate the IPL of students at a rural university in a multisectoral health assessment programme and to promote health in players of rural amateur sport. Two rural rugby league teams took part in three pre-season health assessments conducted by general medical practitioners, practice nurses, and nursing, osteopathy, and exercise science students...
November 23, 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27878959/students-today%C3%A2-educators-tomorrow
#3
Keri Moore, Brett Vaughan
BACKGROUND: The article describes the use of the mini clinical examination (mini-CEX) in a pilot study to introduce peer assessment in one allied health programme to explore students' capacity as clinical educators. Preparing today's pre-professional health students to be clinical educators by engaging them in peer teaching, learning and assessment may encourage them to become tomorrow's clinical educators. CONTEXT: Peer assessment is common among many undergraduate medical and allied health programmes, and is typically used as a means of providing students with feedback on their clinical skill development...
November 22, 2016: Clinical Teacher
https://www.readbyqxmd.com/read/27865423/embryonal-rhabdomyosarcoma-of-the-oesophagus-in-a-young-dog
#4
N Devriendt, L Van Brantegem, A Willems, E Raes, H de Rooster
A 15-month-old great Dane dog, showing clinical signs related to hypertrophic osteopathy, was diagnosed radiographically with a mass in the region of the thoracic oesophagus. Exploratory thoracotomy revealed an extensive, highly vascularized and locally invasive oesophageal mass and the presence of nodules in adjacent lung lobes. The dog was humanely destroyed intra-operatively. Histological examination revealed that the mass was an embryonal rhabdomyosarcoma. This is the first report of rhabdomyosarcoma of the oesophagus of a dog...
November 16, 2016: Journal of Comparative Pathology
https://www.readbyqxmd.com/read/27852531/osteopathic-manipulative-treatment-a-systematic-review-and-critical-appraisal-of-comparative-effectiveness-and-health-economics-research
#5
REVIEW
Amie Steel, Tobias Sundberg, Rebecca Reid, Lesley Ward, Felicity L Bishop, Matthew Leach, Holger Cramer, Jon Wardle, Jon Adams
In recent years, evidence has emerged regarding the effectiveness of osteopathic manipulative treatments (OMT). Despite growing evidence in this field, there is need for appropriate research designs that effectively reflect the person-centred system of care promoted in osteopathy and provide data which can inform policy decisions within the healthcare system. The purpose of this systematic review is to identify, appraise and synthesise the evidence from comparative effectiveness and economic evaluation research involving OMT...
October 29, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27845175/the-role-of-gentle-touch-in-perinatal-osteopathic-manual-therapy
#6
REVIEW
Francis McGlone, Francesco Cerritelli, Susannah Walker, Jorgee Esteves
Osteopathic medicine is a system of manual diagnosis and treatment. While there is growing evidence that osteopathy is effective in a range of clinical conditions, the underlying biological basis of its therapeutic effects remain largely unknown. Given that the sense of touch plays a critical role in osteopathy, in this perspective article, with a particular focus on perinatal care, we explore the potential mechanisms by which stimulation of the skin senses can exert beneficial physiological and psychological effects, aiding growth and development...
November 11, 2016: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/27822360/an-indication-of-current-views-of-australian-general-practitioners-towards-chiropractic-and-osteopathy-a-cross-sectional-study
#7
Roger M Engel, Robyn Beirman, Sandra Grace
BACKGROUND: While the role of complementary medicine therapies such as chiropractic and osteopathy is yet to be clearly delineated in the Australian context, demand for these services remains high. The attitudes of general practitioners towards chiropractors and osteopaths may have played a part in producing this outcome. However, this view is based on data that were more than 10 years old. Current anecdotal evidence suggests that the previous level of support may be declining in sections of the Australian medical profession...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27815949/total-hip-arthroplasty-in-paget-s-disease-a-review
#8
Vineet Tyagi, Claudette Lajam, Ajit J Deshmukh
Paget's disease of the bone is a chronic osteopathy that leads to structural weakness, hypervascularity, and bone deformities. Rapid bone turnover in patients with Paget's disease may affect outcomes following total hip arthroplasty (THA). Most literature on THA in the setting of Paget's disease is limited to isolated case reports or case series documenting a single institution experience. By completing a comprehensive analysis of the available cases, this study aims to investigate the outcomes and complications of THA in patients with Paget's disease...
November 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27800081/-bone-hydatid-cyst-a-rare-localization-at-the-level-of-the-hip-bone
#9
Yassine Nhamoucha, Othmane Alaoui, Aliou Doumbia, Mohammed Oukhoya, Hicham Abdellaoui, Mohammed Tazi, Lamyae Chater, Karima Atarraf, Mounir Arroud, Abderahman Afifi
Hydatid disease is a parasitic disease caused by the development in humans of the larval form of a tapeworm, namely a very small tænia called Echinococcus Granulosus. This anthropozoonosis is characterized by the presence of different types of anatomo-radiologic variants associated with various topographic and evolutionary aspects of the cysts. Bone hydatid disease is a rare condition, it accounts for only 0.9-2.5% of all locations. We report the case of a 9 year old child, who was admitted with febrile lameness and with a mass in the right iliac fossa, revealing a hydatid cyst at the level of the hip bone...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27799842/variations-in-the-management-of-fibromyalgia-by-physician-specialty-rheumatology-versus-primary-care
#10
Stephen L Able, Rebecca L Robinson, Kurt Kroenke, Philip Mease, David A Williams, Yi Chen, Madelaine Wohlreich, Bill H McCarberg
PURPOSE: To evaluate the effect of physician specialty regarding diagnosis and treatment of fibromyalgia (FM) and assess the clinical status of patients initiating new treatment for FM using data from Real-World Examination of Fibromyalgia: Longitudinal Evaluation of Costs and Treatments. PATIENTS AND METHODS: Outpatients from 58 sites in the United States were enrolled. Data were collected via in-office surveys and telephone interviews. Pairwise comparisons by specialty were made using chi-square, Fisher's exact tests, and Student's t-tests...
2016: Pragmat Obs Res
https://www.readbyqxmd.com/read/27766367/increased-levels-of-dickkopf-1-are-indicative-of-wnt-%C3%AE-catenin-downregulation-and-lower-osteoblast-signaling-in-children-and-adolescents-with-type-1-diabetes-mellitus-contributing-to-lower-bone-mineral-density
#11
C Tsentidis, D Gourgiotis, L Kossiva, A Marmarinos, A Doulgeraki, K Karavanaki
: Higher levels of Dickkopf-1, which is an inhibitor of Wnt/β-catenin bone metabolic pathway, could be indicative of downregulated Wnt system, with possible lower osteoblast activation and higher osteoclast signaling in type 1 diabetes mellitus children and adolescents. Dickkopf-1 could significantly contribute to diabetes osteopathy. INTRODUCTION: Increased fracture risk and elevated Dickkopf-1 levels, which is an inhibitor of Wnt/β-catenin bone metabolic pathway, have been documented in adult patients with type 2 diabetes mellitus (T2D), while no relevant data exist on childhood type 1 diabetes (T1D)...
October 20, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27709412/acromegalic-osteopathy
#12
G Mazziotti, F Maffezzoni, S Frara, A Giustina
Acromegalic osteopathy is an emerging complication of acromegaly characterized by increase in bone turnover, deterioration in bone microarchitecture and high risk of vertebral fractures. Vertebral fractures, as diagnosed by a radiological and morphometric approach, occur in about one-third of acromegaly patients in close relationship with duration of active disease. However, the prediction of vertebral fractures in this clinical setting is still a matter of uncertainty, since the pathogenesis of acromegalic osteopathy is multifactorial and fractures may occur even in presence of normal bone mineral density...
October 5, 2016: Pituitary
https://www.readbyqxmd.com/read/27681520/osteopathy-for-endometriosis-and-chronic-pelvic-pain-a-pilot-study
#13
M Sillem, I Juhasz-Böss, I Klausmeier, S Mechsner, F Siedentopf, E Solomayer
Introduction: Pelvic pain is a common problem in gynaecological practice. It is often unclear whether definite causality exists between reported symptoms and objective clinical findings of the female genital tract, and medical or operative treatments do not always achieve long-term resolution of symptoms. Methods: This pilot study investigated 28 patients (age 20-65, median 36.5 years) from a gynaecology practice whose only clinical finding was painful pelvic floor muscle tightness. Following standardised gynaecological and physiotherapist examination, all patients received osteopathic treatment...
September 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27671701/derangement-of-calcium-metabolism-in-diabetes-mellitus-negative-outcome-from-the-synergy-between-impaired-bone-turnover-and-intestinal-calcium-absorption
#14
Kannikar Wongdee, Nateetip Krishnamra, Narattaphol Charoenphandhu
Both types 1 and 2 diabetes mellitus (T1DM and T2DM) are associated with profound deterioration of calcium and bone metabolism, partly from impaired intestinal calcium absorption, leading to a reduction in calcium uptake into the body. T1DM is associated with low bone mineral density (BMD) and osteoporosis, whereas the skeletal changes in T2DM are variable, ranging from normal to increased and to decreased BMD. However, both types of DM eventually compromise bone quality through production of advanced glycation end products and misalignment of collagen fibrils (so-called matrix failure), thereby culminating in a reduction of bone strength...
September 26, 2016: Journal of Physiological Sciences: JPS
https://www.readbyqxmd.com/read/27661020/the-effectiveness-of-complementary-manual-therapies-for-pregnancy-related-back-and-pelvic-pain-a-systematic-review-with-meta-analysis
#15
Helen Hall, Holger Cramer, Tobias Sundberg, Lesley Ward, Jon Adams, Craig Moore, David Sibbritt, Romy Lauche
BACKGROUND: Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. OBJECTIVE: The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain. METHODS: Seven databases were searched from their inception until April 2015 for randomized controlled trials...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27634080/exploration-of-clinical-changes-following-a%C3%A2-novel-mobilisation-technique-for-treatment-of-chronic-low-back-pain-a-single-cohort-design
#16
Gail C Hanson, Bruce Jones, Catherine J Bacon, Robert W Moran
To explore clinical changes following a novel manual mobilisation technique, 24 participants who experienced 'moderate' to 'severe' chronic low back pain were recruited from new patients attending a suburban osteopathy clinic. The intervention was a previously undescribed side-lying mobilisation technique targeting the lumbosacral spine (median of 6 treatment sessions). After 8 weeks reductions were shown in Oswestry Disability Index of 15 points (95% CI: 9.3, 22.7; p < 0.0001 for overall ANOVA); Quadruple Visual Analogue Scale of 2...
July 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27623927/insulin-receptor-substrate-1-time-dependently-regulates-bone-formation-by-controlling-collagen-i%C3%AE-2-expression-via-mir-342
#17
Yue Guo, Chen-Yi Tang, Xiao-Fei Man, Hao-Neng Tang, Jun Tang, Fang Wang, Ci-La Zhou, Shu-Wen Tan, Yun-Zhi Feng, Hou-De Zhou
Insulin promotes bone formation via a well-studied canonical signaling pathway. An adapter in this pathway, insulin-receptor substrate (IRS)-1, has been implicated in the diabetic osteopathy provoked by impaired insulin signaling. To further investigate IRS-1's role in the bone metabolism, we generated Irs-1-deficient Irs-1(smla/smla) mice. These null mice developed a spontaneous mutation that led to an increase in trabecular thickness (Tb.Th) in 12-mo-old, but not in 2-mo-old mice. Analyses of the bone marrow stromal cells (BMSCs) from these mice revealed their differential expression of osteogenesis-related genes and miRNAs...
December 2016: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/27590423/serum-levels-of-innate-immunity-cytokines-are-elevated-in-dogs-with-metaphyseal-osteopathy-hypertrophic-osteodytrophy-during-active-disease-and-remission
#18
Noa Safra, Peta L Hitchens, Emanual Maverakis, Anupam Mitra, Courtney Korff, Eric Johnson, Amir Kol, Michael J Bannasch, Niels C Pedersen, Danika L Bannasch
Metaphyseal osteopathy (MO) (hypertrophic osteodystrophy) is a developmental disorder of unexplained etiology affecting dogs during rapid growth. Affected dogs experience relapsing episodes of lytic/sclerotic metaphyseal lesions and systemic inflammation. MO is rare in the general dog population; however, some breeds (Weimaraner, Great Dane and Irish Setter) have a much higher incidence, supporting a hereditary etiology. Autoinflammatory childhood disorders of parallel presentation such as chronic recurrent multifocal osteomyelitis (CRMO), and deficiency of interleukin-1 receptor antagonist (DIRA), involve impaired innate immunity pathways and aberrant cytokine production...
October 15, 2016: Veterinary Immunology and Immunopathology
https://www.readbyqxmd.com/read/27583913/the-paradox-of-sham-therapy-and-placebo-effect-in-osteopathy-a-systematic-review
#19
Francesco Cerritelli, Marco Verzella, Luca Cicchitti, Giandomenico D'Alessandro, Nicola Vanacore
BACKGROUND: Placebo, defined as "false treatment," is a common gold-standard method to assess the validity of a therapy both in pharmacological trials and manual medicine research where placebo is also referred to as "sham therapy." In the medical literature, guidelines have been proposed on how to conduct robust placebo-controlled trials, but mainly in a drug-based scenario. In contrast, there are not precise guidelines on how to conduct a placebo-controlled in manual medicine trials (particularly osteopathy)...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27582537/evaluation-of-in-vitro-effects-of-various-targeted-drugs-on-plasma-cells-and-putative-neoplastic-stem-cells-in-patients-with-multiple-myeloma
#20
Katharina Blatt, Harald Herrmann, Gabriele Stefanzl, Wolfgang R Sperr, Peter Valent
Multiple myeloma (MM) is a malignancy characterized by monoclonal paraproteinemia and tissue plasmocytosis. In advanced MM cytopenia and osteopathy may occur. Although several effective treatment strategies have been developed in recent years, there is still a need to identify new drug targets and to develop more effective therapies for patients with advanced MM. We examined the effects of 15 targeted drugs on growth and survival of primary MM cells and 5 MM cell lines (MM.1S, NCI-H929, OPM-2, RPMI-8226, U-266)...
August 25, 2016: Oncotarget
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