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https://www.readbyqxmd.com/read/29675755/new-445-nm-blue-laser-for-laryngeal-surgery-combines-photoangiolytic-and-cutting-properties
#1
Markus M Hess, Susanne Fleischer, Marcel Ernstberger
BACKGROUND: Photoangiolytic lasers have broadened the surgical armamentarium for many phonosurgical interventions. However, the pulse dye laser and potassium titanyl phosphate (KTP) laser have technical drawbacks and a smaller spectrum of indications. METHODS AND RESULTS: The new 445 nm wavelength laser, the so-called 'blue laser', proves to show tissue effects comparable to the KTP laser and is also capable of treating subepithelial vessels due to its photoangiolytic properties, it can coagulate and carbonize at higher energy levels, and can be used via glass fibers in non-contact and contact mode for in-office procedures...
April 19, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29673398/assessment-of-orthotic-needs-in-iranian-veterans-with-ankle-and-foot-disorders
#2
Kamiar Ghoseiri, Mostafa Allami, Mohammad Reza Soroush
BACKGROUND: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. This study aimed to investigate the rate of using orthoses among Iranian veterans with neuromuscular and skeletal disorders of the ankle and foot...
April 20, 2018: Military Medical Research
https://www.readbyqxmd.com/read/29673165/a-novel-detection-model-and-its-optimal-features-to-classify-falls-from-low-and-high-acceleration-activities-of-daily-life-using-an-insole-sensor-system
#3
Benjamin Cates, Taeyong Sim, Hyun Mu Heo, Bori Kim, Hyunggun Kim, Joung Hwan Mun
In order to overcome the current limitations in current threshold-based and machine learning-based fall detectors, an insole system and novel fall classification model were created. Because high-acceleration activities have a high risk for falls, and because of the potential damage that is associated with falls during high-acceleration activities, four low-acceleration activities, four high-acceleration activities, and eight types of high-acceleration falls were performed by twenty young male subjects. Encompassing a total of 800 falls and 320 min of activities of daily life (ADLs), the created Support Vector Machine model’s Leave-One-Out cross-validation provides a fall detection sensitivity (0...
April 17, 2018: Sensors
https://www.readbyqxmd.com/read/29671497/osteoarthritis-rapid-evidence-review
#4
Mark H Ebell
Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29671022/-the-minimally-invasive-chevron-and-akin-osteotomy-mica
#5
REVIEW
Sebastian Altenberger, Stefanie Kriegelstein, Oliver Gottschalk, Florian Dreyer, Alexander Mehlhorn, Anke Röser, Markus Walther
OBJECTIVE: Percutaneous correction of a hallux valgus deformity with or without transfer metatarsalgia. INDICATIONS: Hallux valgus deformity up to 20° intermetatarsal angle, without instability of the first tarsometatarsal joint. CONTRAINDICATIONS: Symptomatic arthritis of the first metatarsophalangeal joint, as well as instability of the first tarsometatarsal joint. SURGICAL TECHNIQUE: Percutaneous performed osteotomy of the distal metatarsal 1 in combination with a medial closing wedge osteotomy of the proximal phalanx of the first toe...
April 18, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29668299/effects-of-using-insoles-of-different-thicknesses-in-older-adults-which-thickness-has-the-best-impact-on-postural-stability-and-risk-of-falling
#6
Öznur Büyükturan, Serdar Demirci, Buket Büyükturan, Yavuz Yakut
BACKGROUND: Postural stability (PS) problems arise as an individual grows older, and as a result, risk of falling (RoF) increases in older adults. The purpose of this study was to examine the effects of insoles of various thicknesses on PS and RoF in older adults. METHODS: Fifty-six individuals participated in the study. PS and RoF were evaluated both statically and dynamically using Biodex Balance System. PS and RoF assessments were perfomed under five different conditions: 1) barefoot, 2) only shoes, 3) with 5 mm insole, 4) with 10 mm insole, 5) with 15 mm insole...
April 18, 2018: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29666111/decreasing-an-offloading-device-s-size-and-offsetting-its-imposed-limb-length-discrepancy-lead-to-improved-comfort-and-gait
#7
Ryan T Crews, Joseph Candela
OBJECTIVE: Patient adherence is a challenge in offloading diabetic foot ulcers (DFUs) with removable cast walkers (RCWs). The size and weight of an RCW, changes to gait, and imposed limb length discrepancies may all discourage adherence. This study sought to determine whether RCW size and provision of a contralateral limb lift affected users' comfort and gait. RESEARCH DESIGN AND METHODS: Twenty-five individuals at risk for DFUs completed several 20-m walking trials under five footwear conditions: bilateral standardized shoes, a knee-high RCW with shoe with or without an external shoe lift contralaterally, and an ankle-high RCW with shoe with or without an external shoe lift contralaterally...
April 17, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29663851/intra-and-inter-rater-reliability-of-the-10-meter-ambulation-test-in-hemiparesis-is-better-barefoot-at-maximal-speed
#8
Emilie Hutin, Mouna Ghédira, Catherine-Marie Loche, Valentina Mardale, Catherine Hennegrave, Jean-Michel Gracies, Nicolas Bayle
Objectives Reliability of clinical tests to evaluate ambulation in chronic hemiparesis may vary according to the testing condition. The 10-meter ambulation test (AT10) assesses walking speed and step length over 10 m, starting and ending in seated position. In the present study, we compared the intra- and inter-reliability of AT10 in chronic hemiparesis in four different conditions: with shoes and barefoot, at free and maximal safe speed. Methods Ten patients with hemiparesis, >1 year post-stroke (age 45 ± 12, time since stroke 16 ± 9 months, mean ± SD) participated in the reliability study (registration, ID-RCB-2017-A00090-53)...
April 17, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29659401/effects-of-different-footwear-properties-and-surface-instability-on-neuromuscular-activity-and-kinematics-during-jumping
#9
Melanie Lesinski, Olaf Prieske, Ron Borde, Rainer Beurskens, Urs Granacher
Lesinski, M, Prieske, O, Borde, R, Beurskens, R, and Granacher, U. Effects of different footwear properties and surface instability on neuromuscular activity and kinematics during jumping. J Strength Cond Res XX(X): 000-000, 2018-The purpose of this study was to examine sex-specific effects of different footwear properties vs. barefoot condition during the performance of drop jumps (DJs) on stable and unstable surfaces on measures of jump performance, electromyographic (EMG) activity, and knee joint kinematics...
April 13, 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29657826/heel-impact-forces-during-barefoot-versus-minimally-shod-walking-among-tarahumara-subsistence-farmers-and-urban-americans
#10
Ian J Wallace, Elizabeth Koch, Nicholas B Holowka, Daniel E Lieberman
Despite substantial recent interest in walking barefoot and in minimal footwear, little is known about potential differences in walking biomechanics when unshod versus minimally shod. To test the hypothesis that heel impact forces are similar during barefoot and minimally shod walking, we analysed ground reaction forces recorded in both conditions with a pedography platform among indigenous subsistence farmers, the Tarahumara of Mexico, who habitually wear minimal sandals, as well as among urban Americans wearing commercially available minimal sandals...
March 2018: Royal Society Open Science
https://www.readbyqxmd.com/read/29653340/magnitude-and-variability-of-gait-characteristics-when-walking-on-an-irregular-surface-at-different-speeds
#11
Stephanie Blair, Mark J Lake, Rui Ding, Thorsten Sterzing
Different modes of perturbations have been used to understand how individuals negotiate irregular surfaces, with a general notion that increased locomotion variability induces a positive training stimulus. Individuals tend to walk slower when initially exposed to such locomotion tasks, potentially influencing the magnitude and variability of biomechanical parameters. This study investigated theeffects of gait speed on lower extremity biomechanics when walking on an irregular (IS) and regular surface (RS). Twenty physically active males walked on a RS and IS at three different speeds (4 km/h, 5 km/h, 6 km/h)...
April 10, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29649054/the-effect-of-a-single-textured-insole-in-gait-rehabilitation-of-individuals-with-stroke
#12
Alexander S Aruin, Noel Rao
Rehabilitation interventions designed to restore gait symmetry in individuals with stroke are not always effective. The goal was to evaluate the long-term effect of using a single textured insole in gait rehabilitation. Ten individuals with stroke who showed asymmetrical stance were randomly divided into two groups and participated in physical therapy. Individuals in the experimental group received a 6-week physical therapy while being provided with a textured insole in the shoe on the unaffected side. Individuals in the control group received a 6-week physical therapy only...
April 11, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29643574/the-effectiveness-of-raising-the-heel-height-of-shoes-to-reduce-heel-pain-in-patients-with-calcaneal-spurs
#13
Dwi Basuki Wibowo, Rudiansyah Harahap, Achmad Widodo, Gunawan Dwi Haryadi, Mochammad Ariyanto
[Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients (3 men, 13 women), with symptomatic heel spur for 4 heel heights (0-4 cm). Sensors were located at the hallux (T1); medial to lateral metatarsals (M1 through M3), mid-foot (MF); and at the central, lateral, and medial heel (CH, LH, and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an algometer...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29628695/medical-textiles-in-orthopedics-an-overview
#14
REVIEW
Raju Vaishya, Amit Kumar Agarwal, Manish Tiwari, Abhishek Vaish, Vipul Vijay, Yash Nigam
The use of textile in the medical field is not new; this has given rise to a new branch known as medical textiles. These are being used to repair or replace various other musculoskeletal tissues. The most common uses of biomaterials are to create aseptic conditions for protection, general health care, and hygiene including bedding and clothing, surgical gowns, face masks, head and shoe covers, sterilization wraps, suture anchors, fiber cast and braces/orthotics. These are also used as materials for preparation of wipes, swabs, wound dressings, bandages, gauzes, plasters, pressure garments, orthopedic belts and for new applications, such as heart valves, vascular grafts, artificial veins, artificial ligaments, artificial joints, artificial skin, and artificial cartilage...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29622015/empathy-is-proprioceptive-the-bodily-fundament-of-empathy-a-philosophical-contribution-to-medical-education
#15
Florian Schmidsberger, Henriette Löffler-Stastka
BACKGROUND: The current philosophical debate on empathy entails accounts of theory of mind and simulation as well as a phenomenological opposition. The first focuses on a detached observation of others from a 3rd person perspective and formulates the common claim that there is no direct access to the mental and emotional life of others, only simulation or analogy can grant access to the emotions and behaviour of others. The philosophical respectively phenomenological account of Fuchs instead opposes by focusing personal interaction within a 1st or 2nd person perspective claiming that the emotions of others are experienceable through bodily expression and bodily resonance...
April 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29620463/biosecurity-assessment-and-seroprevalence-of-respiratory-diseases-in-backyard-poultry-flocks-located-close-to-and-far-from-commercial-premises
#16
T Derksen, R Lampron, R Hauck, M Pitesky, R A Gallardo
Raising backyard chickens is an ever-growing hobby in the United States. These flocks can be a substrate for respiratory disease amplification and transmission to commercial facilities. Five hundred fifty-four chickens from 41 backyard flocks were sampled in this study. ELISA kits were used to detect antibodies against avian influenza (AI), infectious laryngotracheitis (ILT), Newcastle disease (ND), infectious bronchitis (IB), Ornithobacterium rhinotracheale (ORT), Mycoplasma gallisepticum (MG), and Mycoplasma synoviae (MS)...
March 2018: Avian Diseases
https://www.readbyqxmd.com/read/29619094/foot-osteoarthritis-latest-evidence-and-developments
#17
REVIEW
Edward Roddy, Hylton B Menz
Foot osteoarthritis (OA) is a common problem in older adults yet is under-researched compared to knee or hand OA. Most existing studies focus on the first metatarsophalangeal joint, with evidence relating to midfoot OA being particularly sparse. Symptomatic radiographic foot OA affects 17% of adults aged 50 years and over. The first metatarsophalangeal joint is most commonly affected, followed by the second cuneometatarsal and talonavicular joints. Epidemiological studies suggest the existence of distinct first metatarsophalangeal joint and polyarticular phenotypes, which have differing clinical and risk factor profiles...
April 2018: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/29618914/in-depth-analysis-of-pattern-of-occupational-injuries-and-utilization-of-safety-measures-among-workers-of-railway-wagon-repair-workshop-in-jhansi-u-p
#18
Shubhanshu Gupta, Anil K Malhotra, Santosh K Verma, Rashmi Yadav
Context: Occupational injuries constitute a global health challenge, yet they receive comparatively modest scientific attention. Pattern of occupational injuries and its safety precautions among wagon repair workers is an important health issue, especially in developing countries like India. Aims: To assess the pattern of occupational injuries and utilization of safety measures among railway wagon repair workshop workers in Jhansi (U.P.). Settings and Design: Railway wagon repair workshop urban area, Jhansi (U...
September 2017: Indian Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29617340/robust-stride-segmentation-of-inertial-signals-based-on-local-cyclicity-estimation
#19
Sebastijan Šprager, Matjaž B Jurič
A novel approach for stride segmentation, gait sequence extraction, and gait event detection for inertial signals is presented. The approach operates by combining different local cyclicity estimators and sensor channels, and can additionally employ a priori knowledge on the fiducial points of gait events. The approach is universal as it can work on signals acquired by different inertial measurement unit (IMU) sensor types, is template-free, and operates unsupervised. A thorough evaluation was performed with two datasets: our own collected FRIgait dataset available for open use, containing long-term inertial measurements collected from 57 subjects using smartphones within the span of more than one year, and an FAU eGait dataset containing inertial data from shoe-mounted sensors collected from three cohorts of subjects: healthy, geriatric, and Parkinson’s disease patients...
April 4, 2018: Sensors
https://www.readbyqxmd.com/read/29614193/stepping-into-their-shoes-the-ostomy-experience
#20
Donna G Hood, Tara L Haskins, Sherrie C Roberson
BACKGROUND: Empathetic patient care and reflective practice are linked to improved patient outcomes. Nurse educators play a key role in facilitating the development of empathy in nursing students. Research reveals an interest in reflective learning using a variety of approaches. METHOD: Taking cues from the previous literature, "The Ostomy Experience" was developed, implemented, and evaluated qualitatively. The Ostomy Experience included paired learning, simulated ostomy stories, skills application in a laboratory setting, personal experience of an ostomate appliance, and structured reflective journaling throughout the process...
April 1, 2018: Journal of Nursing Education
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