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https://www.readbyqxmd.com/read/29351127/four-months-of-wearing-a-balance-orthotic-improves-measures-of-balance-and-mobility-among-a-cohort-of-community-living-older-adults
#1
Sean Noah, Cynthia Gibson-Horn, Jennifer L Vincenzo
BACKGROUND AND PURPOSE: The Centers for Disease Control and Prevention estimated that there were 29 million falls and 7 million injuries in 2014 in the United States. Falls, decreased balance, and mobility disability are common in older adults and often result in loss of independence. Finding interventions to address these issues is important, as this age group is growing exponentially. Prior studies indicate balance and mobility can be improved by the balance-based torso-weighting (BBTW) assessment implemented through wear of a balance orthotic (BO)...
January 18, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29349955/-clinical-application-of-percutaneous-iliosacral-screws-combined-with-pubic-ramus-screws-in-tile-b-pelvic-fracture
#2
Qi-Fei Xu, Kui-Ran Lin, Dai-Jie Zhao, Song-Qin Zhang, Sheng-Kai Feng, Chen Li
OBJECTIVE: To investigate the application and effect of minimally invasive percutaneous anterior pelvic pubic ramus screw fixation in Tile B fractures. METHODS: A retrospective review was conducted on 56 patients with posterior pelvic ring injury combined with fractures of anterior pubic and ischiadic ramus treated between May 2010 and August 2015, including 31 males and 25 females with an average age of 36.8 years old ranging from 35 to 65 years old. Based on the Tile classification, there were 13 cases of Tile B1 type, 28 cases of Tile B2 type and 15 cases of Tile B3 type...
March 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29349582/can-we-evaluate-the-levator-ani-after-kegel-exercise-in-women-with-pelvic-organ-prolapse-by-transperineal-elastography-a-preliminary-study
#3
Meng Xie, Xuyin Zhang, Xiaodan Zhang, Wenping Wang, Keqin Hua
OBJECTIVES: The aim of this study was to evaluate the stiffness variation of the levator ani in patients with stage I/II pelvic organ prolapse (POP) before and after Kegel exercises by transperineal elastography. METHODS: A total of 20 patients who were diagnosed with staged I/II POP underwent conventional transperineal ultrasound and elastography. For each patient, the levator ani was located and evaluated in the state of Valsalva. After Kegel exercises for 12 weeks, transperineal ultrasound and elastography were repeated...
January 18, 2018: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/29348995/mental-health-assessment-in-health-checks-of-participants-aged-30-49%C3%A2-years-a-large-scale-cohort-study
#4
Christine Geyti, Helle Terkildsen Maindal, Else-Marie Dalsgaard, Kaj Sparle Christensen, Annelli Sandbæk
Mental distress is an independent risk factor for illness related impairment. Awareness of mental health (MH) allows prevention, but early detection is not routinely performed in primary care. This cohort study incorporated MH assessment in a health promoting programme. We described the level of poor MH among health check participants, explored the potential for early intervention, and the potential for reducing social inequality in MH. The study was based on 9767 randomly selected citizens aged 30-49 years invited to a health check in Denmark in 2012-14...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29347956/what-should-be-included-in-the-assessment-of-laypersons-paediatric-basic-life-support-skills-results-from-a-delphi-consensus-study
#5
Asbjørn Børch Hasselager, Torsten Lauritsen, Tim Kristensen, Cathrine Bohnstedt, Claus Sønderskov, Doris Østergaard, Martin Grønnebæk Tolsgaard
BACKGROUND: Assessment of laypersons' Paediatric Basic Life Support (PBLS) skills is important to ensure acquisition of effective PBLS competencies. However limited evidence exists on which PBLS skills are essential for laypersons. The same challenges exist with respect to the assessment of foreign body airway obstruction management (FBAOM) skills. We aimed to establish international consensus on how to assess laypersons' PBLS and FBAOM skills. METHODS: A Delphi consensus survey was conducted...
January 18, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29347946/effects-of-long-term-balance-training-with-vibrotactile-sensory-augmentation-among-community-dwelling-healthy-older-adults-a-randomized-preliminary-study
#6
Tian Bao, Wendy J Carender, Catherine Kinnaird, Vincent J Barone, Geeta Peethambaran, Susan L Whitney, Mohammed Kabeto, Rachael D Seidler, Kathleen H Sienko
BACKGROUND: Sensory augmentation has been shown to improve postural stability during real-time balance applications. Limited long-term controlled studies have examined retention of balance improvements in healthy older adults after training with sensory augmentation has ceased. This pilot study aimed to assess the efficacy of long-term balance training with and without sensory augmentation among community-dwelling healthy older adults. METHODS: Twelve participants (four males, eight females; 75...
January 18, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29347931/attitudes-towards-tooth-fillings-in-tanzanian-adults-and-its-association-with-previous-filling-experience
#7
Kasusu K Nyamuryekung'e, Satu M Lahti, Risto J Tuominen
BACKGROUND: Tooth filling treatment is utilized at low levels in many low and middle-income countries (LMICs), further, little is known about the prevailing attitudes towards such treatment. This study aimed to assess attitudes towards tooth filling among Tanzanian adults and how previous tooth filling experience is associated with these attitudes. METHODS: A pretested structured questionnaire was distributed among 1522 out-patients in four regional hospitals in Tanzania in 2015-16...
January 18, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29346191/the-four-corners-sign-a-specific-imaging-feature-in-differentiating-systemic-sclerosis-related-interstitial-lung-disease-from-idiopathic-pulmonary-fibrosis
#8
Lara Walkoff, Darin B White, Jonathan H Chung, Dennis Asante, Christian W Cox
PURPOSE: Differentiating between systemic sclerosis-related interstitial lung disease (SSc-ILD) and idiopathic pulmonary fibrosis (IPF) is important because of the differences in workup, prognosis, and treatment. However, there is much overlap in the appearance of these 2 entities on high-resolution computed tomography. We propose that inflammation and/or fibrosis focally or disproportionately involving the bilateral anterolateral upper lobes and posterosuperior lower lobes ["Four Corners" Sign (FCS)] is specific for SSc-ILD...
January 16, 2018: Journal of Thoracic Imaging
https://www.readbyqxmd.com/read/29346081/reported-balance-confidence-and-movement-reinvestment-of-younger-knee-replacement-patients-are-more-like-younger-healthy-individuals-than-older-patients
#9
Brian D Street, Allan Adkin, William Gage
This study focused on differences between the rapidly growing younger (<65 years old) and older (>65 years old) total knee replacement (TKR) patients for measures of balance confidence, movement reinvestment, and functional mobility. Fifty-nine participants, including twenty-nine primary unilateral TKR patients (six months post-TKR) formed the four experimental groups: 1) Younger TKR Patient (YP), 2) Younger Control (YC), 3) Older TKR Patient (OP), and 4) Older Control (OC). The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Oxford Knee Score (OKS), Activities-specific Balance Confidence scale (ABC), the Movement-Specific Reinvestment Scale (MSRS), and the Timed Up and Go (TUG) test were measured...
January 11, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29345849/impact-of-cone-beam-computed-tomography-on-periapical-assessment-and-treatment-plan-five-to-eleven-years-after-surgical-endodontic-retreatment
#10
C Kruse, R Spin-Neto, A Wenzel, M Vaeth, L-L Kirkevang
AIM: To evaluate how additional information from Cone Beam CT (CBCT) impactson periapical assessment and treatment planning based on clinical examination and periapical radiographs (PR) in cases followed-up five to eleven years after surgical endodontic retreatment (SER). METHODOLOGY: Patients receiving SER during 2004-2010 were re-invited for follow-up examination including clinical examination, PR, and CBCT. In total 108 patients (119 teeth) were re-invited, 74 patients (83 teeth) accepted to participate...
January 18, 2018: International Endodontic Journal
https://www.readbyqxmd.com/read/29345510/preliminary-evaluation-of-the-viability-of-peritoneal-drainage-catheters-implanted-in-rats-for-extended-durations
#11
Nathan Legband, Arielle Black, Craig Kreikemeier-Bower, Benjamin S Terry
Purpose/Aim: In developing a novel peritoneal oxygenation therapy, catheters implanted into the peritoneal cavity became obstructed with omental tissue and prevented the infusion and removal of fluid from the peritoneal cavity. The obstruction of peritoneal catheters is a significant failure in researching various peritoneal treatments as further fluid administration is no longer possible. The purpose of this preliminary study was to determine the most effective catheter design for infusion and removal of fluid into the peritoneal cavity of rats...
January 18, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29344460/impact-of-integrated-teaching-sessions-for-comprehensive-learning-and-rational-pharmacotherapeutics-for-medical-undergraduates
#12
Sneha Ambwani, Bhavisha Vegada, Rimple Sidhu, Jaykaran Charan
Background: It is postulated that integrated teaching method may enhance retention of the knowledge and clinical applicability of the basic sciences as compared to the didactic method. Aim: The present study was undertaken to compare the integrated teaching method with the didactic method for the learning ability and clinical applicability of the basic sciences. Materials and Methods: The 2nd year MBBS students were divided into two groups randomly...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29344458/case-based-learning-in-microbiology-observations-from-a-north-west-indian-medical-college
#13
Anita Singhal
Background: Microbiology is usually taught by conventional lectures, and its retention and application is observed to be poor among medical graduates/practitioners. Aim and Objectives: Introduction of case-based learning (CBL) in microbiology for second-year professional MBBS students. Materials and Methods: Students were divided into two groups of fifty each. Four clinical cases were used for CBL. One group had two CBL sessions whereas the other had didactic lectures (DLs) and then the groups were crossed over...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29343981/assessment-of-pain-score-and-specimen-adequacy-for-ultrasound-guided-fine-needle-aspiration-biopsy-of-thyroid-nodules
#14
Li-Jen Liao, Wu-Chia Lo, Wan-Lun Hsu, Po-Wen Cheng, Cheng-Ping Wang
Objective: The aim of this study was to evaluate pain scores and specimen adequacy for ultrasound-guided fine-needle aspiration biopsy (US-FNAB) of thyroid nodules without and with local anesthesia (LA). Materials and methods: The US-FNAB procedure was performed on 183 patients with and without LA. One puncture was made for solid nodules, and if patients could tolerate it, a two-puncture technique was used for nodules with a cystic change. Four-point verbal rating scores were assessed by a nursing assistant after completion of US-FNAB...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29343962/functioning-outcomes-with-adjunctive-treatments-for-major-depressive-disorder-a-systematic-review-of-randomized-placebo-controlled-studies
#15
REVIEW
Emmanuelle Weiller, Catherine Weiss, Christopher P Watling, Christopher Edge, Mary Hobart, Hans Eriksson, Maurizio Fava
Objective: Patients with major depressive disorder (MDD) with inadequate response to antidepressant treatment (ADT) may suffer a prolonged loss of functioning. This review aimed to determine if self-rated functional measures are informative in randomized placebo-controlled studies of adjunctive therapy in patients with MDD and inadequate response to ADT. Methods: This was a systematic literature review of articles in any language from the MEDLINE database published between January 1990 and March 2017...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29341252/painful-procedures-can-affect-postnatal-growth-and-neurodevelopment-in-preterm-infants
#16
Caterina Coviello, Marina Popple Martinez, Livia Drovandi, Corsini Iuri, Valentina Leonardi, Clara Lunardi, Carla Antonelli, Simone Pratesi, Carlo Dani
AIM: This Italian study evaluated whether painful procedures during the first four weeks of life were related to subsequent weight gain, head circumference (HC) and neurodevelopmental outcomes in preterm infants, METHODS: We evaluated the number of invasive procedures that infants born at less than 32 weeks of gestational age (GA) underwent in the Neonatal Intensive Care Unit of Careggi Hospital, Florence from January to December 2015. Weight and HC were recorded at birth, 36 weeks of PMA and six and 12 months of CA...
January 17, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29341133/development-and-initial-validity-of-the-in-hand-manipulation-assessment
#17
Gabrielle Klymenko, Karen P Y Liu, Michelle Bissett, Kenneth N K Fong, Nandana Welage, Rebecca S M Wong
BACKGROUND/AIM: A review of the literature related to in-hand manipulation (IHM) revealed that there is no assessment which specifically measures this construct in the adult population. This study reports the face and content validity of an IHM assessment for adults with impaired hand function based on expert opinion. METHODS: The definition of IHM skills, assessment tasks and scoring methods identified from literature was discussed in a focus group (n = 4) to establish face validity...
January 17, 2018: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29340574/effect-of-general-anesthesia-and-conscious-sedation-during-endovascular-therapy-on-infarct-growth-and-clinical-outcomes-in-acute-ischemic-stroke-a-randomized-clinical-trial
#18
Claus Z Simonsen, Albert J Yoo, Leif H Sørensen, Niels Juul, Søren P Johnsen, Grethe Andersen, Mads Rasmussen
Importance: Endovascular therapy (EVT) is the standard of care for select patients who had a stroke caused by a large vessel occlusion in the anterior circulation, but there is uncertainty regarding the optimal anesthetic approach during EVT. Observational studies suggest that general anesthesia (GA) is associated with worse outcomes compared with conscious sedation (CS). Objective: To examine the effect of type of anesthesia during EVT on infarct growth and clinical outcome...
January 16, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/29340354/implant-mandibular-overdentures-retained-by-immediately-loaded-implants-a-1-year-randomized-trial-comparing-patient-based-outcomes-between-mini-dental-implants-and-standard-sized-implants
#19
Kostas Zygogiannis, Irene Ha Aartman, Daniel Wismeijer
PURPOSE: The aim of this 1-year randomized trial was to determine the stability and the magnitude of the effect of converting patients' conventional mandibular dentures to implant overdentures (IODs) on their satisfaction and oral health-related quality of life (OHRQoL). The IODs were retained either with two immediately loaded interconnected standard-diameter implants or with four immediately loaded mini dental implants (MDIs). MATERIALS AND METHODS: Fifty completely edentulous subjects complaining about insufficient retention of their mandibular dentures were randomly assigned to two groups; 25 patients received IODs retained with four MDIs and 25 patients received IODs retained with two standard-sized tissue level (STL) interconnected implants...
January 2018: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/29336608/prevalence-of-frailty-and-its-association-with-depressive-symptoms-among-older-adults-in-singapore
#20
Lixia Ge, Chun Wei Yap, Bee Hoon Heng
OBJECTIVES: The aims of the study were to (1) estimate the prevalence of frailty among community-dwelling older adults , and (2) investigate the independent association between level of frailty and depressive symptoms. METHODS: A total of 721 older adults (aged 60 and above ) were included in this study. Severity of frailty was determined using the Clinical Frailty Scale and further classified into four levels (CFS1-3: F1, CFS4: F2, CFS5: F3, and CFS6-7: F4). The depressive symptoms were assessed using the Patient Health Questionnaire-9...
January 16, 2018: Aging & Mental Health
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