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https://www.readbyqxmd.com/read/28081582/-expert-evidence-in-whiplash-injury
#1
Florin M Bucur, Martin Schwarze, Marcus Schiltenwolf
The assessment of cervical spine injuries is not a problem - provided full evidence of primary physical damage can be ensured. MRI examinations of the cervical spine carried out soon after the accident provide the best evidence. The assessment is more difficult if only clinical abnormalities are documented by the doctors after the accident in the diagnosis of cervical spine distortion, as functional results of this type are not specific and are also common in the general population. The legal rules of evidence must be taken into account in the summary assessment of the consequences of cervical spine injuries...
January 12, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27968857/surgical-treatment-of-patients-with-lung-cancer-and-bone-metastases-a-prospective-observational-study
#2
Wang Zhiyu, Zhang Rui, Wang Shuai, Zhao Hui
BACKGROUND: As life expectancy improves in patients with lung cancer and bone metastases, effective surgical treatment to relieve pain and improve quality of life and neurological function is increasingly needed. Indications for surgery in patients with bone metastases are controversial. We aimed to assess a protocol for the surgery of patients with lung cancer and bone metastases. METHODS: We developed a surgical protocol for both spinal and appendicular metastases...
October 2016: Lancet
https://www.readbyqxmd.com/read/27938361/evaluation-of-the-efficacy-of-a-short-course-personalized-self-management-and-intensive-spa-therapy-intervention-as-active-prevention-of-musculoskeletal-disorders-of-the-upper-extremities-muska-a-research-protocol-for-a-randomized-controlled-trial
#3
Charlotte Lanhers, Bruno Pereira, Chloé Gay, Christian Hérisson, Christine Levyckyj, Arnaud Dupeyron, Emmanuel Coudeyre
BACKGROUND: Musculoskeletal disorders (MSDs) constitute a major occupational health problem in the working population, substantially impacting the quality of life of employees. They also cause considerable economic cost to the healthcare system, with, notably, the reimbursement of treatments and compensation for lost income. MSDs manifest as localized pain or functional difficulty in one or more anatomical areas, such as the cervical spine, shoulder, elbow, hand, and wrist. Although prevalence varies depending on the region considered and the method of assessment, a prevalence of 30% is found in different epidemiological studies...
December 9, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27920614/spine-care-as-a-framework-for-the-chiropractic-identity
#4
REVIEW
Michael Schneider, Donald Murphy, Jan Hartvigsen
OBJECTIVE: The purpose of this commentary is to provide an argument for the role and identity of chiropractors as spine care providers within the context of the greater health care system. DISCUSSION: Surveys of the general public and chiropractors indicate that the majority of patients seek chiropractic services for back and neck pain. Insurance company utilization data confirm these findings. Regulatory and legal language found in chiropractic practice acts reveals that most jurisdictions define the chiropractic scope of practice as based on a foundation of spine care...
December 2016: Journal of Chiropractic Humanities
https://www.readbyqxmd.com/read/27885641/apophyseal-ossification-of-the-iliac-crest-in-forensic-age-estimation-computed-tomography-standards-for-modern-australian-subadults
#5
Nicolene Lottering, Clair L Alston-Knox, Donna M MacGregor, Maree T Izatt, Caroline A Grant, Clayton J Adam, Laura S Gregory
This study contrasts the ontogeny of the iliac crest apophysis using conventional radiography and multislice computed tomography (MSCT), providing probabilistic information for age estimation of modern Australian subadults. Retrospective abdominopelvic MSCT data acquired from 524 Australian individuals aged 7-25 and surveillance radiographs of adolescent idiopathic scoliosis patients included in the Paediatric Spine Research Group Progression Study (n = 531) were assessed. Ossification scoring of pseudo-radiographs and three-dimensional (3D) volume-rendered reconstructions using Risser (1958) quantitative descriptors indicate discrepancies in age estimates, stage allocation, and conflicting morphological progression...
November 25, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27747539/risk-factors-associated-with-legal-interventions
#6
Alfreda Holloway-Beth, Linda Forst, Julia Lippert, Sherry Brandt-Rauf, Sally Freels, Lee Friedman
BACKGROUND: Current research regarding injuries caused during interactions between police officers and civilians is conducted intermittently or on a very narrow sample frame which provides very little clinical information about the injuries suffered or the adverse outcomes. The aim of this study is to identify comorbid risk factors and describe acute outcomes of medically treated traumatic injuries occurring as a result of contact with law enforcement personnel. METHODS: For this retrospective study, patients injured as a result of contact with law enforcement personnel were identified using ICD-9 external cause of injury codes from medical record databases of patients treated in all hospitals and trauma units in Illinois between 2000 and 2009...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27383337/health-conditions-of-prisoners-in-the-state-of-rio-de-janeiro-brazil
#7
Maria Cecília de Souza Minayo, Adalgisa Peixoto Ribeiro
We present the results of a quantitative and qualitative study on the living conditions and health of prisoners in the state of Rio de Janeiro. The goal was to produce strategic information to support the action of public officials who work in prisons. The results show that prisoners are young (average age: 30 years), poor, mostly black and brown (70.5%), have little education (only 1.5% of them have a higher education), and have been in prison for less than four years. Among the problems that indirectly affect their health, we emphasize: overcrowding (1...
June 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27172279/defensive-medicine-in-u-s-spine-neurosurgery
#8
Ryan S Din, Sandra C Yan, David J Cote, Michael A Acosta, Timothy R Smith
STUDY DESIGN: Observational cross-sectional survey OBJECTIVE.: To compare defensive practices of U.S. spine and non-spine neurosurgeons in the context of state medical liability risk. SUMMARY OF BACKGROUND DATA: Defensive medicine is a commonly reported and costly phenomenon in neurosurgery. While state liability risk is thought to contribute greatly to defensive practice, variation within neurosurgical specialties has not been well explored. METHODS: A validated, online survey was sent via email to 3,344 members of the American Board of Neurological Surgeons...
May 11, 2016: Spine
https://www.readbyqxmd.com/read/27108260/assessment-of-the-effectiveness-of-sfcr-patient-information-sheets-before-scheduled-spinal-surgery
#9
R Madkouri, M Grelat, A Vidon-Buthion, M Lleu, J Beaurain, K-L Mourier
INTRODUCTION: Patient information is an essential component of any surgical procedure as it allows the surgeon to collect informed consent. This is a legal obligation in the civil code and a professional obligation in the code of medical ethics. As a result, the French spinal surgery society (SFCR) decided to make a model information sheet available on the Internet. The goal of this prospective study was to evaluate the impact of this information sheet when given to patients before scheduled spinal surgery...
June 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27004163/new-regulations-for-medical-devices-rationale-advances-and-impact-on-research-and-patient-care
#10
Gerold Labek, Harald Schöffl, Christian Ioan Stoica
A series of events relating to inferior medical devices has brought about changes in the legal requirements regarding quality control on the part of regulators. Apart from clinical studies, register and routine data will play an essential role in this context. To ensure adequate use of these data, adapted methodologies are required as register data in fact represent a new scientific entity. For the interpretation of register and routine data several limitations of published data should be taken into account...
March 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/26924516/-aspects-of-expert-opinions-of-avulsion-fractures
#11
F Schröter
The apophyses as secondary ossification centers are connected with the bone by cartilage. During the growth phase of puberty, the apophyseal plate is a mechanical weak spot. Especially, apophyses in the hip and pelvic area are exposed to considerable tensile and sheer stresses due to the strong muscles which are inserted here. The frequency of injuries to the apophyses correlates with the extent of sporting activities. For athletes participating in "Youth Train for the Olympics", this is the most common injury of all...
March 2016: Der Orthopäde
https://www.readbyqxmd.com/read/26807346/risk-factors-associated-with-legal-interventions
#12
Alfreda Holloway-Beth, Linda Forst, Julia Lippert, Sherry Brandt-Rauf, Sally Freels, Lee Friedman
BACKGROUND: Current research regarding injuries caused during interactions between police officers and civilians is conducted intermittently or on a very narrow sample frame which provides very little clinical information about the injuries suffered or the adverse outcomes. The aim of this study is to identify comorbid risk factors and describe acute outcomes of medically treated traumatic injuries occurring as a result of contact with law enforcement personnel. METHODS: For this retrospective study, patients injured as a result of contact with law enforcement personnel were identified using ICD-9 external cause of injury codes from medical record databases of patients treated in all hospitals and trauma units in Illinois between 2000 and 2009...
2016: Injury Epidemiology
https://www.readbyqxmd.com/read/26665235/brain-capillaries-in-alzheimer-s-disease
#13
Stavros J Baloyannis
Alzheimer's disease is the most common cause of irreversible dementia, affecting mostly the presenile and senile age, shaping a tragic profile in the epilogue of the life of the suffering people. Due to the severity and the social impact of the disease an ongoing research activity is in climax nowadays, associated with many legal, social, ethical, humanitarian, philosophical and economic considerations. From the neuropathological point of view the disease is characterized by dendritic pathology, loss of synapses and dendritic spines, affecting mostly selective neuronal networks of critical importance for memory and cognition, such as the basal forebrain cholinergic system, the medial temporal regions, the hippocampus and many neocortical association areas...
September 2015: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/26409414/the-importance-of-identifying-and-modifying-unemployment-predictor-variables-in-the-evolution-of-a-novel-model-of-care-for-low-back-pain-in-the-general-population
#14
Simon A Harris, Y Raja Rampersaud
BACKGROUND CONTEXT: Care for low back pain (LBP) is costly, fragmented and, in non-compensation populations, rarely specifically addresses factors associated with maintaining employment status or return to work (RTW). PURPOSE: This study aimed to identify modifiable independent risk factors for (1) a negative work status at presentation and (2) a change in work status during treatment in a cohort of LBP patients. The results are intended to inform improvement in best-evidence care pathways to maximize societal outcomes and overall value of a new model of care...
January 1, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26371481/-new-routines-in-orthopedics-department-yielded-more-efficient-care-and-more-satisfied-patients-physiotherapist-and-team-make-the-first-assessment-in-new-visits-to-the-spine-surgeon
#15
COMPARATIVE STUDY
Björn Knutsson, Thomas Torstensson
There is a shortage of spine surgeons in Sweden. To guarantee the legal right to healthcare, many counties must hire doctors, with increasing costs. In our new out-patient department routine, the majority of the patients are examined by a physiotherapist at their first visit. History taking and clinical and radiographic examinations are discussed in a team conference, and possible candidates for spine surgery are selected for an appointment with a spine surgeon. Furthermore, the patients were more satisfied with the new routine and management plan...
2015: Läkartidningen
https://www.readbyqxmd.com/read/25959104/do-you-have-a-right-to-decide-or-do-we-have-a-right-to-acquiesce
#16
REVIEW
Gregory Comadira, Lucy Hervey, James Winearls, James Young-Jamieson, Andrea Marshall
Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner...
May 2015: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/25768691/reason-for-lawsuit-in-spinal-cord-injury-affects-final-outcome
#17
Robert S Quigley, Yusuf T Akpolat, Brent D Forrest, Montri D Wongworawat, Wayne K Cheng
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To review past cases and analyze them to determine whether reason for lawsuit led to a defense versus plaintiff verdict when patients sustain spinal cord injury. Secondary objectives included analyzing demographic factors and monetary awards for plaintiff verdicts and settlements. SUMMARY OF BACKGROUND DATA: Evaluating malpractice cases could provide valuable information for the physician who has been sued by a patient...
June 1, 2015: Spine
https://www.readbyqxmd.com/read/25740605/a-cluster-of-protein-kinases-and-phosphatases-modulated-in-fetal-down-syndrome-trisomy-21-brain
#18
Rachel Weitzdoerfer, Nuria Toran, Saraswathi Subramaniyan, Arnold Pollak, Mara Dierssen, Gert Lubec
Down syndrome (DS; trisomy 21) is the most frequent cause of mental retardation with major cognitive and behavioral deficits. Although a series of aberrant biochemical pathways has been reported, work on signaling proteins is limited. It was, therefore, the aim of the study to test a selection of protein kinases and phosphatases known to be essential for memory and learning mechanisms in fetal DS brain. 12 frontal cortices from DS brain were compared to 12 frontal cortices from controls obtained at legal abortions...
June 2015: Amino Acids
https://www.readbyqxmd.com/read/25624530/neurological-deterioration-during-intubation-in-cervical-spine-disorders
#19
Padmaja Durga, Barada Prasad Sahu
Anaesthesiologists are often involved in the management of patients with cervical spine disorders. Airway management is often implicated in the deterioration of spinal cord function. Most evidence on neurological deterioration resulting from intubation is from case reports which suggest only association, but not causation. Most anaesthesiologists and surgeons probably believe that the risk of spinal cord injury (SCI) during intubation is largely due to mechanical compression produced by movement of the cervical spine...
November 2014: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/25207152/spinal-textiloma-gossypiboma-a-report-of-three-cases-misdiagnosed-as-tumour
#20
Soner Sahin, Cem Atabey, Mehmet Simşek, Sait Naderi
BACKGROUND: Textile products commonly used in surgery (e.g., sponges or gauze) have been known to cause complications after spinal surgery. Associated complications usually arise months or even years after the primary surgery. In case of spine surgery, these bodies are often detected during neuroradiological evaluations to investigate reported back pain; however, this complication often remains asymptomatic. AIMS: The research is intended to increase awareness among both spinal surgeons and neuroradiologists of this potential complication...
December 2013: Balkan Medical Journal
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