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https://www.readbyqxmd.com/read/28320529/prevalence-of-neuropathic-pain-in-knee-or-hip-osteoarthritis-a-systematic-review-and-meta-analysis
#1
REVIEW
Helen P French, Keith M Smart, Frank Doyle
OBJECTIVE: Discordance between radiographic and pain severity in osteoarthritis (OA) has led researchers to investigate other pain mechanisms, including neuropathic pain. Accurate identification of any neuropathic pain in hip or knee OA is important for appropriate management, but neuropathic pain prevalence is unknown. We aimed to obtain an overall prevalence estimate by systematically reviewing and meta-analysing the prevalence of neuropathic pain in people with hip or knee OA. METHOD: Observational studies which measured neuropathic pain in people aged 18 years and older with hip or knee OA were considered for inclusion...
February 20, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/28300452/sun-smart-practices-amongst-school-students-grades-5-7-and-9-in-alberta-canada
#2
Divya Jha, Shankar Jha, Sunita Ghosh, Michael Smylie, Muba Taher
OBJECTIVES: The aim of this study was to assess the current knowledge children possess on melanoma and sun-protective behaviour. METHODS: A one-page survey was administered to students in grades 5, 7, and 9. RESULTS: Three hundred ninety-two students from 11 schools in Edmonton were surveyed. Seventy-one percent of students knew that sun exposure can cause skin cancers. Sixty-nine percent were taught by their parents about sun protection, but only 44% of students received similar instructions from teachers...
March 2017: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28269026/a-smart-cane-with-vibrotactile-biofeedback-improves-cane-loading-for-people-with-knee-osteoarthritis
#3
Rebecca L Routson, Marcus Bailey, Isabelle Pumford, Joseph M Czerniecki, Patrick M Aubin
Nine million adults have symptomatic knee osteoarthritis (OA) in the U.S. and almost half of those people have a walking aid such as a cane. Proper cane loading (e.g. 15% body weight [BW]) can reduce knee loading and may slow OA progression. The purpose of this study was to investigate the efficacy of a novel smart cane with vibrotactile biofeedback that aims to facilitate increased cane loading. Ten subjects with knee OA performed a 50 m hallway walk test under four conditions: 1) naïve, 2) conventional cane with verbal instruction, 3) smart cane, and 4) conventional cane post smart cane...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227239/a-smart-cane-with-vibrotactile-biofeedback-improves-cane-loading-for-people-with-knee-osteoarthritis
#4
Rebecca L Routson, Marcus Bailey, Isabelle Pumford, Joseph M Czerniecki, Patrick M Aubin, Rebecca L Routson, Marcus Bailey, Isabelle Pumford, Joseph M Czerniecki, Patrick M Aubin, Patrick M Aubin, Joseph M Czerniecki, Rebecca L Routson, Marcus Bailey, Isabelle Pumford
Nine million adults have symptomatic knee osteoarthritis (OA) in the U.S. and almost half of those people have a walking aid such as a cane. Proper cane loading (e.g. 15% body weight [BW]) can reduce knee loading and may slow OA progression. The purpose of this study was to investigate the efficacy of a novel smart cane with vibrotactile biofeedback that aims to facilitate increased cane loading. Ten subjects with knee OA performed a 50 m hallway walk test under four conditions: 1) naïve, 2) conventional cane with verbal instruction, 3) smart cane, and 4) conventional cane post smart cane...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28221153/ultra-mini-pnl-ump-material-indications-technique-advantages-and-results
#5
Janak D Desai
Stone disease has afflicted mankind since centuries; records from ancient civilisations of India and Egypt have shown stones in human bodies. The scientific mind of humans has always made smart endeavours to remove the kidney stones. From large instruments made like the beaks of different animals and birds in 600 BC (Indian civilisation) to extremely sophisticated and miniaturised endoscopic intruments of today the human race has travelled a long way. The theme has always been to remove the stones with minimal morbidity and mortality and with minimum pain to the patient...
January 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28063170/assessing-mnis-7ionis-and-international-neurologists-proficiency-in-an-fap-trial
#6
Peter J Dyck, John C Kincaid, P James B Dyck, Vinay Chaudhry, Namita A Goyal, Christina Alves, Hayet Salhi, Janice F Wiesman, Celine Labeyrie, Jessica Robinson-Papp, Márcio Cardoso, Matilde Laura, Katherine Ruzhansky, Andrea Cortese, Thomas H Brannagan, Julie Khoury, Sami Khella, Márcia Waddington-Cruz, João Ferreira, Annabel K Wang, Marcus V Pinto, Samar S Ayache, Merrill D Benson, John L Berk, Teresa Coelho, Michael Polydefkis, Peter Gorevic, David H Adams, Violaine Plante-Bordeneuve, Carol Whelan, Giampaolo Merlini, Stephen Heitner, Brian M Drachman, Isabel Conceição, Christopher J Klein, Morie A Gertz, Elizabeth J Ackermann, Steven G Hughes, Michelle L Mauermann, Rito Bergemann, Karen A Lodermeier, Jenny L Davies, Rickey E Carter, William J Litchy
INTRODUCTION: Polyneuropathy signs (Neuropathy Impairment Score, NIS), neurophysiologic tests (m+7Ionis ), disability, and health scores were assessed in baseline evaluations of 100 patients entered into an oligonucleotide familial amyloidotic polyneuropathy (FAP) trial. METHODS: We assessed: 1) Proficiency of grading neurologic signs and correlation with neurophysiologic tests, and 2) clinometric performance of mNIS+7Ionis and its subscores and correlation with disability and health scores...
January 7, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28008470/uptake-of-enhanced-recovery-practices-by-sages-members-a-survey
#7
Deborah S Keller, Conor P Delaney, Anthony J Senagore, Liane S Feldman
BACKGROUND: The SAGES Surgical Multimodal Accelerated Recovery Trajectory (SMART) Enhanced Recovery Task Force aims to increase awareness and provide tools for members to successfully implement enhanced recovery pathways (ERPs) to improve clinical outcomes and patient satisfaction. An initial step was to survey SAGES member on their knowledge, use, and impediments to enhanced recovery. METHODS: An online survey designed by SMART committee members to define SAGES member's awareness and use of enhanced recovery principles and practice was emailed to all SAGES members...
December 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27875708/does-restriction-of-public-health-care-dental-benefits-affect-the-volume-severity-or-cost-of-dental-related-hospital-visits
#8
David Salomon, R Eric Heidel, Antonia Kolokythas, Michael Miloro, Thomas Schlieve
PURPOSE: On July 1, 2012, the Illinois legislature passed the Save Medicaid Access and Resources Together (SMART) Act, which restricts adult public dental insurance coverage to emergency-only treatment. The purpose of this study was to measure the effect of this restriction on the volume, severity, and treatment costs of odontogenic infections in an urban hospital. MATERIALS AND METHODS: A retrospective cohort study of patients presenting for odontogenic pain or infection at the University of Illinois Hospital was performed...
March 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27762206/electronic-erapid3-routine-assessment-of-patient-index-data-opportunities-and-complexities
#9
REVIEW
Theodore Pincus
RAPID3 (routine assessment of patient index data) is an index found within a multi-dimensional health assessment questionnaire (MDHAQ) for routine clinical care, composed only of 3 self-report scores for physical function, pain, and patient global estimate, each scored 0-10, for a total of 0-30. RAPID3 is correlated significantly with DAS28 (Disease Activity Score) and CDAI (Clinical Disease Activity Index), and distinguishes active from control treatments as efficiently as these indices in clinical trials involving adalimumab, abatacept, certolizumab, infliximab, and rituximab...
September 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27760883/evaluating-mobile-phone-applications-for-health-behaviour-change-a-systematic-review
#10
Fiona H McKay, Christina Cheng, Annemarie Wright, Jane Shill, Hugh Stephens, Mary Uccellini
INTRODUCTION: Increasing smartphones access has allowed for increasing development and use of smart phone applications (apps). Mobile health interventions have previously relied on voice or text-based short message services (SMS), however, the increasing availability and ease of use of apps has allowed for significant growth of smartphone apps that can be used for health behaviour change. This review considers the current body of knowledge relating to the evaluation of apps for health behaviour change...
October 18, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27757715/patient-state-recognition-system-for-healthcare-using-speech-and-facial-expressions
#11
M Shamim Hossain
Smart, interactive healthcare is necessary in the modern age. Several issues, such as accurate diagnosis, low-cost modeling, low-complexity design, seamless transmission, and sufficient storage, should be addressed while developing a complete healthcare framework. In this paper, we propose a patient state recognition system for the healthcare framework. We design the system in such a way that it provides good recognition accuracy, provides low-cost modeling, and is scalable. The system takes two main types of input, video and audio, which are captured in a multi-sensory environment...
December 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27723012/poorly-designed-research-does-not-help-clarify-the-role-of-hyperbaric-oxygen-in-the-treatment-of-chronic-diabetic-foot-ulcers
#12
EDITORIAL
Mesut Mutluoglu, Gunalp Uzun, Michael Bennett, Peter Germonpré, David Smart, Daniel Mathieu
Diabetic foot ulcers (DFUs) are one of the most common indications for hyperbaric oxygen treatment (HBOT). The role of HBOT in DFUs is often debated. Recent evidence based guidelines, while recommending its use, urge further studies to identify the patient subgroups most likely to benefit from HBOT. A recent study in Diabetes Care aimed to assess the efficacy of HBOT in reducing the need for major amputation and improving wound healing in patients with chronic DFUs. In this study, patients with Wagner grade 2-4 diabetic foot lesions were randomly assigned to have HBOT (30 sessions/90 min/244 kPa) or sham treatment (30 sessions/90 min/air/125 kPa)...
September 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/27617255/self-expandable-stent-application-to-prevent-limb-occlusion-in-external-iliac-artery-during-endovascular-aneurysm-repair
#13
Jae Hoon Lee, Ki Hyuk Park
PURPOSE: Iliac extension of stent-graft during endovascular aneurysm repair (EVAR) increases the incidence of limb occlusion (LO). Hypothetically, adjunctive iliac stent (AIS) could offer some additional protection to overcome this anatomic hostility. But still there is no consensus in terms of effective stent characteristics or configuration. We retrospectively reviewed our center's experience to offer a possible answer to this question. METHODS: Our study included 30 patients (38 limbs) with AIS placed in the external iliac artery (EIA) from January 2010 to December 2013...
September 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/27573313/mobile-applications-to-enhance-self-management-of-gout
#14
Amy D Nguyen, Melissa T Baysari, Diluk R W Kannangara, Amina Tariq, Annie Y S Lau, Johanna I Westbrook, Richard O Day
BACKGROUND: Gout is an arthritic condition that is characterised by extremely painful, debilitating acute attacks and eventual joint and organ damage if not controlled. Despite the availability of very effective therapies that, if adhered to, will prevent acute attacks and long-term damage, the disorder is increasingly prevalent. There is an urgent need to improve self-management of gout. OBJECTIVES: Mobile health (mHealth) applications ('apps'), designed to facilitate management of chronic conditions, present novel opportunities for supporting patient self-management of gout...
October 2016: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27546188/meta-analysis-of-closure-of-the-fascial-defect-during-laparoscopic-incisional-and-ventral-hernia-repair
#15
REVIEW
A Tandon, S Pathak, N J R Lyons, Q M Nunes, I R Daniels, N J Smart
BACKGROUND: Laparoscopic incisional and ventral hernia repair (LIVHR) is being used increasingly, with reported outcomes equivalent to those of open hernia repair. Closure of the fascial defect (CFD) is a technique that may reduce seroma formation and bulging after LIVHR. Non-closure of the fascial defect makes the repair of larger defects easier and reduces postoperative pain. The aim of this systematic review was to determine whether CFD affects the rate of adverse outcomes, such as recurrence, pseudo-recurrence, mesh eventration or bulging, and the rate of seroma formation...
November 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27541588/validity-and-reliability-of-wheelchair-sitting-posture-measures-using-coach-s-eye-in-abled-subjects
#16
Afnan M Alkhateeb, Bonnie J Forrester, Noha S Daher, Bradford D Martin, Asma A Alonazi
People in wheelchairs spend a long time in the sitting position and often incur alignment problems, resulting in neck and back pain. This study: 1) assessed the validity/reliability of Coach's Eye (CE) smart device application, 2) examined the effect of seat to back support angle adjustments on head, neck, and shoulder posture in the sitting position, and 3) compared changes in cervical rotation at each back support angle. Abled subjects sat in a wheelchair with back support angles positioned at 90°, 100°, and 110°...
August 19, 2016: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/27538534/nervous-system-sensitization-as-a-predictor-of-outcome-in-the-treatment-of-peripheral-musculoskeletal-conditions-a-systematic-review
#17
REVIEW
Helen O'Leary, Keith M Smart, Niamh A Moloney, Catherine M Doody
BACKGROUND: Research suggests that peripheral and central nervous system sensitization can contribute to the overall pain experience in peripheral musculoskeletal (MSK) conditions. It is unclear, however, whether sensitization of the nervous system results in poorer outcomes following the treatment. This systematic review investigated whether nervous system sensitization in peripheral MSK conditions predicts poorer clinical outcomes in response to a surgical or conservative intervention...
August 19, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27518487/exercise-induced-hypoalgesia-in-people-with-knee-osteoarthritis-with-normal-and-abnormal-conditioned-pain-modulation
#18
Caitriona Fingleton, Keith Smart, Catherine Doody
OBJECTIVES: Normal efficiency of exercise-induced hypoalgesia (EIH) has been demonstrated in people with knee osteoarthritis (OA), while recent evidence suggests that EIH may be associated with features of pain sensitization such as abnormal conditioned pain modulation (CPM). The aim of this study was to investigate whether people with knee OA with abnormal CPM have dysfunctional EIH compared to those with normal CPM and pain-free controls. METHODS: 40 people with knee OA were subdivided into groups with abnormal and normal CPM, as determined by a decrease/increase in pressure pain thresholds (PPTs) following the cold pressor test...
August 11, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/27475728/bio-inspired-in-situ-crosslinking-and-mineralization-of-electrospun-collagen-scaffolds-for-bone-tissue-engineering
#19
Chetna Dhand, Seow Theng Ong, Neeraj Dwivedi, Silvia Marrero Diaz, Jayarama Reddy Venugopal, Balchandar Navaneethan, Mobashar H U T Fazil, Shouping Liu, Vera Seitz, Erich Wintermantel, Roger W Beuerman, Seeram Ramakrishna, Navin K Verma, Rajamani Lakshminarayanan
Bone disorders are the most common cause of severe long term pain and physical disability, and affect millions of people around the world. In the present study, we report bio-inspired preparation of bone-like composite structures by electrospinning of collagen containing catecholamines and Ca(2+). The presence of divalent cation induces simultaneous partial oxidative polymerization of catecholamines and crosslinking of collagen nanofibers, thus producing mats that are mechanically robust and confer photoluminescence properties...
October 2016: Biomaterials
https://www.readbyqxmd.com/read/27472547/effects-of-chronic-neck-shoulder-pain-on-normalized-mutual-information-analysis-of-surface-electromyography-during-functional-tasks
#20
Pascal Madeleine, Yanfei Xie, Grace P Y Szeto, Afshin Samani
OBJECTIVE: To investigate the effects neck-shoulder pain on the connectivity of surface electromyography (SEMG) signals during functional tasks. METHODS: Twenty adults suffering from chronic neck-shoulder pain and 20 healthy controls were recruited. The SEMG signals from the left and right proximal cervical erector spinae, upper trapezius, lower trapezius and distal extensor carpi radialis, extensor digitorum, flexor digitorum superficialis and, abductor pollicis brevis were recorded during three functional tasks: unilateral and bilateral texting on a smart-phone and computer typing...
September 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
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