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https://www.readbyqxmd.com/read/29121852/an-informatics-approach-to-interprofessional-management-of-low-back-pain-a-feasibility-study-using-the-omaha-system
#1
Robin R Austin, Karen A Monsen, Craig Schulz
BACKGROUND: Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology (HIT) holds promise to improve care delivery by providing infrastructure for communication, clinical documentation, and management of patient data. Standardized terminology is essential for interoperability and enables evaluation of clinical data generated by documentation in an electronic health record (EHR). OBJECTIVE: The purpose of this study was to demonstrate the feasibility of mapping evidence-based practice for conservative management of low back pain to the Omaha System and foster inter-professional communication and collaboration among diverse practitioners and patients...
October 6, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/29099099/skeletal-muscle-from-birth-to-old-age-routes-to-mechanical-and-metabolic-failure
#2
Sofía Gitler, Ibrahim Rámirez, Ricardo Ramírez, Joel Medina, Pavel Vázquez, Alicia Ortega
Skeletal muscle (SM) is the most abundant tissue and the largest reservoir of protein in the body. It transports glucose in an insulin dependent manner by the glucose transporter type 4 (GLUT4) and contributes in the maintenance of serum amino acids concentration. By its mass and energetic requirements, it is fundamental for the systemic metabolic balance. In the present work, we present the effect of gestational undernourishment (GU) on the mechanical and metabolic properties of SM at birth and in old age in an animal model...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/29081541/a-continuum-mechanics-based-musculo-mechanical-model-for-esophageal-transport
#3
Wenjun Kou, Boyce E Griffith, John E Pandolfino, Peter J Kahrilas, Neelesh A Patankar
In this work, we extend our previous esophageal transport model using an immersed boundary (IB) method with discrete fiber-based structural model, to one using a continuum mechanics-based model that is approximated based on finite elements (IB-FE). To deal with the leakage of flow when the Lagrangian mesh becomes coarser than the fluid mesh, we employ adaptive interaction quadrature points to deal with Lagrangian-Eulerian interaction equations based on a previous work (Griffith and Luo [1]). In particular, we introduce a new anisotropic adaptive interaction quadrature rule...
October 1, 2017: Journal of Computational Physics
https://www.readbyqxmd.com/read/29044165/in-vivo-neuromechanics-decoding-causal-motor-neuron-behavior-with-resulting-musculoskeletal-function
#4
Massimo Sartori, Utku Ş Yavuz, Dario Farina
Human motor function emerges from the interaction between the neuromuscular and the musculoskeletal systems. Despite the knowledge of the mechanisms underlying neural and mechanical functions, there is no relevant understanding of the neuro-mechanical interplay in the neuro-musculo-skeletal system. This currently represents the major challenge to the understanding of human movement. We address this challenge by proposing a paradigm for investigating spinal motor neuron contribution to skeletal joint mechanical function in the intact human in vivo...
October 18, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28992242/the-origin-and-evolutionary-consequences-of-skeletal-traits-shaped-by-embryonic-muscular-activity-from-basal-theropods-to-modern-birds
#5
Alexander O Vargas, Macarena Ruiz-Flores, Sergio Soto-Acun A, Nadia Haidr, Carolina Acosta-Hospitaleche, Luis Ossa-Fuentes, Vicente Muñoz-Walther
Embryonic muscular activity (EMA) is involved in the development of several distinctive traits of birds. Modern avian diversity and the fossil record of the dinosaur-bird transition allow special insight into their evolution. Traits shaped by EMA result from mechanical forces acting at post-morphogenetic stages, such that genes often play a very indirect role. Their origin seldom suggests direct selection for the trait, but a side-effect of other changes such as musculo-skeletal rearrangements, heterochrony in skeletal maturation, or increased incubation temperature (which increases EMA)...
August 24, 2017: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/28980347/sensory-processing-and-central-pain-modulation-in-patients-with-chronic-shoulder-pain-a-case-control-study
#6
K Kuppens, G Hans, N Roussel, F Struyf, E Fransen, P Cras, C P Van Wilgen, J Nijs
Chronicity and recurrence in musculoskeletal shoulder pain are highly prevalent and can possibly be attributed to the concept of central sensitization. Available studies suggest a role for central sensitization in explaining chronic shoulder pain, but so far a comprehensive quantitative sensory testing (QST) protocol has not been used. The aim of this study was to gain knowledge on sensory processing and central pain modulatory mechanisms in patients suffering from chronic shoulder pain using such a QST protocol...
October 4, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28965896/could-musculo-skeletal-radiograph-interpretation-by-radiographers-be%C3%A2-a-source-of-support-to-australian-medical-interns-a-quantitative-evaluation
#7
J R McConnell, M A Baird
INTRODUCTION: Public expectations regarding access to the emergency department (ED) challenges providers and policy makers with finite resources being stretched beyond capacity. To enable education of a greater numbers of doctors the format of the medical internship in Australia has changed and assumes that sufficient supervision is provided to interns to enable image interpretation skills development. Furthermore this assumes that appropriate foundational skills are established during undergraduate education...
November 2017: Radiography
https://www.readbyqxmd.com/read/28943040/treatment-of-musculo-skeletal-pain-in-haemophilia
#8
REVIEW
E Carlos Rodriguez-Merchan
Musculo-skeletal pain treatment is inadequate in many haemophilic patients. Analgesics are used only by 36% of adult patients. FVIII/FIX intravenous infusion is mainly used to lessen pain, followed in frequency by usage of NSAIDS (primarily COX-2 inhibitors). In about 30% of patients, pain continues after infusion of F VIII/IX. In acute haemarthroses pain treatment must continue until total disappearance (checked by ultrasonography) and include haematologic treatment, short-term rest of the involved joint, cryotherapy, joint aspiration and analgesic medication (paracetamol in mild pain, metamizole for more intense pain, and in a few precise patients, soft opioids such as codeine or tramadol)...
September 19, 2017: Blood Reviews
https://www.readbyqxmd.com/read/28842766/desmoid-tumor-and-silicone-breast-implant-surgery-is-there-really-a-connection-a-literature-review
#9
REVIEW
R Tzur, E Silberstein, Y Krieger, Y Shoham, Y Rafaeli, A Bogdanov-Berezovsky
BACKGROUND: Desmoid tumors are borderline tumors of the connective tissue, arising in the musculo-aponeurotic stromal elements. A desmoid tumor (DT) has an infiltrative and locally aggressive growth pattern and usually does not metastasize; however, it has a high recurrence and complication rate. DT located in the breast (BDT) represents a rare extra-abdominal form. Recently, the presence of breast silicone implants was suggested by several researchers as a risk factor for developing BDT...
August 25, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28841142/validation-of-a-high-sampling-rate-inertial-measurement-unit-for-acceleration-during-running
#10
Thomas Provot, Xavier Chiementin, Emeric Oudin, Fabrice Bolaers, Sébastien Murer
The musculo-skeletal response of athletes to various activities during training exercises has become a critical issue in order to optimize their performance and minimize injuries. However, dynamic and kinematic measures of an athlete's activity are generally limited by constraints in data collection and technology. Thus, the choice of reliable and accurate sensors is crucial for gathering data in indoor and outdoor conditions. The aim of this study is to validate the use of the accelerometer of a high sampling rate ( 1344 Hz ) Inertial Measurement Unit (IMU) in the frame of running activities...
August 25, 2017: Sensors
https://www.readbyqxmd.com/read/28767917/action-of-vanillin-vanilla-planifolia-on-the-morphology-of-tibialis-anterior-and-soleus-muscles-after-nerve-injury
#11
Ana Luiza Peretti, Juliana Sobral Antunes, Keli Lovison, Regina Inês Kunz, Lidyane Regina Gomes Castor, Rose Meire Costa Brancalhão, Gladson Ricardo Flor Bertolini, Lucinéia de Fátima Chasko Ribeiro
Objective: To evaluate the action of vanillin (Vanilla planifolia) on the morphology of tibialis anterior and soleus muscles after peripheral nerve injury. Methods: Wistar rats were divided into four groups, with seven animals each: Control Group, Vanillin Group, Injury Group, and Injury + Vanillin Group. The Injury Group and the Injury + Vanillin Group animals were submitted to nerve injury by compression of the sciatic nerve; the Vanillin Group and Injury + Vanillin Group, were treated daily with oral doses of vanillin (150mg/kg) from the 3rd to the 21st day after induction of nerve injury...
April 2017: Einstein
https://www.readbyqxmd.com/read/28749836/anatomic-study-of-ophthalmic-artery-embolism-following-cosmetic-injection
#12
Sufan Wu, Lei Pan, Hua Wu, Hangyan Shi, Ye Zhao, Yu Ji, Haifeng Zeng
INTRODUCTION: Cosmetic injections of dermal fillers or fat could cause ophthalmic artery embolism and even blindness, the high-risk regions of which are considered glabellar, nasal dorsum, and nasolabial fold. Understanding anatomy of the related arteries is important for a physician to safely perform filler injections. To investigate the mechanisms of ophthalmic artery embolism following the injections, cadaver anatomy was studied. METHODS: Ophthalmic artery, facial artery, their branches, and anastomoses among them were anatomized in 12 fresh cadavers...
September 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28740770/versatility-of-the-latissimus-dorsi-free-flap-during-the-treatment-of-complex-postcraniotomy-surgical-site-infections
#13
Nobutaka Yoshioka
BACKGROUND: Some intractable cases of postcraniotomy infection, which can involve compromised skin, an open frontal air sinus, and residual epidural dead space, have been reported. In such cases, reconstructing the scalp and skull is challenging. METHODS: Between 2009 and 2016, the author treated 12 patients with recalcitrant postcraniotomy surgical site infections with latissimus dorsi (LD) free flaps. The patients' ages ranged from 37 to 79 years (mean, 63.5 years), and their underlying diseases included subarachnoid hemorrhaging (n = 5), brain tumors (n = 4), and cerebral arteriovenous malformations (n = 3)...
June 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28729512/hydraulic-control-of-tuna-fins-a-role-for-the-lymphatic-system-in-vertebrate-locomotion
#14
Vadim Pavlov, Benyamin Rosental, Nathaniel F Hansen, Jody M Beers, George Parish, Ian Rowbotham, Barbara A Block
The lymphatic system in teleost fish has genetic and developmental origins similar to those of the mammalian lymphatic system, which is involved in immune response and fluid homeostasis. Here, we show that the lymphatic system of tunas functions in swimming hydrodynamics. Specifically, a musculo-vascular complex, consisting of fin muscles, bones, and lymphatic vessels, is involved in the hydraulic control of median fins. This specialization of the lymphatic system is associated with fish in the family Scombridae and may have evolved in response to the demand for swimming and maneuvering control in these high-performance species...
July 21, 2017: Science
https://www.readbyqxmd.com/read/28713084/evalution-of-the-effectiveness-of-multimodal-approach-to-the-management-of-cervical-vertigo
#15
Olexandr A Jaroshevskyi, Oleksandr S Payenok, Anna V Logvinenko
INTRODUCTION: Vertigo is one of the most common complaints among patients consulting neurologists and general practitioners - family medicine. A special form of dizziness is cervical vertigo. However, the presence of chronic vertigo and imbalance in this group of patients makes it possible to include the treatment of vestibular rehabilitation in the program. AIM: Evalution of the effectiveness of multimodal approach to the management of cervical vertigo. MATERIAL AND METHODS: 109 patients aged from 18 to 45 with vertigo together with myofascial pain syndrome of neck and shoulder area were examined...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28705295/strength-training-for-women-as-a-vehicle-for-health-promotion-at-work
#16
Kai Nestler, Alexander Witzki, Ulrich Rohde, Thomas Rüther, Kim Alexander Tofaute, Dieter Leyk
BACKGROUND: Women, on average, have less muscle strength than men. This anthropometric-physiological trait may make them more vulnerable to ex - cessive physical strain, injury, and inability to work. Strength training is used for preventive health maintenance and to lessen musculoskeletal symptoms. In this context, we studied whether the degree of muscle strength has any effect on women's health in everyday working life, and also the effects of strength training for women on their health in the workplace...
June 30, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/28694858/local-application-of-vibration-in-motor-rehabilitation-scientific-and-practical-considerations
#17
Daniela Poenaru, Delia Cinteza, Irina Petrusca, Liliana Cioc, Dan Dumitrascu
Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex. This refl ex depends on many factors: frequency, amplitude, and tendon and muscle length. Based upon this refl ex, vibration produced alteration of isometric and isotonic contraction, fl exibility, spasticity. Many studies investigated facilitator eff ects on movement in stroke patients and spinal cord injuries...
September 2016: Mædica
https://www.readbyqxmd.com/read/28664458/quality-of-life-assessment-in-musculo-skeletal-health
#18
REVIEW
Charlotte Beaudart, Emmanuel Biver, Olivier Bruyère, Cyrus Cooper, Nasser Al-Daghri, Jean-Yves Reginster, René Rizzoli
Musculoskeletal disorders affect morbidity, quality of life and mortality, and represent an increasing economic and societal burden in the context of population aging and increased life expectancy. Improvement of quality of life should be one of the priorities of any interventions to prevent and treat musculoskeletal disorders in the ageing population. Two main approaches, namely generic and disease-specific instruments, can be applied to measure health-related quality of life. Among the generic tools available in scientific literature, the short form 36 questionnaire (SF-36) and the Euroqol five item questionnaire (EQ-5D) are two of the most popular questionnaires used to quantify the health related quality of life in people with musculoskeletal disorders...
June 29, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28661597/-substantiation-of-choisce-of-the-kind-localization-and-method-of-the-implant-fixing-in-alloplasty-of-the-abdominal-wall-complex-defects
#19
R B Lysenko
The method of the implant fixation for prophylaxis of complications after alloplasty of complex abdominal wall defects was proposed. Taking into account physico-mechan- ical parameters of implant, degree of anisotropy, in accordance to mechanical and morphological characteristics of the abdominal wall musculo-aponeurotic structures, it is possible to individualize the choice maximally, to plan the alloplasty kind, and to determine the method of optimal surgical treatment objectively.
August 2016: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/28660603/clinical-and-diagnostic-features-of-trochanteric-tuberculosis
#20
I Mahmoud, L Gafsi, O Saidane, A Souayah, R Tekaya, H Sahli, L Abdelmoula
Trochanteric tuberculosis is a very rare localization of musculo-skeletal tuberculosis. The diagnosis is difficult and is often made in a late stage. The authors describe five cases of trochanteric tuberculosis. The mean age of patients was 46.6 years. Time to diagnosis was long (7.6 months on average). The tuberculosis was plurifocal in all cases. Diagnosis was based on positive Lowenstein culture in one case, on the presence of caseum granuloma in one case and through a pathognommonic manifestation in one case...
October 2017: Bulletin de la Société de Pathologie Exotique
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