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https://www.readbyqxmd.com/read/29224084/bipolar-dual-lead-spinal-cord-stimulation-between-two-electrodes-on-the-ventral-and-dorsal-sides-of-the-spinal-cord-consideration-of-putative-mechanisms
#1
Mitsuru Watanabe, Takamitsu Yamamoto, Chikashi Fukaya, Toshiki Obuchi, Toshikazu Kano, Kazutaka Kobayashi, Hideki Oshima, Atsuo Yoshino
We have applied bipolar dual-lead spinal cord stimulation (SCS) between two cylinder-type electrodes placed on the ventral and dorsal sides of the spinal cord (dual-VD-SCS). A 36-year-old man suffered from burning pain from his right elbow down to his hand after brachial plexus avulsion. The areas with paresthesia induced by conventional SCS did not include the painful hand area. However, dual-VD-SCS completely induced paresthesia in the painful hand area. We speculate that dual-VD-SCS can be applied to stimulate deeper sites of the dorsal column and dorsal horn than conventional SCS and is useful for pain reduction...
December 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29202152/subacute-loss-of-vision-in-one-eye-%C3%A2-rash-on-hands-and-feet-%C3%A2-plaques-with-scaling-on-genitals-%C3%A2-dx
#2
Abigail Nunn, Jeffrey M Sturek, Joshua E Reuss, Michael F Rein, Scott K Heysell
A 67-year-old man presented to the hospital with subacute loss of vision in his left eye. The visual changes began 2 weeks earlier, with a central area of visual loss that had since progressed to near complete vision loss in the left eye. Physical examination revealed patchy alopecia, a scaling and hyperkeratotic rash of his hands and feet, and blanching, erythematous plaques with associated scaling on the scrotum and glans penis. Ophthalmologic examination revealed 1/200 vision in his left eye with a large plaque occupying a substantial portion of the superior quadrant, smaller perifoveal plaques in both of his eyes, and a small infiltrate above the left optic nerve head...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29183751/the-impact-of-work-related-burn-injury-on-social-reintegration-outcomes-a-life-impact-burn-recovery-evaluation-libre-study
#3
Jeffrey C Schneider, Vivian L Shie, Leda Espinoza, Gabriel D Shapiro, Austin Lee, Amy Acton, Molly Marino, Alan Jette, Lewis E Kazis, Colleen M Ryan
OBJECTIVE: To examine differences in long-term social reintegration outcomes for burn survivors with and without work-related injuries. DESIGN: Cross-sectional survey. SETTING: Community-dwelling burn survivors. PARTICIPANTS: Burn survivors (N = 601) aged ≥18 years with injuries ≥5% total body surface area or burns to critical areas (hands, feet, face, or genitals). INTERVENTIONS: Not applicable...
November 25, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29173870/a-reappraisal-of-small-and-large-fiber-damage-in-carpal-tunnel-syndrome-new-insights-into-the-value-of-the-emla-test-for-improving-diagnostic-sensitivity
#4
Leila Triki, Hela G Zouari, Rim Kammoun, Firas Kammoun, Ines Kammoun, Kaouthar Masmoudi, Jean-Pascal Lefaucheur
OBJECTIVES: To reappraise the respective involvement of small- and large-fiber damage in carpal tunnel syndrome (CTS) and to determine the diagnostic sensitivity of autonomic tests compared to conventional nerve conduction study (NCS). METHODS: Thirty-two manual workers complaining of at least unilateral CTS were enrolled. They underwent clinical interview and completed the symptom severity scale of the Boston CTS Questionnaire (sssBCTQ) and the Neuropathic Pain Symptom Inventory (NPSI)...
November 23, 2017: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/29168276/established-and-novel-measures-of-upper-limb-impairment-in-children-with-charcot-marie-tooth-disease-type-1a-and-riboflavin-transporter-deficiency-type-2
#5
Kayla Cornett, Manoj P Menezes, Paula Bray, Mark Halaki, Joshua Burns
BACKGROUND: Hand function is a problem in patients with Charcot-Marie-Tooth disease type 1A (CMT1A) and Riboflavin Transporter Deficiency type 2 (RTD2). However, a detailed understanding of upper limb involvement in these conditions is lacking. The aim of this pilot study was to compare hand and upper limb function between children with CMT1A, RTD2 and healthy controls using established and novel outcome measures. METHODS: Three age-and sex-matched groups of four children (5-15 years, 1 male/group) with CMT1A, RTD2, and healthy controls were assessed for function, strength, and sensation...
November 23, 2017: Journal of the Peripheral Nervous System: JPNS
https://www.readbyqxmd.com/read/29164029/a-clinical-practice-guideline-for-the-management-of-patients-with-acute-spinal-cord-injury-recommendations-on-the-type-and-timing-of-rehabilitation
#6
Michael G Fehlings, Lindsay A Tetreault, Bizhan Aarabi, Paul Anderson, Paul M Arnold, Darrel S Brodke, Kazuhiro Chiba, Joseph R Dettori, Julio C Furlan, James S Harrop, Gregory Hawryluk, Langston T Holly, Susan Howley, Tara Jeji, Sukhvinder Kalsi-Ryan, Mark Kotter, Shekar Kurpad, Brian K Kwon, Ralph J Marino, Allan R Martin, Eric Massicotte, Geno Merli, James W Middleton, Hiroaki Nakashima, Narihito Nagoshi, Katherine Palmieri, Anoushka Singh, Andrea C Skelly, Eve C Tsai, Alexander Vaccaro, Jefferson R Wilson, Albert Yee, Anthony S Burns
Introduction: The objective of this study is to develop guidelines that outline the appropriate type and timing of rehabilitation in patients with acute spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to rehabilitation in patients with acute SCI. A multidisciplinary guideline development group used this information, and their clinical expertise, to develop recommendations for the type and timing of rehabilitation...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29164023/type-and-timing-of-rehabilitation-following-acute-and-subacute-spinal-cord-injury-a-systematic-review
#7
REVIEW
Anthony S Burns, Ralph J Marino, Sukhvinder Kalsi-Ryan, James W Middleton, Lindsay A Tetreault, Joseph R Dettori, Kathryn E Mihalovich, Michael G Fehlings
Objectives: The objective of this study was to conduct a systematic review of the literature to address the following clinical questions: In adult patients with acute and subacute complete or incomplete traumatic SCI, (1) does the time interval between injury and commencing rehabilitation affect outcome?; (2) what is the comparative effectiveness of different rehabilitation strategies, including different intensities and durations of treatment?; (3) are there patient or injury characteristics that affect the efficacy of rehabilitation?; and (4) what is the cost-effectiveness of various rehabilitation strategies? Methods: A systematic search was conducted for literature published through March 31, 2015 that evaluated rehabilitation strategies in adults with acute or subacute traumatic SCI at any level...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29131226/a-new-general-approach-to-synthesizing-filled-and-yolk-shell-structured-metal-oxide-microspheres-by-applying-a-carbonaceous-template
#8
Young Jun Hong, Kwang Chul Roh, Jung-Kul Lee, Yun Chan Kang
New mechanisms were found for the formation of metal oxide microspheres with yolk-shell and filled structures by applying carbonaceous template microspheres with high porosity. Repeated impregnation first adopted to achieve a high loading rate of metal precursor in the carbonaceous template provided the breakthrough. The carbonaceous template with an appropriate loading rate of the metal precursor produced metal oxide microspheres with filled and yolk-shell structure depending on the ramping rate and oxygen concentration during the post-treatment process...
November 23, 2017: Nanoscale
https://www.readbyqxmd.com/read/29107767/prevalence-of-methicillin-resistant-staphylococcus-aureus-isolated-from-burn-patients-a-systematic-review-and-meta-analysis
#9
REVIEW
Mohammad Emaneini, Reza Beigverdi, Willem B van Leeuwen, Hosseinali Rahdar, Morteza Karami-Zarandi, Faride Hosseinkhani, Fereshteh Jabalameli
OBJECTIVES: Methicillin-resistant Staphylococcus aureus (MRSA) has considered as a major cause of infection and mortality in burn patients, especially when nosocomially acquired. Limited information is available on the prevalence of MRSA among burn patient in Iran. METHODS: We performed a systematic search by using different electronic databases including: Medline (via Pubmed), Embase, Web of Science, and Iranian Database. Meta-analysis was performed by Comprehensive Meta-Analysis (Biostat V2...
October 28, 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/29102099/white-lipped-tree-viper-cryptelytrops-albolabris-envenomation-in-an-american-viper-keeper
#10
Spencer Greene, Laura Ann Galdamez, Richard Tomasheski
BACKGROUND: Snakebites are common in many regions of the United States. Bites from exotic species, however, are rare. The white-lipped tree viper, Cryptelytrops (formerly Trimeresurus) albolabris, is a pit viper native to Southeast Asia. Bites are common in countries such as Myanmar, India, Thailand, Indonesia, and China. In this report, we describe an envenomation in an American viper keeper. CASE REPORT: A healthy 28-year-old right-handed man who collects venomous snakes experienced a bite to the distal left thumb from a neonatal C...
October 25, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29101496/how-cognitive-engagement-fluctuates-during-a-team-based-learning-session-and-how-it-predicts-academic-achievement
#11
Jerome I Rotgans, Henk G Schmidt, Preman Rajalingam, Joey Wong Ying Hao, Claire Ann Canning, Michael A Ferenczi, Naomi Low-Beer
The objective of the paper is to report findings of two studies that attempted to find answers to the following questions: (1) What are the levels of cognitive engagement in TBL? (2) Are there differences between students who were more exposed to TBL than students who were less exposed to TBL? (3) To which extent does cognitive engagement fluctuate as a function of the different activities involved in TBL? And (4) How do cognitive engagement scores collected over time correlate with each other and with academic achievement? The studies were conducted with Year-1 and -2 medical students enrolled in a TBL curriculum (N = 175, 62 female)...
November 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29097179/long-term-social-reintegration-outcomes-for-burn-survivors-with-and-without-peer-support-attendance-a-life-impact-burn-recovery-evaluation-libre-study
#12
Brian Grieve, Gabriel D Shapiro, Lucy Wibbenmeyer, Amy Acton, Austin Lee, Molly Marino, Alan Jette, Jeffrey C Schneider, Lewis E Kazis, Colleen M Ryan
OBJECTIVE: To examine differences in long-term social reintegration outcomes for burn survivors with and without peer support attendence. DESIGN: Cross-sectional survey. SETTING: Community-dwelling burn survivors. PARTICIPANTS: Burn survivors (N = 601) aged ≥18 years with injuries to ≥5% total body surface area or burns to critical areas (hands, feet, face, or genitals). INTERVENTIONS: Not applicable...
October 30, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29089125/particle-related-exposure-dose-and-lung-cancer-risk-of-primary-school-children-in-two-european-countries
#13
A Pacitto, L Stabile, M Viana, M Scungio, C Reche, X Querol, A Alastuey, I Rivas, M Álvarez-Pedrerol, J Sunyer, B L van Drooge, J O Grimalt, R Sozzi, P Vigo, G Buonanno
Schools represent a critical microenvironment in terms of air quality due to the proximity to outdoor particle sources and the frequent lack of proper ventilation and filtering systems. Moreover, the population exposed in schools (i.e. children) represents a susceptible population due to their age. Air quality-based studies involving students' exposure at schools are still scarce and often limited to mass-based particle metrics and may thus underestimate the possible effect of sub-micron particles and particle toxicity...
October 28, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29066268/do-skin-lacerations-imply-tissue-transfer-from-surgeon-to-patient-during-arthroscopic-knot-tying
#14
Matthew B Burn, Heidi L Holtorf, Kevin M Smith, Derek T Bernstein, Domenica A Delgado, Nickarr Prudhomme, Michael T Deavers, Patrick C McCulloch, Joshua D Harris
PURPOSE: To use simulated arthroscopic knot tying to assess (1) whether epithelial cells from the surgeon's hands were transmitted to the suture and (2) whether the number of knots tied or the presence of glove tears would correlate with the number of cells transmitted. METHODS: Knots were tied in a simulated arthroscopic environment using a nonabsorbable No. 2 suture over a metal hook. The surgeon was double gloved for each knot tied. For each "anchor," a surgeon's knot was tied, followed by 3 reversed half-hitches on alternating posts...
October 21, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29064655/saphenous-sparing-laparoscopic-inguinal-lymphadenectomy
#15
Gaetano Chiapparrone, Sebastiano Rapisarda, Bernardino de Concilio, Guglielmo Zeccolini, Michele Antoniutti, Antonio Celia
INTRODUCTION: Inguinal lymphadenectomy is an integral part in the management of penile cancer. Video endoscopic in-guinal lymphadenectomy (VEIL) is emerging as a minimally invasive treatment to reduce postoperative complications. MATERIALS AND METHODS: 62 years old man underwent glansectomy for a squamous cell carcinoma (pT1b). At the physical examination one left inguinal lymph node was detectable (cN1). The chest-abdomen-pelvis CT was negative for me-tastasis...
October 24, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29060634/development-of-a-gesture-and-voice-controlled-system-for-burn-injury-prevention-in-individuals-with-disabilities
#16
Liam Swanepoel, Dawie van den Heever, Kiran Dellimore
Burn injury is a major public health issue in developing countries, with most injuries being largely associated with the use of kitchen stoves. This study details the development of a cost-effective gesture and voice recognition controlled (GVC) system to be used by individuals with disabilities to reduce the likelihood of burn injury and improve their quality of life. The device replaces conventional dial controls with voice and hand gesture recognition sensors and software which are designed to be easily implemented into a household kitchen...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29059848/towards-a-wearable-hand-exoskeleton-with-embedded-synergies
#17
Martin K Burns, Katie Van Orden, Vrajeshri Patel, Ramana Vinjamuri
Numerous hand exoskeletons have been proposed in the literature with the aim of assisting or rehabilitating victims of stroke, brain/spinal cord injury, or other causes of hand paralysis. In this paper a new 3D printed soft hand exoskeleton, HEXOES (Hand Exoskeleton with Embedded Synergies), is introduced and mechanically characterized. Metacarpophalangeal (MCP) and proximal interphalangeal/interphalangeal (PIP/IP) joints had measured maximum flexion angles of 53.7 ± 16.9° and 39.9 ± 13.4°, respectively; and maximum MCP and PIP angular velocities of 94...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29056367/burns-caused-by-electronic-vaping-devices-e-cigarettes-a-new-classification-proposal-based-on-mechanisms
#18
K Serror, M Chaouat, Matthieu M Legrand, F Depret, J Haddad, N Malca, M Mimoun, D Boccara
Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. Method We performed a retrospective review of our institutional burn database from June 2016 to July 2017 for injuries caused by or in the context of using an e-cigarette...
October 19, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29056125/quantification-and-further-refinements-of-dorsal-metacarpal-artery-perforator-flap-for-reconstruction-of-wounds-of-fingers-upto-distal-interphalangeal-joints
#19
Muhammad Amin Yousaf, Zain Ul Abidin, Farrukh Aslam Khalid, Kamran Khalid, Muhammad Saleem, Muhammad Jibran Rabbani, Abdul Malik Mujahid, Moazzam Nazeer Tarrar
OBJECTIVE: To assess the outcome of dorsal metacarpal artery perforator flap for coverage of finger defects extending upto distal interphalangeal joint (DIPJ). STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Jinnah Burn and Reconstructive Surgery Centre, Lahore, from March 2015 to May 2017. METHODOLOGY: Our study was carried out in two parts. 1st part of study was to measure average flap length in our population...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29056019/-early-precise-diagnosis-and-reasonable-management-of-burn-wound
#20
G X Luo
Early precise diagnosis and reasonable management of burn wound are the foundation of burn treatment. They determine not only the outcome of the wound but also the prognosis of the burn patient. This article expounds how to diagnose the burn wound objectively and precisely at early stage. On the other hand, the reasonable management such as cooling therapy, escharectomy or tangential excision, and negative pressure wound therapy in the early stage of burn wound is mainly discussed.
October 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
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