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https://www.readbyqxmd.com/read/27923050/the-effect-of-alignment-changes-on-unilateral-transtibial-amputee-s-gait-a-systematic-review
#1
Niels Jonkergouw, Maarten R Prins, Arjan W P Buis, Peter van der Wurff
INTRODUCTION: Prosthetic alignment, positioning of a prosthetic foot relative to a socket, is an iterative process in which an amputee's gait is optimized through repetitive optical gait observation and induction of alignment adjustments when deviations are detected in spatiotemporal and kinematic gait parameters. An important limitation of the current prosthetic alignment approach is the subjectivity and the lack of standardized quantifiable baseline values. The purpose of this systematic review is to investigate if an optimal alignment criterion can be derived from published articles...
2016: PloS One
https://www.readbyqxmd.com/read/27922758/the-feasibility-of-implementing-a-communication-skills-training-course-in-pediatric-hematology-oncology-fellowship
#2
Lauren Weintraub, Lisa Figueiredo, Michael Roth, Adam Levy
Communication skills are a competency highlighted by the Accreditation Council on Graduate Medical Education; yet, little is known about the frequency with which trainees receive formal training or what programs are willing to invest. We sought to answer this question and designed a program to address identified barriers. We surveyed pediatric fellowship program directors from all disciplines and, separately, pediatric hematology/oncology fellowship program directors to determine current use of formal communication skills training...
December 6, 2016: Pediatric Hematology and Oncology
https://www.readbyqxmd.com/read/27922505/registry-participation-in-neuromuscular-disease
#3
Anant M Shenoy
Patient registries are a resource to better study neurologic disease and may facilitate the development of future treatments. Clinicians should become comfortable with the strengths and limitations of patient registries and be able to discuss them with their patients. This article discusses the use of patient registries through the example of registries for patients with neuromuscular disease.
December 2016: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/27922252/update-on-new-stents-and-protection-devices-for-carotid-artery-stenting-what-we-know-what-we-learnt-recently-and-what-we-need-to-know
#4
Dimitrios N Nikas, Xenofon Makos, Tomoyuki Umemoto, George Liappas, Andrea Pacchioni, Narek Zakarian, Bernhard Reimers
Carotid artery stenting (CAS) is considered an alternative option to carotid endarterectomy (CEA) for significant carotid stenosis, in both symptomatic and asymptomatic patients. Comparing to CEA, CAS offers significant advantages. The most important arise from the minimally invasive nature of the procedure, which reduces the surgical complications and adds significant comfort to the patient, without compromising the efficacy. Nowadays, CAS can achieve acute and long-term outcome results comparable to CEA, maintaining low rates of periprocedural embolic events...
December 6, 2016: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27920582/surgeons-early-experience-with-the-acessa%C3%A2-procedure-gaining-proficiency-with-new-technology
#5
Kelli M Braun, Mark Sheridan, Erin Z Latif, Lexy Regush, Anet Maksymowicz, Laura Weins, Mohamed A Bedaiwy, Nerissa Tyson, Marilyn J Davidson, Barry H Sanders
PURPOSE: Successful adoption of a new surgical procedure varies among practicing surgeons, and skill acquisition depends on the surgeon's innate ability, the complexity of the technique, and training. We report intraoperative and near-term postoperative outcomes from the Acessa procedure conducted by minimally invasive gynecologic surgeons new to Acessa, and report the surgeons' experiences during the training period. PATIENTS AND METHODS: The study was designed as a postmarket, prospective, single-arm, multicenter analysis of operative and early postoperative outcomes after proctored surgical training with the Acessa device and procedure (laparoscopic ultrasound-guided radiofrequency volumetric thermal ablation of symptomatic fibroids) in premenopausal, menstruating women as conducted in community and university hospitals in the USA and Canada...
2016: International Journal of Women's Health
https://www.readbyqxmd.com/read/27918677/a-comparison-of-isometric-mid-thigh-pull-strength-vertical-jump-sprint-speed-and-change-of-direction-speed-in-academy-netball-players
#6
Christopher Thomas, Paul Comfort, Paul A Jones, Thomas Dos'Santos
PURPOSE: To investigate (a) the relationships between maximal isometric strength, vertical jump (VJ), sprint speed, and change of direction speed (CODS) in academy netball players, and (b) determine whether players who have high performance in isometric strength testing would demonstrate superior performance in VJ, sprint speed, and CODS measures. METHODS: Twenty-six young female netball players (age = 16.1 ± 1.2 years; height = 173.9 ± 5.7 cm; body mass = 66...
December 5, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27918658/countermovement-jump-phase-characteristics-of-senior-and-academy-rugby-league-players
#7
John J McMahon, Shannon Murphy, Sophie J E Rej, Paul Comfort
PURPOSE: Gross measures of countermovement jump (CMJ) performance are commonly used to track maturational changes in neuromuscular function within rugby league (RL). The purpose of this study was to conduct both a gross and a more detailed temporal phase analysis of the CMJ performances of senior and academy RL players, to provide greater insight into how neuromuscular function differs between these groups. METHODS: Twenty senior and fourteen academy (under-19) male RL players performed three maximal effort CMJs on a force platform with forward dynamics subsequently employed to allow gross performance measures and entire kinetic and kinematic-time curves to be compared between groups...
December 5, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27918396/personalized-progressive-addition-lenses-correlation-between-performance-and-design
#8
Johanne Forkel, Jenny Lorén Reiniger, Adam Muschielok, Andrea Welk, Anne Seidemann, Peter Baumbach
PURPOSE: A continuous set of personalized designs (design space) for progressive addition lenses (PALs) is investigated. The main goals are (1) to study how the subjects' perception of a personalized design depends on its position in the design space and (2) to compare the performance of personalized PALs to a conventional PAL with a fixed design. METHODS: In a double-blind study, 51 subjects compared Rodenstock Impression FreeSign 3, which is a family of PALs with a continuously controllable personalized design, and Rodenstock Progressiv Life Free, which is a conventional PAL with a single fixed design...
December 1, 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/27918338/female-pelvic-medicine-and-reconstructive-surgery-in-canada-a-survey-of-obstetrician-gynecologists-and-urologists
#9
Marie K Christakis, Eliane M Shore, Ariel Pulver, Colleen D McDermott
OBJECTIVE: The aim of this study was to assess the current status of female pelvic medicine and reconstructive surgery (FPMRS) in Canada, including level of training, practice patterns, barriers to practice and opinions among obstetrician-gynecologists (OB/GYNs) and urologists. METHODS: Electronic surveys were distributed to 737 OB/GYNs through the Society of Obstetricians and Gynaecologists of Canada and to 489 urologists through the Canadian Urological Association...
December 1, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27918001/evolution-of-skin-and-hair-in-african-americans
#10
Angela Kyei, Sara Hogan
Current demographic trends in the United States highlight the growing population of those who identify as having "skin of color." As such, dermatologists must have a greater comfort level and knowledge in treating some of the unique skin and hair conditions seen in this population. Understanding the scientific basis for the evolution of skin color and hair texture is necessary in order to understand the variations in the characteristics of skin and hair seen among racial and ethnic groups. This review seeks to highlight the current scientific explanation of skin color and hair texture, with special attention to people of African descent, in an attempt to give insight into the clinical presentations of hair and skin disorders seen in this group...
December 2016: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/27917998/medical-and-aesthetic-treatment-across-the-broad-spectrum-of-ethnicities-introduction
#11
Shilpi Khetarpal, Mara Weinstein Velez
The ethnic and racial composition of the US population is changing rapidly. There is a continuous rise of individuals with mixed ethnic backgrounds comprising skin of color. It is important for physicians to be comfortable addressing and treating the needs of this population, as it differs significantly from the white population.
December 2016: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/27917792/potential-beneficial-effects-of-foot-bathing-on-cardiac-rhythm
#12
Duygu Aydin, Siti Sugih Hartiningsih, Melike Gokce Izgi, Sevgi Bay, Kubra Unlu, Meryem Ozlem Tatar, Ayse Melike Alparslan, Mohammed Ozeri, Senol Dane
PURPOSE: Foot bathing therapy is a simple technique that induces sensations of comfort and relaxation. The aim of this study was to examine the effect of foot bathing therapy on heart rate variability (HRV) parameters in a healthy population. METHODS: Participants were twenty healthy female subjects (median age=20.67 years, SD=1.04). The recording ECG was applied for 5 minutes before and for 5 minutes after foot bathing therapy of 10 minutes. Subjects rested for 10 minutes without recording ECG in order to stabilize autonomic parameters...
December 1, 2016: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/27917548/nurses-comfort-level-with-spiritual-assessment-a-study-among-nurses-working-in-diverse-healthcare-settings
#13
Pamela H Cone, Tove Giske
AIMS: To gain knowledge about nurses' comfort level in assessing spiritual matters and to learn what questions nurses use in practice related to spiritual assessment. BACKGROUND: Spirituality is important in holistic nursing care; however, nurses report feeling uncomfortable and ill-prepared to address this domain with patients. Education is reported to impact nurses' ability to engage in spiritual care. DESIGN: This cross-sectional exploratory survey reports on a mixed-method study examining how comfortable nurses are with spiritual assessment...
December 5, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27917002/perceptions-of-a-campus-wide-condom-distribution-programme-an-exploratory-study
#14
Diane B Francis, Seth M Noar, Laura Widman, Jessica Fitts Willoughby, Diana M Sanchez, Kyla P Garrett
OBJECTIVE: Condom distribution programmes are an important means of preventing sexually transmitted infections (STIs); yet little research has examined their perceived and actual impact on college campuses. DESIGN: Quantitative, cross-sectional study. SETTING: Large public university in the Southeastern USA. METHOD: Approximately 2 months after a campus-wide condom distribution programme began, we utilised intercept surveys with 355 students (68% women; 43% racial/ethnic minorities) to examine their perceptions of the availability, accessibility and acceptability of condoms, and their perceptions and use of the newly installed condom dispensers...
December 2016: Health Education Journal
https://www.readbyqxmd.com/read/27916906/enabling-smart-air-conditioning-by-sensor-development-a-review
#15
REVIEW
Chin-Chi Cheng, Dasheng Lee
The study investigates the development of sensors, in particular the use of thermo-fluidic sensors and occupancy detectors, to achieve smart operation of air conditioning systems. Smart operation refers to the operation of air conditioners by the reinforcement of interaction to achieve both thermal comfort and energy efficiency. Sensors related to thermal comfort include those of temperature, humidity, and pressure and wind velocity anemometers. Improvements in their performance in the past years have been studied by a literature survey...
November 30, 2016: Sensors
https://www.readbyqxmd.com/read/27916372/a-multicenter-randomized-controlled-trial-comparing-pancreatic-leaks-after-tissuelink-versus-seamguard-after-distal-pancreatectomy-plats-nct01051856
#16
Christopher R Shubert, Christina R Ferrone, Carlos Fernandez-Del Castillo, Michael L Kendrick, Michael B Farnell, Rory L Smoot, Mark J Truty, Florencia G Que
BACKGROUND: Pancreatic leak is common after distal pancreatectomy. This trial sought to compare TissueLink closure of the pancreatic stump to that of SEAMGUARD. METHODS: A multicenter, prospective, trial of patients undergoing distal pancreatectomy randomized to either TissueLink or SEAMGUARD. RESULTS: Enrollment was closed early due to poor accrual. Overall, 67 patients were enrolled, 35 TissueLink and 32 SEAMGUARD. The two groups differed in American Society of Anesthesiologist class and diagnosis at baseline and were relatively balanced otherwise...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27915463/the-our-hope-approach-for-ethics-and-communication-about-neonatal-neurological-injury
#17
REVIEW
Eric Racine, Emily Bell, Barbara Farlow, Steven Miller, Antoine Payot, Lisa Anne Rasmussen, Michael I Shevell, Donna Thomson, Pia Wintermark
Predicting neurological outcomes of neonates with acute brain injury is an essential component of shared decision-making, in order to guide the development of treatment goals and appropriate care plans. It can aid parents in imagining the child's future, and guide timely and ongoing treatment decisions, including shifting treatment goals and focusing on comfort care. However, numerous challenges have been reported with respect to evidence-based practices for prognostication such as biases about prognosis among clinicians...
December 4, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27915396/accurate-stone-analysis-the-impact-on-disease-diagnosis-and-treatment
#18
REVIEW
Neil S Mandel, Ian C Mandel, Ann M Kolbach-Mandel
This manuscript reviews the requirements for acceptable compositional analysis of kidney stones using various biophysical methods. High-resolution X-ray powder diffraction crystallography and Fourier transform infrared spectroscopy (FTIR) are the only acceptable methods in our labs for kidney stone analysis. The use of well-constructed spectral reference libraries is the basis for accurate and complete stone analysis. The literature included in this manuscript identify errors in most commercial laboratories and in some academic centers...
December 3, 2016: Urolithiasis
https://www.readbyqxmd.com/read/27915221/are-the-average-gait-speeds-during-the-10meter-and-6minute-walk-tests-redundant-in-parkinson-disease
#19
Ryan P Duncan, Stephanie A Combs-Miller, Marie E McNeely, Abigail L Leddy, James T Cavanaugh, Leland E Dibble, Terry D Ellis, Matthew P Ford, K Bo Foreman, Gammon M Earhart
We investigated the relationships between average gait speed collected with the 10Meter Walk Test (Comfortable and Fast) and 6Minute Walk Test (6MWT) in 346 people with Parkinson disease (PD) and how the relationships change with increasing disease severity. Pearson correlation and linear regression analyses determined relationships between 10Meter Walk Test and 6MWT gait speed values for the entire sample and for sub-samples stratified by Hoehn & Yahr (H&Y) stage I (n=53), II (n=141), III (n=135) and IV (n=17)...
November 22, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27915207/fixed-distance-walk-tests-at-comfortable-and-fast-speed-potential-tools-for-the-functional-assessment-of-coronary-patients
#20
Marie-Doriane Morard, Delphine Besson, Davy Laroche, Alexandre Naaïm, Vincent Gremeaux, Jean-Marie Casillas
OBJECTIVES: There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. METHODS: At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test - 6MWT - and 400-metre comfortable walk test - 400mCWT) and the third at a brisk speed (200-metre fast walk test - 200mFWT)...
November 30, 2016: Annals of Physical and Rehabilitation Medicine
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