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https://www.readbyqxmd.com/read/29330576/xipho-pubic-angle-xpa-correlates-with-patient-s-reported-outcomes-in-a-population-of-adult-spinal-deformity-results-from-a-multi-center-cohort-study
#1
Francesco Langella, Jorge Hugo Villafañe, Virginie Lafage, Justin S Smith, Christopher Shaffrey, Han Jo Kim, Douglas Burton, Richard Hostin, Shay Bess, Christopher Ames, Gregory Mundis, Eric Klineberg, Frank Schwab, Renault Lafage, Pedro Berjano
STUDY DESIGN: Retrospective multi-center cohort study. PURPOSE: Sagittal misalignment causes changes in the abdominal shape. Xipho-pubic angle (XPA) has been previously described to radiographically evaluate the shape of the abdominal cavity in patients with spine deformity. The aims of this study are to evaluate the correlation of XPA-to-spinopelvic sagittal parameters and to patients' health-related quality-of-life (HRQoL) scores. METHODS: 278 patients from a multi-center database with diagnosis adult spinal deformity (ASD) (one or more of: coronal Cobb angle > 20°, sagittal vertical axis (SVA) > 50 mm, pelvic tilt (PT) > 25°, and thoracic kyphosis > 60°) were included...
January 12, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29329540/children-with-albinism-in-african-regions-their-rights-to-being-and-doing
#2
Anita Franklin, Patricia Lund, Caroline Bradbury-Jones, Julie Taylor
BACKGROUND: Albinism is an inherited condition with a relatively high prevalence in populations throughout sub-Saharan Africa. People with oculocutaneous albinism have little or no pigment in their hair, skin and eyes; thus they are visually impaired and extremely sensitive to the damaging effect of the sun on their skin. Aside from the health implications of oculocutaneous albinism, there are also significant sociocultural risks. The impacts of albinism are particularly serious in areas that associate albinism with legend and folklore, leading to stigmatisation and discrimination...
January 12, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29327140/children-s-experiences-of-congenital-heart-disease-a-systematic-review-of-qualitative-studies
#3
REVIEW
Lauren S H Chong, Dominic A Fitzgerald, Jonathan C Craig, Karine E Manera, Camilla S Hanson, David Celermajer, Julian Ayer, Nadine A Kasparian, Allison Tong
We aimed to describe the experiences of children and adolescents with congenital heart disease (CHD). Electronic databases were searched until August 2016. Qualitative studies of children's perspectives on CHD were included. Data was extracted using thematic synthesis. From 44 studies from 12 countries involving 995 children, we identified 6 themes: disrupting normality (denying the diagnosis, oscillating between sickness and health, destabilizing the family dynamic), powerlessness in deteriorating health (preoccupation with impending mortality, vulnerability to catastrophic complications, exhaustion from medical testing), enduring medical ordeals (traumatized by invasive procedures, disappointed by treatment failure, displaced by transition, valuing empathy and continuity in care, overcoming uncertainty with information), warring with the body (losing stamina, distressing inability to participate in sport, distorted body image, testing the limits), hampering potential and goals (feeling disabled, unfair judgment and exclusion, difficulties with academic achievement, limiting attainment and maintenance of life milestones), and establishing one's own pace (demarcating disease from life, determination to survive, taking limitations in their stride, embracing the positives, finding personal enrichment, relying on social or spiritual support)...
January 11, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29321335/serum-hepatocyte-growth-factor-is-probably-associated-with-3-month-prognosis-of-acute-ischemic-stroke
#4
Zhengbao Zhu, Tan Xu, Daoxia Guo, Xinfeng Huangfu, Chongke Zhong, Jingyuan Yang, Aili Wang, Chung-Shiuan Chen, Yanbo Peng, Tian Xu, Jinchao Wang, Yingxian Sun, Hao Peng, Qunwei Li, Zhong Ju, Deqin Geng, Jing Chen, Yonghong Zhang, Jiang He
BACKGROUND AND PURPOSE: Serum hepatocyte growth factor (HGF) is positively associated with poor prognosis of heart failure and myocardial infarction, and it can also predict the risk of ischemic stroke in population. The goal of this study was to investigate the association between serum HGF and prognosis of ischemic stroke. METHODS: A total of 3027 acute ischemic stroke patients were included in this post hoc analysis of the CATIS (China Antihypertensive Trial in Acute Ischemic Stroke)...
January 10, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29316811/the-adult-carer-quality-of-life-questionnaire-ac-qol-comparison-with-measures-of-burden-and-well-being-and-italian-validation
#5
Luca Negri, Gianna Piazza, Raffaela D G Sartori, Mario G Cocchi, Antonella Delle Fave
PURPOSE: Family caregivers are essential assets in the rehabilitation process, and their psychophysical health should represent a concern for healthcare services. This study aims to investigate the psychometric properties of the Adult Carer Quality of Life Questionnaire, Italian version, and its convergent-discriminant validity with measures of caring burden, resilience, health, and well-being. MATERIALS AND METHODS: Participants were 591 parents (89.2% females; aged 25-69) of children treated as outpatients in 14 centers of "Istituto Medea - La Nostra Famiglia", an Italian rehabilitation institution...
January 10, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29289589/few-promising-multivariable-prognostic-models-exist-for-recovery-of-people-with-non-specific-neck-pain-in-musculoskeletal-primary-care-a-systematic-review
#6
Roel W Wingbermühle, Emiel van Trijffel, Paul M Nelissen, Bart Koes, Arianne P Verhagen
QUESTION: Which multivariable prognostic model(s) for recovery in people with neck pain can be used in primary care? DESIGN: Systematic review of studies evaluating multivariable prognostic models. PARTICIPANTS: People with non-specific neck pain presenting at primary care. DETERMINANTS: Baseline characteristics of the participants. OUTCOME MEASURES: Recovery measured as pain reduction, reduced disability, or perceived recovery at short-term and long-term follow-up...
December 27, 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29283983/psychiatry-between-glorification-and-stigmatization
#7
Alija Sutovic
In psychiatry, stigma means negative marking of the person only because s(he) has a diagnosis of mental disease, and usually this refers to schizophrenia. Stigmatization is related to prejudice, i.e. negative attitudes that are deeply rooted on false beliefs that schizophrenia cannot be treated. In principle, stigma is caused by combination of ignorance and fear which represents the basis of the creation of entrenched myths and prejudice. From a historical point of view, schizophrenia as a disease remains for public, one of the medical areas that are related to fear, a sense of discomfort, prejudice and avoidance...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29282997/development-and-psychometric-properties-of-the-healthy-aging-activity-engagement-scale-haae
#8
Maureen Schmitter-Edgecombe, Richard Lamb, Courtney McAlister, Thao Vo, Kayela Robertson
OBJECTIVES: Accumulating research indicates that engaging in healthy lifestyle behaviors (e.g. exercise, cognitive and social engagement, stress reduction) can prevent illness and disability as people age and improve mental health. The Healthy Aging Activity Engagement (HAAE) scale was developed to holistically assess an individual's level of engagement in healthy aging behaviors across multiple health domains. METHODS: Participants were 275 healthy younger, midlife and older adults...
December 28, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29282845/clusters-of-functional-domains-to-identify-older-persons-at-risk-of-disability
#9
Luisa Costanzo, Claudio Pedone, Matteo Cesari, Luigi Ferrucci, Stefania Bandinelli, Raffaele Antonelli Incalzi
AIM: To date, there is no consensus on which set of variables should be used to identify older persons at risk of disability in activities of daily living. The present study aimed to: (i) evaluate how different deficits cluster in a population of community-dwelling older persons; and (ii) investigate whether the discriminative capacity of physical performance measures towards the development of disability might be improved by adding psychological, social and environmental indicators. METHODS: Data are from 709 non-disabled older persons participating in the "Invecchiare in Chianti" study...
December 28, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29282073/responsiveness-of-clinical-tests-for-people-with-neck-pain
#10
René Jørgensen, Inge Ris, Carsten Juhl, Deborah Falla, Birgit Juul-Kristensen
BACKGROUND: Responsiveness of a clinical test is highly relevant in order to evaluate the effect of a given intervention. However, the responsiveness of clinical tests for people with neck pain has not been adequately evaluated. The objective of the present study was to examine the responsiveness of four clinical tests which are low cost and easy to perform in a clinical setting, including the craniocervical flexion test, cervical active range of movement, test for the cervical extensors and pressure pain threshold testing...
December 28, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29277330/a-hidden-semi-markov-model-based-approach-for-rehabilitation-exercise-assessment
#11
Marianna Capecci, Maria Gabriella Ceravolo, Francesco Ferracuti, Sabrina Iarlori, Ville Kyrki, Andrea Monteriù, Luca Romeo, Federica Verdini
In this paper, a Hidden Semi-Markov Model (HSMM) based approach is proposed to evaluate and monitor body motion during a rehabilitation training program. The approach extracts clinically relevant motion features from skeleton joint trajectories, acquired by the RGB-D camera, and provides a score for the subject's performance. The approach combines different aspects of rule and template based methods. The features have been defined by clinicians as exercise descriptors and are then assessed by a HSMM, trained upon an exemplar motion sequence...
December 22, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/29273595/promis-gh-patient-reported-outcomes-measurement-information-system-global-health-scale-in-stroke-a-validation-study
#12
Irene L Katzan, Brittany Lapin
BACKGROUND AND PURPOSE: The International Consortium for Health Outcomes Measurement recently included the 10-item PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) scale as part of their recommended Standard Set of Stroke Outcome Measures. Before collection of PROMIS GH is broadly implemented, it is necessary to assess its performance in the stroke population. The objective of this study was to evaluate the psychometric properties of PROMIS GH in patients with ischemic stroke and intracerebral hemorrhage...
January 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29262271/trial-of-contralateral-seventh-cervical-nerve-transfer-for-spastic-arm-paralysis
#13
Mou-Xiong Zheng, Xu-Yun Hua, Jun-Tao Feng, Tie Li, Ye-Chen Lu, Yun-Dong Shen, Xiao-Hua Cao, Nai-Qing Zhao, Jia-Ying Lyu, Jian-Guang Xu, Yu-Dong Gu, Wen-Dong Xu
Background Spastic limb paralysis due to injury to a cerebral hemisphere can cause long-term disability. We investigated the effect of grafting the contralateral C7 nerve from the nonparalyzed side to the paralyzed side in patients with spastic arm paralysis due to chronic cerebral injury. Methods We randomly assigned 36 patients who had had unilateral arm paralysis for more than 5 years to undergo C7 nerve transfer plus rehabilitation (18 patients) or to undergo rehabilitation alone (18 patients). The primary outcome was the change from baseline to month 12 in the total score on the Fugl-Meyer upper-extremity scale (scores range from 0 to 66, with higher scores indicating better function)...
December 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29259814/diagnosis-of-psychosocial-risk-factors-in-prevention-of-low-back-pain-in-athletes-mispex
#14
Pia-Maria Wippert, Anne-Katrin Puschmann, Adamantios Arampatzis, Marcus Schiltenwolf, Frank Mayer
Background: Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds. Methods: Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes)...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29248996/careless-responding-in-internet-based-quality-of-life-assessments
#15
Stefan Schneider, Marcella May, Arthur A Stone
PURPOSE: Quality of life (QoL) measurement relies upon participants providing meaningful responses, but not all respondents may pay sufficient attention when completing self-reported QoL measures. This study examined the impact of careless responding on the reliability and validity of Internet-based QoL assessments. METHODS: Internet panelists (n = 2000) completed Patient-Reported Outcomes Measurement Information System (PROMIS®) short-forms (depression, fatigue, pain impact, applied cognitive abilities) and single-item QoL measures (global health, pain intensity) as part of a larger survey that included multiple checks of whether participants paid attention to the items...
December 16, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/29247625/preliminary-psychometric-evaluation-of-the-brachial-assessment-tool-part-2-construct-validity-and-responsiveness
#16
Bridget Hill, Gavin Williams, John Olver, Scott Ferris, Andrea Bialocerkowski
OBJECTIVE: To evaluate construct validity and responsiveness of the Brachial Assessment Tool (BrAT), a new patient-reported outcome measure for people with traumatic Brachial Plexus Injury (BPI) and to compare it to the Disability of the Arm, Shoulder and Hand (DASH) and the Upper Extremity Functional Index (UEFI) DESIGN: Cross sectional study SETTING: Outpatient clinics PARTICIPANTS: Adults with confirmed traumatic BPI INTERVENTION: 29 people (aged 20 - 69 years) with BPI completed the BrAT three times over an 18-month period together with sixteen DASH activity items and the UEFI...
December 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29238816/design-and-evaluation-of-an-instrumented-wobble-board-for-assessing-and-training-dynamic-seated-balance
#17
Andrew Williams, Quinn Boser, Animesh Singh Kumawat, Kshitij Agarwal, Hossein Rouhani, Albert Vette
Methods that effectively assess and train dynamic seated balance are critical for enhancing functional independence and reducing risk of secondary health complications in the elderly and individuals with neuromuscular impairments. The objective of this research was to devise and validate a portable tool for assessing and training dynamic seated balance. An instrumented wobble board was designed and constructed that: (1) elicits multidirectional perturbations in seated individuals; (2) quantifies seated balance proficiency; and (3) provides real-time, kinematics-based vibrotactile feedback...
December 13, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29234269/application-of-the-stockwell-transform-to-electroencephalographic-signal-analysis-during-gait-cycle
#18
Mario Ortiz, Marisol Rodríguez-Ugarte, Eduardo Iáñez, José M Azorín
The analysis of electroencephalographic signals in frequency is usually not performed by transforms that can extract the instantaneous characteristics of the signal. However, the non-steady state nature of these low voltage electrical signals makes them suitable for this kind of analysis. In this paper a novel tool based on Stockwell transform is tested, and compared with techniques such as Hilbert-Huang transform and Fast Fourier Transform, for several healthy individuals and patients that suffer from lower limb disability...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29229724/serum-galectin-3-and-poor-outcomes-among-patients-with-acute-ischemic-stroke
#19
Aili Wang, Chongke Zhong, Zhengbao Zhu, Tian Xu, Yanbo Peng, Tan Xu, Hao Peng, Chung-Shiuan Chen, Jinchao Wang, Zhong Ju, Qunwei Li, Deqin Geng, Yingxian Sun, Jianhui Zhang, Xiaodong Yuan, Jing Chen, Yonghong Zhang, Jiang He
BACKGROUND AND PURPOSE: Elevated galectin-3 has been associated with atherosclerosis and poor outcomes in patients with heart failure. However, it remains unclear whether galectin-3 has any effect on the poor outcomes of ischemic stroke. The aim of the present study was to examine the association between galectin-3 with poor outcomes among patients with acute ischemic stroke. METHODS: Serum galectin-3 was measured in 3082 patients with acute ischemic stroke. The primary outcome was a combination of death or major disability (modified Rankin Scale score, ≥3) at 3 months after stroke...
December 11, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29221427/validity-of-the-dutch-modified-paindetect-questionnaire-for-patients-with-hip-or-knee-osteoarthritis
#20
Wietske Rienstra, Tim Blikman, Baukje Dijkstra, Jos van Raay, Geranda Slager, Sjoerd Bulstra, Martin Stevens, Inge van den Akker-Scheek
BACKGROUND: The modified painDETECT questionnaire (PDQ) is a self-reported questionnaire to discriminate between nociceptive and neuropathic-like pain in patients with knee/hip osteoarthritis (OA). This study aims to assess the structural and construct validity of this questionnaire. METHODS: Confirmatory factor analysis and hypothesis-testing was used. For 168 patients, predefined hypotheses were formulated on the correlation between the modified painDETECT and several other questionnaires, and in a subsample of 46 with pain pressure thresholds (PPTs)...
December 8, 2017: Disability and Rehabilitation
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