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https://www.readbyqxmd.com/read/29290595/the-media-response-to-the-acgme-s-2017-relaxed-resident-duty-hour-restrictions
#1
Zi Zhang, Alan V Krauthamer, Andrew B Rosenkrantz
PURPOSE: In March 2017, the ACGME relaxed resident duty-hour restrictions to allow first-year residents to work 24-hour shifts, affecting the internship experience of incoming radiology residents. The aim of this study was to assess the media response to this duty-hour change, comparing news articles with favorable and unfavorable views. METHODS: Google News was used to identify 36 relevant unique news articles published over a 4-week period after the announcement...
December 28, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29246088/a-spoonful-of-care-ethics-the-challenges-of-enriching-medical-education
#2
Eva van Reenen, Inge van Nistelrooij
BACKGROUND: Nursing Ethics has featured several discussions on what good care comprises and how to achieve good care practices. We should "nurse" ethics by continuously reflecting on the way we "do" ethics, which is what care ethicists have been doing over the past few decades and continue to do so. Ethics is not limited to nursing but extends to all caring professions. In 2011, Elin Martinsen argued in this journal that care should be included as a core concept in medical ethical terminology because of "the harm to which patients may be exposed owing to a lack of care in the clinical encounter," specifically between doctors and patients...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29238158/full-step-cycle-kinematic-and-kinetic-comparison-of-barefoot-walking-and-a-traditional-shoe-walking-in-healthy-youth-insights-for-barefoot-technology
#3
Yi Xu, Qinghua Hou, Chuhuai Wang, Andrew J Sellers, Travis Simpson, Bradford C Bennett, Shawn D Russell
Objective: Barefoot technology shoes are becoming increasingly popular, yet modifications are still needed. The present study aims to gain valuable insights by comparing barefoot walking to neutral shoe walking in a healthy youth population. Methods: 28 healthy university students (22 females and 6 males) were recruited to walk on a 10-meter walkway both barefoot and in neutral running shoes at their comfortable walking speed. Full step cycle kinematic and kinetic data were collected using an 8-camera motion capture system...
2017: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/29202983/influence-of-tibialis-posterior-muscle-activation-on-foot-anatomy-under-axial-loading-a-biomechanical-ct-human-cadaveric-study
#4
Koen Dullaert, Jennifer E Hagen, Paul Simons, Florian Gras, Boyko Gueorguiev, R Geoff Richards, Kajetan Klos
BACKGROUND: Collapse of the medial longitudinal arch and subluxation of the subtalar joint are common occurrences in adult flatfoot deformity. Controversy exists about the role of the tibialis posterior (TP) tendon as first and/or essential lesion. Subtle changes in the foot configuration can occur under weight bearing. PURPOSE: This human cadaveric study is designed to investigate the effect that isolated actuation of the TP tendon has on the medial longitudinal arch and the hindfoot configuration under simulated weight bearing...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29154264/the-effect-of-a-single-massage-based-on-the-tensegrity-principle-on-postural-stability-in-young-women
#5
Błażej Cieślik, Ireneusz Podsiadły, Michał Kuczyński, Bożena Ostrowska
OBJECTIVE: The aim of this study was to investigate the effects of normalized muscle tension via tensegrity-based massage on postural stability in a sample of female young adults. METHODS: Nineteen females aged 21.8 ± 1.9 years were recruited presenting abnormal tension at muscles adhering to any of the following structural sites: superior iliac spine, lateral sacropelvic surface, linea aspera at 1/2 of femur length, and superior nuchal line of the occiput. Balance and postural control were assessed during bipedal stance using a force platform in multiple conditions: hard surface or soft foam surface with the head in either a neutral posture or tilted backward...
November 6, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29133920/energy-neutral-the-human-foot-and-ankle-subsections-combine-to-produce-near-zero-net-mechanical-work-during-walking
#6
Kota Z Takahashi, Kate Worster, Dustin A Bruening
The human foot and ankle system is equipped with structures that can produce mechanical work through elastic (e.g., Achilles tendon, plantar fascia) or viscoelastic (e.g., heel pad) mechanisms, or by active muscle contractions. Yet, quantifying the work distribution among various subsections of the foot and ankle can be difficult, in large part due to a lack of objective methods for partitioning the forces acting underneath the stance foot. In this study, we deconstructed the mechanical work production during barefoot walking in a segment-by-segment manner (hallux, forefoot, hindfoot, and shank)...
November 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29063997/clinical-ethics-consultation-after-god-implications-for-advocacy-and-neutrality
#7
J Clint Parker
In After God: Morality and Bioethics in a Secular Age, H. Tristram Engelhardt, Jr. explores the broad implications for moral reasoning once a culture has lost a God's-eye perspective. In this paper, I focus on the implications of Engelhardt's views for clinical ethics consultation. I begin by examining the question of whether clinical ethics consultants (CECs) should advocate a particular viewpoint and/or process during consultations or adopt a neutral stance. I then examine the implications of Engelhardt's views for this question...
October 24, 2017: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/28994481/unconscious-choice-the-dissociation-of-creative-animus-among-writers-and-psychotherapists
#8
Alison Clark
The paper argues that writers and psychotherapists are drawn to their work through the desire to remedy an unconscious sense of lack brought about by early relational trauma. Often, because of its origins in psychic pain, the connection between these individuals' beginnings and their profession remains largely dissociated. The theme is developed with reference to the idea of the wounded healer taken up by Jung. It is proposed that the original wound is also the crack that lets the light in: a dissociated tough spirit that can be channelled into discriminating countertransference and strong writing...
November 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28882753/knee-internal-contact-force-in-a-varus-malaligned-phenotype-in-knee-osteoarthritis-koa
#9
A Dell'Isola, S L Smith, M S Andersen, M Steultjens
PURPOSE: Multiple phenotypes characterized by different disease mechanisms have been hypothesized to explain the large variability in the knee osteoarthritis (KOA) population. The purpose of this study was: to estimate and compare the medial and lateral knee compression forces (CF) during gait of three subgroups of KOA subjects characterized by different alignment and cartilage disruption patterns. METHODS: A secondary data analysis was conducted on a sample of 39 KOA subjects and 18 controls (C)...
September 4, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28844565/within-between-session-reliability-and-agreement-of-lumbopelvic-kinematics-in-the-sagittal-plane-during-functional-movement-control-tasks-in-healthy-persons
#10
Thomas Matheve, Liesbet De Baets, Fabian Rast, Christoph Bauer, Annick Timmermans
A lack of adequate lumbopelvic movement control has been suggested as an underlying mechanism contributing to the development and persistence of low back pain and lower limb pathologies. The purpose of this study was to assess the within and between session reliability (i.e. the ability to discriminate between subjects), and the agreement (i.e. whether scores are identical on repeated measures) of lumbopelvic kinematics in the sagittal plane during functional movement control tasks. Kinematics were measured with a portable inertial measurement unit system...
August 24, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28839353/strain-measurements-of-the-tibial-insert-of-a-knee-prosthesis-using-a-knee-motion-simulator
#11
Toshihiro Sera, Yuya Iwai, Takaharu Yamazaki, Tetsuya Tomita, Hideki Yoshikawa, Hisahi Naito, Takeshi Matsumoto, Masao Tanaka
OBJECTIVE: The longevity of a knee prosthesis is influenced by the wear of the tibial insert due to its posture and movement. In this study, we assumed that the strain on the tibial insert is one of the main reasons for its wear and investigated the influence of the knee varus-valgus angles on the mechanical stress of the tibial insert. METHODS: Knee prosthesis motion was simulated using a knee motion simulator based on a parallel-link six degrees-of-freedom actuator and the principal strain and pressure distribution of the tibial insert were measured...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28817701/effect-of-exoskeletal-joint-constraint-and-passive-resistance-on-metabolic-energy-expenditure-implications-for-walking-in-paraplegia
#12
Sarah R Chang, Rudi Kobetic, Ronald J Triolo
An important consideration in the design of a practical system to restore walking in individuals with spinal cord injury is to minimize metabolic energy demand on the user. In this study, the effects of exoskeletal constraints on metabolic energy expenditure were evaluated in able-bodied volunteers to gain insight into the demands of walking with a hybrid neuroprosthesis after paralysis. The exoskeleton had a hydraulic mechanism to reciprocally couple hip flexion and extension, unlocked hydraulic stance controlled knee mechanisms, and ankles fixed at neutral by ankle-foot orthoses...
2017: PloS One
https://www.readbyqxmd.com/read/28693758/the-u-s-online-news-coverage-of-mammography-based-on-a-google-news-search
#13
REVIEW
Leng Leng Young Lin, Andrew B Rosenkrantz
RATIONALE AND OBJECTIVES: To characterize online news coverage relating to mammography, including articles' stance toward screening mammography. MATERIALS AND METHODS: Google News was used to search U.S. news sites over a 9-year period (2006-2015) based on the search terms "mammography" and "mammogram." The top 100 search results were recorded. Identified articles were manually reviewed. RESULTS: The top 100 news articles were from the following sources: local news outlet (50%), national news outlet (24%), nonimaging medical source (13%), entertainment or culture news outlet (6%), business news outlet (4%), peer-reviewed journal (1%), and radiology news outlet (1%)...
July 7, 2017: Academic Radiology
https://www.readbyqxmd.com/read/28662626/expert-discussion-on-taking-a-spiritual-history
#14
Piret Paal, Eckhard Frick, Traugott Roser, Guy Jobin
This article elaborates on the hazards of spiritual history taking. It provides expert insights to consider before entering the field. In summer 2012, a group of spiritual care experts were invited to discuss the complexity of taking spiritual histories in a manner of hermeneutic circle. Thematic analysis was applied to define the emerging themes. The results demonstrate that taking a spiritual history is a complex and challenging task, requiring a number of personal qualities of the interviewer, such as 'being present', 'not only hearing, but listening', 'understanding the message beyond the words uttered', and 'picking up the words to respond'...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28644980/making-power-visible-doing-theatre-based-status-work-with-nursing-students
#15
Steven S Taylor, Rosemary A Taylor
As part of a senior leadership class in an undergraduate baccalaureate nursing program in the northeastern United States, we conducted an experiential, theater-based workshop designed to increase student awareness of the micro-dynamics of power and the enactment of status in their day-to-day lives. These exercises allowed student participants to embody status and power and understand it in ways that they did not after simply completing assigned readings. At the conclusion of the workshop the participants were asked to reflect on their status habits and the consequences of these habits in a single hand-written page...
September 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28566397/mediolateral-force-distribution-at-the-knee-joint-shifts-across-activities-and-is-driven-by-tibiofemoral-alignment
#16
I Kutzner, A Bender, J Dymke, G Duda, P von Roth, G Bergmann
AIMS: Tibiofemoral alignment is important to determine the rate of progression of osteoarthritis and implant survival after total knee arthroplasty (TKA). Normally, surgeons aim for neutral tibiofemoral alignment following TKA, but this has been questioned in recent years. The aim of this study was to evaluate whether varus or valgus alignment indeed leads to increased medial or lateral tibiofemoral forces during static and dynamic weight-bearing activities. PATIENTS AND METHODS: Tibiofemoral contact forces and moments were measured in nine patients with instrumented knee implants...
June 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28484695/online-information-on-antioxidants-information-quality-indicators-commercial-interests-and-ranking-by-google
#17
Romaan Aslam, Daniel Gibbons, Pietro Ghezzi
The idea that antioxidant supplements can prevent or cure many diseases is extremely popular. To study the public understanding of antioxidants on the Web, we searched the term "antioxidants" in http://Google.com and analyzed 200 websites in terms of typology (news, commercial, professional, health portal, no-profit or government organization, scientific journals), disease or biological process mentioned (aging, immunity, neurological disease, diabetes, arthritis, etc.), and stance toward antioxidants, whether neutral, positive, or negative...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28445855/speed-dependent-effects-of-laterally-wedged-insoles-on-gait-biomechanics-in-healthy-subjects
#18
Felix Kluge, Sebastian Krinner, Matthias Lochmann, Bjoern M Eskofier
Laterally wedged insoles have been shown to be effective for the reduction of the knee adduction moment and other biomechanical variables that are associated with the pathogenesis of knee osteoarthritis. However, inconclusive results such as adverse effects in individual subjects or even no group-wise wedge effects have been presented in different studies and it has been suggested to identify variables that potentially confound the wedge effect. The main objective of this study was the investigation of interaction effects of lateral wedges with walking speed, as different self-selected speeds have mainly been used in previous studies...
April 9, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28417165/comparative-study-of-outcomes-after-ankle-arthrodesis-shows-higher-complication-rates-in-cases-operated-upon-by-general-orthopaedic-surgeons
#19
Krenn Sabine, Albers Sascha, Bock Peter, Mansfield Clemens, Chraim Michel, Trnka Hans-Joerg
INTRODUCTION: A functional assessment of 38 patients after ankle arthrodesis for the evaluation of the necessity of surgeons-specialisation was carried out by means of clinical evaluation and gait analysis after an average follow up of 30 months. METHODS: Scores were used to grade ankle function. Gate analysis was examined to determine the effect of arthrodesis on the ankle in relation to the surgeons' experience. Under conditions of normal daily living, we found significant differences in life quality between patients operated upon by experts in orthopaedic foot and ankle surgery (group A) and patients operated by general orthopaedic surgeons (group B)...
June 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28371703/use-of-neck-torsion-as-a-specific-test-of-neck-related-postural-instability
#20
Katrina Williams, Ahmad Tarmizi, Julia Treleaven
BACKGROUND: Disturbed postural stability in neck pain (NP) is likely due to abnormal cervical afferent function. Several potential causes requires specific diagnostic tests. The neck torsion (head still body rotated) manoeuvre stimulates cervical but not vestibular receptors and identified abnormal cervical afferent input as the cause in patients with NP compared to healthy controls. Comparison between vestibular and NP subjects is now needed. AIMS: To compare individuals with unilateral vestibular loss (UVL), persistent NP and asymptomatic controls...
June 2017: Musculoskeletal Science & Practice
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