Chirag A Berry, Dinesh Thawrani, Fadi Makhoul
BACKGROUND CONTEXT: The oblique prepsoas retroperitoneal approach to the lumbar spine for interbody fusion or OLIF provides safe access to nearly all lumbar levels. A wide interval between the psoas and aorta allows for a safe and straightforward left-sided oblique approach to the discs above L5. Inclusion of L5-S1 in this approach, however, requires modifications in the technique to navigate the complex and variable vascular anatomy distal to the bifurcation of the great vessels. While different oblique approaches to L5-S1 have been described in the literature, to our knowledge, no previous study has provided guidance for the choice of technique...
October 19, 2020: Spine Journal: Official Journal of the North American Spine Society
İlker Yağcı, Selda Sarıkaya, F Figen Ayhan, Ayse Bahsi, Başak Bilir Kaya, Belgin Erhan, Emine Dündar Ahi, Sevil Okan, Yasemin Özkan, Merve Damla Korkmaz, Elif Yakşi, Derya Demirbağ Kabayel, Hande Özdemir, Gülseren Kayalar, Canan Çelik, Fatma Nur Kesiktaş, Hanife Çağlar Yagcı, Lale Altan
Objectives: The outbreak of novel coronavirus-2019 (COVID-19) has affected Turkey very seriously, as well as all around the world. Many urgent and radical measures were taken due to the high contagious risk and mortality rate of the outbreak. It is noteworthy that isolation recommendations and the provision of health services for pandemic have a negative impact on Physical Medicine and Rehabilitation (PMR) services. In this study, we aimed to evaluate the effects of COVID-19 on the PMR services and physiatrists immediately after the first month of pandemic in Turkey...
September 2020: Turkish journal of physical medicine and rehabilitation
Özden Özyemişci Taşkıran
Adult spinal deformity causes significant health-related problems such as pain and disability in adults. Currently, there are several non-operative management strategies such as pain medications, physical modalities, exercises, bracing or interventional procedures. Specific exercises including strengthening of back and abdominal muscles, neuromuscular re-education for daily tasks, and active self-correction are vital to improve postural control and spinal stability. Bracing for a few hours a day can help reduce pain and provide spinal stability in adults...
September 2020: Turkish journal of physical medicine and rehabilitation
Ashish John Prabhakar, Abraham M Joshua, Srikanth Prabhu, Yogeesh Dattakumar Kamat
Introduction: In recent times, 'early osteoarthritis' (EOA) has achieved recognition as a disease entity. The importance of defining EOA is in the fact that a variety of joint preservation treatments are available. Development of the sense of proprioception is a known vital element of most exercise rehabilitation programmes. Postural sways have been found to be prevalent in arthritic patients. It follows therefore that correction of early postural aberrations should help patients with EOA...
2020: International journal of surgery protocols
James C Kirven, Joshua S Everhart, Alex C DiBartola, Jeremy Jones, David C Flanigan, Ryan Harrison
Background: Unanticipated severe injury to part of the musculoskeletal system, referred to as orthopedic trauma, can be debilitating. It can also be accompanied by equally debilitating psychological distress, but little is known about the effective interventions for psychological sequelae of orthopedic trauma. Questions/Purposes: We sought to determine the effectiveness of interventions on psychological outcomes, such as post-traumatic stress disorder (PTSD), depression, and pain catastrophizing (feelings of helplessness, excessive rumination, and exaggerated description of pain), after major orthopedic trauma...
October 2020: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Peter J Gilbar, Khageshwor Pokharel, Hilda M Mangos
INTRODUCTION: Temozolomide (TMZ) is an oral alkylating agent principally indicated for neurological malignancies including glioblastoma (GBM) and astrocytoma. Most common side effects are mild to moderate, and include fatigue, nausea, vomiting, thrombocytopenia and neutropenia. Severe or prolonged myelosuppression, causing delayed treatment or discontinuation, is uncommon. Major haematological adverse effects such as myelodysplastic syndrome or aplastic anaemia (AA) have rarely been reported...
October 22, 2020: Journal of Oncology Pharmacy Practice
Yasunari Hashimoto, Toshiyuki Kakui, Junichi Ushiba, Meigen Liu, Kyousuke Kamada, Tetsuo Ota
The feasibility and safety of brain-computer interface (BCI) systems for patients with acute/subacute stroke have not been established. The aim of this study was to firstly demonstrate the feasibility and safety of a bedside BCI system for inpatients with acute/subacute stroke in a small cohort of inpatients. Four inpatients with early-phase hemiplegic stroke (7-24 days from stroke onset) participated in this study. The portable BCI system showed real-time feedback of sensorimotor rhythms extracted from scalp electroencephalograms (EEGs)...
October 21, 2020: Assistive Technology: the Official Journal of RESNA
Christopher Cao, Dina Halegoua-DeMarzio, Shady Guirguis, Crystal Chen, Jonathan M Fenkel, Steven Herrine
Background and Aims: This study serves to revisit the effects of liver transplantation (LT) on employment in an era of improving survival outcomes post-transplant, and to identify areas of improvement in the transplant process to better optimize post-LT employment and patient satisfaction. Methods: Prospectively, patients who had undergone LT at a single tertiary LT center were surveyed in person and by e-mail. Primary outcomes included employment rate pre- and post-LT, annual salary, weekly hours worked, barriers to re-employment, and patient satisfaction...
September 28, 2020: Journal of Clinical and Translational Hepatology
Jerald Pelayo, Gabriella Pugliese, Grace Salacup, Eduardo Quintero, Adeeb Khalifeh, David Jaspan, Bhavna Sharma
The rapidly expanding cases of the coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have exposed vulnerable populations, including pregnant women to an unprecedented public health crisis. Recent data show that pregnancy in COVID-19 patients is associated with increased hospitalization, admission of the intensive care unit, and intubation. However, very few resources exist to guide the multidisciplinary team in managing critically ill pregnant women with COVID-19...
2020: Case Reports in Critical Care
Alexey Nikolaevich Sumin, Pavel Alexandrovich Oleinik, Andrey Viktorovich Bezdenezhnykh, Anna Valeryvena Ivanova
BACKGROUND: To evaluate the effectiveness of neuromuscular electrical stimulation (NMES) in early rehabilitation of patients with postoperative complications after cardiovascular surgery. METHODS: 37 patients (25 men and 12 women) aged 45 to 70 years with postoperative complications after cardiovascular surgery were included in the study. Eighteen patients underwent NMES daily since postoperative day 3 until discharge in addition to standard rehabilitation program (NMES group), and 19 patients underwent standard rehabilitation program only (non-NMES group)...
October 16, 2020: Medicine (Baltimore)
Karin B Dieperink, Steinbjørn Hansen, Lis Wagner, Lisbeth R Minet, Olfred Hansen
PURPOSE: In the Rehabilitation of Prostate Cancer (RePCa) study, the intervention reduced early adverse effects in prostate cancer 6 months after radiotherapy. This 3-year follow-up study assesses late adverse effects, evaluates rehabilitative long-term effects and identifies patients who benefit the most. DESIGN: RePCa was a randomized clinical trial with multidisciplinary rehabilitation (n = 79) or usual care (n = 82). The intervention during the first 6 months consisted of consultations by nurses and physiotherapists focusing on psychosocial support and physical activity, respectively...
October 20, 2020: Journal of Cancer Survivorship: Research and Practice
Ann-Kathrin Rauch, Susan Arndt, Antje Aschendorff, Rainer Beck, Iva Speck, Manuel Christoph Ketterer, Till Fabian Jakob, Frederike Hassepass
PURPOSE: The purpose of this retrospective study was to investigate the outcome and critical age of cochlear implantation in congenital single-sided deafness (SSD). METHODS: 11 children with congenital SSD were implanted with a cochlear implant (CI). Auditory performance was measured through the results of speech discrimination, subjective assessment by the Categories of auditory performance (CAP) score, the Speech, Spatial and Qualities scale questionnaire (SSQ) and the German version of the IOI-HA [Internationales Inventar zur Evaluation von Hörgeräten (IIEH, version for CI)]...
October 20, 2020: European Archives of Oto-rhino-laryngology
Bárbara Gómez, María Rodríguez, Luis García
BACKGROUND: Despite many publications on rehabilitation after repair of flexor tendon injuries of the hand, there is no consensus as to which method is superior. It is clear that nonadherence to postoperative therapy adversely affects the outcome after flexor tendon surgery. In the context of a developing country, the most important factor associated with poor outcome is late onset of rehabilitation therapy. An autonomous rehabilitation program is proposed, with the use of a low-cost splint and based on an online illustrative video with the expectation to improve adherence and patient compliance, thus ensuring satisfactory outcome...
October 20, 2020: Hand: Official Journal of the American Association for Hand Surgery
Stefano Masiero, Humberto Antonio Cerrel Bazo, Marcello Rattazzi, Laura Bernardi, Marina Munari, Elisabetta Faggin, Manuela Cattelan, Paolo Pauletto, Alessandra Del Felice
Severe acquired brain injury (ABI) is a major cause of long-term disability and is the main determinant of health and societal costs. Early identification of favourable long-term recovery would allow personalized rehabilitative programs and better health care resources allocation. In light of the higher survival rate from intensive care units (ICU) in recent years, there is a growing need for early prognostication markers of functional recovery; to date, these data have been mainly collected at rehabilitation unit admission and not during the acute phase...
October 19, 2020: Neurological Sciences
Roy J Film
"Chasing the dragon" is a term that originated 150 years ago in China after the Opium Wars to refer to the act of heating opium and inhaling its vapor. The phrase has a second meaning, describing the dangerous pursuit of the mythical, ultimate high. However, health systems are using opioids in the pursuit of something likely mythical but similarly elusive - a passive treatment for pain that is rapid, effective, and safe. Regrettably, this worldwide pursuit is treacherous on an immense scale. The opioid crisis is more severe in the US than in any other country...
October 19, 2020: Journal of Orthopaedic and Sports Physical Therapy
Manavi D Sindal, Arthi M
PURPOSE: To analyse the outcomes of sutureless and sutured scleral fixated intraocular lenses (SFIOL) in paediatric population. SETTING: Vitreoretina department of a tertiary eye care institute in Southern India. DESIGN: Retrospective case series. METHODS: Data were collected from January 2010 to December 2018 for children less than 18 years of age, based on the following parameters: demographics, pre-operative characteristics, duration between aphakia and surgery, previous amblyopia treatment, the uncorrected (UCVA) and the best corrected visual acuity (BCVA) at baseline and, 1,6 and 12 months or final visit...
October 18, 2020: European Journal of Ophthalmology
Willemijn F E Kuper, Herman E Talsma, Mary J van Schooneveld, Jan Willem R Pott, Barbara C H Huijgen, Gerard C de Wit, Peter M van Hasselt, Maria M van Genderen
PURPOSE: To help differentiate CLN3 (Batten) disease, a devastating childhood metabolic disorder, from the similarly presenting early-onset Stargardt disease (STGD1). Early clinical identification of children with CLN3 disease is essential for adequate referral, counselling and rehabilitation. METHODS: Medical chart review of 38 children who were referred to a specialized ophthalmological centre because of rapid vision loss. The patients were subsequently diagnosed with either CLN3 disease (18 patients) or early-onset STGD1 (20 patients)...
October 18, 2020: Acta Ophthalmologica
Daniel Bakker, Gerald A Kraan, Nina M C Mathijssen, Joost W Colaris, Gert-Jan Kleinrensink
Background  Injury of the scapholunate interosseous ligament is the most frequently diagnosed cause of carpal instability and can be treated with a Mayo capsulodesis procedure. During this procedure, a radially based flap of the dorsal radiocarpal complex is attached to the lunate. The procedure attempts to reduce flexion of the scaphoid and restore the scapholunate relationship by crossing the scapholunate interval. To obtain a better understanding of the biomechanical properties and possibly improve the postoperative rehabilitation process, a better understanding of the reconstructions biomechanics is needed...
October 2020: Journal of Wrist Surgery
Tuba Tülay Koca, Gökmen Aktaş, Mehmet Emre Kurtgil
Objective: Upper extremity complaints are frequently encountered in breast cancer. It was aimed to investigate the pain, extremity pain, and limitation of motion, lymphedema prevalence, severity, risk factors and quality of life in patients with breast cancer followed by mastectomy in our center. Materials and Methods: The study included 67 patients with mastectomy. The presence of lymphedema, lymphedema duration, and grade of lymphedema were recorded. Grip strength was measured on both hands using a dynamometer; arm, shoulder and hand problems were evaluated using the disabilities of the arm, shoulder, and hand...
September 2020: Turkish Journal of Obstetrics and Gynecology
Dana Slavoaca, Codruta Birle, Adina Stan, Alexandru Tatomir, Oana Popa, Paula Rosu, Ana-Maria Vulcan, Diana Chira, Livia Livint Popa, Constantin Dina, Vitalie Vacaras, Stefan Strilciuc, Pieter Vos
Seric biomarkers have been tested in a large number of studies on traumatic brain injuries (TBI) patients in order to predict severity, especially related to the short-term outcome. However, TBI patients have a high risk of developing long-term complications such as physical disability, cognitive impairment, psychiatric pathology, epilepsy, and others. The aim of this study was to assess the correlation between protein biomarkers S100 and neuron-specific enolase (NSE) and neurocognitive status at 10- and 90-days post-injury...
July 2020: Journal of Medicine and Life
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