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Heinemann Allen W - - 2014
Outcome measurement is crucial to assuring high-quality patient services and improving the quality of services provided by prosthetists. This article summarizes recent evidence on the measurement properties of outcome measures, and updates previously published summaries of outcome instruments. The review focuses on measures of mobility, functional status, quality of life, ...
Meier Robert H RH - - 2014
This article provides a generalized overview of amputation classifications and the idealized outcomes for upper and lower amputations at their respective levels. The following levels are discussed: above knee/transfemoral, below knee/transtibial, above elbow/transhumeral, below elbow/transradial, and bilateral for upper and lower extremities. This classification defines a framework for clinicians to ...
Diaz Roberto - - 2014
Surgical treatment of Dupuytren's disease includes radical fasciectomy, limited fasciectomy, percutaneous needle aponeurotomy (PNA), and treatment with collagenase injections. The most commonly performed procedure is limited fasciectomy. However, techniques such as PNA and collagenase injections are being performed with higher frequency because they are minimally invasive. PNA is generally recommended ...
Zajonc Horst - - 2014
Minimally invasive surgery is becoming part of the practice of hand surgery, which includes the adoption of endoscopic techniques for the treatment of cubital tunnel syndrome. Endoscopic cubital tunnel release allows for the advantages of minimal skin incisions and the low morbidity of an in situ release as well as ...
Slutsky David J - - 2014
Scaphoid fractures can be treated with minimal soft tissue dissection using percutaneous methods. Arthroscopy is a helpful tool when using these percutaneous scaphoid screw insertion techniques. Arthroscopy aids in optimal guidewire positioning, it is invaluable in assessing the quality of fracture reduction, and it allows one to evaluate the vascularity ...
Georgopoulos Rachel - - 2014
Consideration of the unified airway model when managing patients with rhinitis and or asthma allows a more comprehensive care plan and therefore improved patient outcomes. Asthma is linked to rhinitis both epidemiologically and biologically, and this association is even stronger in individuals with atopy. Rhinitis is not only associated with ...
Parker Michael J - - 2014
The ability to accurately obtain and interpret spirometry is essential for physicians caring for patients with asthma and inflammatory disease of the airway. This article reviews the basic equipment, setting, and personnel needed to obtain quality spirometric data. The fundamental measurements obtained in routine office spirometry and recommendations that are ...
Masson Puneet - - 2014
Varicoceles are an abnormal dilation of the pampiniform plexus of veins within the scrotum. Varicoceles are highly prevalent and can result in a myriad of deleterious effects on male reproduction. Numerous therapeutic options are available for correcting varicoceles, including surgical varicocelectomy and radiographic venous embolization. Varicocele correction is a more ...
Fornadley John A - - 2014
Therapy for asthma has undergone substantial changes in the past three decades, prompted by a better understanding of the role of inflammation in reversible airway disease. Improved therapies and a workable algorithm of therapy guidelines have provided an improved quality of life for the patient with asthma. This article outlines ...
Calhoun Karen H - - 2014
Measuring fractional exhaled nitric oxide (FeNO) is a relatively new option for assessing allergic inflammation in the lungs. Clinical management of asthma is challenging, and measuring exhaled nitric oxide can provide another type of data to assist in meeting this challenge. FeNO is easy to perform, and the equipment is ...
McCarty Justin C - - 2014
Asthma has many triggers including rhinosinusitis; allergy; irritants; medications (aspirin in aspirin-exacerbated respiratory disease); and obesity. Paradoxic vocal fold dysfunction mimics asthma and may be present along with asthma. This article reviews each of these triggers, outlining methods of recognizing the trigger and then its management. In many patients more ...
Boise Elizabeth - - 2014
In this article asthma assessment and patient education protocol for the Oto-Allergy Clinic at Wexner Medical Center at The Ohio State University Department of Otolaryngology, Division of Sinus and Allergy, are shared.
Okeley Nicole M - - 2014
The concept of using monoclonal antibodies for delivering drugs to cancer cells has been explored for decades, with early work surrounding nonspecific targets and drugs with low potencies. These studies underscored the importance of critical parameters, such as antigen and tumor target selection, linker stability, drug potency, pharmacokinetics, and conjugation ...
Pauly Daniel F - - 2014
Acute decompensated heart failure may occur de novo, but it most often occurs as an exacerbation of underlying chronic heart failure. Hospitalization for heart failure is usually a harbinger of a chronic disease that will require long-term, ongoing medical management. Leaders in the field generally agree that repeated inpatient admissions ...
Ansell Stephen M - - 2014
The goal of therapy for patients with advanced-stage Hodgkin lymphoma is to ensure that as many patients as possible are healthy and free of disease decades after completing treatment. To achieve this, the treating physician needs to select the most effective therapeutic regimen, but also needs to choose a treatment ...
Diefenbach Catherine - - 2014
Although most patients with Hodgkin lymphoma (HL) are cured with primary therapy, patients with primary refractory disease or relapse after initial treatment have poor outcomes and represent an unmet medical need. Recent advances in unraveling the biology of HL have yielded a plethora of novel targeted therapies. This review provides ...
Hertzberg Mark - - 2014
For relapsed-refractory Hodgkin Lymphoma, standard therapy consists of salvage chemotherapy followed by autologous stem cell transplantation. Adverse risk factors at relapse include response duration less than 12 months, advanced stage, extranodal disease, "B" symptoms and anemia. There is no obvious superior salvage regimen although maintaining dose-intensity is important for optimal ...
Mechtler Laszlo L - - 2014
This article focuses on advancements in neuroimaging techniques, compares the advantages of each of the modalities in the evaluation of mild traumatic brain injury, and discusses their contribution to our understanding of the pathophysiology as it relates to prognosis. Advanced neuroimaging techniques discussed include anatomic/structural imaging techniques, such as diffusion ...
Capone Patrick M - - 2014
This article provides an imaging overview of several of the common central nervous system (CNS) infections. Neurologic clinicians who provide acute care for patients should be familiar with the range of imaging findings for patients with acute neurologic infections, including knowledge of the appropriate study and the best protocol and ...
Nandigam Kaveer - - 2014
An in-depth knowledge of the imaging characteristics of the common neurocutaneous diseases (NCD) described in this article will help neurologists understand the screening imaging modalities in these patients. The future of neuroimaging is geared towards developing and refining magnetic resonance imaging (MRI) sequences. The detection of tumors in NCD has ...
Herman Andrea - - 2014
Sjögren's syndrome is a chronic systemic autoimmune disease that can affect any organ system in the body. The most common symptoms are dryness of the mouth and eyes resulting from chronic inflammation and a progressive loss of secretory function. As with most individuals managing a chronic condition, patients with Sjögren's ...
Klarich Julie - - 2014
This article reviews occupational therapy treatment and physical therapy treatment during preprosthetic training for upper and lower extremity amputees. Review of preoperative intervention, preparing the residual limb for the prosthesis, instruction in techniques, and adaptive equipment for activities of daily living, as well as suggestions for return to vocational and ...
Kistenberg Robert S - - 2014
New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who ...
Passero Thomas - - 2014
Limb deficiency has a significant impact on the involved person, with upper limb absence presenting a materially different set of issues than lower limb absence. The primary objectives in fitting a patient with a prosthesis are to enhance their independence in performing daily activities, and to improve their quality of ...
Pirolo Joseph M - - 2014
Ulnar-sided wrist pain is a common cause of upper-extremity disability, which has long been thought of as a diagnostic and therapeutic dilemma because of the overlapping anatomy and complex differential diagnosis. Common sources of ulnar-sided pain include pathology of the triangular fibrocartilage complex, ulnocarpal impaction syndrome, lunotriquetral ligament tears, and ...
Risseeuw F F Department of Cardiac Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium, - - 2014
The aim of this systematic review is to gain insight into the published experience on percutaneous closure of a post-infarction ventricular septal rupture (VSR). Relevant literature was obtained by MeSH-term searches in the online search-engine PubMed. Articles published in the last 10 years were included. Further filtering was done by using ...
Nijenhuis V J VJ Department of Cardiology, St. Antonius Hospital, Koekoekslaan 1, 3435, Nieuwegein, the Netherlands, - - 2014
To assess current antithrombotic treatment strategies in the Netherlands in patients undergoing transcatheter aortic valve implantation (TAVI). For every Dutch hospital performing TAVI (n = 14) an interventional cardiologist experienced in performing TAVI was interviewed concerning heparin, aspirin, thienopyridine and oral anticoagulation treatment in patients undergoing TAVI. The response rate was 100 %. ...
Bidra Avinash S - - 2014
Evidence-based dentistry is rapidly emerging to become an integral part of patient care, dental education, and research. Prosthodontics is a unique dental specialty that encompasses art, philosophy, and science and includes reversible and irreversible treatments. It not only affords good applicability of many principles of evidence-based dentistry but also poses ...
Wiens Jonathan P - - 2014
Occlusion is the foundation for clinical success in fixed, removable, and implant prosthodontic treatment. Understanding those principles is critical when restoring a patient's occlusion. Many philosophies, devices, and theories of occlusion have evolved based on anecdotal clinical observations and applied geometric perceptions. The literature has reported these classic and contemporary ...
Baba Nadim Z - - 2014
The clinical success and longevity of indirect restorations depend on the careful and accurate completion of several procedures. One of the challenging procedures is management of the gingival tissues and gingival esthetics. The goal for management of gingival tissues and gingival esthetics is to maintain the normal appearance of healthy ...
Olvera Norma - - 2014
Specific alternatives to traditional complete denture therapy have been controversial because of the uncertainties surrounding effectiveness of retention. This article addresses the importance of retention, border molding, diagnosis, and treatment planning, and the meticulous attention to detail required throughout the treatment course of these alternative modalities. Indications, advantages, and limitations ...
Partida Mary Norma - - 2014
The geriatric population (age 65 and older) is the fastest growing segment nationally and globally. The large population will continue to increase because of baby boomers that have recently turned 65 years old. Within this cohort, there is much diversity in health, socioeconomic levels, education, and health beliefs. There is a ...
Zandparsa Roya - - 2014
Navigation technology is applied successfully in oral and maxillofacial surgery. Laser beams are used for caries removal. With nanodentistry, it is possible to maintain comprehensive oral health care. Nanorobots induce oral analgesia, desensitize teeth, and manipulate the tissue. They can also be used for preventive, restorative, and curative procedures. Strategies ...
Zandparsa Roya - - 2014
Bioceramics have been adopted in dental restorations for implants, bridges, inlays, onlays, and all-ceramic crowns. Dental bioceramics include glass ceramics, reinforced porcelains, zirconias, aluminas, fiber-reinforced ceramic composites, and multilayered ceramic structures. The process of additive manufacturing is ideally suited to dentistry. Models are designed using data from a computed tomography ...
Barewal Reva Malhotra - - 2014
Dentists are becoming increasingly aware of the importance of the detection and management of obstructive sleep apnea. The anatomic and neuromuscular risk factors in the pathogenesis of obstructive sleep apnea are reviewed with particular emphasis on oral findings. Mandibular repositioning appliances hold an important role in the treatment of this ...
De Kok Ingeborg J - - 2014
The pivotal point in treatment planning for dental implants occurs when the location of bone is viewed radiographically in the context of the planned prosthesis. Radiographic planning for dental implant therapy should be used only after a review of the patient's systemic health, imaging history, oral health, and local oral ...
Bryington Matthew - - 2014
Dental implants are an indispensible tool for the restoration of missing teeth. Their use has elevated the practice of dentistry by improving both our technical ability to rehabilitate patients and general quality of life. To routinely achieve the associated high expectations, diligent attention to details must be observed and addressed ...
Thalji Ghadeer - - 2014
Implant-supported dental restorations can be screw-retained, cement-retained, or a combination of both, whereby a metal superstructure is screwed to the implants and crowns are individually cemented to the metal frame. Each treatment modality has advantages and disadvantages. The use of computer-aided design/computer-assisted manufacture technologies for the manufacture of implant superstructures ...
Yanase Roy T - - 2014
The development of an oral care path focuses on the identification of the early indicators of disease. Once the risks have been identified and diagnosed, the proper therapies can be selected and prescribed. The experienced practitioner must meld clinical experience and observation with evidence-based scientific dentistry and information on the ...
Lang Lisa A - - 2014
A critically appraised topic (CAT) review is presented about the use of computer-aided design (CAD)/computer-aided machining (CAM) removable partial denture (RPD) frameworks. A systematic search of the literature supporting CAD/CAM RPD systems revealed no randomized clinical trials, hence the CAT review was performed. A PubMed search yielded 9 articles meeting ...
Bohnenkamp David M - - 2014
This article provides a review of the traditional clinical concepts for the design and fabrication of removable partial dentures (RPDs). Although classic theories and rules for RPD designs have been presented and should be followed, excellent clinical care for partially edentulous patients may also be achieved with computer-aided design/computer-aided manufacturing ...
Tanck Esther E Orthopaedic Research Laboratory, Radboud university medical center, PO Box 9101, 6500 HB, Nijmegen, the Netherlands, - - 2014
Many students in Biomedical Sciences have difficulty understanding biomechanics. In a second-year course, biomechanics is taught in the first week and examined at the end of the fourth week. Knowledge is retained longer if the subject material is repeated. However, how does one encourage students to repeat the subject matter? ...
Abu-Zaid Ahmed A College of Medicine, Alfaisal University, PO Box 50927, Riyadh, 11533, Saudi Arabia, - - 2014
There is a rapidly increasing movement towards integrating scientific research training into undergraduate medical education. The aim of this study was to explore the perceived attitudes of female second-year undergraduate medical students towards research at the College of Medicine, Alfaisal University, Saudi Arabia, as well as to explore if any ...
Fridén Jan J Department of Hand Surgery, Institute of Clinical Sciences, The Sahlgrenska Academy at Göteborg University, 413 45 Göteborg, Sweden. - - 2014
This study reviews the usefulness of surgical improvement of arm and hand function in patients with non-traumatic spinal cord injury who differ significantly from individuals with post-traumatic tetraplegia with respect to age, injury pattern, gender and socio-economic factors. Case series. Tests were conducted preoperatively and 12 months postoperatively. The results ...
Schaumberg Debra A DA Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts2The Schepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, - - 2014
The CX3CR1 gene is implicated as a candidate gene for age-related macular degeneration (AMD) through several lines of evidence. There is uncertainty, however, as to whether common genetic variants in CX3CR1 alter risk of AMD, since prior studies have been inconsistent and mostly limited to evaluation of 2 nonsynonymous variants, ...
Mueller-Spitz S R SR Department of Biology and Microbiology, University of Wisconsin Oshkosh, Oshkosh, WI, - - 2014
Polycyclic aromatic hydrocarbons (PAH) are a common environmental contaminant originating from both anthropogenic and natural sources. Mycobacterium species are highly adapted to utilizing a variety of PAH. Silver nanoparticles (AgNP) are an emerging contaminant that possess bactericidal properties, interferes with the bacterial membrane and alters function. Mycobacterium sp. strain RJGII-135 ...
Hoyos-Mallecot Y Y Department of Microbiology, University Hospital Virgen de las Nieves, Granada, Spain; Clinical Medicine and Public Health, Postgraduate programme, University of Granada, Granada, - - 2014
We have evaluated a matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) method for the identification of carbapenemases and for distinguishing metallo-β-lactamases (MBLs). A total of 49 noncarbapenemase-producing and 14 carbapenemase-producing Enterobacteriaceae and Pseudomonas aeruginosa clinical strains, previously characterized by PCR, were included in the study. With MALDI-TOF ...
Garcia-Soto E - - 2013
INTRODUCTION. Stroke is one of the main causes of disability. Physical activity has shown a benefit in the physical rehabilitation of these patients. However, its role improving cognitive function has not been studied by far. AIM. To review studies that evaluate the impact of physical activity on cognitive recovery after ...
Herrero-San Martin A - - 2013
INTRODUCTION. Alzheimer's disease (AD) is the most frequent degenerative dementia in our setting. In most patients the initial manifestations of the disease consist in a selective and progressive compromise of memory. Yet, it is not a homogeneous process and in some cases the mode of presentation can be atypical. The ...
Diaz-Anzaldua A - - 2013
INTRODUCTION. Autism spectrum disorders (ASD) are common and complex neuropsychiatric disorders in which multiple factors may contribute to the phenotype. AIM. To review current knowledge about possible risk factors for ASD. DEVELOPMENT. Medline, OMIM and Ensembl databases were searched for possible risk factors, disease and gene information. CONCLUSIONS. There is ...
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