The primary aim of this study was to explore current practice related to assessments, protocols, referrals, and treatments for visual problems after stroke by occupational therapists (OTs) working in stroke inpatient settings in Scotland. Methods: A questionnaire was designed to gather information about the respondent's stroke inpatient setting, the vision ...

Background:  Higher levels of impulsivity have been implicated in the development of alcohol use disorders. Recent findings suggest that impulsivity is not a unitary construct, highlighted by the diverse ways in which the various measures of impulsivity relate to alcohol use outcomes. This study simultaneously tested the following dimensions of ...

BACKGROUND: Disability/problems, one phenomenon underlying people's need for health care services, can be viewed both from the perspectives of people with stroke (felt problems), and the health professionals (assessed problems). OBJECTIVE: The aim was to describe felt problems three months after stroke and to explore the concurrence between felt problems ...

Animals collecting patchily distributed resources are faced with complex multi-location routing problems. Rather than comparing all possible routes, they often find reasonably short solutions by simply moving to the nearest unvisited resources when foraging. Here, we report the travel optimization performance of bumble-bees (Bombus terrestris) foraging in a flight cage ...

Background The "Extended ICF Core Set for stroke" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of people with stroke. Objective The objective of this study was to validate this ICF Core Set from the perspective ...

AIDS-associated cholangiopathy is a form of biliary tract inflammation with stricture formation seen in AIDS patients who are severely immunosuppressed. It is no longer common in countries in which HAART therapy is widely employed but is still seen in underdeveloped countries. The majority of patients are symptomatic at the time ...

Scrotal and testicular problems range from the benign and painless to the malignant and debilitating. The primary care physician should be able to triage these problems and know when to give reassurance and when to initiate a targeted workup that may lead to specialist intervention. This article focuses on scrotal ...

The International Classification for Primary Care (ICPC) standard aims to facilitate simultaneous and longitudinal comparisons of clinical primary care practice within and across country borders; it is also used for administrative purposes. This study evaluates the use of the original ICPC-1 and the more complete ICPC-2 Norwegian versions in electronic ...

In studies of EEG/MEG problems involving cortical sources, the cortex may be modeled by a 2-D manifold inside the brain. In such cases the primary or impressed current density over this manifold is usually approximated by a set of dipolar sources located at the vertices of the cortical surface tessellation. ...

The middle nasal third is often the source of both aesthetic and functional problems with primary rhinoplasty. Weakness of the middle nasal vault can occur from overresection of the upper lateral cartilages or cartilaginous nasal septum, malposition of the upper lateral cartilages, or from secondary scarring from the primary rhinoplasty. ...

BACKGROUND: Teachers have been identified as at increased risk of developing an occupational voice disorder. Primary school teachers are particularly at risk as they have little opportunity for voice rest during the working day. AIM: To analyse the prevalence and impact of voice problems in primary school teachers in the ...

Medication errors are harmful and costly for healthcare systems. Recent studies show that a major part of these errors are due to the problems in transferring the patient current medication-data between primary and secondary healthcare. Recent ICT development promises to improve the communication between primary and secondary healthcare. In order ...

Cryptococcus isolates from AIDS patients in southern California were characterized by molecular analyses. Pheromone MFalpha1 and MFa1 gene fragments were polymerase chain reaction-amplified with fluorescently labeled primers and analyzed by capillary electrophoresis (CE) on DNA analyzer. CE-fragment-length analyses (CE-FLAs) and CE-single-strand conformation polymorphisms (CE-SSCPs) were used to determine Cryptococcus gattii ...

In this pilot study, we assessed wheelchair durability and its effect on user satisfaction. Specifically, we examined the characteristics of the participants' wheelchairs, the types of maintenance and repairs completed, and whether the participants' satisfaction was affected by problems with their wheelchairs. A convenience sample of 130 participants who used ...

Eruptions in the diaper area are the most common dermatologic problem in infancy. Such eruptions can be subdivided into primary diaper dermatitis, an acute inflammation of the skin in the diaper area with an ill-defined and multifactorial etiology, and secondary diaper dermatitis, a term which encompasses eruptions in the diaper ...

Using the relatively new "persona" design concept, Web strategists create a set of archetypical user characters, each one representing one of their site's primary audiences. Then, as their site is constructed or upgraded, they champion the personas, arguing on their behalf and forcing the design team to take each audience's ...

Cardiac disease and dysfunction can occur as a primary disorder(ie, with pathology situated in one or more of the cardiac structures) or can be classified as a secondary problem when it occurs in patients with another primary problem that has affected the heart either directly or indirectly. Primary cardiac problems ...

Dogs with long-standing, chronic, recurrent otitis externa often represent one of the most frustrating types of problems in daily clinical practice. The important aspect of this discussion is that the clinician may be presented with a patient in which the primary chief complaint is otitis externa but a wide variety ...

Syringe-exchange programs (SEPs) have proven to prevent the spread of bloodborne pathogens, primarily human immunodeficiency virus (HIV), among injection drug users (IDUs). In the United States, only about 7% of IDUs have access to and use SEPs. Some IDUs engage in secondary syringe exchange (SSE), meaning that one IDU (a ...

To distinguish common epithelial tumors arising in the kidney may have significant implications, in terms of molecular ontogeny and prognosis. It is important to investigate the distribution of immunoexpression of commonly used markers among renal neoplasms and to develop a useful panel as an adjunct to histologic examination, which could ...

When we remove bile duct stones in endoscopic retrograde cholangiopancreatography, we sometimes encounter the complication of basket impaction. In most cases, bile duct stones can be crushed with a mechanical lithotriptor. An endotriptor also is commonly used to resolve the problem of basket impaction. An endotriptor is more powerful than ...

Mite infestation of the ear is an unusual clinical problem that is easily cured with simple measures and recurrent infestation has not been reported till date. We present here a patient who developed recurrent infestation of otherwise healthy mastoid cavities with the storage mite Caloglyphus berlesei, secondary to occupational exposure. ...

Surnames of grandparents were collected from children in the primary schools of the Albanian-Italian, Croat-Italian and Greek-Italian villages of southern Italy and Sicily. The coefficients of relationships by isonymy show almost no relationship with ethnicity. Ethnolinguistic minorities of southern Italy and Sicily are geographically subdivided into two main clusters: the ...

Alcohol and drug addiction are common with people with psychiatric disorders and addiction problems can be primary, leading to psychiatric disorders, or secondary to psychiatric disorder. Treating the primary problem first often helps the patient to recover from the secondary problems also. We present a case of a lady with ...

Mice with homozygous mutations of the Pax-6 gene exhibit a constellation of developmental problems including the absence of eyes and nasal cavities and problems in the movement of neuroblasts out of the germinal epithelium. In this paper, we demonstrate further disturbances in neuronal migration. Normally, cells produced along the lateral ...

Processes of stress proliferation are explored in a sample of informal caregivers to people with AIDS. Proliferation refers to the tendency for stressors to beget stressors. Two forms of proliferation are explored, each based on the distinction between primary and secondary stressors. Among AIDS caregivers, primary stressors are the hardships ...

"This paper explores the ¿borderline community of migration'.... The placing of migrant identities is examined in the context of Hong Kong immigrants in Britain and Canada. Changes in identity and the meaning of the multiplicity of migrant identities are explored through interview material. The tensions between the multiple facets of ...

After successful transfer of the Littler neurovascular island flap, patients may be troubled by persistent problems at the donor site. We describe a technique that allows primary closure of this site, which has significantly improved appearance and sensation of the donor finger.

A brief review of some current views of consciousness is provided. Edelman's view of there being both 'primary consciousness' and 'higher order consciousness' is supported. The basis for the clinical view that primary consciousness is the result of the dynamic interaction between the cerebral cortex and the brainstem reticular activating ...

Primary acquired conjunctival melanosis presents as a unilateral conjunctival pigmentation, mostly in middle-aged patients, with a strong tendency to progress to malignancy. The clinical picture is specific and doesn't cause major diagnostic problems. It is important to recognize the entity, to observe it closely and treat it early and adequately.

Recurrent parotid sialadenitis due to isolated parotid duct stenosis is an uncommon condition and poses a difficult management problem. Conventional surgical practice carries with it a potentially high morbidity for what is a benign condition. We present three cases where parotid duct stenosis has been treated by balloon dilatation and ...

PURPOSE: To present the importance of the concepts of Edward J Curran in relation to primary angle-closure glaucoma, and include a biographical sketch. METHOD: An historical method is adopted. RESULTS: Curran's propositions of pupillary obstruction and its relief by peripheral iridotomy were conceded only after 30 years, and had to ...

In the aftermath of the Lockerbie air disaster, identification of the victims (plane occupants and local residents) was established by two primary methods: odontology and dactylography. Scottish law requires corroboration of evidence of identity, so both primary methods were used whenever possible, with further evidence occasionally derived from the matching ...

Two patients with a severe biliary stricture of one intrahepatic duct and associated intrahepatic stones were successfully treated after dilatation of their stricture by a new endobiliary rendezvous technique with the aid of percutaneous transhepatic cholangioscopy (PTCS). The strictured bile duct was approached from a contralateral percutaneous tract via PTCS ...

The copy number and stability of several plasmid vectors in Clostridium acetobutylicum ATCC 824 were determined. The protocols were modified from the traditional ones to overcome the problems associated with unusual behavior of C. acetobutylicum cells on solid medium. The plasmid copy numbers of pSYL2, pFNK1, pFNK3, and pFNK5 in ...

In vitro, bile duct stones, mostly comprising calcium bilirubinate, are readily fragmented by extracorporeal shockwave lithotripsy (ESWL). In the case of intrahepatic stones, ESWL is effective if the stones float freely in the bile, but if the stones completely fill, or are impacted within, the hepatic duct or bile duct, ...

Orthotopic liver transplantation has been performed in Birmingham since 1982. Two types of biliary reconstruction have been used, the choledocho-choledochostomy and the choledocho-cholecysto-choledochostomy (gallbladder (GB) conduit). A retrospective study was undertaken to compare the biliary tract complications encountered at cholangiography in these two groups to assess which reconstruction is safest. ...

The aims of the study were to compare the results of endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous cystopancreatography (PCP) in the detection of the communication between the pancreatic pseudocyst and the pancreatic duct, and to assess the reliability of the increased amylase concentration in the pseudocyst content as an indicator ...

Caries of the primary incisors is a common problem that can be arrested if recognized early enough. However, the arrested decay is unsightly. Celluloid 'strip' crown forms, used with composite resin, now allow the restoration of even the most badly decayed primary incisors. The authors describe this quick and efficient ...

The capacity to suffer, the vulnerability with respect to suffering, confers on all animals with that capacity (not just human beings) a prima facie right not to be caused suffering. Nurturing in order to stave off such suffering is the first act of the community toward the individual, primarily in ...

Cladistic methodology has become common in phylogenetic analyses of the hominid fossil record. Even though it has correctly placed emphasis on morphology for the primary determination of affinities between groups and on explicit statements regarding traits and methods employed in making phylogenetic assessments, cladistics nonetheless has limitations when applied to ...

Neurologic complications of the acquired immune deficiency syndrome (AIDS) most often present as brain dysfunction and/or a polyneuropathy. We describe a unique neurological problem of a woman with AIDS who presented with a cauda equina mass due to primary CNS lymphoma. She subsequently developed a fulminant lymphomatous meningitis and died. ...

Enterostomies are usually well tolerated if they function optimally. A common problem is a hernia at the enterostomy site. Separation of the lateral aspect of the enterostomy tunnel from the seromuscular layer of the intestine permits a space to occur. With time, intra-abdominal pressure gradually enlarges this space to bring ...

The records of 35 horses with Grade 3 or 4 rectal tears, presented to the Veterinary Medical Center at Texas A & M University over a five year period, were reviewed. Grade 3 tears were sub-classified according to whether the remaining tissue was serosa (Grade 3a) or mesorectum (Grade 3b). ...

Five patients were treated for corrections of problems in the primary dentition. Anterior and posterior crossbite, deep overbite malocclusion, and overbite malocclusion were treated with simple removable orthodontic appliances. Early orthodontic treatment for these patients helped resolve any functional problems that could interfere with later growth and development, such as ...

Protection from hypothermia and drowning are the primary requirements for an immersion suit system during ship, rig, or helicopter abandonment in the North Atlantic. In order to achieve this, the suit must be dry and comfortable. The problems involved in manufacturing such a suit are discussed and the fact is ...

Urolithiasis represents the symptomatic manifestation of various metabolic disturbances which persist after elimination of the immediate problem, i.e., urinary stones, and may lead to the development of recurrent stones. Invasive surgical removal of recurrent stones is sometimes associated with considerable problems. Against this backdrop it is not surprising that after ...

Positive contrast herniography was used in the workup of 550 patients with unclear groin pain. The majority of these patients had rather characteristic hernias of indirect, direct or femoral type. However, now and then diagnostic problems arose. A femoral hernia may look like a direct, indirect or even obturator hernia. ...

Childhood gynecologic problems are different from adult problems in physiology, disease, psychology, evaluation and management. The most common is vulvovaginitis. The child is susceptible to vulvovaginitis because of a relatively exposed vulva, a thin vaginal wall and poor hygiene. Additional problems are heat and moisture, clothing, coverings and possible sexual ...

200 good readers and 41 poor readers selected from 718 pupils in a primary school, grade 1-6 were examined in respect of stereopsis, visual acuity, phorias, tropias, fusional breakpoint, fusional amplitude and objective refraction. No statistical difference was found between the 2 reader groups, and the need for optical aid ...