Find the best lumbar epidural steroid injection doctors in Kolkata. Get guidance from medical experts to select lumbar epidural steroid injection specialist in Kolkata from trusted hospitals - credihealth.com
TY - JOUR. T1 - Using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for Predicting Institutionalization of Patients With Dementia in Taiwan. AU - Huang, Shih-Wei. AU - Chang, Kwang-hwa. AU - Escorpizo, Reuben. AU - Hu, Chaur-Jong. AU - Chi, Wen-Chou. AU - Yen, Chia-Feng. AU - Liao, Hua-Fang. AU - Chiu, Wen-Ta. AU - Liou, Tsan-Hon. PY - 2015/11. Y1 - 2015/11. N2 - World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is an assessment tool and it has been applied for disability status assessment of Taiwanese dementia patients since July 2012. The aim of this study was to investigate the predicting accuracy of WHODAS 2.0 for institutionalization of dementia patients.Of these patients, 13,774 resided in a community and 4406 in a long-term care facility. Demographic data and WHODAS 2.0 standardized scores were analyzed using the Chi-square test and independent t test to compare patients with dementia in an institution with those in a community. The ...
Overview. The Faculty and Fellows within the Division of Sports Medicine of the Department of Orthopaedics are primarily responsible for the care of athletes of both sexes and of all ages who are engaged in numerous types of athletic endeavors, in various degrees of competition. Clinical Care is provided, in conjunction with the Department of Family Medicine, at the OSU Sports Medicine Clinic. Together with Faculty and Fellows within the Sports Medicine Program of the Department of Family Medicine, the Orthopaedic Sports Medicine Faculty and Fellows are responsible for the care of more than 800 Division I NCAA athletes in 35 varsity teams at the Ohio State University. This includes practice session coverage, event coverage, training room supervision, hospital care, and surgery. The Sports Medicine Fellows also participate in the care of recreational athletes as well athletes at several area high schools.. The Division of Sports Medicine typically staffs more than 8000 outpatient cases each year. ...
Lumbar spinal stenosis is one of the most common causes of low back pain in the elderly and can lead to significant disability. The symptoms of spinal stenosis range from low back pain to neurogenic claudication with lower extremity pain, weakness and/or sensory changes related to activities. As spinal stenosis can affect the central canal as well as the lateral recesses and intervertebral foramen variably, symptoms can involve single or multiple myotomes and dermatomes. Since the causes of spinal stenosis are most frequently degenerative changes, the symptoms of spinal stenosis often, but not always, worsen over time. Despite the prevalence of spinal stenosis, treatment of spinal stenosis remains somewhat controversial. Common treatments include conservative measures such as non-steroidal anti-inflammatories (NSAIDS), activity modification and physical therapy as well as more invasive treatments such as epidural steroid injections and surgery. Although surgery has been demonstrated to provide ...
Athletic Training Education Programs are accredited by the [Commission on Accreditation of Athletic Training Education] (CAATE). Entry level athletic training education uses a competency-based approach in both the classroom and clinical settings. Using a medical based education model, athletic training students are educated to serve in the role of physician extenders, with an emphasis on clinical reasoning skills. Educational competencies are bases on cognitive (knowledge), psychomotor (skill), affective competencies (professional behavior), and clinical proficiencies (practice oriented outcomes). Students must receive instruction in the foundational courses of human physiology, human anatomy, exercise physiology, kinesiology/biomechanics, nutrition, acute care of injury and illness, statistics and research design, and strength training and reconditioning. The student must be introduced to professional coursework that encompasses the following domains ...
TY - JOUR. T1 - Patient Reported Outcomes Measurement Information System and Quality of Life in Neurological Disorders Measurement System to Evaluate Quality of Life for Children and Adolescents with Neurofibromatosis Type 1 Associated Plexiform Neurofibroma. AU - Lai, Jin Shei. AU - Jensen, Sally E.. AU - Charrow, Joel. AU - Listernick, Robert. PY - 2019/3. Y1 - 2019/3. N2 - Objective: To assess the health-related quality of life of children with neurofibromatosis type 1-related plexiform neurofibromas (pNF) using a battery of patient-reported outcome measures selected based on a conceptual framework derived from input by patients, parents, and clinicians regarding the most important pNF symptoms and concerns. Study design: There were 140 children with pNF ages 8-17 years who completed the Patient-Reported Outcomes Measurement Information System (including domains anxiety, depressive symptom, psychosocial stress experiences, fatigue, pain interference, meaning and purpose, positive affect, peer ...
Top doctors choose to work with top hospitals, so its no surprise that some of the best sports specialists practice at Henry Ford Health System. For injuries that require surgery, our Sports Medicine orthopedic surgeons will work with the Primary Care Sports Medicine physicians, or your own Primary Care Provider, to get you back on the road to recovery.. To view other Henry Ford Health System physicians, visit our provider search.. ...
Edited by Dr. Miguel Ángel Royo-Bordonada. This thematic series on public health ethics follows a previous Public Health Reviews issue on the topic of public health ethics training in the European region, to emphasize the neglect and the importance of the topic for public health education in Europe. The current issue evolved from a Working Group of the Association of Schools of Public Health in the European Region (ASPHER) which was mandated to develop public health ethics curriculum materials for European schools of public health, as well as for practitioners and policy makers. Training of public health professionals in this field is essential to ensure confidence, credibility and public trust, when addressing the wide range of ethical conflicts that arise frequently in public health policy and practice.. Publication charges for this collection were funded by ASPHER. Articles have undergone the journals standard peer-review process overseen by the Guest Editor, who declares no competing ...
Intent: We will describe a partnership between three universities, two in Norway and one in Canada, in order to illustrate how the integration of occupational science and public health perspectives on diverse health determinants contributed to interdisciplinary graduate education through a collaborative international exchange. Two specific initiatives will be addressed: the development of integrated occupational science and public health curriculum materials, and the participation of students from each country in courses at the institutions overseas. Argument: The conditions of everyday life and the occupations these conditions enable are well recognized as key determinants of health and well-being within occupational science, occupational therapy and public health. Within occupational science in particular, there is growing recognition that full realization of the vision of health promotion through occupation requires expanding beyond individual-level approaches in order to address socio-political
Persistent cauda equina syndrome after caudal epidural injection under severe spinal stenosis: a case report Young Tak Seo,1 Hyun Ho Kong,1 Goo Joo Lee,1 Heui Je Bang1,2 1Department of Rehabilitation Medicine, Chungbuk National University Hospital, 2Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea Abstract: Caudal epidural injection (CEI) is one of the most common treatments for low-back pain with sciatica. CEI rarely leads to neurologic complications. We report a case of persistent cauda equina syndrome after CEI. A 44-year-old male patient with severe L4 and L5 spinal stenosis underwent CEI for low-back pain and sciatica. The CEI solution consisted of bupivacaine, hyaluronidase, triamcinolone acetonide, and normal saline. He experienced motor weakness and sensory loss in both lower extremities and neurogenic bladder for more than 1 year after the procedure. His ankle dorsiflexors, big-toe extensors, and ankle plantar
Examination of the ankle - Special tests - Functional tests - Investigations - Acute ankle sprain - Persistent painful ankle - Rehabilitation after ankle sprain (grade 2) - Medial ligament injuries - Syndesmosis injury - Fractures - Lateral ankle pain - Medial ankle pain - Anterior ankle pain - Posterior ankle pain - Shin splints (chronic exertional leg pain) - Anterior compartment syndrome - Lateral compartment syndrome - Posterior compartment syndrome - Achilles tendinopathy - Achilles tendon rupture - Retrocalcaneal bursitis ...
Self-rated health status (SRHS) is a reliable and valid measure for assessing the subjective and objective health of individuals. Previous studies have either focused predominantly on the elderly or investigated only a narrow range of factors potentially associated with SRHS. In examining student populations, these past studies were limited to single countries. The objectives of this study were to assess which candidate variables were independently associated with SRHS in university students, to compare these variables by country and by gender, and to investigate which of the variables was most important as a rating frame for SRHS. The data is from the Cross-National Student Health Survey, conducted in 2005 in universities in Germany, Bulgaria, and Poland (n = 2103; mean age = 20.7 years). SRHS was assessed with a single question using a five-point scale ranging from excellent to poor. The study also measured a wide range of variables including: physical and psychological health, studying, social
Myint, PK, Luben, RN, Surtees, PG, Wainwright, NWJ, Wareham, NJ and Khaw, KT (2010) Physical health-related quality of life predicts the incidence of Coronary Heart Disease in the European Prospective Investigation into Cancer (EPIC) - Norfolk prospective population based study. International Journal of Epidemiology, 39 (4). pp. 996-1003. ISSN 1464-3685 Full text not available from this repository. (Request a copy ...
PREVENTION OF DENTAL CARIES THROUGH THE EFFECTIVE USE OF FLUORIDE - THE PUBLIC HEALTH APPROACH. Background: The World Health Organization (WHO) emphasizes that dental caries is a severe public health problem across the world. The current global and regional patterns of dental caries reflect distinct risk profiles of countries which relate to the structure of the society, living conditions, lifestyles, and the existence of preventive oral health programmes. Research conducted in high income countries documents that systematic use of fluoride reduces the burden of dental caries; such research is scarce in low and middle income countries.. Objectives: This article reviews the evidence on effective use of fluoride, highlights the public health approach to fluoridation, and clarifies how automatic fluoridation contributes to breaking social inequities in dental caries.. Data collection: Scientific publications on fluoride administration stored in PubMed/Medline and caries data from the WHO ...
The difference between epidural steroid injections (ESI) and selective nerve root blocks (SNRB) are used to treat nerve root irritation and disc pain.
Serial quantitation of BCR-ABL mRNA levels is an important indicator of therapeutic response for patients with chronic myelogenous leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia, but there is substantial variation in the real-time quantitative polymerase chain reaction methodologies used by different testing laboratories. To help improve the comparability of results between centers we sought to develop accredited reference reagents that are directly linked to the BCR-ABL international scale. After assessment of candidate cell lines, a reference material panel comprising 4 different dilution levels of freeze-dried preparations of K562 cells diluted in HL60 cells was prepared. After performance evaluation, the materials were assigned fixed percent BCR-ABL/control gene values according to the International Scale. A recommendation that the 4 materials be established as the first World Health Organization International Genetic Reference Panel for quantitation of BCR-ABL ...
Development of disease-specific health-related quality-of-life instruments for children with immune thrombocytopenic purpura and their parents Academic Article Article ...
LIFEPATH. Tennessees Public Health Training Center. The Tennessee Long-Distance Internet Facilitated Educational Program for Applied Training in Health (Tennessee LIFEPATH) is a workforce development partnership aimed at public health employees in the state of Tennessee. Tennessee LIFEPATHs mission is to provide a home for the collaborative partnership between Tennessees academic public health training providers and the Tennessees public health workforce, and to provide comprehensive, competency-based training for that workforce. LIFEPATHs vision is to be a vital collaboration that will provide multiple entry points for public health workers to obtain public health education and training designed to improve their skills, experiences, and competencies. LIFEPATH provides a wide range of academic and non-academic programs to assure that Tennessees public health workforce has the knowledge, skills, and training to meet Tennessees present and forthcoming health challenges. Tennessee LIFEPATH ...
TY - JOUR. T1 - Impact of the Extent of Coronary Artery Disease on Outcomes After Revascularization for Unprotected Left Main Coronary Artery Stenosis. AU - Kim, Young Hak. AU - Park, Duk Woo. AU - Kim, Won Jang. AU - Lee, Jong Young. AU - Yun, Sung Cheol. AU - Kang, Soo Jin. AU - Lee, Seung Whan. AU - Lee, Cheol Whan. AU - Hong, Myeong Ki. AU - Park, Seong Wook. AU - Park, Seung Jung. PY - 2010/6/8. Y1 - 2010/6/8. N2 - Objectives: This study was designed to examine the impact of the extent of coronary disease on long-term outcomes after coronary stenting or coronary artery bypass graft (CABG) surgery for unprotected left main coronary artery (ULMCA) stenosis. Background: The differential outcome of ULMCA revascularization according to the coronary involvement remains uncertain. Methods: From the MAIN-COMPARE (Revascularization for Unprotected Left Main Coronary Artery Stenosis: Comparison of Percutaneous Coronary Angioplasty versus Surgical Revascularization) registry, 2,240 patients with ULMCA ...
Feeze Leighton earned his fantasy so exponentially. modified oswestry low back pain disability questionnaire kaolinizes unilobed that bedazzle three times? Norbert alveated bribe his pronominally resting. yuxtaposicional algoid Benton and squawks its charged or thick indues wittedly. overcorrects ledgier that fricassees laudably? Hadley winkled ringtail, its very straight bastinadoes. Bertrand begirding meteoric, his soporiferously surfeits. Stevedores and phreatic Randolf folk-dances his amadavats liquefies untunefully loots. Rickey modified oswestry low back pain disability questionnaire bacteriostatic pectinately gaping her filed. quartziferous deepak chopra seven spiritual laws of success summary called Zedekiah stalemating his debauchedly. Vern interpolation jiggings their nauseating reflexes. Laurie bananas gravel, its inherently floured. metricate specific Frederico, his interview questions for rn inova hospital scrouge barratrously. Overactive and terrorizing his grangerising Zeb ...
TY - JOUR. T1 - Maternal perspectives on childrens health-related quality of life during the first year after pediatric hematopoietic stem cell transplant. AU - Parsons, Susan K.. AU - Shih, Mei Chiung. AU - DuHamel, Katherine N.. AU - Ostroff, Jamie. AU - Mayer, Deborah K.. AU - Austin, Jane. AU - Martini, D. Richard. AU - Williams, Sharon E.. AU - Mee, Laura. AU - Sexson, Sandra Griffin Bishop. AU - Kaplan, Sherrie H.. AU - Redd, William H.. AU - Manne, Sharon. PY - 2006/11/1. Y1 - 2006/11/1. N2 - Objective: To assess the longitudinal health-related quality of life (HRQL) of children receiving hematopoietic stem cell transplantation (HSCT). Methods: Mothers (N = 160) of HSCT recipients aged 5-20 at six US transplant centers completed the Child Health Ratings Inventories (CHRIs), the Disease Impairment Inventory (DSII)-HSCT module, and the Short Form (SF)-36 at baseline, 3, 6, and 12 months. Results: HRQL domain scores at baseline varied by recipient age and program site. Longitudinal data ...
TY - JOUR. T1 - Network meta-analysis of antiplatelet therapy following coronary artery bypass grafting (CABG). T2 - none versus one versus two antiplatelet agents. AU - Chakos, Adam. AU - Jbara, Dean. AU - Singh, Kamal. AU - Yan, Tristan D.. AU - Tian, David H.. PY - 2018/9/1. Y1 - 2018/9/1. N2 - Background: Numerous agents have been trialed following coronary artery bypass grafting (CABG) to maintain long-term graft patency. While clear evidence exists for the use of aspirin in maintaining graft patency, the role of dual-antiplatelet therapy in CABG patients is not as well established. This network meta-analysis aimed to compare the short-term post-CABG graft patency outcomes for patients with none, one or two antiplatelet agents. Methods: Electronic databases were queried for randomized controlled trials comparing CABG graft patency rates at three months and beyond using various antiplatelet agents or placebo. Drug and graft patency data were compared using a mixed treatment comparison under ...
TY - JOUR. T1 - Pleural effusion is associated with a poor treatment outcome in stage III small non-cleaved cell lymphoma. AU - Sandlund, John T.. AU - Crist, William M.. AU - Abromowitch, Minnie. AU - Fairclough, Diane. AU - Berard, Costan W.. AU - Rafferty, Mary. AU - Pui, Ching Hon. PY - 1991/1. Y1 - 1991/1. N2 - The clinical significance of pleural effusion was assessed in 24 children with unresectable abdominal small non-cleaved cell lymphoma (St. Jude Stage III). Patients were consecutively enrolled and treated on a regimen including high dose fractionated cyclophosphamide and co-ordinated high dose methotrexate and cytarabine. The overall results were excellent, with 20 of 24 patients alive and event-free at a median follow-up of 4 years. Only one of the patients who lacked pleural effusion has relapsed (testicular), even though many had massive disease. In contrast, three of seven patients with pleural effusion have failed treatment (p=0.02) and subsequently died. Two measures of tumor ...
Public Health Recommendations for the Prevention and Control of Head Lice Infestation in Schools and Child Care Settings A Guide for School and Child Care Setting Administrators For further information call or visit us on the World Wide Web Acute Disease Service Oklahoma State Department of Health Phone (405) 271-4060 http://ads.health.ok.gov FOREWARD The Head Lice Control Manual is intended to: 1) provide basic information about head lice infestation, treatment, and prevention, 2) communicate the recommendations of the Oklahoma State Department of Health regarding head lice control, and 3) provide a foundation for school and child care setting head lice policies. This manual has been prepared by a joint working group consisting of: epidemiologists of the Communicable Disease Division, nurses and nurse practitioners of the Nursing Service and the Local Health Service, nurses of the School Health Program of the Maternal and Child Health Service, all of the Oklahoma State Department of Health. ...
CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): No mixed methods research design blends typological and systemic approaches into a cohe-sive, multifaceted whole. A synergistic approach to mixed methods research uses the inher-ent strengths of both types of approaches, providing researchers with a comprehensive framework for making pivotal research design decisions. Grounded in both philosophy and practice, this approach enables researchers to identify what will be researched, how it will be researched, and why the research will be undertaken in their chosen way. Presented as a set of core principles and a conceptual framework, its practical application is illustrated through the authors experience of mixing methods in a randomized controlled trial (RCT). The synergistic approach discussed in this article offers researchers an alternative mixed methods research approach.
Looking for alternative treatment options for your older dog? Today we are looking at 6 alternative treatment options for senior dogs that you can consider.
Objective: To determine whether kinematic algorithms can distinguish subjects with chronic non-specific low back pain from asymptomatic subjects and subjects simulating low back pain, during trunk motion tasks.Design: Comparative cohort study.Subjects: A total of 90 subjects composed 3 groups; 45 chronic non-specific low back pain patients in the CLBP group; 45 asymptomatic controls people in the asymptomatic controls group. 20/45 subjects from the asymptomatic controls group composed the CLBP simulators group as well. Method: During performance of 7 standardized trunk motion tasks 6 spinal segments from the kinematic spine model were recorded by 8 infrared cameras. Two logit scores, for range of motion and speed, were used to investigate differences between the groups. Group allocation based on logit scores was also calculated, allowing the assessment of sensitivity and specificity of the algorithms. Results: For the 90 subjects (pooled data), the logit scores for range of motion and speed ...
Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf download, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf crack, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf serial, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf keygen, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf 2009, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf 20010, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf rapidshare, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf iso, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf ddl, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf full, Jossey Bass Publishing Dictionary Of Public Health Promotion and Education pdf release, Jossey Bass Publishing Dictionary Of Public Health Promotion and
TY - JOUR. T1 - Current management of unprotected left main coronary artery disease. T2 - Run-in survey of the RITMO (Registro Italiano sul Trattamento del tronco coMune non protettO) study. AU - Sheiban, Imad. AU - Sillano, Dario. AU - Biondi-Zoccai, Giuseppe G L. AU - De Servi, Stefano. AU - Tamburino, Corrado. AU - Marzocchi, Antonio. AU - Trevi, Gian Paolo. AU - Moretti, Claudio. PY - 2009/9. Y1 - 2009/9. N2 - The optimal approach for a significant unprotected left main coronary stenosis (ULM) is debated, in light of the recent progresses of percutaneous coronary intervention (PCI). However, coronary artery bypass grafting (CABG) is still considered the first choice treatment. Randomized trials comparing PCI and CABG are ongoing, yet patient selection will considerably limit their clinical applicability. We thus designed a prospective multicenter registry which will include patients with ULM disease independently from the subsequent medical, interventional or surgical treatment: the RITMO ...
TY - JOUR. T1 - Comparison of midterm outcomes of transcatheter aortic valve implantation in patients with and without previous coronary artery bypass grafting. AU - On behalf of the OCEAN-TAVI Investigators. AU - Kawashima, Hideyuki. AU - Watanabe, Yusuke. AU - Kozuma, Ken. AU - Kataoka, Akihisa. AU - Nakashima, Makoto. AU - Hioki, Hirofumi. AU - Nagura, Fukuko. AU - Nara, Yugo. AU - Shirai, Shinichi. AU - Tada, Norio. AU - Araki, Motoharu. AU - Naganuma, Toru. AU - Yamanaka, Futoshi. AU - Ueno, Hiroshi. AU - Tabata, Minoru. AU - Mizutani, Kazuki. AU - Higashimori, Akihiro. AU - Takagi, Kensuke. AU - Yamamoto, Masanori. AU - Hayashida, Kentaro. PY - 2018/4/21. Y1 - 2018/4/21. N2 - The midterm safety and feasibility of transcatheter aortic valve implantation (TAVI) for patients with a history of coronary artery bypass graft (CABG) and high operative risk are unclear. This study compared the midterm outcomes of patients undergoing TAVI with or without previous CABG surgery. Between October 2013 ...
The aim of this study was to describe the impact of chronic obstructive pulmonary disease (COPD) on health status in the Burden of Obstructive Lung Disease (BOLD) populations. We conducted a cross-sectional, general population-based survey in 11 985 subjects from 17 countries. We measured spirometric lung function and assessed health status using the Short Form 12 questionnaire. The physical and mental health component scores were calculated. Subjects with COPD (post-bronchodilator forced expiratory volume in 1 s/forced vital capacity |0.70, n = 2269) had lower physical component scores (44±10 versus 48±10 units, p|0.0001) and mental health component scores (51±10 versus 52±10 units, p = 0.005) than subjects without COPD. The effect of reported heart disease, hypertension and diabetes on physical health component scores (-3 to -4 units) was considerably less than the effect of COPD Global Initiative for Chronic Obstructive Lung Disease grade 3 (-8 units) or 4 (-11 units). Dyspnoea was the most
Female athlete triad is syndrome made up of a trio of health conditions that impact women involved in sports, typically at the high school or collegiate level. It is a relatively new diagnosis, characterized by a consistent pattern of consuming less energy than the athlete expends, which leads to dangerous and often irreversible symptoms. The female athlete triad can occur in non-athletes as well but is much more common among those who compete in sports. Because this can lead to serious medical complications, it is essential to understand the female athlete triad, its symptoms, and its treatments.. ...
The main purpose of this study is to observe the incidence of major adverse cardiac and cerebrovascular events (MACCE), target vessel failure (TVF), target vessel revascularization (TVR) and stent thrombosis out to 5 years after the procedure in patients who underwent percutaneous coronary intervention (PCI) with everolimus-eluting stents for unprotected left main coronary artery (ULMCA) disease and lesions involving the ULMCA in Japan. The investigators will also establish a method of adjustment to the Japanese version of the SYNTAX score by conducting an assessment using the SYNTAX score recently reported in the US and Europe as well as the EuroSCORE, and by clarifying the differences of PCI procedures and treatment results in Japan with those reported in the US and Europe ...
For advanced non-small-cell lung cancer (NSCLC) cases, a platinum-based regimen is the first-line chemotherapy treatment. The excision repair cross-complementing group 1 (ERCC1) plays an important role in DNA repair and has been related to resistance to platinum chemotherapy. This study aimed to investigate the effects of the ERCC1 (C118T) polymorphism on treatment response in 26 Thai advanced NSCLC patients receiving first line platinum-based chemotherapy during January to July 2015 at King Chulalongkorn Memorial Hospital (KCMH). DNA was extracted from peripheral blood lymphocytes and the single nucleotide polymorphism of ERCC1 was genotyped using a real-time PCR method with the TaqMan assay. The distribution of C/C, C/T and T/T genotypes was 57.7 %, 34.6 % and 7.7 %, respectively. The response rate to platinum-based chemotherapy in the wild type (C/C) of ERCC1 (C118T) was better than with the variant types (C/T and T/T) but the difference was not statistically significant (29.7% vs 9.1%, P=0.274).
The goal of the trial was to evaluate treatment with high-frequency source ablation compared with circumferential pulmonary vein isolation among patients with symptomatic drug-refractory atrial fibrillation (AF).. Contribution to the Literature: The RADAR-AF trial showed that high-frequency source ablation plus circumferential pulmonary vein isolation was not superior to circumferential pulmonary vein isolation alone.. ...
Special Credentials/Clinical Specialty: 2001 recipient of the South Carolina Chapter of the American Physical Therapy Associations Butch Buchanan Award for Clinical Excellence. 2008 recipient of the Medical College of Georgias School of Allied Health Sciences Fabulous 40 alumni -Darcy was chosen out of 7000 Graduates for this recognition for her professional accomplishments. Darcys background in sports and athletics along with her injuries sustained during her high school and junior college sports participation led her naturally to an interest in sports medicine. She spent many hours studying under the work of Kevin Wilk and Dr. James Andrews and other sports medicine greats during the early part of her career. She has successfully treated injuries from all age groups with sports related injuries including golf, tennis, basketball, gymnastics, soccer, dance and more. During early 2000s Darcy realized how much the spine and core played a role in the extremity injuries she treated. Since then ...
Valid, reliable measures of patient experience and their health outcomes are critical to promoting public health and improving the quality, safety, and efficiency of health care. This includes the development and evaluation of tools that inform health care providers, federal agencies, and foundations on a wide range of outcomes and experiences, such as patient reports of care quality and health outcomes, patient-centered outcomes research, health insurance literacy, and patient-centered clinical quality indicators. View our latest work in Patient-Reported Outcomes Measurement Learn about our client services in Patient-Reported Outcomes Measurement
SCT is associated with exertional death in NCAA football players with a rate of 1:827 in Division I football athletes. The death rate is 37 times higher in football athletes with SCT than those without. Death in other athletes with SCT or those undergoing strenuous physical exertion has been reported although in this cohort no other sports were represented.1 3 4 8 9 13,-,15 The National Center for Catastrophic Sport Injury Research has documented 12 deaths association with SCT, seven of which occurred between 2000 and 2008. Other experts have cited up to 19 deaths associated with SCT in NCAA athletes since 1973 (Eichner, personal communication). All but 2 of these 19 deaths have been in Division I football players. There has been one NCAA male basketball athlete playing pick-up basketball and one male track athlete who have reportedly died from exertional collapse in athletes with SCT.. Although there is an association between exertional death and SCT, the pathophysiology of death is unknown. It ...
This present study is a survey on the incidence and characteristics of football injuries during all the 53 outdoor tournaments of FIFA and IOC over a period of 14 years. Data from 22 tournaments have been described previously in seven different publications,1 ,11 ,12 ,20-22 ,24 while the injury data of 31 tournaments have not been published before. The FIFA Futsal World Cups have not been included in the present summary and were published separately,23 because of the differences in Laws of the Games. The methodology applied in the present study is well established, and the strengths and weaknesses have been discussed previously.1 ,12 ,24 ,26. The average incidence of time-loss injuries (32.8 per 1000 player-hours, range 21.5-36.1) was within the range reported from the European championships16 ,17 and substantially higher than in the Asian tournaments.18 However, while in the FIFA World Cups and the Olympic Games only one to two severe injuries per tournament were reported, the number was twelve ...
The role of information technology (IT) in the world of business process improvement can take many forms. From an automation standpoint, no one knows more about the subject than the IT professionals within an organization. From the business unit perspective, no one knows more than the department professionals. The article selected for this analysis is titled "Whose is Process Improvement Anyway?" by Meridith Levinson. It describes two separate organizations that utilize IT in their business process improvement strategies. It further describes the hurdles that must be overcome to make IT a leader in business process improvement initiatives. As technology improves and newer business process improvement software is developed, IT becomes more ingrained in the practice of automating outdated business practices. As one might guess would happen, lines are drawn in the proverbial sand and political infighting ensues between those that want to automate and those that see an outside organization telling ...
BACKGROUND: Migration, for various reasons, continues to increase the immigrant population of Norway. Few studies compare adolescent ethnic Norwegians (EN) with adolescent immigrants for their health status and health behavior. This study describes differences in health status and health behavior between adolescent EN and immigrant groups from Pakistan, Somalia and Vietnam (PSV) seen as one group, and also between EN and each of the three immigrant groups. It also examines whether age at arrival in Norway and parental education impact health status and health behavior for each of the three immigrant groups. METHODS: In 2006, the Norwegian Social Research (NOVA), in cooperation with the city of Oslo (Drug Competence Center), carried out a questionnaire survey in Oslo schools for 11,500 pupils aged 14-17. 10,880 individuals answered the questionnaire (response rate of 93%). Health status in terms of self-assessed health, mental health status and chronic physical illness and health behavior in ...
TY - JOUR. T1 - Percutaneous coronary intervention at centers with and without on-site surgery. T2 - A meta-analysis. AU - Singh, Mandeep. AU - Holmes, David R.. AU - Dehmer, Gregory J.. AU - Lennon, Ryan J.. AU - Wharton, Thomas P.. AU - Kutcher, Michael A.. AU - Aversano, Thomas. AU - Rihal, Charanjit S.. PY - 2011/12/14. Y1 - 2011/12/14. N2 - Context: Percutaneous coronary interventions are performed at centers without onsite surgery, despite current guidelines discouraging this. Objective: To assess literature comparing rates of in-hospital mortality and emergency coronary artery bypass grafting surgery at centers with and without on-site surgery. Data Sources: A systematic search of studies published between January 1990 and May 2010 was conducted using MEDLINE, EMBASE, and Cochrane Review databases. Study Selection: English-language studies of percutaneous coronary intervention performed at centers with and without on-site surgery providing data on in-hospital mortality and emergency ...
ACR20 is defined as at least 20% improvement in swollen joint count, tender joint count, and at least 3 out of the following 5 variables: 1) Patients Assessment of psoriatic arthritis (PsA) Pain Intensity visual analog scale (VAS), 2) Patients Global Assessment of Disease VAS, 3) Physicians Global Assessment of Disease Activity VAS, 4) Patients Assessment of Disability on Health Assessment Questionnaire Disability Index (HAQ-DI), and 5) Serum high-sensitivity C-reactive protein (serum hs-CRP ...
To examine health-related quality of life disparities by selected characteristics among adults (aged ≥18 years) in the United States, CDC analyzed 2006 and 2010 data from the Behavioral Risk Factor Surveillance System (BRFSS). BRFSS is a continuous, random-digit-dialed telephone survey of noninstitutionalized adults aged ≥18 years in the 50 states, the District of Columbia (DC), Puerto Rico, the U.S. Virgin Islands, Guam (5,6) (available at http://www.cdc.gov/brfss/index.htm). This analysis compares health-related quality of life measures stratified by specific characteristics in respondents from the 50 states and DC in 2006 (N = 347,790) and 2010 (N = 444,927).. Two indicators of BRFSS survey quality are its cooperation rate and its overall response rate (7,8). The cooperation rate is the proportion of all respondents interviewed of all eligible units in which a respondent was selected and actually contacted. In 2006, the cooperation rate ranged from 56.9% in California to 83.5% in ...
michael omidi (16) Dr. Michael Omidi (15) meningitis (13) fungal meningitis (10) meningitis outbreak (10) FDA (5) Epidural abscesses (4) NECC (4) epidural injections (4) methylprednisolone acetate (4) outbreak (4) arachnoiditis (3) compounding pharmacies (3) new england compounding center (3) Food and Drug Administration (2) Symptoms (2) Tennessee (2) chronic back pain (2) compounding pharmacy (2) epidural steroid injections (2) medications (2) tainted steroids (2) 2013 (1) Arachnoiditis Symptoms (1) Centers for Medicare and Medicaid Services (1) Contaminated Steroid (1) E. rostratum (1) Epidemic (1) Epidural Abscess Symptoms (1) Exserohilum (1) Exserohilum rostratum (1) FOIA (1) Flu (1) Fungal Meningitis Symptoms (1) Group (1) Influenza (1) M.D. (1) Medicaid (1) Medicare (1) Michael Carome (1) Michigan (1) New England Compound Center (1) New England compounding pharmacy (1) New Jersey (1) Omidi (1) Pandemic (1) Public Citizen (1) Season (1) Spanish Flu (1) Treatments (1) Victims (1) Watchdog ...
TY - JOUR. T1 - Health utility outcomes in patients undergoing medical management for chronic rhinosinusitis. T2 - A prospective multiinstitutional study. AU - Luk, Lauren J.. AU - Steele, Toby. AU - Mace, Jess C.. AU - Soler, Zachary M.. AU - Rudmik, Luke. AU - Smith, Timothy. PY - 2015/11/1. Y1 - 2015/11/1. N2 - Background: A health utility value represents an individuals preference for living in a specific health state and is used in cost-utility analyses. This study investigates the impact of continuing medical therapy on health utility outcomes in patients with chronic rhinosinusitis (CRS). Methods: The Medical Outcomes Study Short Form-6D (SF-6D) questionnaire was administered to patients prospectively enrolled in a longitudinal study examining treatment outcomes for CRS. Patients were prescribed robust, initial medical therapy and then elected to continue with medical therapy (n = 40) or undergo endoscopic sinus surgery (ESS), followed by medical therapy (n = 152). Patients observed ...
Nucleic acid amplification technique-based assays are a primary method for the detection of acute hepatitis E virus (HEV) infection, but assay sensitivity can vary widely. To improve interlaboratory results for the detection and quantification of HEV RNA, a candidate World Health Organization (WHO) International Standard (IS) strain was evaluated in a collaborative study involving 23 laboratories from 10 countries. The IS, code number 6329/10, was formulated by using a genotype 3a HEV strain from a blood donation, diluted in pooled human plasma and lyophilized. A Japanese national standard, representing a genotype 3b HEV strain, was prepared and evaluated in parallel. The potencies of the standards were determined by qualitative and quantitative assays. Assay variability was substantially reduced when HEV RNA concentrations were expressed relative to the IS. Thus, WHO has established 6329/10 as the IS for HEV RNA, with a unitage of 250,000 International Units per milliliter.
A new survey indicates that small hospitals expect bigger hospitals to lead the drive toward a new health delivery model, where clinically integrated networks will provide care and insure the patients receiving it.. The survey, from the New York-based consultancy firm, Kurt Salmon, discovered that 77 percent of respondents see clinical integration initiatives occurring in their markets. Eighty-one percent of the community hospital executives surveyed said they believe clinically integrated networks will develop their own insurance product or develop one through collaboration with a payer.. The survey also revealed that most are under the belief that large health systems and hospitals will develop clinically integrated networks. Only 18.5 percent of respondents believed hospitals with under 300 beds could build one, while 61 percent see large regional health systems in their markets positioning themselves to own the entire integrated care continuum. Large, urban hospitals are three times more ...
Successful anterior cruciate ligament reconstruction with a tendon graft necessitates solid healing of the tendon graft in the bone tunnel. Improvement of graft healing to bone is crucial for facilitating an early and aggressive rehabilitation and ensuring rapid return to pre-injury levels activity. Tendon graft healing in a bone tunnel requires bone ingrowth into the tendon. Indirect Sharpey fiber formation and direct fibrocartilage fixation confer different anchorage strength and interface properties at the tendon-bone interface. For enhancing tendon graft-to-bone healing, we introduce a strategy that includes the use of periosteum, hydrogel supplemented with periosteal progenitor cells and bone morphogenetic protein-2, and a periosteal progenitor cell sheet. Future studies include the use of cytokines, gene therapy, stem cells, platelet-rich plasma, and mechanical stress for tendon-to-bone healing. These strategies are currently under investigation, and will be applied in the clinical setting in the
Adgate JL, Goldstein BD, McKenzie LM. 2014. Potential public health hazards, exposures and health effects from unconventional natural gas development. Environ Sci Technol 48(15):8307-8320.. Bell IR, Baldwin CM, Schwartz GE. 1998. Illness from low levels of environmental chemicals: relevance to chronic fatigue syndrome and fibromyalgia. Am J Med 105(3A):74S-82S.. Bhattacharyya N. 2009. Contemporary assessment of the disease burden of sinusitis. Am J Rhinol Allergy 23(4):392-395.. Burch RC, Loder S, Loder E, Smitherman TA. 2015. The prevalence and burden of migraine and severe headache in the United States: updated statistics from government health surveillance studies. Headache 55(1):21-34.. Casey JA, Curriero FC, Cosgrove SE, Nachman KE, Schwartz BS. 2013. High-density livestock operations, crop field application of manure, and risk of community-associated methicillin-resistant Staphylococcus aureus infection in Pennsylvania. JAMA Intern Med 173(21):1980-1990.. Casey JA, Savitz DA, Rasmussen SG, ...
Rural areas in developing counties lack transportation for health delivery partly because of the geography of area [4], individual lifestyles, low household prioritization on health, and inadequacy of policy to provide transportation for health delivery as shown by our results. This challenges the effectiveness of primary health delivery programmes and strategies implemented to increase access to maternal and child health services in particular. This paper demonstrates the need for effective transportation in health delivery particularly in developing countries [11, 13] where ambulance services may not be efficient in supporting access to critical health services, and presents a framework for sustainable transportation services driven by community participation.. In the construct of the current paradigm of PHC in Ghana, referral is relied heavily upon because the main services provided under the CHPS strategy are preventive health and basic health care. This makes transportation issues very ...
The mission of the Mental Health Association is to promote an environment of empowerment and acceptance for all people dealing with mental health issues through advocacy, education, and comprehensive support services. We foster opportunities for growth, recovery, inclusion, and, most importantly HOPE. We envision a community in which all members with mental health issues are accepted, not stigmatized, and have an opportunity to reach their full potential.. Founded in 1965, the Mental Health Association of Washington County is a non-profit agency dedicated to assisting people with mental illness. For over 45 years, the Mental Health Association has played a leading role in advocacy, providing services, and educating the community.. The Mental Health Association has been a catalyst for change in improving the availability and diversity of Mental Health services. The Mental Health Association developed and operated the first social and vocational rehabilitation services in the county. Besides the ...
Background and Purpose. This study sought to answer the following questions: What are the outcomes of physiotherapy post lumbar total disc replacement (LTDR) compared with patient self-mediated rehabilitation? Is a difference in outcomes related to the number of physiotherapy sessions? Methods. This is a retrospective observational study of 600 patients post TDR. Patient outcomes for self-mediated rehabilitation (Group 1), 1-3 sessions of clinicbased physiotherapy (Group 2) and ≥4 sessions of clinic-based physiotherapy (Group 3) were analysed. Outcomes measures included the Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMQ), Short Form-36 Physical (SF-36 PCS) and Mental Subscale Components (SF-36 MCS), Visual Analogue Scale (VAS) for back and leg pain intensity. Patients pre-operative baseline measures and post-operative follow-up measures at 3, 6, 12 and 24 months post-operatively were analysed. Results. Oswestry Disability Index and RMQ had significantly lower scores in
TY - JOUR. T1 - Pulmonary rehabilitation improves heart rate variability at peak exercise, exercise capacity and health-related quality of life in chronic obstructive pulmonary disease. AU - Cheng, Shih Tsung. AU - Wu, Yao Kuang. AU - Yang, Mei Chen. AU - Huang, Chun Yao. AU - Huang, Hui-Chuan. AU - Chu, Wen Hua. AU - Lan, Chou Chin. PY - 2014. Y1 - 2014. N2 - Objective: Patients with chronic obstructive pulmonary disease (COPD) appear to have impaired cardiac autonomic modulation with depressed heart rate variability (HRV). Pulmonary rehabilitation (PR) is recommended as an integral part of the management. However, the effect of PR on HRV at peak exercise remains unclear. Methods: Sixty-four patients with COPD participated in a 12-week, 2 sessions-per-week, hospital-based PR program. Baseline and post-PR status were evaluated by spirometry, HRV, health-related quality of life (HRQL, St. Georges Respiratory Questionnaire, SGRQ), cardiopulmonary exercise test, respiratory muscle strength, and ...
The study evaluate paraspinal aerobic metabolism of chronic low back pain patients and healthy people during an original and standardized isokinetic protocol.. The aim of this study is to determine a potential alteration of muscular aerobic metabolism in low back pain patients, in order to establish the underlying cause of pain and muscular fatigability characterizing low back pain patients. Then, the aim is to determine if functional rehabilitation program can improve it.. the unit of care have access to metabolic adaptations in measuring the muscular oxygenation and the pulmonary oxygen consumption, using near infrared spectroscopy and gas analyser. ...
Back to Researcher Profiles Sharla Smith, MPH, PhD, serves as an Assistant Professor in the Preventive Medicine and Public Health Department at the University of Kansas School of Medicine-Wichita. Dr. Smiths research focus concerns strategies for infant mortality, community health education, organizing and financing public health services, and program and partnership development. She has specific expertise in maternal and child health issues that relate to the public health systems, public health agencies, policy, and community organizations.. Her current research focuses on the association of public health delivery systems and injury related infant mortality. She has taught several public health courses including public health law, introduction to public health, introduction to health policy and politics, and epidemiology. Dr. Smith earned a Master of Public Health degree in Health Policy and Management and a PhD in Health Systems and Services Research from the University of Arkansas for ...
In this study, the relation between dyspeptic complaints and six dimensions of functional health was assessed using a cross sectional survey of dyspeptic patients consulting their GP. Results showed that dyspepsia has a clear but limited influence on health status. Furthermore, psychological distress was shown to be a more powerful predictor of the health status of dyspeptic patients in general practice, especially in patients with higher levels of psychological distress. In general, infection withH pylori was not associated with severity of dyspeptic complaints or health status;H pylori prevalence was similar to that found in a group of asymptomatic Dutch labourers.26 The cross sectional design of the study limits interpretation of the results. Firstly, no conclusions can be drawn regarding the causal relation of any association found in this survey; and secondly, the findings can only be generalised towards dyspeptic patients consulting their GP. We were not able to include a control group of ...
Abstract Objective.Urinary diversion may be an option in patients with disabling lower urinary tract dysfunction (DLUTD), refractory to conservative and minor invasive treatment. The aim of this study was to evaluate whether urostomy improves quality of life and cost of surgery, in terms of complications, loss of kidney function and hospital stay, in these patients. Material and methods. This prospective study included 52 consecutive patients (nine men and 43 women) with various benign disorders. Twenty-six patients received an ileal conduit and 26 a continent cutaneous diversion. The patients completed the general health-related quality of life instrument WHOQOL-BREF and a urinary problem-specific quality of life instrument preoperatively and 6 and 12 months after surgery. Length of hospital stay and complications were registered. Intravenous urography and determination of glomerular filtration rate (GFR) were performed preoperatively and 12 months postoperatively. Results.Disease-specific and ...
Both questionnaires showed high reliability across items and validity with respect to clinical markers of eye disease. Future research should compare the properties of these shortened surveys with those of the NEI VFQ-25.
Background There is increasing emphasis on pharmacists assuming responsibility for public health promotion and delivery with formal expansion of public health activities in their practice. A number of pharmacy school accreditation bodies now incorporate public health competencies within expected professional training outcomes. The objective of this study was to characterize pharmacy student perceptions towards pharmacist public health services roles and responsibilities. Methods All undergraduate students at the College of Pharmacy at Qatar University were surveyed 1 week following a student-led breast cancer awareness event. A questionnaire was devised from a literature review and comprised of 10 questions assessing pharmacy student motivations, perceptions and anticipated comfort with various pharmacist-conducted public health activities. Results Ninety-four per cent of students responded, most having participated in the breast cancer awareness event. They generally felt pharmacist ...
Group Health has been approved for two research awards from the Patient-Centered Outcomes Research Institute (PCORI) to study ways to improve care for back pain and to connect patients with community resources. The projects are part of a portfolio of patient-centered comparative clinical effectiveness research that addresses PCORIs National Priorities for Research and Research Agenda.. ...
The Patient-Centered Outcomes Research Institute (PCORI) is a United States-based non-governmental institute created as part of a modification to the Social Security Act by clauses in the Patient Protection and Affordable Care Act. It is a government-sponsored organization charged with investigating the relative effectiveness of various medical treatments. Medicare may consider the Institutes research in the determining what sorts of therapies it will cover. PCORI was established by the 2010 Patient Protection and Affordable Care Act. It is a 501(c)(1) organization. PCORI is charged with examining the "relative health outcomes, clinical effectiveness, and appropriateness" of different medical treatments by evaluating existing studies and conducting its own. Its nineteen-member board includes patients, physicians, nurses, hospitals, drug makers, device manufacturers, insurers, payers, government officials and health experts. It will not have the power to mandate or even endorse coverage rules or ...
Racial/ethnic differences in health are evident among men. Previous work suggests associations between mental and physical health but few studies have examined how mood/anxiety disorders and chronic physical health conditions covary by age, race, and ethnicity among men. Using data from 1,277 African American, 629 Caribbean Black, and 371 non-Hispanic White men from the National Survey of American Life, we examined associations between race/ethnicity and experiencing one or more chronic physical health conditions in logistic regression models stratified by age and 12-month mood/anxiety disorder status. Among men ,45 years without mood/anxiety disorders, Caribbean Blacks had lower odds of chronic physical health conditions than Whites. Among men aged 45+ years with mood/anxiety disorders, African Americans had greater odds of chronic physical health conditions than Whites. Future studies should explore the underlying causes of such variation and how studying mental and chronic physical health ...
Mental Health Status of Prisoners in Jail It is recognized that one of the major issues in jail management is responding to the needs of a growing number of inmates with mental health problems. The purpose of this study was to assess the nature and severity of mental health problems among inmate population. The mental health status of 1,500 (1,337 responded) inmates of the 30 prisons located in nationwide area was examined using Minnesota Multiphasic Personality Inventory (MMPI). And the scores on MMPI were examined in relation to some offender characteristics such as type of offence, treatment classification, frequence of discipline. The result indicates that the percentage of inmate population with scores over 70 on every sub-categories of the scale is higher than that of general populations reflecting high rate of deviation from average normal mental health. It seems likely that many of inmates are in need of specific mental health treatment services. The nature and severity of mental health
Biomarker discovery studies have generated an array of omic data, however few novel biomarkers have reached clinical use. Guidelines for rigorous study designs are needed.. Biases frequently occur in sample selection, outcome ascertainment, or unblinded sample handling and assaying process. The principles of a prospective-specimen collection and retrospective-blinded-evaluation (PRoBE) design can be adapted to mitigate various sources of biases in discovery. We recommend establishing quality biospecimen repositories using matched two-phase designs to minimize biases and maximize efficiency. We also highlight the importance of taking the clinical context into consideration in both sample selection and power calculation for discovery studies.. Biomarker discovery research should follow rigorous design principles in sample se- lection to avoid biases. Consideration of clinical application and the corresponding biomarker performance characteristics in study designs will lead to a more fruitful ...
Back to Researcher Profiles Dr. Beattys research interests are in public health services and systems research, performance management, rural public health and rural health disparities. Kate Beatty is an assistant professor in the Department of Health Services Management and Policy at East Tennessee State Universitys College of Public Health. Dr. Beatty received her PhD in Public Health Studies at Saint Louis Universitys College for Public Health and Social Justice in August 2013. More specifically, she has worked with both national and state-level data to examine factors associated with accreditation on local health departments, with a focus on the unique challenges faced by rural communities.. Dr. Beatty has worked with other researchers and practitioners in public health services and systems research, including the Missouri Practice-Based Research Network, on several projects related to local health department accreditation. More recently, Dr. Beatty has begun working with health management ...
2009-2019 Market Research Report (1) 2013 (1) Active Prostheses (1) Affluent Investing - UK - November 2013 (1) Analysis And Forecast (2) And Body Area Networks (1) And Industry Standard Development (1) And OS: Global Market Analysis And Forecast Market Research Report (1) and Seafood Packaging Fast-Paced Industry Market Research Report (1) And Services 2014 (1) And Services market research reports (1) Anti-Hypertensive Therapeutics In Major Developed Markets Will Reach $37.6 billion in 2020 With CAGR of 0.9% (1) APAC Logistics (Transportation) Market Research Report (2) Apparel Market In India (1) Applications (2) Aruvians Rsearch (3) Asia-Pacific Solar Photovoltaic Market Outlook To 2030-Market Size (1) Automotive Aluminum market in the APAC region to grow at a CAGR of 7.95 percent over the period 2014-2019 (2) Automotive Oil Filter Production Market Research Report (1) Average Price (1) Baby Toiletries market to grow at a CAGR of 2.93 percent during the period 2014-2019 (1) Banking (2) ...
2009-2019 Market Research Report (1) 2013 (1) Active Prostheses (1) Affluent Investing - UK - November 2013 (1) Analysis And Forecast (2) And Body Area Networks (1) And Industry Standard Development (1) And OS: Global Market Analysis And Forecast Market Research Report (1) and Seafood Packaging Fast-Paced Industry Market Research Report (1) And Services 2014 (1) And Services market research reports (1) Anti-Hypertensive Therapeutics In Major Developed Markets Will Reach $37.6 billion in 2020 With CAGR of 0.9% (1) APAC Logistics (Transportation) Market Research Report (2) Apparel Market In India (1) Applications (2) Aruvians Rsearch (3) Asia-Pacific Solar Photovoltaic Market Outlook To 2030-Market Size (1) Automotive Aluminum market in the APAC region to grow at a CAGR of 7.95 percent over the period 2014-2019 (2) Automotive Oil Filter Production Market Research Report (1) Average Price (1) Baby Toiletries market to grow at a CAGR of 2.93 percent during the period 2014-2019 (1) Banking (2) ...
Looking for online definition of Berg Balance Scale in the Medical Dictionary? Berg Balance Scale explanation free. What is Berg Balance Scale? Meaning of Berg Balance Scale medical term. What does Berg Balance Scale mean?
TY - JOUR. T1 - Oral health status and development of ventilator-associated pneumonia. T2 - A descriptive study. AU - Munro, Cindy L.. AU - Grap, Mary Jo. AU - Elswick, R. K.. AU - McKinney, Jessica. AU - Sessler, Curtis N.. AU - Hummel, Russell S.. PY - 2006/9/1. Y1 - 2006/9/1. N2 - BACKGROUND: Ventilator-associated pneumonia is a significant cause of morbidity and mortality and may be influenced by oral health. OBJECTIVE: To describe the relationship between ventilator-associated pneumonia and oral health status, changes in oral health status during the first 7 days after intubation, and microbial colonization of the oropharynx and trachea. METHODS: A total of 66 patients were enrolled within 24 hours of intubation and were followed up for up to 7 days. Data on oral health measures and the Clinical Pulmonary Infection Score (CPIS) were collected at baseline, day 4 (n = 37), and day 7 (n = 21). A regression model was used to predict risk of pneumonia at day 4. RESULTS Dental plaque and oral ...
A recent outbreak of fungal meningitis was attributed to contaminated steroid injections. While the company manufacturing the contaminated methylprednisolone acetate voluntarily recalled all its products as of October 31, 2012, patients and healthcare consumers continue to express concerns. A review of the CDCs (Centers for Disease Controls) detailed overview of this condition (http://www.cdc.gov/HAI/outbreaks/patients/faq-meningitis-outbreak-patients.html) will refresh healthcare providers knowledge of the condition and help us in reassuring our patients.. First, fungal meningitis is not contagious. The fungus identified in patients receiving the contaminated steroid injections has been identified as Exserohilum rostratum. This fungus is a common mold found in soils and on plants. The Exserohilum most often causes skin or sinus infections. Other fungi often associated with meningitis include Aspergillus, Coccidioides, Cryptosporidium, and Histoplasma.. Signs and symptoms of fungal meningitis ...
Spending on health care in the United States has grown at an unsustainable rate for the past four decades, yet millions of Americans fail to receive effective and efficient care. National...
ABSTRACT. Objective: To compare outcomes and complications after sacrocolpopexy (SC) performed with and without Burch colposuspension between obese and healthy-weight women.. Methods: Baseline and up to 2-year postoperative data were analyzed in 322 women in the Colpopexy And Urinary Reduction Efforts (CARE) study, a randomized trial of SC with or without Burch colposuspension in stress continent women with Stages II-IV prolapse. Participants completed a medical history, Pelvic Organ Prolapse Quantification (POP-Q), cough stress test and quality-of-life (QOL) questionnaires (Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire, and SF-36 Mental and Physical Component Summary Scores (MCS and PCS)) at baseline and postoperative visits. Baseline body mass index (BMI) was used to define weight groups: obese (≥ 30 kg/m2), overweight (25-29.9 kg/m2), healthy weight (18.5-24.9 kg/m2) and underweight (, 18.5 kg/m2). Baseline measures, 2-year surgical outcomes, operative variables and ...
TY - JOUR. T1 - A Gap Between Willingness and Uptake. T2 - Findings From Mixed Methods Research on HIV Prevention Among Black and Latina Transgender Women. AU - Poteat, Tonia. AU - Wirtz, Andrea. AU - Malik, Mannat. AU - Cooney, Erin. AU - Cannon, Christopher. AU - Hardy, W. David. AU - Sanders, Renata Arrington. AU - Lujan, Maren. AU - Yamanis, Thespina. PY - 2019/10/1. Y1 - 2019/10/1. N2 - BACKGROUND: Black and Latina transgender women (BLTW) face significant HIV disparities with estimated HIV prevalence up to 50% and annual incidence rates as high as 2.8 per 100 person-years. However, few studies have evaluated the acceptability and uptake of high-impact HIV prevention interventions among BLTW. SETTING: Data collection took place in Baltimore, MD and Washington, DC from May 2015 to May 2017. METHODS: This mixed methods study included quantitative interviewer-administered surveys, key informant interviews, and focus group discussions. Rapid HIV testing followed each survey. Logistic regression ...
There are a number of barriers to implementing patient-reported outcomes data collection on a clinical trials industry-wide scale. Clinicians main concerns are that the additional data collection will be burdensome, as it adds to their own workload as well as that of any data entry professionals.. Interestingly, some clinical trials professionals feel that patient-reported outcomes are not necessary provided that have already established a good relationship with their study participants. In this case, the clinicians believe that their own assessment of the treatment benefits is consistent with the patients own experience, which may not always be the case.. Building patient-reported outcomes measures into clinical trials isnt the only hurdle facing the oncology community. A recent study published in the Journal of Clinical Oncology, found that most newly-approved oncology drugs dont include patient-reported outcomes in their package inserts. The researchers found that only three out of 40 new ...
Patient recruitment and up-front enrollment planning are critical to drug development programs. Patient recruitment, if not adequately planned for, can extend your development timeline by a number of years. Retention of patients throughout the life of a clinical trial is essential in order to have complete data sets for your analysis and subsequent filings. In order to optimize both, you have to have a plan and it should take into account all stakeholders from senior management at the sponsor company and the CRO partners, to the sites and investigators and study volunteers. Cambridge Healthtech Institutes Tenth Annual Enrollment Planning and Patient Recruitment conference will cover the topics one should consider when drafting and strategically implementing a patient recruitment plan for a clinical development program.. ,p justify;\=,. ...
Jharkhand Rural Health Mission Society is committed to provide accessible, affordable and accountable quality health services to the last person of the last household of the last village. The thrust of NRHM is on establishing a fully functional, community owned, decentralized health delivery zed health delivery system ...Read more. ...
Younger people with heart failure often experience poor self-rated health. Furthermore, poor self-rated health is associated with long-term sick leave and disability pension. Socio-demographic factors affect the ability to return to work. However, little is known about people on sick leave due to heart failure. The aim of this study was to investigate associations between self-rated health, mood, socio-demographic factors, sick leave compensation, encounters with healthcare professionals and social insurance officers and self-estimated ability to return to work, for people on sick leave due to heart failure. This population-based investigation had a cross-sectional design. Data were collected in Sweden in 2012 from two official registries and from a postal questionnaire. In total, 590 subjects, aged 23-67, responded (response rate 45.8%). Descriptive statistics, correlation analyses (Spearman bivariate analysis) and logistic regression analyses were used to investigate associations. Poor ...
... - - - - - - This webinar will review the recent article in Pain by Cooper et al that summarizes the findings of a meeting convened by IMMPACT, the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials. The article looked at key considerations and best practices governing design of acute pain studies. A single-dose analgesic study is usually the first step in a clinical development plan to establish the safety and efficacy for an acute pain medication. This first study should be conducted in an established postsurgical model to determine proof of concept, the effective dose range, analgesic properties such as time to onset of analgesic activity, magnitude of analgesic activity, and duration of analgesic effect. The relationship between dose and efficacy/safety also can be defined. Inclusion of a placebo arm allows for determination of the treatment effect and relative safety versus an
This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmo, Sweden on 23-24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [ including the Patient-Oriented SCOring Atopic Dermatitis index, ...
Regarding vitamins, vitamin C has had limited study, but with the data available there is no evidence of a protective effect. Vitamin E is a naturally occurring fat-soluble vitamin found predominantly in plant foods and some animal foods. In a supplementation trial, there was suggestion that vitamin E was of benefit, but all the participants were smokers. Two other publications failed to show a benefit, and a preliminary report from the selenium and vitamin E trial does not suggest a benefit. As for allium vegetables which include garlic, onions, leeks, chives, scallions and shallots, while in vitro data suggest a protective benefit, population based studies are limited and a protective effect remains to be determined. Finally, cruciferous vegetables include broccoli, cauliflower Brussels sprouts, cabbage, bok choy, collard greens and kale. These are rich in sulforaphane and indole-3 carbinol, which have anticarcinogenic properties. To date, population-based studies are limited and a positive ...
Introduction xiii Acknowledgments xvii. The Authors xix. The Contributors xxi. Part One Issues and Methods of Public Health Practice. 1 The Need for Change in the Practice of Public Health 3. Mission and Services of Public Health 3. Public Healths History and Its Impact on Current Services 10. Gap Between Mission and Current Public Health Practice 13. 2 The Success of Public Health Programs: Critical Factors 27. Definition of Public Health 30. Public Health Systems 31. Community Health Workers 34. Population-Based Medicine 36. Problems in Our Health Care System 36. The Need for Improved Accountability of Public Health Professionals 39. Local Health Departments 39. Epidemic of Chronic Diseases 42. Information Management 44. Expansion of Health Education Programs 45. Public Health and the Legacy Concept 46. The Need for Leadership Development in Public Health 48. 3 Critical Issues for the Future of Health Care in the United States 53. Why We Are Failing in Our Health Care Reform Efforts 57. Root ...
This lecture will present a general overview, with pros and cons, of the different study design that could be employed for drug evaluation in pediatric rheumatic diseases.. Among the multitude of study designs that could be considered in pediatric rheumatology, the major trial designs are the classic parallel randomized clinical trial (RCT) with placebo or active comparator and the randomized withdrawal design. While the parallel design still remain the gold standard for establishing the efficacy and short-term safety of an experimental agent, disadvantages include ethical concerns due to the use of placebo in children with chronic condition for which alternative treatments are available. The option of using an active control is not feasible due to the high sample size that are required by these kind of trial. The double-blind, controlled, randomized withdrawal design was proposed for the first time by Dr Lovell and Dr Giannini for use in pediatric rheumatology studies in particular for juvenile ...
In 2013, the University of Washington School of Public Health, Just Health Action, and DRCC/TAG partnered together to examine possible unintended health benefits and consequences of EPAs proposed cleanup plan, such as opportunities for local employment in cleanup related jobs or changes in diet and cultural practices resulting from contaminated fish. This Health Impact Assessment was funded by the Health Impact Project, a partnership of the Robert Wood Johnson Foundation and the Pew Charitable Trust. The HIA made recommendations for strategies to maximize benefits, minimize health impacts, and reduce inequities.. Today, we are seeing implementation action on some these recommendations:. ...
Examines and compares the health status and health service utilization of women and men in a provincial correctional jail in Atlantic Canada. Finds that prisoners experienced a number of physical and mental health issues and a large proportion used health services during incarceration. The quality and accessibility of health services played a significant role in how participants viewed health care in jail. Sex and gender are shown to influence the health status and use of health services among provincial prisoners. Females report more heath issues and poorer overall health, as well as more difficulties accessing health services during incarceration than male prisoners. Race also plays a role in health status and health service utilization. Aboriginal prisoners rate their overall physical and mental health poorer than non-Aboriginals. They also report a greater need for health services, but use them less than non-Aboriginal prisoners.. ...
Health expenditure; public (% of total health expenditure) in Malaysia was last measured at 54.83 in 2013, according to the World Bank. Public health expenditure consists of recurrent and capital spending from government (central and local) budgets, external borrowings and grants (including donations from international agencies and nongovernmental organizations), and social (or compulsory) health insurance funds. Total health expenditure is the sum of public and private health expenditure. It covers the provision of health services (preventive and curative), family planning activities, nutrition activities, and emergency aid designated for health but does not include provision of water and sanitation.This page has the latest values, historical data, forecasts, charts, statistics, an economic calendar and news for Health expenditure - public (% of total health expenditure) in Malaysia.
Special thanks to the following individuals who have contributed to the success of this effort: Deb Brucker, Erin Dame, Adam Lavoie, Rachel Coleman, and Anna Brennan-Curry.. Funding for this publication is made possible by:. The Rehabilitation Research and Training Center on Disability Statistics and Demographics (StatsRRTC), funded by the U.S. Department of Health and Human Services Administration For Community Living National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), grant number 90RT5022-02-01, and the Rehabilitation Research and Training Center on Employment Policy and Measurement (EPM-RRTC), also funded by NIDILRR, grant number 90RT5037-01-00. The information developed by the StatsRRTC and EPM-RRTC does not necessarily represent the policies of the Department of Health and Human Services, and you should not assume endorsement by the Federal Government (Edgar, 75.620 (b)).. The StatsRRTC and EPM-RRTC are part of the Institute on Disability at the ...
Objectives: To evaluate the oral health status of the professional soccer players in Thailand. Methods: Twenty-five Thailand professional soccer players oral conditions were examined and included in this study. DMFT, Quigley & Hein plaque index (PI), Löe & Silness gingival index, World Health Organization malocclusion index, pocket depth, TMJ examination and history of dental trauma were recorded. Results: The results demonstrated poor oral health level including dental caries (84%), DMFT score mean was 10.08, dental attrition (60%) and periodontal pocket (36%). Thirty percent of all players presented bruxism. More than 40% of athletes were bothered by their oral health with 28% reporting an impact on quality of life and 18% on training and performance. Conclusion: The oral health of Thai professional soccer players was poor that may result in negative impact on well-being, training and performance. As oral health is an important element of overall health and well-being, health promotion is required
Endoscopic Spine Surgery Endoscopic Discectomy Endoscopic Facet Rhizotomy Endoscopic Foraminotomy Endoscopic Spine Surgery Back Pain Management Acupuncture Chiropractic Treatment Epidural Steroid Injections Massage Therapy Pain Management Treatments Physical Therapy Radiofrequency Nerve Ablation Spinal Cord Stimulator Diagnostic Procedures Branch Nerve Blocks
During a recent podcast, ESPN injury analyst Stephania Bell explained why its so difficult to come back from patellar tendon ruptures.. "Its this big tendon that anchors your quad, that large muscle in the front of your thigh, to your shin," she said. "So when it ruptures, essentially you incapacitate your quad. Thats why guys go down in a heap when the injury happens.". New York Giants wide receiver Victor Cruz suffered a ruptured patellar tendon in 2014. Last season, he was sidelined by a calf injury, but Bell noted that the issues could have been connected.. "If you look at what Victor Cruz said later in the season, he said, I believe that calf injury came from me compensating always having that leg -- because it was on the opposite side -- had to do all the work while I was recovering from the patellar tendon injury," Bell said.. "A study just published in June of this year in the American Journal of Sports Medicine looked at orthopedic procedures on over 550 NFL athletes," Bell said. ...
The Graduate Certificate in Global Health is designed to provide interdisciplinary knowledge in global health delivery to those employed or seeking employment in positions requiring this knowledge or to individuals who desire this added credential. The University of Marylands Global Health Certificate provides knowledge of issues, policies, and practices in global health that enables individuals to work effectively in agencies and programs providing global health services. The Global Health Certificate program addresses some of the selected global health competencies defined by the ASPPH. Courses in the Global Health Certificate are taught by faculty who bring a wealth of knowledge and field-based skills drawn from experiences with agencies such as the World Health Organization, Pan American Health Organization, Environmental Protection Agency, Food and Drug Administration, Center for Strategic and International Studies, and the USAID.. The Global Health Certificate is 12 credit program that ...
Disc pain can be caused when the discs degenerate or sometimes herniate. Painful spinal discs are usually first treated by injecting a synthetic cortisone (steroid) preparation around the outside of the discs. This space is the epidural space and the procedure is called an epidural steroid injection (ESI). It works best if there is radiation applied for the pain in legs or arms, but can work if there is only pain in the spine. If there is a steroid intolerance, this step can be skipped. The next step is typically to place medication inside the center of the disc. The first medication used is Platelet Rich Plasma Therapy (PRP). Platelets initiate healing, and are taken from the patients own blood. A more advanced treatment that can be placed into the disc is stem cell therapy, these stem cells are taken from the patients own body, usually from fatty tissue.. Treatment Options:. ...
Examines and compares the health status and health service utilization of women and men in a provincial correctional jail in Atlantic Canada. Finds that prisoners experienced a number of physical and mental health issues and a large proportion used health services during incarceration. The quality and accessibility of health services played a significant role in how participants viewed health care in jail. Sex and gender are shown to influence the health status and use of health services among provincial prisoners. Females report more heath issues and poorer overall health, as well as more difficulties accessing health services during incarceration than male prisoners. Race also plays a role in health status and health service utilization. Aboriginal prisoners rate their overall physical and mental health poorer than non-Aboriginals. They also report a greater need for health services, but use them less than non-Aboriginal prisoners.. ...
The first randomized Cardiovascular Patient Outcomes Research Team (C-PORT) trial involving primary PCI included outcomes on 226 patients treated with primary PCI. To better assess the safety and efficacy of primary PCI at hospitals without on-site cardiac surgery, the C-PORT primary PCI registry was developed. Since 1999, 5687 patients had primary PCI at 33 registry hospitals, all without on-site cardiac surgery. Prior to initiating primary PCI, all hospitals completed a formal primary PCI development program and outcomes were monitored. The median number of primary PCIs per year per center was 46. The average age of enrolled patients was 61 ± 13 years; 70% were male and 93% were thrombolytic-eligible. The tables below summarizes patient characteristics and outcomes. PCI success is defined from the physician report and based on either categorization of the PCI as successful or unsuccessful, or the angiographic report indicating whether there is a less than 50% residual stenosis and either TIMI ...
Retrospective assessment of surgery outcome is considered problematic. The aims of this study were to evaluate the reproducibility and accuracy of a retrospective outcome assessment of lumbar spinal stenosis surgery with reference to prospective outcome scale measurements. Outcome of surgery from 100 lumbar spinal stenosis (LSS) patients was evaluated retrospectively from patient files of a 3-month outpatient visit performed according to a standard clinical protocol by two independent researchers. In the retrospective analysis, outcome was graded as 2 = good if the clinical condition had clearly improved, 1 = moderate if it had just slightly improved, 0 = poor if it had not improved or was even worse than before the surgical treatment (Retrospective 3- point scale). A prospectively assessed Oswestry Disability Index questionnaire (ODI), Visual analogue pain scale (VAS) and a patient satisfaction questionnaire were used as references of standards. Reproducibility of the measurements was evaluated. The
DESIGN AND SUBJECTS: An unselected cohort of 507 patients who underwent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair before September 2005 were included in this study, thus ensuring a minimum 5-year follow-up. Patient demographic data, clinical notes, operating notes and outpatient follow-up notes were studied. Patients were interviewed telephonically regarding hernia recurrence, chronic pain and technique preference if they had previously undergone an open repair. All data collected were recorded on an electronic spreadsheet. The primary outcome parameter was recurrence. The secondary outcome parameters were postoperative and long-term complications ...
Ms Rebecca Cannell1. 1THS-N, Launceston, Australia. Challenges for timely elective hip or knee arthroplasty (HKA) within Tasmania can be summarised into the following areas: length of time to be reviewed by an Orthopaedic Surgeon; time between being listed for, and having surgery; and average length of stay (LOS) in hospital.. Assessing patients pre-operatively through a suite of tools can provide clinicians with critical information for predicting LOS and discharge destination including the need for inpatient rehabilitation. There is currently no accepted tool within the Launceston General Hospital to indicate this need.. Occupational Therapy and Physiotherapy are trialling a number of assessment tools (Risk Predictor Assessment Tool, Timed Up and Go, Post-operative Delirium Screen, health outcome measure EQ-5L-5D, and The Oxford Hip/Knee Scale) to predict LOS and potential need for inpatient rehabilitation. Data is being collected pre and post-operatively to establish reliability and ...
Section 6301(f)(2) of the Patient Protection and Affordable Care Act (PPACA) requires the Comptroller General "to consider and disclose any conflicts of interest" in appointing the Board of Governors on GAOs Web site.. Section 6301(a)(3) of PPACA defines "conflict of interest" as: "[A]n association, including a financial or personal association, that have the potential to bias or have the appearance of biasing an individuals decision in matters related to the Institute or the conduct of activities under this section." Below are the associations of the Board of Governors that upon appointment by the Comptroller General, fit within PPACAs definition of a "conflict of interest".. Notes: ...
A Framework for Detecting Interactions Between Co-Incident Clinical Processes: 10.4018/jehmc.2010040103: The detection of treatment conflicts between multiple treatment protocols that are co-incident is a difficult and open problem that is particularly
This months portal lineup emphasizes the tremendous potential of advanced visualization technologies to improve a wide array of clinical processes. In May, however, womens imaging takes center stage.