management of chronic musculoskeletal pain in the elderly dilemmas and remedies

... advised of the potential they may not feel the electrotherapy during the trial, thereby minimising any perception of a treatment either occurring or not Each of the groups received 10 minutes of their ... clinics, to the neck and upper back of participants ENAR treatment involved setting the device to an intensity determined by the individual participant's tolerance and applying it to the skin in ... either the TENS or the control therapy over the 24 week trial period The benefit of this program is its standardisation and simplification of overall administration and scoring of the Quality of...

Ngày tải lên: 13/08/2014, 14:20

... forms of spinal pain: lumbar spinal pain, sacral spinal pain, or lumbosacral pain, as constituting low back pain These definitions explicitly locate the pain as perceived in the lumbar and/ or ... Summary of the Findings of the Evidence Review The following are the main findings of the evidence review (AAMPGG 2003): Adopt a partnership approach Management of acute musculoskeletal pain involves ... acute musculoskeletal pain (Linton 2002) The intensity, duration and character of the pain influence the psychosocial response, and the psychosocial response in turn influences the course of events...

Ngày tải lên: 21/02/2014, 11:20

... participated in collecting data and read and corrected the manuscript DC helped in editing, read and corrected the manuscript All authors read and approved the final manuscript Conflict of Interest ... intellectual input and corrected the manuscript ER conceived of the study, and participated in its design and coordination, performed statistics and drafted the manuscript AQ collected clinical data and ... survival (DFS) and overall survival (OS) rates were evaluated and compared in both groups The primary objective of the study was to evaluate the role of vaginal hysterectomy in elderly women with...

Ngày tải lên: 09/08/2014, 02:20

... with the use of adjuvant Imatinib while waiting for the final outcomes of ongoing trials • Laparoscopic surgery The change in nomenclature from leiomyosarcoma to GIST and the advent of Imatinib ... Results In spite of these developments the role of surgery itself has remained unchanged We present our experience of 16 cases managed in this institute since introduction of Imatinib Patient was ... compromising the principles of cancer surgery Competing interests The authors declare that they have no competing interests 13 14 Authors' contributions Mr Stylianides helped in acquisition of data and...

Ngày tải lên: 09/08/2014, 07:21

... aimed at preventing exacerbations and delaying the progression of the disease may be the best way to tackle these costs [4] The guidelines of the National Institute for Health and Clinical Excellence ... third of practices had no spirometer, in addition to which practice nurses lacked training and support in performing spirometry and interpreting the results [9] At present, neither the NICE nor the ... Effects of smoking intervention and the use of an inhaled anticholinergic bronchodilator on the rate of decline of FEV1 The Lung Health Study JAMA 1994, 272:1497-1505 Fletcher C, Peto R: The natural...

Ngày tải lên: 12/08/2014, 15:21

... training on the part of the clinician Behavioral modification and screening for learning disorders should occur early in the evaluation and treatment of ADHD, but is likely beyond the purview of ... Neurological imaging of the spine is indicated only in children with noted abnormalities of the lower lumbosacral spine on neurological examination of the perineum or lower extremities [30] In general, ... colicky infant for a therapeutic trial of 4-6 chiropractic treatments Future studies require blinding the parent and the assessor and including a non-treatment control group (as in a waiting list)...

Ngày tải lên: 13/08/2014, 14:20

... difficulties in the classroom setting, the research was aimed at finding out: (1) the students’ assessment of the importance of oral presentation skills in their future work, (2) the problems they might ... giving presentations, and (3) factors causing their difficulties and their suggested solutions Specifically, the study has been conducted in the form of survey research, with the informants of the ... Besides, the data from the study confirm the fact that the infrequent and inadequate feedback and assessment from teacher(s) and the institution’s lack of conductive facilities also contributed to these...

Ngày tải lên: 07/09/2013, 13:02

... formula, in which P stands for the main point; R stands for the reason for the speech; E stands for the example to illustrate the main point and P stands for restating the main point Secondly, the ... assessing learners in the process of forming the competencies and skills with the goal of helping them to continue that growth process On the other hand, formal testing occurs at the end of the ... it for the ear, (3) practising and revising it, and (4) organizing the visual aids Once the learner has made an outline of the main points, write the presentation The main purpose of creating an...

Ngày tải lên: 29/01/2014, 10:43

... (particularly the short ones) have all zeroes in them In other words, none of the bigrams from the training set appears in these reviews This suggests that the main problem with the bigram model ... and E Hovy 2004 Determining the sentiment of opinions In Proc of COLING, pages 1367–1373 M Koppel and J Schler 2005 Using neutral examples for learning polarity In Proc of IJCAI (poster) D Lin ... relation is capturing two different situations, one in which the author himself likes the movie, and in the other, the author’s cousin likes the movie The overgeneralization resulting from these “stemmed”...

Ngày tải lên: 17/03/2014, 04:20

... guidelines and principles for the specific laws in environment protection, including the laws on prevention of atmospheric pollution Since the establishment of the People’s Republic of China, there ... comes from the power plants in China The industry sector emits 40%, and the remaining 19% belongs to other sectors.142 The production of SO2 is more decentralized in China than in the United ... Governments in both China and the United States should set up emissions trading systems for the sake of environmental improvements in the long term instead of special interests in the short term and...

Ngày tải lên: 29/03/2014, 18:20

... of ligand-protein binding Power-law behaviors of ligand-protein binding The number of ligands (N) decays with an increase in the number (L) of (a) domains and (b) folds that bind the ligand and ... binding of ligands with primordial proteins would also be a critical step in the origin of life Thus, it is intriguing to explore the chronology of ligand-protein binding and answer the following ... release during ligand binding may meet the free energy demand during protein folding It is tempting to examine the conjecture of ligand-induced formation and/ or folding of primordial proteins through...

Ngày tải lên: 14/08/2014, 08:20

... treatments in the treatment of chronic low back pain (level D) • There is no evidence for the effectiveness of thermotherapy compared with other treatments in the treatment of chronic low back pain (level ... in the treatment of chronic low back pain (level D) • There is no evidence for the effectiveness of shortwave diathermy compared with other treatments in the treatment of chronic low back pain ... recommend the use of intradiscal injections for the treatment of chronic low back pain C11 (B4) Intramuscular injections of botulinum toxin Summary of evidence There is limited evidence that Botulinum...

Ngày tải lên: 08/03/2014, 14:20

... suspend or altogether omit them.” Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American ... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... Education of patient, family, caregivers and support system Adequate treatment and adherence Attentive monitoring and follow up Use of individual or combined somatic therapies in combination,...

Ngày tải lên: 22/03/2014, 14:20

... assess the amount of fiber and water intake, and the number of meals and when they are consumed The history should also include the number, type and frequency of laxatives used In the elderly, ... observed in the subgroup of 28 elderly patients Despite efforts in including the elderly in RCTs, most ­ tudies on the use of laxatives in the elderly are s limited because of small sample size and ... reported that colchicine increases prostaglandin synthesis, intestinal secretion and gastrointestrial motility.45 It also reduces water and electrolyte absorption in the intestine and increases secretion...

Ngày tải lên: 28/03/2014, 20:20

... Advances in Surgical Management of Rhinosinusitis — Wright and Frenkiel 23 Table Classification of Chronic Rhinosinusitis Recurrent acute rhinosinusitis Chronic purulent rhinosinusitis Chronic ... instruments with their free hand while maintaining the view of the operative field This paradigm shift, in the form of endoscopic sinus surgery, began in North America in the mid- to late 1980s6 and has ... defined to include both endoscopic débridement and monitoring of the sinus cavities in the outpatient clinic, as well as medical pharmacotherapy In the initial weeks following endoscopic sinus...

Ngày tải lên: 08/08/2014, 20:23

... in the setting of a clinical study Thus, it is important to determine that all patients required therapy by NCI and IWCLL criteria when evaluating results of upfront clinical studies in CLL Of ... OR, CR and PFS in CLL Kay and colleagues recently examined whether the addition of an alkylating agent to other purine nucleoside analogs similarly improves outcomes [10] The Mayo Clinic and Ohio ... preclinical results of an ongoing phase I study of CAL-101, an orally available inhibitor of the phosphatidylinositol-3-kinase (PI-3-K) delta isoform, will be presented at the ASCO meeting Other...

Ngày tải lên: 10/08/2014, 22:20

... reviewing and editing the manuscript EDS contributed to the review and editing of the manuscript All authors read and approved the final manuscript Competing interests The authors declare that they ... neurofibromas of the peripheral nervous system [8] According to the National Institutes of Health, a definitive diagnosis of NF-1 is made when two of seven cardinal clinical features of the disease ... 1.2 cm from the skin surface The skin overlying the greater occipital protuberance was injected with ml or ml of 1% lidocaine as a local anesthetic, and the stimulating electrodes were introduced...

Ngày tải lên: 11/08/2014, 00:23

... understanding of the origins of behaviours before developing a management strategy • Assess and treat medical conditions (consider the influence of pain, dysuria, dyspnea, abdominal discomfort and ... planning in distributing the numbers properly, or whether the patient perseverates or forgets the task and continues numbering past 12 • Ask the patient to place hands on the clock showing the time ... due to the potential for causing arrhythmias The effects of dopamine agents will be increased when co-administrated with memantine Other Agents: Use of Ginkgo Biloba, Vitamin E, anti-inflammatory...

Ngày tải lên: 13/02/2014, 18:20

... and Rifampicin The respective proportion of the sub-populations varies according to the chemotherapy applied in the community during the past years It varies also with the number of courses of ... majority of HCWs Contact therefore does not mean infection FIGURE 1: PROBABILITY OF DEVELOPING TUBERCULOSIS DISEASE FOLLOWING INFECTION: INFLUENCE OF THE NUMBER OF INFECTING BACILLI, THE DURATION OF ... or days rather than minutes), 20% to 50% may become infected In 90% of infected individuals the organisms become dormant and to 50% my become infected In 90% of infected individuals the organisms...

Ngày tải lên: 15/02/2014, 12:20