bluuebunny/crossref_metadata_2025_split huggingface dataset:
Structural Validity of the Dutch Version of the Patient-Rated Wrist Evaluation (PRWE-NL) in Patients With Hand and Wrist Injuries
Authors: El Moumni Mostafa , Van Eck Merit E. , Wendt Klaus W. , Reininga Inge H.F. , Mokkink Lidwine Brigitta 
Published: January 2016

Background
Hand and wrist injuries are one of the most common injuries seen in adults. The Patient-Rated Wrist Evaluation (PRWE) questionnaire has been developed as a patient-report outcome measure of pain and disability to evaluate the outcome after hand and wrist injuries.

Objective
The aims of this study were (1) to evaluate the structural validity of the existing Dutch version of the PRWE (PRWE-NL) in patients with hand or wrist injuries and (2) to investigate the appropriateness of reporting subscale scores.

Design
This was a retrospective analysis of cross-sectional data of 368 adult patients.

Methods
Patients aged 18 to 65 years and treated either surgically or conservatively for an isolated hand or wrist injury were recruited. Patients were excluded if they were unable to speak or read Dutch. Confirmatory factor analyses were used to investigate structural validity, and Cronbach alpha (α) and omega (ω) coefficients were used to investigate internal consistency.

Results
A series of confirmatory factor analyses revealed that all models (ie, a single-factor model, correlated 2- and 3-factor models, and 2 bifactor models) were associated with adequate model fit. However, inspection of the factor loadings, the explained common variance (ECV), and the different coefficient omega values revealed that the PRWE-NL should be considered a measure of a unidimensional trait. In addition, PRWE-NL subscales were associated with unacceptably low levels of reliability independently of the global PRWE-NL factor.

Limitations
Although the sample size was adequate, the response rate was 37.1%. Participants were mainly patients with fractures of the wrist or hand, predominantly treated nonsurgically.

Conclusion
This study suggests that the PRWE-NL measures a unidimensional trait. A single score should be used for the PRWE-NL, without subscale scores.
Which Children Are Not Getting Their Needs for Therapy or Mobility Aids Met? Data From the 2009–2010 National Survey of Children With Special Health Care Needs
Authors: McManus Beth M. , Prosser Laura A. , Gannotti Mary E. 
Published: January 2016

BackgroundPediatric rehabilitation therapy services and mobility aids have an important role in the health of children with special health care needs, and the Affordable Care Act (ACA) may increase coverage for these needs. Identifying the prevalence of and factors associated with therapy and mobility aid needs and unmet needs prior to the full implementation of the ACA will be useful for future evaluation of its impact.ObjectiveThe purpose of this study was to identify the prevalence of and factors associated with caregiver perceived needs and unmet needs for therapy or mobility aids among children with special health care needs living in the United States.DesignA cross-sectional, descriptive, multivariate analysis was conducted.MethodsThe 2009–2010 National Survey of Children With Special Health Care Needs was used to identify a nationally representative sample of children with special health care needs with needs for therapy (weighted n=2,603,605) or mobility aids (weighted n=437,971). Odds of having unmet needs associated with child and family characteristics were estimated.ResultsNearly 1 in 5 children with therapy needs had unmet needs, and nearly 1 in 10 children with mobility aid needs had unmet needs. Unmet needs were most strongly associated with how frequently the condition affected function and being uninsured in the previous year.LimitationsData were caregiver reported and not verified by clinical assessment. Survey data grouped physical therapy, occupational therapy, and speech therapy; analysis was not discipline specific.ConclusionsThis evidence serves as a baseline about the future impact of the ACA. Pediatric rehabilitation professionals should be aware that children with special health care needs whose condition more frequently affects function and who have insurance discontinuity may need more support to meet therapy or mobility aid needs.
Vestibular Rehabilitation After Traumatic Brain Injury: Case Series
Authors: Kleffelgaard Ingerid , Soberg Helene Lundgaard , Bruusgaard Kari A. , Tamber Anne L. , Langhammer Birgitta 
Published: January 2016

Background and Purpose
There has been an increasing focus on vestibular rehabilitation (VR) after traumatic brain injury (TBI) in recent years. However, detailed descriptions of the content of and patient responses to VR after TBI are limited. The purposes of this case series are (1) to describe a modified, group-based VR intervention and (2) to examine changes in self-reported and performance-based outcome measures.

Case Description
Two women and 2 men (aged 24–45 years) with mild TBI, dizziness, and balance problems participated in an 8-week intervention consisting of group sessions with guidance, individually modified VR exercises, a home exercise program, and an exercise diary. Self-reported and performance-based outcome measures were applied to assess the impact of dizziness and balance problems on functions related to activity and participation.

Outcomes
The intervention caused no adverse effects. Three of the 4 patients reported reduced self-perceived disability because of dizziness, diminished frequency and severity of dizziness, improved health-related quality of life, reduced psychological distress, and improved performance-based balance. The change scores exceeded the minimal detectable change, indicating a clinically significant change or improvement in the direction of age-related norms. The fourth patient did not change or improve in most outcome measures.

Discussion
A modified, group-based VR intervention was safe and appeared to be viable and beneficial when addressing dizziness and balance problems after TBI. However, concurrent physical and psychological symptoms, other neurological deficits, and musculoskeletal problems might influence the course of central nervous system compensation and recovery. The present case series may be useful for tailoring VR interventions to patients with TBI. Future randomized controlled trials are warranted to evaluate the short- and long-term effects of VR after TBI.
Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial
Authors: Allen Kelli D. , Bongiorni Dennis , Bosworth Hayden B. , Coffman Cynthia J. , Datta Santanu K. , Edelman David , Hall Katherine S. , Lindquist Jennifer H. , Oddone Eugene Z. , Hoenig Helen 
Published: January 2016

BackgroundEfficient approaches are needed for delivering nonpharmacological interventions for management of knee osteoarthritis (OA).ObjectiveThis trial compared group-based versus individual physical therapy interventions for management of knee OA.Design and MethodsThree hundred twenty patients with knee OA at the VA Medical Center in Durham, North Carolina, (mean age=60 years, 88% male, 58% nonwhite) were randomly assigned to receive either the group intervention (group physical therapy; six 1-hour sessions, typically 8 participants per group) or the individual intervention (individual physical therapy; two 1-hour sessions). Both programs included instruction in home exercise, joint protection techniques, and individual physical therapist evaluation. The primary outcome measure was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC; range=0–96, higher scores indicate worse symptoms), measured at baseline, 12 weeks, and 24 weeks. The secondary outcome measure was the Short Physical Performance Battery (SPPB; range=0–12, higher scores indicate better performance), measured at baseline and 12 weeks. Linear mixed models assessed the difference in WOMAC scores between arms.ResultsAt 12 weeks, WOMAC scores were 2.7 points lower in the group physical therapy arm compared with the individual physical therapy arm (95% confidence interval [CI]=−5.9, 0.5; P=.10), indicating no between-group difference. At 24 weeks, WOMAC scores were 1.3 points lower in the group physical therapy arm compared with the individual physical therapy arm (95% CI=−4.6, 2.0; P=.44), indicating no significant between-group difference. At 12 weeks, SPPB scores were 0.1 points lower in the group physical therapy arm compared with the individual physical therapy arm (95% CI=−0.5, 0.2; P=.53), indicating no difference between groups.LimitationsThis study was conducted in one VA medical center. Outcome assessors were blinded, but participants and physical therapists were not blinded.ConclusionsGroup physical therapy was not more effective than individual physical therapy for primary and secondary study outcomes. Either group physical therapy or individual physical therapy may be a reasonable delivery model for health care systems to consider.
PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL HOSPITAL IN NEPAL
Authors: Ranjan Sanjeev , Poudel Reet , Pandey Pradeep 
Published: January 2016

INTRODUCTION: Emergency department serves as one of the gateway through which patients with psychiatric disorders come for treatment. The referral to the psychiatry department enables a psychiatrist to provide services to these patients in need. So, the study of this pathway of care becomes important. MATERIAL AND METHODS: A total of 100 consecutive patients referred from emergency to the department of psychiatry were enrolled in this study. Their socio-demographic variables, reason and purpose for referral was assessed. The psychiatric diagnosis was made according to the International Classification of Diseases -10 (ICD-10) system. RESULTS: The psychiatric referral rate from the emergency was found to be 8.46%. Out of one hundred patients more referred patients were female (64%), from rural background (90%). Family members were the source of referral for emergency visit in most of the patients (74%). Dissociative disorder was the most common diagnosis (26%) followed by acute & transient psychotic disorders at 12%. CONCLUSIONS: Fewer patients are referred to psychiatry department even in a tertiary level hospital of Nepal. Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10 Page : 5-9
A RETROSPECTIVE REVIEW OF ABDOMINAL HYSTERECTOMY IN A TEACHING HOSPITAL
Authors: Acharya Sarita , Shrestha Sweety , Pal M. N. 
Published: January 2016

INTRODUCTION: Hysterectomy is the most commonly performed gynaecological surgery throughout the world. It may be life saving procedure in acute uterine hemorrhage; whereas improves the quality of life in a patient with certain uterine pathology such as fibroids, endometriosis and uterine prolapse. The objective of this study is to review the indications and complications of abdominal hysterectomy as well as to assess the correlation of preoperative clinical and ultrasonographic diagnosis with histopathology of hysterectomy specimens. MATERIAL AND METHODS: A retrospective review of medical records of patients who underwent abdominal hysterectomy between January 2010 and July 2012 in the College of Medical Sciences Teaching Hospital, Nepal was done. Various demographic and pertinent clinical informations were retrieved. Clinical presentations, indications and complications of the hysterectomy as well as the correlation between the clinical diagnosis, ultrasound findings and histopathological diagnosis of the hysterectomy specimen was studied. RESULTS: Between January 2010 and July 2012 a total of 139 patients had undergone abdominal hysterectomy for various indications. The mean age at the time of hysterectomy was 45.5 years. Abnormal vaginal bleeding and lower abdominal pain were the main presenting complaints. The median duration of symptoms was 12 months. Fourty three (40%) had hysterectomy alone and 96 (60%) had hysterectomy with salpingo oophorectomy. The most common clinical indication for hysterectomy was fibroid uterus (40.3%) followed by benign ovarian tumor (18.7%) and dysfunctional uterine bleeding (17.3%). There were no major postoperative complications. The correlation between clinical diagnosis and histopathology was significant at 0.01 level using Pearson correlations. CONCLUSION: Uterine fibroids and benign ovarian tumors are the common indications for abdominal hysterectomy. Postoperative complications are minimal and most of the time the clinical diagnosis correlates with the postoperative histopathological diagnosis.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10Pages 16-19
Gut modulator effect of methanolic extract of <i>Solanum surattense</i> explains its traditional use in constipation and diarrhea
Authors: Andleeb Shumaila , Ahmed Muhammad Masood , Hussain Musaddique 
Published: January 2016

<p class="Abstract">Current research was conducted to find out the pharmacological basis of the methanolic extract of <em>Solanum surattense</em> for its traditional uses in constipation and diarrhea. In isolated rabbit jejunum preparations, <em>S. surattense</em> exhibited the spasmogenic effect at lower concentration (0.01-1.0 mg/mL) followed by the spasmolytic effect at next higher concentration (3-5 mg/mL) with EC<sub>50 </sub>value of3.17 mg/mL. <em>S. surattense</em> and verapamil (standard Ca<sup>2+</sup> channel blocker) caused an inhibition of K<sup>+ </sup>(80 mM)-induced contractions with EC<sub>50 </sub>value of0.85 and 0.15 mg/mL respectively, suggesting Ca<sup>2+ </sup>channels block-ade.Extract caused the rightward shift in Ca<sup>2+ </sup>concentration-response curve, similar to verapamil. Among the fractions, aqueous fraction showed the spasmogenic effect while dichloromethane fraction showed spasmolytic effect. It is concluded that methanolic extract of <em>S. surattense</em> contains spasmogenic and spasmolytic constituents, which explains its traditional uses in constipation and diarrhea.</p><p> </p>
Thérapie psychanalytique en couple : lorsque dire vient trahir, quels sont les enjeux d’appartenances identitaires entre filiation et alliance ?
Authors: Orlue Muriel 
Published: January 2016

Nombreux couples arrivent en thérapie avec une demande d’amélioration de leur communication. Or les mots semblent dangereux, investis d’un pouvoir sur l’autre. Quel danger représente le fait de dire ? L’exposition de la situation d’un couple recomposé permet d’évoquer différentes dimensions de la thérapie psychanalytique en couple dont celle du discours. Contradictions et paradoxes mettent en lumière les conflits identitaires d’appartenance constitutifs du lien du couple. L’usage du verbe et ses effets fâcheux montrent combien au nom du discours s’organisent les résistances en groupe. C’est au thérapeute que revient la tâche de rendre possible le passage par le verbe, en travaillant les interactions et projections inconscientes dans l’interrelation, de cette difficulté à dire pour chacun.
Retinal Nerve Fiber Layer and Macular Thickness Measurement in Patients with Schizophrenia
Authors: Yılmaz Uğur , Küçük Erkut , Ülgen Arzu , Özköse Ayse , Demircan Suleyman , Ulusoy Dondu M. , Zararsız Gökmen 
Published: January 2016

Purpose To investigate the retina and macular thickness in patients with schizophrenia and to compare the results with those of healthy controls. Methods Sixty-eight eyes of 34 patients with schizophrenia and 60 eyes of 30 randomly selected healthy volunteers were involved in the study. Measurements of peripapillary retinal nerve fiber layer (RNFL) thickness, macula thickness, and macula volume were taken in both eyes using spectral-domain optical coherence tomography (OCT). Statistical analysis was performed using Statistical Package for the Social Sciences version 20.0. Results Average and nasal RNFL thicknesses were found to be significantly lower in the patient group than the control group (p = 0.030, p = 0.04, respectively). Macular thicknesses of nasal outer and inferior outer quadrants in the patient group were significantly lower than in the control group (p = 0.009, p = 0.027, respectively). Average macular thickness and macular thicknesses in the superior outer, superior inner, temporal outer, temporal inner, nasal inner, and inferior inner areas were lower in the patient group compared to the control group, but not significantly (p = 1.000, p = 1.000, p = 0.837, p = 1.000, p = 0.279, p = 1.000, p = 0.180, respectively). Conclusions We detected RNFL and macular thinning in patients with schizophrenia. Based on these findings and results of other studies evaluating retina using OCT and brain magnetic resonance imaging studies in patients with schizophrenia, a neurodegenerative process may be an underlying pathologic mechanism in this disease.
Resolution of Vitreomacular Traction and Pigment Epithelium Detachment
Authors: Corvi Federico , Souied Eric H. , Querques Giuseppe 
Published: January 2016

Purpose To report a case of spontaneous combined resolution of vitreomacular traction (VMT) and pigment epithelial detachment (PED). Methods A 70-year-old woman presented with a 10-day history of metamorphopsia in her right eye. Medical history was unremarkable. The patient underwent a complete ophthalmic examination. Best-corrected visual acuity (BCVA) was 20/50 in the right eye. Fundus examination, fluorescein angiography, indocyanine green angiography, and optical coherence tomography (OCT) revealed a shallow elevated area with irregular edges suggestive of drusenoid avascular PED associated with VMT. Results During the follow-up, OCT showed combined resolution of VMT and PED with almost complete normalization of the outer retinal layers; BCVA increased to 20/40. Conclusions The temporal sequence of events in our case strongly suggests that the spontaneous resolution of PED could be the consequence of or could be favorably influenced by the VMT resolution.
Predictors of Prostate Cancer in Ultrasound-Guided Transperineal Saturation Biopsy in Turkish Men with Multiple Prior Negative Biopsies
Authors: Yazici Sertac , Kiziloz Halil , Bozaci Ali Cansu , Baydar Dilek Ertoy , Del Biondo Dario , Ozen Haluk 
Published: January 2016

Background Transperineal prostate biopsy (STPB) is associated with an improved cancer detection rate and an increase in anterior and apical prostate cancers compared to standard transrectal biopsy. Patients and Methods A total of 48 men with at least two sets of prior prostate biopsies underwent transrectal ultrasound-guided STPB. Prostate rebiopsy indications were serum prostate-specific antigen (PSA) levels greater than 2.5 ng/mL and/or abnormal digital rectal examination and/or presence of high-grade prostatic intraepithelial neoplasia (HGPIN; ≥2 cores) or atypical small acinar proliferation (ASAP) at previous biopsies. The procedure was performed at dorsal lithotomy position under general anesthesia using a perineal 0.5 cm brachytherapy template attached to the transrectal ultrasound probe. Specimens from each zone were sent separately for pathological examination. Results Mean PSA level at STPB was 15.9 ng/mL (range 4.03 to 59.57). An average of 54.5 cores was obtained. Prostate adenocarcinoma was detected in 15 of 48 (31%) patients. Mean percentage of malignant cores was 11.9%. Multivariate logistic regression analysis revealed that age and presence of ASAP or HGPIN at previous biopsies were independent predictors of prostate cancer (p<0.05). No major complications, including sepsis and severe urinary or rectal bleeding, were observed in any of the patients. Five patients (10%) developed acute urinary retention after the procedure requiring urethral catheterization. Conclusions Considerable number of patients with negative multiple biopsies were diagnosed with prostate cancer. STPB is a well-tolerated procedure with minimal morbidity, which can be considered for the diagnosis of prostate cancer in patients with previous negative biopsies.
Estudio de los Portafolios en el Practicum: Análisis de un PLE-Portafolios
Authors: Cebrián-de-la-Serna Manuel , Bartolomé-Pina Antonio , Cebrián-Robles Daniel , Ruiz-Torres Mayerly 
Published: January 2016

Los portafolios han demostrado ser eficaces en la enseñanza universitaria cuando cumplen ciertos prerrequisitos -p.e. ratio-. La literatura coincide en que no es una metodología generalizada en las universidades. La asignatura del Practicum tiene condiciones favorables para el uso de ePortafolios. Por tanto nos preguntamos: ¿Qué condiciones existen para la utilización de ePortafolios en el practicum de los grados de Educación en España?, ¿qué nivel de utilización hay? y ¿qué problemas de comprensión manifiestan los estudiantes en los ePortafolios? La investigación presenta dos estudios: uno de metodología descriptiva con 31 entrevistas a gestores del Practicum de todos los grados en 10 Facultades de Educación, junto con el análisis de contenidos mediante categoría de 256 guías del Practicum de todos los grados de 36 Facultades de Educación en España. Un segundo estudio de análisis de contenidos analiza las 592 anotaciones de 212 estudiantes al presentar y evaluar las evidencias en el ePortafolios. Los resultados revelan que hay 11 estudiantes por tutor con 2,88h de media para tutorizar y evaluar con ePortafolios. Siendo el correo (entre el 37,77% y el 46,66%) seguido de las plataformas las tecnologías más utilizadas. Las eRúbricas y anotaciones de vídeo ayudan a documentar las evidencias, sin embargo, los estudiantes siguen mostrando dificultades en ciertas competencias
Primo Vascular System: A Unique Biological System Shifting a Medical Paradigm
Authors: Chikly Bruno , Roberts Paul , Quaghebeur Jörgen 
Published: January 2016

Abstract
The primo vascular system has a specific anatomical and immunohistochemical signature that sets it apart from the arteriovenous and lymphatic systems. With immune and endocrine functions, the primo vascular system has been found to play a large role in biological processes, including tissue regeneration, inflammation, and cancer metastases. Although scientifically confirmed in 2002, the original discovery was made in the early 1960s by Bong-Han Kim, a North Korean scientist. It would take nearly 40 years after that discovery for scientists to revisit Kim’s research to confirm the early findings. The presence of primo vessels in and around blood and lymph vessels, nerves, viscera, and fascia, as well as in the brain and spinal cord, reveals a common link that could potentially open novel possibilities of integration with cranial, lymphatic, visceral, and fascial approaches in manual medicine.
Linking Community Hospital Initiatives With Osteopathic Medical Students’ Quality Improvement Training: A Pilot Program
Authors: Brannan Grace D. , Russ Ronald , Winemiller Terry R. , Mast Eric 
Published: January 2016

Abstract
Quality improvement (QI) continues to be a health care challenge, and the literature indicates that osteopathic medical students need more training. To qualify for portions of managed care reimbursement, hospitals are required to meet measures intended to improve quality of care and patient satisfaction, which may be challenging for small community hospitals with limited resources. Because osteopathic medical training is grounded on community hospital experiences, an opportunity exists to align the outcomes needs of hospitals and QI training needs of students. In this pilot program, 3 sponsoring hospitals recruited and mentored 1 osteopathic medical student each through a QI project. A mentor at each hospital identified a project that was important to the hospital’s patient care QI goals. This pilot program provided osteopathic medical students with hands-on QI training, created opportunities for interprofessional collaboration, and contributed to hospital initiatives to improve patient outcomes.