bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interdisciplinary Management of Complex Regional Pain Syndrome of the Face
Authors: Parkitny Luke , Wand Benedict Martin , Graham Carl , Quintner John , Moseley G. Lorimer 
Published: January 2016

Abstract

Background and Purpose
Orofacial pain disorders are relatively uncommon and pose a substantial diagnostic challenge. This case report documents the diagnosis and management of hemifacial pain in a patient who was referred to an interdisciplinary pain medicine unit. The purpose of this case report is twofold. First, it presents complex regional pain syndrome (CRPS) as a potential differential diagnosis in cases of facial pain. Second, it describes the successful adaption of contemporary management approaches for distal-extremity CRPS to treat people with CRPS of the facial region.

Case Description
The patient had hemifacial pain and concomitant motor and autonomic symptoms after a small laceration of the eyelid. Extensive specialist medical evaluations were undertaken to exclude an underlying structural pathology. After detailed clinical assessments by a physical therapist, pain physician, and clinical psychologist, a diagnosis of CRPS involving the face was made.

Outcomes
The patient's pain was largely unresponsive to pharmacological agents. A modified graded motor imagery program, together with desensitization and discrimination training, was commenced by the physical therapist and clinical psychologist. A positive clinical response was indicated by a decrease in allodynia, normalization of motor control, and regained function in activities of daily living.

Discussion
Complex regional pain syndrome is an infrequently reported differential diagnosis that can be considered in patients with persistent facial pain. This case report highlights how careful examination and clinical decision making led to the use of an innovative therapeutic strategy to manage a challenging condition.
How Well Do You Expect to Recover, and What Does Recovery Mean, Anyway? Qualitative Study of Expectations After a Musculoskeletal Injury
Authors: Carroll Linda J. , Lis Angela , Weiser Sherri , Torti Jacqueline 
Published: January 2016

Background
Expecting to recover from a musculoskeletal injury is associated with actual recovery. Expectations are potentially modifiable, although it is not well understood how injured people formulate expectations. A better understanding of how expectations are formulated may lead to better knowledge about how interventions might be implemented, what to intervene on, and when to intervene.

Objectives
The objective of this study was to explore what “recovery” meant to participants, whether they expected to “recover,” and how they formed these expectations.

Methods
This qualitative study used interpretive phenomenological analysis. Eighteen semistructured interviews were conducted with people seeking treatment for recent musculoskeletal injuries.

Results
Recovery was conceptualized as either (1) complete cessation of symptoms or pain-free return to function or (2) return to function despite residual symptoms. Expectations were driven by desire for a clear diagnosis, belief (or disbelief) in the clinician's prognosis, prior experiences, other people's experiences and attitudes, information from other sources such as the Internet, and a sense of self as resilient.

Conclusions
Expectations appear to be embedded in both hopes and fears, suggesting that clinicians should address both when negotiating realistic goals and educating patients. This approach is particularly relevant for cases of nonspecific musculoskeletal pain, where diagnoses are unclear and treatment may not completely alleviate pain.
Problems, Solutions, and Strategies Reported by Users of Transcutaneous Electrical Nerve Stimulation for Chronic Musculoskeletal Pain: Qualitative Exploration Using Patient Interviews
Authors: Gladwell Peter William , Badlan Kathryn , Cramp Fiona , Palmer Shea 
Published: January 2016

Abstract

Background
Transcutaneous electrical nerve stimulation (TENS) could offer a non-drug form of pain relief, but there is no consensus regarding its effectiveness for chronic musculoskeletal pain or chronic low back pain. A recent review of previous trial methods identified significant problems with low treatment fidelity. There is little information available to inform the development of a pragmatic implementation design for a TENS evaluation.

Objectives
The aim of this study was to explore the experiences of patients who were receiving secondary care in a pain clinic and who had expertise in using TENS to manage chronic musculoskeletal pain. These key informants were selected because they had the potential to generate knowledge that could inform research design and clinical practice.

Design
A qualitative method using individual semistructured interviews with open questions was selected for its capacity to generate rich data.

Methods
Semistructured interviews were conducted with 9 patients (6 women, 3 men). Thematic analysis was used as the primary data analysis method, and this analysis was enhanced by a case-level analysis of the context and processes of TENS use of each individual.

Results
Data analysis indicated that patients learned to address a range of problems in order to optimize TENS use. Patients may need to personalize the positioning of electrodes and the TENS settings and to readjust them over time. Patients learned to use TENS in a strategic manner, and the outcomes of each strategy varied.

Conclusions
The findings indicated that a pragmatic TENS evaluation may need to incorporate a learning phase to allow patients to optimize this complex pattern of TENS usage, and evaluation may need to be sensitive to the outcomes of strategic use. These findings also have implications for clinical practice.
HOW WELL DO MOTHERS UNDERSTAND WHY THEIR NEWBORN IS HOSPITALIZED?
Authors: Kafle Raju , Gupta Binod Kumar , Agrawal Nikhil 
Published: January 2016

INTRODUCTION: Maternal knowledge about serious infant illnesses has significant implications for care after discharge, particularly in countries with high infant mortality rates. No existing studies on this topic in low income countries were identified. The study sought to identify the level of maternal understanding about why a newborn was hospitalized and how mothers attributed blame for the illness. MATERIAL AND METHODS: We conducted semi-structured interviews with mothers aged 18 and older who had infants hospitalized in a tertiary care facility in Universal College of Medical Sciences, Bhairahawa, Nepal and collected data on demographics, pregnancy and delivery, and beliefs about their infant's illness. Infant charts were abstracted to identify medical reasons for hospitalization for comparison with the mother's understanding, and levels of understanding were coded as 'none', 'partial' or 'full'. RESULTS: One hundred and fifty three mothers were interviewed and their average age was 28. For 27%, this was their first pregnancy. Forty per cent of mothers had no understanding of why their infant was in the hospital and 28% had only partial understanding. One-third of the women reported blaming themselves for the child's illness. In multivariable analysis, demographic factors including maternal age, education, primiparous status, and urban vs rural residence did not predict maternal understanding or self-blame. CONCLUSIONS: Sick newborns in low-income countries are at very high risk of adverse outcomes. Mothers who lack a clear understanding of why their infant is in the hospital might have difficulty communicating preferences about care, understanding the type of care that is being given, and recognizing future warning signs of illness. Such gaps in understanding could put the discharged infant at significant risk.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10
HEMOPTYSIS: HOW TO MANAGE ?
Authors: Dhaliwal R S 
Published: January 2016

Hemoptysis is the expectoration of blood coming from tracheobronchial tree or pulmonary parenchyma. It is one important symptom which brings the patient to a doctor quickly as it frightens the patient and his family very much. It may be streaky or massive ( more than 600ml in 24 hrs ) which can be dangerous to life. Pulmonary tuberculosis remains number one cause of hemoptysis in developing countries. CT Scan chest and bronchoscopy can give most of information in these patients. Massive hemoptysis is life threatening and requires prompt treatment. Number of endobronchial techniques like ice cold saline lavage, balloon tamponade and bronchial artery embolization have been devised to temporarily control hemoptysis. Surgery remains the treatment of choice and pulmonary resection has been the most effective method for control of massive hemoptysis and prevention of recurrent hemoptysis in majority of patients. Surgical rather than medical methods reduce patient's mortality rates due to massivehemoptysis. Newer technique of physiological lung exclusion2 has given much better results than standard lungresection for hemoptysis with minimal mortality and morbidity.
Fra innvandrer til medstudent og ressurs i undervisningen ved helsefaglig høyskoleutdanning
Authors: Småland Goth Ursula , Løkhaug Jensen Trude , Skyrud Randi 
Published: January 2016

Norway has become a multicultural society where cultural encounters still can be seen as cultural conflict. The increased diversity in the population leads to an increased need for students with minority background within the health professions and health professionals from the majority population practicing care with a culture sensitive approach. During the last years, the University College of Oslo and Akershus has seen a significant increase of health student applicants with immigrant background. To encounter the situation this article aims to describe immigrant student’s learning situation. 21 randomly selected students from the University College were interviewed on the basis of a semi-structured interview guide.
Nine of the students were immigrants and 12 belonged to the major population. Gained data were analysed within a constant comparative approach. Our results showed that immigrant students face challenges during participation in study groups, seminars and in other professional communities. The detected challenges also included the acquisition of terminology and communication in Norwegian. The study concludes that there is a need for an enforced inclusive learning environment by promoting togetherness, tolerance and cultural competence.
The use of laser light to enhance the uptake of foliar‐applied substances into citrus (Citrus sinensis) leaves
Authors: Etxeberria Ed , Gonzalez Pedro , Fanton Borges Ana , Brodersen Craig 
Published: January 2016

Premise of the study:Uptake of foliar‐applied substances across the leaf cuticle is central to world food production as well as for physiological investigations into phloem structure and function. Yet, despite the presence of stomata, foliar application as a delivery system can be extremely inefficient due to the low permeability of leaf surfaces to polar compounds.Methods:Using laser light to generate microscopic perforations in the leaf cuticle, we tested the penetration of several substances into the leaf, their uptake into the phloem, and their subsequent movement through the phloem tissue. Substances varied in their size, charge, and Stokes radius.Results:The phloem‐mobile compounds 2‐[N‐(7‐nitrobenz‐2‐oxa‐1,3‐diazol‐4‐yl)amino]‐2‐deoxyglucose (2‐NBDG), lysine, Biocillin, adenosine triphosphate (ATP), trehalose, carboxyfluorescein‐SE, and poly(amidomine) (PAMAM) dendrimer G‐4 nanoparticles (4.5 nm in size) showed a high degree of mobility and were able to penetrate and be transported in the phloem.Discussion:Our investigation demonstrated the effectiveness of laser light technology in enhancing the penetration of foliar‐applied substances into citrus leaves. The technology is also applicable to the study of phloem mobility of substances by providing a less invasive, highly repeatable, and more quantifiable delivery method. The implied superficial lesions to the leaf can be mitigated by applying a waxy coating.
Artinianness of Composed Graded Local Cohomology Modules
Authors: Dehghani-Zadeh Fatemeh 
Published: January 2016

AbstractLet be a graded Noetherian ring with local base ring (R0 ,m0) and let . Let M and N be finitely generated graded R-modules and let a = a0 + R+ an ideal of R. We show that and are Artinian for some i s and j s with a specified property, where bo is an ideal of R0 such that a0 + b0 is an m0-primary ideal.
Self-assembly of Palm Kernel Oil Wax Esters in Aqueous Media: A Molecular Dynamics Study
Authors: Karjiban Roghayeh Abedi , Huan Qiu-Yi , Abdul Rahman Mohd Basyaruddin , Basri Mahiran , Tejo Bimo Ario 
Published: January 2016

<p>Experimentally determined phase diagram of palm kernel oil-based wax esters (PKOEs) nano-emulsion was selected to explore an atomic insight into the self-assembly of PKOEs nano-emulsion using molecular dynamics (MD) simulation technique. A model system including PKOEs molecules and nonionic Tween80 surfactant in aqueous solution was prepared. We used MD to explore a detail atomic insight into the self-assembly process of and the shape of the micelle formed. MD simulation was performed for 20 ns. MD results involving the radius of gyration, the solvent accessible surface areas, the number of clusters formed, and the moment of inertia analysis revealed that the model prepared showed a stable prolate ellipsoid shape. <strong> </strong></p><p> </p>
Relación entre propensión, sensibilidad al asco y selección de rama profesional
Authors: Pineda David , Villaescusa Victoria , Sandín Bonifacio 
Published: January 2016

ResumenLos modelos tradicionales han sugerido que el asco es una emoción básica con componentes cognitivos, fisiológicos y conductuales distintivos, que actúa para prevenir la contaminación y la enfermedad. Del mismo modo que ocurre con el miedo, el asco podría desempeñar una función claramente adaptativa. En el presente trabajo queremos examinar si la sensibilidad al asco puede tener relación con la orientación laboral en jóvenes. La muestra estuvo compuesta por estudiantes de un centro de formación profesional, con una media de 21.25 años (DT = 5.40), de forma colectiva se aplicó el siguiente instrumento de autoinforme: Disgust Propensity and Sesitivity Scale-Revised-12 (DPSS-R-12). La DPSS-R-12 permite obtener puntuaciones para dos dimensiones del asco, propensión y sensibilidad. Basándonos en ANOVAs, constatamos asociaciones significativas entre la propensión al asco y la orientación laboral. Se discuten los resultados y el papel de la emoción del asco como posible factor condicionante en la elección de la rama profesional.AbstractTraditional models suggest that disgust is a basic emotion with distinctive cognitive, physiological and behavioural components, which acts to prevent the possibility of contamination and disease. As occurs with fear, disgust can play a clearly adaptive function. In this paper we examine if sensitivity to disgust can be related with employment orientation in young people. The sample was composed by students from a vocational school, with an average age of 21.25 years (SD = 5.40). A self-report inventory named "Disgust Propensity and Sensitivity Scale-Revised (DPSS-R-12)" was collectively applied. The DPSS-R-12 allows to get scores for two dimensions of disgust: propensity and sensitivity. On the basis of the ANOVAs obtained, we found significant associations between the propensity to disgust and employment orientation. The results are discussed as well as the role of disgust as a possible determinant factor in the choice of the professional branch.
La Tarea de Auto-consuelo Compasivo en Terapia Focalizada en la Emoción
Authors: Caro Ciro , Hornillos Teresa 
Published: January 2016

ResumenEl objetivo de este artículo es poner a disposición de los terapeutas y de los equipos de investigación clínica en psicoterapia, el conocimiento actualizado sobre la Tarea de Auto-consuelo Compasivo de la Terapia Focalizada en la Emoción (TFE). Para los terapeutas humanistas o integradores que guían su intervención mediante marcadores, y que trabajan en el nivel experiencial, este texto pretende ser una guía formativa inspiradora a la vez que detallada. Paralelamente, para los investigadores comprometidos con el desarrollo de la TFE, el texto es propuesto como un modelo, que puede ser utilizado para homogeneizar e incrementar la validez de las intervenciones de facilitación del auto-consuelo, en estudios clínicos en los que este proceso sea una variable relevante. Primero se encuadra la Tarea de Auto-consuelo Compasivo en el marco conceptual de la TFE, se fundamenta racionalmente el trabajo terapéutico con la auto-compasión, y se informa acerca de la evidencia empírica disponible en este campo. Después se explica la tarea en términos del modelo de proceso resultado de la investigación y de la observación clínica: (1) descripción del marcador, (2) especificación de las operaciones del cliente y del terapeuta y (3) propuesta de un estado final relacionado con un micro-resultado terapéutico típico dentro de la sesión. Además se presenta la correspondiente escala de resolución del proceso que conduce a ese estado final. Y por último, se hace una serie de sugerencias acerca del modo óptimo de utilizar este material y se ofrecen algunos recursos didácticos y de entrenamiento complementarios. AbstractThe aim of this paper is to make available to the therapists and to the psychotherapy clinical research teams an update, on the Compassionate Self-soothing Task in Emotion-Focused Therapy (EFT). For the humnanistic or integrative therapists that use marker-guided interventions and for those who work at an experiential level, this writing is aimed to be an inspiring and detailed training guide. On the other hand, for those researches committed to the EFT development, the text is proposed as a model that may be used to homogenize and to increase the validity of the self-soothing facilitation interventions, in those studies in which such process is a relevant variable. In the first place, we present the Compassionate Self-Soothing Task within the EFT's conceptual framework; then we give a rationale for the therapeutic work with self-compassion, and finally we present the available empirical evidence in the field. The task is also explained in terms of the process model resulting from clinical research and observation: (1) marker description, (2) client's and therapist's operations specification, (3) proposal of an end state related to a typical in-session therapeutic micro-outcome. In addition the resolution scale of the process that leads to the end state is also presented. Finally, we make a series of suggestions on how to use this material, and provide some supplementary didactic and training resources.
Effective Patient-Physician Communication Based on Osteopathic Philosophy in Caring for Elderly Patients
Authors: Noll Donald R. , Ginsberg Terrie , Elahi Abdul , Cavalieri Thomas A. 
Published: January 2016

AbstractThe objective of this article is to discuss effective communication strategies between elderly patients and their physicians from the perspective of osteopathic heritage. The patient-physician communication styles of Andrew Taylor Still, MD, DO, and early osteopathic physicians (ie, DOs) may have influenced how DOs today communicate with their patients. Historical literature describes how Still would discuss with his patients the causes of their health problems using analogies and language they would understand, and how, when caring for a patient at the end of life, he empathically provided emotional support for both patients and their families. Early DOs advocated setting clear expectations for patients regarding clinical outcomes and carefully listening to patients to build trust. The Osteopathic Oath, which calls for the DO to view the patient as a friend, may also affect patient-physician communication. Early osteopathic philosophy and culture, as modeled by Dr Still in his approach to elderly patients, should inspire today’s DOs in their communication with their elderly patients.
Management of Acute Isolated Soleal Vein Thrombosis in a Pregnant Patient With an Osteopathic Approach to Evaluation
Authors: Martingano Daniel , Eisenberg Justin , Aglialoro George C. 
Published: January 2016

Abstract
In pregnant women, the risk of venous thromboembolism increases 4 to 5 fold over that in nonpregnant women. Deep vein thromboses in the calf occur in approximately 6% of cases, with a 20% incidence of propagation, but new imaging methods suggest a higher rate. Nevertheless, the management of isolated soleal vein thrombosis is currently one of the most debated issues in the field of venous thromboembolism, and a clear set of principles for the management of this unique clinical problem remains undefined. The authors present the case of a 37-year-old woman with a history of recurrent spontaneous abortions and cervical insufficiency who presented with a short cervix and acute right isolated soleal vein thrombosis. Long-term anticoagulantion therapy was recommended. Future studies on the risk of isolated soleal vein thrombosis propagation in the setting of pregnancy are required to identify the most effective treatment options for this clinical problem.
Determining the Feasibility of Managing Erectile Dysfunction in Humans With Placental-Derived Stem Cells
Authors: Levy Jason A. , Marchand Melissa , Iorio Leanne , Cassini Walquiria , Zahalsky Michael P. 
Published: January 2016

Abstract

Introduction: Stem cell therapy is thought to improve wound healing and promote vasculogenesis and has also been investigated as a treatment for patients with erectile dysfunction (ED), which is usually caused by a microvascular disease such as diabetes mellitus or hypertension.

Objective: To determine the feasibility and effects of using placental matrix−derived mesenchymal stem cells (PM-MSCs) in the treatment of patients with ED.

Methods: Participants were recruited from a private practice urology in Coral Springs, Florida. Each patient received an injection of PM-MSCs and was followed up with at 6 weeks, 3 months, and 6 months to assess peak systolic velocity (PSV), end diastolic velocity, stretched penile length, penile width, and erectile function status based on the International Index of Erectile Function questionnaire.

Results: Eight patients were injected with PM-MSCs. At the 6-week follow-up, PSV ranged from 25.5 cm/s to 56.5 cm/s; at 3 months, PSV ranged from 32.5 cm/s to 66.7 cm/s. Using unpaired t tests, the increase in PSV was statistically significant (P<.05). At 6 months, PSV ranged from 50.7 cm/s to 73.9 cm/s (P<.01). Changes in measured end diastolic velocity, stretched penile length, penile width, and International Index of Erectile Function scores were not statistically significant. At the 6-week follow-up, 2 patients for whom previous oral therapies failed had the ability to sustain erections on their own. At the 3-month follow-up, 1 additional patient was able to achieve erections on his own.

Conclusion: To our knowledge, this is one of the first human studies to report on the feasibility of using stem cell therapy to treat patients with ED. The results indicate that this treatment may be beneficial, and further investigations with larger sample sizes should be conducted. (ClinicalTrials.gov number NCT02398370)