Lumbar Spondylosis
Prepared as a Final Project submission for Coursera course "Understanding the Brain - The Neurobiology of Everyday Life" offered by University of Chicago
Dorsopathies refers to diseases of the back or spine. This document defines and describes several common types of dorsopathies including scoliosis, kyphosis, lordosis, ankylosing spondylitis, spondylolysis, spondylolisthesis, torticollis, osteomyelitis, and kissing spine. It provides details on the characteristics and causes of each condition. International Classification of Diseases (ICD-10-CM) codes are also listed for various dorsopathies for diagnostic coding purposes.
Androgens & Cardiovascular Diseases in Women: From Basic Research to Clinical...InsideScientific
Join Dr. Licy Yanes-Cardozo as she expands on her research exploring the role of androgens on cardiovascular physiology in cis and transgender patients.
Women have higher plasma concentrations of androgens than estrogens, yet the role of androgens in physiological processes and diseases is not completely understood. High levels of androgens in women are associated with a negative cardiometabolic profile, whereas in men, low levels of androgens are associated with an increased incidence of cardiovascular diseases.The biology behind androgens’ sex difference is not completely understood.
In this webinar, Dr. Yanes-Cardozo discusses two clinical situations that are associated with high levels of androgens. Polycystic Ovary Syndrome (PCOS), the most common endocrine disorder in reproductive-aged women, is associated with a modest elevation of plasma levels of androgens. In transmen individuals (female to male), plasma concentrations of androgens are elevated to achieve similar levels found in cisgender men and much higher than in PCOS women. The role that these two different plasma concentrations play in cardiovascular physiology and pathophysiology remains unclear. Gaps and opportunities in basic research and clinical practice are highlighted.
Key Topics Include:
- Review the key role of androgens in cardiovascular pathophysiology
- Discuss potential mechanisms by which androgens mediate a deleterious cardiometabolic profile in females
- Interpret gaps and opportunities in basic and clinical practice in conditions of androgen excess
This document discusses recent advances in the treatment of osteoporosis. It begins by defining osteoporosis as a condition characterized by decreased bone strength. It then provides statistics on the prevalence of osteoporosis and risk of fractures. The document goes on to discuss recent withdrawals of osteoporosis medications due to safety concerns. It outlines various drug therapies for osteoporosis including bisphosphonates, denosumab, teriparatide, and emerging therapies targeting mechanisms like sclerostin inhibition. The conclusion states that while many new drugs are in development phases, current treatments should still be optimally used to manage osteoporosis.
Complex regional pain syndrome (CRPS) is a chronic pain condition that usually affects the limbs. It is divided into two types. Type I is not linked to nerve damage while Type II is linked to nerve damage. CRPS involves burning pain, changes in skin temperature and color, swelling, and reduced range of motion. While the pathophysiology is not fully known, it likely involves increased neurogenic inflammation, altered sympathetic nervous system function, autoimmunity, and central and peripheral sensitization. Treatment involves a multidisciplinary approach including medications, physical and occupational therapy, nerve blocks, implants, and in some cases surgery.
The document discusses amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease. ALS is a progressive neuromuscular condition that affects motor neurons in the brain and spinal cord. Key symptoms include muscle weakness, atrophy, spasms, and increased reflexes. While sensory and cognitive functions remain intact, over time patients have increasing problems with movement, swallowing, speaking and breathing. There is currently no cure for ALS, though treatments aim to reduce symptoms and multidisciplinary care can help prolong life expectancy and quality of life. Occupational therapy focuses on maintaining independence through adaptive equipment and strategies.
GEMC - Bone and Joint Infections - Resident TrainingOpen.Michigan
This is a lecture by Dr. Keith Kocher from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Lumbar Spondylosis
Prepared as a Final Project submission for Coursera course "Understanding the Brain - The Neurobiology of Everyday Life" offered by University of Chicago
Dorsopathies refers to diseases of the back or spine. This document defines and describes several common types of dorsopathies including scoliosis, kyphosis, lordosis, ankylosing spondylitis, spondylolysis, spondylolisthesis, torticollis, osteomyelitis, and kissing spine. It provides details on the characteristics and causes of each condition. International Classification of Diseases (ICD-10-CM) codes are also listed for various dorsopathies for diagnostic coding purposes.
Androgens & Cardiovascular Diseases in Women: From Basic Research to Clinical...InsideScientific
Join Dr. Licy Yanes-Cardozo as she expands on her research exploring the role of androgens on cardiovascular physiology in cis and transgender patients.
Women have higher plasma concentrations of androgens than estrogens, yet the role of androgens in physiological processes and diseases is not completely understood. High levels of androgens in women are associated with a negative cardiometabolic profile, whereas in men, low levels of androgens are associated with an increased incidence of cardiovascular diseases.The biology behind androgens’ sex difference is not completely understood.
In this webinar, Dr. Yanes-Cardozo discusses two clinical situations that are associated with high levels of androgens. Polycystic Ovary Syndrome (PCOS), the most common endocrine disorder in reproductive-aged women, is associated with a modest elevation of plasma levels of androgens. In transmen individuals (female to male), plasma concentrations of androgens are elevated to achieve similar levels found in cisgender men and much higher than in PCOS women. The role that these two different plasma concentrations play in cardiovascular physiology and pathophysiology remains unclear. Gaps and opportunities in basic research and clinical practice are highlighted.
Key Topics Include:
- Review the key role of androgens in cardiovascular pathophysiology
- Discuss potential mechanisms by which androgens mediate a deleterious cardiometabolic profile in females
- Interpret gaps and opportunities in basic and clinical practice in conditions of androgen excess
This document discusses recent advances in the treatment of osteoporosis. It begins by defining osteoporosis as a condition characterized by decreased bone strength. It then provides statistics on the prevalence of osteoporosis and risk of fractures. The document goes on to discuss recent withdrawals of osteoporosis medications due to safety concerns. It outlines various drug therapies for osteoporosis including bisphosphonates, denosumab, teriparatide, and emerging therapies targeting mechanisms like sclerostin inhibition. The conclusion states that while many new drugs are in development phases, current treatments should still be optimally used to manage osteoporosis.
Complex regional pain syndrome (CRPS) is a chronic pain condition that usually affects the limbs. It is divided into two types. Type I is not linked to nerve damage while Type II is linked to nerve damage. CRPS involves burning pain, changes in skin temperature and color, swelling, and reduced range of motion. While the pathophysiology is not fully known, it likely involves increased neurogenic inflammation, altered sympathetic nervous system function, autoimmunity, and central and peripheral sensitization. Treatment involves a multidisciplinary approach including medications, physical and occupational therapy, nerve blocks, implants, and in some cases surgery.
The document discusses amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease. ALS is a progressive neuromuscular condition that affects motor neurons in the brain and spinal cord. Key symptoms include muscle weakness, atrophy, spasms, and increased reflexes. While sensory and cognitive functions remain intact, over time patients have increasing problems with movement, swallowing, speaking and breathing. There is currently no cure for ALS, though treatments aim to reduce symptoms and multidisciplinary care can help prolong life expectancy and quality of life. Occupational therapy focuses on maintaining independence through adaptive equipment and strategies.
GEMC - Bone and Joint Infections - Resident TrainingOpen.Michigan
This is a lecture by Dr. Keith Kocher from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
CRPS is a chronic pain condition that causes extreme pain, swelling, and changes in skin color and temperature in the affected area. It is classified into two types depending on the presence of nerve injury. Symptoms progress through three stages as the condition worsens over time without treatment. Diagnosis involves assessing signs and symptoms, and may include bone scans, x-rays, and thermography. Treatment requires a multidisciplinary approach including medications, nerve blocks, physical therapy, spinal cord stimulators, or sympathectomy to interrupt the pain cycle. Early diagnosis and treatment improves prognosis.
A 49-year-old female presented with 10 months of progressive muscular weakness, mostly in the lower limbs. She also reported intense muscular pain, weight loss, dry mouth, and reduced libido. Testing found reduced reflexes that improved with exertion. Electrodiagnostic studies showed reduced compound muscle action potentials that increased with stimulation. Muscle biopsy showed type II fiber atrophy. She tested positive for calcium channel antibodies. The diagnosis was Lambert-Eaton myasthenic syndrome (LEMS), a rare autoimmune disorder caused by antibodies against calcium channels.
This document discusses the clinical manifestations and management of acute spinal cord injury. It begins with an introduction that defines spinal cord injury and discusses epidemiology and common causes. It then covers the clinical manifestations of complete and incomplete spinal cord injuries at different levels. The management section addresses pre-hospital care, hospital evaluation including history, exam, and imaging, as well as treatment approaches like surgical decompression and rehabilitation. Complications of spinal cord injury are also briefly mentioned.
Spinal Cord Disorders
Definition:-
Spinal Cord Injury(SCI) is an injury to the Spinal Cord that results in temporary or permanent changes in the spinal cords Normal motor sensory or autonomic function.
In most Spinal Cord Injuries, the balance ligaments or disc material pinch the cord, causing it to become bruised or swollen.
1. Incidence
2. Etiology
3. Pathophysiology of SCI
4. Clinical Manifestation
5. Diagnosis
6. Management
7. Nursing Process
8. Nursing Diagnosis
9. Nursing Interventions
Spinal Bifida
Spinal Bifida is a birth defect that occurs when the spinal cord doesn’t form properly.
It is the type of neural tube defect.
The neural tube is the structure in a developing embryo that eventually becomes the body’s Brain, Spinal cord & the tissue that encloses them.
1. types
2. Causes
3. Symptoms
4. Complications
REFERENCES:-
1. Brunner & Siddarth's,
Textbook of Medical-Surgical Nursing,
Multiple sclerosis is a chronic, progressive disease that affects the central nervous system through demyelination of nerve fibers in the brain and spinal cord. It usually develops between the ages of 15-50 and affects women more than men. The cause is unknown but is likely related to genetic and environmental factors. Symptoms vary between individuals and can include motor, sensory, and cognitive impairments. Diagnosis is based on clinical evaluation and MRI evidence of lesions in the brain and spinal cord. Treatment focuses on managing symptoms and preventing relapse.
This document provides an overview of spinal cord disorders including epidemiology, classification, pathophysiology, clinical features, and management. It discusses how cervical spondylosis occurs naturally with aging and affects up to 90% of those over 65. Classification includes compressive vs non-compressive and acute vs chronic disorders. Pathophysiology of cervical spondylotic myelopathy involves external compression and vascular factors due to degenerative disc changes. Clinical features vary depending on the location of the spinal cord involvement but may include neck pain, weakness, sensory changes, and bladder/bowel dysfunction.
Osteoporosis is a Skeletal disorder characterized by compromised Bone strength. Bone strength primarily reflects the integration of: 1- Bone Density (Mass) 2- Bone Quality 3- Bone Turnover (Recycling). leading to an increased Fragility and risk of fracture.
Osteoporosis is a serious public health concern due to its prevalence worldwide. Currently over 200 million people worldwide suffer from this disease. Approximately 30% of all postmenopausal women have osteoporosis in the USA & Europe. At least 40% of these women and 15-30% of men will sustain one or more fragility fractures in their remaining lifetime. Ageing of populations worldwide will be responsible for a major increase in the incidence of osteoporosis in postmenopausal women. An initial fracture is a major risk factor for a new fracture. An increased risk of 86% for any fracture in people that have already sustained a fracture. Patients with a history of vertebral fracture have a 2.3-fold increased risk of future hip fracture and a 1.4-fold increase in risk of distal forearm fracture.
Prevention and Treatment of Osteoporosis and Fragility fracture:
A- Therapeutic Life style: 1- Good Nutritious Diet. 2- Exercise. 3- Prevention of falls
B- Drug therapy: 1- Anti resorptive agent. 2- Bone forming agents. 3- Other agents
Multiple Sclerosis (MS) is a disease of the central nervous system where the myelin sheaths that surround nerve fibers are damaged, causing communication problems between the brain and body. It is an autoimmune disease where the immune system attacks the myelin for unknown reasons. Symptoms vary between patients but can include vision problems, weakness, fatigue, and cognitive issues. MS is diagnosed through neurological exams, MRI imaging showing lesions on the myelin, and ruling out other potential causes. While there is no cure, treatments aim to reduce symptoms and attacks through medications, therapy, and lifestyle changes.
Compression neuropathy: pathophysiology, history, diagnosis, and treatment (including the management of carpal tunnel syndrome, and cubital tunnel syndrome).
Musculoskeletal disorders affect the human body's movements and musculoskeletal system. The main organs and tissues involved are cartilages, bones, and muscles. Musculoskeletal disorders can impact nerves, muscles, tendons, ligaments, joints, cartilage, and spinal discs. Some common musculoskeletal diseases include arthritis, joint deformities, gout, myalgia, tendonitis, bursitis, and osteoarthritis. Signs and symptoms may include decreased range of motion, deformity, pain, numbness, and stiffness. Causes can include work stress, awkward postures, physical/psychological hazards, vitamin deficiency, diet, and aging.
Multiple Choice Questions (MCQs) in NeurologyThe Neurology
Multiple Choice Questions (MCQs) in Neurology provides comprehensive neurology education resources including question banks, sample exam papers, and self-assessment reviews to help neurology aspirants prepare for entrance exams. The Neurology website was established in 2011 by Dr. Sunil Kumar as a non-profit educational resource with a mission to provide up-to-date and advertisement-free neurology knowledge to support exam preparation.
Back pain is common in adolescents, with incidence higher in girls than boys. Associations exist with heavy school bags, lack of lockers, and family history. Red flags include younger age, persistent or worsening pain, fever, and neurological symptoms. MRI is most valuable for imaging. Rehabilitation and back education are the mainstay of treatment.
Physiotherapy interventions for children with CRPS type 1, including desensitization, heat, exercises, weight bearing, TENS, hydrotherapy, and sensory stimulation, showed improvements in symptoms for the majority of patients in case studies and reviews. However, the evidence is limited due to the small number of studies and heterogeneous nature of the data. Larger, higher quality studies are still needed to provide definitive treatment recommendations for this population.
Spinal stenosis is a degenrative spine disorder in which the AP and transverse diameter are decreased causing neural compression and symptoms of chronic & acute nerve compression
Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and increased risk of fractures. It is estimated that over 10 million Americans have osteoporosis, with many more having low bone density placing them at risk. Vertebral compression fractures are a common problem associated with osteoporosis and can cause significant pain and loss of function. Treatment focuses on lifestyle modifications like calcium and vitamin D intake, exercise, and medication to reduce fracture risk and improve bone health.
Percutaneous discectomy is a minimally invasive surgical procedure that treats contained, herniated discs. Specific procedures within the class include: manual percutaneous lumbar discectomy, Automated percutaneous lumbar discectomy (APLD) laser discectomy and nucleoplasty percutaneous intradiscal radiofrequency thermocoagulation is a procedure that allows the controlled delivery of heat to the intervertebral disc via an electrode or coil.
Trabalho doméstico no Brasil: Uma Análise das Transformações RecentesJuliana Anacleto
1. O documento analisa as transformações recentes no trabalho doméstico no Brasil entre 2001-2008.
2. Ele busca fornecer novos dados e questões para entender melhor teoricamente e metodologicamente o emprego doméstico brasileiro contemporâneo.
3. O estudo analisa como fatores como gênero, raça, escolaridade, migração e constituição familiar afetam o emprego doméstico no Brasil.
Canadian clinical practice guidelines per il tarttamento delle rinosinusiti a...Merqurio
This document provides guidelines for the management of acute and chronic rhinosinusitis (ARS and CRS). For ARS, the guidelines recommend that it can be diagnosed clinically based on symptoms for over 7 days. Determining symptom severity is useful for management. Radiological imaging is not required for uncomplicated ARS but may be used to confirm diagnosis for recurrent cases or rule out other causes. Antibiotics are recommended to improve resolution rates at 14 days and should be considered for those with severe symptoms, comorbidities, or where quality of life is impacted. For CRS, the guidelines recognize it as a disease with multiple inflammatory components rather than just chronic bacterial infection. Management involves both medical and surgical therapies adapted to the path
This document summarizes the qualifications and experience of Charles Cohen as a Senior Supplier Quality Engineer. It highlights his extensive experience implementing quality systems and tools like Lean, Six Sigma, and compliance programs to improve supplier quality, reduce costs, and increase customer satisfaction for companies in various industries. It provides recommendations from past managers and details of his project successes in areas like reducing supplier issues and complaints.
The document discusses the role of the CIO in leading organizations through the Postdigital era, where five forces of analytics, mobile, social, cloud, and cyber are converging and disrupting businesses. It argues that CIOs are uniquely positioned to catalyze change across organizations and help others understand how to leverage new digital opportunities. While CIOs have traditionally faced challenges balancing operational responsibilities with innovation, the current environment presents both risks and opportunities. Forward-thinking CIOs who rise to provoke disruption through these forces may take on expanded leadership roles, such as a Chief Digital Officer, and drive competitive advantage for their organizations.
CRPS is a chronic pain condition that causes extreme pain, swelling, and changes in skin color and temperature in the affected area. It is classified into two types depending on the presence of nerve injury. Symptoms progress through three stages as the condition worsens over time without treatment. Diagnosis involves assessing signs and symptoms, and may include bone scans, x-rays, and thermography. Treatment requires a multidisciplinary approach including medications, nerve blocks, physical therapy, spinal cord stimulators, or sympathectomy to interrupt the pain cycle. Early diagnosis and treatment improves prognosis.
A 49-year-old female presented with 10 months of progressive muscular weakness, mostly in the lower limbs. She also reported intense muscular pain, weight loss, dry mouth, and reduced libido. Testing found reduced reflexes that improved with exertion. Electrodiagnostic studies showed reduced compound muscle action potentials that increased with stimulation. Muscle biopsy showed type II fiber atrophy. She tested positive for calcium channel antibodies. The diagnosis was Lambert-Eaton myasthenic syndrome (LEMS), a rare autoimmune disorder caused by antibodies against calcium channels.
This document discusses the clinical manifestations and management of acute spinal cord injury. It begins with an introduction that defines spinal cord injury and discusses epidemiology and common causes. It then covers the clinical manifestations of complete and incomplete spinal cord injuries at different levels. The management section addresses pre-hospital care, hospital evaluation including history, exam, and imaging, as well as treatment approaches like surgical decompression and rehabilitation. Complications of spinal cord injury are also briefly mentioned.
Spinal Cord Disorders
Definition:-
Spinal Cord Injury(SCI) is an injury to the Spinal Cord that results in temporary or permanent changes in the spinal cords Normal motor sensory or autonomic function.
In most Spinal Cord Injuries, the balance ligaments or disc material pinch the cord, causing it to become bruised or swollen.
1. Incidence
2. Etiology
3. Pathophysiology of SCI
4. Clinical Manifestation
5. Diagnosis
6. Management
7. Nursing Process
8. Nursing Diagnosis
9. Nursing Interventions
Spinal Bifida
Spinal Bifida is a birth defect that occurs when the spinal cord doesn’t form properly.
It is the type of neural tube defect.
The neural tube is the structure in a developing embryo that eventually becomes the body’s Brain, Spinal cord & the tissue that encloses them.
1. types
2. Causes
3. Symptoms
4. Complications
REFERENCES:-
1. Brunner & Siddarth's,
Textbook of Medical-Surgical Nursing,
Multiple sclerosis is a chronic, progressive disease that affects the central nervous system through demyelination of nerve fibers in the brain and spinal cord. It usually develops between the ages of 15-50 and affects women more than men. The cause is unknown but is likely related to genetic and environmental factors. Symptoms vary between individuals and can include motor, sensory, and cognitive impairments. Diagnosis is based on clinical evaluation and MRI evidence of lesions in the brain and spinal cord. Treatment focuses on managing symptoms and preventing relapse.
This document provides an overview of spinal cord disorders including epidemiology, classification, pathophysiology, clinical features, and management. It discusses how cervical spondylosis occurs naturally with aging and affects up to 90% of those over 65. Classification includes compressive vs non-compressive and acute vs chronic disorders. Pathophysiology of cervical spondylotic myelopathy involves external compression and vascular factors due to degenerative disc changes. Clinical features vary depending on the location of the spinal cord involvement but may include neck pain, weakness, sensory changes, and bladder/bowel dysfunction.
Osteoporosis is a Skeletal disorder characterized by compromised Bone strength. Bone strength primarily reflects the integration of: 1- Bone Density (Mass) 2- Bone Quality 3- Bone Turnover (Recycling). leading to an increased Fragility and risk of fracture.
Osteoporosis is a serious public health concern due to its prevalence worldwide. Currently over 200 million people worldwide suffer from this disease. Approximately 30% of all postmenopausal women have osteoporosis in the USA & Europe. At least 40% of these women and 15-30% of men will sustain one or more fragility fractures in their remaining lifetime. Ageing of populations worldwide will be responsible for a major increase in the incidence of osteoporosis in postmenopausal women. An initial fracture is a major risk factor for a new fracture. An increased risk of 86% for any fracture in people that have already sustained a fracture. Patients with a history of vertebral fracture have a 2.3-fold increased risk of future hip fracture and a 1.4-fold increase in risk of distal forearm fracture.
Prevention and Treatment of Osteoporosis and Fragility fracture:
A- Therapeutic Life style: 1- Good Nutritious Diet. 2- Exercise. 3- Prevention of falls
B- Drug therapy: 1- Anti resorptive agent. 2- Bone forming agents. 3- Other agents
Multiple Sclerosis (MS) is a disease of the central nervous system where the myelin sheaths that surround nerve fibers are damaged, causing communication problems between the brain and body. It is an autoimmune disease where the immune system attacks the myelin for unknown reasons. Symptoms vary between patients but can include vision problems, weakness, fatigue, and cognitive issues. MS is diagnosed through neurological exams, MRI imaging showing lesions on the myelin, and ruling out other potential causes. While there is no cure, treatments aim to reduce symptoms and attacks through medications, therapy, and lifestyle changes.
Compression neuropathy: pathophysiology, history, diagnosis, and treatment (including the management of carpal tunnel syndrome, and cubital tunnel syndrome).
Musculoskeletal disorders affect the human body's movements and musculoskeletal system. The main organs and tissues involved are cartilages, bones, and muscles. Musculoskeletal disorders can impact nerves, muscles, tendons, ligaments, joints, cartilage, and spinal discs. Some common musculoskeletal diseases include arthritis, joint deformities, gout, myalgia, tendonitis, bursitis, and osteoarthritis. Signs and symptoms may include decreased range of motion, deformity, pain, numbness, and stiffness. Causes can include work stress, awkward postures, physical/psychological hazards, vitamin deficiency, diet, and aging.
Multiple Choice Questions (MCQs) in NeurologyThe Neurology
Multiple Choice Questions (MCQs) in Neurology provides comprehensive neurology education resources including question banks, sample exam papers, and self-assessment reviews to help neurology aspirants prepare for entrance exams. The Neurology website was established in 2011 by Dr. Sunil Kumar as a non-profit educational resource with a mission to provide up-to-date and advertisement-free neurology knowledge to support exam preparation.
Back pain is common in adolescents, with incidence higher in girls than boys. Associations exist with heavy school bags, lack of lockers, and family history. Red flags include younger age, persistent or worsening pain, fever, and neurological symptoms. MRI is most valuable for imaging. Rehabilitation and back education are the mainstay of treatment.
Physiotherapy interventions for children with CRPS type 1, including desensitization, heat, exercises, weight bearing, TENS, hydrotherapy, and sensory stimulation, showed improvements in symptoms for the majority of patients in case studies and reviews. However, the evidence is limited due to the small number of studies and heterogeneous nature of the data. Larger, higher quality studies are still needed to provide definitive treatment recommendations for this population.
Spinal stenosis is a degenrative spine disorder in which the AP and transverse diameter are decreased causing neural compression and symptoms of chronic & acute nerve compression
Osteoporosis is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and increased risk of fractures. It is estimated that over 10 million Americans have osteoporosis, with many more having low bone density placing them at risk. Vertebral compression fractures are a common problem associated with osteoporosis and can cause significant pain and loss of function. Treatment focuses on lifestyle modifications like calcium and vitamin D intake, exercise, and medication to reduce fracture risk and improve bone health.
Percutaneous discectomy is a minimally invasive surgical procedure that treats contained, herniated discs. Specific procedures within the class include: manual percutaneous lumbar discectomy, Automated percutaneous lumbar discectomy (APLD) laser discectomy and nucleoplasty percutaneous intradiscal radiofrequency thermocoagulation is a procedure that allows the controlled delivery of heat to the intervertebral disc via an electrode or coil.
Trabalho doméstico no Brasil: Uma Análise das Transformações RecentesJuliana Anacleto
1. O documento analisa as transformações recentes no trabalho doméstico no Brasil entre 2001-2008.
2. Ele busca fornecer novos dados e questões para entender melhor teoricamente e metodologicamente o emprego doméstico brasileiro contemporâneo.
3. O estudo analisa como fatores como gênero, raça, escolaridade, migração e constituição familiar afetam o emprego doméstico no Brasil.
Canadian clinical practice guidelines per il tarttamento delle rinosinusiti a...Merqurio
This document provides guidelines for the management of acute and chronic rhinosinusitis (ARS and CRS). For ARS, the guidelines recommend that it can be diagnosed clinically based on symptoms for over 7 days. Determining symptom severity is useful for management. Radiological imaging is not required for uncomplicated ARS but may be used to confirm diagnosis for recurrent cases or rule out other causes. Antibiotics are recommended to improve resolution rates at 14 days and should be considered for those with severe symptoms, comorbidities, or where quality of life is impacted. For CRS, the guidelines recognize it as a disease with multiple inflammatory components rather than just chronic bacterial infection. Management involves both medical and surgical therapies adapted to the path
This document summarizes the qualifications and experience of Charles Cohen as a Senior Supplier Quality Engineer. It highlights his extensive experience implementing quality systems and tools like Lean, Six Sigma, and compliance programs to improve supplier quality, reduce costs, and increase customer satisfaction for companies in various industries. It provides recommendations from past managers and details of his project successes in areas like reducing supplier issues and complaints.
The document discusses the role of the CIO in leading organizations through the Postdigital era, where five forces of analytics, mobile, social, cloud, and cyber are converging and disrupting businesses. It argues that CIOs are uniquely positioned to catalyze change across organizations and help others understand how to leverage new digital opportunities. While CIOs have traditionally faced challenges balancing operational responsibilities with innovation, the current environment presents both risks and opportunities. Forward-thinking CIOs who rise to provoke disruption through these forces may take on expanded leadership roles, such as a Chief Digital Officer, and drive competitive advantage for their organizations.
Calgary Regional Partnership Media Report: January - April 2013Karl Yeh
The document discusses ongoing mediation between the Calgary Regional Partnership and counties of Rocky View and Foothills over the Calgary Metropolitan Plan. It also describes a debate in High River town council over endorsing the plan. Councilors disagreed, with one opponent arguing the plan would increase costs and reduce local control, while another councilor said the town would not be forced to contribute until joining regional transit. Council ultimately postponed a motion on the plan due to their disagreement.
Osteoporosi tutto quello che cè da sapere su questa malattia ossea silenzios...Pill Reminder
Definizione di osteoporosi
L'osteoporosi è caratterizzata dalla perdita di densità ossea e dalla fragilità ossea, che aumentano il rischio di fratture. In questa sezione analizzeremo in dettaglio cos'è l'osteoporosi e come influisce sulla salute delle ossa.
Epidemiologia e prevalenza
Un'analisi dell'incidenza e della prevalenza dell'osteoporosi a livello mondiale, insieme ai dati demografici, aiuterà a comprendere l'entità di questo problema di salute pubblica e il suo impatto sulla società.
Gruppi di popolazione più a rischio
Identificheremo i gruppi di popolazione più a rischio di sviluppare l'osteoporosi, compresi i fattori di rischio come l'età, il sesso, la genetica e altri aspetti legati allo stile di vita.
Conseguenze dell'osteoporosi
In questa sezione verranno analizzate le gravi conseguenze dell'osteoporosi, tra cui fratture ossee, perdita di mobilità e riduzione della qualità della vita. Verranno inoltre discusse le opzioni di trattamento e prevenzione.
S.M.T. Sindrome Miositica di Tensione
David Cardano
Attività fisica e interazioni con il cancro
Diego Campaci
Il legame tra eccesso di peso e problemi posturali e muscolo-scheletrici
Diego Campaci e Ombretta Viglianesi
Sovrappeso e come combatterlo: il ruolo dell'ipertrofia muscolare nel processo dimagrante
Sabatino di Stasi
Fitness e dintorni. Ortoressia: quando il cibo diventa ossessione
Pierluigi De Pascalis
.
Scopri la rivista qui https://www.calzetti-mariucci.it/shop/prodotti/scienza-e-movimento-n-21-rivista-nonsolofitness
L’osteoporosi rappresenta oggi uno dei maggiori problemi di sanità pubblica e privata in tutto il mondo, soprattutto per il grande impatto socio-sanitario delle fratture conseguenti alla malattia.
Centinaia di milioni di persone ne sono affette, consapevoli o meno, in particolare donne in pre-e postmenopausa. Il ruolo del ginecologo è importante nel sensibilizzarle al problema anche con molto anticipo.
Presentazione a cura del Dottor Orazio Fallae la Dottoressa Stefania Falcone - "TIROIDE 2018 Nuovi approcci diagnostici e terapeutici" - Roma 24/11/2018
The document discusses laparoscopy procedures for various gynecological conditions such as infertility, chronic pelvic pain, ectopic pregnancy, and oncological issues. It notes that laparoscopy can be used for both diagnostic and operative purposes. It then discusses different techniques for laparoscopic access such as direct trocar insertion versus Verres needle insertion. It reviews studies comparing complication rates between different access techniques. The document emphasizes the importance of evidence-based medicine and following guidelines from organizations like NICE when determining appropriate diagnostic tests and treatments for conditions like infertility.
The document discusses laparoscopy procedures for various gynecological conditions. It begins by outlining conditions that can be diagnosed or treated via laparoscopy, including infertility, ectopic pregnancy, adhesions, endometriosis, ovarian masses, hysterectomy, uterine fibroids, and gynecological oncology issues. It then discusses different laparoscopy access techniques such as direct trocar insertion, open laparoscopy, and Verres needle insertion. It provides data on complication rates for different access methods. The document also discusses techniques for avoiding major vascular injuries during access. In summary, the document provides an overview of laparoscopy procedures and techniques for gynecological conditions.
Nuovo metodo ad ultrasuoni per il trattamento dei calcoli renaliMerqurio
This document describes a novel method using focused ultrasound to reposition kidney stones. Researchers created a kidney phantom with an artificial collecting system and lower pole. Both artificial and human kidney stones were placed in the lower pole. An ultrasound imaging probe was used to locate the stones, while a separate focused ultrasound probe could deliver bursts of ultrasound to move the stones. In experiments, stones were successfully repositioned from the lower pole to the collecting system in seconds, moving at about 1 cm/s. This noninvasive method shows promise for aiding stone clearance after surgery or during medical expulsive therapy.
Litotrissia percutanea laparoscopica nel rene pelvico casi cliniciMerqurio
This document describes a novel technique of laparoscopically assisted percutaneous pyelolithotomy for treating kidney stones in pelvic kidneys. The technique was used in 3 patients with large pelvic kidney stones who were not suitable candidates for standard percutaneous or laparoscopic approaches. The procedure involves using laparoscopy to expose the renal pelvis, then inserting a needle percutaneously into the pelvis under direct visualization. The tract is dilated and a nephroscope is used to remove stones without needing to incise or suture the pelvis. This approach provides direct access to the pelvis without risks of standard percutaneous or laparoscopic techniques. All 3 patients were successfully treated with no complications and no
Chirurgia di preservazione dell'udito. lento progresso e nuove strategieMerqurio
This study evaluated hearing outcomes for 115 patients who underwent hearing preservation surgery for acoustic neuromas. The goal was to determine the tumor size and level of pre-operative hearing that resulted in high rates of preserved hearing. Two groups of patients were evaluated based on tumor size - those with tumors ≤ 10mm and those >10mm. Patients with tumors ≤ 10mm and good pre-operative hearing (≤20dB PTA, ≥80% SDS) had a 76% success rate of preserved hearing. Patients with smaller tumors but poorer pre-operative hearing had lower success rates. The authors concluded that hearing preservation surgery is most effective for acoustic neuromas ≤10mm with good pre-operative hearing and can be an optimal treatment
Il trattamento chirurgico dei tumori del labbroMerqurio
This document summarizes a study on the surgical management of lip cancer. The study examined 32 patients treated for lip cancer over 5 years. Most cases involved squamous cell carcinoma of the lower lip. Surgical excision of the tumor was performed with oncologically appropriate margins. Reconstruction after surgery posed challenges, especially for advanced or extensive lesions. Local flaps from the lip or surrounding tissues were often used for reconstruction. Neck dissection was also performed in some cases to control lymph node metastases. While early stage tumors had good postoperative outcomes, advanced lesions resulted in greater functional impairments like drooling or chewing difficulties after surgery. The document discusses the surgical and reconstructive techniques used to treat lip cancers while aiming to preserve lip appearance and
Il trattamento chirurgico dei tumori del labbroMerqurio
The document summarizes the surgical management of lip cancer. It discusses that lip cancer is most commonly squamous cell carcinoma, usually originating in the lower lip. The management of lip cancer involves controlling the primary tumor with appropriate margins while allowing for oral competence, as well as potential neck metastases. Reconstruction is challenging, especially for advanced lesions, requiring preoperative planning and various surgical techniques. Early stage tumors have better prognostic and functional outcomes after surgery compared to advanced lesions. The authors report their experience treating lip tumors and managing neck metastases.
Effetti degli integratori di calcio sul rischio di infarto del miocardio e di...Merqurio
This meta-analysis investigated whether calcium supplements increase the risk of cardiovascular events. It analyzed 15 eligible randomized controlled trials involving over 11,000 participants who took calcium supplements for an average of 4 years. The analysis found a small increased risk of myocardial infarction among those taking calcium supplements compared to placebo, with 143 people experiencing a heart attack in the calcium group versus 111 in the placebo group. There was also a non-significant trend towards increased risks of stroke and cardiovascular death. These modest increases in risk could translate to a significant burden of disease at the population level given widespread calcium supplement use. The results suggest a reassessment of calcium supplements for osteoporosis is warranted.
Il trattamento chirurgico dei tumori del labbroMerqurio
This document summarizes a study on the surgical management of lip cancer. The most common type of lip cancer is squamous cell carcinoma, usually occurring on the lower lip. Treatment involves complete excision of the primary tumor with oncologically appropriate margins while preserving lip structure and function during reconstruction. For early-stage tumors, surgery results in good aesthetic and functional outcomes. More advanced tumors require complex reconstruction techniques using local or regional flaps to restore lip shape, texture, and mobility. Management of possible neck metastases is also important, as lymph node involvement significantly reduces survival rates. The authors report their experience treating 32 cases of lip cancer with surgical excision and various reconstructive procedures.
La sindrome rino bronchiale. indagine conoscitiva sio-aimar.Merqurio
This study aimed to standardize the diagnosis and treatment of rhino-bronchial syndrome (RBS), which links inflammation of the upper and lower airways. 159 patients meeting criteria for RBS underwent a two-level diagnostic protocol including endoscopy and spirometry. RBS was confirmed in 116 patients who had higher rates of allergic and infectious diseases than unconfirmed cases. Common symptoms were nasal obstruction, rhinorrhea, cough, and dyspnea. After 3 months of treatment including steroids, antibiotics, and nasal lavage, 96% of patients recovered. The study proposes a diagnostic workflow and highlights the importance of correct diagnosis through multidisciplinary evaluation for effective treatment of RBS.
La sindrome rino bronchiale. indagine conoscitiva sio-aimar.Merqurio
This document describes a survey conducted by the Italian Society of Otorhinolaryngology and the Interdisciplinary Scientific Association for the Study of Respiratory Diseases to better understand the epidemiology, diagnosis, and treatment of rhino-bronchial syndrome. 159 patients from 9 ENT and pulmonology centers were enrolled based on clinical history and symptoms. 116 patients received a confirmed diagnosis based on examinations of the upper and lower airways. Allergic and infectious diseases were more common in patients with a confirmed diagnosis. After 3 months of standard treatment, 96% of patients recovered. The study proposes a diagnostic workflow and emphasizes the importance of correct diagnosis through multidisciplinary evaluation and treatment.
Artroplastica totale del ginocchio per il trattamento dell'osteoartrite del g...Merqurio
Over the past decade in Hong Kong, there has been an increasing trend in the number of total knee arthroplasty (TKA) operations performed and patients receiving TKAs. While the characteristics of patients have remained largely unchanged, there has been a significant rise in the number and proportion of patients over 80 years old receiving TKAs, from 4.8% in 2000-2004 to 13.8% in 2005-2009. In contrast, the number and proportion of younger patients under 60 receiving TKAs has not increased over the last 10 years. Overall, the study found an aging population in Hong Kong is contributing to rising joint replacement surgery rates.
Artroplastica totale del ginocchio per il trattamento dell'osteoartrite del g...Merqurio
There was an increasing trend in the number of total knee arthroplasty (TKA) operations performed and patients receiving TKAs from 2000 to 2009. While the functional status and severity of patient symptoms did not change significantly over this period, there was a decrease in the mechanical axis deviation, indicating less severe radiographic osteoarthritis. The number of elderly patients over 80 years of age receiving TKAs increased significantly, but the number of younger patients under 60 did not change.
Artroplastica totale del ginocchio per il trattamento dell'osteoartrite del g...
Osteoporosi
1. OSTEOPOROSI CONOSCERLA PER CURARLA M.P. Carlino, S. De Gregorio, U. De Marco, F. Vitelli U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
2. OSTEOPOROSI CONOSCERLA PER CURARLA L’Osteoporosi è una malattia di rilevanza sociale. La sua incidenza, con prevalenza per il sesso femminile, aumenta con l’età sino ad interessare la maggior parte della popolazione oltre l’ottava decade di vita. U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
3. Cos’è l’Osteoporosi? Perché è diventata ai nostri giorni una malattia importante? E’ una malattia sistemica dell’apparato scheletrico caratterizzata da: Perdita di massa ossea. Deterioramento con distruzione della micro-architettura del tessuto osseo. U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
4. Definizione OMS Malattia sistemica caratterizzata da diminuzione della massa ossea e deterioramento della microarchitettura del tessuto osseo che porta ad una maggiore fragilità dell’osso e ad un aumentato rischio di fratture. Osso normale Osso osteoporotico U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
11. Quadro clinico: il dolore Tipo ed insorgenza Esacerbazione Alleviamento Fenomeni associati Durata Sede più frequente Episodico ad esordio acuto, sia a riposo che dopo modesti sforzi In seguito a piccoli movimenti, sia in ortostatismo che in posizione seduta Col riposo a letto in posizione supina Il rachide dorso-lombare (D12) Astenia, alterazioni dell’alvo (protrusione addominale) Alterazioni della funzione cardiovascolare e respiratorie (deformità toracica) Il tipico dolore dorsale o dorso-lombare dell’osteoporosi dura da qualche giorno a qualche settimana U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
14. TC U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
15. TC Possibilità di misurare la densità di uno specifico volume (analisi Q uantitativa) Fosfato di potassio(minerali)-etanolo(grasso)-acqua(tessuti molli) Densità (H) di minerale (mg/cm3) U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA
16.
17. RM Possibilità di adeguata valutazione del midollo osseo….. Midollo rosso Midollo rosso Midollo giallo Midollo giallo U.O. DI DIAGNOSTICA PER IMMAGINI SEDE INRCA COSENZA