Patients' expectations prior to rotator cuff repair surgery and whether fulfilling those expectations impacts outcomes. 80 patients completed expectation and outcome surveys before surgery and at 6 months and 2 years post-op. Top expectations were relief of pain and improved range of motion. Expectations were largely fulfilled by 2 years. Fulfilling expectations correlated with higher patient satisfaction, but expectations alone did not predict outcomes. Managing expectations through education may improve satisfaction after rotator cuff repair.
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...Professor M. A. Imam
An investigation of the outcome of arthroscopic rotator cuff repair of large and massive rotator cuff repairs performed with extracellular matrix augmentation.
Presentation delivered at 2020 AAOS annual meeting by Dr Adnan Saithna, Professor of Orthopedic Surgery, Overland Park, Kansas. This randomised controlled study demonstrates that combined ACL and anterolateral ligament reconstruction is not associated with an increased risk of adverse events when compared to isolated ACL reconstruction
Suture anchor Bone Response Validation StudyLennard Funk
Suture anchors are routinely used for shoulder labral reconstruction procedures. There is paucity of literature on how the response of bone to suture anchor should be measured following labral reconstruction. A new system, based on the use of magnetic resonance (MR) imaging, has been developed by Professor Bhatti and his trainee which grades bone signal changes around suture anchors using a five-point scale. This system, however, has not yet been tested on a clinical dataset. We tested the reliability of the grading system in an independent dataset.
This validation study demonstrates that the grading system is feasible and has generally moderate reliability. And, although results could be improved if a training document is added at the beginning of the study, this grading system should undergo further validation testing for use in clinical trials.
Professor Saithna's presentation at ISKSAA 2018, Leeds, UK, focusing on current concepts in the surgical management of anterior cruciate ligament injuries in the elite athlete.
Presentation given by Dr Saithna at the 2019 AANA (Arthroscopy Association North America) Annual Meeting on the Outcomes of Combined ACL and anterolateral ligament reconstruction in Professional Athletes
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...Professor M. A. Imam
An investigation of the outcome of arthroscopic rotator cuff repair of large and massive rotator cuff repairs performed with extracellular matrix augmentation.
Presentation delivered at 2020 AAOS annual meeting by Dr Adnan Saithna, Professor of Orthopedic Surgery, Overland Park, Kansas. This randomised controlled study demonstrates that combined ACL and anterolateral ligament reconstruction is not associated with an increased risk of adverse events when compared to isolated ACL reconstruction
Suture anchor Bone Response Validation StudyLennard Funk
Suture anchors are routinely used for shoulder labral reconstruction procedures. There is paucity of literature on how the response of bone to suture anchor should be measured following labral reconstruction. A new system, based on the use of magnetic resonance (MR) imaging, has been developed by Professor Bhatti and his trainee which grades bone signal changes around suture anchors using a five-point scale. This system, however, has not yet been tested on a clinical dataset. We tested the reliability of the grading system in an independent dataset.
This validation study demonstrates that the grading system is feasible and has generally moderate reliability. And, although results could be improved if a training document is added at the beginning of the study, this grading system should undergo further validation testing for use in clinical trials.
Professor Saithna's presentation at ISKSAA 2018, Leeds, UK, focusing on current concepts in the surgical management of anterior cruciate ligament injuries in the elite athlete.
Presentation given by Dr Saithna at the 2019 AANA (Arthroscopy Association North America) Annual Meeting on the Outcomes of Combined ACL and anterolateral ligament reconstruction in Professional Athletes
Lecture given by Dr Saithna, Orthopedic Surgeon, Overland Park, Kansas on his latest research related to knee and shoulder injuries, including: Anterior cruciate ligament (ACL), ACL repair, ACL reconstruction, ACL rehabilitation, Rotator cuff and Long head of biceps injuries
Elbow instability Jill Thomas NWULG may 2018Lennard Funk
Jill Thomas from the Upper Limb Unit at Wrightington Hospital presents on rehabilitation for elbow instability - presented to the North West Upper Limb Group (www.nwulg.org)
Winner of the Richard O'Connor Research Award from the Arthroscopy Association of North America 2017. This study demonstrates major improvement in the outcome of ACL reconstruction when an extra-articular procedure (ALL reconstruction) is also performed. The full manuscript is published in AJSM. Anterolateral Ligament Reconstruction Is Associated With Significantly Reduced ACL Graft Rupture Rates at a Minimum Follow-up of 2 Years: A Prospective Comparative Study of 502 Patients From the SANTI (Scientific ACL NeTwork International) Study Group
Lecture given by Dr Saithna, Orthopedic Surgeon, Overland Park, Kansas on his latest research related to knee and shoulder injuries, including: Anterior cruciate ligament (ACL), ACL repair, ACL reconstruction, ACL rehabilitation, Rotator cuff and Long head of biceps injuries
Elbow instability Jill Thomas NWULG may 2018Lennard Funk
Jill Thomas from the Upper Limb Unit at Wrightington Hospital presents on rehabilitation for elbow instability - presented to the North West Upper Limb Group (www.nwulg.org)
Winner of the Richard O'Connor Research Award from the Arthroscopy Association of North America 2017. This study demonstrates major improvement in the outcome of ACL reconstruction when an extra-articular procedure (ALL reconstruction) is also performed. The full manuscript is published in AJSM. Anterolateral Ligament Reconstruction Is Associated With Significantly Reduced ACL Graft Rupture Rates at a Minimum Follow-up of 2 Years: A Prospective Comparative Study of 502 Patients From the SANTI (Scientific ACL NeTwork International) Study Group
G112 Ito & Shiromaru (2009). Patients’ coping strategies before and after ab...Takehiko Ito
G112 Ito & Shiromaru (2009). Patients’ coping strategies before and after abdominal surgery: A questionnaire survey. The 1st International Nursing Research Conference of World Academy of Nursing Science, Kobe: Program & Abstracts, 235.
Early Outcome of Discectomy with Interspinous Process Distraction Device a Re...CrimsonPublishersOPROJ
Early Outcome of Discectomy with Interspinous Process Distraction Device a Retrospective Cross-Sectional Study by Gunaseelan Ponnusamy* in Crimson Publishers: Orthopedic Research and Reviews Journal
Impact of ERAS Protocol on the Post-Operative Complications in Colorectal Sur...semualkaira
The patient experiences post-operative complications after colorectal surgery. To reduce these complications,
the ERAS protocol was developed. The current study assesses the
impact of ERAS on the post-operative complications after colorectal surgery
Impact of ERAS Protocol on the Post-Operative Complications in Colorectal Sur...semualkaira
The patient experiences post-operative complications after colorectal surgery. To reduce these complications,
the ERAS protocol was developed. The current study assesses the
impact of ERAS on the post-operative complications after colorectal surgery.
FAIMS Study: The Future of Artificial Intelligence in Medicine and Surgery; a...Professor M. A. Imam
Artificial intelligence (AI) holds the promise to
revolutionize patient healthcare1.
• However, new issues arise from the application of AI in
healthcare, including concerns about cybersecurity, the
question of responsibility, and the integration of AI tools
into current practice and ethical considerations2.
• Currently, AI tools and the related above-mentioned
issues are still under investigation, and it is unclear how
healthcare professionals perceive AI healthcare
applications
Uncemented implants at our unit have a lower mortality rate associated with the immediate 30-day postoperative period than cemented implants at up to one
year of follow up. Cemented implants had lower periprosthetic fracture and revision rates.
Uncemented Hemiarthroplasty may still be considered safe for high-risk patients with intracapsular neck of femur fracture, reducing their risk of mortality in the
first 30 days but exposing patients to higher postoperative rates of periprosthetic fracture, need for revision and blood transfusion. Further high-quality research
comparing modern uncemented and cemented femoral components is required.
Predictors of Patients’ Functional Outcome after Motor Nerve Transfers in Man...Professor M. A. Imam
To maximize outcome in nerve transfers:
1- The recipient nerve reinnervated close to the target muscle.
2- Direct repair without intervening grafts.
3- Similarly behaving neuromuscular units (agonistic donors and recipients)
To investigate the geometric development of the
wrist in relation to the changes in its ossification pattern;
the study will help the treating surgeon to identify early deviations
from normal in children with musculoskeletal disorders
and provide a template for anatomic reduction after trauma
scenarios.
Mortality and pulmonary complications in patients undergoing upper extremity surgery at the peak of the SARS-CoV-2 pandemic in the UK: a national cohort study
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ocular injury ppt Upendra pal optometrist upums saifai etawah
What do patients expect of rotator cuff repair and does it matter?!
1. What do patients expect of
rotator cuff repair and does it
matter?!
Mohamed Imam, Vijayaraj Ramasamy, Rupen Dattani, Mohamed
Elsherbiny and Vipul Patel
3. O Patient expectations are important for
improved outcomes
O Patients’ expectations prior to
shoulder surgery
Why is it important ?
Kravitz RL: Measuring patients' expectations and requests. Ann Int Med 2001
Mancuso et al Patients' expectations of shoulder surgery JSES 2002
5. Aims & Objectives
O To evaluate what patients expect from rotator cuff
repair
O The extent of fulfilment of preoperative expectations
O To determine the relationship between expectations
and Patient-reported outcome measures (PROMs)
before and after surgery.
6. Subjects and Methods
• 80 patients – Single surgeon (V.P.) with a mean age of
62+/- 11 years at time of surgery
• 41 had small to medium tears while 39 had large tears
as assessed by both scans and arthroscopy
• PreOp: HSS Expectations Survey, Oxford Shoulder Score
(OSS) and EQ5D.
• At 6 months and 2 years after surgery, patients
completed a modified Shoulder Surgery Expectations
Fulfilment Survey, OSS, EQ5D and satisfaction survey
(0-100%).
78 and 51 Patients replied post surgery at 6 months and 2
years respectively
7. Figure 2 The 17-item Hospital for Special Surgery Shoulder Surgery Expectations Survey. (Used with permission. Copyright 2000, The
Hospital for Special Surgery.)
J Shoulder Elbow Surg Mancuso et al 547
Volume 11, Number 6
8. Statistical Analysis
• Preoperative and postoperative PROMs data were
compared with paired t-tests.
• The relationship between preoperative
expectations, postoperative expectations fulfilment
and PROMs were examined using multiple logistic
regression.
9. Results
OSS improved from a preoperative mean of 24.5
to 43.2 at 2 years (P<0.01)
EQ5D improved from 0.47 preoperatively to 0.90
at final follow-up (P<0.01). Median postoperative
satisfaction was 90%.
10.
11.
12. Results
O Failure of Repair:
1 patient----- Reverse Shoulder arthroplasty
O Surgical Emphysema and Pneumothorax
1 patient
O Stiffness – 7 patients only 1
Needed capsular release
Complications
6
1 Managed by
Physio
Capsular
Release
13. Preoperatively
- Over 80% of patients rated 8 of 17
expectations as “very” or “somewhat”
important
- at 6 months 5 of 8 important
expectations and
- at 2 years all 8 important expectations
were rated as fulfilled by over 80% of
patients.
14. Top Expectations
“Relief of daytime and
night-time pain”
“The shoulder to be
the way it was before”
“Improve range of
movements”
19. Discussion
- Greater preoperative expectations correlated with
better postoperative performance
- Greater expectations were a significant independent
predictor of both better performance at one year and
greater improvement on the
20. Our Findings versus others
These studies found that pre-op expectations did influence post
outcome whereas ours did not.
One of the reasons could be the use of different tools i.e. they used the
MODEMS questionnaire for expectations and SST, DASH and SF36 for
PROMS. They did not look at expectations fulfillment and that makes our
study unique.
21. Limitations
O Other cofounding factors
O The reproducibility and
validity of the specific
visual analogue scales
utilized in this study have
not been validated
22. What do patients expect of rotator cuff
repair and does it matter?!
23. O Expectations: an important factor that
appears to independently affect the outcome
of rotator cuff repair
O Patients whose expectations of surgery are
fulfilled achieve a high degree of satisfaction
after rotator cuff repair
O Patients may be reassured that surgery is
successful in fulfilling expectations that are
rated as important but it may take up to 2
years for these expectations to be met.
Conclusions
24. Recommendations
O Intensive preoperative education should be
carried out and directed at patients with
inappropriate expectations
O Significant concerns that need attention in
future research are the theoretic outlining of
patient expectations, the assessment of their
expectations and the correlation of these
expectations with other cofounding factors.