2,317 results
Search Results
2. Contribution of the scientific field of Physical and Rehabilitation Medicine to improvements in health-related rehabilitation at all levels of the healthcare system: A discussion paper.
- Author
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Nugraha B and Gutenbrunner C
- Subjects
- Humans, Delivery of Health Care organization & administration, Physical and Rehabilitation Medicine organization & administration
- Abstract
Rehabilitation is an important health strategy that should be implemented at all levels of the healthcare system and at all levels of care. Scientific evidence is vital to strengthen rehabilitation; therefore, research in the scientific field of Physical and Rehabilitation Medicine (PRM) should be implemented and linked to all levels of the healthcare system. PRM research can be categorized into 5 areas: (i) biosciences in rehabilitation; (ii) biomedical rehabilitation sciences and engineering; (iii) clinical PRM sciences; (iv) integrative rehabilitation sciences; and (v) human function-ing sciences. At the level of the healthcare system, rehabilitation can be divided into micro-, meso- and macro-levels. This paper discusses the contribution of the five above research areas to health-related rehabilitation at the different levels of the healthcare system. The contribution of PRM research can have synergistic value and facilitate improvements and implementation of scientific evidence in rehabilitation at all levels of healthcare. From a broader perspective, improved understanding of the contribution of each area of the scientific field of PRM and the priorities for the healthcare system that are set by relevant stakeholders will contribute to the advancement and rapid attainment of overall goals.
- Published
- 2021
- Full Text
- View/download PDF
3. How registry data can improve outcomes from joint replacement - a seminal paper.
- Author
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Tucker K
- Subjects
- Registries, Arthroplasty, Replacement
- Published
- 2020
- Full Text
- View/download PDF
4. The challenges of describing rehabilitation services: A discussion paper.
- Author
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Røe C, Kirkevold M, Andelic N, Soberg HL, Sveen U, Bautz-Holter E, Jahnsen R, van Walsem MR, Kildal Bragstad L, Gabrielsen Hjelle E, Klevberg G, Oretorp P, Habberstad A, Hagfors J, Væhle R, Engen G, and Gutenbrunner C
- Subjects
- Female, Humans, Male, Brain Injuries rehabilitation, Health Services trends
- Abstract
To apply the Classification of Service Organization in Rehabilitation (ICSO-R) classification of services to different target groups, include the user perspective, identify missing categories, and propose standardized descriptors for the categories from a Norwegian perspective. Expert-based consensus conferences with user involvement. Health professionals, stakeholders and users. Participants were divided into 5 panels, which applied the ICSO-R to describe the habilitation and rehabilitation services provided to children with cerebral palsy and people with Huntington's disease, acquired brain injuries (traumatic brain injuries and stroke) and painful musculoskeletal conditions. Based on the Problem/Population, Intervention, Comparison, Outcome (PICO) framework, the services were described according to the ICSO-R. Missing categories were identified. The ICSO-R was found to be feasible and applicable for describing a variety of services provided to different target groups in Norway, but the user perspective was lacking, categories were missing, and a need for standardized description of the categories was identified. The present work supports the need to produce an updated version of the ICSO-R and to encourage national and international discussion of the framework. The ICSO-R has the potential to become a tool for the standardized assessment of rehabilitation services. For such purposes, more standardized descriptions of subcategories are necessary.
- Published
- 2018
- Full Text
- View/download PDF
5. Self-Inflicted Lesions in Dermatology: A Management and Therapeutic Approach - A Position Paper From the European Society for Dermatology and Psychiatry.
- Author
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TOMAS-ARAGONES, Lucía, CONSOLI, Silla M., CONSOLI, Sylvie G., POOT, Françoise, TAUBE, Klaus-Michael, LINDER, Dennis, JEMEC, Gregor B. E., SZEPIETOWSKI, Jacek C., John DE KORTE, John, LVOV, Andrey, and GIELER, Uwe
- Subjects
- *
DERMATOLOGY , *PSYCHOTHERAPY , *PSYCHIATRIC drugs , *EMPATHY , *PHYSICIAN-patient relations , *COGNITIVE therapy - Abstract
The classification of self-inflicted skin lesions proposed by the European Society for Dermatology and Psychiatry (ESDaP) group generated questions with regard to specific treatments that could be recommended for such cases. The therapeutic guidelines in the current paper integrate new psychotherapies and psychotropic drugs without forgetting the most important relational characteristics required for dealing with people with these disorders. The management of self-inflicted skin lesions necessitates empathy and a doctor-patient relationship based on trust and confidence. Cognitive behavioural therapy and/or psychodynamic and psychoanalytic psychotherapy (alone, or combined with the careful use of psychotropic drugs) seem to achieve the best results in the most difficult cases. Relatively new therapeutic techniques, such as habit reversal and mentalization-based psychotherapy, may be beneficial in the treatment of skin picking syndromes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
6. Definition of Sensitive Skin: An Expert Position Paper from the Special Interest Group on Sensitive Skin of the International Forum for the Study of Itch.
- Author
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MISERY, Laurent, STÄNDER, Sonja, SZEPIETOWSKI, Jacek C., REICH, Adam, WALLENGREN, Joanna, EVERS, Andrea W. M., TAKAMORI, Kenji, BRENAUT, Emilie, LE GAL-IANOTTO, Christelle, FLUHR, Joachim, BERARDESCA, Enzo, and WEISSHAAR, Elke
- Subjects
- *
SKIN diseases , *ITCHING , *SYNDROMES , *ERYTHEMA , *PAIN - Abstract
Sensitive skin is a frequent complaint in the general population, in patients, and among subjects suffering from itch. The International Forum for the Study of Itch (IFSI) decided to initiate a special interest group (SIG) on sensitive skin. Using the Delphi method, sensitive skin was defined as "A syndrome defined by the occurrence of unpleasant sensations (stinging, burning, pain, pruritus, and tingling sensations) in response to stimuli that normally should not provoke such sensations. These unpleasant sensations cannot be explained by lesions attributable to any skin disease. The skin can appear normal or be accompanied by erythema. Sensitive skin can affect all body locations, especially the face". This paper summarizes the background, unresolved aspects of sensitive skin and the process of developing this definition. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
7. Is conservative management of partial zone II flexor tendon laceration possible? A systematic literature review and meta-analysis.
- Author
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Mo, Young Woong, Ryu, Da Hye, Cho, Gyo-Young, and Hong, Jong Won
- Subjects
FLEXOR tendons ,TENDON injuries ,RANDOM effects model ,SCIENCE databases ,WEB databases - Abstract
Background: There is still no consensus on managing zone II level partial flexor tendon lacerations, and the management of zone II partial flexor tendon injuries is controversial. No reliable large cohort studies or metaanalysis papers on partial flexor tendon laceration management are available in PubMed or Embase. Methods: We searched PubMed, Embase, Cochrane Library, Insight, Scopus, and Web of Science databases for primary research articles investigating outcomes of patients with partial flexor tendon injuries. The initial search was limited to human studies that were published from 1970–2021 and indexed as randomized controlled or clinical trials or observational, cross-sectional, or cohort studies. We used statistical package R version 4.1.2 for this meta-analysis. Results: The Standardised mean difference (SMD) of the common effects model was 2.020 (95% CI; 1.583–2.457; P < 0.0001), indicating that the results of conservative treatment without surgical intervention are similar to surgical intervention or better in some articles. The SMD of the random effect model was 7.093 (95% CI; 1.090–13.096; P < 0.0206), indicating the same result. Higgins' I2 value was 97.6%, indicating serious heterogeneity. Conclusions: In this first meta-analysis on flexor zone II conservative treatment, five papers with publication bias were analyzed. It is meaningful to verify the result of conservative treatment statistically. Even though this is a heterogeneous paper, conservative treatment seems to have a lot of benefits for the patient, including offering a fairly solid longterm prognosis with very few complications. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
8. Questionnaires to Assess Chronic Itch: A Consensus Paper of the Special Interest Group of the International Forum on the Study of Itch.
- Author
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Weisshaar, Elke, Gieler, Uwe, Kupfer, Jörg, Furue, Masutaka, Saeki, Hidehisa, and Yosipovitch, Gil
- Subjects
- *
QUESTIONNAIRES , *ITCHING , *QUALITY of life , *EVALUATION , *PSYCHOMETRICS , *DATA analysis , *THERAPEUTICS - Abstract
Chronic itch affects millions of patients worldwide and has a significant impact on quality of life. The assessment of itch and its associated effects is a significant compo-nent of clinical practice in itch management. Despite itch being a common complaint, there are few studies descri-bing the use of structured questionnaires for evaluation and measurement of itch and its sensory and affective dimensions. The International Society of the Study of Itch (IFSI) has recently provided invaluable data on the use of visual analogue scales as an assessment tool for itch. However, it is clear that additional tools are needed to better assess the different dimensions of chronic itch and better tailor management. With this goal in mind, a Special Interest Group was initiated by members of IFSI to determine which of the various psychometric properties of itch questionnaires offer the greatest uti-lity in the evaluation of chronic itch. This first consen-sus paper addresses what domains and structure of itch questionnaires need to be implemented to better assess chronic itch and guide therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
9. Self-Inflicted Lesions in Dermatology: Terminology and Classification -- A Position Paper from the European Society for Dermatology and Psychiatry (ESDaP).
- Author
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GIELER, Uwe, CONSOLI, Sylvie G., TOMAS-ARAGONES, Lucía, LINDER, Dennis M., JEMEC, Gregor B. E., POOT, Françoise, SZEPIETOWSKI, Jacek C., DE KORTE, John, TAUBE, Klaus-Michael, LVOV, Andrey, and CONSOLI, Silla M.
- Subjects
- *
SELF-mutilation , *SKIN injuries , *SKIN inflammation , *COMPULSIVE skin picking , *IMPULSE control disorders , *OBSESSIVE-compulsive disorder - Abstract
The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders. A flow chart and glossary of terms and definitions are presented to facilitate the classification and management of self-inflicted skin lesions. Several terms are critically discussed, including: malingering; factitious disorders; Miinchausen's syndrome; simulation; pathomimicry; skin picking syndrome and related skin damaging disorders; compulsive and impulsive skin picking; impulse control disorders; obsessive compulsive spectrum disorders; trichotillomania; dermatitis artefacta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or pathological behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
10. Clinical Classification of Itch: a Position Paper of the International Forum for the Study of Itch.
- Author
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Ständer, Sonja, Weisshaar, Elke, Mettang, Thomas, Szepietowski, Jacek C., Carstens, Earl, Ikoma, Akihiko, Bergasa, Nora V., Gieler, Uwe, Misery, Laurent, Wallengren, Joanna, Darsow, Ulf, Streit, Markus, Metze, Dieter, Luger, Thomas A., Greaves, Malcolm W., Schmelz, Martin, Yosipovitch, Gil, and Bernhard, Jeffrey D.
- Subjects
- *
ITCHING , *SKIN diseases , *SYMPTOMS , *MEDICAL care , *CUTANEOUS manifestations of general diseases - Abstract
Chronic itch is a common and distressing symptom that arises from a variety of skin conditions and systemic diseases. Despite this, there is no clinically based classification of pruritic diseases to assist in the diagnosis and cost-effective medical care of patients with pruritus. The proposed classification focuses on clinical signs and distinguishes between diseases with and without primary or secondary skin lesions. Three groups of conditions are proposed: pruritus on diseased (inflamed) skin (group I), pruritus on non-diseased (non-inflamed) skin (group II), and pruritus presenting with severe chronic secondary scratch lesions, such as prurigo nodularis (group lII). The next part classifies the underlying diseases according to different categories: dermatological diseases, systemic diseases including diseases of pregnancy and drug-induced pruritus, neurological and psychiatric diseases. In some patients more than one cause may account for pruritus (category "mixed") while in others no underlying disease can be identified (category "others"). This is the first version of a clinical classification worked out by the members of the international Forum for the Study of itch. it is intended to serve as a diagnostic route for better evaluation of patients with chronic pruritus and aims to improve patients' care. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
11. Uncemented science at its best!: What makes a paper successful, meaning in this case much cited?
- Author
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Lübbeke, Anne
- Subjects
- *
FRACTURE fixation , *SERIAL publications , *SURVIVAL , *TOTAL hip replacement , *CITATION analysis - Abstract
The article offers information on the influence of implant fixation on prosthesis longevity evaluated in the interplay with the individual prosthesis brands. It mentions the risk of stem revision for periprosthetic fracture after surgery. It mentions that periprosthetic fracture as more common cause of revision after uncemented than after cemented fixation.
- Published
- 2020
- Full Text
- View/download PDF
12. Original Papers.
- Author
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Guez, Michel
- Subjects
- *
CHRONIC pain , *NECK pain , *WHIPLASH injuries , *INFLAMMATION , *SOCIODEMOGRAPHIC factors - Abstract
Chronic neck pain, a common cause of disability, seems to be the result of several interacting mechanisms. In addition to degenerative and inflammatory changes and trauma, psychological and psychosocial factors are also involved. One common type of trauma associated with chronic neck pain is whiplash injury; this sometimes results in whip-lash-associated disorder (WAD), a controversial condition with largely unknown pathogenetic mechanisms. We studied the prevalence of chronic neck pain of traumatic and non-traumatic origin and compared the prevalence of, sociodemographic data, self-perceived health, workload and chronic lowback pain in these groups. In a ready-made questionnaire (MONICA study), we added questions about cervical spine and low-back complaints. 6,000 (72%) completed a self-administered questionnaire. 43% reported neck pain: 48% of women and 38% of men. Women of working age had more neck pain than retired women, a phenomenon not seen in men. 19% of the studied population suffered from chronic neck pain and it was more frequent in women. A history of neck trauma was common in those with chronic neck pain. Those with a history of neck trauma perceived their health worse and were more often on sick-leave. About 50% of those with traumatic and non-traumatic chronic neck pain also had chronic low-back pain. We assessed the subjective and objective neuropsychological functioning in 42 patients with chronic neck pain, 21 with a whiplash trauma, and 21 without previous neck trauma. Despite cognitive complaints, the WAD patients had normal neuropsychological functioning, but the WAD group especially had deviant MMPI results—indicating impaired coping ability and somatization.WAD patients had no alterations in cerebral blood-flow pattern, as measured by rCBF-SPECT and SPM analysis, compared to healthy controls. This contrasts with the non-traumatic group with chronic neck pain, which showed marked blood-flow changes. The blood-flow changes in the non-trau-matic group were similar to those described earlier in pain patients but— remarkably enough—were different from those in the WAD group. Chronic neck pain of whiplash and non-traumatic origin appears to be unique in some respects. A better understanding of the underlying pathological mechanisms is a prerequisite for prevention of the development of such chronic pain syndromes and for improvement of the treatment of patients with severe symptoms. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
13. The rise of registry-based research: a bibliometric analysis.
- Author
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Romanini, Emilio, Schettini, Irene, Torre, Marina, Venosa, Michele, Tarantino, Alessio, Calvisi, Vittorio, and Zanoli, Gustavo
- Subjects
REPORTING of diseases ,RESEARCH methodology ,BIBLIOMETRICS ,ARTHROPLASTY ,QUANTITATIVE research ,MEDICAL care research ,ORTHOPEDICS ,DATA analysis software - Abstract
Background and purpose — The main purpose of arthroplasty registries is to collect information on patients, techniques, and devices to monitor and improve the outcome of the specific procedure. This study analyses the role played by registries in the orthopedic research community and describes publication trends, characteristics, and patterns of this field of research. Patients and methods — A descriptive-bibliometric review was conducted. Scopus was the database used for the research. All articles published from 1991 to December 2020 containing keywords related to registries and arthroplasty were considered. In particular, the following dimensions were analyzed in detail: (i) papers/year; (ii) journals; (iii) countries; (iv) research growth rate; (v) collaboration among countries. VOSviewer software was used to perform the bibliometric analysis. Finally, the 50 most cited papers of the last 10 years were briefly analyzed. Results — 3,933 articles were identified. There has been growing interest in the topic since 2010. Acta Orthopaedica ranked first for the number of articles published. The country with the largest number of articles citing registries was the United States, followed by the United Kingdom and Sweden. The relative number of articles per 100,000 inhabitants is 0.60 for Europe and 0.38 for the United States. The literature in this research area has an average yearly growth rate of 28%. Interpretation — The publication rate in the field of arthroplasty registries is constantly growing with a noteworthy impact in the evolution of this research and clinical area. The growth rate is significantly higher than that of arthroplasty literature (28% vs. 10%) and the collaboration among countries is strong and increasing with time. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
14. Paper III. Visual analog scales for interpretation of back and leg pain intensity in patients operated for degenerative lumbar spine disorders.
- Subjects
- *
HEALTH outcome assessment , *LUMBAR vertebrae surgery - Abstract
Presents the abstract of the research paper "Visual analog scales for interpretation of back and leg pain intensity in patients operated for degenerative lumbar spine disorders," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
15. Paper vs On-line Publication -- Taking Advantage of Both!
- Author
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Vahlquist, Anders
- Subjects
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PUBLISHING , *ELECTRONIC publications - Abstract
The author reflects on the publishing success of the journal "Acta Dermato-Venereologica" due to its paper and online publications.
- Published
- 2015
- Full Text
- View/download PDF
16. EVIDENCE-BASED REHABILITATION THERAPY FOLLOWING SURGERY FOR (PERI-)ARTICULAR FRACTURES: A SYSTEMATIC REVIEW.
- Author
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SCHNACKERS, Marlous L. A. P., VAN HORN, Yvette Y., MEYS, Guido H. H., BRINK, Peter R. G., SMEETS, Rob J. E. M., and SEELEN, Henk A. M.
- Published
- 2019
- Full Text
- View/download PDF
17. Colophonium-related Allergic Contact Dermatitis Caused by Medical Adhesive Tape Used to Prevent Skin Lesions in Soldiers.
- Author
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HAMNERIUS, Nils, DAHLIN, Jakob, BRUZE, Magnus, NILSSON, Kristina, SUKAKUL, Thanisorn, and SVEDMAN, Cecilia
- Subjects
ADHESIVE tape ,CONTACT dermatitis ,MEDICAL equipment ,ANALYTICAL chemistry ,MILITARY personnel - Abstract
Medical adhesive tapes are commonly recommended for the prevention of friction blisters during hiking and military marches. The aim of this paper is to report on the results of investigations into an outbreak of taperelated foot dermatitis in 26 military conscripts following continuous use of medical adhesive tapes for several days during a field exercise. Patch tests were performed using baseline series and aimed testing was performed with colophonium-related substances and different medical adhesive tapes. Contact allergy to the adhesive tapes used was found in 20 (77%) subjects, and contact allergy to colophonium in 16 (61%). Chemical analysis detected colophonium-related substances in the culprit tapes. Compared with consecutive dermatitis patients investigated at our Department of Occupational and Environmental Dermatology in the previous 10 years, conscripts with colophonium allergy had increased odds ratios for concomitant contact allergy to phenol formaldehyde resins and fragrance substances including hydroperoxides of limonene and linalool. The results show that prolonged use of medical adhesive tapes on intact skin carries a high risk for allergic contact dermatitis. Prior to their introduction on the market, medical devices should be assessed for possible side-effects. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
18. Paper VI. SF-36 profiles before and one year after spinal stenosis surgery -- a prospective comparison of two techniques in two nations.
- Subjects
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HEALTH outcome assessment , *SPINAL surgery - Abstract
Presents the abstract of the research "SF-36 profiles before and one year after spinal stenosis surgery — a prospective comparison of two techniques in two nations," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
19. Paper V. SF-36 for outcomes assessment of spine surgery.
- Subjects
- *
HEALTH outcome assessment , *SPINAL surgery - Abstract
Presents the abstract of the research "SF-36 for outcomes assessment of spine surgery," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
20. Paper IV. SF-36 scores in degenerative lumbar spine disorders: analysis of prospective data from 451 patients.
- Subjects
- *
HEALTH outcome assessment , *LUMBAR vertebrae surgery - Abstract
Presents the abstract of the research "SF-36 scores in degenerative lumbar spine disorders: analysis of prospective data from 451 patients," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
21. Paper II. Reliability of the prospective data collection protocol of the Swedish Spine Register: test-retest analysis of 119 patients.
- Subjects
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LUMBAR vertebrae surgery , *ORTHOPEDICS - Abstract
Presents the abstract of the study "Reliability of the prospective data collection protocol of the Swedish Spine Register: test-retest analysis of 119 patients," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
22. Smartphone Teledermoscopy Referrals: A Novel Process for Improved Triage of Skin Cancer Patients.
- Author
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BÖRVE, Alexander, DAHLÉN GYLLENCREUTZ, Johan, TERSTAPPEN, Karin, JOHANSSON BACKMAN, Eva, ALDEN-BRATT, Anette, DANIELSSON, Markus, GILLSTEDT, Martin, SANDBERG, Carin, and PAOLI, John
- Subjects
TELEMEDICINE ,DERMATOLOGY ,MOBILE apps ,SMARTPHONES ,ONCOLOGIC surgery ,MELANOMA ,SQUAMOUS cell carcinoma ,BASAL cell carcinoma - Abstract
In this open, controlled, multicentre and prospective observational study, smartphone teledermoscopy referrals were sent from 20 primary healthcare centres to 2 dermatology departments for triage of skin lesions of concern using a smartphone application and a compatible digital dermoscope. The outcome for 816 patients referred via smartphone teledermoscopy was compared with 746 patients referred via the traditional paper-based system. When surgical treatment was required, the waiting time was significantly shorter using teledermoscopy for patients with melanoma, melanoma in situ, squamous cell carcinoma, squamous cell carcinoma in situ and basal cell carcinoma. Triage decisions were also more reliable with teledermoscopy and over 40% of the teledermoscopy patients could potentially have avoided face-to-face visits. Only 4 teledermoscopy referrals (0.4%) had to be excluded due to poor image quality. Smartphone teledermoscopy referrals allow for faster and more efficient management of patients with skin cancer as compared to traditional paper referrals. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
23. Smartphone Teledermoscopy Referrals: Comment on the paper by Börve et al.
- Author
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Leitch, Claire, Jones, Ruth, and Holme, Stephen A.
- Subjects
MEDICAL referrals ,TELEMEDICINE ,SKIN cancer ,CANCER treatment - Abstract
A letter to the editor in response to the article "Smartphone teledermoscopy referrals: a novel process for improved triage of skin cancer patients," by A. Börve and colleagues in the 2015 issue is presented.
- Published
- 2015
- Full Text
- View/download PDF
24. Paper I. Lessons learned searching for a HRQoL instrument to assess the results of treatment in persons with lumbar disorders.
- Subjects
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LUMBAR vertebrae surgery , *HEALTH outcome assessment - Abstract
Presents the abstract of the research "Lessons learned searching for a HRQoL instrument to assess the results of treatment in persons with lumbar disorders," which was published in the June 3, 2005 issue of the periodical "Acta Orthopaedica."
- Published
- 2005
25. Summary of Papers l-lll.
- Author
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Young, Sven
- Subjects
HIV infection complications ,POVERTY areas ,DATABASES ,FEMUR injuries ,BONE fractures ,INFECTION ,MEDICAL information storage & retrieval systems ,SURGICAL complications - Abstract
The article presents three abstracts of articles about intramedullary nail operations, including one by S. Young, S. A. Lie, G. Hallan et al. on low infection rates in intramedullary nail operations in 55 low and middle income countries (LMIC), one by S. Young, S. A. Lie, G. Hallan et al. on risk factors for infection after intramedullary nail operations in LMIC and one by S. Young, L. Banza, G. Hallan et al. on complications after intramedullary nailing of femoral fractures in LIMC.
- Published
- 2014
26. ItchApp©: An App-based eDiary for Assessment of Chronic Pruritus in Clinical Trials.
- Author
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GERNART, Marvin, TSIANAKAS, Athanasios, ZEIDLER, Claudia, RIEPE, Claudia, OSADA, Nani, PIHAN, David, and STÄNDER, Sonja
- Subjects
ITCHING ,CLINICAL trials ,ELECTRONIC health records ,RANDOMIZED controlled trials ,DIAGNOSIS - Abstract
Performing a reliable assessment of chronic pruritus remains a challenge. Electronic diaries are often used, but many of the scales have not been validated. ItchApp
© was developed for Android smartphones in order to address this lack. A total of 40 subjects with chronic pruritus completed questionnaires both on paper and with ItchApp© (verbal rating scale, numerical rating scale, dynamic pruritus score) in order to validate the software application. Strong correlations were found for test–retest reliability (intraclass correlation coefficient: 0.865-0.977) and convergent validity (Spearman's r: 0.442-0.924). A feasibility questionnaire for ItchApp© revealed a high level of user friendliness and compliance. This was confirmed in a randomized controlled trial with 68 subjects, for which the clinically important difference in the numerical rating scale values for ItchApp© was calculated (2.61 points). In summary, ItchApp© is a recently developed eDiary that can provide experts with a reliable evaluation of patients with chronic pruritus. It will be made available for future clinical trials. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
27. Original Papers.
- Subjects
LISTS ,NECK pain ,CHRONIC pain ,NECK diseases ,PAIN ,CHRONIC diseases - Abstract
A list of several papers related to neck pain is presented. Some of the papers in the list include "The prevalence of neck pain: A population-based study from northern Sweden," by M. Guez, C. Hildingsson, M. Nilsson, G. Toolanen, "Chronic neck pain of traumatic and nontraumatic origin," by M. Guez, C. Hildingsson, B. Stegmayr, G. Toolanen and "Chronic low-back pain in individuals with chronic neck pain of traumatic and non-traumatic origin," by M. Guez, S. Nasic, C. Hildingsson, G. Toolanen.
- Published
- 2006
- Full Text
- View/download PDF
28. Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review.
- Author
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Alm, Carl Erik, Gjertsen, Jan-Erik, Basso, Trude, Matre, Kjell, Rörhl, Stephan, Madsen, Jan Erik, and Frihagen, Frede
- Subjects
BIOLOGICAL models ,STATISTICAL reliability ,SYSTEMATIC reviews ,HIP fractures ,BONE screws ,COMPARATIVE studies ,FRACTURE fixation ,REOPERATION ,LITERATURE reviews - Abstract
Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods — A systematic search was performed in 5 databases and followed by a backwards-and-forwards citation search of the identified papers. 24 studies were included. Results — 6 biomechanical studies and 18 clinical studies were included in the review. The studies presented mainly low-level evidence. All studies were on unstable trochanteric fractures or fracture models. Due to the heterogeneity of methods and reporting, we were not able to perform a meta-analysis. In the biomechanical trials, the TSP appeared to increase stability compared with SHS alone, up to a level comparable with intramedullary nails (IMNs). We identified 1,091 clinical cases in the literature where a TSP had been used. There were 82 (8%) reoperations. The rate of complications and reoperations for SHS plus TSP was similar to previous reports on SHS alone and IMN. It was not possible to conclude whether the TSP gave better clinical results, when compared with either SHS alone or with IMN. Interpretation — The heterogeneity of methods and reporting precluded any clear recommendations on when to use the TSP, or if it should be used at all. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
29. Knowledge and Influence of Predatory Journals in Dermatology: A Pan-Austrian Survey.
- Author
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RICHTIG, Georg, RICHTIG, Markus, HOETZENECKER, Wolfram, SAXINGER, Werner, LANGE-ASSCHENFELDT, Bernhard, STEINER, Andreas, STROHAL, Robert, POSCH, Christian, BAUER, Johann W., MÜLLEGGER, Robert R., DEINLEIN, Teresa, SEPP, Norbert, VOLC-PLATZER, Beatrix, Van Anh NGUYEN, SCHMUTH, Matthias, HOELLER, Christoph, PREGARTNER, Gudrun, and RICHTIG, Erika
- Subjects
DERMATOLOGY ,PERIODICALS ,OPEN access publishing ,MEDICINE ,LIBRARY materials - Abstract
The aim of this study was to assess the knowledge and influence of predatory journals in the field of dermatology in Austria. A total of 286 physicians (50.5% men) completed a questionnaire. The vast majority of subjects read scientific articles (n = 281, 98.3%) and took them into consideration in their clinical decisionmaking (n = 271, 98.5% of participants that regularly read scientific literature). Open access was known by 161 (56.3%), predatory journals by 84 (29.4%), and the Beall's list by 19 physicians (6.7%). A total of 117 participants (40.9%) had been challenged by patients with results from the scientific literature, including 9 predatory papers. Participants who knew of predatory journals had a higher level of education as well as scientific experience, and were more familiar with the open-access system (p < 0.001). These results indicate that the majority of dermatologists are not familiar with predatory journals. This is particularly the case for physicians in training and in the early stages of their career. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
30. The effect of erythropoietin on bone.
- Author
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Rölfing, Jan Hendrik Duedal
- Subjects
ANIMAL experimentation ,BONE regeneration ,BONE growth ,ACADEMIC dissertations ,DOSE-effect relationship in pharmacology ,ERYTHROPOIETIN ,HEALTH outcome assessment ,RABBITS ,RESEARCH funding ,SWINE ,IN vitro studies ,THERAPEUTICS - Abstract
The article focuses on several studies concerning the effects of erythropoietin (EPO) on the bone. Topics discussed include the effectiveness of EPO in enhancing bone formation in an autograft posterolateral spinal fusion model, the cellular mechanisms of EPO's osteogenic action and the role of EPO in healing bone defects. Also discussed are the characteristics of EPO, the potential adverse effects of EPO and the pleiotropic effects of EPO.
- Published
- 2014
- Full Text
- View/download PDF
31. Discussion.
- Published
- 2014
32. Discussion.
- Author
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Young, Sven
- Subjects
HIV infection complications ,POVERTY areas ,FEMUR injuries ,BONE fractures ,COMPOUND fractures ,INFECTION ,SURGICAL complications ,TIBIA injuries ,HUMERUS injuries - Abstract
In this article the authors focus on three research projects on intramedullary nailing in low and middle income countries (LIMC) which they were involved in and which are discussed in three articles abstracted within the issue. In the article they offer opinions on research findings contained in the three abstracted articles and discuss the challenges that are associated with conducting surgery for fracture fixation in LIMC.
- Published
- 2014
33. The European Bone and Joint Infection Society definition of periprosthetic joint infection is meaningful in clinical practice: a multicentric validation study with comparison with previous definitions.
- Author
-
SOUSA, Ricardo, RIBAU, Ana, ALFARO, Pedro, BURCH, Marc-Antoine, PLOEGMAKERS, Joris, MCNALLY, Martin, CLAUSS, Martin, WOUTHUYZEN-BAKKER, Marjan, and SORIANO, Alex
- Subjects
PROSTHESIS-related infections ,CONFIDENCE intervals ,FAMILY medicine ,RESEARCH methodology ,RETROSPECTIVE studies ,LONGITUDINAL method - Abstract
Background and purpose -- A new periprosthetic joint infection (PJI) definition has recently been proposed by the European Bone and Joint Infection Society (EBJIS). The goals of this paper are to evaluate its diagnostic accuracy and compare it with previous definitions and to assess its accuracy in preoperative diagnosis. Patients and methods -- We retrospectively evaluated a multicenter cohort of consecutive revision total hip and knee arthroplasties. Cases with minimum required diagnostic workup were classified according to EBJIS, 2018 International Consensus Meeting (ICM 2018), Infectious Diseases Society of America (IDSA), and modified 2013 Musculoskeletal Infection Society (MSIS) definitions. 2 years' minimum follow-up was required to assess clinical outcome. Results -- Of the 472 cases included, PJI was diagnosed in 195 (41%) cases using EBJIS; 188 (40%) cases using IDSA; 172 (36%) using ICM 2018; and 145 (31%) cases using MSIS. EBJIS defined fewer cases as intermediate (5% vs. 9%; p = 0.01) compared with ICM 2018. Specificity was determined by comparing risk of subsequent PJI after revision surgery. Infected cases were associated with higher risk of subsequent PJI in every definition. Cases classified as likely/confirmed infections using EBJIS among those classified as not infected in other definitions showed a significantly higher risk of subsequent PJI compared with concordant non-infected cases using MSIS (RR = 3, 95% CI 1-6), but not using ICM 2018 (RR = 2, CI 1-6) or IDSA (RR = 2, CI 1-5). EBJIS showed the highest agreement between preoperative and definitive classification (k = 0.9, CI 0.8-0.9) and was better at ruling out PJI with an infection unlikely result (sensitivity 89% [84-93], negative predictive value 90% [85-93]). Conclusion -- The newly proposed EBJIS definition emerged as the most sensitive of all major definitions. Cases classified as PJI according to the EBJIS criteria and not by other definitions seem to have increased risk of subsequent PJI compared with concordant non-infected cases. EBJIS classification is accurate in ruling out infection preoperatively. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
34. Decreased Hydrosoluble Antioxidant Capacity in Women: Comment on the Paper by Guarrera & Rebora on Polymorphic Light Eruption.
- Author
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Giardini, Roberta and Cardo, Pasquale P.
- Subjects
LETTERS to the editor ,PLEOMORPHIC fungi - Abstract
A letter to the editor is presented that posts a comment on the paper on Polymorphic Light Eruption.
- Published
- 2008
- Full Text
- View/download PDF
35. On the diagnosis and treatment of femoral fractures.
- Author
-
Frihagen F
- Published
- 2009
- Full Text
- View/download PDF
36. On the diagnosis and treatment of femoral neck fractures.
- Author
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Frihagen, Frede
- Subjects
FEMUR neck ,ARTHROPLASTY ,INTERNAL fixation in fractures ,SURGERY - Abstract
The article presents the findings of a study related to the diagnosis and treatment of femoral neck fractures. Femoral neck fracture is characterised by a fracture through the intraarticular part of the femoral neck. It is stated that the Scandinavian countries and the United States have the highest incidences of hip fracture. The treatment is done through internal fixation or arthroplasty depending upon the nature of displacement.
- Published
- 2009
- Full Text
- View/download PDF
37. EXERCISE FOR LOW BACK PAIN: A BIBLIOMETRIC ANALYSIS OF GLOBAL RESEARCH FROM 1980 TO 2018.
- Author
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Rui WANG, Lin-Man WENG, Meng-Si PENG, and Xue-Qiang WANG
- Published
- 2020
- Full Text
- View/download PDF
38. News from the Editorial Board.
- Author
-
Vahlquist, Anders
- Subjects
DERMATOLOGY periodicals ,MEDICAL periodicals ,MEDICAL publishing - Abstract
The article discusses editorial developments for the journal "Acta Dermato-Venereologica" as of May 2014 including Nicole Basset-Seguin's replacement of Jonathan L. Rees as section editor for skin cancer-related papers and the expected number of papers to be submitted for publication in 2014.
- Published
- 2014
- Full Text
- View/download PDF
39. Interpretation of composite endpoints in urology: an analysis of citation quality.
- Author
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Jacobsen, Frederik M., Kvorning Ternov, Klara, Nolsøe, Alexander B., Østergren, Peter Busch, Fode, Mikkel, Sønksen, Jens, and Jensen, Christian Fuglesang S.
- Subjects
CITATION analysis ,UROLOGY ,CLINICAL trials - Abstract
To investigate how urological studies using composite endpoints as the primary outcome were cited. In this quality analysis of citations, three randomized clinical trials each investigating oncological and non-oncological urology were selected for citation analysis based on pre-defined criteria. In total, 531 papers citing the selected studies were reviewed; citations were evaluated based on whether they correctly referred to the composite endpoint and if singleton endpoints were defined and/or discussed. Among the citations, 223/531 (42%) referred to the composite endpoint, of which 217/223 (97.3%) correctly cited the composite endpoint. However, only 91/217 (41.9%) defined and/or discussed the singleton endpoints of the composite endpoint. The lack of a validated instrument for citation analysis was a limitation of this study. Meanwhile, the main strength is the large number of individually analyzed citations. The composite endpoints of urological randomized clinical trials are generally cited without referring to the composite endpoint; when cited, the composite endpoints are described correctly. However, in most cases, without defining or discussing the singleton endpoints. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
40. Drug-induced Linear IgA Bullous Dermatosis: A Case Report and Review of the Literature.
- Author
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LAMMER, Judith, HEIN, Rüdiger, ROENNEBERG, Sophie, BIEDERMANN, Tilo, and VOLZ, Thomas
- Subjects
BULLOUS pemphigoid ,DRUG side effects ,LITERATURE reviews ,BASAL lamina ,AUTOIMMUNE diseases - Abstract
Linear IgA bullous dermatosis (LABD) is a rare subepidermal autoimmune blistering disease characterized by linear deposition of IgA along the basement membrane zone. Although most reported cases are idiopathic, there is a subset of patients with drug-induced LABD. Various drugs have been associated with the drug-induced form of the disease. This paper reviews the literature on drugs reported to elicit linear IgA dermatosis and its specific clinical presentation. In addition, a case report of a 77-year-old male patient with linear IgA dermatosis induced by vancomycin is described. The aim of this paper is to emphasize the need to include this differential diagnosis in cases of suspected adverse drug reactions, as well as to highlight the role of drugs in LABD. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
41. Capillary Malformation-arteriovenous Malformation Type 2: A Case Report and Review.
- Author
-
Heiberg BRIX, Anna Trier, TØRRING, Pernille Mathiesen, and BYGUM, Anette
- Subjects
HEREDITARY hemorrhagic telangiectasia ,HUMAN abnormalities ,CAPILLARIES ,CENTRAL nervous system ,ARTERIOVENOUS malformation ,GENETIC variation - Abstract
Capillary malformation-arteriovenous malformation syndrome is a rare genodermatosis with cutaneous capillary malformations and a risk of associated fast-flow malformations. We describe here a four-generation family with a novel heterozygous pathogenic variant in the EPHB4 gene (NM_004444.5 (EPHB4): c.2224G>C, p.(Ala742Pro)). A review of the literature retrieved 127 patients with capillary malformation-arteriovenous malformation syndrome and confirmed variants in EPHB4. Multiple capillary malformations were present in 114 (89.76%) patients, and 12 (9.44%) patients had a solitary capillary malformation. Arteriovenous malformations/fistulas were present in 23 (18.1%) patients, and were located within the central nervous system in 5 (3.9%) patients. Not all papers included description of epistaxis. Telangiectasias were reported in 28 (22%) patients, and Bier spots were described in 20 (15.7%) patients. The clinical characteristics of capillary malformation-arteriovenous malformation syndrome are diverse and often discrete, which can make it difficult to distinguish capillary malformationarteriovenous malformation syndrome from hereditary haemorrhagic telangiectasia. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
42. Frequency of Publication of Dermoscopic Images in Inter-observer Studies: A Systematic Review.
- Author
-
POLESIE, Sam and ZAAR, Oscar
- Subjects
DERMOSCOPY ,DIAGNOSTIC imaging ,INFORMATION sharing ,SKIN imaging ,SCIENTIFIC community - Abstract
Research interest in dermoscopy is increasing, but the complete dermoscopic image sets used in inter-observer studies of skin tumours are not often shared in research publications. The aim of this systematic review was to analyse what proportion of images depicting skin tumours are published in studies investigating inter-observer variations in the assessment of dermoscopic features and/or patterns. Embase, MEDLINE and Scopus databases were screened for eligible studies published from inception to 2 July 2020. For included studies the proportion of lesion images presented in the papers and/or supplements was extracted. A total of 61 studies (53 original studies and 8 shorter reports (i.e. research letters or concise reports)). published in the period 1997 to 2020 were included. These studies combined included 14,124 skin tumours, of which 373 (3%) images were published. This systematic review highlights that the vast majority of images included in dermoscopy research are not published. Data sharing should be a requirement for future studies, and must be enabled and standardized by the dermatology research community and editorial offices. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
43. EDITORIAL.
- Author
-
Stam, Henk, Bor, Kristian, and Granlund, Therese
- Published
- 2022
44. Management of skin graft donor site in pediatric patients with tumescent technique and AQUACEL® Ag foam dressing.
- Author
-
Shahzad, Farooq
- Subjects
SKIN grafting ,CHILD patients ,CAREGIVERS ,FOAM ,POSTOPERATIVE period ,SURGICAL dressings ,HYDROCOLLOID surgical dressings - Abstract
Split thickness skin graft donor sites are challenging to manage in children because of patient fear and anxiety. Therefore, strategies that minimize the frequency of dressing change are beneficial. This paper describes a technique to simplify wound care for split thickness skin graft donor sites. A tumescent solution of saline containing 0.25% bupivacaine with epinephrine is infiltrated into the graft donor site. Skin grafts are harvested with an electric dermatome. The donor sites are dressed with AQUACEL
® Ag Foam, which is a sodium carboxymethylcellulose hydrofiber dressing that contains silver ions. A total of 17 split thickness skin grafts were performed with this technique. Patient age ranged from 2.4 year to 16.9 years (average 12 years). The AQUACEL® Ag Foam dressings were removed at an average of 23 days (range 11 to 31 days) at which time complete donor site epithelialization was seen in 13/17 (76.5%) patients. The remaining 4 patients had < 5% of the donor site that had not epithelialized; these went on to heal uneventfully with a brief period of petrolatum gauze dressing changes. Two patients had foul smelling discharge under the dressing that resolved promptly with dressing removal. The above technique allows the primary dressing to stay in place long enough for epithelialization to take place. The obviation of dressing changes in the early post-operative period results in patient comfort and care giver convenience. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
45. Commentary to a Paper by Flosadóttir & Bjarnason on Full Dapsone Dose Made Possible by Control of Anaemia with Darbepoetin-alpha.
- Author
-
Mobacken, Håkan
- Subjects
DRUG efficacy ,DAPSONE ,ANEMIA treatment ,ERYTHROPOIETIN ,DRUG dosage ,THERAPEUTICS research - Abstract
The author reflects on the study which cited the effectiveness of dapsone-induced anaemia with darbepoetin-alpha. It discusses the findings of the study and asserts it chose erythropoietin, which was used successfully for 3 years. It implies that the dapsone dose could be increased, which controlled the symptoms and raised the haemoglobin. It assesses that it suggests a new concept in the management of dapsone-related anaemia and further studies are required to evaluate its place in therapy.
- Published
- 2008
- Full Text
- View/download PDF
46. Validation of Pruritus Measures Gathered with the Electronic Patient-reported Outcome System MoPat.
- Author
-
STORCK, Michael, ZEIDLER, Claudia, REHR, Mirjam, RIEPE, Claudia, DUGAS, Martin, STÄNDER, Sonja, and SOTO-REY, Iñaki
- Subjects
ITCHING ,PATIENT surveys ,PATIENT monitoring ,HEALTH outcome assessment ,QUALITY of life measurement - Abstract
In order to improve diagnosis and treatment, physicians require information about the social context and quality of life of their patients. The Center for Chronic Pruritus at the University Hospital Münster achieves this goal using the electronic patient-reported outcome system "Mobile Patient Survey", which assesses pruritus and quality of life measures. The aim of this study is to evaluate the consistency and reliability of such measures. A total of 42 patients, age range 19-82 years, participated in the study and were asked to assess the measures at baseline via a paper questionnaire, and to use the "Mobile Patient Survey" at baseline and after 1 h in order to test reliability. Statistical analysis was performed using coefficient rc for metric variables and weighted kappa κ
w for categorical vari- ables. The internal consistency of all measures was unaffected. It was shown that 6 out of 7 measures can be assessed without loss of reliability. It is recommended that questionnaires for electronic usage are assessed for validity and reliability. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
47. Does pediatric hand transplantation undermine a child's right to an open future?
- Author
-
MacKenzie, Jordan, Selvaggi, Gennaro, and Sassu, Paolo
- Subjects
CHILDREN'S rights ,PEDIATRIC surgery ,FACIAL transplantation ,IMMUNOSUPPRESSION ,DECISION making - Abstract
To date, pediatric hand transplantations have only been performed twice. The ethical issue most often discussed in the literature on this surgery concerns the risks of immunosuppression. While these risks are significant, they can be at least partially mitigated by selecting for patients who are already immunocompromised. Nevertheless, as we will argue, pediatric hand transplantation raises ethical issues that go beyond the risks of immunosuppression. In this paper, we focus on three additional ethical issues: the fact that pediatric hand transplantation aims to improve, rather than save life; the fact that it is an experimental surgery; and the fact that it will be performed on non-autonomous patients whose 'right to an open future' may potentially be undermined by the surgery. Taken together, we think that these considerations suggest that transplantation should be postponed until a child is mature enough to make their own decision about it. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
48. APPLICABILITY OF EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS AND SYSTEMATIC REVIEWS TO CLINICAL PRACTICE: A CONCEPTUAL REVIEW.
- Author
-
MALMIVAARA, Antti
- Published
- 2021
- Full Text
- View/download PDF
49. EDITORIAL.
- Subjects
OPEN access publishing ,WEBSITES ,DIGITAL resources for research ,EDITORS - Abstract
The author reflects on the impact of the open access (OA) policy of the journal which was implemented in January 2011. They say that the policy resulted in the increase of visits to the journal's web site, full research paper downloads increased to 1,084,500 in 2011, and paper submissions have remained at almost 400 papers per year. They add that doctor (Dr.) Lars Iversen of Denmark and Dr. Arthur Schmidtchen of Sweden has joined the journal staff as section editors.
- Published
- 2012
- Full Text
- View/download PDF
50. Software is Eating the Clinic.
- Author
-
REES, Jonathan
- Subjects
PHYSICIAN practice patterns ,MEDICAL technology ,HUMAN anatomy ,CONSCIOUSNESS ,ATTITUDES toward technology - Abstract
The article presents the author's view about the importance to understand the scientific changes of medical and clinical practice. It highlights the use of medical information to study the human brain works through medical images and technology. It also cites the collection of neurons with the combination of computer power that encode deep learning.
- Published
- 2017
- Full Text
- View/download PDF
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