12 research outputs found
Natchev auto-traction for lumbago-sciatica: effectiveness in lumbar-disk herniation
No full textIn Lind's auto-traction (LAT) for lumbago-sciatica, the patient provides traction force by pulling with the arms on a specially designed table, which also allows painless mobilization of the lumbar spine and passive traction. Two studies reported that one to 15 one-hour sessions on successive days might be sufficient to relieve pain in 25% to 90% of cases with verified lumbar disc herniation. Unfortunately, the technique imposes tiring manual efforts on the therapist and requires that the patient be transported by ambulance and confined to bed for a long time. These inconveniences were removed in a new version of the treatment proposed by Natchev. The effectiveness of Natchev's auto-traction (NAT) was evaluated in an open prospective trial on 77 patients with chronic lumbago-sciatica refractory to previous therapies, and herniation of one or more lumbar discs verified by computed tomography (CT) or myelography. Thirty-six of the 77 patients (47%) responded to the treatment in three to ten (median = 5) half-hour sessions. Pain intensity dropped to 27% (median) of the pretreatment intensity. Six months after treatment, 28 of the 36 responders were stable; only four had undergone surgery. By contrast, 20 of the 41 nonresponders had been operated on. The severity of either the radiologic or the neurologic picture was not predictive of the outcome. NAT was as effective as LAT: thus, due to its greater convenience it appears to be suitable as a routine approach in lumbar disc herniation and as a screening technique before surgery
Bokrecensioner
No full textBöcker som recenseras är:
NATCHEV, EIJA & SIREN, ULLA 1985: Till vilka språkmiljöer föds barn år 1985?HARTMAN, SVEN G: Barns tankar om livetERNST, NIELS M FL: Sexuell barnmisshandel inom familjenPETER OLSEN: Arbetslöshetens socialpsykologiGÖRAN AHLIN: Erfarenheter i miljöterap
L'auto-trazione vertebrale Lind-Natchev per le lombo-sciatalgie nell'ernia del disco lombare
No full text
Unilateral cerebellothalamic tract ablation in essential tremor by MRI-guided focused ultrasound
No full textObjective: To report results of a prospective trial of unilateral transcranial MRI-guided focused ultrasound (MRIgFUS) ablation of the cerebellothalamic tract in essential tremor (ET).
Methods: This was a prospective, uncontrolled, single-center interventional study. Patients with ET fulfilling criteria for interventional therapy received unilateral ablation of the cerebellothalamic tract (CTT) by MRIgFUS. Motor symptoms, manual dexterity, cognition, and quality of life were assessed before intervention and at 48 hours and 1, 3, and 6 months after intervention. Rating of standardized video recordings was blinded for evaluation time points. Primary outcome was the change in unilateral hand tremor score of the treated hand.
Results: Six patients received MRIgFUS ablation of the CTT contralateral to the treated hand. Repeated-measures comparison determined a statistically significant 83% reduction (before vs 6 months after intervention mean ± SD; absolute reduction; 95% confidence interval) in the unilateral treated hand subscore (14.3 ± 4.9 vs 2.5 ± 2.6; 11.8; 8.4–15.2; p < 0.001), while quality of life improved by 52% (50.5 ± 19.4 vs 24.8 ± 11.4; 25.7; 3.5–47.28; p = 0.046). Measures for manual dexterity, attention and coordination, and overall cognition were unchanged. Transient side effects (n = 3) were ipsilateral hand clumsiness and mild gait instability for up to 3 months.
Conclusions: Unilateral MRIgFUS lesioning of the CTT was highly efficacious in reducing contralateral hand tremor in ET without affecting fine motor function and dexterity over 6 months of follow-up. Adverse effects were mild and transient.
Classification of evidence: This study provides Class IV evidence that for patients with ET, transcranial MRIgFUS ablation of the cerebellothalamic tract improves tremor
Color discrimination assessment in patients with hypothyroidism using the Farnsworth-Munsell 100 hue test.
No full textThere is evidence in the literature that hypofunction of the thyroid gland (hypothyroidism) affects color vision in rodents by influencing the production of the visual pigment opsin. The effect of hypothyroidism on color vision in humans has not been examined in any great detail. In this cross-sectional study we evaluated color discrimination using the Farnsworth-Munsell 100 hue test (FM-100) in 25 individuals with pre-treatment hypothyroidism (mean age 38±9.2 Yrs), and a control euthyroid group, n=26 (mean age 39.6±8.4 Yrs). There was no statistically significant difference in the total error score (TES) between the groups, but the hypothyroid group had a significantly greater partial error scores (PES) along the blue-yellow (B-Y) axis compared to the red-green (R-G) axis. No statistically significant differences in B-Y and R-G PES were observed in the control group. This study shows that hypothyroidism affects color vision in humans, causing significant impairment in the B-Y color subsystem
Color discrimination assessment in patients with hypothyroidism using the Farnsworth-Munsell 100 hue test.
No full textThere is evidence in the literature that hypofunction of the thyroid gland (hypothyroidism) affects color vision in rodents by influencing the production of the visual pigment opsin. The effect of hypothyroidism on color vision in humans has not been examined in any great detail. In this cross-sectional study we evaluated color discrimination using the Farnsworth-Munsell 100 hue test (FM-100) in 25 individuals with pre-treatment hypothyroidism (mean age 38±9.2 Yrs), and a control euthyroid group, n=26 (mean age 39.6±8.4 Yrs). There was no statistically significant difference in the total error score (TES) between the groups, but the hypothyroid group had a significantly greater partial error scores (PES) along the blue-yellow (B-Y) axis compared to the red-green (R-G) axis. No statistically significant differences in B-Y and R-G PES were observed in the control group. This study shows that hypothyroidism affects color vision in humans, causing significant impairment in the B-Y color subsystem
Modeling neck mobility in fossil turtles
No full textTurtles have the unparalleled ability to retract their heads and necks within their shell but little is known about the evolution of this trait. Extensive analysis of neck mobility in turtles using radiographs, CT scans, and morphometry reveals that basal turtles possessed less mobility in the neck relative to their extant relatives, although the anatomical prerequisites for modern mobility were already established. Many extant turtles are able to achieve hypermobility by dislocating the central articulations, which raises cautions about reconstructing the mobility of fossil vertebrates. A 3D-model of the Late Triassic turtle Proganochelys quenstedti reveals that this early stem turtle was able to retract its head by tucking it sideways below the shell. The simple ventrolateral bend seen in this stem turtle, however, contrasts with the complex double-bend of extant turtles. The initial evolution of neck retraction therefore occurred in a near-synchrony with the origin of the turtle shell as a place to hide the unprotected neck. In this early, simplified retraction mode, the conical osteoderms on the neck provided further protection
First record of tail bifurcations in the snake-eyed skink (Ablepharus kitaibelii Bibron & Bory de Saint-Vincent, 1833) from Pastrina hill (northwestern Bulgaria)
No full textWe report for the first time on the occurrence of tail bifurcations in the snake-eyed skink (A. kitaibelii). This morphological anomaly was identified during a four-year monitoring program conducted in a herpetological hot-spot at Pastrina hill (northwestern Bulgaria). From a total of 415 captured specimens, four animals (0.96%) showed symmetrical or asymmetrical lateral duplication of the tail. Only bifurcations of the distal-most caudal section were detected in contrast to some other lizards (e.g. Gekkonidae, Lacertidae, Teiidae) that are reported to survive with bifurcations at more proximal tail sections.© Copyright belongs to the author
Acromegaly at diagnosis in 3173 patients from the Liege Acromegaly Survey (LAS) database.
No full textpeer reviewedAcromegaly is a rare disorder caused by chronic growth hormone (GH) hypersecretion. While diagnostic and therapeutic methods have advanced, little information exists on trends in acromegaly characteristics over time. The Liege Acromegaly Survey (LAS) database, a relational database, is designed to assess the profile of acromegaly patients at diagnosis and during long-term follow-up at multiple treatment centers. The study population consisted of 3173 acromegaly patients from ten countries; 54.5% were female. Males were significantly younger at diagnosis than females (43.5 vs. 46.4 years; p3100 patients is the largest international acromegaly database and shows clinically relevant trends in the characteristics of acromegaly at diagnosis
