307,757 research outputs found
General Correspondence; Hand, Thomas J.; 1889
No full textNine letters from Thomas J. Hand of the North American Exchange Company in New York City to John M. Whitaker at Salt Lake City, concerning business matters, including the Salt Lake and Eastern Railway; Also one letter to Hand from investment banker John A. McShane of New York Cit
Re: Is giant cell reparative granuloma of the hand undertreated?
No full text[No abstract available]BERTHEUSSEN KJ, 1983, J HAND SURG-AM, V8, P46; ENNEKING WF, 1986, CLIN ORTHOP RELAT R, P9; Giza E, 1997, J HAND SURG-AM, V22, P732, DOI 10.1016-S0363-5023(97)80137-2; LORENZO JC, 1980, AM J SURG PATHOL, V4, P551, DOI 10.1097-00000478-198012000-00006; Macdonald DF, 2003, CAN J SURG, V46, P471; Ugwonali O, 1999, J HAND SURG-AM, V24A, P1331; WOLD LE, 1986, AM J SURG PATHOL, V10, P491, DOI 10.1097-00000478-198607000-000060
07/10/1947 Letter from Paul J. Hand
No full textLetter from Paul J. Hand of Brooklyn, New York, to Louis-Philippe Gagné.https://digitalcommons.usm.maine.edu/fac-lpg-1947-07-09/1004/thumbnail.jp
The effectiveness of origami on overall hand function after injury: A pilot controlled trial
No full textThis pilot study measured the effectiveness of using origami to improve the overall hand function of outpatients attending an NHS hand injury unit. The initiative came from one of the authors who had used origami informally in the clinical setting and observed beneficial effects. These observed effects were tested experimentally. The design was a pilot non-randomised controlled trial with 13 participants. Allocation of the seven control group members was based on patient preference. The experimental group members attended a weekly hour of origami for six weeks, in addition to their conventional rehabilitation.
Hand function of all participants was measured using the Jebsen-Taylor Hand Function Test before and after the six-week period, and additional qualitative data were gathered in the form of written evaluations from patients. The quantitative data were analysed using the Mann Whitney U test or Fisher’s exact test. Themes were highlighted from the qualitative data.
The results show that there was a greater difference in the total score of the experimental group using the impaired hand between pre- and post-intervention of 11.8 seconds, compared with 4.3 seconds in the control group, but this was not statistically significant at the 5% level (p=0.06). Additionally, differences in the sub-test scores show a markedly larger improvement in the experimental group. Qualitative data indicate that the experimental group experienced the origami sessions as being enjoyable and beneficial. Further research with a larger sample and randomised group allocation is recommended to verify and expand these preliminary findings
Establishing a Standardized Clinical Assessment Tool of Pathologic and Prosthetic Hand Function: Normative Data, Reliability, and Validity
No full textABSTRACT. Light CM, Chappell PH, Kyberd PJ. Establishing a standardized clinical assessment tool of pathologic and prosthetic hand function: normative data, reliability, and validity. Arch Phys Med Rehabil 2002;83:776-83. Objective: To develop a new assessment procedure, the Southampton Hand Assessment Procedure (SHAP), that allows contextual results of hand function to be obtained readily in a clinical environment. Design: Reliability (test-retest, interrater) and validity (criterion, content) of new assessment procedure against standard medical outcome measure techniques. Setting: Normative data collected in a university laboratory. Participants: Twenty-four volunteers selected on the basis of optimum hand function using these criteria: age (range, 18-25y), and no adverse hand trauma, neurologic condition, or disabling effects of the upper limb. Interventions: Not applicable. Main Outcome Measures: The normative control group was assessed for variability, and the procedure measured in terms of interrater and test-retest reliability. The absence of a direct comparison prevents a criterion standard from being established; however, content validity was shown by expert peer review. Results: The control group data were shown to be multivariate gaussian; test-retest and interrater reliability were demonstrated at the 95% confidence level. The content validity was demonstrated by peer panel approval. Conclusions: Results of the control group established the statistical integrity of SHAP. Clinical trials are underway, although more extensive use of the procedure is advocated in primary care and rehabilitation centers where physiotherapy and occupational therapy are actively used in hand rehabilitation
[Report to Chief J. E. Curry, by an unknown author #1]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
[Report to Chief J. E. Curry, by an unknown author #2]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
Reconstruction of blast injuries of the hand and upper limb
No full textOver recent years, hand surgeons in the Middle East and Arabic region have particularly had to deal with an increasing number of war blast injuries to the upper extremity, in the acute, subacute and chronic phases. Many have been referred from War Zone countries such as Iraq and, more recently, Syria, where the resources to treat such complex injuries are scarce. The present article is a comprehensive review of the basic principles of management of blast injuries based on the available literature merged with the authors' personal experience of these injuries. 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Advanced clinical practice in closed hand trauma: Codevelopment of a hand therapist--led fracture clinic.
No full textBACKGROUND: Closed hand trauma is prevalent, and its management is healthcare service intensive. In the United Kingdom, persistent healthcare austerity and challenges of providing care compliant with national guidance are driving innovation in practice. Increasingly, advanced clinical practice hand therapists work in the fracture clinic performing assessment of closed hand trauma and deciding on surgical or nonsurgical treatment options. PURPOSE: Reported is the codevelopment of a hand therapist--led closed hand trauma clinic, aiming to promote practice development internationally. STUDY DESIGN: Service evaluation. METHODS: With "Innovate at Imperial," charity funding the Enhanced Pathway for Injuries that are Closed and Complex (EPIC) was developed. This article describes the pathway and reports on (i) the codevelopment using focus groups with patients; (ii) a quantitative evaluation of the pathway; and (iii) a qualitative exploration of patient experience of EPIC using satisfaction questionnaires and a focus group. RESULTS: Initial focus groups revealed that patients valued early intervention, expert opinion, kindness, personalized care, and being included in the treatment decision-making. They trusted therapists to deliver care. Of the 212 patients assessed in the first 9months, 75% were referred to hand therapy, 22% were discharged, and 4% referred for surgery. Active range of motion at discharge was excellent or good in 79% of patients, pain absent or minimal in 81%, and Patient-Rated Wrist and Hand Evaluation score 25 or lower in 59%. Patients referred to hand therapy required two appointments (median). Therapists attained clinical proficiency over 3-6months, assessed by the number of cases queried with hand surgeons. Patient satisfaction with the pathway was high and no patients requested to see a hand surgeon instead of a therapist. CONCLUSIONS: Therapists can safely and efficiently lead closed hand trauma clinics. This codeveloped pathway can serve as a model for other centers
Hand eczema
No full textDas Handekzem ist ein sehr häufiges und weit verbreitetes Krankheitsbild. Vermutlich wurde es zum ersten mal im neunzehnten Jahrhundert beschrieben. Die sozioökonomischen Auswirkungen sind enorm, was sich vor allem mit der hohen Inzidenz und Prävalenz des Handekzems in der Bevölkerung begründet. Die unterschiedliche Schwere der Symptome hat auch gewaltige Auswirkungen auf die Lebensqualität des Patienten.
Das Ziel dieser Doktorarbeit ist es, einen umfassenden und kritischen Überblick der gegenwärtigen Literatur und wissenschaftlichen Studien zur Epidemiologie, Pathogenese, Klassifizierung und Behandlung des chronischen Handekzems zu verschaffen.
Zu diesem Zweck wurden elektronische Datenbanken nach wissenschaftlichen Studien und Berichten zum chronischen Handekzem durchsucht.
Diese Suche ergab 16 unterschiedliche Behandlungsmethoden, die in 53 wissenschaftlichen Studien der letzten 40 Jahre erwähnt wurden.
Die sorgfältige Auswertung dieser Studien ergibt, dass nur 8 der 53 Studien die Kriterien für doppelblinde randomisierte klinische Studien erfüllen.
Fünf dieser erwähnten Studien benützen im Halbseitenversuch eine Hand des Patienten zur Intervention, während die andere als Kontrolle genutzt wird. Daher wurden insgesamt nur drei klinische Studien gefunden, die eine überschaubare Methodik zur Randomisierung der Patienten, doppelblinde Patienten und Versuchsleiter und separate Kontrollgruppen aufweisen können.
Dies bedeutet, dass Daten einer Population von nur 1392 Patienten aus drei wissenschaftlichen Studien als Grundlage für die Behandlung dieses weit verbreiteten Krankheitsbildes angewendet werden können.
Ferner werden die Unzulänglichkeiten der Studien diskutiert und Empfehlungen gemacht, um diese in Zukunft zu vermeiden.
Zusätzlich wurden Patientendaten von 107 Patienten mit refraktärem Handekzem, die mit Creme-PUVA-Photochemotherapie in der Lichttherapie-Abteilung in der Hautklinik der Heinrich Heine Universität in Düsseldorf behandelt wurden, gesammelt und ausgewertet. Diese Daten wurden schliesslich als Studie bei einer wissenschaftlichen Fachzeitschrift eingereicht.
Vollständiger oder teilweiser Rückgang des Handekzems wurde bei 78% der behandelten Patienten bemerkt. Die Therapie bewies sich als wirkungsvoller an Patienten mit hyperkeratotisch-rhagadiformem (85%) und dyshidrotischem (81.1%) Handekzem als bei Patienten, die unter dem atopischen (66.67%) oder Kontaktekzem (20%) litten.
Vollständiger oder teilweiser Rückgang des Handekzems wurde bei 83% der männlichen und bei 72.7% der weiblichen Patienten bemerkt. Zwei der Patienten klagten über Hautrötungen als Nebeneffekt der Bestrahlungstherapie.
Diese Ergebnisse unterstreichen die Bedeutung von Creme-PUVA-Photochemotherapie als wirksame Behandlungsmethode von chronischem Handekzem. Dies gilt insbesondere für das günstige Sicherheitsprofil in Bezug auf kurz- und langfristige Nebenwirkungen.
Abschliessend wird ein Vorschlag für einen Behandlungs-Algorithmus für das chronische Handekzem diskutiert. Hierfür werden die behandelten Studien als Grundlage genutzt.
Die Bedeutung der regelmässigen Anwendung von Emollients und Kortikosteroiden sollte betont werden. Der nächste Schritt in der Behandlung sollte UV Bestrahlungstherapie oder Alitretinoin sein. Cyclosporine bieten sich als weiterer Schritt an, wobei Röntgenbestrahlung nur für behandlungsrefraktäre Fälle angewendet werden sollte
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