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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/

    The Orthopaedic Journal of M P Chapter (OJMPC) is official publication of Madhya Pradesh Chapter of Indian Orthopaedic Association (IOA). This journal is academic representation of our esteemed body. Publishing a journal is not easy, it needs lot of determination, time and energy.

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    ZENODO
    Article . 2016
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    ZENODO
    Article . 2016
    License: CC BY
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ ZENODOarrow_drop_down
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      ZENODO
      Article . 2016
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      Article . 2016
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  • Authors: Agrawal, Alok Chandra;
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  • image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    Authors: Lise Hestbæk; Paul Campbell; Steven J. Kamper; Zoe A. Michaleff; +3 Authors

    Synopsis Accurate, reliable, and timely assessment of pain is critical for effective management of musculoskeletal pain conditions. The assessment of pain in infants, children, and adolescents with and without cognitive impairment can be particularly challenging to clinicians for a number of reasons, including factors related to the consultation (eg, heterogeneous patient population, time constraints), the clinician (eg, awareness/knowledge of available pain scales), standardized assessment scales (eg, availability, psychometric properties, and application of each scale), the patient (eg, developmental stage, ability to communicate), and the context in which the interaction took place (eg, familiarity with the setting and physiological and psychological state). As a result, pain is frequently not assessed or measured during the consultation and, in many instances, underestimated and undertreated in this population. The purpose of this article is to provide clinicians with an overview of scales that may be used to measure pain in infants, children, and adolescents. Specifically, the paper reviews the various approaches to measure pain intensity; identifies factors that can influence the pain experience, expression, and assessment in infants, children, and adolescents; provides age-appropriate suggestions for measuring pain intensity in patients with and without cognitive impairment; and identifies ways to assess the impact of pain using multidimensional pain scales. J Orthop Sports Phys Ther 2017;47(10):712-730. doi:10.2519/jospt.2017.7469.

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    image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Stokkel, M. P. M.; Mansi, Luigi;

    Nuclear medicine has evolved exponentially over the past into a dedicated clinical specialism in clinical practice. The introduction of single-photon emission computed tomography and positron emission tomography (PET) techniques, recently combined with CT, has fuelled a demand for continuing medical education in the whole field of nuclear medicine. The present book is a questionnaire related to all fields, in which a handy quiz arrangement provides the opportunity for immediate gratification. This self-examination is not only to assess present knowledge; it also provides relevant data and stimulates the reader to use other books to get the complete background information. In the left column, the questions are described, and the answers are given in the right column per page. Chapter 1 is related to the basics of nuclear medicine containing questions about radionuclides and quality control. The second part is dedicated to the application of single photons, ranging from musculoskeletal and cardiac topics to the genitourinary and gastrointestinal tracts. The third part contains questions about PET, starting with PET basics, followed by all organ systems throughout the body. For those who work in a training setting, this book is recommended as it is a good (self) assessment not only for the trainees but also for the trainers. Most of the answers are either yes/true or no/false, but the open questions commonly result in nice discussions. Therefore, with this book, the authors have reached their goal.

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    European Journal of Nuclear Medicine
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      European Journal of Nuclear Medicine
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Dirk De Clercq; Jan Bourgois; Jan Bourgois; Jasmien Dumortier; +6 Authors

    Abstract‘A tribute to Dr J. Rogge’ aims to systematically review muscle activity and muscle fatigue during sustained submaximal quasi‐isometric knee extension exercise (hiking) related to Olympic dinghy sailing as a tribute to Dr Rogge's merits in the world of sports. Dr Jacques Rogge is not only the former President of the International Olympic Committee, he was also an orthopaedic surgeon and a keen sailor, competing at three Olympic Games. In 1972, in fulfilment of the requirements for the degree of Master in Sports Medicine, he was the first who studied a sailors’ muscle activity by means of invasive needle electromyography (EMG) during a specific sailing technique (hiking) on a self‐constructed sailing ergometer. Hiking is a bilateral and multi‐joint submaximal quasi‐isometric movement which dinghy sailors use to optimize boat speed and to prevent the boat from capsizing. Large stresses are generated in the anterior muscles that cross the knee and hip joint, mainly employing the quadriceps at an intensity of 30–40% maximal voluntary contraction (MVC), sometimes exceeding 100% MVC. Better sailing level is partially determined by a lower rate of neuromuscular fatigue during hiking and for ≈60% predicted by a higher maximal isometric quadriceps strength. Although useful in exercise testing, prediction of hiking endurance capacity based on the changes in surface EMG in thigh and trunk muscles during a hiking maintenance task is not reliable. This could probably be explained by the varying exercise intensity and joint angles, and the great number of muscles and joints involved in hiking.Highlights Dr Jacques Rogge, former president of the International Olympic Committee and Olympic Finn sailor, was the first to study muscle activity during sailing using invasive needle EMG to obtain his Master degree in Sports Medicine at the Ghent University. Hiking is a critical bilateral and multi‐joint movement during dinghy racing, accounting for >60% of the total upwind leg time. Hiking generates large stresses in the anterior muscles that cross the knee and hip joint. Hiking is considered as a quasi‐isometric bilateral knee extension exercise. Muscle activity measurements during sailing, recorded by means of EMG, show a mean contraction intensity of 30‐40% maximal voluntary contraction with peaks exceeding 100%. Hiking performance is strongly related to the development of neuromuscular fatigue in the quadriceps muscle. Since maximal strength is an important determinant of neuromuscular fatigue during hiking, combined strength and endurance training should be incorporated in the training program of dinghy sailors.

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    image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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    Authors: Toms K Thomas; Dr. Satish Kumar; Dr. D. Jayalakshami;

    {"references": ["1.\tADA (1998), Economic Consequences of Diabetes Mellitus in the US in 1997. Diabetes care 1998; 21:296-309. 2.\tAhuja MMS (1979). Epidemiological Studies on Diabetes Mellitus in India. In: Ahuja MMS, editor. Epidemiology of diabetes in developing countries. New Delhi: Interprint; 1979 p. 29-38. 3.\tAmerican Diabetes Association (2003). Economic Costs of Diabetes in the U.S. in 2002. Diabetes Care 2003, 26: 917-932 4.\tAnderson RM, Funnell MM, Barr PA, Dedrick RF, Davis WK (1991). Learning to empower patients. Diabetes Care 1991; 14:584\u201390. 5.\tAnderson RM, Funnel MM, Arnold MS (1991). Beyond compliance and glucose: educating for patient empowerment. In: Ribken H, Caldwell JA, Taylor SI, editors. Diabetes. New York: Elsevier, 1991. p. 1285\u20139. 6.\tAnil Kapur (2007): Economic Analysis of Diabetes Care. Indian J Med Res 125, March 2007, pp 473 482 7.\tBalagopal Padmini, Kamalamma Thakore N, Patel G, Misra Ranjita (2008). A Community-Based Diabetes Prevention and Management Education Program in a Rural Village in India, American Diabetes Association, Inc., 2008. 8.\tBhojani Upendra, Thriveni B S, Devadasan Roopa, Munegowda CM, Devadasan, N, Kolsteren Patrick, Criel Bart (2012). Out of pocket health care payments on chronic conditions impoverish urban poor in Bangalore, India. BMC Public Health, 2012. 9.\tChew LD (2004). The Impact of Low Health Literacy on Diabetes Outcomes. Diabetes Voice 2004; 49:30\u20132. 10.\tCochran, M. (1986). The parental empowerment process: Building on family strengths. In J. Harris (Ed.), Child psychology in action: Linking research and practice (pp.12-33). Brookline, MA: Croon Helm Publishers. 11.\tCopanitsanou, P., Sourtzi, P., Johansson, K. & Lemonidou, C (2009). Pilot study on the existence of empowering education of orthopaedic patients in Greece. Journal of Orthopaedic Nursing 13(4), 211-212. 12.\tCornell Empowerment Group. (1989, October). 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Diabetes Educ 1997; 23:569\u201373. 18.\tFeste Catherine & Anderson Robert M (1995) Empowerment: from philosophy to practice, Patient Education and Counseling 26 (1995) 19.\tFeste CC (1991). A practical look at patient empowerment. Diabetes Care 1992; 15:922\u20135. 20.\tFunnell, MM, Anderson, RM, Arnold MS, Barr PA, Donnelly MB, Johnson PD, Taylor-Moon D, White NH (1991). Empowerment: an idea whose time has come in diabetes education. Diabetes Educ 17:37 -41, 1991 21.\tGarber A M, Phelps CE (1997). Economic Foundations of Cost-Effectiveness Analysis. Journal of Health Economics 1997, 16:1-31 22.\tGlasgow RE, Anderson RM (1999). In diabetes care, moving from compliance to adherence is not enough. Diabetes Care 1999; 22:2090\u20132. 23.\tGoldhaber-Fiebert JD, Li H, Ratanawijitrasin S, Vidyasagar S, Wang XY, Aljunid S, Shah N, Wang Z, Hirunrassamee S, Bairy KL, Wang J, Saperi S, Nur AM, Eggleston K (2009). Inpatient treatment of diabetic patients in Asia: evidence from India, China, Thailand and Malaysia. Diabet Med. 2010 Jan; 27(1):101-8. 24.\tGold MR, Siegel JE, Russel LB, Weinstein MC (1996). Cost-Effectiveness in Health and Medicine. NY and Oxford: OUP 1996. 25.\tGray A, Raikou M, McGuire A, Fenn P (2000). United Kingdom Prospective Diabetes Study Group. Cost effectiveness of an intensive blood glucose policy in patients with Type 2 diabetes: economic analysis alongside randomized controlled trial (UKPDS 41). BMJ 2000; 320: 1373- 1378. 26.\tHeisler M, Smith DM, Hayward RA, Krein SL, Kerr EA (2003). How well do patients' assessments of their diabetes self-management correleate with actual glycemic control and receipt of recommended diabetes services? Diabetes Care. 2003; 26:738\u201343. [PubMed] 27.\tHeikkinen K, Helena LK, Taina N, Anne K, Sanna S (2008). A comparison of two educational interventions for the cognitive empowerment of ambulatory orthopaedic surgery patients. Patient Educ Couns. 2008 Nov; 73(2):272-9. doi: 10.1016/j.pec.2008.06.015. 28.\tInternational Diabetic Federation (2011). Economic Impact of Diabetics. IDF Diabetic Atlas Fourth Edition. 29.\tJones P.S and Meleis A.I (1993). Health is empowerment. Adv Nurs Sci, 15 (1993), pp. 1\u201314 30.\tJohansson, K., Hupli, M. & Salanter\u00e4, S (2002). Patient's learning needs after hip arthroplasty. Journal of Clinical Nursing 11, 634\u20139. 31.\tJohansson, K., Salanter\u00e4, S., Katajisto, J. & Leino-Kilpi, H (2004). Written orthopedic patient education materials from the point of view of empowerment by education. Patient Education and Counseling 52, 175\u201381. 32.\tJohansson, K., Nuutila, L, Virtanen, H., Katajisto, J. & Salanter\u00e4, S (2005). Preoperative education for orthopaedic patients: systematic review. Journal of Advanced Nursing 50, 212\u201323. 33.\tKeiffer, C. (1984). Citizen empowerment: A developmental perspective. Prevention in Human Services, 3(16), 34.\tKutty VR, Soman CR, Joseph A, Pisharody R, Vijayakumar K (2000). Type 2 Diabetes in Southern Kerala: Variation in Prevalence among Geographic Divisions within a Region. Indian Journal of Medical Research. 2000; 13(6):287-292. 35.\tLabonte R (1994). Health promotion and empowerment: reflections on professional practice Health Educ Quart, 21 (1994), pp. 253\u2013268 36.\tLeino-Kilpi H & Vuorenheimo J. 1994.The Patient's Perspective on Nursing Quality: Developing a Framework for Evaluation. International Journal for Quality in Health Care 6(1), 85\u201395. 37.\tLeino-kilpi H, Maenpaa I, Katajisto J (1993). Nursing study of the significance of rheumatoid arthritis as perceived by patients using the concept of empowerment. Journal of Orthopedic Nursing 1993.3. 38.\tLeino-Kilpi H, Luoto, Katajisto J (1998). Elements of empowerment and MS patients. Journal of Neuro science Nursing 1998. 39.\tLeino-Kilpi H, M\u00e4enp\u00e4\u00e4 I & Katajisto J (1999). Nursing study of the significance of rheumatoid arthritis as perceived by patients using the concept of empowerment. Journal of Orthopedic Nursing 3, 138\u2013145. 40.\tLeino-Kilpi H, Johansson K, Heikkinen K, Kalijonen A, Virtanen H, Salantera S (2005). Patient education and health related quality of life. Surgical hospital patient as a case in point. Journal of Nursing care Quality 2005:20 307. 41.\tLeino-Kilpi H(2012). Empowering patient education \u2013 a challenge for the future. 25th Anniversary Symposium of the University of Akureyri, Iceland, 25.5.2012. Keynote presentation. 42.\tLopez-Stewart G, Tambascia M, Rosas-Guzm\u00e1n J, Etchegoyen F, Ortega-Carri\u00f3n J, Artemenko S (2007). Control of Type 2 Diabetes Mellitus among General Practitioners in Private Practice in nine countries of Latin America. Rev Panam Salud P\u00fablica 2007; 22:12-20. 43.\tMahal, A., Karan, A., Engelgau, M (2009). The Economic Implications of Non\u2010Communicable Disease for India. The International Bank for Reconstruction and Development / The World Bank, Washington DC. 44.\tMcClelland, D. C. (1975). Power: The inner experience. New York: Irvington Press 45.\tMenon VU, Kumar KV, Gilchrist A (2006). Prevalence of known and Undetected Diabetes and Associated Risk Factors in Central Kerala \u2013 ADEPS. Diabetes Res Clin Pract. Dec 2006; 74(3):289-294. 46.\tMoscovitch, A. and Drover, G. (1981). Inequality: Essays on the political economy of social welfare. Toronto: University of Toronto Press. 47.\tMontin, L., Johansson, K., Kettunen, J., Katajisto, J., Leino-Kilpi, H (2010). Total joint arthroplasty patients' perception of received knowledge of care. Orthopaedic Nursing 29(4), 246-253. 48.\tMV Hospital for Diabetes and Diabetes Research Centre (2010). The Socio\u2010Economics of Diabetes from a Developing Country: A Population Based Cost of Illness Study, Chennai, India, 2010. 49.\tNarayan, K. M. V., Ali M. K., Koplan J.P (2010). Global Non\u2010Communicable Diseases \u2013 Where Worlds Meet. N Engl J Med 2010, 363:1196\u20101198 50.\tNational Health Accounts (2005). National Health Accounts India 2004\u201305. New Delhi: Ministry of Health and Family Welfare, Government of India. 51.\tNHS (19996). Quality and consumers branch. Patient partnership: building a collaborative strategy. NHS Executive. Leeds; 1996. 52.\tPradhan, M., and N. Prescott. 2002. \"Social Risk Management Options for Medical Care in Indonesia.\" Health Economics 11: 431\u201346. 53.\tRamachandran A, Jali M V, Mohan V, Snehalatha C, Vishwanathan M (1988). High Prevalence of Diabetes in Urban Population in South India. British Medical Journal, 297 (1988), pp. 587\u2013590 54.\tRamachandran A, Snehalatha C, Baskar ADS, Mary S, Kumar CK, Selvam S (2004). Temporal Changes in Prevalence of Diabetes and Impaired Glucose Tolerance Associated with Lifestyle Transition Occurring in the Rural Population in India. Diabetologia 2004; 47: 860-5. 55.\tRamachandran A, Ramachanrdan S, Snehalatha C, Augustine C, Murugesan N, Viswanathan V, et al (2007). Increasing Expenditure on Health Care Incurred by Diabetic Subjects in a Developing Country \u2013 A study from India. Diabetes Care. 2007; 30:252\u20136. [PubMed] 56.\tRamachandran A, Mary S, Yamuna A, Murugesan N, Snehalatha C (2008). High prevalence of diabetes and cardiovascular risk factors associated with urbanization in India. Diabetes Care. May 2008; 31(5):893-898. 57.\tRamachandran A, Wan Ma RC, Snehalatha C (2010). Diabetes in Asia. Lancet;375:408\u201318, 2010 58.\tRanson, M. K. 2002. \"Reduction of Catastrophic Health Care Expenditures by a Community- Based Health Insurance Scheme in Gujarat, India: Current Experiences and Challenges.\" Bulletin of the World Health Organization 80(8): 613\u201321. 59.\tRankinen S, Salanter\u00e4 S, Heikkinen K, Johansson K, Kaljonen A, Virtanen H & Leino-Kilpi H (2007). Expectations and received knowledge by surgical patients. International Journal of Quality in Health Care 19(2), 113\u2013119. 60.\tRantanen, M., Kallio, T., Johansson, K., Salanter\u00e4, S., Virtanen, H. & Leino-Kilpi, H (2008). Knowledge expectations of patients on dialysis treatment. Nephrology Nursing Journal. 35(3), 249-255. 61.\tRayappa, PH, Raju KNM, Kapur Anil, Bjork Stefan, Sylvest Camilla, Kumar Dilip KM (1999) Economic Cost of Diabetic Care: The Bangalore Urban District Diabetic Study. Int. J. Diab. Dev Countries (1999), VOL. 19 62.\tReddy KS, Prabhakaran D, Chaturvedi V (2006). Methods for Establishing a Surveillance System for Cardiovascular Diseases in Indian industrial populations. Bull WHO. Jun 2006; 84(6):461-469. 63.\tReddy KS, Shah B, Varghese C, Ramadoss A (2005).Responding to the Threat of Chronic Diseases in India. Lancet 2005, 366:1744\u20131749. 64.\tRema M, Deepa R, Mohan V (2000). Prevalence of Retinopathy at Diagnosis among Type 2 Diabetic Patients Attending a Diabetic Centre in South India. British Journal of Ophthalmology. 2000; 84:1058 60. (PMC Free Article, PUBMED) 65.\tRoter L debra, Margalit Ruth Stashefsky, Rudd Rima (2001). Current Perspectives on Patient Education in the US. Patient Education and Counseling 44 79 \u2013 86 (2001) 66.\tRussell, S. 2004. \"The Economic Burden of Illness for Households in Developing Countries: A Review of Studies Focusing on Malaria, Tuberculosis, and Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome.\" American Journal of Tropical Medicine and Hygiene 71(Supp. 2): 147\u201355. 67.\tSchulper M (2001). The Role and Estimation of Productivity Costs in Economic Evaluation. Chapter 5 in: Drummond M, McGuire A (eds.): Economic Evaluation in Health Care \u2013merging theory with practice. Oxford: Oxford University Press. 68.\tSelvaraj S, Karan AK (2009). Deepening health insecurity in India: evidence from National Sample Surveys since 1980s. Economic & Political Weekly 2009; 44:55-60. 69.\tShah B, Mathur P. Surveillance of Cardiovascular Disease Risk Factors in India: The Need & Scope. Indian Journal of Medical Research, Nov 2010; 132(5):634-642. 70.\tShearer NBC (2004). Relationships of contextual and relational factors to health empowerment in women. Research and theory for nursing practice. 2004; 18:357\u2013370. 71.\tShobana R, Augustine C, Ramachandran A, Vijay V (2005). Improving Psychosocial Care: The Indian experience. Diabetes Voice 2005; 50:19\u201321. 72.\tShobhana R, Rao PR, Lavanya A, Williams R, Vijay V, Ramachandran A (2000). Expenditure on health care incurred by diabetic subjects in a developing country \u2013 a study from southern India. Diab Res Clin Pract. 2000; 48:37\u201342. [PubMed] 73.\tSimmons R.K, Unwin N, Griffin SJ (2011) International Diabetes Federation: an update of the evidence concerning the prevention of type 2 diabetes. IDF Diabetes Atlas fourth edition, Prevention of Type II diabetics 2011. 74.\tSpero David (2007): Motivating and Enabling Self-Care in Diabetes, Alternative Journal of Nursing March 2007, Issue 13 75.\tStrong K, Wald N, Miller A, Alwan A (2005). Current Concepts in Screening for Non Communicable Diseases: World Health Organization Consultation Group Report on methodology of Non Communicable Disease screening. Journal Of medical Screening) 2005;12:12\u20139. (Pub Med). 76.\tTaylor Wayne, D (2010). The Burden of Non-Communicable Diseases in India. The Cameron Institute, Oct. 2010. 77.\tThe Indian Express (2009). India has largest number of diabetes patients: Report, by Teena Thacker, New Delhi, Oct 29, 2009. 78.\tThe Hindu (2011). Out-of-pocket health expenditure rising in State, Reported by C Maya, The Hindu Daily, Thiruvanathapuran, Dec 14, 2011 79.\tThankappan K R, Shah B, Mathur P (2010). Risk Factor Profile for Chronic Non-Communicable Diseases: Results of a Community-Based Study in Kerala, India. Indian Journal of Medical Research, Jan 2010; 131:53-63. 80.\tTharkar S, Satyavani K, Viswanathan V (2009). Cost of medical care among type 2 diabetic patients with a co-morbid condition--hypertension in India. Diabetes Res Clin Pract. 2009 Feb; 83(2):263-7. doi: 10.1016/j.diabres.2008.11.027. Epub 2008 Dec 31. 81.\tUma V. Sankar, Kasia Lipska, Mini G. K., Sarma P. S., Thankappan K. R (2013). The Adherence to Medications in Diabetic Patients in Rural Kerala, India. Asia-Pacific Journal of Public Health XX(X) 1\u201311 82.\tVaartio-Rajalin, H. & Leino-Kilpi, H (2011). Nurses as patient advocates in oncologic care \u2013 considerations based on literature. Clinical Journal of Oncologic Nursing 15(5), 526-532. 83.\tVenkataraman K, Kannan AT, Mohan V (2009). Challenges in Diabetes Management with Particular Reference to India. Int J Diabetes Dev Countries 29(3):103\u2013109. 84.\tVirtanen Heli , Leino-Kilpi Helena, Salanter\u00e4 Sanna (2007). Empowering discourse in patient education, Patient Education and Counseling, Volume 66, Issue 2, May 2007, Pages 140\u2013146 85.\tWagstaff, A., and E. van Doorslaer. 2003. \"Catastrophe and Impoverishment in Paying for Health Care: with Applications to Vietnam 1993\u201398.\" Health Economics 12: 921\u201334. 86.\tWHO (1997). The Economics of Diabetes and Diabetes Care - A Report of Diabetes Health Economics Study Group. Gruber W, Lander T, Leese B, Songer T, Williams R, editors. An IDF,WHO Publication; 1997. 87.\tWHO (2002). The World Health Report 2002: reducing risks, promoting healthy life. Geneva: World Health Organization; 2002. 88.\tWHO (2007). Everybody's Business: Strengthening Health Systems to Improve Health Outcomes: WHO's framework for action. Geneva: WHO Press; 2007. 89.\tWHO (2010). World Health Statistics. World Health Organization, Geneva. 90.\tWHO, 2012. World Health Statistics, World Health Organization , Geneva 91.\tWHO (1986). The Ottawa Charter for Health Promotion; WHO, Geneva, 1986. 92.\tWHO (19916). Health and Welfare Canada, Canadian Public Health organization. Ottawa Charter for Health Promotion. Proceedings from International Conference on Health Promotion. Ottawa. 93.\tWild S, Roglic G, Green A, Sicree R, King H (2004). Global Prevalence of Diabetes, Estimates for The year 2000 and Projection for 2030. Diabetes Care 2004; 27: 1047-53. 94.\tWallerstein N (1992). Powerlessness, empowerment and health: implications for health promotion programs, Am J Health Promot, 6 (1992), pp. 197\u2013205 95.\tXu, K., D. E. Evans, K. Kawabate, R. Zeramdini, J. Klavus, and C. J. L. Murray. 2003. \"Household Catastrophic Health Expenditure: A Multi country Analysis.\" Lancet 362: 111\u201317."]} Diabetic type II is known as a silent illness exhibiting no symptoms until it develops very severe. Early and timely case detection therefore require active and opportunistic screening (Rema, Deepa & Mohan 2000). The untimely treatment and delay in diagnosis often increase the cost of diabetic care. The increasing spending on diabetic management and growing incidence of hospitalization led to think about alternative ways to best manage diabetics. Healthcare expenditures on diabetes account for 11.6% of the total healthcare expenditure in the world in 2010. About 80% of the countries spend between 5% and 13% of their total health expenditure on diabetes in 2010 (IDF, 2011). Hospital admission spending for diabetic inpatients with no complications ranged from 11 to 75% of per-capita income. Spending for patients with complications ranged from 6% to over 300% more than spending for patients without complications (Goldhaber-Fiebert JD, Li H, Ratanawijitrasin S, Vidyasagar S, Wang XY, Aljunid S, Shah N, Wang Z, Hirunrassamee S, Bairy KL, Wang J, Saperi S, Nur AM, Eggleston K 2009). Median cost per hospitalization, length of stay during admission, and cost of inpatient admission were all significantly higher for diabetic patients with a co-morbid condition (Tharkar S, Satyavani K, Viswanathan V, 2009).Increase in diabetic patients point to economic burden due to declining work productivity, early retirement, and sometimes premature death (WHO, 2002). An estimate by the International diabetic federation report suggest that more than half of the diabetic deaths are before 60 years of age (IDF, 2012 ) resulting in loss of productive work years. The prevention and cost effective ways to manage diabetics and non-communicable disease in general is gaining importance. Can countries spend more on health in changing global economic scenario is a question. India is facing an epidemic of diabetes, with growing prevalence (Ramachandran et.al, 2008). This study in this present health scenario is an attempt to understand if the health spending and quality of life are related to empowering knowledge.

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    Authors: Jiménez Vigna, Andrés Mauricio;

    Introducción: Lesiones por avulsión humeral posterior del ligamento gleno-humeral inferior o RHAGL representan una causa de inestabilidad posterior poco habitual en la literatura. Objetivo: Ofrecer un contexto clínico sobre mecanismo de trauma, los hallazgos clínicos e imagenológicos frecuentes y tratamientos descritos para el manejo de este tipo de patología. Métodos: Se realizó una revisión sistemática de alcance en las principales bases de datos (Cochrane, Science Direct, Lilacs Bireme, Ovid, Pubmed). Identificando 161 estudios, 13 cumplieron criterios. 74 casos fueron incluidos en el estudio. Resultados: 6,8% de las inestabilidades en hombro son posteriores, 0,9% por RHAGL. Pacientes jóvenes, atletas entre 20-30 años se asocian a estas lesiones. Trauma axial, en flexión de 90°, aducción y rotación interna fue el mecanismo más frecuente de lesión. 71% son completas. 93% se asocian a otras lesiones intraarticulares. Los síntomas son inespecíficos. Dolor interlinea posterior fue el síntoma más frecuente. Pruebas de inestabilidad son poco sensibles (77%). Resonancia tiene una sensibilidad 50%. La mayoría se diagnostican por artroscopia. El tratamiento conservador se indica en pacientes con baja demanda, lesiones parciales o aisladas (<33%). El manejo quirúrgico abierto o artroscópico en pacientes atletas, alta demanda, dolor o inestabilidad persistente. La mayoría reportan mejoría significativa en escalas funcionales logrando retornar a sus actividades laborales o deportivas previas en seguimientos a 2 años sin dolor. Conclusión: RHAGL actualmente está subdiagnosticado, su identificación es compleja y se atribuyen varios factores; inexperiencia clínica, alta relación con otras patologías intraarticulares con síntomas inespecíficos, siendo casual de incapacidad por inestabilidad posterior crónica.

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    https://doi.org/10.48713/10336...
    Master thesis . 2022
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    Authors: Romero Bernal, Daniel Felipe;

    Los trasplantes constituyen el principal tratamiento para algunas afecciones del sistema urinario, específicamente en los uréteres, estructuras pequeñas que cumplen la labor de transportar la orina desde los riñones a la vejiga, sin embargo los trasplantes tienen una alta tasa de rechazo, por lo que debe ser contrarrestado a partir del uso de inmunosupresores. Por lo cual se ha investigado desde la medicina regenerativa un elemento reconocido dentro de la anatomía humana por su cualidad de inmunorregulación, la médula ósea, que además es fuente tanto de células madre hematopoyéticas como mesenquimales; siendo estas características idóneas para ser usada como variante a la supresión del sistema inmunológico, durante la práctica de trasplantes. Las técnicas que utilizan células madre en terapia de reemplazo de órganos usualmente implican afectar el tejido para eliminar las células propias del donante. En esta investigación se plantea la posibilidad de implantar las células madre derivadas de la médula ósea directamente al órgano, generando un tipo de quimerismo (presencia de células de receptor y donante en el mismo tejido) que disminuyan las probabilidades de rechazo, gracias a su papel en la inmunorregulación. En este trabajo se demostró, por tinción con colorante DAPI, que el proceso de quimerización permite que las células madre extraídas de la médula ósea se adhieran y permanezcan en un uréter de rata. Los resultados son importantes dada la viabilidad del procedimiento y su impacto social al mejorar los resultados de los trasplantes. Pasantía de investigación (Ingeniero Biomédico)-- Universidad Autónoma de Occidente, 2018 Ingeniero(a) Biomédico(a) Pregrado

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    Authors: Pardo Reyes, Steffy; Valencia Marmolejo, Isabel;

    Introducción: La epicondilitis lateral del codo (EL) es la tendinopatía más diagnosticada, con una prevalencia entre 1-3% en población general y hasta de 7% en personas expuestas a movimientos repetitivos de antebrazo y muñeca (1–4), llevando a la limitación y pérdida de la capacidad funcional. Su manejo es principalmente conservador, sin embargo, debido a los avances en investigación y medicina molecular, el uso del plasma rico en plaquetas se considera hoy en día como una innovadora alternativa. Objetivo: Determinar la efectividad y seguridad del uso de Plasma Rico en Plaquetas en el manejo de la epicondilitis lateral en comparación con las demás alternativas de manejo descritas. Metodología: Se realizó una Revisión Sistemática siguiendo el estándar de la Colaboración Cochrane. Se consultaron las bases de datos de Embase, Medline, Lilacs y Cochrane. La estrategia de búsqueda basada en la pregunta PICO se construyó haciendo uso de términos estandarizados Mesh, Decs y Emtree según la base datos, así como términos libres, sin ningún tipo de restricción o límites. Se seleccionaron las referencias mediante revisión pareada e independiente de títulos y resúmenes, así como la evaluación de la calidad y la extracción de la información de los estudios. El resumen de la evidencia siguió las recomendaciones de GRADE y se evaluó la calidad metodológica de acuerdo con el diseño. Resultados: Los resultados sobre dolor mostraron diferencias significativas a favor del plasma rico en plaquetas (PRP) en relación con múltiples comparadores agrupados. Cuando se comparó específicamente con placebo y sangre total solo se encontraron diferencias significativas a favor del plasma rico en plaquetas en el corto plazo. Al comparar con esteroides y anestésicos locales se encontraron por el contrario diferencias significativas a favor del PRP en el mediano y largo plazo. Los resultados muestran que el PRP fue superior al control en cuanto a la funcionalidad cuando se evaluó con la escala de evaluación para pacientes con codo del tenista (PRTEE por sus siglas en ingles) para pacientes a los 6 meses. Las demás comparaciones no mostraron diferencias significativas.

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    https://doi.org/10.48713/10336...
    Master thesis . 2021
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      https://doi.org/10.48713/10336...
      Master thesis . 2021
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    Authors: Heather S. Haeberle; Heather S. Haeberle; Prem N. Ramkumar; Audrey L. Wright; +6 Authors

    Background: The opportunity to quantitatively predict next-season injury risk in the National Hockey League (NHL) has become a reality with the advent of advanced computational processors and machine learning (ML) architecture. Unlike static regression analyses that provide a momentary prediction, ML algorithms are dynamic in that they are readily capable of imbibing historical data to build a framework that improves with additive data. Purpose: To (1) characterize the epidemiology of publicly reported NHL injuries from 2007 to 2017, (2) determine the validity of a machine learning model in predicting next-season injury risk for both goalies and position players, and (3) compare the performance of modern ML algorithms versus logistic regression (LR) analyses. Study Design: Descriptive epidemiology study. Methods: Professional NHL player data were compiled for the years 2007 to 2017 from 2 publicly reported databases in the absence of an official NHL-approved database. Attributes acquired from each NHL player from each professional year included age, 85 performance metrics, and injury history. A total of 5 ML algorithms were created for both position player and goalie data: random forest, K Nearest Neighbors, Naïve Bayes, XGBoost, and Top 3 Ensemble. LR was also performed for both position player and goalie data. Area under the receiver operating characteristic curve (AUC) primarily determined validation. Results: Player data were generated from 2109 position players and 213 goalies. For models predicting next-season injury risk for position players, XGBoost performed the best with an AUC of 0.948, compared with an AUC of 0.937 for LR ( P < .0001). For models predicting next-season injury risk for goalies, XGBoost had the highest AUC with 0.956, compared with an AUC of 0.947 for LR ( P < .0001). Conclusion: Advanced ML models such as XGBoost outperformed LR and demonstrated good to excellent capability of predicting whether a publicly reportable injury is likely to occur the next season.

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    Orthopaedic Journal of Sports Medicine
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    Orthopaedic Journal of Sports Medicine
    Article . 2020 . Peer-reviewed
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      Orthopaedic Journal of Sports Medicine
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      Orthopaedic Journal of Sports Medicine
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56 Research products for Orthopaedic Journal of M. P. Chapter
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    The Orthopaedic Journal of M P Chapter (OJMPC) is official publication of Madhya Pradesh Chapter of Indian Orthopaedic Association (IOA). This journal is academic representation of our esteemed body. Publishing a journal is not easy, it needs lot of determination, time and energy.

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  • Authors: Agrawal, Alok Chandra;
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  • image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    Authors: Lise Hestbæk; Paul Campbell; Steven J. Kamper; Zoe A. Michaleff; +3 Authors

    Synopsis Accurate, reliable, and timely assessment of pain is critical for effective management of musculoskeletal pain conditions. The assessment of pain in infants, children, and adolescents with and without cognitive impairment can be particularly challenging to clinicians for a number of reasons, including factors related to the consultation (eg, heterogeneous patient population, time constraints), the clinician (eg, awareness/knowledge of available pain scales), standardized assessment scales (eg, availability, psychometric properties, and application of each scale), the patient (eg, developmental stage, ability to communicate), and the context in which the interaction took place (eg, familiarity with the setting and physiological and psychological state). As a result, pain is frequently not assessed or measured during the consultation and, in many instances, underestimated and undertreated in this population. The purpose of this article is to provide clinicians with an overview of scales that may be used to measure pain in infants, children, and adolescents. Specifically, the paper reviews the various approaches to measure pain intensity; identifies factors that can influence the pain experience, expression, and assessment in infants, children, and adolescents; provides age-appropriate suggestions for measuring pain intensity in patients with and without cognitive impairment; and identifies ways to assess the impact of pain using multidimensional pain scales. J Orthop Sports Phys Ther 2017;47(10):712-730. doi:10.2519/jospt.2017.7469.

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    Authors: Stokkel, M. P. M.; Mansi, Luigi;

    Nuclear medicine has evolved exponentially over the past into a dedicated clinical specialism in clinical practice. The introduction of single-photon emission computed tomography and positron emission tomography (PET) techniques, recently combined with CT, has fuelled a demand for continuing medical education in the whole field of nuclear medicine. The present book is a questionnaire related to all fields, in which a handy quiz arrangement provides the opportunity for immediate gratification. This self-examination is not only to assess present knowledge; it also provides relevant data and stimulates the reader to use other books to get the complete background information. In the left column, the questions are described, and the answers are given in the right column per page. Chapter 1 is related to the basics of nuclear medicine containing questions about radionuclides and quality control. The second part is dedicated to the application of single photons, ranging from musculoskeletal and cardiac topics to the genitourinary and gastrointestinal tracts. The third part contains questions about PET, starting with PET basics, followed by all organ systems throughout the body. For those who work in a training setting, this book is recommended as it is a good (self) assessment not only for the trainees but also for the trainers. Most of the answers are either yes/true or no/false, but the open questions commonly result in nice discussions. Therefore, with this book, the authors have reached their goal.

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    European Journal of Nuclear Medicine
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