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91.
Treatment with a mirror gives an illusion of function in a missing or non-functioning hand. The method is based on the concept that the central representation of phantoms and body image can change rapidly, and has been described in the treatment of phantom pain and stroke. We show in three pilot cases new applications for the use of the mirror in rehabilitation after hand surgery. 相似文献
92.
A. W. Postema T. M. De Reijke O. Ukimura W. Van den Bos A. R. Azzouzi E. Barret D. Baumunk A. Blana A. Bossi M. Brausi J. A. Coleman S. Crouzet J. Dominguez-Escrig S. Eggener R. Ganzer S. Ghai I. S. Gill R. T. Gupta T. O. Henkel M. Hohenfellner J. S. Jones F. Kahmann C. Kastner K. U. Köhrmann G. Kovacs R. Miano R. J. van Moorselaar N. Mottet L. Osorio B. R. Pieters T. J. Polascik A. R. Rastinehad G. Salomon R. Sanchez-Salas M. Schostak L. Sentker K. J. Tay I. M. Varkarakis A. Villers J. Walz J. J. De la Rosette 《World journal of urology》2016,34(10):1373-1382
Purpose
To reach standardized terminology in focal therapy (FT) for prostate cancer (PCa).Methods
A four-stage modified Delphi consensus project was undertaken among a panel of international experts in the field of FT for PCa. Data on terminology in FT was collected from the panel by three rounds of online questionnaires. During a face-to-face meeting on June 21, 2015, attended by 38 experts, all data from the online rounds were reviewed and recommendations for definitions were formulated.Results
Consensus was attained on 23 of 27 topics; Targeted FT was defined as a lesion-based treatment strategy, treating all identified significant cancer foci; FT was generically defined as an anatomy-based (zonal) treatment strategy. Treatment failure due to the ablative energy inadequately destroying treated tissue is defined as ablation failure. In targeting failure the energy is not adequately applied to the tumor spatially and selection failure occurs when a patient was wrongfully selected for FT. No definition of biochemical recurrence can be recommended based on the current data. Important definitions for outcome measures are potency (minimum IIEF-5 score of 21), incontinence (new need for pads or leakage) and deterioration in urinary function (increase in IPSS >5 points). No agreement on the best quality of life tool was established, but UCLA-EPIC and EORTC-QLQ-30 were most commonly supported by the experts. A complete overview of statements is presented in the text.Conclusion
Focal therapy is an emerging field of PCa therapeutics. Standardization of definitions helps to create comparable research results and facilitate clear communication in clinical practice.93.
Prevalence of human herpesvirus 8 infection in people living with HIV/AIDS in Pernambuco,Brazil 下载免费PDF全文
94.
Chan S Ros S You KY Nhem S Salle JY Dudognon P Daviet JC 《Bulletin de la Societe de pathologie exotique (1990)》2007,100(1):32-35
Stroke ranks first among nervous pathologies in Kampuchea. It's a main cause of disability and mortality in our country. We conducted a prospective study including 100 patients hospitalized in the service of general medicine at the Calmette hospital in Phnom Penh. We analyzed the principal risk factors, clinical signs, nature of stroke, complications and markers of the vital and functional prognosis. This work shows the difficulties encountered in the initial care of stroke: delay or absence of hospitalization, cost of complementary examinations to be carried out to determine the nature and the aetiology of stroke and very low level of follow-up to ensure secondary prevention and functional rehabilitation. It can be explained in part by the socioeconomic and cultural level. Research like this one which assesses local needs for stroke prevention, treatment and rehabilitation should be conducted in developing countries to inform the planning and allocation of health care resources in order to reduce the burden of illness associated with stroke. The progressive improvement of the medical structures, and of the socioeconomic and cultural level will facilitate stroke care management. 相似文献
95.
Spirituality in health care recent Department of Health policy documents. Nurses will need to adapt to an ongoing spiritual evolution in practice. 相似文献
96.
Neumark T Mölstad S Rosén C Persson LG Törngren A Brudin L Eliasson I 《Scandinavian journal of primary health care》2007,25(3):166-171
OBJECTIVE: To study the clinical recovery from acute otitis media (AOM) in children, 2-16 years of age, managed with or without treatment with phenoxymethylpenicillin (PcV). DESIGN: An open, prospective randomized trial. Children aged between 2 and 16 years, presenting with one- or double-sided AOM (without perforation) with symptom duration of less than four days, were included. The children were randomized to PcV for five days or to no primary antibiotic treatment. A health score and compliance were registered on a daily basis for seven days. SETTING: A total of 32 health centres and 72 GPs in south-east Sweden. Subjects. Children aged 2-16 presenting with earache. MAIN OUTCOME MEASURES: Recovery time, symptom duration, frequency of complications (up to three months) and consumption of healthcare services independent of treatment with or without antibiotics. RESULTS: A total of 179 patients carried out the trial; 92 were randomized to PcV, 87 to no primary antibiotic treatment. The median recovery time was four days in both groups. Patients who received PcV had less pain (p <0.001) and used fewer analgesics. There were no significant differences in the number of middle-ear effusions or perforations at the final control after three months. Children randomized to PcV treatment consulted less (p <0.001) during the first seven days. CONCLUSIONS: Our investigation supports that PcV treatment of AOM does not affect the recovery time or complication rates. PcV provided some symptomatic benefit in the treatment of AOM in otherwise healthy children, aged 2-16 years. 相似文献
97.
98.
Fernando Neves Hugo Glauber Campos Vale Renzo Alberto Ccahuana-Vásquez Silvia Cypriano Maria da Luz Rosário de Sousa 《Journal of applied oral science : revista FOB》2007,15(4):253-258
Objective:
To evaluate the role of socioeconomic variables and self-perceived oral health in the polarization of caries among adolescents in Santa Bárbara D''Oeste, Brazil.Material and Methods:
Cross-sectional study. Sampling was randomized and sample size was defined according to WHO criteria. Two hundred and seventy seven adolescents (15 to 18 year-old) were examined by five trained examiners that assessed DMFT index according to WHO criteria. Self-perceived oral health, access to dental services and socio-demographic variables were self-reported. Student''s t tests, chi-square tests, and multivariate logistic regression (with significant caries index (SiC) as the outcome), were performed.Results:
Mean DMFT was 5.48 (±4.22) and the proportion of "caries free" subjects was 15.5%. Mean DMFT (9.71±2.85) and mean D (1.67±2.18) of SiC positive subjects were significantly higher than mean DMFT (2.88±2.17) and mean D (0.45±0.87) of SiC negative subjects (p<0.0001). Mean D of white (0.76±1.51) was significantly smaller than mean D of non-white subjects (1.32±2.01). The only variable independently associated with the "SiC positive" outcome was "report of toothache within six months prior to the study" [OR=1.83 (95%CI 1.08 to 3.12)], p<0.001.Conclusion:
SiC was associated with "report of toothache" but not with sociodemographic variables in the studied population. 相似文献99.
Peres KG De Oliveira Latorre Mdo R Sheiham A Peres MA Victora CG Barros FC 《International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children》2007,17(1):41-49
OBJECTIVE: Little is known about the effects of social and biological risk factors for open bite on the primary dentition. The aim of this study was to assess the early-life risk factors affecting anterior open bite. METHODS: A cross-sectional study using a birth cohort was carried out in Pelotas, Brazil. A sample of 400, 6-year-old children was employed. The Foster and Hamilton criteria were used to classify open bite. Data concerning social conditions, and perinatal and childhood health and behaviour were obtained from birth to 12 months of age and during the fifth year of the children's lives. Unconditional bivariate and multiple logistic regression analysis were performed. RESULTS: The prevalence of anterior open bite was 46.3%. Risk factors included: a maternal age of between 30 and 39 years, as compared with children whose mothers were younger; breast-feeding for < 9 months; dental caries experience; pacifier sucking between 12 months and 5 years, as compared to no sucking or a shorter duration of sucking; and the presence of finger-sucking at 6 years of age. CONCLUSION: Open bite in the primary dentition was associated with older mothers, early weaning, dental caries occurrence, long-term use of a pacifier and finger-sucking at 6 years of age. These findings support the common risk approach for intervention to prevent open bite in the primary dentition. 相似文献
100.
Carlos Müller-Arteaga Alicia Martín Martinez Bárbara Padilla-Fernández Pedro Blasco Hernández Montserrat Espuña Pons Francisco Cruz Carlos Errando-Smet Roberto Martínez-García Eduardo Vicente Palacio David Castro Díaz Luis López-Fando Blanca Madurga Patuel Cristina Ros Cerro Salvador Arlandis Guzmán 《Neurourology and urodynamics》2020,39(1):464-469