Kroghneumann8388

RESULTS Thirty-three patients completed the study. Both injections were found to be equally effective at most measurement points, although the dextrose group experienced larger reductions in symptom severity and CSA of the ulnar nerve from the 3rd month onward. CONCLUSIONS We suggest D5W as a more suitable injectate for perineural injection in UNE patients. OBJECTIVE To examine the extent, scope, and methodological quality of rehabilitation scoping reviews. DATA SOURCES A comprehensive list of scoping reviews conducted in the broader health field (inception to July 2014), with a further update of that list (up to February 2017) using similar methods, including searching 9 electronic databases. STUDY SELECTION Papers were included if they were scoping reviews within rehabilitation. Established review methods were used including 1) a PubMed filter detecting rehabilitation content and 2) title-and-abstract screening by two independent reviewers applied, sequentially, to papers from the existing list of scoping reviews and to the updated search results. Full-text articles were reviewed by one reviewer with discrepancies resolved by another, after pilot screening with >80% agreement. Remaining discrepancies were resolved by external experts. DATA EXTRACTION Two independent reviewers used piloted and standardized data extraction forms. DATA SYNTHESIS We screened 1,823 records, including 992 full-texts, to identify 251 rehabilitation-related scoping reviews. Rehabilitation scoping reviews had an exponential yearly increase since 2008 (r2=0.89; p less then 0.01). The literature addressed diverse topics (e.g., spread over 43 condition groupings); 43% were published in Canada. Examples of methodological limitations included 39% of reviews did not cite the use of a methodological framework, 96% did not include the appropriate flow diagram, 8% did not report eligibility criteria, and 57% did not report data extraction details. CONCLUSIONS The increasing popularity of scoping reviews in rehabilitation has not been met by high standards in methodological quality. To increase the value of rehabilitation scoping reviews, rehabilitation stakeholders need to use existing methodological standards for the conduct, reporting, and appraisal of scoping reviews. OBJECTIVE To assess the effectiveness of an Individualized Comprehensive Rehabilitation Program (ICPR) on impaired postural control, pain, self-perceived health status and functionality in women with CPP. DESIGN A randomized controlled trial was carried out. SETTING Women with chronic pelvic pain were recruited from the Gynaecology Department of the "Hospital San Cecilio" in Granada. PARTICIPANTS 38 participants were included in the study and randomly divided into two groups. INTERVENTIONS The intervention group received an eight-week ICRP and the control group received a leaflet with ergonomic information. MAIN OUTCOME MEASURES The main outcomes included were postural control (Mini Balance Evaluation Systems, Mini BESTest and Timed Up and Go Test, TUG), pain (Brief Pain Inventory, BPI), self-perceived health status (Euroqol-5dimensions, EQ-5D) and functionality (Oswestry Disability Index, ODI). RESULTS Significant differences were found between groups in Mini BESTest and TUG scores with large effect sizes. The BPI, EQ-5D and ODI also presented significant differences in the between groups analysis, with better scores in the intervention group after the treatment. In the follow-up analysis significant differences were found between groups in the Mini BESTest (p less then 0.001), the cognitive TUG subscale (p=0.032), interference of pain (p less then 0.001), anxiety/depression (p=0.001) and VAS EQ-5D (p=0.026) subscales and the ODI (p less then 0.001). CONCLUSIONS Our results show significant improvements on postural control, pain, self-perceived health status and functionality in women with CPP that received an eight-week ICRP. OBJECTIVE This study examined risk factors in the year prior to suicide in a national sample of Veterans with multiple sclerosis (MS) as well as means of suicide and receipt of mental health services prior to death DESIGN Case control Study. Eltanexor mouse Individuals in the VA MS National Data Repository were linked to the National Death Index Plus to obtain deaths and specific causes of death. Participants were Veterans with MS who died by suicide and randomly selected non-suicide MS controls (5 per participant) who were alive at the time of the index suicide. Mental health disorders and medical comorbidities were identified in the year prior to death for suicides and during the identical time period for controls. SETTING Veterans Health Administration (VHA). PARTICIPANTS Veterans who received treatment for MS in the US Veterans Health Administration (VHA) between 1999 and 2011. There were 71 deaths by suicide corresponding and 355 randomly selected controls. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE(S) Suicide. RESULTS Results from the adjusted multivariable model suggest the following factors were associated with an increased risk for suicide male gender (OR = 3.60; 95% CI = 1.35 - 9.42) depression (OR = 1.82; 95% CI = 1.03 - 3.23), and alcohol use disorder (OR = 3.10; 95% CI = 1.38 - 6.96). One half (50.7%) had a mental health appointment in the year before suicide. Primary means of suicide was by firearm (62.0%) CONCLUSIONS Routine assessment of suicide risk in individuals with MS is warranted, particularly for those with recent history of depression or alcohol use disorder. To prevent postoperative infectious complications, a urinary tract infection should be either diagnostically excluded or treated prior to ureterorenoscopy (URS). URS is a frequently performed endoscopic surgery for urological stone removal. Although the urinary dipstick test represents a simple and cost-effective method to gain information about the presence of urinary tract infection, the prevailing procedure is the more expensive and more time-consuming method of urine culture. The aim of this retrospective single-center study was to compare two strategies of perioperative prophylaxes prior to URS and to evaluate their impact on postoperative infectious complications I) Obtaining a urine culture in every patient prior to URS or II) only in case of a positive dipstick test. Therefore, we retrospectively compared 201 patients in two cohorts undergoing URS. In one cohort a urine culture was obtained only in case of a positive dipstick test of midstream urine sample and in the second cohort a urine culture was prepared for every patient regardless of the dipstick's test results.