scholarly journals Electrophysical agents in clinical practice of orthopedic and sports physical therapists in Brazil

2020 ◽  
Vol 27 (2) ◽  
pp. 202-209
Author(s):  
Francine Pereira da Silva ◽  
Lucas Severo-Silveira ◽  
Rodrigo Della Méa Plentz ◽  
João Luiz Quagliotti Durigan ◽  
Bruno Manfredini Baroni
Keyword(s):  
Clinical Practice ◽  
Clinical Experience ◽  
Physical Therapists ◽  
Demographic Data ◽  
Therapeutic Ultrasound ◽  
Influential Factors ◽  
Pulsed Current ◽  
Current Clinical Practice ◽  
Online Questionnaire

ABSTRACT Studies have described the use of electrophysical agents (EPA) by physical therapists worldwide. However, the use of EPA by Brazilian physical therapists remains undetermined. This study aims to describe the availability, use, and perception about EPA by orthopedic and sports physical therapists in Brazil. Professionals of the area were invited to answer an online questionnaire. Demographic data and information regarding the availability, use and perception about EPA in their current clinical practice were asked. Out of 376 physical therapists included in this study, 89% declared to use EPA in clinical practice. Sensory electrotherapy with pulsed current (TENS), therapeutic ultrasound, excitomotor electrotherapy with pulsed current (FES/NMES), and cryotherapy are available for more than 3/4 of interviewees. Scientific articles and clinical experience, respectively, are the most influential factors for the choice of EPA. Ultrasound is the most frequently used EPA, followed by TENS, cryotherapy, photobiomodulation, hot packs, and FES/NMES. The top-five most useful EPA in clinical practice chosen by physical therapists are: (1) ultrasound; (2) photobiomodulation; (3) TENS; (4) cryotherapy; and (5) FES/NMES. In conclusion, EPA are widely used by orthopedic and sports physical therapists in Brazil. Therapeutic ultrasound, TENS, FES/NMES, photobiomodulation, cryotherapy, and hot packs are the most used EPA in clinical practice of these physiotherapists.

How should we manage bipolar II disorder in the perinatal period?

2019 ◽  
Vol 26 (1) ◽  
pp. 61-63
Author(s):  
Jennifer Powell ◽  
Manonmani Manoharan ◽  
Joanna Reed
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Clinical Experience ◽  
Perinatal Period ◽  
Current Clinical Practice ◽  
Bipolar Ii Disorder ◽  
Bipolar Ii

SUMMARYThis reflection summarises the evidence regarding the management of bipolar II disorder in the perinatal period, compares this to the authors’ clinical experience using case studies and considers the treatment of patients in current clinical practice.

scholarly journals Work-Related Low Back Pain Among Physical Therapists in Riyadh, Saudi Arabia

2017 ◽  
Vol 65 (8) ◽  
pp. 337-345 ◽  
Author(s):  
Ahmad Alghadir ◽  
Hamayun Zafar ◽  
Zaheen A. Iqbal ◽  
Einas Al-Eisa
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Demographic Data ◽  
Daily Activities ◽  
Low Back ◽  
Online Questionnaire ◽  
Work Related

Low back pain (LBP) is a common health problem. Professions like physical therapy (PT), involving frequent lifting, bending, or standing, are at risk for developing LBP. The objective of this study was to determine the prevalence of work-related LBP and factors associated with and consequences of work-related LBP among physical therapists in Riyadh, Saudi Arabia. A self-administered online questionnaire (i.e., demographic data, history of LBP before and after working as a physical therapist, work setting, and effect on daily activities) was sent to 600 members of the Saudi PT association. Data were analyzed using the Pearson chi-square test and Mann-Whitney U test. Eighty-eight percent of potential respondents completed the questionnaire. Of these, 89.65% of the therapists reported LBP after beginning their PT practice, and 35.6% reported LBP at the time of this survey. Gender, PT specialty, and duration of contact with patients were all found to be related to LBP. The prevalence of work-related LBP among physical therapist in Riyadh was high, affecting patient care and daily activities of the therapists. Both primary and secondary prevention strategies (e.g., introduce ergonomics into PT curricula, reduce therapist stress, and promote teamwork) are needed to decrease LBP among therapists, so they can effectively care for patients.

scholarly journals Knowledge and Perception of Saudi Dental Professionals Regarding the Use of Resin Infiltration in their Clinical Practice; A Survey-Based Study in Riyadh, KSA

2020 ◽  
pp. 89-95
Author(s):  
Abdullah Fozan A. Alhammad ◽  
Adel Omer M. Alrayes ◽  
Mohammad Mogbil A. Alhedaithy ◽  
Abdulkarim Abdullah A. Alabdulkarim ◽  
Faisal Raafat F. Alhakeem ◽  
...  
Keyword(s):  
Social Media ◽  
Clinical Practice ◽  
Online Survey ◽  
Demographic Data ◽  
Invasive Procedure ◽  
White Spot Lesions ◽  
Online Questionnaire ◽  
Resin Infiltration ◽  
Caries Lesions ◽  
Dental Professionals

Introduction: Throughout the advancement of subsurface caries lesions, mineral is disbanded out of the enamel, causing enhanced penetrability that look like clinically as incipient or white spot lesions. Nowadays, these lesions are regularly treated by increasing remineralization, e.g., by enhancing the patient’s oral hygiene or fluoridation. Nevertheless, in uncooperative patients with cavitated proximal lesions, this approach has significant drawbacks. Methodology: A total of 508 dentists filled the online survey, which was distributed using social media and emails. Online questionnaire was constructed consisting of questions related to demographic data followed by questions linked to their knowledge and perception of Resin Infiltration use among their patients. Results: Overall knowledge reported by the participants regarding Resin Infiltration was 25.2% poor, 72.9% moderate and only 1.9% excellent. 64% of the dental professionals knew that RI is a micro-invasive procedure. Conclusion: It can be concluded from the findings that the knowledge of Riyadh based dental professionals regarding the use, indication and technique of Resin Infiltration is not satisfactory.

scholarly journals Combining ECT and clozapine in the treatment of clozapine-refractory schizophrenia and schizoaffective disorder – a pilot study

2008 ◽  
Vol 14 (4) ◽  
pp. 5 ◽  
Author(s):  
L Koen ◽  
C E Van den Berg ◽  
D J H Niehaus
Keyword(s):  
Clinical Practice ◽  
Pilot Study ◽  
Schizoaffective Disorder ◽  
Controlled Trial ◽  
Demographic Data ◽  
Treatment Strategies ◽  
Preliminary Evidence ◽  
Current Clinical Practice ◽  
Medication History ◽  
Symptom Scale

<p><strong>Objective.</strong> Clozapine is the current gold standard treatment for severe treatment-refractory schizophrenia, but even so 40 - 70% of these patients will continue to experience disabling symptoms when treated with clozapine monotherapy. Current clinical practice at Stikland Hospital holds that known clozapine-refractory schizophrenia patients who relapse due to non-compliance are treated with an initial combination of clozapine and ECT (if able to consent) when readmitted. The purpose of this study was to evaluate the validity of this practice. <strong></strong></p><p><strong>Methods.</strong> Patients were divided into an ECT (EG) and non-ECT (CG) group. Clozapine was started and ECT administered as per protocol. Demographic data, psychiatric and medication history and data concerning adverse events were collected. Positive and Negative Symptom Scale (PANSS) scores were done at baseline and at days 21 and 42.<strong> </strong></p><p><strong>Results.</strong> At discharge, although numerically the average increase in clozapine dose was lower and the reduction in length of stay was greater in the EG, none of the variables measured were statistically significantly different between groups. More concomitants were also used in the EG. <strong></strong></p><p><strong>Conclusions.</strong> This pilot study represents the first controlled trial of ECT-clozapine bitherapy in a population with clozapine- refractory schizophrenia and schizoaffective disorder reported in the literature. The validity of our choice of current clinical practice in this population was not supported by our results. However, the study did provide us with preliminary evidence for the safety and efficacy of this combination. It would therefore be reasonable to continue to use this strategy in selected cases, at least until other clozapine-refractory treatment strategies become more available in our setting.</p>

Ankle Brachial Pressure Index and compression application: Review summary

2019 ◽  
Vol 27 (2) ◽  
pp. 74-77
Author(s):  
Victoria Team ◽  
Georgina Gethin ◽  
John D Ivory ◽  
Kimberley Crawford ◽  
Ayoub Bouguettaya ◽  
...  
Keyword(s):  
Content Analysis ◽  
Clinical Practice ◽  
Venous Insufficiency ◽  
Arterial Disease ◽  
Leg Ulcers ◽  
Current Clinical Practice ◽  
Ankle Brachial Pressure Index ◽  
Arterial Circulation ◽  
Pressure Index ◽  
Peripheral Arterial

Venous leg ulcers (VLUs) are a significant complication amongst persons with chronic venous insufficiency (CVI) that frequently follow a cycle of healing and recurrence. Current clinical practice guidelines (CPGs) recommend applying below knee compression to improve VLU healing. Compression could be applied if the Ankle Brachial Pressure Index (ABPI) rules out significant arterial disease, as sufficient peripheral arterial circulation is necessary to ensure safe compression use. We conducted a content analysis of 13 global CPGs on the accuracy of recommendations related to ABPI and compression application. Eight CPGs indicated that compression is recommended when the ABPI is between 0.8 and 1.2 mmHg. However, this review found there is disagreement between 13 global VLU CPGs, with a lack of clarity on whether or not compression is indicated for patients with ABPIs between 0.6 and 0.8 mmHg. Some CPGs recommend reduced compression for treatment of VLUs, while others do not recommend any type of compression at all. This has implications for when it is safe to apply compression, and the inconsistency in evidence indicates that specialist advice may be required at levels beyond the ABPI “safe” range listed above.

Role of niacin in current clinical practice

2019 ◽  
Vol 110 (1) ◽  
Author(s):  
Abhishek Sharma ◽  
Nidhi Madan
Keyword(s):  
Clinical Practice ◽  
Current Clinical Practice
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