Upper Extremity Overuse in Instrumentalists

2001 ◽  
Vol 16 (2) ◽  
pp. 66-71
Author(s):  
William J Dawson
Keyword(s):  
Upper Extremity ◽  
Performing Arts ◽  
Surgical Care ◽  
Entire Group ◽  
Performing Arts Medicine ◽  
Inflammatory Conditions ◽  
Definition Of ◽  
High Level ◽  
Specific Definition ◽  
Made In

Upper extremity problems related to overuse continue to plague instrumentalists and remain a staple of performing arts medicine practices. The author reports his 15-year experience with these problems, both music-related and from other causes. The criteria for inclusion include adherence to a specific definition of overuse. The 329 patients reviewed for this series ranged in age from 9 to 89 years and included 48.6% males. Keyboard instruments and strings were the primary instruments of 79.6%. There were 63.7% who were professionals, conservatory or collegiate music students, or dedicated amateurs; these were described as high-level performers. Strains of the muscle–tendon unit and inflammatory conditions were the most common diagnoses made, each comprising about 43% of the total series. Neurologic diagnoses were made in only 6.8% of patients. Music was the cause of problems in 44.7% of the entire group; prevalence rates were higher in females, especially those from ages 10 to 13 years. Making music also was implicated in causing 62.9% of muscle strains, but only 26.3% of inflammatory diagnoses. Treatment generally followed conservative principles; only 10.3% of all overuse-related problems necessitated surgical care, mostly for release of inflamed tendons or compressed nerves in the hand and wrist. The demographics of this group reflect those of a typical hand surgical practice.

scholarly journals Radiation-attenuated schistosome vaccination – a brief historical perspective

Parasitology ◽  
2009 ◽  
Vol 136 (12) ◽  
pp. 1621-1632 ◽  
Author(s):  
Q. D. BICKLE
Keyword(s):  
Vaccine Development ◽  
Lessons Learned ◽  
Great Promise ◽  
New Techniques ◽  
Vaccine Candidates ◽  
Protective Antigens ◽  
Definition Of ◽  
High Level ◽  
Secreted Antigens ◽  
Made In

SUMMARYThe high level of protection which can be induced by vaccination of a range of hosts, from rodents to primates, with live radiation-attenuated schistosome larvae offers great promise for development of a human schistosome vaccine. Studies of the irradiated vaccine models benefitted from significant funding during the 1970–90s and much was learned concerning the inducers, targets and mechanisms of immunity. Less progress was made in definition of the protective antigens involved. The application of new techniques for identifying membrane and secreted antigens has recently provided new vaccine candidates and a new impetus for schistosome vaccine development. This article is intended as an overview of some of the main lessons learned from the studies of the irradiated vaccines as a backdrop to renewed interest in schistosome vaccine development.

Sports and Performing Arts Medicine: 1. Upper Extremity Injuries

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S51-S59 ◽  
Author(s):  
Cedric K. Akau ◽  
Mark A. Harrast ◽  
Seneca A. Storm ◽  
Jonathan T. Finnoff ◽  
Stuart Willick
Keyword(s):  
Upper Extremity ◽  
Performing Arts ◽  
Performing Arts Medicine ◽  
Extremity Injuries

Toward a Performing Arts Medicine Definition of Performing Arts

2009 ◽  
Vol 24 (3) ◽  
pp. 101-102
Author(s):  
Ralph A Manchester
Keyword(s):  
Performing Arts ◽  
Good Time ◽  
Health Issues ◽  
Medical Problems ◽  
Annual Symposium ◽  
Performing Arts Medicine ◽  
20Th Anniversary ◽  
Definition Of ◽  
The Universe ◽  
Rhythmic Gymnasts

As the Performing Arts Medicine Association (PAMA) celebrates its 20th anniversary this year, it seems to be a good time to discuss a definition of what the field includes—and, by extension, what it doesn't include. Some may think that this might not be the best use of our time, since we have done pretty well so far without a written definition of the performing arts. However, a presentation at the 27th Annual Symposium on the Medical Problems of Musicians & Dancers on health issues of circus performers and some recent articles in Medical Problems of Performing Artists on artistic and rhythmic gymnasts have helped us broaden the scope of our field. While I find this exciting and another indication that performing arts medicine is a vibrant, essential specialty within the universe of health care, it also makes me wonder what else ought to be included in the field and what shouldn't.

Globalization in Performing Arts Medicine

2001 ◽  
Vol 16 (1) ◽  
pp. 1-2
Author(s):  
Alice G Brandfonbrener
Keyword(s):  
Performing Arts ◽  
Wide Spectrum ◽  
High Quality ◽  
Performing Arts Medicine ◽  
European Congress ◽  
Music Making ◽  
High Level

Two years ago I reported on the 6th European Congress on Performing Arts Medicine and the Physiology of Music Making, which took place in Berlin in October 1998. At that time I commented on the high quality of papers at the meetings, but even more important, I celebrated the stimulation that comes from meeting a wide spectrum of people who share interests and commitment. Recently I have twice again traveled to Europe where I participated in two meetings; the first in Finland where the Savonlinna Arts Medicine Symposium was held in late July, and the second in Mainz, Germany, this year’s site of the now 8th European Congress. These opportunities reinforced my previous enthusiasm, not only for travel but once again for attending high-level performing arts medicine meetings to re-energize one’s intellectual engines with fresh ideas.

A Rheumatologist Let Loose in a Performing Arts Clinic: The Spectrum of Musicians' Complaints and Their Treatment

2009 ◽  
Vol 24 (4) ◽  
pp. 185-187
Author(s):  
J.D Macfarlane ◽  
A.B.M Rietveld
Keyword(s):  
Rotator Cuff ◽  
Upper Extremity ◽  
Performing Arts ◽  
Focal Dystonia ◽  
First Year ◽  
Performing Arts Medicine ◽  
Medicine Clinic ◽  
Time Work ◽  
Part Time ◽  
Part Time Work

This article reports on the experiences of a rheumatologist, newly added to the staff of a Dutch performing arts medicine clinic, in his first year of part-time work. In the year May 2007 to May 2008, 253 consecutive new patient-musicians seen by the author. Patients were predominantly male (135 vs 118) with a mean age of 39 years (range 12 to 78). Amateurs accounted for 35% of the referrals. Keyboard players, guitarists, and violinists predominated. The main complaints involved the upper extremity, with the hand being the most common, followed by the shoulder and wrist. Among specific complaints, 15% of patients presented with primarily neurologic complaints, 12% with trauma, 8% osteoarthritis, 7.5% rotator cuff syndromes, 7% wrist ganglion, 7% tendon problems, and 4% focal dystonia. Treatment approaches are summarized.

scholarly journals Progress in developing Poisson-Boltzmann equation solvers

2013 ◽  
Vol 1 ◽  
pp. 42-62 ◽  
Author(s):  
Chuan Li ◽  
Lin Li ◽  
Marharyta Petukh ◽  
Emil Alexov
Keyword(s):  
Molecular Motors ◽  
Biological Function ◽  
Efficient Solutions ◽  
Poisson Boltzmann ◽  
Photosynthetic Machinery ◽  
Large Systems ◽  
Poisson Boltzmann Equation ◽  
Definition Of ◽  
Specific Definition ◽  
Made In

AbstractThis review outlines the recent progress made in developing more accurate and efficient solutions to model electrostatics in systems comprised of bio-macromolecules and nanoobjects, the last one referring to objects that do not have biological function themselves but nowadays are frequently used in biophysical and medical approaches in conjunction with bio-macromolecules. The problem of modeling macromolecular electrostatics is reviewed from two different angles: as a mathematical task provided the specific definition of the system to be modeled and as a physical problem aiming to better capture the phenomena occurring in the real experiments. In addition, specific attention is paid to methods to extend the capabilities of the existing solvers to model large systems toward applications of calculations of the electrostatic potential and energies in molecular motors, mitochondria complex, photosynthetic machinery and systems involving large nanoobjects.

Spinal Impairment Evaluation: Fifth Edition Changes

2001 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Robert H. Haralson
Keyword(s):  
Spinal Cord ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Spinal Cord Injuries ◽  
Clinical Findings ◽  
Fourth Edition ◽  
Treatment Results ◽  
Standard Terminology ◽  
Made In

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, was published in November 2000 and contains major changes from its predecessor. In the Fourth Edition, all musculoskeletal evaluation and rating was described in a single chapter. In the Fifth Edition, this information has been divided into three separate chapters: Upper Extremity (13), Lower Extremity (14), and Spine (15). This article discusses changes in the spine chapter. The Models for rating spinal impairment now are called Methods. The AMA Guides, Fifth Edition, has reverted to standard terminology for spinal regions in the Diagnosis-related estimates (DRE) Method, and both it and the Range of Motion (ROM) Method now reference cervical, thoracic, and lumbar. Also, the language requiring the use of the DRE, rather than the ROM Method has been strengthened. The biggest change in the DRE Method is that evaluation should include the treatment results. Unfortunately, the Fourth Edition's philosophy regarding when and how to rate impairment using the DRE Model led to a number of problems, including the same rating of all patients with radiculopathy despite some true differences in outcomes. The term differentiator was abandoned and replaced with clinical findings. Significant changes were made in evaluation of patients with spinal cord injuries, and evaluators should become familiar with these and other changes in the Fifth Edition.

BAPA+40: South African and African Lessons

2020 ◽  
Vol 35 ◽  
Author(s):  
Arina Alexandra Muresan
Keyword(s):  
South African ◽  
Buenos Aires ◽  
Monitoring And Evaluation ◽  
Global South ◽  
Communications Systems ◽  
Transfer Of Technology ◽  
Peace And Security ◽  
Multi Stakeholder ◽  
High Level ◽  
Made In

The Second High-Level United Nations (UN) Conference on South-South Cooperation (also known as BAPA+40), held in Buenos Aires, Argentina, from 20 to 22 March 2019, promised to reinvigorate efforts to further achieve and implement South-South cooperation (SSC). Forty years on, the Global South is shaping its image as a solutions provider. Immense strides have been made in improving access to allow a multitude of state and non-state actors to cooperate, while broadening and deepening modes of cooperation and facilitating the exchange of knowledge and transfer of technology, thus moving beyond the simplistic view that developing countries require aid to function and move forward. However, noting these symbolic strides, the Global South should move forward by building understanding of monitoring and evaluation (M&E) frameworks; integrating multi-stakeholder models; improving the visibility of peace and security in South-South programming; and building effective communications systems.

Need of Human Rights as a Better Way of Life

Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 72-83
Author(s):  
Tushar Kadian
Keyword(s):  
Human Rights ◽  
Basic Needs ◽  
Research Paper ◽  
Human Being ◽  
Way Of Life ◽  
Labour Unions ◽  
The People ◽  
The Subject ◽  
Definition Of ◽  
Made In

Actually, basic needs postulates securing of the elementary conditions of existence to every human being. Despite of the practical and theoretical importance of the subject the greatest irony is non- availability of any universal preliminary definition of the concept of basic needs. Moreover, this becomes the reason for unpredictability of various political programmes aiming at providing basic needs to the people. The shift is necessary for development of this or any other conception. No labour reforms could be made in history till labours were treated as objects. Its only after they were started being treating as subjects, labour unions were allowed to represent themselves in strategy formulations that labour reforms could become a reality. The present research paper highlights the basic needs of Human Rights in life.

Multidimensional analysis of the state of Russian studies on the education issues over 1993–2016

2018 ◽  
pp. 50-62
Author(s):  
Дмитрий Рубвальтер ◽  
Dmitry Rubvalter ◽  
Александр Либкинд ◽  
Alexander Libkind ◽  
Валентина Маркусова ◽  
...  
Keyword(s):  
Web Of Science ◽  
The State ◽  
Multidimensional Analysis ◽  
Russian Regions ◽  
Global Flow ◽  
Educational Issues ◽  
Foreign Countries ◽  
High Level ◽  
The Web ◽  
Made In

A multidimensional analysis of the state of Russian studies on the education issues over 1993–2016 was carried out based on the materials of the data contained in the Web of Science (SSCI, A & HCI and SCI-E databases). There were determined the dynamics and trends of a number of relevant indicators, such as the number of Russian publications by year, the share of these publications in the global flow of publications on education issues, the dynamics of the share of publications made in co-authorship with foreign colleagues, etc. A number of distributions of Russian publications on educational issues was compiled and analyzed: by journals, by Russian regions and cities, by organizations and authors of the publications. It was found that most of these distributions were characterized by a high level of non-uniformity. A list of journals (125 titles) in which Russian works on education issues had been published was compiled. Russian organizations (308) and domestic researchers (about two thousand) engaged in studying the issues of education were identified. It was discovered that more than 200 organizations and about 400 academicians from 60 foreign countries had participated in Russian studies on the education issues.

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