Compression of the Posterior Interosseous Nerve Due to an Occult Ganglion Cyst in the Elbow of an Amateur Pianist

2009 ◽  
Vol 24 (1) ◽  
pp. 37-39
Author(s):  
Wei-Ren Su ◽  
Shun-Chien Cheng ◽  
Ing-Sing Yong ◽  
I-Ming Jou
Keyword(s):  
Health Care Providers ◽  
Occupational Injuries ◽  
Ganglion Cyst ◽  
Current Treatment ◽  
Interesting Case ◽  
Posterior Interosseous Nerve ◽  
Care Providers ◽  
Close Proximity ◽  
Arcade Of Frohse ◽  
Piano Practice

The continued growth of recreational and professional instrument playing is accompanied by the need for health care providers who can recognize and treat conditions in musicians that have traditionally been associated with other occupational injuries. This is particularly important when early diagnosis and prompt intervention may alter the outcome. We present an interesting case of paralysis of the posterior interosseous nerve caused by a ganglion at the arcade of Frohse (supinator arch) in close proximity to the extensor carpi radialis brevis. The patient was an amateur pianist who developed the ganglion after intensive piano practice for 3 months. The patient experienced complete pain relief with full preservation of function after treatment. We review the evaluation, diagnosis, biomechanical pathogenesis, and current treatment algorithms for this cyst.

COVID 19 Aftermath - A Oral Health Care Provider Prospective

2020 ◽  
Author(s):  
Reena Sirohi
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Providers ◽  
Oral Health Care ◽  
Public Health Emergency ◽  
Care Providers ◽  
Close Proximity ◽  
Enormous Amount ◽  
Control And Prevention ◽  
Global Concern

The outbreak of the coronavirus disease 2019(COVID-19) is a public health emergency of global concern. Based on the data published by the Chinese Center for Disease Control and Prevention (China CDC), the majority of patients were asymptomatic or having mild symptoms but can release an enormous amount of viral load. It posed a worldwide challenge for containment of the infection of COVID-19. As, oral health care providers work in close proximity to the patients’ mouth, they are at higher risk for infection. The aim of this article is to emphasize on special measures to be taken for prevention and potential interventions.

Immersive Virtual Environments, Avatars, and Agents for Health

2017 ◽  
Author(s):  
Sun Joo (Grace) Ahn ◽  
Jesse Fox
Keyword(s):  
Virtual Environments ◽  
Health Care Providers ◽  
Sensory Information ◽  
Physical World ◽  
Autism Spectrum ◽  
Current Treatment ◽  
Care Providers ◽  
Individual Level ◽  
Immersive Virtual Environments ◽  
Treatment Regimens

Immersive virtual environments (IVEs) are systems comprised of digital devices that simulate multiple layers of sensory information so that users experience sight, sound, and even touch like they do in the physical world. Users are typically represented in these environments in the form of virtual humans and may interact with other virtual representations such as health-care providers, coaches, future selves, or treatment stimuli (e.g., phobia triggers, such as crowds of people or spiders). These virtual representations can be controlled by humans (avatars) or computers algorithms (agents). Embodying avatars and interacting with agents, patients can experience sensory-rich simulations in the virtual world that may be difficult or even impossible to experience in the physical world but are sufficiently real to influence health attitudes and behaviors. Avatars and agents are infinitely customizable to tailor virtual experiences at the individual level, and IVEs are able to transcend the spatial and temporal boundaries of the physical world. Although still preliminary, a growing number of studies demonstrate IVEs’ potential as a health promotion and therapy tool, complementing and enhancing current treatment regimens. Attempts to incorporate IVEs into treatments and intervention programs have been made in a number of areas, including physical activity, nutrition, rehabilitation, exposure therapy, and autism spectrum disorders. Although further development and research is necessary, the increasing availability of consumer-grade IVE systems may allow clinicians and patients to consider IVE treatment as a routine part of their regimen in the near future.

Patient Perceptions of Diabetes Treatment Goals

1989 ◽  
Vol 15 (5) ◽  
pp. 440-443 ◽  
Author(s):  
Gaila. D'Eramo-Melkus ◽  
Penelope Demas
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Current Treatment ◽  
Dependent Diabetes Mellitus ◽  
Treatment Goals ◽  
Type Ii ◽  
Diabetes Treatment ◽  
Care Providers ◽  
Glucose Levels ◽  
Study Participants

The current treatment of type II noninsulin dependent diabetes mellitus (NIDDM) and obesity involves complex regimens for weight reduction and improvement in metabolic control that necessitate active partici pation by the patient in estab lishing treatment goals and strategies. However, well- documented rates of nonad herence suggest that weaknesses may exist in patient-provider communications that preclude such patient participation. This study examines patient percep tions of diabetes treatment goals as established with their health care providers. Fifty-four individuals with type II NIDDM and obesity were surveyed. To determine the degree of congruence between patient and health care provider, the physi cians of study participants were also surveyed. A 53 % discrepancy rate was found to exist in the area of overall treatment goals. In addition, a 57% and 43 % rate of discrepancy was found for the specific goals of weight loss and blood glucose levels, respectively. Further findings and the implica tions for practice are discussed in this paper.

scholarly journals Ganglion Cyst at the Proximal Tibiofibular Joint in a Patient with Painless Foot Drop

2016 ◽  
Vol 8;19 (8;11) ◽  
pp. E1147-E1160
Author(s):  
Waleed M. Renno
Keyword(s):  
Health Care Providers ◽  
Ganglion Cyst ◽  
Foot Drop ◽  
Proximal Tibiofibular Joint ◽  
Drop Foot ◽  
Care Providers ◽  
Entrapment Neuropathies ◽  
Uncommon Presentation ◽  
Tibiofibular Joint ◽  
Fibular Nerve

Entrapment neuropathies of the fibular nerve and its branches are often underdiagnosed due to the lack of reliable diagnosis using clinical examination and electrophysiologic evaluation. Most fibular nerve compressions may be classified into 2 broad categories: (a) mechanical causes, which occur at fibrous or fibro-osseous tunnels, and (b) dynamic causes related to nerve injury during specific limb positioning. Foot drop resulting from weakness of the dorsiflexor muscles of the foot is a relatively uncommon presentation and closely related to L5 neuropathy caused by a disc herniation. However, we herein describe a rare case of usually painless foot drop triggered by a cyst at the proximal tibiofibular joint compressing the deep fibular nerve. The presence of multilevel disc diseases made the diagnosis more difficult. Foot drop is highly troubling, and health care providers need to broaden their search for the imperative and overlapping causes especially in patients with painless drop foot, and the treatment is variable and should be directed at the specific cause. The magnetic resonance imaging (MRI), including high-resolution and 3D MR neurography, allows detailed assessment of the course and anatomy of peripheral nerves, as well as accurate delineation of surrounding soft-tissue and osseous structures that may contribute to nerve entrapment. Knowledge of normal MRI anatomy of the nerves in the knee and leg is essential for the precise assessment of the presence of peripheral entrapment conditions that may produce painless or painful drop foot. In conclusion, we stress the importance of preoperative anatomic mapping of entrapment neuropathies to minimize neurological complications. Key words: Foot drop, fibular nerve, ganglion cyst, proximal tibiofibular joint

scholarly journals Epidemiology, classification, treatment, and mortality of adult femoral neck and basicervical fractures: an observational study of 40,049 fractures from the Swedish Fracture Register

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jonas Sundkvist ◽  
Anders Brüggeman ◽  
Arkan Sayed-Noor ◽  
Michael Möller ◽  
Olof Wolf ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Observational Study ◽  
Health Care Providers ◽  
Hip Arthroplasty ◽  
Primary Treatment ◽  
Current Treatment ◽  
Care Providers ◽  
Fracture Classification ◽  
Level Of Evidence ◽  
Fracture Register

Abstract Background Although femoral neck fractures (FNFs) are common in orthopedic departments, optimal treatment methods remain in dispute. There are few large nationwide studies, including basicervical FNFs (bFNFs), on epidemiology, treatment, and mortality. This nationwide study aims to describe the epidemiology, fracture classification, current treatment regimens, and mortality of undisplaced and minimally displaced (Garden I–II, uFNF), displaced (Garden III–IV, dFNF) and bFNFs in adults. Methods All FNFs, including bFNFs with a registered injury date between 1 April 2012 and 31 December 2020, were included in this observational study from the Swedish Fracture Register (SFR). Data on age, sex, injury mechanism, fracture classification, primary treatment, and seasonal variation were analyzed. Results Some 40,049 FNFs were registered in the SFR. The mean age of the patients in the register was 80.3 (SD 11) years and 63.8% (25,567) were female. Of all FNFs, 25.0% (10,033) were uFNFs, 63.4% (25,383) dFNFs, and 11.6% (4,633) bFNFs. Non-surgical treatment was performed in 0.6% (261) of the patients. Internal fixation (IF) (84.7%) was the main treatment for uFNFs and arthroplasty (87.3%) for dFNFs. For bFNFs, IF (43.8%) and hip arthroplasty (45.9%) were performed equally often. Of the 33,105 patients with a 1-year follow-up mortality at 1-year was 20.6% for uFNF, 24.3% for dFNF, and 25.4% for bFNF. Conclusion The main treatment of uFNFs is IF with screws or pins. Hip arthroplasty is the predominant treatment for dFNF. bFNF are more common than previously reported and treated with IF or arthroplasty, depending on patient age. These results may help health care providers, researchers and clinicians better understand the panorama of FNFs in Sweden. Level of Evidence IV, retrospective cohort study.

Infection Control

2016 ◽  
Author(s):  
Michael Vulfovich
Keyword(s):  
Infection Control ◽  
Health Care Providers ◽  
Vital Role ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Environmental Cleaning ◽  
Contagious Diseases ◽  
Close Proximity ◽  
And Control ◽  
Multiple Patients

Infection control is a field concerned with the scientific study of nosocomial-associated infections and the development of protocols and interventions to reduce rates of transmission. Within the Emergency Department, multiple patients with a wide variety of potentially infectious and contagious diseases are in close proximity to other patients and in contact with health care providers caring for multiple patients concurrently. This can increase the risk of exposure and contamination for both patients and staff. In this setting, standardization and monitoring play an especially vital role in infection prevention and control. This chapter provides a broad overview of standard isolation precautions and environmental cleaning.

scholarly journals An Overview of Post–COVID-19 Condition (Long COVID)

2021 ◽  
Vol 1 (9) ◽  
Author(s):  
Thyna Vu ◽  
Sarah C. McGill
Keyword(s):  
Health Care Providers ◽  
Treatment Guidelines ◽  
Multidisciplinary Care ◽  
Clinical Effectiveness ◽  
Current Treatment ◽  
Multiple Organ ◽  
Potential Range ◽  
Care Providers ◽  
Organ Systems ◽  
Increased Risk

Long-term symptoms after developing COVID-19, known as post–COVID-19 condition or colloquially as long COVID, is a new condition estimated to affect millions of people worldwide. While standard diagnostic criteria have not yet been developed, current estimates suggest that 21% to 23% of people suspected of having had COVID-19 may have symptoms 4 weeks after their COVID-19 infections and 14% may have symptoms 12 weeks post-infection. Among people with self-reported post–COVID-19, an estimated 40% may continue to experience symptoms for at least a year. To provide health care providers and people with post–COVID-19 condition advice regarding diagnosis and treatment, guidelines have been published by the National Institute for Health and Care Excellence (NICE) and by the Centers for Disease Control and Prevention (CDC). The CDC guidelines were published more recently and refer to newer data on post–COVID-19 condition. Post-COVID symptoms can affect multiple organ systems and symptoms may vary by patient characteristics such as age and sex, as well as change over time. Some people may develop more severe symptoms or have increased risk of developing other illnesses. As there are currently no known unique symptoms and no tests available to diagnose post–COVID-19 syndrome, guidelines from NICE and the CDC recommend diagnosing based on symptoms, suspected previous COVID-19 infection, and ruling out other potential causes of symptoms. Current treatment recommendations focus on multidisciplinary care and personalized treatment to address the potential range of symptoms unique to each patient. Different methods of delivering treatment have been suggested and implemented around the world, including specialized post–COVID-19 clinics and integrating treatment into primary care. Post–COVID-19 condition can result in a reduced ability to work or attend school, and reduced independence, which can impact quality of life. These effects may have a disproportionate impact on disadvantaged groups, which will have important implications for health equity. Limited evidence on the clinical effectiveness and cost-effectiveness of therapies for post–COVID-19 condition was identified. However, many trials have been registered and are in progress to address this knowledge gap.

scholarly journals (Ex-)breast cancer patients with (pre-existing) symptoms of anxiety and/or depression experience higher barriers to contact health care providers during the COVID-19 pandemic

2021 ◽  
Author(s):  
Dieuwke R. Mink van der Molen ◽  
◽  
Claudia A. Bargon ◽  
Marilot C. T. Batenburg ◽  
Roxanne Gal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Depression Scale ◽  
Current Treatment ◽  
Care Providers ◽  
Breast Cancer Patients ◽  
Cross Sectional

Abstract Purpose To identify factors associated with (perceived) access to health care among (ex-)breast cancer patients during the COVID-19 pandemic. Methods Cross-sectional study within a large prospective, multicenter cohort of (ex-)breast cancer patients, i.e., UMBRELLA. All participants enrolled in the UMBRELLA cohort between October 2013 and April 2020 were sent a COVID-19-specific survey, including the Hospital Anxiety and Depression Scale (HADS) questionnaire. Results In total, 1051 (66.0%) participants completed the survey. During COVID-19, 284 (27.0%) participants reported clinically relevant increased levels of anxiety and/or depression, i.e., total HADS score ≥ 12. Participants with anxiety and/or depression reported statistically significant higher barriers to contact their general practitioner (47.5% vs. 25.0%, resp.) and breast cancer physicians (26.8% vs. 11.2%, resp.) compared to participants without these symptoms. In addition, a higher proportion of participants with anxiety and/or depression reported that their current treatment or (after)care was affected by COVID-19 compared to those without these symptoms (32.7% vs. 20.5%, resp.). Factors independently associated with symptoms of anxiety and/or depression during COVID-19 were pre-existent anxiety (OR 6.1, 95% CI 4.1–9.2) or depression (OR 6.0, 95% CI 3.5–10.2). Conclusion During the COVID-19 pandemic, (ex-)breast cancer patients with symptoms of anxiety and/or depression experience higher barriers to contact health care providers. Also, they more often report that their health care was affected by COVID-19. Risk factors for anxiety and/or depression during COVID-19 are pre-existent symptoms of anxiety or depression. Extra attention—including mental health support—is needed for this group.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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