Psychosocial Implications of Limb Lengthening and Reconstruction Orthopedic Surgery: A Literature Review

Author(s):  
Hamilton AA ◽  
◽  
Epstein BS ◽  
Rozbruch SR ◽  
◽  
...  

A fervent interest in improving patient care, quality of life, and outcomes in adolescent patients undergoing limb Lengthening/ Reconstruction Surgeries (LLRS) has guided the exploration of how psychosocial markers in adolescence may be viewed as crucial to achieving enhanced healthcare delivery. This systematic literature review stems from a retrospective pilot study which investigated the importance of psychosocial aspects in the care of children, adolescents, and young adults who have undergone multiple LLRS. It was determined that such patients value psychosocial support given by their surgeons and caregivers, further promoting psychosocial maturation [1]. Currently, prospective investigation is in the process of being explored as yet another outgrowth of this seminal pilot study. Specifically, the current review seeks to explore the literature relevant to aspects of psychosocial development fundamental to enhancing outcomes of a chronic, orthopedic medical condition. The dearth of studies applying a biosocial lens to this subspecialized field of orthopedic surgery and care supports the need for such expanded investigation.

2020 ◽  
Author(s):  
René Noël ◽  
Carla Taramasco ◽  
Gastón Márquez

BACKGROUND Evaluating Health Information System (HIS) quality is strategically advantageous for improving patient care quality. Nevertheless, there is little research evidence identifying and describing what standards, processes, and tools are used to evaluate HIS quality. OBJECTIVE This study aims to illustrate, detail, and discuss the current scenario regarding the standards, norms, processes, and tools used to evaluate HIS quality. METHODS We conduct a systematic literature review (SLR) using review guidelines focused on software and systems. We examined seven electronic databases (Scopus, ACM, ScienceDirect, Google Scholar, IEEE Xplorer, the Web of Science and PubMed) to search and select primary studies. Three researchers and three collaborators participated in the review and quality assessment process of the studies. RESULTS We identified 17 primary studies that have been published in journals and conferences. We found that most of the primary studies address quality evaluation from a management perspective. Second, there is little explicit and pragmatic evidence on the processes and tools that allow evaluation of HIS quality. CONCLUSIONS To promote quality evaluation of HISs, it is necessary to define mechanisms and methods that operationalize the standards and norms of HISs. Additionally, it is necessary to create metrics that measure the quality of the most critical components and processes of HISs. CLINICALTRIAL Does not apply to our study


2020 ◽  
Vol 16 (7) ◽  
pp. 1015-1027
Author(s):  
Mohammad Bagherniya ◽  
Zahra Khorasanchi ◽  
Mina S. Bidokhti ◽  
Gordon A. Ferns ◽  
Mitra Rezaei ◽  
...  

Background: Vitamin D deficiency is a common medical condition worldwide. In Iran, it has been reported that between 30-90% of people have vitamin D deficiency. However, its distribution in different parts of the country and among different age and regional groups is unclear. Therefore, the aim of this study was to review the recent literature on vitamin D deficiency in Iran. Methods: The literature review was performed using Web of Science, PubMed-Medline, Scopus and Scientific Information Database (SID) with a cut-off date of November 2016 to identify articles on vitamin D status in Iran published in the last 10 years. Studies in English and Persian that reported vitamin D levels in male and female subjects of all age groups and in healthy populations were included. Results: From 325 studies that were initially retrieved, 82 articles met the inclusion criteria. A high prevalence of vitamin D deficiency was reported, and in some regions, this was reported as >90% and was found in all age groups and in all regions of Iran. Conclusion: This review highlights the very high prevalence of vitamin D deficiency in Iran. It will be important to recognize the importance of vitamin D deficiency as a major public health problem in Iran.


2021 ◽  
Vol 233 ◽  
pp. 108010
Author(s):  
Subhajit Chakraborty ◽  
Hale Kaynak ◽  
José A. Pagán

Neurosurgery ◽  
2019 ◽  
Vol 87 (5) ◽  
pp. E573-E577
Author(s):  
C Michael Honey ◽  
Marie T Krüger ◽  
Alan R Rheaume ◽  
Josue M Avecillas-Chasin ◽  
Murray D Morrison ◽  
...  

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.


Babel ◽  
2021 ◽  
Author(s):  
Baimei Wu ◽  
Andrew K.F. Cheung ◽  
Jie Xing

Abstract This pilot study investigates the formulaic phraseology most frequently used in highly formulaic political documents by examining a self-built bilingual parallel corpus of 43 speeches delivered in United Nations Security Council (UNSC) meetings by Chinese representatives. The study also probes corpus-based approaches to explore formulaic phraseology and demonstrates a method to retrieve Chinese formulaic phraseology from the UNSC corpus. Formulaic phraseology is often seen in political discourse. It can be defined as a sequence, continuous or discontinuous, of words or other meaning elements that are, or appear to be, prefabricated, stored and retrieved whole from memory at the time of use rather than being subject to generation or analysis by the language grammar. This study begins with a literature review of formulaic phraseology, including its features and significance in simultaneous interpreting. It then exhibits a four-step retrieval process with the Sketch Engine software program to acquire Chinese formulaic phraseology from the corpus to fill previous studies’ gap. Key functional units of the Sketch Engine, including Wordlist, N-grams, and Concordance, are used to extract formulaic phraseology from the UNSC corpus. Methodological issues involved in identifying formulaic phraseology, such as length of phraseology and quantitative criteria (frequency and dispersion thresholds), are also discussed in the study. Three types of formulaic phraseology are identified: (1) greeting representatives and other members and expressing appreciation; (2) expressing concerns about the topic of the meeting; (3) expressing China’s viewpoints about the topic of the meeting. The training of interpreters would be more effective if this categorization of formulaic phraseology is incorporated into the curriculum.


2021 ◽  
Vol 19 (1) ◽  
pp. 34-40
Author(s):  
Lorena Chaparro-Diaz ◽  
Maria Zoraida Rojas ◽  
Sonia Patricia Carreño-Moreno

Background: Gastric (stomach) cancer is common, difficult to detect and has a high mortality rate. Many gastric cancers are treatable with invasive gastrointestinal surgery, including total or partial gastrectomy. These patients face many postoperative challenges, including pain, nausea and nutritional difficulties, as well as consequent anxiety and socio-economic challenges. Some healthcare institutions have implemented discharge plans as a cost-effective strategy to improve postoperative care. Aim: This systematic literature review aimed to identify essential elements to incorporate in the design and implementation of discharge plans for post-surgical gastric cancer patients. Methods: A systematic literature search was performed on the Cochrane Central Register of Controlled Studies, Elsevier Scopus and the library database of the National University of Colombia. These articles were assessed for relevance and underwent thematic analysis. Findings: The search returned nine relevant articles in English and Spanish. They suggested that discharge plans should start from first contact with a nurse and integrate the patient and their family and carers into the process of home self-care and recovery. These plans should also guide nurses to provide ongoing patient education, nutritional interventions and psychosocial support, as well as prevention of thromboembolism and assistance with symptom management and coming to terms with a new life situation. Conclusions: Discharge plans reduce the negative impact of the disease and invasive procedures on patients, families and health systems, reducing unplanned hospitalisation and readmission. There is a need to develop and test supportive care programmes that are designed to meet the needs of patients and focus on improving patients' quality of life after this life-changing surgery.


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