scholarly journals Impact of neurotherapy treatment on knee pain

2020 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Ajay Gandhi ◽  
Lakhveer Singh ◽  
Mayank Pandey
Keyword(s):  
Pain Relief ◽  
Knee Pain ◽  
Whole Body ◽  
Pain Patient ◽  
Long Period ◽  
The Impact ◽  
Positive Effect

Neurotherapy is an alternative way of healing. It deals with whole body mind system. Our present study is based on the impact of Neurotherapy in pain relief in a patient who was suffering from knee Pain. Patient came to the Neurotherapy Centre Mohali for the treatment of knee pain. Patient informed us that she was already taking medications and physiotherapy for her pain, but it was incurable since a long period of time. She was self-directed to take the Neurotherapy treatment. After 82 sittings, she experienced a positive effect on pain and she felt better after taking Neurotherapy treatment.

scholarly journals Diagnostics of infrapatellar saphenous neuralgia—a reversible cause of chronic anteromedial pain following knee surgery

2021 ◽  
Author(s):  
Schu-Ren Yang ◽  
Michael T. Hirschmann ◽  
Alain Schiffmann ◽  
Balazs K. Kovacs ◽  
Julian Gehweiler ◽  
...  
Keyword(s):  
Pain Relief ◽  
Knee Joint ◽  
Knee Pain ◽  
Nerve Block ◽  
Joint Instability ◽  
Clinical Signs ◽  
Knee Surgery ◽  
Concomitant Surgery ◽  
The Impact

Abstract Objectives To evaluate the impact of diagnostic nerve block and ultrasound findings on therapeutic choices and predict the outcome after concomitant surgery in patients with suspected neuropathy of the infrapatellar branch of the saphenous nerve (IPBSN). Methods Fifty-five patients following knee surgery with suspicion of IPBSN neuralgia were retrospectively included. Ultrasound reports were assessed for neuroma and postsurgical scarring (yes/no). Responders and non-responders were assigned following anesthetic injection of the IPBSN. The type of procedure (neurectomy/interventional pain procedure/other than nerve-associated therapy) and pain score at initial follow-up were recorded and patients were assigned as positive (full pain relief) or negative (partial/no pain relief) to therapeutic nerve treatment. Factors associated with a relevant visual analog scale (VAS) reduction were assessed using uni- and multivariate logistic regression models and chi-square for quantitative and qualitative variables (p ≤ 0.05). Results Responders (37/55) more often had an entrapment or an evident neuroma of the IPBSN (97% vs. 6%). A positive Hoffmann-Tinel sign (p = 0.002) and the absence of knee joint instability (p = 0.029) predicted a positive response of the diagnostic nerve block (90%; 26/29). In the follow-up after therapeutic nerve treatment, all patients with full pain relief showed neuromas or entrapment of the IPBSN. Patients negatively responding to therapeutic nerve treatment more frequently showed an additional knee joint instability (25% vs. 4%). Conclusion Selective denervation for neuropathic knee pain is beneficial in selected patients with significant VAS reduction after diagnostic nerve block. Non-responders following diagnostic nerve block but sonographic evidence of IPBSN pathologies need to be evaluated for other causes such as knee joint instability. Key Points • Sonographic diagnosis of neuroma or entrapment of the IPBSN is frequently seen in patients with anteromedial knee pain and leads to a good response to diagnostic nerve block following knee surgery. • The vast majority of patients with clinical signs of IPBSN neuropathy and response to a diagnostic nerve block sustained full pain relief following therapeutic nerve treatment. • Patients not responding to therapeutic IPBSN treatment have to be evaluated for other causes of anteromedial knee pain such as knee joint instability.

Impact of Digitalization on Service Work in Knowledge-Intensive Business Services: An Empirical Study in Tax Consultancies

2019 ◽  
Vol 3 (4) ◽  
pp. 209-222
Author(s):  
Philipp K. Görs ◽  
Henning Hummert ◽  
Anne Traum ◽  
Friedemann W. Nerdinger
Keyword(s):  
Work Engagement ◽  
Service Work ◽  
Psychological Consequences ◽  
Business Services ◽  
Knowledge Intensive Business Services ◽  
Positive Effects ◽  
Knowledge Intensive ◽  
The Impact ◽  
Positive Effect ◽  
Special Case

Digitalization is a megatrend, but there is relatively little knowledge about its consequences for service work in general and specifically in knowledge-intensive business services (KIBS). We studied the impact of digitalization on psychological consequences for employees in tax consultancies as a special case of KIBS. We compare two tax consulting jobs with very different job demands, those of tax consultants (TCs) and assistant tax consultants (ATCs). The results show that the extent of digitalization at the workplace level for ATCs correlates significantly positively with their job satisfaction. For TCs, the same variable correlates positively with their work engagement. These positive effects of digitalization are mediated in the case of ATCs by the impact on important job characteristics. In the case of TCs, which already have very good working conditions, the impact is mediated by the positive effect on self-efficacy. Theoretical and practical consequences of these results are discussed.

Comparative study of the impact of two mechanical perforation densities on the behavior of a sandy soil

2012 ◽  
Vol 8 (1) ◽  
pp. 37-48
Author(s):  
S. Chehaibi ◽  
K. Abrougui ◽  
F. Haouala
Keyword(s):  
Soil Water ◽  
Sandy Soil ◽  
Water Infiltration ◽  
Cone Penetration ◽  
Initial State ◽  
Soil Water Infiltration ◽  
Good Improvement ◽  
The Impact ◽  
Positive Effect ◽  
Resistance To Penetration

The effects of mechanical perforation densities by extracting soil cores through an aerator Vertidrain with a working width of 1.6 m and equipped with hollow tines spaced of 65 mm, were studied on a sandy soil of a grassy sward in the Golf Course El Kantaoui in Sousse (Tunisia). The mechanical aeration was performed at two densities: 250 and 350 holes/m2. The cone penetration resistance and soil water infiltration were measured. These parameters were performed at initial state before aeration (E0) and then on the 10th, 20th and 30th day after aeration. These results showed that perforation density of 350 holes/m2 had a positive effect on the soil by reducing its cone resistance to penetration compared to the initial state (Rp = 14.8 daN/cm2). At 5 cm depth the decrease in resistance to penetration was 34% and 43% on the 10th and 20th day after aeration, respectively. However, on the 30th day after aeration the soil resistance to penetration tended to grow and its value compared to the initial state decreased only by 21 and 26%, respectively, at 5 and 15 cm of depth only by 10% and 9% with 250 holes/m2 density. The soil water infiltration made a good improvement after aeration compared to the initial state. This parameter increased from 4.8 cm/h to 8.3, 10.9 and 13.1 cm/h with 250 holes/m2 density and to 10, 12.9 and 14.8 cm/h with 350 holes/m2 density on the 10th, 20th and 30th day following the aeration.

THEORETICAL STUDY OF THE EFFECT OF GEOMETRICAL PARAMETERS AND LOCATION OF ROTOR IMPACT ELEMENTS OF AN IMPACT-CENTRIFUGAL GRINDER ON SPEED AND ANGLES OF CRUSHED PARTICLES FLIGHT

2020 ◽  
Keyword(s):  
Granulometric Composition ◽  
Theoretical Study ◽  
Process Efficiency ◽  
Geometrical Parameters ◽  
Grinding Process ◽  
Main Work ◽  
Impact Element ◽  
The Impact ◽  
Positive Effect ◽  
Efficiency Indicators

One of efficiency indicators of grain grinders is grain granulometric composition. The basis of mixed fodder is crushed grain, the particles of which must have a leveled granulometric composition for subsequent mixing and obtaining a high-quality feed mixture. In agricultural production, hammer crushers are widely used, in which the destruction of grain occurs due to the impact of a hinged hammer. The main disadvantage of these crushers is that not the entire surface of the hammers is involved in grinding, thus reduces grinding process efficiency. A slightly different principle of material destruction is laid down in the basis of the proposed design of the shock-centrifugal grinder. Main work is performed by flat impact elements located on the rotor, which serve to accelerate crushed particles with subsequent impact of them on the bump elements. An important step in the design of new constructions of shock-centrifugal grinders is to determine size and location of the impact elements on the rotor, without which the grinding process is not possible. In the calculation method presented, the dependencies for determining the velocities and angles of a single particle flight from the surface of a flat impact element for its specified dimensions are proposed. Two variants of an impact element location on the rotor are considered and analyzed: radial and at an angle in the direction of rotor rotation. As a result of research carried out, it is noted that in the case of inclined position of an impact element on the rotor an increase in flight speed and flight angles change in crushed particles, which gives the opportunity to have a positive effect on grinding process.

The Impact of Coping Strategies on Situational Coping in Daily Life: An Ecological Momentary Assessment Study with the mHealth application TrackYourStress (Preprint)

2020 ◽  
Author(s):  
Teresa O'Rourke ◽  
Carsten Vogel ◽  
Dennis John ◽  
Rüdiger Pryss ◽  
Johannes Schobel ◽  
...  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Daily Life ◽  
Stress Coping ◽  
Positive Thinking ◽  
Active Stress ◽  
Situational Coping ◽  
Ecological Momentary ◽  
The Impact ◽  
Positive Effect

BACKGROUND It is necessary to cope with situations in daily life to prevent stress-related health consequences. However, coping strategies might differ in their impact on dealing with stressful situations in daily life. Moreover, the effect of coping strategies on situational coping might differ between women and men. OBJECTIVE The aim of this study was to investigate the impact of coping strategies on situational coping in everyday life situations and to investigate gender differences. METHODS An ecological momentary assessment study with the mobile health app TrackYourStress (TYS) was conducted with 113 participants. Coping strategies were measured at baseline with the coping scales Positive Thinking, Active Stress Coping, Social Support, Support in Faith, and Alcohol and Cigarette Consumption of the Stress and Coping Inventory (SCI). Situational coping was assessed by the question “How well can you cope with your momentary stress-level” (slider 0-100) in daily life over four weeks. Multilevel models were conducted to test the effects of the coping strategies on situational coping. Additionally, gender differences were evaluated. RESULTS Positive Thinking (P=.03) and Active Stress Coping (P=.04) had significant positive impacts on situational coping in the total sample. For women, only Social Support had a significant positive effect on situational coping (P=.046). For men, only Active Stress Coping had a significant positive effect on situational coping (P=.001). Women had higher scores on the SCI scale Social Support than men (P=.007). CONCLUSIONS These results suggest that different coping strategies could be more effective in daily life for women than for men, which should be considered in the development of interventions aimed at reducing stress consequences through coping. Interventions taking gender into consideration might lead to better coping-outcomes than generalized interventions.

THE IMPACT OF WORLD WAR II ON COST ACCOUNTING AT THE SPERRY CORPORATION

2003 ◽  
Vol 30 (2) ◽  
pp. 67-104 ◽  
Author(s):  
Richard K. Fleischman ◽  
R. Penny Marquette
Keyword(s):  
World War Ii ◽  
Performance Management ◽  
Scientific Management ◽  
World War ◽  
Military Contractors ◽  
Management Techniques ◽  
Cost Awareness ◽  
The Impact ◽  
Positive Effect ◽  
The U.S

The impact of World War II on cost accountancy in the U.S. may be viewed as a double-edged sword. Its most positive effect was engendering greater cost awareness, particularly among companies that served as military contractors and, thus, had to make full representation to contracting agencies for reimbursement. On the negative side, the dislocations of war, especially shortages in the factors of production and capacity constraints, meant that such “scientific management” techniques as existed (standard costing, time-study, specific detailing of task routines) fell by the wayside. This paper utilizes the archive of the Sperry Corporation, a leading governmental contractor, to chart the firm's accounting during World War II. It is concluded that any techniques that had developed from Taylorite principles were suspended, while methods similar to contemporary performance management, such as subcontracting, emphasis on the design phase of products, and substantial expenditure on research and development, flourished.

scholarly journals Modulation of Gut Microbiota and Oxidative Status by β-Carotene in Late Pregnant Sows

2020 ◽  
Vol 7 ◽  
Author(s):  
Xupeng Yuan ◽  
Jiahao Yan ◽  
Ruizhi Hu ◽  
Yanli Li ◽  
Ying Wang ◽  
...  
Keyword(s):  
Gut Microbiota ◽  
Dietary Supplementation ◽  
Basal Diet ◽  
Fecal Microbiota ◽  
Control Group ◽  
Metabolic Activities ◽  
The Impact ◽  
Positive Effect ◽  
Β Carotene

Recent evidences suggest that gut microbiota plays an important role in regulating physiological and metabolic activities of pregnant sows, and β-carotene has a potentially positive effect on reproduction, but the impact of β-carotene on gut microbiota in pregnant sows remains unknown. This study aimed to explore the effect and mechanisms of β-carotene on the reproductive performance of sows from the aspect of gut microbiota. A total of 48 hybrid pregnant sows (Landrace × Yorkshire) with similar parity were randomly allocated into three groups (n = 16) and fed with a basal diet or a diet containing 30 or 90 mg/kg of β-carotene from day 90 of gestation until parturition. Dietary supplementation of 30 or 90 mg/kg β-carotene increased the number of live birth to 11.82 ± 1.54 and 12.29 ± 2.09, respectively, while the control group was 11.00 ± 1.41 (P = 0.201). Moreover, β-carotene increased significantly the serum nitric oxide (NO) level and glutathione peroxidase (GSH-Px) activity (P < 0.05). Characterization of fecal microbiota revealed that 90 mg/kg β-carotene increased the diversity of the gut flora (P < 0.05). In particular, β-carotene decreased the relative abundance of Firmicutes including Lachnospiraceae AC2044 group, Lachnospiraceae NK4B4 group and Ruminococcaceae UCG-008, but enriched Proteobacteria including Bilophila and Sutterella, and Actinobacteria including Corynebacterium and Corynebacterium 1 which are related to NO synthesis. These data demonstrated that dietary supplementation of β-carotene may increase antioxidant enzyme activity and NO, an important vasodilator to promote the neonatal blood circulation, through regulating gut microbiota in sows.

A Melanocortin-4 Receptor Agonist Induces Skin and Hair Pigmentation in Patients with Monogenic Mutations in the Leptin-Melanocortin Pathway

2021 ◽  
pp. 1-10
Author(s):  
Varvara Kanti ◽  
Lia Puder ◽  
Irina Jahnke ◽  
Philipp Maximilian Krabusch ◽  
Jan Kottner ◽  
...  
Keyword(s):  
Leptin Receptor ◽  
Skin Pigmentation ◽  
Gene Mutations ◽  
Continuous Treatment ◽  
Whole Body ◽  
Hair Color ◽  
Phase 2 ◽  
Loss Of Function ◽  
The Impact ◽  
Over Time

<b><i>Background and Objectives:</i></b> Gene mutations within the leptin-melanocortin signaling pathway lead to severe early-onset obesity. Recently, a phase 2 trial evaluated new pharmacological treatment options with the MC4R agonist <i>setmelanotide</i> in patients with mutations in the genes encoding proopiomelanocortin (POMC) and leptin receptor (LEPR). During treatment with <i>setmelanotide,</i> changes in skin pigmentation were observed, probably due to off-target effects on the closely related melanocortin 1 receptor (MC1R). Here, we describe in detail the findings of dermatological examinations and measurements of skin pigmentation during this treatment over time and discuss the impact of these changes on patient safety. <b><i>Methods:</i></b> In an investigator-initiated, phase 2, open-label pilot study, 2 patients with loss-of-function POMC gene mutations and 3 patients with loss-of-function variants in LEPR were treated with the MC4R agonist <i>setmelanotide</i>. Dermatological examination, dermoscopy, whole body photographic documentation, and spectrophotometric measurements were performed at screening visit and approximately every 3 months during the course of the study. <b><i>Results:</i></b> We report the results of a maximum treatment duration of 46 months. Skin pigmentation increased in all treated patients, as confirmed by spectrophotometry. During continuous treatment, the current results indicate that elevated tanning intensity levels may stabilize over time. Lips and nevi also darkened. In red-haired study participants, hair color changed to brown after initiation of <i>setmelanotide</i> treatment. <b><i>Discussion:</i></b> <i>Setmelanotide</i> treatment leads to skin tanning and occasionally hair color darkening in both POMC- and LEPR-deficient patients. No malignant skin changes were observed in the patients of this study. However, the results highlight the importance of regular skin examinations before and during MC4R agonist treatment.

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