BACKGROUND Propensity Score Matching is a statistical technique which allows an observational study to control for differences in the study and comparison group, without the difficulty of establishing a long-term randomized trial. This method is very appropriate to the evolving field of telemedicine, due to the fast pace at which it is proceeding and the limitations on data imposed by its relatively recent popularization. These limitations prevent a randomized controlled trial from being applied to most questions, creating a strong case for the use of Propensity Score Matching. OBJECTIVE To evaluate the relative efficacy of digital and in-person physical therapy in a single clinic while controlling for the different patient circumstances that may affect the choice of treatment option. METHODS We used propensity score matching to construct a cohort of 890 patients split evenly between digital and onsite patients. We matched patients on injury location, instance of injury (first, second, third, etc.), reported pain level on presentation, age, presence or absence of prior treatment attempts, gender, and BMI (for weight-bearing injury locations only). We evaluated the matched cohorts in upper and lower body groups for differences in patient reported pain improvement, visit completion, avoidance of surgeries, and patient reported injury resolution. RESULTS We analyzed that data using a two-one-sided T-test. We found that upper body digital patients perform equivalent to within 0.5 standard deviations or superior to in-person patients on all metrics (p < 0.05 for all metrics). Lower body digital and in-person patients performed within 0.5 standard deviations on visit completion, avoidance of surgeries, and reported injury resolution. (p <0.05.) Results for pain improvement were inconclusive, with the 95% confidence range indicating a possibility of either equivalent performance (p = 0.48) or inferior performance for digital patients (p = 0.52). CONCLUSIONS The date indicates an equivalent or superior performance for remote treatment of upper body injuries, with data suggesting improved visit completion improves other metrics more than any disadvantages of digital treatment can reduce them. Data regarding lower body injuries is inconclusive, due to high varied level of pain reduction experienced by patients. In light of other data on lower body patients, this suggests that further research may be able to assess which lower body injuries can and cannot be successfully treated via remote physical therapy.
{"title":"Relative Efficacy of Virtual and In-Office Conservative Care for Musculoskeletal Conditions: A Propensity Score Matching Comparison Study (Preprint)","authors":"H. Elliott, E. S. Moll, E. Olmsted","doi":"10.2196/preprints.36139","DOIUrl":"https://doi.org/10.2196/preprints.36139","url":null,"abstract":"\u0000 BACKGROUND\u0000 Propensity Score Matching is a statistical technique which allows an observational study to control for differences in the study and comparison group, without the difficulty of establishing a long-term randomized trial. This method is very appropriate to the evolving field of telemedicine, due to the fast pace at which it is proceeding and the limitations on data imposed by its relatively recent popularization. These limitations prevent a randomized controlled trial from being applied to most questions, creating a strong case for the use of Propensity Score Matching.\u0000 \u0000 \u0000 OBJECTIVE\u0000 To evaluate the relative efficacy of digital and in-person physical therapy in a single clinic while controlling for the different patient circumstances that may affect the choice of treatment option.\u0000 \u0000 \u0000 METHODS\u0000 We used propensity score matching to construct a cohort of 890 patients split evenly between digital and onsite patients. We matched patients on injury location, instance of injury (first, second, third, etc.), reported pain level on presentation, age, presence or absence of prior treatment attempts, gender, and BMI (for weight-bearing injury locations only). We evaluated the matched cohorts in upper and lower body groups for differences in patient reported pain improvement, visit completion, avoidance of surgeries, and patient reported injury resolution.\u0000 \u0000 \u0000 RESULTS\u0000 We analyzed that data using a two-one-sided T-test. We found that upper body digital patients perform equivalent to within 0.5 standard deviations or superior to in-person patients on all metrics (p < 0.05 for all metrics). Lower body digital and in-person patients performed within 0.5 standard deviations on visit completion, avoidance of surgeries, and reported injury resolution. (p <0.05.) Results for pain improvement were inconclusive, with the 95% confidence range indicating a possibility of either equivalent performance (p = 0.48) or inferior performance for digital patients (p = 0.52).\u0000 \u0000 \u0000 CONCLUSIONS\u0000 The date indicates an equivalent or superior performance for remote treatment of upper body injuries, with data suggesting improved visit completion improves other metrics more than any disadvantages of digital treatment can reduce them. Data regarding lower body injuries is inconclusive, due to high varied level of pain reduction experienced by patients. In light of other data on lower body patients, this suggests that further research may be able to assess which lower body injuries can and cannot be successfully treated via remote physical therapy.\u0000","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"305 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123668465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Worldwide, human immunodeficiency virus (HIV) infection continues to be an emerging public health problem. With the positive screening of this chronic degenerative disease, the virus generates physical, psychological, social and spiritual changes in people, that lead to uncertainty in the face of an uncertain future. Identifying the uncertainty in the patients, allows the care professional to plan integral interventions to favour the reduction of this process and can integrate well-being in the experience with their chronic condition and thus, have quality of life. Objective: To determine the level of uncertainty in a group of people living with HIV. Method: Quantitative, descriptive and transversal study. Non-probabilistic sampling of 30 people living with HIV, from the CONVIHVE Civil Association of Morelia, Michoacán. An identification card and the scale “Uncertainty in front of the disease” (MUIS) of Merle Mishel were applied, with a reliability of (.904). The statistical package SPSS V was used to analyze the data. 22. Results: 83.3% of the total population are men and 16.7% are women, 32-39 years of age (36.6%) of whom 70% are men. Being single, 53.3% have a bachelor’s degree. 60% report being employed. 30% of the population refers to having more than 10 years of diagnosis and less than 5 years in treatment 53.3%. 76.7% are Catholic. From the total of participants, 23.3% showed a low level of uncertainty, followed by a level of regular uncertainty with 26.7%, and 50% showed a high level of uncertainty. Conclusion: The level of uncertainty in people living with HIV is high. It is necessary to carry out comprehensive interventions that favour the reduction of the level of uncertainty and thus improve the well-being and quality of life of people living with HIV.
{"title":"Level of uncertainty in people living with HIV","authors":"Gerardo Saucedo Pahua, Mayra Itzel Huerta Baltazar, Ma. Lilia Alcántar Zavala, Ma de Jesús Ruiz Recéndiz, Vanesa Jiménez Arroyo, Rafaela Andrade Herrera","doi":"10.15406/ipmrj.2019.04.00170","DOIUrl":"https://doi.org/10.15406/ipmrj.2019.04.00170","url":null,"abstract":"Introduction: Worldwide, human immunodeficiency virus (HIV) infection continues to be an emerging public health problem. With the positive screening of this chronic degenerative disease, the virus generates physical, psychological, social and spiritual changes in people, that lead to uncertainty in the face of an uncertain future. Identifying the uncertainty in the patients, allows the care professional to plan integral interventions to favour the reduction of this process and can integrate well-being in the experience with their chronic condition and thus, have quality of life. Objective: To determine the level of uncertainty in a group of people living with HIV. Method: Quantitative, descriptive and transversal study. Non-probabilistic sampling of 30 people living with HIV, from the CONVIHVE Civil Association of Morelia, Michoacán. An identification card and the scale “Uncertainty in front of the disease” (MUIS) of Merle Mishel were applied, with a reliability of (.904). The statistical package SPSS V was used to analyze the data. 22. Results: 83.3% of the total population are men and 16.7% are women, 32-39 years of age (36.6%) of whom 70% are men. Being single, 53.3% have a bachelor’s degree. 60% report being employed. 30% of the population refers to having more than 10 years of diagnosis and less than 5 years in treatment 53.3%. 76.7% are Catholic. From the total of participants, 23.3% showed a low level of uncertainty, followed by a level of regular uncertainty with 26.7%, and 50% showed a high level of uncertainty. Conclusion: The level of uncertainty in people living with HIV is high. It is necessary to carry out comprehensive interventions that favour the reduction of the level of uncertainty and thus improve the well-being and quality of life of people living with HIV.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131114306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-18DOI: 10.15406/IPMRJ.2018.03.00103
S. Ga, Rakhmatullaev Hu, Zalyalova Zs
In three experimental series of experimental animals caused by inflammation model with a standard strain of Staphylococcus aureus. (Strain WOOD -46). Held control of the morphological and functional changes in the lung tissue at different times from the beginning of the introduction of Staphylococcus aureus. The histological method was used. The observations indicate a dose-dependent morphological changes in the lung tissue with inflammation caused by various doses of the standard Staphylococcus aureus.
{"title":"Kinetics of morphofunctional changes in the center of inflammation of pulmonary tissue caused by staphylococcus aureus","authors":"S. Ga, Rakhmatullaev Hu, Zalyalova Zs","doi":"10.15406/IPMRJ.2018.03.00103","DOIUrl":"https://doi.org/10.15406/IPMRJ.2018.03.00103","url":null,"abstract":"In three experimental series of experimental animals caused by inflammation model with a standard strain of Staphylococcus aureus. (Strain WOOD -46). Held control of the morphological and functional changes in the lung tissue at different times from the beginning of the introduction of Staphylococcus aureus. The histological method was used. The observations indicate a dose-dependent morphological changes in the lung tissue with inflammation caused by various doses of the standard Staphylococcus aureus.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133529560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00326
Yang I. Pachankis
In the context of SARS-CoV-2 crises, the phenomenological studies analyze the market phenomenon of People’s Republic of China (PRC) in public health. With PRC’s diplomatic behaviors around the national, international, and global public health crises, the phenomenological occurrence was further questioned into on accounts of genetic engineering, PRC’s top-down behaviors, and financial and non-financial incentives in public health inequality with its declared universal healthcare coverage. The phenomenological studies further the evidence chains on the PRC governmental bodies’ purposeful and intentional crimes against humanity, with the public health system they designed to hide criminal evidences in the clinical evidence chains. Albeit it is paramount for the medical professionals to prepare for a certain but unforeseeable surge of biomedical intrusion, the phenomenological studies call for military interventions on the humanitarian catastrophe that have twice in three years caused unnecessary sufferings regionally and globally. Without it, the world can only wait to detect Chinese passengers’ carriers instead of obtaining firsthand data, potentially leading to more deaths and mutation risks. Only peace-building and government reformation on democratic basis in the region can solve the humanitarian crisis once and for all. No scientific evidence establish the virological homogeneity between SARS-CoV and MERS-CoV, and the politicization of the HIV-1 homogeneous virus underlies the 2002 - 2003 outbreak that caught international attention. The long-term PRC derogation on the global institutional determinants of health has led to the global mandates of poisoning by “vaccination”. The viral RNA origin is inferred to mutational result of PRC’s nuclear weapon tests.
{"title":"Public health equity in information asymmetry – phenomenological studies upon SARS-CoV-2 supervirus mutation","authors":"Yang I. Pachankis","doi":"10.15406/ipmrj.2023.08.00326","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00326","url":null,"abstract":"In the context of SARS-CoV-2 crises, the phenomenological studies analyze the market phenomenon of People’s Republic of China (PRC) in public health. With PRC’s diplomatic behaviors around the national, international, and global public health crises, the phenomenological occurrence was further questioned into on accounts of genetic engineering, PRC’s top-down behaviors, and financial and non-financial incentives in public health inequality with its declared universal healthcare coverage. The phenomenological studies further the evidence chains on the PRC governmental bodies’ purposeful and intentional crimes against humanity, with the public health system they designed to hide criminal evidences in the clinical evidence chains. Albeit it is paramount for the medical professionals to prepare for a certain but unforeseeable surge of biomedical intrusion, the phenomenological studies call for military interventions on the humanitarian catastrophe that have twice in three years caused unnecessary sufferings regionally and globally. Without it, the world can only wait to detect Chinese passengers’ carriers instead of obtaining firsthand data, potentially leading to more deaths and mutation risks. Only peace-building and government reformation on democratic basis in the region can solve the humanitarian crisis once and for all. No scientific evidence establish the virological homogeneity between SARS-CoV and MERS-CoV, and the politicization of the HIV-1 homogeneous virus underlies the 2002 - 2003 outbreak that caught international attention. The long-term PRC derogation on the global institutional determinants of health has led to the global mandates of poisoning by “vaccination”. The viral RNA origin is inferred to mutational result of PRC’s nuclear weapon tests.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114691904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00331
Y. Okamoto, M. Okamoto
We have successfully fabricated the cartilage/natural rubber latex (NRL) biocomposites via human mesenchymal stem cells (hMSCs) spheroid under hypoxic condition. It was revealed that NRL nanoparticles acted as the main component, providing surface heterogeneity for the spheroids and resulting in a mechanically stable structure with a modulus two times higher compared to controls. The formation of the cartilage/NRL nanoparticles biocomposite results in having a stiff property was demonstrated. The gene expression levels of SRY-box 9 (SOX9), aggrecan and type II collagen (Col-II), and formation of glycosaminoglycan’s were higher in spheroids under hypoxic conditions, and administration of NRL nanoparticles enhanced chondrogenic differentiation is successfully induced. The promise of NRL nanoparticles for well-controlled chondrogenic differentiation and mechanically stable cartilage tissue was demonstrated.
{"title":"Biocomposites composed of cartilage and natural rubber latex","authors":"Y. Okamoto, M. Okamoto","doi":"10.15406/ipmrj.2023.08.00331","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00331","url":null,"abstract":"We have successfully fabricated the cartilage/natural rubber latex (NRL) biocomposites via human mesenchymal stem cells (hMSCs) spheroid under hypoxic condition. It was revealed that NRL nanoparticles acted as the main component, providing surface heterogeneity for the spheroids and resulting in a mechanically stable structure with a modulus two times higher compared to controls. The formation of the cartilage/NRL nanoparticles biocomposite results in having a stiff property was demonstrated. The gene expression levels of SRY-box 9 (SOX9), aggrecan and type II collagen (Col-II), and formation of glycosaminoglycan’s were higher in spheroids under hypoxic conditions, and administration of NRL nanoparticles enhanced chondrogenic differentiation is successfully induced. The promise of NRL nanoparticles for well-controlled chondrogenic differentiation and mechanically stable cartilage tissue was demonstrated.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128669293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00338
R. Marks
Background: Hip osteoarthritis- a painful oftentimes longstanding progressively disabling condition that occurs predominantly among sizeable numbers of older adults may be detrimentally impacted by an atrophic muscle condition known as sarcopenia. Aim: This mini review examines the possible utility of electrical or magnetic muscle stimulation for mitigating sarcopenic muscle mass declines that may be age or disease associated or both among older adults diagnosed as having early or late stage hip osteoarthritis. Methods: Peer reviewed literature on hip osteoarthritis discussing sarcopenia, as well as any evidence that electrical or magnetic muscle stimulation as applied to foster muscle mass increments are relevant to ameliorating this condition were sought and examined. Results: Many reports show hip osteoarthritis remains a highly debilitating disease to counteract and is a condition where the surrounding muscles may be atrophic. While most point to exercise and nutrition as suitable muscle interventions for countering sarcopenia, a favorable role for electrical stimulation cannot be ruled out. Conclusions: There is a possible missed opportunity that implies muscle preservation at the hip through electrical stimulation will be beneficial for fostering function at all stages of hip joint osteoarthritis progression, even if surgery is forthcoming, and should be studied further.
{"title":"Sarcopenia and hip osteoarthritis: possible role for targeted electrical and biophysical muscle stimulation applications","authors":"R. Marks","doi":"10.15406/ipmrj.2023.08.00338","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00338","url":null,"abstract":"Background: Hip osteoarthritis- a painful oftentimes longstanding progressively disabling condition that occurs predominantly among sizeable numbers of older adults may be detrimentally impacted by an atrophic muscle condition known as sarcopenia. Aim: This mini review examines the possible utility of electrical or magnetic muscle stimulation for mitigating sarcopenic muscle mass declines that may be age or disease associated or both among older adults diagnosed as having early or late stage hip osteoarthritis. Methods: Peer reviewed literature on hip osteoarthritis discussing sarcopenia, as well as any evidence that electrical or magnetic muscle stimulation as applied to foster muscle mass increments are relevant to ameliorating this condition were sought and examined. Results: Many reports show hip osteoarthritis remains a highly debilitating disease to counteract and is a condition where the surrounding muscles may be atrophic. While most point to exercise and nutrition as suitable muscle interventions for countering sarcopenia, a favorable role for electrical stimulation cannot be ruled out. Conclusions: There is a possible missed opportunity that implies muscle preservation at the hip through electrical stimulation will be beneficial for fostering function at all stages of hip joint osteoarthritis progression, even if surgery is forthcoming, and should be studied further.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124455974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00341
David Eliécer Rodríguez, Fernando Ortiz, Jefferson Alexander Caleño, Mauro Andres Herrera
Introduction: Several chemotherapeutic agents are currently available for the management of various malignancies; however, many are associated with adverse effects. A case of thalidomide- induced polyneuropathy is described below. Case Description: A 65year old man, with a history of secondary myelofibrosis in management with thalidomide, consulted for 5months of neuropathic pain and paresthesia in both hands. On physical examination, he presented hypoesthesia and hyperalgesia in both hands. In the electrodiagnostic studies (EDX) a sensory polyneuropathy of axonal type was concluded. Discussion: Chemotherapy-induced peripheral neuropathy (CIPN) is a side effect that occurs in up to 70% of patients. Symptomatology includes motor and sensitive deficit. EDX studies confirm diagnoses and characteristics. For the particular case of thalidomide involvement is mainly axonal. There is no standard treatment for CIPN, but several drugs can improve symptoms. Conclusions: CIPN is a frequent complication in patients managed with chemotherapy. The physiatrist is the ideal professional to provide a comprehensive approach to this entity, in order to improve the patient’s functionality.
{"title":"Thalidomide-induced sensory axonal polyneuropathy: A case report","authors":"David Eliécer Rodríguez, Fernando Ortiz, Jefferson Alexander Caleño, Mauro Andres Herrera","doi":"10.15406/ipmrj.2023.08.00341","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00341","url":null,"abstract":"Introduction: Several chemotherapeutic agents are currently available for the management of various malignancies; however, many are associated with adverse effects. A case of thalidomide- induced polyneuropathy is described below. Case Description: A 65year old man, with a history of secondary myelofibrosis in management with thalidomide, consulted for 5months of neuropathic pain and paresthesia in both hands. On physical examination, he presented hypoesthesia and hyperalgesia in both hands. In the electrodiagnostic studies (EDX) a sensory polyneuropathy of axonal type was concluded. Discussion: Chemotherapy-induced peripheral neuropathy (CIPN) is a side effect that occurs in up to 70% of patients. Symptomatology includes motor and sensitive deficit. EDX studies confirm diagnoses and characteristics. For the particular case of thalidomide involvement is mainly axonal. There is no standard treatment for CIPN, but several drugs can improve symptoms. Conclusions: CIPN is a frequent complication in patients managed with chemotherapy. The physiatrist is the ideal professional to provide a comprehensive approach to this entity, in order to improve the patient’s functionality.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115177961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00339
Juliana Felipelli Bernardes
According to the World Federation of Right to Die Societies the term Comfort Care is often used as a synonym for Palliative Care. Palliative Care encompasses in its concept the management of pain and symptoms, support for the patient and family, and the opportunity to achieve a meaningful closure to life. Thus, the article delves into various texts to understand the role of the nursing professional in the maintenance and promotion of health in view of palliative care. Thus, the guiding question of this article is: in the national scientific scenario, how is palliative care presented in the nursing field? The bibliographic review, as a data collection technique, was selected, aligning itself with the expectations of this work, which is to present a broad discussion on the theme in question. This work was carried out from a search on the Google Academic platform, which presented the bases PubMed, Virtual Health Library (VHL) and Portal Capes. The descriptors used were “Palliative care”, “dysthanasia” and “nursing care”, applying a time cut from 2015 to 2023, being selected 30 articles with titles associated with the terms “nursing and complications associated with palliative care”. From the analysis of the articles, it was noted that the professional nurse, in palliative care, must be qualified to make accurate assessments, lead, plan, and have the human eye when practicing care. These assessments result in the nurse’s ability to develop plans for dealing with symptoms and side effects: constipation from narcotic analgesics, nausea and vomiting, lethargy, insomnia, anxiety, and dyspnea. The nurse and the multidisciplinary team responsible for implementing techniques to minimize these problems that are painful for patients and family members who are present in the face of their loved one’s suffering.
{"title":"Dysthanasia and palliative care: nursing in palliative care","authors":"Juliana Felipelli Bernardes","doi":"10.15406/ipmrj.2023.08.00339","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00339","url":null,"abstract":"According to the World Federation of Right to Die Societies the term Comfort Care is often used as a synonym for Palliative Care. Palliative Care encompasses in its concept the management of pain and symptoms, support for the patient and family, and the opportunity to achieve a meaningful closure to life. Thus, the article delves into various texts to understand the role of the nursing professional in the maintenance and promotion of health in view of palliative care. Thus, the guiding question of this article is: in the national scientific scenario, how is palliative care presented in the nursing field? The bibliographic review, as a data collection technique, was selected, aligning itself with the expectations of this work, which is to present a broad discussion on the theme in question. This work was carried out from a search on the Google Academic platform, which presented the bases PubMed, Virtual Health Library (VHL) and Portal Capes. The descriptors used were “Palliative care”, “dysthanasia” and “nursing care”, applying a time cut from 2015 to 2023, being selected 30 articles with titles associated with the terms “nursing and complications associated with palliative care”. From the analysis of the articles, it was noted that the professional nurse, in palliative care, must be qualified to make accurate assessments, lead, plan, and have the human eye when practicing care. These assessments result in the nurse’s ability to develop plans for dealing with symptoms and side effects: constipation from narcotic analgesics, nausea and vomiting, lethargy, insomnia, anxiety, and dyspnea. The nurse and the multidisciplinary team responsible for implementing techniques to minimize these problems that are painful for patients and family members who are present in the face of their loved one’s suffering.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127211893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2023.08.00334
Xénia Verraest, Filipe Ermida, A. Paiva, Raquel Nunesv, Francisco Repas, Sandra Oliveira, F. Carvalho
Tuberculous Meningoencephalitis (TBM) is an infectious disease of the central nervous system caused by Mycobacterium tuberculosis. It mainly involves the meninges and brain parenchyma, as well as the spinal cord and meninges. The spectrum of complications of TBM includes hydrocephalus, tuberculoma formation and stroke. Stroke secondary to TBM can cause irreversible brain damage and lead to poor clinical outcomes. TBM diagnosis is challenging due to atypical early symptoms and delayed laboratory examination. Therefore, early identification, diagnosis and treatment are often difficult. Rehabilitation is one of the key components in managing TBM and is expected to enhance recovery and prevent disabilities.
{"title":"Rehabilitation of a rare presentation of tuberculous meningoencephalitis: a case report","authors":"Xénia Verraest, Filipe Ermida, A. Paiva, Raquel Nunesv, Francisco Repas, Sandra Oliveira, F. Carvalho","doi":"10.15406/ipmrj.2023.08.00334","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00334","url":null,"abstract":"Tuberculous Meningoencephalitis (TBM) is an infectious disease of the central nervous system caused by Mycobacterium tuberculosis. It mainly involves the meninges and brain parenchyma, as well as the spinal cord and meninges. The spectrum of complications of TBM includes hydrocephalus, tuberculoma formation and stroke. Stroke secondary to TBM can cause irreversible brain damage and lead to poor clinical outcomes. TBM diagnosis is challenging due to atypical early symptoms and delayed laboratory examination. Therefore, early identification, diagnosis and treatment are often difficult. Rehabilitation is one of the key components in managing TBM and is expected to enhance recovery and prevent disabilities.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125635438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.15406/ipmrj.2022.07.00309
Sofia Moura de Azevedo, F. Gonçalves
Abdominal pain in the elderly patient is a common symptom and reason to resort to the emergency service. Geriatric ill patients present unique challenges in the anamnesis, physical examination and to determine expectations for rehabilitation and meaningful recovery. We present the case of an 80-year-old man, dependent on activities of daily living due to dementia. He was admitted to the emergency department with a clinic of abdominal pain and constipation. Abdominal radiography revealed dilatation of the sigmoid colon (coffee bean sign), as did abdominal CT, suggesting the diagnosis of intestinal volvulus. He underwent decompression colonoscopy with resolution. There was no evidence of neoplasia on abdominal CT or endoscopic study, or of another obstructive cause. Sigmoid volvulus is common in men over 70 years, with neuropsychiatric pathology and as a risk factor the patient had immobility and a long and redundant colon described in the endoscopic examination. This is a pathology with high mortality and risk of recurrence to be recognised in institutionalized elderly people.
{"title":"Abdominal pain in an elderly with a twist: a case of colonic volvulus","authors":"Sofia Moura de Azevedo, F. Gonçalves","doi":"10.15406/ipmrj.2022.07.00309","DOIUrl":"https://doi.org/10.15406/ipmrj.2022.07.00309","url":null,"abstract":"Abdominal pain in the elderly patient is a common symptom and reason to resort to the emergency service. Geriatric ill patients present unique challenges in the anamnesis, physical examination and to determine expectations for rehabilitation and meaningful recovery. We present the case of an 80-year-old man, dependent on activities of daily living due to dementia. He was admitted to the emergency department with a clinic of abdominal pain and constipation. Abdominal radiography revealed dilatation of the sigmoid colon (coffee bean sign), as did abdominal CT, suggesting the diagnosis of intestinal volvulus. He underwent decompression colonoscopy with resolution. There was no evidence of neoplasia on abdominal CT or endoscopic study, or of another obstructive cause. Sigmoid volvulus is common in men over 70 years, with neuropsychiatric pathology and as a risk factor the patient had immobility and a long and redundant colon described in the endoscopic examination. This is a pathology with high mortality and risk of recurrence to be recognised in institutionalized elderly people.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127806363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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