Rehab Centers: Anal Function-Preserving Subtotal Intersphincteric Resection/partial External Sphincteric Resection With Hybrid 2-Port Hand-Assisted Laparoscopic Surgery (Mukai’s Operation) for Very Low Stage I Rectal Cancer: A Case Report.

Anal function-preserving subtotal intersphincteric resection/partial external sphincteric resection with hybrid 2-port hand-assisted laparoscopic surgery (Mukai’s operation) for very low stage I rectal cancer: A case report.

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Oncol Lett. 2011 Sep 1; 2(5): 801-805
Mukai M, Sekido Y, Fukumitsu H, Izumi H, Hoshikawa T, Tajima T, Tobita K, Sadahiro S, Yasuda S, Ogoshi K

A 62-year-old male patient underwent endoscopic mucosal resection (EMR). Additional hybrid 2-port hand-assisted laparoscopic surgery (HALS) (Mukai’s operation) was performed for early rectal cancer located at the distal border of the rectum/below the peritoneal reflection (Rb) region [SM massive invasion/ly+/vertical margin (VM)X] via a small transverse incision, approximately 55 mm long, at the superior border of the pubic bone. After the pelvic floor muscles were dissected by laparoscopy-assisted manipulation, transanal subtotal intersphincteric resection (ISR) was performed under direct vision, securing a margin of more than 15 mm distal to the EMR scar. Partial external sphincteric resection (ESR) was also performed to obtain an adequate VM at the posterior region of the EMR scar. After bowel reconstruction, the layers were sutured transanally and a temporary covering colostomy was created. The resected specimen contained no residual tumor cells without lymph node metastasis. At 3 months after the operation, digital examination revealed good tonus of the anal muscles without stricture. The patient is currently undergoing rehabilitation of his anal sphincter muscles in preparation for the colostomy closure. In conclusion, subtotal ISR combined with partial ESR may decrease the need to perform Miles’ operation for T1/2 stage I rectal cancer located at the distal border of the Rb region.
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Psychosocial and Psychophysiological Effects of Human-Animal Interactions: The Possible Role of Oxytocin.

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Front Psychol. 2012; 3: 234
Beetz A, Uvnäs-Moberg K, Julius H, Kotrschal K

During the last decade it has become more widely accepted that pet ownership and animal assistance in therapy and education may have a multitude of positive effects on humans. Here, we review the evidence from 69 original studies on human-animal interactions (HAI) which met our inclusion criteria with regard to sample size, peer-review, and standard scientific research design. Among the well-documented effects of HAI in humans of different ages, with and without special medical, or mental health conditions are benefits for: social attention, social behavior, interpersonal interactions, and mood; stress-related parameters such as cortisol, heart rate, and blood pressure; self-reported fear and anxiety; and mental and physical health, especially cardiovascular diseases. Limited evidence exists for positive effects of HAI on: reduction of stress-related parameters such as epinephrine and norepinephrine; improvement of immune system functioning and pain management; increased trustworthiness of and trust toward other persons; reduced aggression; enhanced empathy and improved learning. We propose that the activation of the oxytocin system plays a key role in the majority of these reported psychological and psychophysiological effects of HAI. Oxytocin and HAI effects largely overlap, as documented by research in both, humans and animals, and first studies found that HAI affects the oxytocin system. As a common underlying mechanism, the activation of the oxytocin system does not only provide an explanation, but also allows an integrative view of the different effects of HAI.
HubMed – rehab


Chinese adaptation and validation of the patellofemoral pain severity scale.

Filed under: Rehab Centers

Clin Rehabil. 2012 Aug 3;
Cheung RT, Ngai SP, Lam PL, Chiu JK, Fung EY

Objective:This study validated the Patellofemoral Pain Severity Scale translated into Chinese.Design and setting:The Chinese Patellofemoral Pain Severity Scale was translated from the original English version following standard forward and backward translation procedures recommended by the International Society for Pharmacoeconomics and Outcomes Research. The survey was then conducted in clinical settings by a questionnaire comprising the Chinese Patellofemoral Pain Severity Scale, Kujala Scale and Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index.Subjects:Eighty-four Chinese reading patients with patellofemoral pain were recruited from physical therapy clinics.Main measures:Internal consistency of the translated instrument was measured by Cronbach alpha. Convergent validity was examined by Spearman rank correlation coefficient (rho) tests by comparing its score with the validated Chinese version of the Kujala Scale and the WOMAC Osteoarthritis Index while the test-retest reliability was evaluated by administering the questionnaires twice.Results:Cronbach alpha values of individual questions and their overall value were above 0.85. Strong association was found between the Chinese Patellofemoral Pain Severity Scale and the Kujala Scale (rho = -0.72, p < 0.001). Moderate correlation was also found between Chinese Patellofemoral Pain Severity Scale with the WOMAC Osteoarthritis Index (rho = 0.63, p < 0.001). Excellent test-retest reliability (Intraclass correlation coefficient = 0.98) was demonstrated.Conclusions:The Chinese translated version of the Patellofemoral Pain Severity Scale is a reliable and valid instrument for patients with patellofemoral pain. HubMed – rehab



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Zach Sandy, 18, Shares Journey After Lightning Strike

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Since then, Zach has been to four medical centers. He spent the longest time at West Penn Burn Center in Pittsburgh. Until Wednesday, he was doing rehabilitation at HealthSouth in Morgantown. In the two weeks since Zach was struck, he re-gained his …
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