Evaluation of Psychological Aspects Among Subtypes of Irritable Bowel Syndrome.

Evaluation of psychological aspects among subtypes of irritable bowel syndrome.

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Indian J Psychol Med. 2012 Apr; 34(2): 144-8
Farzaneh N, Ghobakhlou M, Moghimi-Dehkordi B, Naderi N, Fadai F

While some studies have found disparities between subtypes of irritable bowel syndrome (IBS), others did not found such differences.This study aimed to investigate whether there are differences in psychological features between the subtypes of IBS.A cross-sectional study was performed on all consecutive outpatients IBS diagnosed (from Oct. 2010 to Oct. 2011) in Taleghani Hospital gastroenterology clinic, Tehran, Iran.A total of 153 consecutively diagnosed IBS patients (using Rome III criteria); including 80 constipation-predominant (IBS-C), 22 diarrhea-predominant (IBS-D), and 51 mixed IBS (IBS-M) were asked to complete the Symptom Checklist 90 Revised (SCL-90-R).Pearson’s chi-square test was used to compare nominal variables. One-way ANOVA was used to compare continuous variables.Although IBS-C patients were more suffered from psychiatric disorders, there were no statistical differences between mean score of IBS-C, IBS-D, and IBS-M patients regarding to all of SCL-90-R subscales and three global indices including Global Severity Index (GSI), Positive Symptom Distress Index (PSDI) and Positive Symptom Total (PST) (P<0.05).Our finding showed that there are no different symptomatic profiles between IBS subtypes. HubMed – rehab

 

Neglected locked vertical patellar dislocation.

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Indian J Orthop. 2012 Sep; 46(5): 581-4
Gupta RK, Gupta V, Sangwan SS, Kamboj P

Patellar dislocations occurring about the vertical and horizontal axis are rare and irreducible. The neglected patellar dislocation is still rarer. We describe the clinical presentation and management of a case of neglected vertical patellar dislocation in a 6 year-old boy who sustained an external rotational strain with a laterally directed force to his knee. Initially the diagnosis was missed and 2 months later open reduction was done. The increased tension generated by the rotation of the lateral extensor retinaculum kept the patella locked in the lateral gutter even with the knee in full extension. Traumatic patellar dislocation with rotation around a vertical axis has been described earlier, but no such neglected case has been reported to the best of our knowledge.
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Phase-dependent respiratory-motor interactions in reaction time tasks during rhythmic voluntary breathing.

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Motor Control. 2012 Oct; 16(4): 493-505
Li S, Park WH, Borg A

The study investigated squeezing reaction time (RT) in response to a visual cue during rhythmic voluntary breathing at 0.6 Hz paced by a metronome, breath holding, or at rest in 13 healthy subjects. Rhythmic voluntary breathing slowed down RT, only in the expiratory phase with accompanied changes in the length of respiratory phases, while breath-holding reduced RT. The prolonged RT during voluntary expiratory phases and the absence of changes in RT during voluntary inspiratory phases are most likely related to disproportionally increased cognitive demands during the expiratory phase of voluntary breathing. The absence of changes in RT during voluntary inspiration is likely to be compensated by respiratory-motor facilitation mechanisms in this phase. Shortened RT during breath holding is possibly associated with increased attention.
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Issues Affecting the Delivery of Physical Therapy Services for Individuals With Critical Illness.

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Phys Ther. 2012 Nov 15;
Pawlik AJ, Kress JP

Research supports the provision of physical therapy intervention and early mobilization in the management of patients with critical illness. However, the translation of care from that of well-controlled research protocols to routine practice can be challenging and requires further study. Discussions in the critical care and physical therapy communities, as well as in published literature, are investigating factors related to early mobilization such as transforming culture in the intensive care unit, encouraging interprofessional collaboration, coordinating sedation interruption with mobility sessions, and determining the rehabilitation modalities that will most significantly improve patient outcomes. Some variables, however, need to be investigated and addressed specifically by the physical therapy profession. These include assessing and increasing physical therapist competence managing patients with critical illness both in entry-level educational programs and clinical settings, determining and providing an adequate number of physical therapists for a given intensive care unit, evaluating methods of prioritization of patients in the acute care setting, and adding to the body of research to support specific functional outcome measures to be used with patients in the intensive care unit. Additionally, as persistent weakness and functional limitations can exist long after the critical illness itself has resolved, there is a need for increased awareness and involvement of physical therapists in all settings of practice, including outpatient clinics. The purpose of this paper is to explore the issues that the physical therapy profession needs to address as the rehabilitation management of the patient with critical illness evolves.
HubMed – rehab

 


 

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