Mind Control: From Nazis to DARPA

Kinesiotaping is a brand of kinaesthetic tape whose material is latex free and quick drying tape so that it mimics the qualities of human skin through its thickness and flexibility. It has become increasingly popular among both patients and sportsman. In this personal opinion review it is aimed to discuss kinesiotaping and its effectiveness regarding the current literature.

Background/Purpose: To evaluate the effectiveness of primary neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior capsulotomy in pediatric cataract surgeries.

Methods: Retrospective analyses of 19 eyes of 11 patients with developmental cataract who had undergone cataract surgery between 2012 to 2016 were included in the study. All the cases that had undergone phacoemulsification with foldable acrylic Intra Ocular Lens (IOL) in which the posterior capsule was left intact, and followed by Nd:YAG capsulotomy after one to two weeks’ of surgery were included. Traumatic cataracts and those which needed anterior vitrectomy due to dehiscence of posterior capsule were excluded from the study.

Results: The mean age of the study population was 7.42 ± 3.39 years withaminimum age of 3 years andamaximum of 14 years. The maximum follow-up period was found to be 33 months. The mean preoperative visual acuity in the study group was 0.87 log MAR units anda statistically significant improvement was noted post operatively. All 19 eyes had a clear visual axis at thelast follow up. No eye developed visual axis opacification or required any further intervention.

Conclusion: This study proposes that leaving the vitreous undisturbed and performing YAG capsulotomy after two weeks is moreeffective than a primary posterior capsulorhexis with anterior vitrectomy especially in children older than 3 years. It is a safe and easier method even at the hands of inexperienced surgeons who may have to take up a developmental cataract in under developed and less accessible parts of the world.

Introduction: The lack of physical activity in obese subjects, which is a major problem, can be explained by the presence of several brakes including non-medical. The objective of this study is to evaluate the impact of a physical activity education program during a week of hospitalization that was created at the University Hospital of Tours in the department of PRM in the context of the management of obese patients.

Material and Methods: This was a prospective, single-center, routine care study. Included were 30 adult obese patients, assessed 1 to 3 months prior to their admission to the clinic, where oral counseling was given (T0), day of hospitalization (T1) and 1 month of hospitalization (T2). The primary endpoint was the evaluation of kinesiophobia by TSK. The secondary judgment criteria were the assessment of beliefs in anxious avoidance by the FABQ, quality of life by the IWQOL-Lite questionnaire and physical activity practice with the IPAQ and the Dijon score. Our hypothesis was that variation in primary and secondary outcomes was greater after one week of physical activity education than after consultation with oral counsel.

Results: The change in the kinesiophobia score between T1 and T0 was -1.3 (p=0.1029), the change in this score between T2 and T1 was -4.4 (p=0.0001) with Δ2 (T2-T1) significantly greater than Δ1 (T1-T0), p=0.003448.

Conclusion: This work highlights that a week of physical activity education in hospitalization proposed to obese patients allows a significant improvement superior kinesiophobia compared to a medical consultation with oral counseling.

Introduction: Chemotherapy-Induced Peripheral Neuropathy (CIPN) is one of the most concerning side-effect of chemotherapeutic agents and is known to cause loss of sensation, muscle weakness, deficits in balance, neuropathic pain as well as autonomic symptoms. It can lead to a reduced participation in activities of everyday life and a decreased quality of life. Physical therapy offers one possibility to approach these problems. The overall purpose of this paper was the development of a literature-based physiotherapeutic strategy for the treatment of CIPN in children and adolescents.

Methods: For concept construction a literature search in the medical databases MEDLINE, the Cochrane library, PEDro, CINAHL and Embasewas performed. Results have been reviewed and assessed according to their applicability to pediatric CIPN patients.

Results: Most studies found in the literature were conducted with adults or childhood cancer patients with no specifically diagnosed CIPN. No study could be found explicitly examining physical therapy options for CIPN in children and adolescents. The concept consists of twelve age- and severity-adapted therapy settings and is designed for children and adolescents between the ages of 2-17 years.

Conclusion: The proposed physiotherapeutic strategies are the first step towards an evidence-based approach in the treatment of CIPN symptoms in children and adolescents. According to literature, sensorimotor training seems to have the highest potential to improve CIPN symptoms. Further, some studies support evidence for foot bathing, exercises for strengthening and stretching as well as vibration therapy.

In article is considered, first, psychological processes of formation of thinking on the basis of tool mental energy. Secondly, new approach to realization of behavior tool mental energy. Thirdly, formation and improvement of consciousness tool spiritual mental energy.

Background: Access to primary care is vital for any patient. For patients with disabilities, particularly with spinal cord injuries, primary care is difficult to find. Most primary care providers do not have physically accessible clinics, nor do they have a provider knowledgeable of spinal cord injury care. With little to no access to a primary care provider, most individuals with spinal cord injuries will typically turn to rehabilitation centers and clinics for their healthcare needs. These clinics are generally equipped to handle the specialty care needs of these individuals, such as bowel and bladder care, neuropathic pain, spasticity, and other physical related issues. However, these centers typically do not provide primary care services; the focus is strictly on the specialty care needs of this population.

Purpose: The purpose of this project is to develop a model of care that integrates primary care into specialty care clinics for patients with spinal cord injuries, specifically at Rancho Los Amigos National Rehabilitation Center’s Outpatient Center.

Methods: A review of evidence based literate was completed on the healthcare needs of the spinal cord injury population including a review of models of care to integrate primary care into specialty care. The Donabedian framework was used to guide the Spinal Cord Injury Medical Home Model using three components: structure-process-outcomes [1]. This model will be validated by a panel of experts knowledgeable on spinal cord injury and primary care.

Results: The content of the model is organized by Donabedian’s structure, process, and outcomes framework. The model includes the relevance and importance on key components of care including physical space requirements, equipment needs, personnel, coordination, referral management and healthcare outcomes.

Conclusion/Implications: This model has the potential to improve overall access to care, improve care coordination, and improve patient outcomes. The next step will be to implement and evaluate the model. Once implemented and evaluated, the model of care can be further replicated at other outpatient spinal cord injury specialty care centers due to its scalability.

Background: Post-injury or degenerative knee joint pain is one of the most common causes of chronic pain in industrialized countries. It leads not only to a significant reduction in the quality of life and to disability, but also to the need for medical interventions with considerable treatment costs. The 12-months prevalence of work disability is 5-22%. For these patients, effective physiotherapeutic and physical treatment for recovery is very essential.

Patients & Therapies: A new therapeutic approach is Sanotaping®, in which standardized physiotherapy is combined with tapes coated with metallized polymers (gold and silver). In the prospective randomized trial 110 patients were grouped according to the following treatment regimes: A – physiotherapy only; B – physiotherapy + taping; C – physiotherapy + Sanotaping®. The 60-minute physiotherapy included standardized physiotherapy, cold thermotherapy, electrotherapy, patella mobilization and isometric/isotonic stretching. All patients were surveyed by regarding subjective efficacy parameters.

Results: 107 of 110 patients were enrolled in the study. 75 of them additionally answered the questionnaire. After 12 units the combination of physiotherapy + Sanotaping® (group C) showed a significant pain reduction and a significant improvement of extension and flexion compared to the groups with physiotherapy only or with standard tape. Additionally the patients of group C showed the greatest reduction in swelling.

Conclusion: This prospective, randomized study indicated that the early application of physiotherapy is of utmost importance, because the entire physiology is restored and the quality of life is improved. The excellent treatment results of the combined therapy of Sanotaping® and physiotherapy as well as rehabilitative treatments should be emphasized. Its sustainability should be a basis for the implementation of combined treatment with functionally applied, metallized polymers (Sanotaping®) in conservative as well as in pre- and postoperative physiotherapy and rehabilitation.

Objective: To figure out the latest incidence rate of pneumonia after post-stroke-dysphagia (PSD), related literature was included, then a meta-analysis was completed.

Methods: Articles on the incidence rate of pneumonia after PSD was searched by manual and electrical databases. Data were selective by screening the abstract, browsing the full text according to diagnostic criteria, and extracting the data on incidence rate of pneumonia. Subsequently, a meta-analysis was performed using Stata 16.

Results: 1900 studies were initially retrieved and 14 studies met the inclusion criteria for meta-analysis after extraction. The meta-analysis showed that the pooled incidence rate of pneumonia was 39% and the overall effect was 11.046 with high heterogeneity (I2>75%) using random effects. Furthermore, the incidence rate of pneumonia in the dysphagia group was 4.39 times higher than in the non-dysphagia group, with medium heterogeneity I2=60.5%. To find the heterogeneity, a subgroup analysis was carried out and the results indicated that the incidence rate of pneumonia was 37% in the prospective group and 26% in the retrospective group, but all with high heterogeneity (I2>75%). Finally, the combined incidence rate of hospital-acquired pneumonia was 0.26 without heterogeneity, which could be associated with sources and types of literature.

Conclusion: Our results have analyzed the incidence rate of pneumonia after PSD in 14 related literature, and the results showed that there was a 39% incidence rate of pneumonia in PSD patients, which might have certain guiding significance for early treatment and prognosis of pneumonia.