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Sacral nerve stimulation for treating faecal incontinence and constipation in adults | Cochrane

Importance of the review/Background: Faecal incontinence occurs when a person passes stools without the usual control. Constipation is harder to define but generally describes a situation in which a person feels that their bowel opening is unsatisfactory (usually a combination of difficulty or infrequency of passing stools). Both conditions can severely affect people's quality of life. There are many non-surgical treatments for both conditions but occasionally surgery is required when other options fail. Sacral nerve stimulation (SNS) is a relatively new treatment for these conditions. It involves implanting a battery-powered stimulator unit in the buttock. This is connected to electrodes which rest on the nerves in the lower spine. The stimulator then continuously sends impulses to the nerves and muscles that control the bowel and anus. Initially, a temporary electrode lead is connected to a portable battery unit outside the body. If symptoms are improved enough, this is replaced by the implanted battery.  
cochrane.org
about 5 years ago
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Implantable Electrical Stimulation Therapy for Treating Scoliosis |

Some scientists believe that in many people scoliosis develops because of the unequal pressure that muscles on the sides of the spinal column tend to exert  
medgadget.com
about 5 years ago
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US neurosurgeon deliberately botched spine operations, prosecutors allege

A US neurosurgeon is accused of leaving a trail of death and disability after botching spine operations in what prosecutors allege were deliberate attacks on his patients.  
feeds.bmj.com
about 5 years ago
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US neurosurgeon deliberately botched spine operations, prosecutors allege

A US neurosurgeon is accused of leaving a trail of death and disability after botching spine operations in what prosecutors allege were deliberate attacks on his patients.  
feeds.bmj.com
about 5 years ago
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Interventions for the treatment of spinal cord compression due to the spread of cancer | Cochrane

Metastatic extradural spinal cord compression (MESCC) due to cancer from other parts of the body affecting the spine and causing compression of the spinal cord often results in pain, impaired functioning including reduced ability to walk, incontinence, and shortened survival. Radiation is the mainstay of treatment, but surgery, and corticosteroids are also used to treat people with MESCC. This update of a previous review published in 2008 evaluates the clinical trial evidence up to 3 March 2015 to determine how effective radiotherapy, surgery and corticosteroids are in improving functioning and survival, and in reducing pain; and how well tolerated they are in adults with MESCC.  
cochrane.org
about 5 years ago
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Using ultrasound to aid diagnosis of patients with a 'blunt' injury to the abdomen | Cochrane

Many people admitted to hospital after an injury have 'blunt' (not penetrating) damage to the abdomen. Doctors treating these patients need to know whether the organs within the abdomen have been injured. Ultrasound scans are believed to help diagnose the patient's condition. In this review, the authors looked for studies that compared death rates in patients with an abdominal injury where ultrasound was used to aid diagnosis with death rates where no ultrasound was used. They also looked for evidence that ultrasound use could reduce the need to carry out other more complex and more expensive diagnostic tests. However, very few trials have been done and the authors concluded that there is insufficient evidence to justify the use of ultrasound as part of the diagnosis of patients with abdominal injury. Given this degree of uncertainty, it is probably justified to ask doctors on duty for a confirmatory CT scan in patients who have sustained an injury with a high chance of major trauma (that is, head and brain injury, cervical spine fracture, thoraco-abdominal pelvic trauma, and other injuries).  
cochrane.org
about 5 years ago
Is 150910 hip pelvis x ray 800x600
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FDA Strengthens Fracture Warning for Canagliflozin

New clinical trial data for canagliflozin confirmed previously noted risk about fractures and reduced bone mineral density in the hip and spine, prompting the FDA to revise the product label.  
medscape.com
about 5 years ago
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Failure to Reposition Increases Pressure at the Sacrum

Are patients who slide down more likely to develop pressure ulcers?  
medscape.com
about 5 years ago
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JC: Self extrication vs. assisted extrication. St.Emlyn's - St.Emlyn's

Journal Club Self extrication vs. assisted extrication. St.Emlyn's critical appraisal of cervical spine injury movements in prehospital care  
feedproxy.google.com
almost 5 years ago
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Position and spinal bracing for pain relief in adults with metastatic spinal cord compression | Cochrane

Metastatic spinal cord compression (MSCC) is a serious complication of advanced cancer that can cause pain and mobility (movement) problems as well as paralysis. For many patients, a diagnosis of MSCC indicates the final stages of their illness. The spread of cancer to the spinal column can make walking unsafe. However, staying in bed risks deep vein thrombosis or pressure sores. Supporting the spine with spinal bracing (neck, thoracic spine, or lumbar support) may prevent further spinal collapse, but may be uncomfortable or ineffective.  
cochrane.org
almost 5 years ago
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Surgery for curvature of the spine in patients with Duchenne muscular dystrophy | Cochrane

What is the effectiveness and safety of spinal surgery to treat scoliosis in patients with Duchenne muscular dystrophy (DMD)?  
cochrane.org
almost 5 years ago
Sinaiem dark
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is-it-time-to-end-routine-c-spine-immobilization

Cervical spine immobilization is a routine precaution taken by both EMS and Emergency Departments for patient who experience oftentimes minimal trauma. The purpose of maintaining immobilization of the cervical spine with suspected bony injury is to prevent secondary injury.  Other than patient discomfort, maintaining cervical spine immobilization is oftentimes resource-heavy and can complicate essential procedures and tasks such as intubation or central line insertion. So why are we doing it?  
sinaiem.org
almost 5 years ago
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Australian toddler's head re-attached to spine - BBC News

A toddler is expected to make a full recovery after a near-fatal car accident caused his head to detach from his spine.  
bbc.co.uk
almost 5 years ago
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Spondylolysis,Spondylolisthesis,Spondylitis&Spondylosis-EverythingYou Need To Know-Dr.Nabil Ebraheim

Educational video describing the difference between Spondylolysis, Spondylolisthesis, Spondylitis & Spondylosis - lumbar spine. Become a friend on facebook: ...  
youtube.com
almost 5 years ago
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Radiofrequency denervation for chronic low back pain | Cochrane

Background Low back pain is a widespread problem that has major social and economic consequences. In all, 85% to 90% of low back pain cases are classified as 'non-specific'. Most patients with low back pain are treated successfully in primary care, but approximately 10% to 15% develop chronic symptoms (lasting longer than three months). Chronic low back pain can come from any part of the back that has a nerve supply capable of transmitting pain signals. These sources include discs, vertebrae, sacroiliac joints, facet joints, muscles, ligaments and other structures. Pain specialists try to identify the source of low back pain by using nerve blocks. They numb individual spinal nerves with anaesthetic injections to see if this leads to improvement in back symptoms. With substantial pain relief, they attempt to eliminate pain for a longer time by heating the spinal nerves with radiofrequency waves to ensure that the pain stimulus cannot be passed. This invasive procedure is called radiofrequency denervation. At this time, the effectiveness of this approach has not been proven.  
cochrane.org
almost 5 years ago
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3 Posters for World Airway Management Meeting 2015

#wamm2015 https://t.co/Hy3IrdiUqD — Dr Pierre Bradley (@lowebrad) November 10, 2015 //platform.twitter.com/widgets.js #WAMM2015 https://t.co/RJ8uq5qhcH — Dr Pierre Bradley (@lowebrad) November 10, 2015 //platform.twitter.com/widgets.js #WAMM2015 https://t.co/EgzlJqP8si — Dr Pierre Bradley (@lowebrad) November 10, 2015 //platform.twitter.com/widgets.js Jason Chou's Emergency airway management in a prone morbidly obese trauma patient during c spine surgery pic.twitter.com/sIznF1z4rI — Dr Pierre Bradley (@lowebrad)…  
prehospitalmed.com
almost 5 years ago
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MRI Predicts Outcome in Congenital Melanocytic Naevus

This study demonstrates the value of a single screening MRI of the spine and brain in the evaluation of children with multiple congenital melanocytic nevi.  
medscape.com
almost 5 years ago
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Surgical Treatment of Lumbar Degenerative Spondylolisthesis

What is the preferred operative approach for degenerative spondylolisthesis, and which factors may influence the treatment choice? A survey of spine surgeons provides some insight.  
medscape.com
almost 5 years ago
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index.html

     Activities Index Chapter Activity Names 1 Levels of Biological Organization Dorsal and Ventral Cavities Body Planes Anatomical Terminology:Orientation and Directional Terms 2 The Structure of Atoms Common Elements in Living Organisms Electron Arrangement Ionic Bonds Covalent Bonds Characteristics of Acids, Bases, and Salts 3 Parts of the Cell: Structure Structure of the Plasma Membrane Membrane Transport Selective Permeability Passive Transport Identifying Connective Tissue 4 Structure of the Skin 5 Microscopic Structure of Compact Bone Common Types of Fractures Facial Bones Typical Vertebra Classification of Bones Types of Synovial Joints 6 Connective Tissue Wrappings of Skeletal Muscle Microscopic Anatomy of Skeletal Fiber Organizational Level of Skeletal Muscles Graded Muscle Responses Muscles of the Body Posterior Surface Musclulature 7 Glial Cells and Their Functions Classification of Neurons The Human Brain: Sagittal Section Parts of the Brain Meninges of the Brain Anatomy of the Spinal Cord Cranial Nerves Structure of a Nerve Descriptions of Cranial Nerves Distribution of Spinal Nerves 8 Internal Structures of the Eye Optics of the Eye Internal Structures of the Ear 9 Hormones and Their Target Cells Ionic Calcium Levels in Blood Regulation of Blood Sugar Levels by Insulin and Glycogen 10 Formed Elements 11 External Anatomy of the Heart Frontal Section of the Heart Intrinsic Conduction System of the Heart Arterial Circulation Veins of the Systemic Circulation 12 Lymphatic Collecting Vessels and Regional Lymph Nodes Events in Allergic Reactions 13 Anatomy of the Upper Respiratory Tract Gas Transport 14 Digestive System Basic Structure of the Alimentary Wall Gastrointestinal Tract Activities Overview of Cellular Respiration 15 Anatomy and Function of the Nephron Nephron Activity Early Filtrate Processing 16 Male Reproductive Anatomy: Sagittal View The Female Menstrual Cycle  
media.pearsoncmg.com
almost 5 years ago