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Visio-vestibular examination is critical part of diagnosing concussion in young athletes

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Philadelphia, April 15, 2021 - Early and accurate diagnosis leads to optimal recovery from concussion. Over the past year across a series of studies, the Minds Matter Concussion Program research team at Children s Hospital of Philadelphia (CHOP) has systematically evaluated the use of the visio-vestibular examination (VVE) and its ability to enhance concussion diagnosis and management. The latest of these studies published online today in the
Clinical Journal of Sports Medicine.
The VVE involves a series of brief eye movement and balance tests intended to identify deficits in brain function involving the visual and vestibular systems. Researchers found that the VVE presents several advantages over current clinical measures, moving beyond subjective symptoms with a rapid, repeatable and quantifiable clinical exam. The team also found that the VVE is easy to administer across various clinical settings where children are initially seen following head injury when ....

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Expert reviews discuss key topics in bone disorders and chronic kidney disease

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Metabolic bone disease is a common complication of chronic kidney disease (CKD) and involves a broad spectrum of disorders of mineral metabolism that result in both skeletal and extra-skeletal consequences.
A new special issue of
Calcified Tissue International brings together a comprehensive series of state-of-the-art reviews which discuss key issues in CKD and mineral and bone disorders, known as CKD-MBD. Authored by a multidisciplinary group of leading international experts, the wide-ranging reviews aim to improve the understanding and management of CKD-MBD, and advance interdisciplinary knowledge.
Professors René Rizzoli and Stuart Ralston, Editors of
Calcified Tissue International, stated:
We greatly thank the authors for their contributions and the guest editors Professors J. B Cannata-Andía, N. Carrillo-López, and A. Ferreira, for curating this excellent series of reviews. The special issue brings together multidisciplinary expertise ....

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For hip fracture patients, hospital reimbursements rising faster than surgeon reimbursements

The gap in Medicare reimbursements to hospitals compared to surgeons widened substantially in the last decade - even as patient outcomes improved and healthcare resource use decreased, according to a new analysis by Brian Werner, MD, and colleagues of UVA Health, Charlottesville, Va. The results confirm our hypothesis that hospital charges and payments contribute significantly more to the increasing cost of treating a hip fracture patient than surgeon charges and payments do, the researchers write.
Hospital payments rise rapidly, despite shorter lengths of stay
To evaluate trends and variations in hospital versus surgeon charges and payments, the researchers analyzed Medicare data on more than 28,000 patients treated for hip fracture between 2005 and 2014. Charges refer to the list prices set by hospitals and surgeons; payments refer to the fixed prices that Medicare pays for specific procedures. The analysis included patients with two hip fracture sites and three dif ....

Wolters Kluwer , Brian Werner , Orthopaedic Trauma Association , Orthopaedic Trauma , Orthopaedic Surgeons , Medicine Health , Orthopedic Medicine , Trauma Injury , வால்டர்ஸ் க்லூவர் , பிரையன் வெர்னர் , எலும்பியல் அதிர்ச்சி சங்கம் , எலும்பியல் அதிர்ச்சி , எலும்பியல் அறுவை சிகிச்சை நிபுணர்கள் , மருந்து ஆரோக்கியம் , எலும்பியல் மருந்து , அதிர்ச்சி காயம் ,

Examining the value of lumbar spine surgery

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PHILADEPHIA - Since the 1990s the rate of spinal fusion to treat lower back pain has been on the rise. A new prospective clinical study published in the journal
Neurosurgery, the official journal of the Congress of Neurological Surgeons, found that lumbar fusions were three times more likely to be effective and obtain better patient outcomes, when guidelines for fusion were followed. The results suggest that when surgeons operate outside of what the evidence based literature suggests, patients may not have significant improvements in their quality of life and could have increased pain or other limitations.
Unfortunately, we don t know how many lumbar fusion surgeries are not based on evidence-based best practice, or how these patients do clinically, says neurosurgeon James Harrop, MD, MSHQS professor and chief of the Spine and Peripheral Nerve Surgery division at the Vickie and Jack Farber Institute for Neuroscience - Jefferson Health. The study goal was ....

United States , Ashwini Sharan , Jack Jallo , Josh Heller , Fadi Al Saiegh , Glenna Gonzalez , Chengyuan Wu , Geoffrey Stricsek , Kevin Hines , Alexandra Emes , Umma Fatema , Lucas Philipp , Edyta Zielinska , James Harrop , Jefferson Health , Jack Farber Institute For Neuroscience , Neurological Surgeons , Peripheral Nerve Surgery , Jack Farber Institute , North American Spine Societies , Oswestry Disability Index , Ameet Chitale , Sara Thalheimer , Medicine Health , Orthopedic Medicine , ஒன்றுபட்டது மாநிலங்களில் ,

Telemedicine versus office-based follow-up after meniscal surgery: Trial shows 'equivalent' patient satisfaction scores

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March 15, 2021 - After arthroscopic surgery on the meniscus of the knee, patients using telemedicine for postoperative follow-up are just as satisfied with their care as those making in-person visits, reports a study in
Patient satisfaction with overall care is equivalent between telemedicine and office-based follow-up after an arthroscopic meniscal surgical procedure in the immediate postoperative period, according to the randomized trial report by Christina P. Herrero, MD, and colleagues of NYU Langone Health, New York , and colleagues.
Telemedicine is a reasonable alternative for postoperative visits
The study included 122 patients who underwent arthroscopic surgery of the meniscus - sometimes called the shock absorber of the knee. About 88 percent of patients underwent removal of the meniscus (meniscectomy), and the rest underwent meniscal repair procedures. Arthroscopic meniscal surgery is one of the most common orthopaedic surgical procedures. ....

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