Wednesday 29 May 2013

Osteoarthritis grading system - Kellgren and Lawrence


X-ray of knee with grade 1 osteoarthritisX-ray of  knee with grade 2 osteoarthritis
X-ray of knee with grade 3 osteoarthritisX-ray of knee with grade 4 osteoarthritis

Top Left - Grade I
Top Right - Grade II
Bottom Left - Grade III
Bottom Right - Grade IV

Photos source: synoviscone.com

The Kellgren and Lawrence system for grading osteoarthritis is based on xrays and consists of Normal, Grade I, Grade II, Grade II and Grade IV.

It measures the presence of typical features of osteoarthritis:

Joint space narrowing - bone is visible on xray but the articular cartilage that covers it is not. A normal joint therefore appears to have a space between the bones. Any decrease in space implies a reduction in cartilage cover.

Osteophytes - small bony projections that form around joint margins. Thought to be a result of the body trying to increase joint surface area to decrease pressure. They are responsible for limiting range of motion and can cause pain.

Sclerosis - this means 'hardening' and is a sign of osteoarthritis, seen as increased white areas in the bone at the joint margins.

• Grade I: doubtful narrowing of joint space and possible osteophytic lipping
• Grade II: definite osteophytes, definite narrowing of joint space
• Grade III: moderate multiple osteophytes, definite narrowing of joint space, some sclerosis and possible deformity of bone contour
• Grade IV: large osteophytes, marked narrowing of joint space, severe sclerosis and definite deformity of bone contour

You can read more here. A very nice blog dedicated to knee osteoarthritis.

A very nice pdf file with some general guidelines for assessment and treatment publishes by the Brigham and Women's Hospital can be found here.

(these sources were suggested to me by my classmate Bita Lotfaliei)

Tuesday 28 May 2013

Sunday 26 May 2013

The ICF Framework



The WHO's ICF reflects the modern day thinking about disability and embodies a paradigm shift in the way health and disability are understood and measured. ICF is based on a bio-psychosocial model of functioning and disability, in which functioning and disability are multi-dimensional phenomena experienced at the level of the body, the person, and society. In addition, a classification of environmental factors is included that allows users of the ICF to record the positive or negative impact of the environment on a person's functioning.


After reading this chapter, the reader should be able to:

Understand ICF's model and structure
Appreciate importance of standards to disability statistics
Describe ICF's structure and coding for population data collection

(this link was suggested to me by my classmate Bita Lotfaliei)

Anatomy of the human body_1



This video was recorded at the Institute for Plastination in Heidelberg, Germany, in front of an international audience of body donors and anatomy students.

All bodies dissected were formally donated to the Institute and the donors consented to their remains being used for educational purposes.

Plastination



Home

Plastination is a technique or process used in anatomy to preserve bodies or body parts, first developed by Gunther von Hagens in 1977. The water and fat are replaced by certain plastics, yielding specimens that can be touched, do not smell or decay, and even retain most properties of the original sample.



The official website of von Hagens plastination is this.

Watch this amazing video on plastination:



(I would like to thank my friend Anestis Divanoglou, PT that introduced me to this subject).

The student physical therapist



I recently came across with a beautiful blog from 3 students in the USA. It is similar to my idea but a lot more advanced.


I am sure all students will love the page with the special testing for each joint, but there are a lot more you can find in there.

Friday 24 May 2013

Assessment & treatment guidelines_2



After "Assessment & treatment guidelines_1", I am posting the next file with assessment and treatment guidelines for the following cases:

Cervical radicular syndrome
Lumbar radicular syndrome
Collum femoris fracture
Esophagectomy
Coronary artery bypass
WAD
COPD
Scoliosis
L4 fracture
Subcapital humerus fracture
Acute myocardial infarction

Physiotherapy after dynamic hip screw (DHS)



After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals.  It allows you to start walking straight after surgery, preventing the complications that can occur if you stay in  bed for long periods.

Physiotherapy is vital to make the most of your surgery and is essential to ensure the success of the operation.

Ream more and find the guidelines for physiotherapy after dynamic hip screw, posted by the The Royal Free London Orgnanization.

Thursday 23 May 2013

The beauty of sign language



The song is in Greek (my mother tongue), but the beauty, the body motion, and the use of the sign language amazes me..!

One of my goals in life is to learn it.

The controversy behind cross-fit training



A very nice article on the good and bad effects of cross-fit training by livestrong.com:

Cross-fit is intense, effective, and hugely popular. But is it also too dangerous?

Ryan Palmer had a tough week. On Monday, the 26-year-old job battled squat presses and ring dips. Tuesday, a clean and jerk set where he squeezed out 30 reps with 135 pounds. The following day, even though his muscles were still aching, he performed a total of 150 pull-ups and 150 burpees.

Palmer took a break from exercise on Thursday, but the next morning he went for a long bike ride. The following day his arms were uncharacteristically sore and swollen, his urine the color of black tea that had been seeping for hours. Instead of suiting up in workout gear on Sunday, he found himself in a hospital gown hooked up to an IV drip that flushed his kidneys with more than nine liters of saline. As his creatine kinase levels—the amount of muscle protein broken down poisoning his blood stream— declined at the pace of a snail, he pulled out his phone to send a tweet to his fellow athletes. With one flash of the camera, Palmer revealed the frightening results of a kidney test, and offered a simple caption: “Uncle Rhabdo, is that you?”

Global recommendations on physical activity for health


 WHO | World Health Organization

Click here to download the information sheet with the physical activity recommendations for adults aged 18-64 (PDF, file size: 126 KB), recommended by the World Health Organization.

(this article was suggested to me by my classmate Bita Lotfaliei)

Wednesday 22 May 2013

The Royal National Orthopaedic Hospital - UK



"RNOH is the largest orthopaedic hospital in the UK and regarded as a leader in the field of orthopaedics both in the UK and world-wide.

We provide a comprehensive and unique range of neuro-musculoskeletal healthcare, ranging from acute spinal injuries to orthopaedic medicine and specialist rehabilitation for chronic back sufferers.

RNOH also plays a major role in teaching. Over 20% of all UK orthopaedic surgeons receive training at the RNOH. Our patients benefit from a team of highly specialised consultants, many of whom are nationally and internationally recognised for their expertise.

We enhance our clinical effectiveness by working in partnership with University College London and in particular UCL’s Institute of Orthopaedic and Musculoskeletal Science, based on the Stanmore campus. The IOMS, together with the RNOH, has a long track record of innovative research leading to new devices and treatments for some of the most complex orthopaedic and musculoskeletal conditions.


The Spinal Cord Injury Centre at the RNOH is one of only 11 in the UK designated to receive and treat spinal cord injured patients. The Centre currently has 24 beds comprising of eight acute beds and 16 rehabilitation beds. However there is the capacity to treat up to 40 patients within the RNOH at any one time.

Patients are admitted predominantly from the south east of England on an urgent referral basis. The aim is to admit all patients as soon as possible following their injury. The centre consists of a team of multi-professional specialists who work towards a patient focused service and rehabilitation is based around patient centred goals.

Children and adolescents with spinal cord injury can be admitted to the RNOH. They are initially managed on the Alan Bray Unit (Intensive Care/High Dependency Unit) and subsequently on the paediatric/adolescent units by the Spinal Injuries Team".

Tuesday 21 May 2013

A new integrated model for dementia management



A Greek interdisciplinary scientific group proposes new technologies, novel neuroscientific concepts and advanced socio-economic and administrational organisation to ease the management of dementia in elderly.

source: CERN

Dr. Kostas Petsanis
Thursday 23 May from 6.30 p.m. to 8.00 p.m. @CERN
Council Chamber

The general economic crisis while being a nightmare for the society, it has also given way to a new kind of reorganization and living. Elderly people come up against many health problems. A society of elders needs flexible solutions in every day living in order to avoid social and health stalemates. The mood and cognition in the elderly turn out to be doubtful and problematic. These situations give rise to a continuously growing number of depressed and demented elderly people with catastrophic results to the quality of life and social management. Αn interdisciplinary group of greek scientists proposes a novel advanced process of ambient interaction for elderly people with dementia using new computer-aided technologies.

This new integrated model for dementia management embraces new neuroscientific and social concepts, driven by the ways elderly people confront their everyday living problems, their moods and their cognitive disabilities. Incorporating technological applications, environmental modifications and neurocognitive knowledge in patient's daily care, we give them the opportunity to maintain their existing abilities, be active during daily life, improving their emotional status and increasing the quality of their life markers. Through these sophisticated interventions, elders can be treated using light and sound technology, avoiding unnecessary pharmacological interventions, being socially active and enjoying a variety of activities. Multi-sensorial patterns such as robots, telemedicine applications, computerized brain training, special therapeutic applications such as music intervention bed, sensory rooms, therapeutic virtual train and smart home devices constitute basic parts of the individualized patient treatment. Furthermore, ambient strategies and behavioral techniques such as doll therapy, art programs, environmental solutions and memory products are main tools during the personalized elder care. Using the collaboration among various scientific views, we intent to focus on daily needs, which appear mainly in everyday living. Patients with neurocognitive disorders can be treated with a humanistic approach while using simultaneously new electronic advances and pioneering neuropsychological data.

The future of dementia management looks particularly promising socially and technologically, where the needs of the elderly are respected.

Dr. Kostas Petsanis

Born in Thessaloniki, Greece in 1969. Gaduated in Modena Italy in 1997.

Medical doctor in army special forces in Greece. Medical doctor of the Hellenic Element in AFSouth NATO Allied forces in Naples Italy.

Trainee neurologist in Hippokrateion hospital in Thessaloniki Greece.

Neurologist from 2007. From 2008 until November 2012 neurologist at the Greek Association Alzheimer Disease. From 2008 until September 2011 special advisor and neurologist at home services for Dementia Patients in Thessaloniki.

From 2009 until now trainee in new technologies on dementia in special centers in Lombardia Milan. Member of the Psychogeriatric Society in Italy.

Phd in Neuropharmacology titled "Neuroprotective effects of an NMDA antagonist called Dap-5 after nerve crush in neonatal rats" .

Member of the "Applied Neurosciences and Social Managing Interdisciplinary Equipe" in Thessaloniki Greece.

The truth about mucus




Mucus is something everyone has, and some people wish they had a lot less of the stringy, gooey stuff.  Sure, it can be gross to blow globs of snot into tissue after tissue when you have a cold or sinus infection, but mucus actually serves a very important purpose.

"Mucus is incredibly important for our bodies," explains Michael M. Johns, III, MD, director of the Emory Voice Center and assistant professor of otolaryngology -- head and neck surgery at Emory University. "It is the oil in the engine. Without mucus, the engine seizes."


How much mucus is normal, and how much is too much? What does its color tell you about your health? Can you just get rid of it, or at least cut down on it, and how should you do that? Here are answers.

Mucus' Mission

Mucus-producing tissue lines the mouth, nose, sinuses, throat, lungs, and gastrointestinal tract. Mucus acts as a protective blanket over these surfaces, preventing the tissue underneath from drying out. "You have to keep them moist, otherwise they'll get dry and crack, and you'll have a chink in the armor," says Neil L. Kao, MD, associate professor of medicine at the University of South Carolina School of Medicine.

Mucus also acts as a sort of flypaper, trapping unwanted substances like bacteria and dust before they can get into the body -- particularly the sensitive airways. "You want to keep that environment, which is a sterile environment, free of gook," says Johns. "Mucus is kind of sticky and thick. It's got viscosity to it that will trap things."

But mucus is more than just sticky goo. It also contains antibodies that help the body recognize invaders like bacteria and viruses, enzymes that kill the invaders it traps, protein to make the mucus gooey and stringy and very inhospitable, and a variety of cells, among other things.

Why Am I Making So Much Mucus?

Even when you're healthy, your body is a mucus-making machine, churning out about 1 to 1.5 liters of the stuff every day. Most of that mucus trickles down your throat and you don't even notice it.

However, there are times when you do notice your mucus -- usually not because you're producing more of it, but because its consistency has changed.

"Typically, the mucus changes character. It gets thicker," Johns says. "When it has mass effect you feel it, and when you feel it, you want to hock." Some people just naturally have thicker, stickier mucus than others.

It generally takes a bad cold, allergy, or contact with something irritating -- like a plate of nuclear-hot Buffalo wings -- to throw your body's mucus production into overdrive.

For instance, during an allergic response to an offending trigger, such as pollen or ragweed, mast cells in your body squeeze out a substance called histamine, which triggers sneezing, itching, and nasal stuffiness. The tissue of the mucus membranes starts leaking fluid, and your nose begins to run.

Drinking milk may also make some people produce more mucus. Kao says that's due to gustatory rhinitis, a reflex reaction that's triggered by eating. Gustatory rhinitis is also why your nose runs when you eat hot peppers. Milk proteins cause the same type of response in some people. But although you may feel like you have more phlegm, you're not going to worsen a cold by drinking a glass of milk, Johns says.


Why Does My Mucus Change Color?

If you've ever stopped to look at the contents of the tissue after you've blown your nose, you may have noticed that your mucus isn't always perfectly clear. It may be yellow, green, or have a reddish or brownish tinge to it. What do those colors mean?

You might have heard that yellow or green mucus is a clear sign that you have an infection, but despite that common misperception, the yellow or green hue isn't due to bacteria.

When you have a cold, your immune system sends white blood cells called neutrophils rushing to the area. These cells contain a greenish-colored enzyme, and in large numbers they can turn the mucus the same color.

But "you can have perfectly clear mucus and have a terrible ear and sinus infection," Kao says. If you do have an infection, you'll likely also have other symptoms, such as congestion, fever, and pressure in your face, overlying the sinuses, Johns says.

Multi-hued mucus also relates to concentration of the mucus. Thick, gooey mucus is often greenish, Kao says.

Mucus can also contain tinges of reddish or brownish blood, especially if your nose gets dried out or irritated from too much rubbing, blowing, or picking. Most of the blood comes from the area right inside the nostril, which is where most of the blood vessels in the nose are located. A small amount of blood in your mucus isn't anything to worry about, but if you're seeing large volumes of it, call your doctor.

Monday 20 May 2013

Total hip replacement rehab protocol



Ellis & Badenhausen Orthopaedics, PSC
Ellis & Badenhausen Orthopedics, PSC is dedicated to providing the Louisville community with the highest quality of orthopaedic service. We will ensure that patient care remains the focus of our medical practice by maintaining an experienced staff and by keeping on the forefront of medical technology and research.

The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance.

Sunday 19 May 2013

Take on the role of the surgeon



Edheads creates unique, free Web experiences designed to make hard-to-teach science, technology, engineering, and math concepts understandable. Harnessing the myriad possibilities of the Internet and connecting to nationally recognized educational standards, we deliver in-depth content that allows K-12 students and the curious of all ages to learn intuitively in an online environment.

In this video you take the role of the surgeon throughout a total knee replacement surgery.

In this video you help Dr. Vanessa Mei cut, probe and drill her way to helping her patient cope with a movement disorder through brain surgery.

Have fun..!

Osteoarthritis



A nice educational video on osteoarthritis. You can also find two treatment guidelines here and here. Below you can see a patient with difficulty of walking due to severe osteoarthritis.


Saturday 18 May 2013

The Shuttle Walk Test (SWT)



The purpose of this test is to see how far and fast you can walk (without stopping for a rest) by following a series of time signals.

You can find a nice brief description of the test here.

The six-minute walk test (6MWT)


Measurement of exercise capacity is an integral element in assessment of patients with cardiopulmonary disease. The 6-min walk test (6MWT) provides information regarding functional capacity, response to therapy and prognosis across a range of chronic cardiopulmonary conditions. A distance less than 350 m is associated with increased mortality in chronic obstructive pulmonary disease, chronic heart failure and pulmonary arterial hypertension.

source: PubMed

You can find a very brief explanation of the 6MWT here.

In addition, some very useful guidelines on how to perform the test are here.

Friday 17 May 2013

"That is what I want... no pity..!"



"The Intouchables" is a 2011 French comedy-drama film directed by Olivier Nakache and Éric Toledano.

At night in Paris, Driss is driving Philippe's Maserati at high speed. They are chased by the police. Driss claims the quadriplegic Philippe must be urgently driven to the emergency room; Philippe pretends to have a stroke and the fooled police officers escort them to the hospital.

The story of the friendship between the two men is then told as a flashback: Philippe, a rich quadriplegic who owns a luxurious mansion, and his assistant Magalie, are interviewing candidates to be his live-in caregiver. Driss, a candidate, has no ambitions to get hired. He is just there to get a signature showing he was interviewed and rejected in order to continue to receive his welfare benefits. He is told to come back the next morning to get his signed letter.

Read more here.

And listen to this amazing piece of music, by Ludovico Einaudi:


Wednesday 15 May 2013

Treatment guidelines: osteoarthritis of the hip and the knee 2



I have already posted the KNGF's guidelines for osteoarthritis of the hip and the knee. You can also find the American Physical Therapy Association's (APTA) guidelines for osteoarthritis here.

Monday 13 May 2013

Nordic walking and osteoarthritis



For the aftercare stage of patients with osteoarthritis operation in the hip or the knee, the physical therapist should advise the patient on maintaining the targets they have achieved, for instance by giving them tips on engaging in healthy physical activity behavior in their everyday life or, if useful, by helping patients enter regular community exercise or sports programs, or supervised group exercise programs, such as tai chi, Nordic walking or other exercise programs (KNGF Guidelines for osteoarthritis of the hip and knee).

Sunday 12 May 2013

Orthopaedics: educational videos



A very nice and useful YouTube channel by Nabil Ebraheim, MD, Orthopaedic Surgeon at University of Toledo Medical Center.

Fracture healing

  




It is important for the better understanding of this process to view the basics of wound healing.

Breathing with COPD




Tips for pursed lip breathing and pulmonary rehabilitation

WebMD Feature Reviewed by Brunilda Nazario, MD


When you have chronic obstructive pulmonary disease, or COPD, shortness of breath may be a daily and unwelcome fact of life. Perhaps your doctor is urging you to enter a pulmonary rehabilitation program to help you manage your disease better. Or maybe you’ve heard about various breathing techniques, such as pursed lip breathing or diaphragmatic breathing.

What can help you to cope with breathlessness and improve your quality of life? Two lung experts spoke to WebMD about useful measures that you can take.

Diaphragmatic Breathing: New Thinking on an Old Standby

Many COPD patients have been taught to do diaphragmatic breathing by using one's abdominal muscles to empty the lungs. Patients lie on their backs, place their hands on their abdomens and practice breathing with their diaphragms.

But experts told WebMD that no evidence supports the value of diaphragmatic breathing. Once patients stop doing the exercise, they revert back to their usual way of breathing.

"Trying to teach someone to diaphragmatic-breathe or breathe with their belly probably doesn't work because your mind will take you back to a way that's less taxing for your abdominal muscles," says Gerard Criner, MD, a pulmonologist and professor of medicine at Temple University.

Pursed Lip Breathing: A Technique That Helps

However, another common technique, pursed lip breathing, has more merit, Criner says. The technique can ease shortness of breath. 

To do pursed lip breathing:

Relax your neck and shoulder muscles.
Breathe in for two seconds through your nose, keeping your mouth closed.
Breathe out for four seconds through pursed lips. If this is too long for you, simply breathe out twice as long as you breathe in.
Pursed-lip breathing can be particularly useful to COPD patients who have emphysema, a common scenario.

"People with emphysema have very collapsible airways," says Norman H. Edelman, MD, chief medical officer at the American Lung Association and professor of preventive medicine and internal medicine at the State University of New York at Stony Brook.

"If you teach them to breathe in normally but breathe out through a narrow orifice of their lips, they keep the pressure up in their airways and it tends to prevent the large airways from collapsing."

In COPD patients with advanced emphysema, pursed lip breathing can also open up airways enough to release more air, Criner says. "That may allow some air that's trapped in the lungs to exhale out, so it decreases the amount of gas trapped in your chest," Criner says.

When shortness of breath occurs, other tactics can help, too. Patients should try putting cold water on the face or flowing cold air over the face with a fan. Such measures will stimulate body responses that decrease the sensation of breathlessness, according to Criner.

While diaphragmatic breathing may not work well, other techniques taught through a pulmonary rehabilitation program may be more effective, Criner says. Some pulmonary rehab programs use breathing devices, called inspiratory muscle trainers, that train patients to increase the pressure that breathing muscles have to generate per breath.

"You can't really train the lungs, but you could train your respiratory muscles to be stronger or to have greater endurance," Criner says. Training the respiratory muscles may make them stronger by about 20% to 25%, he says.

"It's hard to show, though, if you make them stronger, that it relates to an improvement in your ability to do work. But you can make them stronger and that may be helpful in clearing secretions and coughing," as well as giving the breathing muscles greater reserves from which to draw, he says.

It's important to get good advice from a pulmonary rehab program about effective devices, Criner says. Lung trainers and other devices promoted on the Internet often don't work.

"They're like kazoos," he says. "Rather than searching the Web and buying things out of pocket that may not be useful, go to a pulmonary rehab program. They can tell you about the best things and approaches. They'll customize it to you to make you feel better and do more."

Pulmonary rehab programs also teach patients exercises to strengthen their arms and legs, a therapy that Edelman says is valuable to COPD patients. Typically, patients do aerobic and isotonic exercises, the latter designed to strengthen muscles.

"Old-fashioned exercise training -- the evidence for that is pretty good," Edelman says. "You can make the muscles and the circulatory system more efficient so that it delivers oxygen to the exercising muscles better. And of course, that reduces the burden on the lungs because you need to deliver less oxygen to the blood."

COPD Symptoms: When to Call Your Doctor

If you have COPD, you may have an episode in which shortness of breath worsens quickly to the point that it's difficult to catch your breath. Other symptoms may crop up, too, including chest tightness, increased coughing, more mucus, or a fever. Call your doctor immediately to discuss whether you need treatment, perhaps for a lung infection or other problem that has developed.

According to the National Heart, Lung and Blood Institute, you must get emergency help if you have these symptoms:

You're having an unusually hard time walking or talking, such as difficulty in finishing a sentence.
Your heart is beating rapidly or irregularly.
Your lips or fingernails look gray or blue.
Your breathing is fast and hard, even when you are using your medication.

Hands-On EMG Testing



"Hands-On EMG Testing provides evidence-based high quality testing and a unique opportunity for business growth, while providing patients with valuable and necessary services.

Hands-On EMG Testing provides high quality, reliable testing in New York and Florida. We believe in high quality, expert and ethical service following testing guidelines adopted from various professional organizations such as AANEM, APTA, ACE. MSKUS Society and others.

Dr. Dimitrios Kostopoulos and Dr. Konstantine Rizopoulos have specialized in Clinical Electrophysiology Testing since the mid-1990's.

Dr. Kostopoulos has a Doctorate (D.Sc.) in Clinical Electrophysiology Testing and is Board-Certified by ABPTS.

They have both conducted and published research in the field of Clinical Electrophysiology. Their knowledge, expertise and bedside manner have earned them the highest respect amongst their peers.

Dr. Kostopoulos, Dr. Rizopoulos and their associates always put patient satisfaction first!

Hands-On EMG Testing
The Art & Science of Clinical Electrophysiology".


Learn how to speed the bone fracture healing time — simply and naturally


women to women

I found a very nice and useful article in this website: www.womentowomen.com, that mentions a few ways to naturally speed up the bone fracture healing time.

"Learn how to speed the bone fracture healing time — simply and naturally

by Dr. Susan E. Brown, PhD

Topics covered in this article:

Get optimal nutrition
Increase protein intake
Increase anti-inflammatory nutrients
Avoid pain relievers
Exercise and physical therapy".

Read it all here.

Saturday 11 May 2013

The ICU experience



The Intensive Care Unit (ICU) is a special department of a hospital or health care facility that provides intensive-care medicine. Normally, in such a unit, you see a team of health professionals, doctors, nurses, and physical therapists, working together.

This video from Virginia Commonwealth University gives a brief overview of how an ICU works and what you should expect in it.

Principles of Orthopaedics



Based on a beautiful lecture by Mr. Paul Rompa (Orthopedics Surgeon) I attended during my studies in the HvA, I created a short PowerPoint presentation on the principles of orthopedics. Very useful information for every Physical Therapy student.

The notes are based on Adams's Outline of Orthopaedics 14th ed.

Wednesday 8 May 2013

Wound healing process in human beings



Very important issue for a Physical Therapist - the wound healing process. He is going to use this knowledge in many cases, especially in the Intensive Care Unit and the intervention after open fractures or injuries.

Proper lifting for new moms



Jen DeLorenzo, PT, CFMT, discusses challenges facing news moms including proper body mechanics and how a physical therapist can help them adjust their posture and lifting technique to avoid pain and injury. To find a PT near you, visit www.moveforwardpt.com.

Tuesday 7 May 2013

The Infant Behavioral Assessment and Intervention Program (IBAIP)



An Education and Training Program for Early Intervention Professionals.

Management of wound infection



The European Wound Management Association has published a document about management of wound infection.

The Newborn Individualized Developmental Care and Assessment Program (NIDCAP)



The Vision, Purpose, Mission and Activities of the NIDCAP Federation International

Vision: The vision of the NIDCAP Federation International (NFI) is that all newborn infants in intensive and special care nurseries receive individualized, developmentally supportive, family centered care so that they may realize optimal health and developmental outcome.

Purpose: The purpose of the NFI is to serve as the authoritative leader for research, development, and dissemination of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) and for the certification of trainers, health care professionals, and nurseries in the NIDCAP approach.

Mission: The mission of the NFI is to develop and support a worldwide collaborative community of trainers, health care systems, professionals, families, and other partners to assure that the highest quality of individualized, developmentally supportive, family centered care is available to all newborns in intensive and special care nurseries.

Sunday 5 May 2013

Treatment guidelines: cardiac rehabilitation 2



After posting the KNGF's treatment guidelines for cardiac rehabilitation, I am posting a quite similar guideline published by the Heart Foundation in Australia.

This is the link for them.

Alberto Cairo: There are no scraps of men





Alberto Cairo's clinics in Afghanistan used to close down during active fighting. Now, they stay open. In this powerful talk, Cairo tells the moving story of why -- and how he found humanity and dignity in the midst of war. (Filmed at TEDxRC2.)

Alberto Cairo leads the International Red Cross' orthopedic rehabilitation work in Afghanistan.

Full bio.

Glossopharyngeal breathing






Glossopharyngeal breathing (GPB, also called frog breathing) is a means of forcing extra air into the lungs to expand the chest and achieve a functional cough. The technique involves the use of the glottis to add to an inspiratory effort by gulping boluses of air into the lungs. It can be beneficial for individuals with weak inspiratory muscles and no ability to breathe normally on their own.

The technique was first observed in the late 1940s in polio patients at Rancho Los Amigos Hospital, in Los Angeles, by Dr Clarence W Dail and first described by Dr. Dail in 1951 in the journal California Medicine.

It is not commonly known today amongst physiotherapists and physical therapists.

The American Thoracic Society



header image


ABOUT ATS

The roots of the American Thoracic Society reach back to 1905, when a small group of physicians decided that the best way to improve care for tuberculosis patients was to share their experiences and discoveries. Today, the ATS has grown into an international society with more than 15,000 members. In this introductory section, you will find information about the people and programs that make the ATS the world's leading medical association dedicated to advancing our clinical and scientific understanding of pulmonary diseases, critical illnesses and sleep-related breathing disorders.

Friday 3 May 2013

Online education



They say that free online educational courses is the future of education. I am not sure about that and I do not completely agree, because I strongly believe in the "lesson" that the relationship between the student and the teacher can give you - and this is irreplaceable. However, we have to follow the new tendencies of the world and use the new technologies cleverly for the good of the human life and environment.

Some of the biggest Universities in the world have already created their own online "classrooms".

It is worth having a look: