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Semin Neurol 2018 Dec 6;38(6):619-626. Epub 2018 Dec 6.

Department of Neurology, Boston University School of Medicine, Boston, Massachusetts.

Posttraumatic headaches are among the most challenging complaints after mild traumatic brain injury (mTBI). They are a debilitating problem experienced by patients after TBI of all severities. Up to 90% of mild TBI patients experience headache, particularly if female and with a premorbid history of primary headache. Read More

Pharmacoeconomics 2018 Dec 6. Epub 2018 Dec 6.

Clinical Data Services and Analytics, UnitedHealthcare, 9700 Health Care Lane, Minnetonka, MN, 55343, USA.

Background: Opioid use and misuse are urgent health issues. Previous studies suggest that opioid use increases healthcare resource use but severity adjustment is lacking.

Objective: The objective of this study was to evaluate the severity-adjusted cost difference between opioid users and non-users among patients with conservatively managed degenerative joint disease of the spine within a large commercial health plan population in the United States. Read More

Clin Epidemiol 2018 9;10:1657-1665. Epub 2018 Nov 9.

Department of Clinical Sciences, Unit for Social Epidemiology, Faculty of Medicine, Lund University, Malmö, Sweden,

Purpose: To identify overuse of methylphenidate and to investigate patterns of overuse in relation to sociodemographic and clinical characteristics.

Patients And Methods: Swedish national, pharmacy dispensing data were analyzed for all 56,922 individuals aged 6-79 years, who filled a methylphenidate prescription between 2010 and 2011. Overuse was defined as having above 150% days covered by the dispensed amount during 365 days from the first prescription fill, assuming use at the maximum recommended daily dose. Read More

Infect Drug Resist 2018 8;11:2199-2205. Epub 2018 Nov 8.

Department of Health Sciences, Medical School, University of Catanzaro "Magna Græcia", Catanzaro, Italy,

Purpose: The overuse, misuse, and underuse of antimicrobial agents often lead to the spread of antibiotic-resistant microorganisms. The aim of our study was to describe the pattern of antibiotic prescriptions for acute respiratory tract infections (RTIs) among the adult population and the factors associated with antibiotic prescribing.

Patients And Methods: The study involved patients who visited a general practitioner with suspected acute RTI. Read More

J Orthop Surg Res 2018 Dec 5;13(1):309. Epub 2018 Dec 5.

Department of Musculoskeletal Disorders, School of Medicine and Dentistry, University of Salerno, Salerno, Italy.

Background: The absence of a single, identifiable traumatic cause has been traditionally used as a definition for a causative factor of overuse injury. Excessive loading, insufficient recovery, and underpreparedness can increase injury risk by exposing athletes to relatively large changes in load. The musculoskeletal system, if subjected to excessive stress, can suffer from various types of overuse injuries which may affect the bone, muscles, tendons, and ligaments. Read More

Med Probl Perform Art 2018 Dec;33(4):238-242

Faculty of Physical Activity and Sport Sciences, Universidad Católica de Valencia, Ramiro de Maeztu 14, 46900 Torrente, Spain. Tel 96 363 74 12 x71900.

Background: Wind musicians suffer injuries resulting from muscle overuse and poor postural habits, often due to the lack of required physical fitness. For this reason, it is important to study and analyze the characteristics of their activity in order to select appropriate preventive exercises.

Methods: 10 clarinetists, who were experiencing joint pain due to instrumental practice, followed a specific program of physical activity, 3 times a week for 2 months. Read More

JAMA Intern Med 2018 Dec 3. Epub 2018 Dec 3.

Department of Medicine and Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York.

Importance: Overuse of medical care is a well-recognized problem in health care, associated with patient harm and costs. We sought to identify and highlight original research articles published in 2017 that are most relevant to understanding medical overuse.

Observations: A structured review of English-language articles published in 2017 was performed, coupled with examination of tables of contents of high-impact journals to identify articles related to medical overuse in adult care. Read More

JAMA Intern Med 2018 Dec 3. Epub 2018 Dec 3.

Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.

Neurol Sci 2018 Dec 1. Epub 2018 Dec 1.

Department of Neurology, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu, 41944, Republic of Korea.

Objectives: This study investigated to identify the clinical significance of allodynia compared with other sensory hypersensitivities (SH) in migraine patients.

Methods: New patients with migraine were recruited from a headache clinic, and we collected data regarding their clinical characteristics and identified SH including photophobia, phonophobia, osmophobia, and allodynia. The patients completed the 12-item Allodynia Symptom Checklist, Migraine Disability Assessment Scale (MIDAS), Headache Impact Test-6 (HIT-6), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Insomnia Severity Index (ISI), Fatigue Severity Scale (FSS), and Migraine-Specific Quality of Life Questionnaire Version 2. Read More

J Oral Maxillofac Surg 2018 Nov 7. Epub 2018 Nov 7.

Professor, University of Florida College of Medicine-Jacksonville, Jacksonville, FL.

Purpose: There is clear overuse of computed tomography (CT) in the emergency setting, which is associated with a long-term potential for malignancy. This study aimed to determine the rate of overuse of CT for odontogenic infection workup and the correlation of history and physical examination (H&P) findings to diagnose moderate- to high-risk infections.

Materials And Methods: A retrospective cross-sectional study was implemented to determine the rate of overuse of CT for odontogenic infections. Read More

Res Microbiol 2018 Nov 29. Epub 2018 Nov 29.

Masaryk University, Faculty of Science, Department of Experimental Biology, Kotlářská 2, 611 37 Brno, Czech Republic. Electronic address:

Coagulase-negative staphylococci (CoNS) are an important cause of human and animal diseases. Treatment of these diseases is complicated by their common antimicrobial resistance, caused by overuse of antibiotics in hospital and veterinary environment. Therefore, they are assumed to serve as a reservoir of resistance genes often located on plasmids. Read More

J Clin Lipidol 2018 Nov 7. Epub 2018 Nov 7.

Department of Medicine, Centre for Heart and Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Achilles tendon xanthoma (ATX) results from tendon thickening and subclinical inflammation triggered by hypercholesterolemia, and is associated with more severe coronary artery disease and a higher risk of cardiovascular events. The ability to detect ATX by clinical examination is limited, and diagnostic imaging, for instance, using ultrasonography or magnetic resonance imagine (MRI), may improve the identification of ATX. However, the accuracy of ultrasound (US) imaging or MRI in identifying ATX in people with familial hypercholesterolemia (FH) has not been systematically reviewed. Read More

Value Health 2018 Dec 30;21(12):1390-1398. Epub 2018 Jun 30.

Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany. Electronic address:

Objectives: To develop and internally validate prediction models for medication-related risks arising from overuse, misuse, and underuse that utilize clinical context information and are suitable for routine risk assessment in claims data (i.e., medication-based models predicting the risk for hospital admission apparent in routine claims data or MEDI-RADAR). Read More

NASN Sch Nurse 2018 Dec 3:1942602X18814619. Epub 2018 Dec 3.

Chief of Women's Sports Medicine, Brigham and Women's Hospital, Boston, MA.

In the United States, there has been a steady increase in sports participation across all age groups. An estimated 27 million youths between the ages of 6 and 18 years participate in team sports, and 60 million participate in some form of organized athletics. While there are great benefits from sports participation, early single sport specialization carries an increased risk of overuse injuries and burnout. Read More

Medicina (Kaunas) 2018 Dec 1;54(6). Epub 2018 Dec 1.

School of Pharmacy, University of Wolverhampton, Wolverhampton WV1 1LY, UK.

The use of antibiotic prophylaxis in extraction and implant dentistry is still controversial, with varying opinions regarding their necessity. The overuse of antibiotics has led to widespread antimicrobial resistance and the emergence of multi drug resistant strains of bacteria. The main aim of this work was to determine whether there is a genuine need for antibiotic prophylaxis in two common dental procedures; dental implants and tooth extractions. Read More

Int J Environ Res Public Health 2018 Dec 1;15(12). Epub 2018 Dec 1.

Department of Public Health Sciences, Karolinska Institutet, 17177 Stockholm, Sweden.

Healthcare-associated infections (HAIs) constitute a major contributor to morbidity and mortality worldwide, with a greater burden on low- and middle-income countries. War-related injuries generally lead to large tissue defects, with a high risk of infection. The aim of this study was to explore how physicians in a middle-income country in an emergency setting perceive HAI and antibiotic resistance (ABR). Read More

Best Pract Res Clin Rheumatol 2017 Oct 19;31(5):746-759. Epub 2018 Jun 19.

Department of Physical Therapy University of Delaware, 540 South College Ave, 210L, Newark, DE, 19713, USA. Electronic address:

Optimal management of osteoarthritis (OA) requires a combination of therapies, with behavioral (e.g., exercise and weight management) and rehabilitative components at the core, accompanied by pharmacological treatments and, in later stages, consideration of joint replacement surgery. Read More

Biosens Bioelectron 2018 Oct 17;126:632-639. Epub 2018 Oct 17.

Department of Chemical Engineering, University of Massachusetts Lowell, One University Ave, Lowell, MA 01854, USA. Electronic address:

Antibiotics such as penicillin and tetracycline drugs are widely used in food animals to treat, control, and prevent diseases, and penicillin is approved for use to improve growth rates in pigs and poultry. However, due to the overuse of antibiotics in food and medical industry, the antimicrobial resistance is starting to show up in some developing countries. The antibiotic abuse may cause allergic reactions, resistance in microorganisms and general lowering of immunity in consumers of meat and dairy products. Read More

Int J Nanomedicine 2018 8;13:7217-7227. Epub 2018 Nov 8.

Department of Physical and Rehabilitation Medicine, Stem Cell and Regenerative Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea,

Background: Tendon-derived stem cells (TDSCs) are key factors associated with regeneration and healing in tendinopathy. The aim of this study was to investigate the effects of mechanical stiffness and topographic signals on the differentiation of TDSCs depending on age and pathological conditions.

Materials And Methods: We compared TDSCs extracted from normal tendon tissues with TDSCs from tendinopathic Achilles tendon tissues of Sprague Dawley rats in vitro and TDSCs cultured on nanotopographic cues and substrate stiffness to determine how to control the TDSCs. Read More

BMC Health Serv Res 2018 Dec 3;18(1):915. Epub 2018 Dec 3.

Department of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Background: The sale of antibiotics without a prescription poses a global public health concern. Antibiotics dispensed without a prescription are largely recognised as a cause of antibiotic misuse and overuse which may result in antibiotic resistance, recurrent infection, increased cost and adverse effects of treatment. There have been no qualitative studies to explore the reasons for over-the-counter (OTC) sale of antibiotics, despite the fact that non-prescription sale of antibiotics are increasing in Saudi Arabia. Read More

Int J Adolesc Med Health 2018 Dec 4. Epub 2018 Dec 4.

Instructor and Faculty Member, Department of Nursing, Faculty of Nursing and Midwifery Ramsar, Babol University of Medical Sciences, Babol, Iran.

Introduction Addiction to the Internet and mobile phones in adolescents could be related to loneliness. However, less research has been conducted on this topic in developing countries. This study aimed to examine addiction to the Internet and mobile phones and its relationship with loneliness in adolescents in Iran. Read More

J Chromatogr B Analyt Technol Biomed Life Sci 2018 Nov 16;1104:182-189. Epub 2018 Nov 16.

Department of Pharmacology and Toxicology, National Veterinary Research Institute, Partyzantow 57, 24-100 Pulawy, Poland.

Under the EU official monitoring programs, the antibiotics are controlled in tissues of food producing animals. However, regarding the overuse of medicines in veterinary practice, there is a strong need to find an alternative to post-mortem analysis of antibiotics. The use of feathers, as an unconventional matrix, enable to control of birds treatment during breeding. Read More

J Psychosoc Nurs Ment Health Serv 2018 Dec;56(12):11-15

The United States is facing an opioid epidemic that is virulent in its lethality and includes morbidity and mortality related to prescription opioids. Overuse of another class of drugs- benzodiazepines-has received less media attention, but also poses the threat of tolerance, dependence, and death, especially in combination with opioids or alcohol. These negative outcomes are not distributed evenly over the population but are especially prevalent in vulnerable populations. Read More

Res Sports Med 2018 Nov 30:1-13. Epub 2018 Nov 30.

a Department of Social Medicine, Faculty of Medicine , University of Crete , Heraklion , Greece.

This study investigated the prevalence and risk factors of injuries on a cohort of 123 Greek team's professional football players during three consecutive seasons, 2015/16-to-2017/18. Injuries were assessed and regression analysis was used to evaluate the potential risk factors. Three-quarters of the players were recorded as injured with 2. Read More

J Lab Physicians 2018 Oct-Dec;10(4):432-436

Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Introduction: Antimicrobial resistance is an increasing problem worldwide especially among the surgical site infections (SSIs). SSI is becoming more serious due to hospital-acquired infections/nosocomial infections, which further leads to the overuse of broad-spectrum antibiotics. To investigate the antimicrobial resistance patterns among Gram-negative bacteria in SSI in in- and out-patients the present study was designed. Read More

BMJ Open 2018 Nov 28;8(11):e022979. Epub 2018 Nov 28.

Department of Medical Informatics, Erasmus University, Rotterdam, The Netherlands.

Objectives: To compare the rate, indications and type of antibiotic prescriptions in children with and without asthma.

Design: A retrospective cohort study.

Setting: Two population-based primary care databases: Integrated Primary Care Information database (IPCI; the Netherlands) and The Health Improvement Network (THIN; the UK). Read More

Chemosphere 2018 Nov 22;218:449-457. Epub 2018 Nov 22.

College of Fisheries, Huazhong Agricultural University, Wuhan 430070, China. Electronic address:

Tris (2-butoxyethyl) phosphate (TBOEP) is a ubiquitous environmental contaminant due to its overuse. TBOEP has been found to cause reproductive toxicity and endocrine disruption during acute toxic experiment. In this study, we examined the effects of TBOEP on growth in initial generation (F0) zebrafish and transgenerational effects on growth of first generation (F1) larvae after parental long-term exposure (120 d) to environmentally relevant concentrations (0, 0. Read More

Int J Adolesc Med Health 2018 Nov 29. Epub 2018 Nov 29.

Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Route de la Corniche 10, Lausanne 1010, Switzerland, Phone: +41 213 147 375, Fax: +41 213 147 373.

Background Earlier studies suggested a positive impact of spirituality on addictive disorders, but this effect has rarely been studied in a large adolescent and young adult population. Aim To examine the association between spiritual beliefs (general belief, the supporting role of spiritual belief, the critical role of spiritual belief) and potentially addictive behaviors (tobacco, alcohol, cannabis and other illegal drugs, excessive Internet use and gambling). Methods Data were collected using online self-report questionnaires among a sample of 5179 adolescents and young adults aged 15-24 years in post-mandatory education in Switzerland. Read More

J Headache Pain 2018 Nov 28;19(1):116. Epub 2018 Nov 28.

Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Edvard Griegs Gate, NO-7489, Trondheim, Norway.

Background: Headache disorders are an important global public-health problem, but under-diagnosed, undertreated and under-prioritized. Deficiencies in health care for headache, present everywhere, are likely to be greater in poorly-resourced countries. This study reports on health-care utilization for headache in Nepal, a low-income country with high headache burden. Read More

Handb Clin Neurol 2018 ;158:423-430

National Collegiate Athletic Association, Indianapolis, IN, United States.

Pain is common in athletes, and pain management in sport has traditionally been equated with injury management. Although both pain and injury interfere with sport performance, they are not synonymous. Acute musculoskeletal injury commonly manifests as nociceptive pain, inflammatory pain, or both. Read More

Handb Clin Neurol 2018 ;158:401-419

Division of Clinical Neurophysiology, Department of Neurology, NYU School of Medicine, New York, NY, United States. Electronic address:

Peripheral nerve injuries are unusual in sport but impact an athlete's safe return to play. Nerve injuries result from either acute trauma (most commonly in contact/collision sports) or from repetitive microtrauma and overuse. Diagnosis of overuse nerve injuries includes nerve localization and surrounding soft-tissue anatomy, and must account for possible causes of repetitive microtrauma, including biomechanics, equipment, training schedule, and recovery. Read More

Handb Clin Neurol 2018 ;158:381-384

National Collegiate Athletic Association, Indianapolis, IN, United States. Electronic address:

Peripheral nerve injury in sport results from acute trauma or repetitive overuse. Repetitive overuse injuries must be assessed with the broad context of tissue overload, kinetic chain continuum, periodization, recovery, equipment, and sport-specific biomechanics. Simply diagnosing the anatomic location and extent of nerve injury is inadequate. Read More

Nihon Arukoru Yakubutsu Igakkai Zasshi 2016 Jun;51(3):184-202

With the popularization of the internet, internet addiction among the youth has received a lot of attention in recent years. While.the internet is an effective tool for: communication, the youth, who find real-life communication difficult, reportedly overuse,this aspect of the internet However, this is more of an impression based on clinical cases, with few factual findings. Read More

J Dance Med Sci 2018 Dec;22(4):179-183

Clinica MEDS, Santiago, Chile.

Studies that have investigated the epidemiology of injuries in breakdancing have concluded that the second most common injury site is the knee and that the majority of breakdancers have experienced overuse syndrome. Tendon stiffness, the relationship between force applied to a tendon and the resulting displacement, has been identified as a primary mechanical factor in such injuries. However, patellar tendon stiffness has not yet been evaluated in elite breakdancers. Read More

Clin Pediatr (Phila) 2018 Nov 27:9922818810879. Epub 2018 Nov 27.

2 Kiran Patel College of Osteopathic Medicine, Fort Lauderdale, FL, USA.

At any time there are millions of athletes ages 6 to 18 years participating in sports-related activities and the number is increasing. Unfortunately, the number of overuse injuries is also on the rise. This increase is most likely associated with single-sport specialization before the onset of puberty. Read More

Int J Qual Health Care 2018 Nov 22. Epub 2018 Nov 22.

Department of Public Health and Community Medicine, Shaikh Khalifa Bin Zayed Al-Nahyan Medical College, Shaikh Zayed Postgraduate Medical Institute, Shaikh Zayed Medical Complex, Lahore, Pakistan.

Background: Over the past few years, a significant overuse of radiological investigations influenced the quality and cost of healthcare of the country as it may lead to non-compliance of the patient due to non-affordability and also may harm the patient in terms of radiation hazards. Pakistan, being a low-income, resource-constraint country, is facing financial impact on families as well as health system due to multiple reasons.

Objectives: The purpose of study is to identify reasons of unnecessary use of radiological diagnostic modalities in Pakistani hospitals as perceived by radiologists. Read More

J Am Assoc Nurse Pract 2018 Nov 19. Epub 2018 Nov 19.

Thomas Jefferson University, Philadelphia, Pennsylvania.

Background And Purpose: To explore the deleterious effects of hyperoxia due to liberal oxygen use and clarify the significance of overuse and effects on morbidity and mortality in adult hospitalized patients. This literature review is also intended to bring awareness to nurse practitioners regarding the iatrogenic harm caused by excessive oxygenation and promote individualized patient care.

Methods: A review of existing literature was conducted using PubMed and CINAHL databases. Read More

J Prosthet Orthot 2018 Oct 13;30(4):175-180. Epub 2018 Sep 13.

PHILLIP STEVENS, MEd, CPO, JOHN RHEINSTEIN, CP, and SHANE WURDEMAN, PhD, MSPO, CP, are affiliated with Hanger Clinic, Austin, TX.

Introduction: This guideline was developed to present current evidence and to provide associated clinical recommendations on prosthetic foot selection for individuals with lower-limb amputation.

Materials: NA.

Methods: The guideline is based upon the best available evidence as it relates prosthetic foot selection during the provision of definitive lower-limb prostheses. Read More

Am J Prev Med 2018 Nov 12. Epub 2018 Nov 12.

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Introduction: Prior studies suggest overuse of nonrecommended lung cancer screening tests in U.S. community practice and underuse of recommended tests. Read More

J Headache Pain 2018 Nov 22;19(1):113. Epub 2018 Nov 22.

Department of Neurology, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD, 20889, USA.

Objective: Our aim was 1) to reduce disability, as characterized by headache frequency, duration and severity in patients with post-traumatic headache (PTHA), 2) to reduce the number of medical boards and work limitations in patients with post traumatic headache, and 3) to reduce use of medical resources and clinic visits related to headache or migraine.

Background: Modifiable risk factors for PTHA include stressful life event, sleep disturbances, and medication overuse. Cognitive-behavioral strategies, biofeedback, and relaxation therapy may have an important role in treatment and preventing progression to chronic post-traumatic headache (CPTHA). Read More

Phys Sportsmed 2018 Nov 21:1-8. Epub 2018 Nov 21.

b Department of Marine Sports , Pukyoung National University , Busan , Republic of Korea.

Objectives: Foot pronation is considered as a potential risk factor of lower leg overuse injury. This study aimed to identify plantar pressure characteristics of elite athletes with exercise-induced leg pain in throwing athletic disciplines, and to verify the acute effect of taping for restricting foot pronation by analyzing the plantar pressure characteristics.

Methods: This study was designed as a description and comparison of throwing athletic athletes. Read More

PLoS One 2018 21;13(11):e0205124. Epub 2018 Nov 21.

National Influenza Centre, Virology Unit, Pasteur Institute of Madagascar, Antananarivo, Madagascar.

Background: Few comprehensive data exist regarding the epidemiology of severe acute respiratory infections (SARI) in low income countries. This study aimed at identifying etiologies and describing clinical features of SARI-associated hospitalization in Madagascar.

Methods: It is a prospective surveillance of SARI in 2 hospitals for 3 years. Read More

J Eval Clin Pract 2018 Nov 21. Epub 2018 Nov 21.

McMaster University, Hamilton, Canada.

The quality health care around world is suboptimal. To improve the quality of contemporary health care delivery, advocates have proposed a number of scientific and technical initiatives. All these initiatives, however, have arisen and continue to operate in siloes, resulting in confusion and incommensurability among those concerned with health care improvement. Read More

Pediatrics 2018 Dec;142(6)

Vermont Oxford Network, Burlington, Vermont.

: media-1vid110.1542/5839992664001PEDS-VA_2017-4322 BACKGROUND: The Centers for Disease Control and Prevention (CDC) published the Core Elements of Hospital Antibiotic Stewardship Programs (ASPs), while the Choosing Wisely for Newborn Medicine Top 5 list identified antibiotic therapy as an area of overuse. We identify the baseline prevalence and makeup of newborn-specific ASPs and assess the variability of NICU antibiotic use rates (AURs). Read More

Euro Surveill 2018 Nov;23(46)

Members of the Point Prevalence Survey Study Group are listed at the end of this article.

Antimicrobial agents used to treat infections are life-saving. Overuse may result in more frequent adverse effects and emergence of multidrug-resistant microorganisms. In 2016-17, we performed the second point-prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use in European acute care hospitals. Read More

Acta Neurol Scand 2018 Nov 20. Epub 2018 Nov 20.

Danish Headache Center Department of Neurology, Rigshospitalet-Glostrup Faculty of Health and Medical Sciences University of Copenhagen, Denmark.

Background: Previous studies found low serum levels of nociceptin in migraine patients but high serum levels of calcitonin gene-related peptide (CGRP). CGRP can elicit migraine-like headache. Medication-Overuse Headache (MOH) often has migraine features and can mimic chronic migraine. Read More

J Neurol Surg B Skull Base 2018 Dec 25;79(Suppl 5):S387-S388. Epub 2018 Sep 25.

Department of Neurological Surgery, University of Wisconsin Medical School, Madison, Wisconsin, United States.

Although, gross total resection in large vestibular schwannomas is an ideal goal, subtotal resection is frequently performed due to lack of expertise, concerns for facial palsy, or overuse of stereotactic radiation. In this video, we present a 31-year-old man with a 7-year history of tinnitus, dizziness, and hearing loss. The patient had a subtotal resection of a 2. Read More

Front Psychol 2018 5;9:2125. Epub 2018 Nov 5.

School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.

A pianist's movements are fundamental to music-making by producing the musical sounds and the expressive movements of the trunk and arms which communicate the music's structural and emotional information making it valuable for this review to examine upper-body movement in the performance process in combination with the factors important in skill acquisition. The underpinning playing technique must be efficient with economic muscle use by using body segments according to their design and movement potential with the arm segments mechanically linked to produce coordinated and fluent movement. Two physiologically and pianistically important actions proposed by early music scientists to deliver the keystroke involve dropping the hand from the shoulders toward the keys via a wave action with the joints activated sequentially, and forearm rotation to position the fingers for the keystroke, an action followed by the elbow/upper-arm rotating in the opposite direction. Read More

BMJ Open 2018 Nov 18;8(11):e022403. Epub 2018 Nov 18.

Department of General Practice, University of Oslo, Oslo, Norway.

Objectives: To investigate associations between different types of headaches and shift work.

Design, Participants And Outcome Measures: Nurses with different work schedules (day work, two-shift rotation, night work, three-shift rotation) participated in a cohort study with annual surveys that started in 2008/2009. In 2014 (wave 6), a comprehensive headache instrument was included in the survey, in which 1585 nurses participated. Read More