How should you treat trochanteric bursitis?

Conservative measures--followed by corticosteroid injection, if necessary--are best. Conservative therapy includes rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching exercises focused on the lower back and sacroiliac joints (strength of recommendation [SOR]: C, usual practice). Patients whose symptoms persist despite conservative therapy are likely to benefit from an injection of 24 mg betamethasone and 1% lidocaine (or equivalent) into the inflamed bursa (SOR: B, limited-quality, patient-oriented evidence)

Awareness and Perceptions of Old Dominion University\u27s Teletechnet Program by Lord Fairfax Community College Students

To find answers to this problem, the following research goals were established: 1. Determine Lord Fairfax student awareness and perception of Old Dominion University\u27s distance learning TELETECHNET system and its programs; 2. Determine student\u27s attitudes toward distance learning for higher education degrees; 3. Present recommendations for improving Lord Fairfax Community College\u27s staff and faculty knowledge of TELETECHNET in order to advise their students in a more comprehensive way; 4. Present recommendations to Old Dominion University Distance Learning administrators for ways of improving the overall knowledge of the Old Dominion University Distance Learning Program at community college throughout Virginia and other locations where TELETECHNET is offered

Throwing overhead sports

This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of injuries that may occur while playing sports which require overhead throwing

The Development of Two Apparatuses and Techniques for the Measurement of the Basil Respiration Rate of a Bull Snake at Various Temperatures

The literature is extensive with respect to mammalism physiology, but extremely sparse concerning the reptilian physiology. According to Cook (1949) very little comprehensive work concerning the fundamental aspects of reptilian physiology has been done since Benedict\u27s work in 1932

Rekindling the Flame: The History of the Kent Iron Furnace and a New Interpretive Perspective

Nearly a million visitors flock to northwestern Connecticut each year to enjoy the natural wonders of autumn leaf peeping excursions, spend a snowy winter day on the ski slopes, or simply soak in the rural charm. Unfortunately, many visitors never know that in the not-so-distant past, the area had a much different aesthetic than the bucolic hills and densely forested river valley they experience today. If we were to turn the clock back a little over 100 years, visitors to the region would experience an entirely altered landscape, devoid of trees, the air thick with smoke, bustling with the sights and sounds of the number one industry, ironmaking. Today, the only obvious evidence of the industry that once dominated the region is the stone ruins of the iron furnace complexes, which stand like sentinels among the trees. However, if you know where to look, you can find traces of the industry’s impact on the landscape and discover its role in shaping the region as we know it today. One such place can be found in Kent, Connecticut, at the Eric Sloane Museum & Kent Iron Furnace. Here, in this quaint New England town, nestled along the banks of the Housatonic River, a 30-foot granite tower protrudes from the hillside, drawing the attention of curiosity seekers and history enthusiasts alike. While the structure is a unique historic landmark, its history, interpretation, and preservation have undergone many changes since the last furnace fires were extinguished in 1892. Since 1969, the Eric Sloane Museum, as part of the Connecticut State Historic Preservation Office, has worked to promote and preserve the furnace and its history. Recently, the museum embarked on a new approach to rekindle interest in the Kent Iron Furnace and northwestern Connecticut’s industrial history

Primary Care Nurse Practitioners and Organizational Culture

Nurse practitioners (NPs) were introduced to the British Columbia healthcare system 12 years ago. Integration challenges related to infrastructure and relationships between administrators and physicians continue. The purpose of this project was to understand how nurse practitioners, working in primary care roles, experience the organizational climate within their healthcare agency. Kanter\u27s empowerment theory guided this project. Data were collected using the Nurse Practitioner Primary Care Organizational Climate Questionnaire. A total of 64 NPs relayed their degree of perceived organizational support. NPs scored highest on Autonomy and Independent Practice (Mean [M] = 3.54, Standard Deviation [SD] = 0.59). Organizational Support and Resources and NP-Physician Relations were comparable (M = 3.00, SD = 0.86; M = 2.98; SD = 0.73). NPs scored lowest on Professional Visibility (M = 2.74, SD = 0.76) and NP-Administration Relations (M = 2.63, SD = 0.79). Recommendations included optimization of NPs as advance practice nurses, establishing adequate administrative and clinical support, provision for interprofessional team development and function, distribution of standardized information about the NP role across and within institutions, and further exploration of NPs\u27 experiences related to work hours and agency culture. Positive social change was supported as the NP practice model was extended throughout the current health care system, contributing to the shifting health care narrative/culture (from illness-focused care to wellness-focused care), and demonstrating full appreciation of patient/client-centeredness

Monitoring and Quantification of Carbon Dioxide Emissions and Impact of Sea Surface Temperature on Marine Ecosystems as Climate Change Indicators in the Niger Delta Using Geospatial Technology

The Niger Delta marine environment has experienced a series of environmental disasters since the inception of oil and gas exploration, which can be attributed to climate change. Carbon dioxide (CO2) emissions and sea surface temperature (T) ties associated with burning fossil fuels, such as gas flaring, vehicular traffic, and marine vessel movement along the sea, are increasing. Using data extracted from the NASA Giovanni satellite’s Atmospheric Infrared Sounder (AIRS) and Moderate Resolution Imaging Spectroradiometer (MODIS), this study mapped the carbon footprint and T along the coastline into the deep sea from 2003 to 2011, using ArcGIS software. The spatial distribution of CO2 and T concentrations determined by the inverse distance weighting (IDW) method reveals variations in the study area. The results show an increase in the quantity of the mean tropospheric CO2 from July 2003 to December 2011, from 374.5129 ppm to 390.7831 ppm annual CO2 emissions, which also reflects a continuous increase. The average Monthly sea surface temperature had a general increasing trend from 25.79 °C in July 2003 to 27.8 °C in December, with the Pearson correlation coefficient between CO2 and T indicating 50% strongly positive, 20% strongly negative, 20% weakly positive,and 10% weakly negative. CO2 levels, like temperature, follow a seasonal cycle, with a decrease during the wet season due to precipitation dissolving and plant uptake during the growing season, and then a rise during the dry season. Carbon capture and storage technologies must be implemented to benefit the marine ecosystem and human well-being

Endothelial CD276 (B7-H3) expression is increased in human malignancies and distinguishes between normal and tumour-derived circulating endothelial cells

Background:Mature circulating endothelial cells (CEC) are surrogate markers of endothelial damage. CEC measured in patients with advanced cancer are thought not only to derive from damaged normal vasculature (n-CEC), bu

Can iron treatments aggravate epistaxis in some patients with hereditary hemorrhagic telangiectasia?

Objectives/Hypothesis To examine whether there is a rationale for iron treatments precipitating nosebleeds (epistaxis) in a subgroup of patients with hereditary hemorrhagic telangiectasia (HHT). Study Design Survey evaluation of HHT patients, and a randomized control trial in healthy volunteers. Methods Nosebleed severity in response to iron treatments and standard investigations were evaluated by unbiased surveys in patients with HHT. Serial blood samples from a randomized controlled trial of 18 healthy volunteers were used to examine responses to a single iron tablet (ferrous sulfate, 200 mg). Results Iron tablet users were more likely to have daily nosebleeds than non–iron-users as adults, but there was no difference in the proportions reporting childhood or trauma-induced nosebleeds. Although iron and blood transfusions were commonly reported to improve nosebleeds, 35 of 732 (4.8%) iron tablet users, in addition to 17 of 261 (6.5%) iron infusion users, reported that their nosebleeds were exacerbated by the respective treatments. These rates were significantly higher than those reported for control investigations. Serum iron rose sharply in four of the volunteers ingesting ferrous sulfate (by 19.3–33.1 μmol/L in 2 hours), but not in 12 dietary controls (2-hour iron increment ranged from −2.2 to +5.0 μmol/L). High iron absorbers demonstrated greater increments in serum ferritin at 48 hours, but transient rises in circulating endothelial cells, an accepted marker of endothelial damage. Conclusions Iron supplementation is essential to treat or prevent iron deficiency, particularly in patients with pathological hemorrhagic iron losses. However, in a small subgroup of individuals, rapid changes in serum iron may provoke endothelial changes and hemorrhage

Feasibility and Usability of Low-Field Magnetic Resonance Imaging for Pediatric Neuroimaging in Low- and Middle-Income Countries: A Qualitative Study

Erin Rowand,&ast; Rosemond Owusu, Alexandra Sibole, Elizabeth Abu-Haydar, Jaclyn R Delarosa&ast; Medical Devices and Health Technologies, PATH, Seattle, WA, USA&ast;These authors contributed equally to this workCorrespondence: Jaclyn R Delarosa; Erin Rowand, Medical Devices and Health Technologies, PATH, 2201 Westlake Ave. Suite 200, Seattle, WA, 98121, USA, Email [email protected]; [email protected]: The burden of neurological disorders in low- and middle-income countries (LMICs) may be underestimated due to the limited number of diagnostic imaging devices and trained specialists to operate and interpret scans. Recent advancements in low-field (< 100 milliteslas) magnetic resonance imaging (LFMRI) hold significant promise for improving access to pediatric neuroimaging due to the technology’s lower costs, portability, and reduced infrastructure and training requirements.Purpose: Explore user needs and experiences on the training and use of a portable LFMRI for pediatric neuroimaging in LMICs.Methods: We conducted qualitative interviews with end users of the LFMRI systems across 11 sites in Bangladesh, Ethiopia, Ghana, Malawi, Pakistan, South Africa, Uganda, and Zambia. A semi-structured questionnaire with open-ended questions on usability and feasibility was used to encourage participants to share their experiences and opinions on ease of use, user satisfaction, and integration into local health systems.Results: Among 46 participants, key challenges were reported in infant positioning, power stability, and internet connectivity. Suggestions included developing reference materials with content and format tailored to local needs and contexts, conducting refresher trainings, and providing education that includes technical and maintenance support crucial for appropriate utilization and implementation sustainability.Conclusion: This study underscores the importance of incorporating human-centered design principles and user feedback into identifying and resolving usability issues, sharing insights for successful integration of LFMRI within existing health care infrastructures in LMICs, and optimizing LFMRI use for pediatric populations.Keywords: infant neuroimaging, portable MRI, human-centered desig