Outcome studies of revision surgical treatment for recurrent or persistent neuropathy of the ulnar nerve at the elbow are relatively rare and none involves patient self-assessment. In this study of 40 patients (41 elbows), a clear discrepancy is shown between clinical assessment and the patient's own view. From clinical assessment, 20% of patients had an excellent result, whereas only one (2.5%...

BACKGROUND Conducting a pragmatic randomised trial in primary care is often accompanied by practical problems. Such problems are seldom reported and may constitute useful lessons for researchers planning future trials. AIM To address the difficulties involved in patient recruitment and to present measures to minimise bias during outcome assessment. METHOD A recently conducted trial comparin...

BACKGROUND There is limited evidence on non-pharmacological interventions for gout. The aim of the study was to determine whether a footwear intervention can reduce foot pain and musculoskeletal disability in people with gout. METHODS Thirty-six people with gout participated in a prospective intervention study over 8 weeks. Participants selected one of 4 pairs of shoes and thereafter wore the...

BACKGROUND Trauma team training using simulation has become an educational compensation for a low number of severe trauma patients in 49 of Norway's 50 trauma hospitals for the last 12 years. The hospitals' own simple mannequins have been employed, to enable training without being dependent on expensive and advanced simulators. We wanted to assess the participants' assessment of using a standar...

BACKGROUND Recommendations about scaling up HIV testing and counseling highlight the need to provide key services and to protect clients' rights, but it is unclear to what extent different modes of testing differ in this respect. This paper examines whether practices regarding consent, confidentiality, and referral vary depending on whether testing is provided through voluntary counseling and t...

Introduction: Rhinophyma is an uncommon subtype of rosacea, the clinical diagnosis of which is straightforward. However, localized, especially well-circumscribed,  rhinophyma is a very rare condition, which requires a paraclinical assessment to be accurately diagnosed.   Case Report: We report a 48-year-old male patient who presented with a well-circumscribed and dark re...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 introduction: health care organizations have begun applying six sigma methods into their operations. on the other hand, the difficulty of using indicators to compare health care providers in a meaningful way has led to an increased focus on using information about “adverse events”- that is , events that should not happen i...

Background: Vocal cord paralysis is disabling and can lead to morbidities such as dysphagia, dysphonia aspiration. It also loss of quality lives productivity in sufferers. An appropriate understanding etiologies, signs symptoms, diagnosis management are essential offering patients treatments. This article discussed a case report the physiotherapy assessment patient with vocal paralysis. Case Pr...

OBJECTIVE To determine the reliability and validity of a dedicated assessment tool for lateral epicondylitis after translation into Hong Kong Chinese. DESIGN Cross-sectional study. SETTING District hospital, Hong Kong. PATIENTS Seventy-four patients, 12 of whom were bilingual, were recruited (total of 82 elbows). MAIN OUTCOME MEASURES Translation equivalence and reliability were measure...