Embedding Physical Therapy in the Pediatric Primary Care Setting: Qualitative Analysis of Pediatricians' Insights on Potential Collaborative Roles and Benefits.

The growing need for collaborative healthcare teams to meet complex health challenges has led to physical therapists (PTs) being embedded in adult primary care settings for many years now. However, this model of care has not been found in pediatrics. This qualitative study sought to gain insights from pediatricians on the potential of embedding pediatric PTs in primary care.

Neurologic Approach to Radiculopathy, Back Pain, and Neck Pain.

Back pain and neck pain are common in clinical practice, but significant challenges and pitfalls exist in their diagnosis, treatment, and management. From the neurologic standpoint, cervical radiculopathy and lumbosacral radiculopathy are characterized by neck pain or back pain accompanied by sensory and motor symptoms in an arm or leg. The basic neurologic examination is vital, but testing like electromyography and MRI is often needed especially in cases that fail conservative management.

Receiving help at work mitigates the negative consequences of performance pressure: implications for depletion and citizenship behavior.

Drawing from job-demands resources theory and conservation of resources theory, this study examines the effect of performance pressure on interpersonal citizenship behavior through exhaustion. We also explore the extent to which receiving help mitigates the exhaustion caused by performance pressure. In a critical incident design of employees from various industries ( = 268), performance pressure was positively associated with exhaustion.

An Atypical Pediatric Presentation of a Chronic Polyradiculoneuropathy.

Here, we present a case of a 15-year-old male with polyradiculoneuropathy, which was diagnosed as chronic inflammatory demyelinating polyneuropathy (CIDP), who was refractory to initial treatment. The patient presented with a one-and-a-half-month history of decreased strength, most notable in the bilateral hip flexors and finger flexors/extensors, and areflexia. Electromyography and nerve conduction studies did not fulfill diagnostic criteria for a demyelinating polyneuropathy; however, the cerebrospinal fluid analysis demonstrated albuminocytologic dissociation and his physical exam was otherwise consistent with the diagnosis.

Associations Between Congenital Muscular Torticollis Severity and Physical Therapy Episode.

Purpose: To determine how physical therapy utilization varies with Congenital Muscular Torticollis (CMT) Severity Grading Scale, considering episode of care and clinical practice guidelines.

Methods: A 3-year retrospective medical record review was conducted. Data were collected for 81 infants receiving physical therapy for CMT.

Can Patient-Reported Outcomes Measurement Information System® (PROMIS) measures accurately enhance understanding of acceptable symptoms and functioning in primary care?

Background: Value-based healthcare models will require prioritization of the patient's voice in their own care toward better outcomes. The Patient-Reported Outcomes Measurement Information System® (PROMIS) gives patients a voice and leads providers to actionable treatments across a broad range of diagnoses. However, better interpretation of PROMIS measures is needed.

Improving Interpretation of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Scale for Specific Tasks in Community-Dwelling Older Adults.

Background And Purpose: New generic patient-reported outcomes like the Patient-Reported Outcomes Measurement Information System (PROMIS) are available to physical therapists to assess physical function. However, the interpretation of the PROMIS Physical Function (PF) T-score is abstract because it references the United States average and not specific tasks. The purposes of this study were to (1) determine convergent validity of the PROMIS PF scale with physical performance tests; (2) compare predicted performance test values to normative data; and (3) identify sets of PROMIS PF items similar to performance tests that also scale in increasing difficulty and align with normative data.

Decompression nerve surgery for diabetic neuropathy: a structured review of published clinical trials.

Aim: To assess lower extremity decompression nerve surgery (DNS) to treat the consequences of diabetic distal symmetric peripheral neuropathy (DPN).

Research Design And Methods: MEDLINE, PubMed, and related registries were searched through December 2017 to identify randomized, quasi-randomized or observational trials that evaluated the efficacy of lower extremity DNS on pain relief (primary outcome) or other secondary outcomes. Observational studies were included, given investigators' reluctance to use sham surgery controls.

Neurological Complications of Therapeutic Monoclonal Antibodies: Trends from Oncology to Rheumatology.

Purpose Of Review: This review is to describe the scope of neurological complications associated with monoclonal antibody-based therapies, applied across medical specialties, to demonstrate the common and rare neurological syndromes that may be encountered in clinical practice according to the therapeutic agent being receive, and to explain appropriate work-up, diagnosis, and management of drug complications, as supported by the literature.

Recent Findings: The number of commercially available, evidence-based therapeutic monoclonal antibodies continues to expand. In oncology, immune checkpoint inhibitors are particularly important, as a wide range of central and peripheral nervous system complications are described.

Bodies obliged and unbound: differentiated response tendencies for injunctive and descriptive social norms.

The authors suggest that injunctive and descriptive social norms engage different psychological response tendencies when made selectively salient. On the basis of suggestions derived from the focus theory of normative conduct and from consideration of the norms' functions in social life, the authors hypothesized that the 2 norms would be cognitively associated with different goals, would lead individuals to focus on different aspects of self, and would stimulate different levels of conflict over conformity decisions. Additionally, a unique role for effortful self-regulation was hypothesized for each type of norm-used as a means to resist conformity to descriptive norms but as a means to facilitate conformity for injunctive norms.

President Wilson's brain trust: Woodrow Wilson, Francis X. Dercum, and American neurology.

On October 2, 1919, President Woodrow Wilson suffered a stroke that paralyzed the left half of his body. Wilson's stroke forced the American public to confront stroke, and laypeople came to identify stroke as a nervous disorder, rather than a condition rooted solely in psychological phenomena. His medical care was overseen by Cary Grayson, his personal internist, and Francis X.

UV/Vis Spectroscopic Evaluation of 4-Nitropyridine N-Oxide as a Solvatochromic Indicator for the Hydrogen-Bond Donor Ability of Solvents.

The potential of 4-nitropyridine N-oxide to act as a solvatochromic indicator of the hydrogen-bond donor ability of solvents has been evaluated. A linear free-energy relationship has been established that is predominantly dependent on the Kamlet-Taft alpha parameter of the solvent. In comparison to the previously reported results obtained for pyridine N-oxide, 4-nitropyridine N-oxide possesses a solvatochromic effect that is located in the long wavelength ultraviolet region (lambda = 330-355 nm) of the spectrum, making it a viable probe for hydrogen-bond donation assessment.