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Is Platelet-rich Plasma Effective in Treating Achilles Tendinopathy? A Meta-analysis of Randomized Clinical Trials.
Clin Orthop Relat Res
December 2024
Federal University of Bahia, Salvador, Brazil.
Background: Several meta-analyses have evaluated the use of platelet-rich plasma (PRP) in the treatment of Achilles tendinopathy. Although they generally did not find PRP to be effective, an updated meta-analysis containing all the available, high-quality randomized trial evidence that addresses the methodological shortcomings identified in earlier meta-analyses needs to be performed.
Question/purposes: This systematic review and meta-analysis aimed to evaluate the efficacy of PRP in improving (1) pain and function as assessed using the Victorian Institute of Sports Assessment-Achilles (VISA-A) score 3 months, 6 months, and 1 year after treatment and (2) VAS pain scores 3 months after treatment in patients with chronic Achilles tendinopathy.
Aggregation Bias and Socioeconomic Gradients in Waiting Time for Hospital Admissions.
Health Econ
December 2024
Department of Economics and IGS, University of Bergen, Bergen, Norway.
Waiting time is a rationing mechanism that is used in publicly funded healthcare systems as a mean to ensure equal access for equal need. However, several studies suggest that individuals with higher socioeconomic status wait less. These studies typically measure patients' socioeconomic status as an aggregate measure from patients' residential area and the results are hence vulnerable for aggregation biases.
View Article and Find Full Text PDFComputerized Decision Support System and Fuzzy Logic Rules for Early Diagnosis of Pesticide-Induced Diseases.
Crit Rev Biomed Eng
November 2024
ITMO University Kronverksky, St. Petersburg, Russia.
Article Synopsis
- Many reflexologists rely on outdated concepts that conflict with current medical science, hampering proper diagnoses and treatment.
- This study develops a fuzzy mathematical model that uses reflex diagnostics and acupuncture points to improve medical care for workers exposed to pesticides, predicting nervous system issues with over 85% accuracy.
- Despite the interest in reflex diagnostics and ancient therapies, the lack of a solid theoretical framework and the exaggeration of acupuncture benefits challenge their broader application in modern healthcare.
Sleep: Architecture, Deprivation, and Propofol-Induced Sleep.
AANA J
December 2024
Professor and chair of the Department of Nurse Anesthesia Practice at Central Connecticut State University, New Britain, Connecticut, and a staff CRNA at YNHH, New Haven, Connecticut. Email:
Article Synopsis
- Sleep plays a vital role in health and well-being, with many people experiencing sleep deprivation and chronic insomnia, leading to serious health issues.
- Understanding sleep architecture and hygiene is essential for maintaining physiological functions and overall homeostasis.
- The course targets certified registered nurse anesthetists, providing insights into the relationship between sleep and health, risk factors for chronic sleep deprivation, and treatment options like propofol-induced sleep.
An Overview for Clinicians on Intraductal Papillary Mucinous Neoplasms (IPMNs) of the Pancreas.
Cancers (Basel)
November 2024
MedStar Georgetown Transplant Institute, Washington, DC 20007, USA.
Currently, there is no reliable method of discerning between low-risk and high-risk intraductal papillary mucinous neoplasms (IPMNs). Operative resection is utilized in an effort to resect those lesions with high-grade dysplasia (HGD) prior to the development of invasive disease. The current guidelines recommend resection for IPMN that involve the main pancreatic duct.
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