Proportional lumbar spine inter-vertebral motion patterns: a comparison of patients with chronic, non-specific low back pain and healthy controls

Introduction: Identifying biomechanical subgroups in chronic, non-specific low back pain (CNSLBP) populations from inter-vertebral displacements has proven elusive. Quantitative fluoroscopy (QF) has excellent repeatability and provides continuous standardised inter-vertebral kinematic data from fluoroscopic sequences allowing assessment of mid-range motion. The aim of this study was to determine whether proportional continuous IV rotational patterns were different in patients and controls. A secondary aim was to update the repeatability of QF measurement of range of motion (RoM) for inter-vertebral (IV) rotation

To what extent do nurses use research in clinical practice? A systematic review

Background : In the past forty years, many gains have been made in our understanding of the concept of research utilization. While numerous studies exist on professional nurses\u27 use of research in practice, no attempt has been made to systematically evaluate and synthesize this body of literature with respect to the extent to which nurses use research in their clinical practice. The objective of this study was to systematically identify and analyze the available evidence related to the extent to which nurses use research findings in practice. Methods : This study was a systematic review of published and grey literature. The search strategy included 13 online bibliographic databases: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, EMBASE, HAPI, Web of Science, SCOPUS, OCLC Papers First, OCLC WorldCat, ABI Inform, Sociological Abstracts, and Dissertation Abstracts. The inclusion criteria consisted of primary research reports that assess professional nurses\u27 use of research in practice, written in the English or Scandinavian languages. Extent of research use was determined by assigning research use scores reported in each article to one of four quartiles: low, moderate-low, moderate-high, or high. Results : Following removal of duplicate citations, a total of 12,418 titles were identified through database searches, of which 133 articles were retrieved. Of the articles retrieved, 55 satisfied the inclusion criteria. The 55 final reports included cross-sectional/survey (n = 51) and quasi-experimental (n = 4) designs. A sensitivity analysis, comparing findings from all reports with those rated moderate (moderate-weak and moderate-strong) and strong quality, did not show significant differences. In a majority of the articles identified (n = 38, 69%), nurses reported moderate-high research use. Conclusions : According to this review, nurses\u27 reported use of research is moderate-high and has remained relatively consistent over time until the early 2000\u27s. This finding, however, may paint an overly optimistic picture of the extent to which nurses use research in their practice given the methodological problems inherent in the majority of studies. There is a clear need for the development of standard measures of research use and robust well-designed studies examining nurses\u27 use of research and its impact on patient outcomes. The relatively unchanged self-reports of moderate-high research use by nurses is troubling given that over 40 years have elapsed since the first studies in this review were conducted and the increasing emphasis in the past 15 years on evidence-based practice. More troubling is the absence of studies in which attempts are made to assess the effects of varying levels of research use on patient outcomes.<br /

Elemental concentrations in skin and internal tissues of Commerson’s dolphins (Cephalorhynchus commersonii) from subantarctic waters

The skin of cetaceans is the most accessibletissue, and its sampling has been proposed as a noninvasivemethod to evaluate trace element concentrations in free-rangingpopulations. In the present work, concentrations ofessential (Cl, Na, K, Mg, Fe, Zn, Mn and Co), nonessential(As and Ag), and of unknown essentiality (Br, Rb and Cs)elements were determined in the skin from nine by-caughtCommerson´s dolphins (Cephalorhynchus commersonii)from Tierra del Fuego, Argentina. Skin correlations withinternal tissues (lung, liver, kidney and muscle) wereassessed to evaluate how the skin represents internal elementconcentration for monitoring purposes. Elementalcontents were analyzed by instrumental neutron activationanalysis (INAA). Regarding tissue distribution, skin hadthe highest concentration of Zn being two orders of magnitudehigher than internal tissues, while other elementssuch as Co and Rb had similar concentrations among tissues.High mean concentrations of Cl, Na, Mg, Br and Mnwere observed in the lung and liver. Our results support theuse of skin to evaluate Fe, Br and Rb concentrations ininternal tissues for biomonitoring purposes; however, otherelements did not show significant skin-to-tissue correlations.Overall, toxic element levels were far below concentrationsfound to cause harm in marine vertebrates. Thisstudy provided baseline data on elemental concentrationsin tissues of Commerson´s dolphins in subantarctic watersfrom the South Atlantic Ocean.Fil: Cáceres Saez, Iris. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "Bernardino Rivadavia"; Argentina. Museo Acatushún de Aves y Mamíferos Marinos Australes; ArgentinaFil: Ribeiro Guevara, Sergio. Comisión Nacional de Energía Atómica. Gerencia del Área de Energía Nuclear. Unidad de Actividad de Ingeniería Nuclear. Laboratorio de Análisis por Activación Neutróica; ArgentinaFil: Prosser Goodall, Rae Natalie. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Austral de Investigaciones Científicas; Argentina. Museo Acatushún de Aves y Mamíferos Marinos Australes; ArgentinaFil: Dellabianca, Natalia Andrea. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Austral de Investigaciones Científicas; Argentina. Museo Acatushún de Aves y Mamíferos Marinos Australes; ArgentinaFil: Cappozzo, Humberto Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "Bernardino Rivadavia"; Argentina. Fundación de Historia Natural Félix de Azara; Argentina. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentin