Fundamental principles of rehabilitation and musculoskeletal tissue healing

OBJECTIVE: To review fundamental principles of tissue healing and physical rehabilitation as they apply to dogs recovering from cranial cruciate ligament (CCL) surgery STUDY DESIGN: Invited Review SAMPLE POPULATION: None METHODS: A multidisciplinary group of specialists in small animal surgery, rehabilitation/sports medicine, and human physical and occupational therapy reviewed the currently available evidence for rehabilitation post-CCL surgery. Because current evidence is limited, this group proposes guidelines for rehabilitation after CCL surgery based on the fundamental principles of tissue healing and physical therapy RESULTS: This Review proposes four fundamental principles of small animal physical rehabilitation based on the foundations of tissue healing and patient-centric and goal-oriented therapy. Postoperative rehabilitation programs should be designed such that patient progress is based on individual assessment according to the degree of tissue healing, strength, and achievement of functional goals. Therapists must fully understand phases of tissue healing, reassess the patient frequently, and use clinical reasoning skills to progress treatment appropriately for the individual patient. CONCLUSION: Until more robust evidence is available to guide treatment protocols, fundamental principles of rehabilitation should ideally be adhered to when providing rehabilitation, including after CCL surgery. CLINICAL SIGNIFICANCE: While this Review specifically addresses post-CCL surgery rehabilitation, these fundamental principles should be applied broadly to animals enrolled in rehabilitation programs

Effect of Nail Grips on Weight Bearing and Limb Function in 30 Dogs 2 Weeks Post Tibial Plateau Leveling Osteotomy

The objective of this study was to assess the functional outcomes of dogs wearing nail grips in the first 2 weeks following tibial plateau leveling osteotomy (TPLO). Thirty dogs were included (n = 13 nail grips and n = 17 sham grips). Visual lameness scores (VLS), total pressure index (TPI), and client-specific outcome measures (CSOMs) were obtained by blinded observers on day 1 and day 14 +/− 3 post TPLO. CSOMs were also obtained on day 7. There were no differences in VLS and TPI between the treatment and sham group on day 14 (p = 0.44 and p = 0.59, respectively) or at any time point. CSOMs assessing walking on slippery flooring, ability to rise, and consistent use of surgical limb on a 5 min walk were also not different between groups (p = 0.78, p = 0.80, and p = 0.63) at any time point. Nail grips were well tolerated in dogs after orthopedic surgery. This study did not demonstrate a benefit for dogs wearing nail grips during the first two weeks after TPLO; however, further studies are warranted

Análise das relações entre a geometria urbana e a orientação das aberturas na disponibilidade de iluminação natural no ambiente interno - DOI: 10.5752/P.2316-1752.2013v20n26p151

Este estudo apresenta uma discussão relacionada à iluminação natural no ambiente interno, sendo o objetivo da pesquisa analisar as relações entre a geometria urbana e a orientação das aberturas na disponibilidade de iluminação natural no ambiente interno. Na geometria urbana, foram usadas as relações entre a largura de via (L) e a altura da edificação obstruidora (H), adotando-se relações de H=2,0.L, H=2,5.L e H=3,0.L. Para as aberturas, foram usadas as orientações norte, sul, leste, oeste, nordeste, sudeste, noroeste e sudoeste. Na análise, foram realizadas comparações dos valores de iluminância média global do ambiente interno, com os intervalos das UDI (useful daylight illuminance). Para isso, os valores de iluminância média global foram gerados por meio de simulação na ferramenta computacional TropLux, em um ambiente de geometria retangular inserido em um cenário urbano na cidade de Vitória, latitude 20° 19’ S. As simulações foram realizadas para três tipos de céus-padrão da CIE (Commission Internationale L´aclairage). Como principal resultado, constata-se, para os três tipos de céus analisados, a redução das iluminâncias conforme se aumentam as relações entre H e L. Para o céu 3 (encoberto), constatou-se que, para todas as relações da geometria urbana e para todas as orientações das aberturas, todos os valores de iluminância encontram-se no intervalo suficiente, mas com necessidade de iluminação complementar. No céu 7 (parcialmente nublado) e no céu 12 (claro), a maioria das iluminâncias encontra-se no intervalo suficiente, com algumas exceções para as orientações das aberturas para sul, sudoeste, oeste e sudeste. Para todos os céus, constatou-se também que as maiores taxas de decaimento da iluminância do ambiente interno ocorrem quando a relação da geometria urbana varia de H=2,0.L para H=2,5.L. Para o céu 7 (parcialmente nublado) e 12 (claro), conforme aumenta a relação entre a Cadernos de Arquitetura e Urbanismo, v.20, n.26, 1º sem. 2013 152 largura de via e a altura da edificação obstruidora, a variação na orientação da abertura passa a ter cada vez menor influência na iluminância

Yorba Times: Global Issues

During the Spring 2017 semester, Dr. Noah Asher Golden\u27s Teaching of Writing K-12 students partnered with the Journalism class at Yorba Academy for the Arts. Through collaboration over a four-month period, Chapman\u27s future teachers and Yorba\u27s junior high journalists engaged a deep writing process to write a series of features, editorials, and news articles related to a number of global issues. Thank you to Ms. Andrea Lopez, Ms. Tracy Knibb, and the Lloyd E. and Elisabeth H. Klein Family Foundation for supporting this project.https://digitalcommons.chapman.edu/yorba-chapman/1002/thumbnail.jp