ICAR: endoscopic skull‐base surgery

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Oral Presentations in Order of Conference Program. The role of personalised virtual reality in education for patients post stroke: A case series.

Introduction: Stroke education is essential to prevent future strokes andpromote maximum recovery, however, current techniques are limited andmany patients remain confused. This series of case studies investigates thebenefits of a personalized and novel education session using a threedimensional (3D) computer generated visualization of patient’s MRI andCT images to enhance their understanding of stroke.Methods: Patient 1, 69 yo male, 11.5 months post middle cerebral artery(MCA) infarct. Patient 2, 66 yo male with 4 year history of multipleischemic strokes in the MCA and medullary areas. Structured interviewswere delivered before and after the educational intervention. Interviewresponses, MRI angiography,CT DICOM datasets and gaming technologywere used to create a virtual tour of the patient’s vasculature from insidethe vessels. During the educational intervention the patients wore a headmounted display and were guided by a rehabilitation physician throughtheir personalized virtual simulation.Results: The structured interviews outlined a number of commonthemes; continued confusion in regards to risk factors, stroke causationand the effects of acute treatment; and the benefits of visualization tounderstand and promote recovery. The 3D visualization sessions were welltolerated with participants reporting high satisfaction, a new understandingand an enhanced motivation to improve and prevent future strokes.Conclusions: Preliminary results suggest a personalized and guided 3Dvisualization consultation is an effective educational tool. The following 3case studies will investigate the efficacy of delivering this form of educationalintervention to a heterogeneous cohort with a variety of strokepresentations

Relationship of serum IL-6, C-reactive protein, erythrocyte sedimentation rate, and knee skin temperature after total knee arthroplasty: a prospective study

Knee osteoarthritis is a common cause of severe pain and functional limitation. Total knee arthroplasty is an effective procedure to relieve pain, restore knee function, and improve quality of life for patients with end stage knee arthritis. The aim of this study was to investigate the inflammatory process in patients with primary knee osteoarthritis before surgery and in subsequent periods following total knee arthroplasty. A prospective study of 49 patients undergoing primary total knee replacements was conducted. The patients were evaluated by monitoring serum interleukin-6 (IL-6), C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), knee skin temperature, and clinical status. Measurements were carried out preoperatively and postoperatively on day one and at two, six, 14, and 26 weeks during follow-up review in the knee clinic. The serum IL-6 and CRP were elevated on the first postoperative day but fell to preoperative values at two weeks postoperatively. Both returned to within the normal range by six weeks postoperatively. In addition, the postoperative ESR showed a slow rise with a peak two weeks after surgery and returned to the preoperative level at 26 weeks postoperatively. The difference in skin temperature between operated and contralateral knees had a mean value of +4.5°C at two weeks. The mean value decreased to +3.5°C at six weeks, +2.5°C at 14 weeks, and +1.0°C at 26 weeks. The difference in skin temperature decreased gradually and eventually there was no statistically significant difference at 26 weeks after surgery. A sustained elevation in serum IL-6, CRP, ESR, and skin temperature must raise the concern of early complication and may suggest the development of postoperative complication such as haematoma and/or infection

Força de preensão manual de atletas tenistas avaliada por diferentes recomendações de teste

A avaliação da força de preensão manual (FPM) em tenistas competitivos deve ser realizada devido à assimetria que o jogador pode desenvolver. Para avaliar a FPM, profissionais utilizam dois protocolos diferentes (das Sociedades Americana e Europeia). Os objetivos deste estudo foram comparar a FPM usando a técnica do European Test of Physical Fitness Handbook (Eurofit) e da American Society of Hand Therapists (ASHT), bem como verificar a FPM entre o lado dominante/contralateral e comparar a FPM entre as idades em atletas de tênis da categoria infanto-juvenil. Participaram do estudo 137 tenistas do gênero masculino e 45 do feminino, todos com idade entre oito e 18 anos. Para avaliar a FPM, segundo as recomendações da Eurofit e ASHT, foi utilizado um dinamômetro manual (Jamar). Nenhum dos sujeitos avaliados apresentava qualquer lesão que pudesse comprometer o teste. Os resultados mostram que não há diferença na FPM entre os posicionamentos recomendados pela Eurofit e ASHT para medir a FPM independente do gênero. A curva sigmoide foi a que melhor se adequou para regressão da FPM e idade em ambos os gêneros sendo que para o masculino a FPM tem maior inclinação aos 11 anos, já para o feminino a maior inclinação é aos 10 anos. Além disso, a partir dos 14 anos, o lado dominante dos atletas masculinos apresentou maior FPM que o lado não dominante; contudo, essa assimetria não ocorreu no feminino em qualquer idade até os 18 anos