Study: Legacy pacers, ICDs found safe for 1.5T MRI scans

Pacemakers and implantable cardioverter defibrillators not marked as MRI-safe could still be mostly safe to use during imaging sessions with 1.5T MRI machines, according to a new study reported on by Healio. Results from the study were recently published in The New England Journal of Medicine. In the prospective, nonrandomized study, researchers aimed to explore the safety of 1.5T MRI sessions in 1,509 patients with legacy pacemakers or ICDs, undergoing a total of 2,103 MRI exams. Pacing mode in the devices was changed to asynchronies in pacing dependent patients and demand mode for other patients, with tachyarrhythmia functions disabled, according to Healio. No clinically significant adverse events were reported at 1 year, according to the report, and only 0.4% of the devices reset to backup mode during MRI exams. A single pacer with a month of battery life was noted as having reset to ventricular inhibited pacing, could not be reprogrammed and was replaced, according to the report. A decrease P-wave amplitude of at least 50% from baseline also occurred in 1% of patients, according to Healio. On a longer term follow-up, 4% of patients had reported decreases in P-wave amplitude, with 4% experiencing an increase in atrial capture threshold, 4% exhibiting an increase in right ventricular capture threshold and 3% showing an increase in left ventricular capture threshold, according to the report. None of these results were clinically significant or required device reprogramming o...
Source: Mass Device - Category: Medical Devices Authors: Tags: Cardiac Assist Devices Cardiac Implants Cardiovascular Clinical Trials Imaging Source Type: news

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If you are one of the more than 100 million Americans suffering with chronic pain, you know how desperate you can get searching for relief. For constant or chronic pain, sometimes knowing that you can only get temporary relief from medications sits at the back of your brain and sets up pain anticipation. Shouldn’t there be a better way, an approach or approaches that don’t rely on pharmaceutical drugs to combat pain? According to new research, there are some new pain relief methods that look very promising to do just that. Treatment from Strangers Mat Provide Unexpected Pain Relief It may seem counter-intuitiv...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Chronic Pain Health-related Mental Health and Wellness Mindfulness Psychology Research Treatment Source Type: blogs
ConclusionWe considered that waiting for a long time before surgical resection of the heterotopic ossification would lead to more disability, and early resection of the heterotopic ossification was not a contraindication despite the fact that the uptake on the bone scan was still intense.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
If the Democrats take the House, they ’ll impeach Justice Kavanaugh, President Trump warned at a mass rally in Iowa last week. “Impeach, for what? For what?” Trump demanded. For perjury, most likely: “If we find lies about assault against women,”says Rep. Luis Gutierrez (D.-Ill.) one of several House Judiciary Committee members calling for renewed investigation, “then we should proceed to impeach.” I ’m not the newly-minted Justice’s biggest fan. From the start, I thought Kavanaugh was a lousy pick for the Court: weak onthe Fourth Amendment and unreasonably fond of...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Conclusions Part-time instead of full-time sick leave, at the early stage of work disability due to musculoskeletal diseases or mental disorders, leads to considerable social security cost savings during two years, in correspondence with increased work participation and in addition to earlier reported health benefits. Part-time sick leave can be recomme nded from an economic perspective; however more consideration should be given to women with musculoskeletal diseases.byViikari-Juntura E, Leinonen T, Virta LJ, Hiljanen I, Husgafvel-Pursiainen K, Autti-R ämö I, Rissanen P, Burdorf A, Solovieva S. doi:10.5271/sjweh.3777
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Short communication Source Type: research
Conclusions Part-time instead of full-time sick leave, at the early stage of work disability due to musculoskeletal diseases or mental disorders, leads to considerable social security cost savings during two years, in correspondence with increased work participation and in addition to earlier reported health benefits. Part-time sick leave can be recommended from an economic perspective; however more consideration should be given to women with musculoskeletal diseases. PMID: 30338336 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Authors: Tags: Scand J Work Environ Health Source Type: research
ConclusionSubclinical crystals were detected in a considerable number of patients with primary knee OA. The incidence of crystal deposits was significantly higher in patients with bursitis and knee effusion.
Source: Journal of Medical Ultrasonics - Category: Radiology Source Type: research
This article was originally published on Mindful, including first steps to take when feeling the blues. Related reading: Mindfully debunking four meditation myths Book review: Grit is a tool in the toolbox, not the silver bullet To harness neuroplasticity, start with enthusiasm Six tips to build resilience and prevent brain-damaging stress
Source: SharpBrains - Category: Neuroscience Authors: Tags: Cognitive Neuroscience Education & Lifelong Learning Health & Wellness cognitive-therapy depression depression screening Mental-Health mindfulness mindfulness-based cognitive therapy public-health UCLA Source Type: blogs
CONCLUSION: We designed and manufactured a patient-specific assistive device optimized for patient function after estimating the disability status of a patient with brain injury through 3D printing techniques. We hope to provide low-cost, customized devices to disabled patients through 3D printing techniques. Implications for Rehabilitation We designed and manufactured a patient-specific assistive device optimized for patient function through 3D printing technique. We hope to provide low-cost, customized devices to disabled patients through 3D printing techniques. PMID: 30318956 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation. Assistive Technology. - Category: Rehabilitation Authors: Tags: Disabil Rehabil Assist Technol Source Type: research
Authors: Carey JJ, Buehring B Abstract Osteoporosis is a global pandemic affecting children, men and women of all ages and ethnicities. Millions of people suffer fragility fractures each year around the world as a result of this bone disease, which can have devastating consequences for them, including permanent disability and death. Many fractures are preventable by identifying people at high risk for fracture and falls, and diagnosing those who already have osteoporosis, before they fracture. Rheumatologists commonly encounter people with fragile bones, either as an isolated entity, or a co-morbidity to their unde...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
Authors: Tani C, Carli L, Stagnaro C, Elefante E, Signorini V, Balestri F, Delle Sedie A, Mosca M Abstract Musculoskeletal symptoms are among the most common manifestations in patients with systemic lupus erythematosus (SLE), being reported in up to 95% of patients; joint and tendon involvement can range from arthralgia to severe deforming arthropathy; while myositis a rare manifestation, comorbid fibromyalgia is reported in up to 40% of SLE patients. All these manifestations have a significant impact on the patients' quality of life, possibly leading to disability and functional impairment in daily living activiti...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
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