The health research landscape is changing, and it is time for the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) community to foster authentic opportunities for patient engagement in musculoskeletal research and practice. Although authentic engagement has challenges, the benefits are well worth the investment of time and energy to overcome these challenges and improve the quality of physical therapy research. In this editorial, the authors outline 3 steps JOSPT is taking to promote and support patient partnership in musculoskeletal research. J Orthop Sports Phys Ther 2019;49(9):623-626. doi:10.2519/jospt.2019.0106
Coal -derived ~n a t e r i a1 s from two coal conversi on processes were screened f o r p o t e n t i a l e c o l o g i c a l t o x i c i t y . W e examined t h e t o x i c i t y o f m a t z r i a l s from d i f f e r e n t engi n e e r i ng o r process o p t i o n s t o an a q u a t i c i n v e r t e b r a t e and a1 so r e l a t e d p o t e n t i a l hazard t o r e l a t i v e c o n c e n t r a t i o n , composition, and s t a b i 1 i t y o f water s o l u b l e components. For m a t e r i a l s t e s t e d from t h e I n t e g r a t e d Two-Stage L i q u e f a c t i o n (ITSL) process, only t h e LC f i n e r (LCF) 650°F d i s t i l l a t e was h i g h l y s o l u b l e i n water a t 20°C. The LCF feed and Total L i q u i d Product (TLP) were n o t i n l i q u i d s t a t e s a t 20°C dnd Nere r e l a t i v e l y i n s o l u b l e i n water. R e l a t i v e hazard t o daphnids from ITSL m a t e r i a l s was as f o l lows: LCF 650°F d i s t i 1 l a t e 2 LCF feed TLP. For Exxon Donor Solvent (EDS) m a t e r i a l s , process s o l v e n t produced i n t h e b o ttoms r e c y c l e mode was more s o l u b l e i n water than once-through process s o l v e n t and, hence, s l i g h t l y more a c u t e l y t o x i c t o daphnids. When compared t o o t h e r coal l i q u i d s o r petroleum products, t h e ITSL o r EDS l i q u i d s were i n t e r m e d i a t e i n t o x i c i t y ; r e l a t i v e hazard ranged from 1/7 t o 1/13 o f the Solverlt Refined Coal (SRC)-I1 d i s t i l l a t e blend, b u t was several times g r e a t e r than t h e r e l a t i v e hazard f o r No. 2 d i e s e l f u e l o i l o r Prudhoe Bay crude o i l . A1 though cornposit i onal d i fferences i n water-sol ubl e f r a c t i o n s (WSF) were noted among m a t e r i a l s , phenolics were t h e major cornpound c l a s s i n a l l WSFs and probably t h e primary c o n t r i h u t o r t o acute t o x i c i t y . CONTENTS
ObjectiveTotal laryngectomy is considered the primary treatment modality for advanced laryngeal carcinoma. This study assessed the quality of life in patients after total laryngectomy, and ascertained whether quality of life is affected by socioeconomic status.MethodForty-seven patients (20 state- and 27 private-sector) who underwent total laryngectomy between 1998 and 2014 responded to the University of Washington Quality of Life Questionnaire, the Voice-Related Quality of Life Questionnaire and the Brief Illness Perception Questionnaire.ResultsSignificant differences were found in socioeconomic status between state- and private-sector patients (p < 0.001). There was no significant difference in overall quality of life between groups (p = 0.210). State-sector patients scored significantly higher Voice-Related Quality of Life Questionnaire scores (p = 0.043). Perception of illness did not differ significantly between groups.ConclusionOverall quality of life after total laryngectomy appears to be similar in patients from different socioeconomic backgrounds. However, patients from lower socioeconomic circumstances have better voice-related quality of life. The results illustrate the importance of including socioeconomic status when reporting voice outcomes in total laryngectomy patients.
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