Background: Despite international initiatives on collaboration within the field of rare diseases, patient access to orphan medicinal products (OMPs) and healthcare services differ greatly between countries. This study aimed to create a comprehensive and in-depth overview of rare diseases policies and reimbursement of OMPs in a selection of 12 countries in the Western Eurasian region: Armenia,
Shoulder and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), and Boston Carpal Tunnel Questionnaire (BCTQ) were correlated with pain-free grip strength (by Jamar hand dynamometer), pain intensity on 10cm Visual analogue scale and clinical test for median nerve mobility (by Upper limb neurodynamic test-1: ULNT-1) measured in range of motion (ROM) using a goniometer. Within-group and between-group comparisons of outcome measures were performed using students' t-test at 95% confidence interval using SPSS version 22 for Windows software. Results: Statistically significant (p,.05) improvements were detected by CTSQ for disease-specific outcomes (pre-post difference 26.146 8.2) which correlated (r=.76) with ULNT-1 ROM confirming the criterion-related validity. Conclusions: CTSQ was an useful prognostic outcome measure for CTS following NMT interventions in the adults as found in this study.
Проведено исследование 93 пациентов с ятрогенными повреждениями периферических нервов, 11,7% по отношению ко всем оперированным пациентам. Женщин было 51, мужчин 42. Пациенты трудоспособного возраста составили 88%. Позднее обращение за специализированной нейрохирургической помощью составило 53,7%. Чаще всех повреждался седалищный нерв - 29,1%, затем лучевой нерв - 22,6%. Наиболее частые причины ятрогенных осложнений - это операции на опорно-двигательном аппарате (79 - 84,9%). Представлены виды оперативных вмешательств, предложены меры по профилактике и своевременному специализированному лечению больных с ятрогенными повреждениями нервов.
Research has been done of 93 patients with iatrogenic injuries of peripheral nerves. It amounted to 11,7 per cent of all patients, who received surgical treatment. In the absolute value, there were 51 men and 42 women in gender equivalent. The significant quantity of working age patients amounts to 88%. 53.7% - it is late referral to specialized neurosurgical care. The volume of sciatic nerve injuries was the largest and amounted to 29,1%, the next a radial nerve - 22,6%. Most common causes of harmful complications there are operations on the musculoskeletal system (79 - 84,9%).The article shows the types of surgery, preventive measures and timely specialized treatment of patients with iatrogenic nerve injuries were proposed
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