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A 3D Multimedia Approach to the Diagnosis of Low Back Pain

(Vol. 1: 18 & 40 Year Old Males)

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ISBN: 1-872-631-63-0, Latest Version: 1.1

Title: A 3D Multimedia Approach to the Diagnosis of Low Back Pain (Vol. 1: 18 & 40 Year Old Males). A Browser Readable, CIMware Medical series 3D Multimedia eBook by Scott F. Nadler, D.O., Associate Professor, Department of Physical Medicine and Rehabilitation, and Director of Sports Medicine, UMDNJ - New Jersey Medical School, Newark, NJ, USA. Edited, Programmed & Additional Material by Professor Paul G. Ranky, PhD, NJIT / USA, and Marti Ranky, BS(Hons), Nutrition, Surrey University, UK, Dietitian and Nutritional Scientist, Consultant, Member of The British Dietetic Association, Member of the British Council for Professions Supplementary to Medicine, Member of the Royal Society of Health, London, UK, USA Certified and Registered Dietitian, Member of the American Dietetic Association, Chicago, IL, USA, and CEO, CIMware Inc., USA

Committee Members: include Joel A. DeLisa, MD, MS, UMDNJ-New Jersey Medical School, and Kessler Medical Rehabilitation Research and Education Corporation (KMRREC); Gerard A. Malanga, MD, UMDNJ-NJ Medical School & KMRREC, Sheela Jain, MD, Patrick M. Foye,MD, UMDNJ; Boqing-Cheng, MD, PhD, UMDNJ; David S. Tulsky, PhD, KMRREC; Scott R. Millis, PhD, KMRREC, New Jersey Medical School; Elie Elovic, MD, Ross A Bogey, DO, KMRREC, and UMDNJ-NJMS; Robert F. Heary, MD, UMDNJ, and the Spine Center of New Jersey; Mary O. Eyles, PhD, RN, formerly at KMRREEC; Provost William Swart, PhD, East Carolina University, formerly at Old Dominion University; R. Bowen Loftin, PhD, VMASC; Ching-YaoLin, PhD, University of Houston; Hector M. Garcia, VMASC, Virginia, and Mick F. Ranky, MS, CIMware Europe.

In this Case participants will be able to visualize 3D interactive multimedia images of the subjects, experience the physical examination as it occurs using interactive digital video clips, review the diagnostic testing procedure, develop differential diagnosis, review the anatomy (including 3D interactive multimedia images taken inside the body), understand and review the diagnosis, and self-test their learned knowledge using a traditional, and/or a computerized method.

This publication is a web-browser readable, interactive 3D multimedia case-based / problem-based / project-based eBook (electronic book) - a first of its kind in the World! It includes the equivalent of over 260 pages of text, full color, high quality images, interactive diagrams, 2D and 3D animations, over 30 minutes of interactive digital videos, 3DVR (3D Virtual Reality) objects, 360 degree panoramas of virtual tours inside and outside the human body, an extensive glossary of medical terms, active code for self-test with examples, and user definable templates, all in an open-source, multi-platform (i.e. Windows, Mac OS9 and OSX, Linux, and UNIX) format.

  • This Publication is a New Jersey (USA) Annual Faculty Best Practices Showcase for Outstanding Examples of Curricular Innovation with Technology (2003)

    Level: Aimed at medical students, residents and attending physicians, to enhance the education of those evaluating individuals with low back pain.

    Available in four different published packages with the same electronic content (approximately 600 Mbytes).

    1. ISBN: 1-872-631-63-0 90001: for the professional market as a Hi-Resolution, full color printed Book-CD-combo (see image below), as well as
    2. ISBN: 1-872-631-63-0 90002: as an eBook on CD-ROM in a professional DVD box with inserts (see image below)
    3. ISBN: 1-872-631-63-0 90003: for the educational market (available for students and faculty with a current academic ID) as a jewel-case packaged CD-ROM , see image below)
    4. ISBN: 1-872-631-63-0 90004: for Server-based, multi-user 3D eBook solutions for both the professional, as well as the educational markets, offering various group licenses depending on the region of use. Consider the freedom, and the power of knowledge, when accessing our 3D interactive multimedia eBooks on your laptops and powerbook computers, over a fast wireless intranet... We have this solution available now! (Please contact Us by Email: cimware@cimwareukandusa.com, or cimware@earthlink.net or call. Thanks).

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  • Our Most Complete Professional Package ! For the professional market a Hi-Resolution, full color printed Book-CD-combo with a browser readable 3D interactive multimedia CD-ROM inside (ISBN: 1-872-631-63-0 90001). (USA Dollar Price), (UK Pound Sterling Price)
    Our Best Educational Deal ! For the educational market a jewel-case packaged CD-ROM (ISBN: 1-872-631-63-0 90003). (USA Dollar Price), (UK Pound Sterling Price)
    Our Best Pro-Deal ! For the professional market a 3D multimedia interactive eBook on CD-ROM in a professional DVD box with rebate inserts (ISBN: 1-872-631-63-0 90002). (USA Dollar Price), (UK Pound Sterling Price)
    Our Server-based Solutions for both the professional, as well as the educational markets (ISBN: 1-872-631-63-0 90004). (USA Dollar Price), (UK Pound Sterling Price)
    On a Server

    Open source, customizable MS-Excel templates included for sel-test / post-test!

    (More about the Author) or (More About the Editor) or (Email your Order!) or (View sample screen images, 2D videos, 3D VR objects of this multimedia publication...)

    The over 50 interactive screens include 6 major topic areas, including Physical Examination, Diagnostic Testing, Lumbar Spine Anatomy, Differential Diagnosis, 18 and 40 year Old Male Cases, and a Glossary of Terms, in the equivalent of 260 pages of (optionally printable) text, over 500 original images, over 50 interactive digital videos, slide shows and interactive 3D Virtual Reality objects, covering an inside and outside virtual 3D body tour with explanation in the low back region.

    In this Case participants will be able to

    • Visualize 3D interactive virtual reality and multimedia images of the subjects,
    • Experience the physical examination as it occurs using interactive digital video clips,
    • Review the diagnostic testing procedure, develop differential diagnosis,
    • Review the anatomy (including 3D interactive multimedia full color images taken inside the body),
    • Understand and review the diagnosis, (including 3D interactive multimedia full color images taken outside the body), and
    • Self-test their learned knowledge using a traditional, and/or our novel computerized method.

    Detailed Contents of the Publication:

    About Dr. Nadler

    Welcome and Introduction

    The Committee

    Challenges in Making the Diagnosis

    The Physical Examination

    1. Gait
    2. Inspection
    3. Range of motion
    4. Sensation
    5. Strength
    6. Reflexes
    7. Flexibility
    8. Straight leg raising
    9. Standing flexion test
    10. Trendelenberg test
    11. FABER
    12. Palpation
    13. Non-organic signs

    Diagnostic Testing

    1. Plain Radiographs
    2. Bone Scan
    3. Magnetic Resonance Imaging (MRI)
    4. Computed Tomography (CT)
    5. Electrodiagnosis
    6. Myelogram
    7. Discography
    8. Diagnostic Selective Neural Blockade

    Lumbar Spine Anatomy

    1. Vertebral body
    2. Spinous processes
    3. Zygopophyseal joints (Facet joints)
    4. Transverse processes
    5. Laminae
    6. Pedicle
    7. Pars interarticularis
    8. Sacroiliac joint
    9. Ligaments
    10. Anterior longitudinal ligament
    11. Posterior longitudinal ligament
    12. Ligamentum flavum
    13. Interspinous ligament
    14. Supraspinous ligament
    15. Paraspinal Musculature
    16. Latissimus dorsi
    17. Longissimus
    18. Iliocostalis
    19. Multifidi
    20. Trunk Musculature
    21. Quadratus lumborum
    22. Iliopsoas
    23. Transversus abdominis
    24. Internal oblique
    25. External oblique
    26. Rectus abdominis
    27. Nerve supply
    28. Anterior primary ramus
    29. Posterior primary ramus
    30. Sinuvertebral nerve
    31. Intervertebral disc
    32. Annulus fibrosis
    33. Nucleus pulposus



    Differential Diagnosis

    1. Lumbar Radiculopathy
    2. Lumbar Spinal Stenosis
    3. Lumbar Facet Syndrome
    4. Lumbar Spondylolysis / Spondylolisthesis
    5. Sacroiliac Joint Dysfunction
    6. Myofascial Pain Syndrome
    7. Osteoporosis
    8. Neoplasm
    9. Malingering

    Cases

    Case I – 18 Year Old Male (Presented in this CD: Vol. 1). Sneak preview the 3D object discussed in this Case. Need HELP! on how to run interactive 3DVR objects?

    * History
    * Physical Examination
    * Diagnostic Testing
    * Anatomy
    * Final Diagnosis

    Case II – 40 Year Old Male (Presented in this CD: Vol. 1). Sneak preview the 3D object discussed in this Case. Need HELP! on how to run interactive 3DVR objects?

    * History
    * Physical Examination
    * Diagnostic Testing
    * Anatomy
    * Final Diagnosis

    Case III – 47 Year Old Female (Presented in CD: Vol. 2). Sneak preview the 3D object discussed in this Case. Need HELP! on how to run interactive 3DVR objects?

    * History
    * Physical Examination
    * Diagnostic Testing
    * Anatomy
    * Final Diagnosis

    Case IV – 68 Year Old Female (Presented in CD: Vol. 2). Sneak preview the 3D object discussed in this Case. Need HELP! on how to run interactive 3DVR objects?

    * History
    * Physical Examination
    * Diagnostic Testing
    * Anatomy
    * Final Diagnosis

    Post-Test

    E-mail Video and 3D Multimedia Clips

    Contacts, Acknowledgments and Production Team

    Glossary Of Terms

    Help!

    Just Sit Back and Relax...

    The medical author, Dr. Scott F. Nadler is an Associate Professor in the Department of Physical Medicine and Rehabilitation at UMDNJ-New Jersey Medical School in Newark, New Jersey where he also serves as the Director of Sports Medicine.

    He is the team physician for 4 colleges in New Jersey and is on the medical faculty of the United States Figure Skating Association. Dr. Nadler has published more than 140 original research papers, abstracts, reviews, and chapters and his work has been in the peer reviewed journals; Spine, Medicine & Science in Sports & Exercise, Mayo Clinic Proceedings, Archives of Physical Medicine and Rehabilitation, American Journal of Physical Medicine and Rehabilitation and the Clinical Journal of Sport Medicine.

    His research has been presented at the North American Spine Society, American College of Sports Medicine, American Academy of Physical Medicine and Rehabilitation and the International Olympic Committee World Congress of Sports Science. He is co-editor of the textbook Whiplash. He serves on the editorial boards of the Clinical Journal of Sport Medicine and The Spine Journal.

    Dr. Nadler has been selected to Best Doctors in America from 1996-2002, and to the Castle Connolly Guide, How to Pick the Best Doctors in the Metro-New York Region – 1998-2002.

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    Please note, that this multimedia case publication includes several open source, customizable spreadsheet (i.e. active code) templates in MS-Excel. (A Summary of the Key Features of our Multimedia Library).

    Assuming that you have MS-Excel, or a compatible spreadsheet tool on your machine, all you have to do is to click on these links, then the spreadsheet template becomes active, and then you can use it as a tool to calculate with your input data. These programs offering excellent opportunities for professional development, for educators and students to learn and employ our techniques.

    Many of the Library Cases discuss and teach the methods and the principles how these active code spreadsheet programs work, other Cases just offer them for use and refer to those cases that explain their algorithms in detail. This way redundancy is minimized.

    The purpose of these generic, customizable, open source active code templates is to provide software tools for one, or more of the following:

    • Self test/ post test/ evaluation: included in this case as an executable template, and
    • Course grading templates: included in this case as an executable template for distance learners, teams, and team managers who are responsible for managing learning/ educational activities and have to evaluate their own, or other learners' knowledge level in a particular field of interest.

    To summarize, our user-friendly active code templates in this case add analysis, and evaluation opportunities to our Library, with 3D interactive objects, and video clips.

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    System Requirements: In order to run this electronic book in multimedia format, you will need a Multimedia Mac, or PC or Linux Compatible computer. Use a 300 MHz CPU or faster, and 16 bit, 800 x 600 dpi, or better screen resolution. Runs off-line and/ or on-line the web using a web-browser and QuickTime ver. 4 or later FREE.

    In other words, you can run it off-line the Internet, directly read by your browser from the CD as an entirely self-contained program, or enjoy the hot-links to various Internet resources if you are on-line . (Works well in wireless Internet/ intranet environments too!). This combines the best of both worlds, meaning fast local CD access speed and the latest information over the net. (Please note, that this CD is frequently updated).

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    Our Special Thanks are Expressed for this Case to:

    Dr. Joel A. DeLisa, M.D. M. S., Professor and Chair of the Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, and President and Chief Executive Officer of the Kessler Medical Rehabilitation Research and Education Corporation, is an experienced senior investigator, administrator, and medical educator.

    From July 1 to December 31, 2000 he served as Interim Dean of UMDNJ-New Jersey Medical School. He has 125 published articles and 38 chapters and books to his credit. His research interests include spinal cord injury, health delivery systems outcomes and the evaluation of physician clinical competencies, as well as undergraduate and graduate medical education.

    The third edition of his leading textbook Rehabilitation Medicine: Principles and Practice was released in July 1998 and is currently being translated into Chinese. He is an active member of numerous professional organizations and has had wide-ranging experience as chairman, board member and committee member. Currently he is Chairman of the Board of the American Physiatric Education Council. He is past President of the American Association of Electrodiagnostic Medicine, past President of the Association of Academic Physiatrists (AAP) and past President of the American Paraplegia Society (APS).

    He was a Director of the American Board of Physical Medicine and Rehabilitation from 1987 to 1999, and served as its Chairman from 1993 through 1998. He is currently an emeritus member of this Board. He serves as Treasurer and member of the Executive Committee of the American Board of Medical Specialties, and also serves on the Board of the Education Commission for Foreign Medical Graduates. He serves on the Special Medical Advisory Group for the Department of Veterans Affairs. He is Editor of the Journal of Spinal Cord Medicine.

    Dr. DeLisa has received numerous awards for his service to the medical community. These have included the 2000 Distinguished Academician’s Award and the Outstanding Service Award from the AAP, the 2001 Distinguished Member Award from the American Academy of Physical Medicine and Rehabilitation, the Excellence Award from the APS, and the Gold Key Award from the American Congress of Rehabilitation Medicine. He has been an invited speaker and a keynote speaker for these and numerous other national and international organizations,

    and

    Mary O. Eyles, Ph.D., RN, Education Consultant, Assistant Professor-Clinical, Department of Physical Medicine & Rehabilitation, UMDNJ-New Jersey Medical School.

    Mary O. Eyles, Ph.D., RN was the Director of Education for Kessler Medical Rehabilitation Research and Education Corporation during the start-up phase of this project. She holds a doctorate in the Administration and Supervision of Higher Education from Seton Hall University, a Masters in Health Science Administration, a Bachelors in Health Science Education, and a nursing diploma. Dr. Eyles also holds New Jersey Teacher Certification and taught high school for a brief period of time. She has held several clinical positions at hospitals in the New York metropolitan area and has been adjunct faculty at Hudson County Community College and Rockland Community College.

    She was Director of Continuing Education Services for the National Association for Practical Nurse Education and Service, Inc. for many years, serving as the senior member of NAPNES Accreditation services to schools of practical nursing. Dr. Eyles has and continues in her role as Editor/Consultant for several review texts for Mosby publishing, now Elsevier Health Sciences, since 1986. Her major research interests are specific to the educational process, particularly the use of the Objective Structured Clinical Examination (OSCE) and of standardized patients (SPs) as a means of evaluating competency levels of health care professionals. Dr. Eyles has worked on several grants, one of which was received from the Paralyzed Veterans Association for development of an educational video for individuals with spinal cord injuries entitled, Sexuality Reborn, which has since been translated into several languages.

    Dr. Eyles is a member of the American Congress of Rehabilitation Medicine, the American Nurses Association, the American Society for Training and Development, and Kappa Delta Phi: Honor Society in Education. She is also a member of the New Jersey State Nurses Association and serves as VP of the Institute for Region IV. Dr. Eyles has lectured nationwide on nursing and education related topics and was coordinator/instructor for a foreign study tour to the former Soviet Union in 1983. Dr. Eyles has co-authored several articles and abstracts, one as a primary author, on the work currently being done in the PM&R residency program with the OSCE at UMDNJ-New Jersey Medical School.

    .

    Furthermore, We Would Like to Thank the Following Individuals and Organizations for their Valuable Contributions:

    William Swart, PhD, P.E., Provost and Vice Chancellor for Academic Affairs at ECU (East Carolina University, USA), formerly Dean of Engineering at the Old Dominion University for establishing a very valuable relationship for digital imaging (inside the body) for this program between CIMware USA, Inc., and the Virginia Modeling Analysis and Simulation Center, Old Dominion University, USA.

    R. Bowen Loftin, PhD, Director of Simulation Programs, Virginia Modeling Analysis and Simulation Center, Old Dominion University, and

    Ching-Yao Lin, PhD. Student Computer Science, University of Houston., Developer of the Visible Human explorer of which we have used individual images, that were then further processed and integrated into 3D interactive objects, and/or virtual slide shows inside the body by Dr. Ranky, for this project, and last but not least

    Hector M. Garcia, Research Scientist, Virginia Modeling Analysis and Simulation Center, Old Dominion University, for his prompt and professional contributions in providing individual, inside body images, and The US National Library of Medicine, Visible Human Project.

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    Key Financial Sponsors: CIMware USA, Inc., CIMware Ltd. UK, the Kessler Medical Rehabilitation Research and Education Corporation, USA, and the Ranky Family.

    Thank you again for supporting our interactive multimedia R&D and publishing efforts!

    All trademarks are acknowledged.

    Liability Disclaimer Please note that all objects of this electronic multimedia talking book program have been created with care for their instructional purposes in medical sciences, biomedical, engineering, design, manufacturing, marketing, management, information technology and others. They have been carefully tested but not guaranteed for any particular purpose. The publisher does not offer any warranties or representations nor does it accept any liabilities with respect to the contents or the programming of this publication and the optional active code within. The publisher has made every attempt to supply trademark information about manufacturers and their products within this publication/ program.

    Copyright, Programming & Design Rights by CIMware USA, Inc., and CIMware Ltd., UK an amazon.com Advantage Member Publisher, IEE Approved Multimedia Developer. SINGLE USER LICENSE PER CD-ROM! Not to be put on servers, although the entire program is 100 percent Internet/ server enabled, browser readable with QuickTime plug-in, unless the user is authorized to do so by CIMware USA, Inc. or CIMware Ltd. UK. Site and lab. licenses are available.

    Please contact Us by Email: cimware@cimwareukandusa.com, or cimware@earthlink.net or call

    Please note, that in order to keep our products up-to-date, eBook contents, cover designs and packaging options are subject to change without any prior notice.

    © Copyright and Design Rights by CIMware USA, Inc., and CIMware Ltd. UK: Hi-Tech. USA and International Advanced Design, Manufacturing and Management with IT Case Studies following a browser readable, interactive multimedia talking book-style electronic publication format with text, images, interactive digital videos, 3DVR objects and 360 degree panoramic images by CIMware USA, Inc., and CIMware Ltd. UK. Web: http://www.cimwareukandusa.com, Email: cimware@cimwareukandusa.com. Virtual Product Demo concept and system design by Paul G Ranky, PhD. All Rights Reserved! All Trademarks Acknowledged. (Case Based Library Main Screen)