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1

Souza, Ary, Caio Augusto de Souza Nery, Lúcia Helena Soares Camargo Marciano, and José Antonio Garbino. "Avaliação da neuropatia periférica: correlação entre a sensibilidade cutânea dos pés, achados clínicos e eletroneuromiográficos." Acta Fisiátrica 12, no. 3 (December 9, 2005): 87–93. http://dx.doi.org/10.11606/issn.2317-0190.v12i3a102530.

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Objetivo: Avaliar a eficácia dos monofilamentos de Semmes-Weinstein no diagnóstico e prognóstico do pé com neuropatia diabética. Método: Estudo prospectivo em 35 pacientes diabéticos tipo II. Os pacientes foram submetidos a um protocolo contendo anamnese, levantamento das queixas, exames clínicos, estudo neurofisiológico e pesquisa da sensibilidade cutânea nos pés. Resultado: Pôde-se constatar bom grau de concordância entre os monofilamentos de Semmes-Weinstein e o estudo neurofisiológico. Os monofilamentos de Semmes-Weinstein se revelaram sensíveis para detectar pacientes com algum tipo de alteração. Discussão: constatou-se bom grau de coincidência entre os monofilamentos de Semmes-Weinstein e o estudo neurofisiológico expresso pelo coeficiente de correlação de Spearman (r= 0,677). Os monofilamentos de Semmes-Weinstein demonstraram ser eficazes na detecção de alterações da sensibilidade cutânea, observando-se que 91% dos pacientes apresentaram variações entre os graus 2 e 5. O estudo neurofisiológico detectou 69% dos pacientes na faixa de 2 a 5 graus. A maior diferença entre os dois métodos ficou evidenciada nos pacientes sem comprometimento (grau 1), demonstrando uma sensibilidade mais elevada dos monofilamentos de Semmes-Weinstein. O estudo também mostrou uma boa correlação entre o comprometimento clínico dos pacientes com os déficits neurológicos medidos pelos monofilamentos de Semmes-Weinstein. Conclusão: os monofilamentos de Semmes-Weinstein são confiáveis para diagnosticar a neuropatia diabética dos pés. Há correlação entre os achados neurofisiológicos e os critérios clínicos obtidos com os monofilamentos. Os monofilamentos de Semmes-Weinstein ajudam na avaliação do prognóstico e evolução do pé diabético e podem ser utilizados com segurança na avaliação dos pés com neuropatia periférica.
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2

Tucker, Spencer. "Semmes: Rebel Raider (review)." Journal of Military History 69, no. 4 (2005): 1220–21. http://dx.doi.org/10.1353/jmh.2005.0266.

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3

Canale, Dee J., Clarence B. Watridge, Tyler S. Fuehrer, and Jon H. Robertson. "The history of neurosurgery in Memphis: the Semmes-Murphey Clinic and the Department of Neurosurgery at the University of Tennessee College of Medicine." Journal of Neurosurgery 112, no. 1 (January 2010): 189–98. http://dx.doi.org/10.3171/2009.4.jns09173.

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Neurological surgery was defined as a separate surgical specialty by Harvey Cushing and a few other surgeons, most of whom were trained and influenced by Cushing. One of these, Raphael Eustace Semmes, became the first neurosurgeon in Memphis, Tennessee, in 1912. After World War II, Semmes and his first associate, Francis Murphey, incorporated the Semmes-Murphey Clinic, which has been primarily responsible for the growth of the Department of Neurosurgery at the University of Tennessee Health Science Center in Memphis, as well as the development of select neurosurgical subspecialties in Memphis area hospitals.
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4

Smith, Gene A., and Warren F. Spencer. "Raphael Semmes: The Philosophical Mariner." Journal of Southern History 64, no. 3 (August 1998): 553. http://dx.doi.org/10.2307/2587825.

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5

Shingleton, Royce, and Warren F. Spencer. "Raphael Semmes: The Philosophical Mariner." American Historical Review 103, no. 2 (April 1998): 603. http://dx.doi.org/10.2307/2649918.

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6

Delaney, Norman C., and Warren F. Spencer. "Raphael Semmes: The Philosophical Mariner." Journal of Military History 62, no. 3 (July 1998): 627. http://dx.doi.org/10.2307/120447.

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7

Schormann, Niklas. "Spitzengefühl beweisen – Semmes-Weinstein Monofilament Test." ergopraxis 12, no. 06 (June 2019): 28–29. http://dx.doi.org/10.1055/a-0883-2555.

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Ergotherapeuten begegnen immer wieder Patienten, die von eingeschränkter Sensibilität in Händen und Füßen berichten. Um das Ausmaß der Einschränkungen bestimmen und Rückschlüsse auf die zugrunde liegende Schädigung ziehen zu können, steht der Semmes-Weinstein Monofilament Test zur Verfügung.
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8

Bell-Krotoski, Judith A., Elaine Ewing Fess, John H. Figarola, and Danell Hiltz. "Threshold Detection and Semmes-Weinstein Monofilaments." Journal of Hand Therapy 8, no. 2 (April 1995): 155–62. http://dx.doi.org/10.1016/s0894-1130(12)80314-0.

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9

Schormann, Niklas. "Spitzengefühl beweisen – Semmes-Weinstein Monofilament Test." physiopraxis 18, no. 02 (February 2020): 38–39. http://dx.doi.org/10.1055/a-1098-3859.

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Physiotherapeuten begegnen immer wieder Patienten, die von eingeschränkter Sensibilität in Händen und Füßen berichten. Um das Ausmaß der Einschränkungen zu bestimmen und Rückschlüsse auf die zugrunde liegende Schädigung ziehen zu können, steht der Semmes-Weinstein Monofilament Test zur Verfügung.
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10

Kochman, Alan B., Dale H. Carnegie, and Thomas J. Burke. "Symptomatic Reversal of Peripheral Neuropathy in Patients with Diabetes." Journal of the American Podiatric Medical Association 92, no. 3 (March 1, 2002): 125–30. http://dx.doi.org/10.7547/87507315-92-3-125.

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Forty-nine consecutive subjects with established diabetic peripheral neuropathy were treated with monochromatic near-infrared photo energy (MIRE) to determine if there was an improvement of sensation. Loss of protective sensation characterized by Semmes-Weinstein monofilament values of 4.56 and above was present in 100% of subjects (range, 4.56 to 6.45), and 42 subjects (86%) had Semmes-Weinstein values of 5.07 or higher. The ability to discriminate between hot and cold sensation was absent (54%) or impaired (46%) in both groups prior to the initiation of MIRE treatment. On the basis of Semmes-Weinstein monofilament values, 48 subjects (98%) exhibited improved sensation after 6 treatments, and all subjects had improved sensation after 12 treatments. Therefore, MIRE may be a safe, drug-free, noninvasive treatment for the consistent and predictable improvement of sensation in diabetic patients with peripheral neuropathy of the feet. (J Am Podiatr Med Assoc 92(3): 125-130, 2002)
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11

Luraghi, Raimondo, and John M. Taylor. "Confederate Raider: Raphael Semmes of the Alabama." Journal of Military History 59, no. 3 (July 1995): 533. http://dx.doi.org/10.2307/2944632.

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12

Winslow, Elizabeth H., and Ann F. Jacobson. "Savings Limbs with the Semmes-Weinstein Monofilament." American Journal of Nursing 99, no. 2 (February 1999): 76. http://dx.doi.org/10.1097/00000446-199902000-00047.

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13

Pankka, Pekka, and Jang-Mei Wu. "Geometry and quasisymmetric parametrization of Semmes spaces." Revista Matemática Iberoamericana 30, no. 3 (2014): 893–960. http://dx.doi.org/10.4171/rmi/802.

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14

Bulut, T., U. Akgun, C. Ozcan, B. Unver, and M. Sener. "Inter- and intra-tester reliability of sensibility testing in digital nerve repair." Journal of Hand Surgery (European Volume) 41, no. 6 (December 18, 2015): 621–23. http://dx.doi.org/10.1177/1753193415621273.

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The aim of this study was to investigate the inter- and intra-tester reliability of the static two-point discrimination and Semmes–Weinstein monofilament tests in digital nerve repair. A total of 100 digital nerves from 67 patients were included into the study. An experienced orthopaedic surgeon and a physiotherapist examined the sensory nerve recovery. The reproducibility score of both tests was at a poor level, but the reliability of the Semmes–Weinstein monofilament test was higher than the static two-point discrimination test. These tests should not be used alone in the quantitative monitoring of sensory recovery, but should be interpreted with the clinical findings. Level 3 non-randomized controlled study.
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15

DeLellis, Salvatore L., Dale H. Carnegie, and Thomas J. Burke. "Improved Sensitivity in Patients with Peripheral Neuropathy." Journal of the American Podiatric Medical Association 95, no. 2 (March 1, 2005): 143–47. http://dx.doi.org/10.7547/0950143.

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The medical records of 1,047 patients (mean age, 73 years) with established peripheral neuropathy were examined to determine whether treatment with monochromatic infrared photo energy was associated with increased foot sensitivity to the 5.07 Semmes-Weinstein monofilament. The peripheral neuropathy in 790 of these patients (75%) was due to diabetes mellitus. Before treatment with monochromatic infrared photo energy, of the ten tested sites (five on each foot), a mean ± SD of 7.9 ± 2.4 sites were insensitive to the 5.07 Semmes-Weinstein monofilament, and 1,033 patients exhibited loss of protective sensation. After treatment, the mean ± SD number of insensate sites on both feet was 2.3 ± 2.4, an improvement of 71%. Only 453 of 1,033 patients (43.9%) continued to have loss of protective sensation after treatment. Therefore, monochromatic infrared photo energy treatment seems to be associated with significant clinical improvement in foot sensation in patients, primarily Medicare aged, with peripheral neuropathy. Because insensitivity to the 5.07 Semmes-Weinstein monofilament has been reported to be a major risk factor for diabetic foot wounds, the use of monochromatic infrared photo energy may be associated with a reduced incidence of diabetic foot wounds and amputations. (J Am Podiatr Med Assoc 95(2): 143–147, 2005)
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16

McGirt, Matthew J., Scott L. Parker, Silky Chotai, Deborah Pfortmiller, Jeffrey M. Sorenson, Kevin Foley, and Anthony L. Asher. "Predictors of extended length of stay, discharge to inpatient rehab, and hospital readmission following elective lumbar spine surgery: introduction of the Carolina-Semmes Grading Scale." Journal of Neurosurgery: Spine 27, no. 4 (October 2017): 382–90. http://dx.doi.org/10.3171/2016.12.spine16928.

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OBJECTIVEExtended hospital length of stay (LOS), unplanned hospital readmission, and need for inpatient rehabilitation after elective spine surgery contribute significantly to the variation in surgical health care costs. As novel payment models shift the risk of cost overruns from payers to providers, understanding patient-level risk of LOS, readmission, and inpatient rehabilitation is critical. The authors set out to develop a grading scale that effectively stratifies risk of these costly events after elective surgery for degenerative lumbar pathologies.METHODSThe Quality and Outcomes Database (QOD) registry prospectively enrolls patients undergoing surgery for degenerative lumbar spine disease. This registry was queried for patients who had undergone elective 1- to 3-level lumbar surgery for degenerative spine pathology. The association between preoperative patient variables and extended postoperative hospital LOS (LOS ≥ 7 days), discharge status (inpatient facility vs home), and 90-day hospital readmission was assessed using stepwise multivariate logistic regression. The Carolina-Semmes grading scale was constructed using the independent predictors for LOS (0–12 points), discharge to inpatient facility (0–18 points), and 90-day readmission (0–6 points), and its performance was assessed using the QOD data set. The performance of the grading scale was then confirmed separately after using it in 2 separate neurosurgery practice sites (Carolina Neurosurgery & Spine Associates [CNSA] and Semmes Murphey Clinic).RESULTSA total of 6921 patients were analyzed. Overall, 290 (4.2%) patients required extended LOS, 654 (9.4%) required inpatient facility care/rehabilitation on hospital discharge, and 474 (6.8%) were readmitted to the hospital within 90 days postdischarge. Variables that remained as independently associated with these unplanned events in multivariate analysis included age ≥ 70 years, American Society of Anesthesiologists Physical Classification System class > III, Oswestry Disability Index score ≥ 70, diabetes, Medicare/Medicaid, nonindependent ambulation, and fusion. Increasing point totals in the Carolina-Semmes scale effectively stratified the incidence of extended LOS, discharge to facility, and readmission in a stepwise fashion in both the aggregate QOD data set and when subsequently applied to the CNSA/Semmes Murphey practice groups.CONCLUSIONSThe authors introduce the Carolina-Semmes grading scale that effectively stratifies the risk of prolonged hospital stay, need for postdischarge inpatient facility care, and 90-day hospital readmission for patients undergoing first-time elective 1- to 3-level degenerative lumbar spine surgery. This grading scale may be helpful in identifying patients who may require additional resource utilization within a global period after surgery.
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17

Vriens, J. P. M., H. W. van der Glas, and F. Bosman. "Multi-afferent sensory examination by Semmes-Weinstein filaments." British Journal of Oral and Maxillofacial Surgery 35, no. 3 (June 1997): 211. http://dx.doi.org/10.1016/s0266-4356(97)90623-9.

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18

Bell-Krotoski, Judith, and Elizabeth Tomancik. "The repeatability of testing with Semmes-Weinstein monofilaments." Journal of Hand Surgery 12, no. 1 (January 1987): 155–61. http://dx.doi.org/10.1016/s0363-5023(87)80189-2.

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19

Yong, Raymond, Todd J. Karas, Kevin D. Smith, and Oleg Petrov. "The durability of the Semmes-Weinstein 5.07 monofilament." Journal of Foot and Ankle Surgery 39, no. 1 (January 2000): 34–38. http://dx.doi.org/10.1016/s1067-2516(00)80061-7.

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20

Blume, Kenneth J. "Raphael Semmes. The Philosophical Mariner (review)." Civil War History 45, no. 1 (1999): 80–81. http://dx.doi.org/10.1353/cwh.1999.0097.

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21

Dellon, A. Lee, Susan E. Mackinnon, and Keith E. Brandt. "The markings of the Semmes-Weinstein nylon monofilaments." Journal of Hand Surgery 18, no. 4 (July 1993): 756–57. http://dx.doi.org/10.1016/0363-5023(93)90333-x.

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22

MARX, R. G., P. L. HUDAK, C. BOMBARDIER, B. GRAHAM, C. GOLDSMITH, and J. G. WRIGHT. "The Reliability of Physical Examination for Carpal Tunnel Syndrome." Journal of Hand Surgery 23, no. 4 (August 1998): 499–502. http://dx.doi.org/10.1016/s0266-7681(98)80132-0.

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The goal of this study was to determine the interobserver and intraobserver reliability of static and moving two-point discrimination, Semmes-Weinstein monofilament testing, Tinel’s test, manual motor testing of abductor pollicis brevis, vibration and Phalen’s test in the diagnosis of carpal tunnel syndrome. Twelve patients with suspected carpal tunnel syndrome were examined in an outpatient setting. The interobserver reliability was satisfactory for all tests except for Semmes-Weinstein monofilament testing. Intraobserver reliability was also satisfactory for all tests. Static two point discrimination had higher reliability than moving two-point discrimination. Seven tests for the diagnosis of carpal tunnel syndrome were reliable in the hands of skilled health care professionals. Hand surgeons and hand therapists examined patients more reliably than occupational health workers.
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23

McGirt, Matthew J., Scott L. Parker, Silky Chotai, Deborah Pfortmiller, Jeffrey M. Sorenson, Kevin T. Foley MD, and Anthony L. Asher. "116 Navigating Risk in a Capitated or Bundled Payment Model for Spine Surgery: Introduction of the Carolina - Semmes Prediction Tool." Neurosurgery 64, CN_suppl_1 (August 24, 2017): 224–25. http://dx.doi.org/10.1093/neuros/nyx417.116.

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Abstract INTRODUCTION Extended length of hospital stay (LOS), unplanned hospital readmission, and need for inpatient rehabilitation following spine surgery contribute significantly to variation in surgical healthcare cost. As novel payment models shift, the risk of cost over runs from payers to providers, understanding patient-level risk of these events is critical. We set out to develop a grading scale that stratifies risk of these costly events after elective surgery for degenerative lumbar pathologies. METHODS 6921 cases prospectively enrolled into the QOD registry were queried (elective 1–3 level lumbar surgery for degenerative pathology). The association between pre-operative patient variables and extended LOS( = 7 days), discharge status (inpatient facility vs. home), and 90-day hospital readmission were assessed by step-wise multivariate logistic regression. Carolina-Semmes grading scale was constructed using the independent predictors for LOS (0-8 points), discharge to inpatient facility (0-10 points), and 90-day re-admission (0-8), its performance was assessed in the QOD dataset and then confirmed separately after applying to the Carolina Neurosurgery & Spine Associates[ CNSA] and Semmes-Murphy Clinic sites. RESULTS >290 (4.2%) patients required extended LOS, 654 (9.4%) required inpatient facility rehab, and 474 (6.8%) 90-day hospital readmission. Variables independently associated with these unplanned events in multivariate analysis were reviewed. Increasing point totals in the Carolina-Semmes scale effectively stratified the incidence of extended LOS, discharge to facility, and re-admission in both the aggregate QOD dataset and when subsequently applied to two practice groups. CONCLUSION For patients undergoing first time elective 1–3 level degenerative lumbar spine surgery, we introduce the Carolina-Semmes grading scale that effectively stratifies risk of prolonged hospital stay, need for postdischarge inpatient facility care, and 90-day hospital readmission. This scale may be helpful in identifying high-risk patients who may benefit from preventative health services strategies and education as well as help structure capitated/bundled care contracts to minimize risk on the provider.
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Jeng, Clifford, James Michelson, and Mark Mizel. "Sensory Thresholds of Normal Human Feet." Foot & Ankle International 21, no. 6 (June 2000): 501–4. http://dx.doi.org/10.1177/107110070002100609.

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Hypotheses/Purpose: Although several studies in the literature have evaluated the abnormal sensory thresholds of diabetic feet to Semmes-Weinstein monofilament testing, there is very limited data on the sensory thresholds of individuals without diabetes or peripheral neuropathy. The purpose of this study was to assess the dorsal and plantar sensation of the feet from 40 healthy, college-aged volunteers using Semmes-Weinstein monofilaments. Conclusions/Significance: Semmes-Weinstein testing is a useful tool in predicting which diabetic patients may be at risk for ulceration of the feet. Several studies have determined 5.07 to be the threshold for protective sensation. Based on the normal values derived in this study, the inability to feel a Semmes-Weinstein monofilament of 5.07 (as in diabetic neuropathy) represents a sensory threshold that is more than 50 times greater than normal. This means that roughly 98% of the sensory ability has been lost. Methods: 20 male and 20 female volunteers between the ages of 18 to 22 years old were selected. None had a history of any significant injury or previous surgery to the foot or ankle. There were no known medical conditions associated with decreased foot sensation, (e.g.- diabetes, syphilis, leprosy, myelomeningocele, syringomyelia, or hereditary neuropathy). Volunteers were also questioned regarding participation in athletic activities. The subjects were blindfolded with the leg resting comfortably on a chair as 14 plantar and 5 dorsal locations were tested on each foot. The right foot was always tested first. Each site on the foot had the Semmes-Weinstein monofilaments applied to it first, in an order of increasing stiffness, then repeated in decreasing order, using all twenty monofilaments in the set. A positive threshold response was recorded when the subject could feel the filament and could accurately locate where on the foot the stimulus had been applied. The left foot was then tested in an identical fashion. Results: The mean sensitivity for all sites was 3.63 (0.0075 SEM). There were significant differences between sites, between using increasing or decreasing monofilament stiffness, between subjects, and in some instances, between right foot and left foot values. When testing was performed from the higher to lower monofilament stiffness, subjects were found to have significantly better sensitivity, which indicates the importance of a consistent testing protocol (either all up or all down). Sensation in the lesser toes and the arch were the most sensitive followed by the hallux and the plantar metatarsal heads. The least sensitive site was the heel, with 1/6th the sensitivity of the most sensitive toes.
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Bell-Krotoski, Judith. "“Pocket filaments” and specifications for the semmes-weinstein monofilaments." Journal of Hand Therapy 3, no. 1 (January 1990): 26–31. http://dx.doi.org/10.1016/s0894-1130(12)80366-8.

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26

Haloua, Max H., Inger Sierevelt, and Willem J. Theuvenet. "Semmes-Weinstein Monofilaments: Influence of Temperature, Humidity, and Age." Journal of Hand Surgery 36, no. 7 (July 2011): 1191–96. http://dx.doi.org/10.1016/j.jhsa.2011.04.009.

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27

Martins, Roberto Sergio, Mario Gilberto Siqueira, Carlos Otto Heise, Luciano Foroni, and Manoel Jacobsen Teixeira. "A Prospective Study Comparing Single and Double Fascicular Transfer to Restore Elbow Flexion After Brachial Plexus Injury." Neurosurgery 72, no. 5 (January 10, 2013): 709–15. http://dx.doi.org/10.1227/neu.0b013e318285c3f6.

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Abstract BACKGROUND: The recovery of elbow flexion in upper brachial plexus injury can be achieved by the reinnervation of the biceps muscle (single reinnervation), but concomitant restoration of brachialis and biceps function (double reinnervation) has been recommended to improve elbow flexion strength. OBJECTIVE: To prospectively compare morbidity and outcomes of single or double muscle reinnervation in restoring elbow flexion following incomplete injury to the brachial plexus. METHODS: Forty consecutive patients were prospectively submitted to single or double muscle reinnervation. Elbow flexion strength was evaluated with a push-and-pull dynamometer 12 months after surgery. Hand morbidity related to the procedures was evaluated by the Semmes-Weinstein monofilaments test, quantification of static 2-point discrimination, and measurements of handgrip and lateral pinch strength in serial evaluations up to the final follow-up. RESULTS: Similar results for the strength of elbow flexion were observed in both groups. A worsening of sensibility, measured by using Semmes-Weinstein monofilaments, was identified in 8 patients, all of whom showed recovery during follow-up. No worsening of 2-point discrimination was observed. A decrease in handgrip and lateral pinch strength was identified in 8 and 9 patients, respectively, which improved during follow-up. There was no difference between the groups in the incidence of hand motor morbidity parameters. CONCLUSION: The strength of elbow flexion did not differ significantly between the groups treated with single or double muscle reinnervation. Deterioration of handgrip, lateral pinch strength, and sensibility measured by using Semmes-Weinstein monofilaments, was temporary, resulting in low morbidity for both techniques.
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Keith, Stephen, and Kai Rajala. "A remark on Poincaré inequalities on metric measure spaces." MATHEMATICA SCANDINAVICA 95, no. 2 (December 1, 2004): 299. http://dx.doi.org/10.7146/math.scand.a-14461.

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We show that, in a complete metric measure space equipped with a doubling Borel regular measure, the Poincaré inequality with upper gradients introduced by Heinonen and Koskela [3] is equivalent to the Poincaré inequality with "approximate Lipschitz constants" used by Semmes in [9].
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29

Lou, Zengjian. "Div-curl type theorems on Lipschitz domains." Bulletin of the Australian Mathematical Society 72, no. 1 (August 2005): 31–38. http://dx.doi.org/10.1017/s0004972700034845.

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For Lipschitz domains of ℝn we prove div-curl type theorems, which are extensions to domains of the Div-Curl Theorem on ℝn by Coifman, Lions, Meyer and Semmes. Applying the div-curl type theorems we give decompositions of Hardy spaces on domains.
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30

Venâncio, Ludmila, Nathália Carminatti Campanelli, and Ligia De Sousa. "Sensibilidade em membro superior após cirurgia de câncer de mama com linfadenectomia." ConScientiae Saúde 12, no. 2 (July 31, 2013): 282–89. http://dx.doi.org/10.5585/conssaude.v12n2.4229.

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Objetivo: Avaliar a sensibilidade no trajeto do nervo intercostobraquial, após cirurgia de câncer de mama com linfadenectomia axilar. Metodologia: Realizou-se uma pesquisa transversal com mulheres mastectomizadas, submetidas à linfadenectomia axilar. Avaliou-se a sensibilidade dos membros superiores homolateral e contralateral à linfadenectomia axilar, no trajeto do nervo intercostobraquial (região medial e superior) pelo Estesiômetro de Semmes-Weinstein, calor e gelo, com as participantes vendadas e iniciando pelo membro acometido. Questionou-se sobre a presença de adormecimento, formigamento, pontadas, queimação, anestesiamento total ou peso na região avaliada. Efetuaram-se análises descritivas e comparativas com nível de significância ≤ 0,05. Resultados: As dez participantes apresentaram redução não significativa da sensibilidade pelo Estesiômetro de Semmes-Weinstein. Houve diminuição da sensibilidade térmica, e queixa mais frequente de sensação de dormência. Conclusão: Verificou-se redução de sensibilidade no membro homolateral à linfadenectomia, quando comparado ao contralateral, sugerindo alterações nervosas durante o procedimento cirúrgico para retirada de câncer de mama.
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31

S. Khachane, Tushar, and Sangram Karandikar. "PROSPECTIVE STUDY OF BEDSIDE ASSESSMENT OF DIABETIC PERIPHERAL NEUROPATHY." International Journal of Advanced Research 9, no. 09 (September 30, 2021): 568–72. http://dx.doi.org/10.21474/ijar01/13451.

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Background: Diabetic peripheral sensorimotor neuropathy is one of the most prevalent neuropathic syndromes affecting around 50 % people with diabetes. Its development is gradual with subtle changes hence ignored. Early diagnosis using simple bedside tools is essential. Methods: The prospective study of evaluation of peripheral neuropathy in diabetes involved examination of 500 diabetic patients for neuropathy. Pinprick, vibration sensation, perception of 5.07 Semmes Weinstein monofilament and Achilles tendon reflex were examined and impairment noted. Results: 39 % patients had impairment of perception of Semmes Weinstein monofilament. Loss of pinprick sensation was found in 65.6 % in patients with diabetes for 5-10 years duration. Abnormal tendon reflex was seen in 64.2 % in patients with diabetes move than 10 years. Loss of Vibration (40.2 %), Wasting (16.6 %), loss of pinprick sensation (44.5%) and loss of abnormal tendon reflex (32.1 %) was found to be more common in type II diabetes. Conclusion: Sensorimotor peripheral neuropathy was more common in long standing diabetes mellitus especially with impaired glycaemic control and type II diabetes mellitus.
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Wang, H., C. Chen, J. Li, X. Yang, H. Zhang, and Z. Wang. "Modified first dorsal metacarpal artery island flap for sensory reconstruction of thumb pulp defects." Journal of Hand Surgery (European Volume) 41, no. 2 (October 9, 2015): 177–84. http://dx.doi.org/10.1177/1753193415610529.

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Restoration of tactile sensation after reconstruction of a thumb pulp defect is import for hand function. We describe our clinical experience using a modified first dorsal metacarpal artery island flap innervated by the radial dorsal branch of the proper digital nerve and the terminal branch of the superficial radial nerve in 20 consecutive cases. The results were compared with 25 patients treated by the conventional Foucher’s first dorsal metacarpal artery flap without nerve repair. At the final follow-up, flap sensation was assessed using static two-point discrimination and Semmes–Weinstein monofilament testing. All flaps survived uneventfully in both groups. At the final follow-up, the mean values for static two-point discrimination and Semmes–Weinstein monofilament testing in the study group were significantly different from the values in the control group. The modified first dorsal metacarpal artery island flap provides a reliable and simple option for sensory reconstruction of thumb pulp defects. Level of evidence: Therapeutic, level III
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33

ARAKAWA, TATSUYA, HIROSHI OTAO, MAYU OKAMURA, HITOMI NAKAO, MIZUKI HACHIYA, AKIHIRO MIZOKAMI, MASAKI HASEGAWA, NAMIKO UMEI, and TAKEYA ONO. "Reliability of the Semmes-Weinstein monofilaments test in stroke patients." Japanese Journal of Health Promotion and Physical Therapy 2, no. 2 (2012): 65–68. http://dx.doi.org/10.9759/hppt.2.65.

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34

Fässler, Katrin, Tuomas Orponen, and Séverine Rigot. "Semmes surfaces and intrinsic Lipschitz graphs in the Heisenberg group." Transactions of the American Mathematical Society 373, no. 8 (May 26, 2020): 5957–96. http://dx.doi.org/10.1090/tran/8146.

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35

Hage, J. Joris, A. Kalam J. Ahmed, Peter J. M. de Groot, and E. de Boer. "DIFFERENTIAL OF SENSIBILITY OF THE HAND USING SEMMES-WEINSTEIN MONOFILAMENTS." Hand Surgery 03, no. 02 (December 1998): 237–45. http://dx.doi.org/10.1142/s0218810498000337.

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Because the distribution of the range of normal sensibility in a large series of non-injured subjects is poorly documented, a study was designed to quantitate the distribution of human pressure perception for static constant-touch of the palmar side of the hand in a sample of 51 healthy subjects. This study further sought to establish a sensibility difference between the ulnar and median nerves by comparison of touch sensibility between the ulnar and median side of the ring finger in 57 healthy subjects. The distribution of light touch-deep pressure in the hands shows a gaussian pattern around a 2.44 10 log 0.1 mg peak. No difference in ulnar versus median nerve sensibility threshold was found. To establish the differential in the normal range of touch, or in ulnar versus median nerve threshold within the hand, a 5 filament minikit will not suffice.
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36

WADA, T., T. IMAI, and S. ISHII. "Entrapment Neuropathy of the Palmar Cutaneous Branch of the Median Nerve Concomitant with Carpal Tunnel Syndrome: A Case Report." Journal of Hand Surgery 27, no. 6 (December 2002): 583–85. http://dx.doi.org/10.1054/jhsb.2002.0809.

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A case of the entrapment neuropathy of the palmar cutaneous branch of the median nerve, concomitant with carpal tunnel syndrome is presented. This report demonstrates that the Semmes–Weinstein monofilament test and nerve conduction studies can identify entrapment of the palmar cutaneous branch of the median nerve concomitant with carpal tunnel syndrome.
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37

Ricci, Paul T. "Possible Interaction between Vibration Thresholds by Sex and Motor Dominance in the Index Finger and Big Toe." Perceptual and Motor Skills 85, no. 3 (December 1997): 1091–98. http://dx.doi.org/10.2466/pms.1997.85.3.1091.

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Two studies suggest a possible interaction among sex, motor dominance, and vibrotactile threshold for the great toe and index finger. In Study 1 a forced-choice procedure with the Vibratron II (Physitemp Instruments, Inc.) was used; a significant interaction between sex and foot dominance for vibratory threshold was noted with no main effects for the great toe. The greatest difference between men and women was on the nondominant side on the foot. Study 2 replicated Study 1 using the index finger as well as the great toe and used the Semmes-Weinstein monofilament test for a cross-modal comparison. A method of limits procedure was used to increase the generalizability of the data. A similar interaction was found between sex and motor dominance for the index finger but not the great toe. This was attributed to skewing of data for the toe. No effects were found for the Semmes-Weinstein test. Possible usefulness in detecting neuropathies is considered. Larger normative studies including variables such as age, height, and weight are required for generalizable conclusions.
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38

BALOGH, ZOLTAN M., and CHRISTOPH LEUENBERGER. "HIGHER DIMENSIONAL RIEMANN MAPS." International Journal of Mathematics 09, no. 04 (June 1998): 421–42. http://dx.doi.org/10.1142/s0129167x9800018x.

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We consider the notion of Riemann map of Lempert and Semmes. The purpose of this paper is to give an intrinsic and biholomorphically invariant characterization of strictly pseudoconvex domains in Cn which admit a Riemann map. In this sense necessary and sufficient conditions are given for the existence of a Riemann map in terms of Kobayashi discs and the associated Lempert invariants.
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39

Mawdsley, Roberta H., Allison T. Behm-Pugh, John D. Campbell, Christy R. Carroll, Karen A. Chernikovich, Marjorie K. Mowbray, and Tina C. Spagnuolo. "Reliability of Measurements with Semmes-Weinstein Monofilaments in Individuals with Diabetes." Physical & Occupational Therapy In Geriatrics 22, no. 3 (January 2004): 19–36. http://dx.doi.org/10.1080/j148v22n03_02.

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40

Frame, Michael. "Book Review: Some Novel Types of Fractal Geometry by Stephen Semmes." Fractals 11, no. 03 (September 2003): 303–5. http://dx.doi.org/10.1142/s0218348x03001409.

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41

CHIKAI, Manabu, Emi OZAWA, Noriyo TAKAHASHI, Kiyohiko NUNOKAWA, and Shuichi INO. "Measurement of Human Hand Motion during a Semmes-Weinstein Monofilaments Test." Proceedings of JSME annual Conference on Robotics and Mechatronics (Robomec) 2016 (2016): 1A2–20a5. http://dx.doi.org/10.1299/jsmermd.2016.1a2-20a5.

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42

Lehman, Linda Faye, Maria Beatriz Penna Orsini, and Anthony Robert Joseph Nicholl. "The Development and Adaptation of the Semmes-Weinstein Monofilaments in Brazil." Journal of Hand Therapy 6, no. 4 (October 1993): 290–97. http://dx.doi.org/10.1016/s0894-1130(12)80330-9.

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43

Bourdaud, G�rard. "Remarque sur une int�grale singuli�re de David et Semmes." Archiv der Mathematik 51, no. 2 (August 1988): 166–68. http://dx.doi.org/10.1007/bf01206475.

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44

Ward, Carol. "Review: Cultural Hegemony and African American Development by Clovis E. Semmes." Explorations in Ethnic Studies ESS-14, no. 1 (August 1, 1994): 71–72. http://dx.doi.org/10.1525/ess.1994.14.1.71.

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45

Ward, Carol. "Review: Cultural Hegemony and African American Development by Clovis E. Semmes." Explorations in Ethnic Studies ESS-15, no. 1 (August 1, 1995): 62–63. http://dx.doi.org/10.1525/ess.1995.15.1.62.

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46

Kamei, Nozomu, Kiminori Yamane, Shuhei Nakanishi, Yasuyo Yamashita, Tomoko Tamura, Kayo Ohshita, Hiroshi Watanabe, Rumi Fujikawa, Masamichi Okubo, and Nobuoki Kohno. "Effectiveness of Semmes–Weinstein monofilament examination for diabetic peripheral neuropathy screening." Journal of Diabetes and its Complications 19, no. 1 (January 2005): 47–53. http://dx.doi.org/10.1016/j.jdiacomp.2003.12.006.

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47

Hytönen, T. P., and D. Potapov. "Vector-valued multiplier theorems of Coifman–Rubio de Francia–Semmes type." Archiv der Mathematik 87, no. 3 (September 2006): 245–54. http://dx.doi.org/10.1007/s00013-006-1751-5.

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48

Al-Qattan, Mm. "Semmes Weinstein Monofilaments Versus Weinstein Enhanced Monofilaments: Their Use in the Hand Clinic." Canadian Journal of Plastic Surgery 3, no. 1 (March 1995): 51–53. http://dx.doi.org/10.1177/229255039500300109.

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The frequency of testing pressure threshold, the time consumed for testing, and the slippage rate using the original Semmes Weinstein monofilaments and the enhanced monofilaments (west) in the hand clinic are studied. A modified technique of using the west device is also described. It is concluded that west has several advantages and will likely encourage hand surgeons to perform pressure threshold testing more frequently in the clinic.
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49

VAN TURNHOUT, A. A. W. M., J. J. HAGE, P. J. M. DE GROOT, and E. S. M. DE LANGE-DE KLERK. "Lack of Difference in Sensibility between the Dominant and Non-Dominant Hands as Tested with Semmes-Weinstein Monofilaments." Journal of Hand Surgery 22, no. 6 (December 1997): 768–71. http://dx.doi.org/10.1016/s0266-7681(97)80445-7.

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The sensibility of the dominant hand was compared with that of the non-dominant hand using Semmes-Weinstein monofilaments in each of 22 bilateral palmar sites in 50 healthy volunteers. No difference in sensibility was found in 51% of all 2,200 tested palmar sites. Statistically significant superior sensibility was found in the non-dominant hand at 34% of all sites, whereas the dominant side showed superior sensibility in the remaining 15%.
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50

Reis de Matos, Mozania, Daniele Pereira Santos-Bezerra, Cristiane das Graças Dias Cavalcante, Jacira Xavier de Carvalho, Juliana Leite, Jose Antonio Januario Neves, Sharon Nina Admoni, Marisa Passarelli, Maria Candida Parisi, and Maria Lucia Correa-Giannella. "Distal Symmetric and Cardiovascular Autonomic Neuropathies in Brazilian Individuals with Type 2 Diabetes Followed in a Primary Health Care Unit: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 17, no. 9 (May 6, 2020): 3232. http://dx.doi.org/10.3390/ijerph17093232.

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The paucity of epidemiological data regarding diabetes complications in Brazil motivated us to evaluate the prevalence rates of distal symmetric polyneuropathy (DSP) and of cardiovascular autonomic neuropathy (CAN) in individuals with type 2 diabetes (T2D) followed in a primary care unit. A total of 551 individuals (59.3% women, 65 years old; diabetes duration of 10 years; HbA1c of 7.2%, medians) were included in this cross-sectional study. DSP was diagnosed by sum of the Neuropathy Symptoms Score (NSS) and Modified Neuropathy Disability Score (NDS) and by the Semmes–Weinstein monofilament. CAN was diagnosed by cardiovascular autonomic reflex tests combined with spectral analysis of heart rate variability. The prevalence rates of DSP were 6.3% and 14.3%, as evaluated by the sum of NSS and NDS and by the Semmes–Weinstein monofilament, respectively. Those with DSP diagnosed by monofilament presented longer diabetes duration, worse glycemic control and a higher stature. The prevalence rates of incipient and definitive CAN were 12.5% and 10%, respectively. Individuals with definitive CAN presented a higher frequency of hypercholesterolemia and of arterial hypertension. The higher prevalence rate of DSP with the use of the monofilament suggests that it may be a more appropriate tool to diagnose DSP in the primary care setting in Brazil.
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