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Restricted interpersonal touch experiences, for instance due to COVID-19 social distancing measures, result in detrimental effects on anxiety, loneliness and psychological well-being. Yet, interventi...

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Contains mid-surgery pictures (page 2 only). Aaaa.

In all three cases we found that the nerve could be stabilized by the examiner’s hand by compression on the medial head of the triceps and lateral displacement. If this was done with the elbow extended, the nerve was stable in its proper position and flexion could then be done without any discomfort. On these grounds we developed a clinical test that we believe to be diagnostic for the situation: The examiner’s fingers and palm are positioned just proximally to the lateral and the thumb about five centimeters proximally to the medial humeral epicondyle. With the patient’s elbow in extension the ulnar nerve is pressed by the thumb to the medial head of the triceps and both pushed laterally while the lesser fingers apply counterpressure. The nerve is thus stabilized behind the medial epicondyle. Continuous flexion – extension of the elbow then performed should not elicit the symptoms as expected by the patient.

Long lasting and/or repetitive pain over years leads to profound functional as well as structural changes in the brain networks, reflecting maladaptive plasticity at several levels of the neuraxis and especially the cortex.

The data were assessed using the World Health Organization's Housing and Health guideline for minimum indoor temperature (18 °C), which provides an internationally recognised benchmark for defining cold in homes. Across the sampled homes, 81 % were below 18 °C on average across the whole of winter (June–August 2022). Average winter indoor temperatures were 16.5 ± 2.7 °C across all homes, with no significant difference between locations.