The Effect of Short-Term Dependency and Immobility on Skin Temperature and Colour in the Hand

2006 ◽  
Vol 31 (6) ◽  
pp. 611-615 ◽  
Author(s):  
H. P. SINGH ◽  
T. R. C. DAVIS

The effects of short-term dependency and immobility on skin temperature were assessed in two experiments. In the first study, ten volunteers hung their left arm dependent and motionless while using their right hand for light office work. After 30 minutes, the dependent left hands were cooler (mean = 0.9 °C: 95% CI = 0.7–1.1) than the active right hands and exhibited a deeper colour with significantly increased green intensity ( P = 0.03) as assessed on digital images. In the second study, seven volunteers submerged both their hands in water at 15 °C for 15 minutes. The left arm was then left dependent and motionless while the right hand was placed on the table and its fingers were flexed and extended every 10 seconds. The left hands remained cooler than the right and were a median of 3.6 (range 2.9–4.5) °C cooler after 60 minutes. These studies demonstrate that skin temperature and colour differences between the hands, which are sometimes used to support the diagnosis of CRPS-1, can be produced and maintained by short-term immobility and dependency of the hand.

2020 ◽  
Vol 42 ◽  
pp. e48114 ◽  
Author(s):  
Jean Artur Mendonça Barboza ◽  
Larissa Isabelle Soares Souza ◽  
Mikhail Santos Cerqueira ◽  
Palloma Rodrigues de Andrade ◽  
Heleodório Honorato dos Santos ◽  
...  

The purpose of this study was to analyze skin temperature (Tsk) responses after a short-term maximum effort test in middle-distance runners. A quasi-experimental study was conducted with ten men (age 23.5±5.10 years) who trained 5 days per week, 2 to 3 hours per day, and were submitted to thermographic evaluation before and after Cooper's 12-minute run test (CRT). The mean temperature of the anterior-superior, posterior-superior, anterior-inferior, and posterior-inferior regions was compared between the sides (i.e., left and right) before and after CRT. The paired t-test showed a significant decrease in Tsk after CRT in the following regions: right pectoralis major (-3.4%), left pectoralis major (-3.4%), and abdomen (-5%) in the anterior-superior view (p<0.01); and in the upper right trunk (-1.9%), upper left trunk (-1.9%) and lower back (-2.9%) in the posterior-superior view (p<0.05). In the lower limbs, a significant increase in temperature of the left knee (1.6%), and right (3.6%) and left ankles (2.9%) in the anterior view (p<0.05), as well as in the right (4.3%) and left ankles (3.7%) in the posterior view (p<0.05) were observed. There was no difference in temperature between the right and left sides. In conclusion, the Tsk change of middle-distance runners was symmetrical between sides, decreasing in upper limbs and trunk and increasing in lower limbs after a short-term maximum effort test.


1946 ◽  
Vol 11 (1) ◽  
pp. 2-2

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.


VASA ◽  
2010 ◽  
Vol 39 (4) ◽  
pp. 344-348 ◽  
Author(s):  
Jandus ◽  
Bianda ◽  
Alerci ◽  
Gallino ◽  
Marone

A 55-year-old woman was referred because of diffuse pruritic erythematous lesions and an ischemic process of the third finger of her right hand. She was known to have anaemia secondary to hypermenorrhea. She presented six months before admission with a cutaneous infiltration on the left cubital cavity after a paravenous leakage of intravenous iron substitution. She then reported a progressive pruritic erythematous swelling of her left arm and lower extremities and trunk. Skin biopsy of a lesion on the right leg revealed a fibrillar, small-vessel vasculitis containing many eosinophils.Two months later she reported Raynaud symptoms in both hands, with a persistent violaceous coloration of the skin and cold sensation of her third digit of the right hand. A round 1.5 cm well-delimited swelling on the medial site of the left elbow was noted. The third digit of her right hand was cold and of violet colour. Eosinophilia (19 % of total leucocytes) was present. Doppler-duplex arterial examination of the upper extremities showed an occlusion of the cubital artery down to the palmar arcade on the right arm. Selective angiography of the right subclavian and brachial arteries showed diffuse alteration of the blood flow in the cubital artery and hand, with fine collateral circulation in the carpal region. Neither secondary causes of hypereosinophilia nor a myeloproliferative process was found. Considering the skin biopsy results and having excluded other causes of eosinophilia, we assumed the diagnosis of an eosinophilic vasculitis. Treatment with tacrolimus and high dose steroids was started, the latter tapered within 12 months and then stopped, but a dramatic flare-up of the vasculitis with Raynaud phenomenon occurred. A new immunosupressive approach with steroids and methotrexate was then introduced. This case of aggressive eosinophilic vasculitis is difficult to classify into the usual forms of vasculitis and constitutes a therapeutic challenge given the resistance to current immunosuppressive regimens.


2014 ◽  
Vol 76 (1) ◽  
pp. 14-17
Author(s):  
Yoshiyuki KUWAE ◽  
Kunitaka HARUNA ◽  
Yasushi SUGA

2015 ◽  
Vol 43 (1) ◽  
pp. 147-176
Author(s):  
Andrew J Serpell

Payday loans are small-amount, short-term, unsecured, high-cost credit contracts provided by non-mainstream credit providers. Payday loans are usually taken out to help the consumer pay for essential items, such as food, rent, electricity, petrol, broken-down appliances or car registration or repairs. These consumers take out payday loans because they cannot — or believe that they cannot — obtain a loan from a mainstream credit provider such as a bank. In recent years there has been a protracted debate in Australia — and in several overseas jurisdictions — about how to regulate the industry. Recent amendments to the National Consumer Credit Protection Act 2009 (Cth) — referred to in this article as the 2013 reforms — are designed to better protect payday loan consumers. While the 2013 reforms provide substantially improved protection for payday loan consumers, further changes to the law may be warranted. This article raises several law reform issues which should be considered as part of the 2015 review into small amount credit contracts, including whether the caps on the cost of credit are set at the right level, whether the required content and presentation of the consumer warnings needs to be altered, whether more needs to be done to protect consumers who are particularly disadvantaged or vulnerable and whether a general anti-avoidance provision should be included in the credit legislation.


Author(s):  
Richard McCleary ◽  
David McDowall ◽  
Bradley J. Bartos

Chapter 8 focuses on threats to construct validity arising from the left-hand side time series and the right-hand side intervention model. Construct validity is limited to questions of whether an observed effect can be generalized to alternative cause and effect measures. The “talking out” self-injurious behavior time series, shown in Chapter 5, are examples of primary data. Researchers often have no choice but to use secondary data that were collected by third parties for purposes unrelated to any hypothesis test. Even in those less-than-ideal instances, however, an optimal time series can be constructed by limiting the time frame and otherwise paying attention to regime changes. Threats to construct validity that arise from the right-hand side intervention model, such as fuzzy or unclear onset and responses, are controlled by paying close attention to the underlying theory. Even a minimal theory should specify the onset and duration of an impact.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Velarie Ansu ◽  
Stephanie Dickinson ◽  
Alyce Fly

Abstract Objectives To determine which digit and hand have the highest and lowest skin carotenoid scores, to compare inter-and-intra-hand variability of digits, and to determine if results are consistent with another subject. Methods Two subjects’ first(F1), second(F2), third(F3) and fifth(F5) digits on both hands were measured for skin carotenoids with a Veggie Meter, for 3 times on each of 18 days over a 37-day period. Data were subjected to ANOVA in a factorial treatment design to determine main effects for hand (2 levels), digits (4), and days (18) along with interactions. Differences between digits were determined by Tukey's post hoc test. Results There were significant hand x digit, hand x day, digit x day, and hand x digit x day interactions and significant simple main effects for hand, digit, and day (all P < 0.001). Mean square errors were 143.67 and 195.62 for subject A and B, respectively, which were smaller than mean squares for all main effects and interactions. The mean scores ± SD for F1, F2, F3, and F5 digits for the right vs left hands for subject A were F1:357.13 ± 45.97 vs 363.74 ± 46.94, F2:403.17 ± 44.77 vs. 353.20 ± 44.13, F3:406.76 ± 43.10 vs. 357.11 ± 45.13, and F5:374.95 ± 53.00 vs. 377.90 ± 47.38. For subject B, the mean scores ± SD for digits for the right vs left hands were F1:294.72 ± 61.63 vs 280.71 ± 52.48, F2:285.85 ± 66.92 vs 252.67 ± 67.56, F3:268.56 ± 57.03 vs 283.22 ± 45.87, and F5:288.18 ± 34.46 vs 307.54 ± 40.04. The digits on the right hand of both subjects had higher carotenoid scores than those on the left hands, even though subjects had different dominant hands. Subject A had higher skin carotenoid scores on the F3 and F2 digits for the right hand and F5 on the left hand. Subject B had higher skin carotenoid scores on F5 (right) and F1 (left) digits. Conclusions The variability due to hand, digit, and day were all greater than that of the 3 replicates within the digit-day for both volunteers. This indicates that data were not completely random across the readings when remeasuring the same finger. Different fingers displayed higher carotenoid scores for each volunteer. There is a need to conduct a larger study with more subjects and a range of skin tones to determine whether the reliability of measurements among digits of both hands is similar across the population. Funding Sources Indiana University.


Author(s):  
Tyler S. Gibb ◽  
Kathryn Redinger ◽  
Casey Fealko ◽  
Sonia Parikh

Guidance regarding the decision to remove an adolescent from athletic competition immediately following an acute concussive injury and the safe return of play in the short term is widely accepted and supported by clinical evidence, local institutional policies, and state and federal laws. There is considerably less guidance regarding the decision to permanently retire an adolescent athlete for medical reasons due to concussive injuries. In this article, we discuss the clinical and non-clinical considerations that should guide clinicians in discussions regarding the adolescent athlete’s permanent retirement by emphasizing the ethical obligation to protect the child’s right to an open future as possibly determinative in otherwise ambiguous cases.


2020 ◽  
Vol 32 (3) ◽  
pp. 541-552
Author(s):  
Mei Ling Jin

AbstractWe obtain approximation bounds for products of quasimodes for the Laplace–Beltrami operator on compact Riemannian manifolds of all dimensions without boundary. We approximate the products of quasimodes uv by a low-degree vector space {B_{n}}, and we prove that the size of the space {\dim(B_{n})} is small. In this paper, we first study bilinear quasimode estimates of all dimensions {d=2,3}, {d=4,5} and {d\geq 6}, respectively, to make the highest frequency disappear from the right-hand side. Furthermore, the result of the case {\lambda=\mu} of bilinear quasimode estimates improves {L^{4}} quasimodes estimates of Sogge and Zelditch in [C. D. Sogge and S. Zelditch, A note on L^{p}-norms of quasi-modes, Some Topics in Harmonic Analysis and Applications, Adv. Lect. Math. (ALM) 34, International Press, Somerville 2016, 385–397] when {d\geq 8}. And on this basis, we give approximation bounds in {H^{-1}}-norm. We also prove approximation bounds for the products of quasimodes in {L^{2}}-norm using the results of {L^{p}}-estimates for quasimodes in [M. Blair, Y. Sire and C. D. Sogge, Quasimode, eigenfunction and spectral projection bounds for Schrodinger operators on manifolds with critically singular potentials, preprint 2019, https://arxiv.org/abs/1904.09665]. We extend the results of Lu and Steinerberger in [J. F. Lu and S. Steinerberger, On pointwise products of elliptic eigenfunctions, preprint 2018, https://arxiv.org/abs/1810.01024v2] to quasimodes.


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