Achilles tendon thickness, ultrasound signs and symptoms in skaters, gymnasts, elite soccer players, club athletes and healthy sedentary adults - a cross-sectional study

2011 ◽  
Vol 45 (2) ◽  
pp. e1-e1
Author(s):  
M. Perry ◽  
D. Morrissey ◽  
C. Emerson ◽  
R. Teatino ◽  
Z. Shaikh ◽  
...  
2018 ◽  
Vol 71 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Vitória da Costa Moraes ◽  
Janice Carneiro Coelho

ABSTRACT Objective: Identify the signs and symptoms of patients with Gaucher Disease, inferring possible priority nursing diagnoses. Method: Cross-sectional study, developed in a specialized laboratory, between 2013 and 2015. The sample (n = 91) comprised the records of patients with genetic diagnosis for Gaucher Disease. The study respected research norms. Results: Prevalence of female sex (57.1%), age at diagnosis between 0 and 10 years, and origin from the Southeast Region of Brazil were prevalent. Hematologic changes, bone pain, hepatomegaly, splenomegaly, and fatigue were the most recurrent signs and symptoms. The inferred diagnoses for the studied population were: Risk for bleeding; Fatigue; Chronic pain and Acute pain; Impaired physical mobility; Imbalanced nutrition: less than body requirements; and Risk for Developmental Delay. Conclusion: The establishment of Priority Nursing Diagnoses based on signs and symptoms makes it possible to achieve expected outcomes for each individual in the care context.


2010 ◽  
Vol 45 (4) ◽  
pp. 333-337 ◽  
Author(s):  
David O. Draper ◽  
Clinton G. Edvalson ◽  
Kenneth L. Knight ◽  
Dennis Eggett ◽  
Joseph Shurtz

Abstract Context: Although originally manufactured for use in diagnostic imaging of internal structures, 2-cm-thick gel pads are also used as conducting media for therapeutic ultrasound over areas with bony prominences. Research on the ability of these pads to conduct enough energy to adequately heat tissues has provided mixed results. However, this research has mainly been performed on the triceps surae muscle, an area over which gel pads are not typically used. We wondered how much heating might be produced if a thinner pad was used over a tendon. Objective: To compare temperature rises in the human Achilles tendon during ultrasound treatments using ultrasound gel, a 2-cm-thick pad, and a 1-cm-thick pad. Design: Cross-sectional study. Setting: University therapeutic modality laboratory. Patients or Other Participants: Forty-eight healthy volunteers (24 women, 24 men). Intervention(s): We inserted a rigid thermocouple 1 cm deep into the Achilles tendon. Ultrasound was delivered at the following settings: 3 MHz, continuous, 1 W/cm2, 10 minutes. Main Outcome Measure(s): Temperature was recorded every 30 seconds for 10 minutes. Results: Temperature increased the most in the ultrasound gel group (increase  =  13.3°C, peak  =  42°C). The 1-cm-thick pad resulted in higher tendon temperature (increase  =  9.3°C, peak  =  37.8°C) than the 2-cm-thick pad (increase  =  6.5°C, peak  =  4.8°C). The 1-cm pad produced approximately 30% more heating than the 2-cm pad (SE  =  0.72, P < .03). Conclusions: The thinner pad transmitted ultrasound more efficiently than the thicker pad. Thus, a gel pad of less than 1-cm thickness might be useful for superficial areas, such as the hands and ankles.


2020 ◽  
pp. 1-12
Author(s):  
Daniel Germano Maciel ◽  
Glauko André Figueiredo Dantas ◽  
Mikhail Santos Cerqueira ◽  
Jean Artur Mendonça Barboza ◽  
Vinícius Vieira De Alencar Caldas ◽  
...  

2020 ◽  
Author(s):  
Marlene Thielecke ◽  
Stefanie Theuring ◽  
Welmoed van Loon ◽  
Franziska Hommes ◽  
Marcus A. Mall ◽  
...  

AbstractObjectivesThe comparatively large proportion of asymptomatic SARS-CoV-2 infections in the youngest children opens up the possibility that kindergartens represent reservoirs of infection. However, actual surveys in kindergartens beyond individual outbreaks are rare. At the beginning of the second pandemic wave in Berlin, Germany, i.e., end of September 2020, we screened SARS-CoV-2 infections among kindergarten children, staff and connected household members.MethodsTwelve kindergartens were randomly selected in the Berlin metropolitan area, and a total of 720 participants were recruited (155 pre-school children, 78 staff, 487 household members). Participants were briefly examined and interviewed, and SARS-CoV-2 infections and anti-SARS-Cov-2 IgG antibodies were assessed.ResultsSigns and symptoms, largely resembling common cold, were present in 24.2% of children and 28.9% of staff. However, no SARS-CoV-2 infection was detected among 701 PCR-tested individuals, and only one childcare worker showed IgG seroreactivity (0.15%; 1/672).ConclusionsAgainst a backdrop of increased pandemic activity in the community, this cross-sectional study does not suggest that kindergartens are silent transmission reservoirs. Nevertheless, at increasing pandemic activity, reinforced precautionary measures and repeated routine testing appears advisable.


2020 ◽  
Vol 13 (1) ◽  
pp. 27-33
Author(s):  
Hamad S. Al Amer ◽  
Shahul Hameed Pakkir Mohamed

Background: Ankle sprains are common among soccer players, and their risk factors are well documented in the literature. In Saudi Arabia, some healthcare and sport-related characteristics provide the necessity for investigating the prevalence and risk factors of ankle sprain in that region as well. Objective: To analyze the prevalence of lower limb injuries and risk factors of ankle sprains among male soccer players in Tabuk, Saudi Arabia. Methods: A cross-sectional study among 400 male soccer players from different sports clubs in Tabuk, Saudi Arabia was conducted. A self-structured questionnaire was used to collect data related to ankle sprains. Chi-square, Fisher’s exact tests, and unpaired t-tests were used to test the association between variables. Univariate logistic regression analysis was used to identify the risk factors. Results: Ankle sprains were the most prevalent, reported by 63.8%. Previous ankle injury, lack of stretching, lack of warm-up, and not wearing bracing were identified as significant risk factors. A total of 47.9% of players preferred to go to the hospital for treatment, 15.8% selected physical therapy, while 56% had no prior education regarding injury prevention. Conclusion: Ankle sprain is the most prevalent lower limb injury. Risk factors include previous ankle injuries, lack of stretching, lack of warm-up, and not wearing bracing. Players have little knowledge of physical therapy measures and lack of injury prevention education. Our findings suggest that increasing the awareness of injuries and proper physical therapy measures might assist in preventing recurrence of ankle sprains among male soccer players.


Author(s):  
Mehran Hesaraki

Background: This article aimed to assessment clinical signs and symptoms, paraclinical tests and histopathological results in children with acute appendicitis.Methods: A cross-sectional study conducted on 100 children with acute appendicitis in an urban hospital in southeast of Iran from January to December 2016. Participants were selected by simple random sampling method. Clinical signs and symptoms, paraclinical tests and histopathological results recorded in checklists. The data were analyzed using SPSS 22.Results: Mean age of the patients was 10.26±3.25, fourthly-eight of patients (58.5%) were males and 34 patients (41.5%) were females. The most frequent clinical signs and symptoms were acute suppurative appendicitis with peri appendicitis (45.83%) and acute suppurative appendicitis (39.58%). The most frequent results in ultrasound reports were Intestinal loop thickness greater than 6 mm without peristalsis (positive report) (46.34%) and Invisible appendix (nega Hesaraki tive report) (13.41%).Conclusions: The results of this study showed that abdominal pain and RLQ tenderness were the most common signs and symptoms and WBC left-shift was the most common laboratory finding. Since the rate of negative appendectomy in this study was consistent with surgical results and other articles, it is concluded that diagnostic accuracy of preoperative appendectomy was acceptable and most children with acute appendicitis underwent appendectomy.


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