The Distal Course of the Sural Nerve and its Significance for Incisions around the Lateral Hindfoot

Foot & Ankle ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Deborah M. Eastwood ◽  
Isiahs Irgau ◽  
Roger M. Atkins
Keyword(s):  
Sural Nerve ◽  
Nerve Trunk ◽  
Confidence Limits ◽  
Main Trunk ◽  
Anterior Branch ◽  
Bony Landmarks ◽  
The Mean

Twenty preserved cadaver limbs were dissected to show the distal course of the sural nerve and the number and site of origin of its branches. The mean position of the main nerve trunk was calculated at various points related to bony landmarks of the fibula and the fifth metatarsal base. Ninety-five percent confidence limits for the course of the main nerve trunk could be described. A fibula incision may damage the nerve if it extends more than 7 mm inferior to the lateral malleolar tip with the foot in equinus. Dorsolateral foot incisions may damage both the main trunk and the major anterior branch.

scholarly journals A Morphometric Study of the Maxillary Artery and Lingula in Relation to Mandibular Ramus Osteotomies and TMJ Surgery

2010 ◽  
Vol 04 (02) ◽  
pp. 166-170 ◽  
Author(s):  
Huseyin Avni Balcioglu ◽  
Cenk Kilic ◽  
Altan Varol ◽  
Hasan Ozan ◽  
Necdet Kocabiyik ◽  
...  
Keyword(s):  
Infratemporal Fossa ◽  
Postoperative Hemorrhage ◽  
Morphometric Study ◽  
Maxillary Artery ◽  
Mandibular Ramus ◽  
Main Trunk ◽  
Tmj Ankylosis ◽  
Bony Landmarks ◽  
Inferior Border ◽  
Mandibular Notch

Objectives: Mandibular osteotomies and resection of the temporomandibular joint (TMJ) ankylosis are the mostly performed surgical procedures in the infratemporal fossa, which is in close proximity with the main trunk of the maxillary artery (MA). It is imperative to avoid the trunk or branches of the maxillary artery, otherwise, massive intraoperative or postoperative hemorrhage may develop. The goal of the study was to investigate the position of the maxillary artery in the infratemporal fossa and the lingula of the mandible.Methods: Significant landmarks were selected on the mandibles of formalin fixed cadavers, and the distances were measured between the maxillary artery and the bony landmarks with a digital caliper.Results: The average distances between the MA and the articular eminence, the medial cortex of the mandibular ramus, the inferior border of the pterygoid fovea and the mandibular notch were 1.67±0.48 mm, 5.38±2.47 mm, 16.84±1.74 mm, 2.94±0.52 mm, respectively. Course pattern of the MA at the subcondylar level was also mapped. In order to determine the position of the lingula, the average distances between the tip of the lingula and the mandibular notch, the inferior border of the ramus, the anterior margin of the ramus and posterior margin of the ramus were measured and found as 15.4±2.1 mm, 49.5±4.3 mm, 18.1±2.7 mm, 16.6±2.5 mm, respectively. No significant differences were found between the right and left sides, for all parameters.Conclusions: The studied parameters will assist and navigate clinicians to determine the anatomic proximity to the maxillary artery, and, minimize the risk of damaging the vessel. (Eur J Dent 2010;4:166-169)

The Influence of Training Phase on Error of Measurement in Jump Performance

2016 ◽  
Vol 11 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Kristie-Lee Taylor ◽  
Will G. Hopkins ◽  
Dale W. Chapman ◽  
John B. Cronin
Keyword(s):  
Mixed Model ◽  
Training Phase ◽  
Confidence Limits ◽  
Mean Power ◽  
Random Factor ◽  
Jump Performance ◽  
Mean Error ◽  
Overload Training ◽  
The Mean ◽  
Error Of Measurement

The purpose of this study was to calculate the coefficients of variation in jump performance for individual participants in multiple trials over time to determine the extent to which there are real differences in the error of measurement between participants. The effect of training phase on measurement error was also investigated. Six subjects participated in a resistance-training intervention for 12 wk with mean power from a countermovement jump measured 6 d/wk. Using a mixed-model meta-analysis, differences between subjects, within-subject changes between training phases, and the mean error values during different phases of training were examined. Small, substantial factor differences of 1.11 were observed between subjects; however, the finding was unclear based on the width of the confidence limits. The mean error was clearly higher during overload training than baseline training, by a factor of ×/÷ 1.3 (confidence limits 1.0–1.6). The random factor representing the interaction between subjects and training phases revealed further substantial differences of ×/÷ 1.2 (1.1–1.3), indicating that on average, the error of measurement in some subjects changes more than in others when overload training is introduced. The results from this study provide the first indication that within-subject variability in performance is substantially different between training phases and, possibly, different between individuals. The implications of these findings for monitoring individuals and estimating sample size are discussed.

Obturator Nerve Transfer to the Branch of the Tibial Nerve Innervating the Gastrocnemius Muscle for the Treatment of Sacral Plexus Nerve Injury

Neurosurgery ◽  
2015 ◽  
Vol 78 (4) ◽  
pp. 546-551 ◽  
Author(s):  
Gang Yin ◽  
Huihao Chen ◽  
Chunlin Hou ◽  
Jianru Xiao ◽  
Haodong Lin
Keyword(s):  
Nerve Injury ◽  
Gastrocnemius Muscle ◽  
Tibial Nerve ◽  
Nerve Transfer ◽  
Obturator Nerve ◽  
Surgical Reconstruction ◽  
Sacral Plexus ◽  
Medial Head ◽  
Anterior Branch ◽  
The Mean

Abstract BACKGROUND: Lower-limb function is severely impaired after sacral plexus nerve injury. Nerve transfer is a useful reconstructive technique for proximal nerve injuries. OBJECTIVE: To investigate the clinical effectiveness and safety of transferring the ipsilateral obturator nerve to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle to recover knee and ankle flexion. METHODS: From 2007 to 2011, 5 patients with sacral plexus nerve injury underwent ipsilateral obturator nerve transfer as part of a strategy for surgical reconstruction of their plexuses. The mean patient age was 31.4 years (range, 19-45 years), and the mean interval from injury to surgery was 5.8 months (range, 3-8 months). The anterior branch of the obturator nerve was coapted to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle by autogenous nerve grafting. RESULTS: Patient follow-up ranged from 24 to 38 months. There were no complications related to the surgery. Three patients recovered to Medical Research Council grade 3 or better in the medial head of the gastrocnemius muscle. Thigh adduction function was not affected in any patient. CONCLUSION: Knee and ankle flexion can be achieved by transferring the anterior branch of the obturator nerve to the branch of the tibial nerve innervating the medial head of the gastrocnemius muscle, which is useful for balance. This procedure can be used as a new method for treating sacral plexus nerve injury.

Synchrony of frond dynamics among patches of the clonal seaweed Mazzaella parksii (Rhodophyta) at local spatial scale

2004 ◽  
Vol 84 (5) ◽  
pp. 883-886 ◽  
Author(s):  
Ricardo Scrosati
Keyword(s):  
Spatial Scale ◽  
Seasonal Changes ◽  
Pacific Coast ◽  
Spatial Scales ◽  
Sampling Effort ◽  
Confidence Limits ◽  
Seasonal Trends ◽  
Intertidal Seaweed ◽  
The Mean

This study investigated the synchrony of frond dynamics among patches of the intertidal seaweed Mazzaella parksii (=M. cornucopiae; Rhodophyta: Gigartinales) at local spatial scale. At Prasiola Point (Pacific coast of Canada), the mean synchrony of the seasonal changes in frond density among seven permanent, 100-cm2 quadrats was significant (mean Pearson's r=0·73, with 0·65–0·81 as 95% confidence limits) between 1993 and 1995. This indicates that predicting seasonal trends for non-monitored patches at local spatial scale can be done relatively well based on observations on a limited number of quadrats. The identification of the spatial scales at which seaweed populations covary synchronously will permit minimizing sampling effort while retaining the ability to make valid predictions for non-monitored sites.

The influence of water temperature and pH on the survival of Fasciola hepatica miracidia

Parasitology ◽  
1984 ◽  
Vol 88 (1) ◽  
pp. 97-104 ◽  
Author(s):  
G. Smith ◽  
B. T. Grenfell
Keyword(s):  
Maximum Likelihood Method ◽  
Fasciola Hepatica ◽  
Good Description ◽  
Survival Function ◽  
Experimental Studies ◽  
Likelihood Method ◽  
Confidence Limits ◽  
Mean Values ◽  
Influence Of Water ◽  
The Mean

SUMMARYExperimental studies on the survival of Fasciola hepatica miracidia show no evidence that miracidial mortality varies with the pH of the medium, at least in the range 6·0–8·0. On the other hand, miracidial mortality is shown to vary with both the temperature of the medium and the age of the larvae. The mean expected life-span of the miracidium decreases from about 35 h at 6°C to about 6° h at 25° C. The Gompertz survival function provides a good description of the miracidial survivorship curves over the range of temperatures used, and we describe, a maximum likelihood method of estimating the mean values of the parameters of this function, together with their approximate 95% confidence limits.

Population dynamics and production of a brine shrimp, Parartemia zietziana Sayce (Crustacea : Anostraca), in two salt lakes in westren Victoria, Australia

1977 ◽  
Vol 28 (4) ◽  
pp. 417 ◽  
Author(s):  
R Marchant ◽  
WD Williams
Keyword(s):  
Population Dynamics ◽  
Population Density ◽  
Temperature Stress ◽  
Brine Shrimp ◽  
Dry Weight ◽  
Salt Lakes ◽  
Confidence Limits ◽  
Length Frequency ◽  
Population Densities ◽  
The Mean

Quantitative samples of P. zietziana were taken monthly for two years from Pink Lake and Lake Cundare. Shrimps were usually contagiously distributed. To reduce error, samples were stratified resulting in confidence limits of 40-50% for the mean population density. Despite this variability, stable trends emerged, and variation was not so great as to mask significant differences. Length-frequency analyses distinguished cohorts; a regression was established between length and dry weight, enabling growth to be estimated from samples. By combining growth with population densities in Allen curves, production was computed. In Pink Lake and Lake Cundare mean pro- duction was 11.3 and 1.0 g dry weight m-2 year-1 respectively. Generally there were two or three generations per year, but time and extent of recruitment were not predictable. Each generation suffered continuous mortality, the death of young shrimps accounting for most of the production. This mortality remains unexplained; there are no significant predators and salinity and temperature stress would occur only during summer.

Foodborne Snow Mountain Agent Gastroenteritis in a School Cafeteria

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 559-563
Author(s):  
Charles Guest ◽  
Kenneth C. Spitalny ◽  
H. Paul Madore ◽  
Katherine Pray ◽  
Raphael Dolin ◽  
...  
Keyword(s):  
Relative Risk ◽  
Strong Association ◽  
Case Definition ◽  
Enzyme Linked Immunosorbent Assay ◽  
Fisher Exact Test ◽  
Confidence Limits ◽  
Serum Samples ◽  
Exact Test ◽  
Relative Risks ◽  
The Mean

In 1984, an outbreak of gastroenteritis occurred at a school with 1,860 students in Brooklyn, NY. In a single-stage cluster sample of 375 students, 129 (34%) had illnesses that met our case definition of vomiting or diarrhea. The mean incubation period was 26 hours, and the mean illness duration was 24 hours. All case students had eaten in the cafeteria on at least one day between Nov 13 and 16, compared with 174/214 (81%) noncase students (P = 10-8, Fisher exact test). Foods implicated were french fries (relative risk 1.7, 95% confidence limits 1.4, 2.0) and hamburgers (relative risk 1.6, 95%, confidence limits 1.2, 2.1). Two cafeteria employees had served those foods while affected by diarrhea. By a recently developed blocking enzyme-linked immunosorbent assay, six of 11 (55%) case students showed fourfold antibody increases between acute-and convalescent-phase serum samples for Snow Mountain agent, a Norwalk-like virus, compared with one of ten (10%) noncase students (P = .04, Fisher exact test). We strongly suspect, but cannot document conclusively, that the Snow Mountain agent was spread to students on a vector of hot foods contaminated by ill food handlers. Implicated foods conferred low relative risks and could only have accounted for 74% of cases of illness. The strong association between cafeteria exposure and illness, therefore, suggests that additional modes of spread occurred.

A thermodynamic model of hemoglobin suitable for physiological applications

1990 ◽  
Vol 258 (3) ◽  
pp. C563-C577 ◽  
Author(s):  
T. Yoshida ◽  
M. Dembo
Keyword(s):  
Binding Sites ◽  
Electrostatic Interactions ◽  
Mean Field ◽  
Quantitative Model ◽  
Confidence Limits ◽  
Efficient Computation ◽  
Ligand Binding Sites ◽  
The Mean ◽  
Field Formalism ◽  
Good Agreement

We propose a quantitative model of the thermodynamics of hemoglobin in contact with its five major ligands (O2, CO2, Cl-, 2,3-bisphosphoglycerate, and H+). Our model incorporates the two-state formalism of J. Monod, J. Wyman, and J.P. Changeux (J. Mol. Biol. 12: 88-118, 1965) for treatment of quanternary transitions and also the mean field formalism of K. Linderstrom-Lang (C. R. Trav. Lab. Carlsberg Ser. Chim. 15: 1-30, 1924) for treatment of electrostatic interactions. On the basis of this approach, we develop an algorithm for the efficient computation of observable quantities, such as the occupancy of various ligand binding sites, and an objective statistical procedure for determining both maximum likelihood values and confidence limits of all the intrinsic thermodynamic parameters of hemoglobin. Finally, we show that the predictions of our theory are in good agreement with independent experimental observations.

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