New insertion support device assisted the accurate placement of tunneled cuffed catheter: First experience of 10 cases

2018 ◽  
Vol 19 (5) ◽  
pp. 501-505
Author(s):  
Toshiaki Ohara ◽  
Kazufumi Sakurama ◽  
Satoshi Hiramatsu ◽  
Toshimasa Karai ◽  
Toshiaki Sato ◽  
...  

Introduction: The tunneled cuffed catheter is used in hemodialysis patients for whom an arteriovenous fistula or arteriovenous graft is not suitable or for bridging usage of them. Accurate placement of a tunneled cuffed catheter is necessary for safe hemodialysis, but placement is sometimes difficult because of individual body differences. We developed a new device to support accurate placement of the tunneled cuffed catheter. In this study, we report our first clinical experience of the device. Methods: We made the device by expanded polytetrafluoroethylene with some special processes. The processes enable it to maintain plasticity and temporary shape in the autoclaved condition. The device is laid on the surface of the patient’s body to mark the root of the catheter with a felt-tipped marker before catheterization. That enables us to know the accurate catheter root and tunneled cuffed catheter exit site on the body surface. Ten patients underwent tunneled cuffed catheter insertion according to the marking. Case description: The mean age was 71.3 ± 12.8 years. The tunneled cuffed catheter was safely placed according to the marking in all patients, and all catheter tips were placed in the right atrium. The mean verification tip location difference before and after catheterization was 0.70 ± 0.48 cm. This result indicated that the device could assist in inserting a catheter accurately within an error of 1.18 cm. The tunneled cuffed catheters were patent in all the cases, without replacement and complications until the end of bridging use or during the observation period. Conclusion: Our newly developed insertion support device enhances safety and prevents catheter waste during replacement.

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Weiwei Lin

Objective (1)Through the blood physiological and biochemical tests during the altitude training, to analyze the body function of swimmers in this stage.(2) Through the individual lactate threshold tests before and after the altitude training,to analyze the effects of altitude training. Methods Eight swimmers took a 26-day altitude training session.The individual lactate threshold test was carried out by the Swedish Monak839E power cycle progressive loading method before and after the training;During the altitude training period, 5ml of the subjects' elbow vein was extracted and tested on an empty stomach and in a quiet state every Monday morning. Results (1)When swimmers reached the plateau, the hemoglobin value was indistinguishable from the plain(male 156.2±7.01,female 135.7±8.75g/L),From the hemoglobin value (male 154.03 + 5.67, female 134.23 + 9.66g/L), there was a decrease in both male and female in the second week.But hypoxia stimulated red blood cell production, and the body itself was gradually adapting to the training load.Thus, the hemoglobin value of the third week (male 157.17 + 3.7, female 141.93 + 10.06g/L) was significantly improved, and higher than the level of the first week.During the altitude training period, the mean value of male’s blood testosterone was 474.33 + 97.06ng/dl, and the female’s blood testosterone was 33.67 + 17.25ng/dl.Male’s blood testosterone was lower than the mean of the national team, because the study participants were youngers who were not fully developed and had shorter training years.There were different trends in blood testosterone value between male and female. Male’s blood testosterone values during the Monday morning of these three weeks were 479.67±76.25、492.33±83.61、451±153.41ng/dl respectively.female’s blood testosterone values during the Monday morning of these three weeks were 29.33±21.83、32±23.26、39.67±9.29ng/dl respectively.These further indicated that this altitude training plan was more suitable for male with shorter training years, and the body had certain fatigue accumulation, but the decrease range was within a reasonable range.However, the increase of blood testosterone per week in female indicated that the training stimulation depth was not enough, and the potential of athletes should be further explored.According to the changes of creatine kinase, the sensitivity of male to the change of altitude training intensity was also shown, and the highest value of creatine kinase was 731U/L in the first week.(2) From the value of the individual lactate threshold before and after altitude training, no matter male or female,the change was not obvious, but was generally improved, this may be the altitude training adopted the pattern of three and a half weeks, training time was short.Secondly, as a professional athlete, the "plastic space" gradually decreased with the extension of the training years.Most of the peak blood lactate occurred in 1-3 minutes of recovery period.and the average value increased from 8.96 + 1.86mmol/L before altitude training to 9.99 + 1.47mmol/L.Among them, the peak value of male’s blood lactate was increased from 8 + 2.22mmol/L before the altitude training to 10.91 + 1.43mmol/L, and there was a significant difference in the peak of blood lactate before and after the altitude training.However, the peak value of female’s blood lactate was decreased from 9.92 + 0.79mmol/L before the altitude training to 9.07 + 0.88mmol/L. This was mainly due to the fact that a member of the swimmers had caused the result, and this swimmer’s enduring lactate level was lower than the one before the plateau. Conclusions The altitude training generally improved athletes’ training ability, but based on factors such as training age, gender, should be targeted according to the individual situation of each athlete training plan, so as to achieve more from less.


2020 ◽  
pp. 112070002093663
Author(s):  
Henrik C Bäcker ◽  
David Krüger ◽  
Sophie Spies ◽  
Carsten Perka ◽  
Stephanie M Kirschbaum ◽  
...  

Introduction: The correct moment for return to driving after total hip arthroplasty (THA) remains unclear. Until today no uniform recommendation exists on the ability to perform an emergency brake. The aim of this prospective study was to investigate the braking ability of patients before and after THA implantation based on brake reaction time in milliseconds (BRT) and braking force in N (BF). Methods: In total, 25 patients (15 men, 10 women, mean age 51.3 ± 10.1 years) were treated with THA on the right side. Inclusion criteria consisted of a valid driving licence, frequent road participation and at least 2 years of driving experience. Exclusion criteria were underlying neurological disorders as well as severe complaints in the lumbar spine and the right knee joint. The brake ability was evaluated for emergency braking with a car simulator and a measuring sole. Measurements were performed preoperatively, 6 days, 2, 4 and 6 weeks after surgery. Results: Preoperatively, the mean BRT was 671.3 ± 123.5 ms and the BF 455.4 ± 185.0 N. Significant differences were observed at 6 days and 2 weeks after surgery, (BRT 836.4 ± 219.7 ms, respectively, BRT 735.0 ± 186.7 ms, and BF 302.6 ± 154.9 N, respectively, BF 375.5 ± 149.3 N, p < 0.05). Only 4 weeks after, no significant differences were seen compared to pre-operative with a BRT of 647.0 ± 91.9ms ( p = 0.354) and BF of 435.9 ± 177.4 ( p = 0.843). Furthermore, the BRT improved significantly after 6 weeks (607.4 ± 87.6; p = 0.005). Conclusions: The braking force is significantly reduced, and the brake reaction time is prolonged directly after surgery for at least 2 weeks. After 4 weeks, no statistically significant differences were measured, although special care should still be taken during return to activity.


Author(s):  
Simona Rusu ◽  
Zdenek Knotek ◽  
Radu Lacatus ◽  
Ionel Papuc

Abstract The body temperature of 10 clinically healthy green iguanas (Iguana iguana) was measured using a thermographic camera (FLIR E6, Flir Systems Sweden) before and after the food was offered. For each animal there were performed a total of 6 measurements (3 before feeding and 3 after the food was offered). The purpose of this experiment was to observe the thermographic pattern of the body before and after the feeding, since herbivore reptiles tend to bask after the feeding to increase the body temperature that will help them afterwards digest the food. The animals were housed in individual vivariums with every animal having a basking spot available. The pictures were taken outside the vivarium in an adjacent room. The animals were handled with gloves and transported in a cardboard box in order to avoid heat transfer between the handler and the iguana that would have produced thermal artefacts. Each individual was placed on a table on a styrofoam slate, again, to avoid the heat transfer between the table and the animal`s body. For each animal a total of 4 pictures were taken (up, front, left and right). The pictures were analysed with the FLIR Tools program that is provided by the manufacturer and 3 temperatures were taken into consideration (the head temperature, body temperature on the right side and body temperature on the left side). The temperatures were compared between them and with the temperature of the vivariums that consisted of the average between the temperature in 3 different spots (basking spot, the feeding bowl site and the coldest spot) measured with an infrared thermometer GM300 (Benetech, China). The temperature of the body was dependent on the vivarium temperature and it was a significant temperature difference between the measurements before the feeding and after the feeding. Also we discovered a significant difference between the head temperature and the body temperature on the left side before the feeding that disappeared after the animals ate. There was also a significant difference between the temperature on right side and on left side of the animals both before and after the feeding. No significant temperature difference was observed between the head and the right side of the body neither before nor after the feeding.


2017 ◽  
Vol 12 (3) ◽  
pp. 310-315 ◽  
Author(s):  
César Meylan ◽  
Joshua Trewin ◽  
Kelly McKean

The aims of the current study were to examine the external validity of inertial-based parameters (inertial movement analysis [IMA]) to detect multiplanar explosive actions during maximal sprinting and change of direction (COD) and to further determine its reliability, set appropriate magnitude bands for match analysis, and assess its variability during international women’s soccer matches. Twenty U20 female soccer players, wearing global positioning system (GPS) units with a built-in accelerometer, completed 3 trials of a 40-m sprint and a 20-m sprint with a change of direction to the right or left at 10 m. Furthermore, 13 women’s national-team players (157 files; 4–27 matches/player) were analyzed to ascertain match-to-match variability. Video synchronization indicated that the IMA signal was instantaneous with explosive movement (acceleration, deceleration, COD). Peak GPS velocity during the 40-m sprint showed similar reliability (coefficient of variation [CV] = 2.1%) to timing gates but increased before and after COD (CV = 4.5–13%). IMA variability was greater at the start of sprints (CV = 16–21%) than before and after COD (CV = 13–16%). IMA threshold for match analysis was set at 2.5 m · s–1 · s–1 by subtracting 1 SD from the mean IMA during sprint trials. IMA match variability (CV = 14%) differed from high-speed GPS metrics (35–60%). Practitioners are advised that timing lights should remain the gold standard for monitoring sprint and acceleration capabilities of athletes. However, IMA could be a reliable method to monitor explosive actions between matches and assess changes due to various factors such as congested schedule, tactics, heat, or altitude.


2017 ◽  
Vol 8 (1) ◽  
pp. 91-98 ◽  
Author(s):  
Tadashi Matsumoto ◽  
Takashi Itokawa ◽  
Tomoaki Shiba ◽  
Kotaro Hine ◽  
Yuichi Hori

Background: The dilation of veins and tortuosity of arteries that occur in retinopathy of prematurity (ROP) are improved by therapy, and thus posttherapy changes in ocular circulation are also conceivable. We report a case of ROP in which we were able to measure the ocular circulation before and after photocoagulation therapy, using a laser speckle flowgraphy (LSFG) system that is modified for neonates. Case Report: A female infant was born at 25 weeks’ gestation with a birth weight of 808 g. We performed photocoagulation in both eyes at age 15 weeks, and we measured the ocular circulation with the “LSFG-baby” system before and at 12 weeks after the photocoagulation treatment. We also measured the mean blur rate (MBR) in the optic nerve head (ONH) and the relative flow volume (RFV) in the retinal vessels, and we examined the change rates from before to after treatment. The changing rate of the MBR-A (the mean of all values) in the ONH in the right and left eyes was 76.5 and 98.5%, respectively. The vascular RFV in the severe dilation and tortuosity quadrant also tended to decrease. Conclusions: Photocoagulation improved the dilation of veins and tortuosity of arteries and reduced the ocular blood flow in this neonate with ROP. The LSFG-baby system effectively and directly revealed the optic nerve and retinal blood vessels.


2016 ◽  
Vol 24 (3) ◽  
pp. 367-369 ◽  
Author(s):  
Ozgur Karakoyun ◽  
Ertan Sahin ◽  
Mehmet Fatih Erol ◽  
Mesut Kariksiz ◽  
Metin Kucukkaya

Purpose To evaluate changes in blood circulation of the femoral cortex in rabbits using scintigraphy before and after cable cerclage alone or combined with an intramedullary Kirschner wire. Method Ten New Zealand rabbits were used. For the right femur, a 2-mm-thick cable was placed around the mid-diaphyseal region and squeezed with a 400-N force and locked with a clip. For the left femur, a 1.8-mm Kirschner wire was inserted retrogradely into the medullary canal, and a 2-mm-thick cable was applied using the same technique. The blood perfusion ratio of the region of interest (ROI) before and after surgery was evaluated using scintigraphy. Results For the right femurs, the mean ROI perfusion ratio decreased by 45% from 2.51 to 1.37 after intervention (p=0.001). For the left femurs, the mean ROI perfusion ratio decreased by 56% from 2.12 to 0.92 after intervention (p<0.001). The mean ROI perfusion ratio post-intervention was higher in the right than left femurs (p=0.017). Conclusion Cable cerclage around the femoral cortex significantly decreased blood circulation in the area.


1940 ◽  
Vol 31 (1) ◽  
pp. 45-56
Author(s):  
G. H. L. Dicker ◽  
S. C. Pearce

At least 30 specimens of each form of Macrosiphum rubiellum, Theobald, and Aphis idaei, van der Goot, were collected, mounted and their principal organs measured.Correlations were calculated between different parts on the right side and the conclusion reached that the ratios of lengths of organs were unstable characteristics of the species examined. High correlations were obtained between the same part on different sides of the body.The mean values and standard errors are tabulated and a method given for assigning limits of variation within a species. The standard errors obtained were of the order of 7 per cent. of the mean.The asymmetry, kurtosis and skewness of the distributions were calculated to test the effect of possible non-normality on the foregoing work.


Author(s):  
Nur Amirah Jaafar ◽  
Hairunnizam Wahid ◽  
Mohd Ali Mohd Noor

When it comes to zakat obligations, people only know certain types of zakat that are obligated to be issued. There are two types of zakat; zakat fitrah and zakat property. However, zakat’s division may vary according to the state's fatwa. In Selangor, Lembaga Zakat Selangor (LZS) is the body that governs the administration and implementation of Zakat. The breakdown of zakat property is Zakat on Income, Zakat on Business, Zakat on Savings, Zakat on Gold and Silver, Zakat on Investments and Shares, Zakat on KWSP, Zakat on Paddy, Zakat on Agriculture, Zakat on Wealth and Treasure, and the Zakat on Takaful. However, this study will only focus on Zakat Takaful. Under Zakat Takaful, there are several divisions which are Zakat Wang Takaful/Takaful Investment, Zakat on Maturity Policy, Takaful Compensation, Tabarruq Fund, Benefit of Total and Permanent Disability, and Compensation of Conventional Insurance Policy. Each of these sections has its calculation method which will be explained further. This study was conducted to identify the level of knowledge and acceptance of Takaful Muslim consumers on the implementation of Zakat Takaful that has been introduced by LZS. Besides, this study will also look at the knowledge of Takaful agents and their willingness to disseminate information of Zakat Takaful to their customers. This study was conducted by using the sampling method and descriptive data analysis. The study found that on average, respondents' knowledge on Zakat Takaful is low with a mean of 2.32. However, the mean for acceptance is 3.93 which is set at a high level thus showed a good acceptance of the survey respondents. Through this study, it can be concluded that knowledge and acceptance are both very important in achieving the objective of implementing Zakat Takaful. Knowledge by Takaful participants who are also assisted by agents who play the role of conveying knowledge of Zakat Takaful is directly perceived to have a more effective effect in addition to the behavior/attitude that forms the intention of Takaful participnts to accept the implementation and to pay Zakah Takaful. This study is also expected to be the push factor among the zakat agents to play a role in disseminating the right information about Zakat Takaful to their customers, which also can be regarded as one of the da'wah forms.


Author(s):  
Tahereh Eftekhar ◽  
Marzieh Hajibabaei ◽  
Firoozeh Veisi ◽  
Zinat Ghanbari ◽  
Ali Montazeri

Objective: This study aimed to compare women’s body image, sexual function and satisfaction before and after gynecologic cosmetic surgery. The study also aimed to assess women husband’s sexual satisfaction. Materials and methods: This was a pretest-posttest study. A sample of 50 women attending the pelvic floor clinic of Tehran University of Medical Sciences for gynecologic cosmetic surgery was entered into the study. Surgeries included labiaplasty, clitoral hoodectomy, vaginoplasty, vaginal rejuvenation, anterior and posterior colporrhaphy, perineoplasty, and perineorrhaphy. Women were assessed for the Body Image Quality of Life Inventory (BIQLI), the Larson Sexual Satisfaction Questionnaire (LSSQ-F), and Female Sexual Function Inventory (FSFI-6) at two points in time: baseline (one week before surgery) and 3 months after surgery. Similarly, the male partners were assed for sexual satisfaction using the Larson Sexual Satisfaction Questionnaire (LSSQ-M). To analyze the data paired samples t-test was applied. Results: The mean (SD) age of women was 43.36 (8.6) years and the mean (SD) duration of marriage was 22.18 (9.7) years. Ninety-four percent had history of vaginal delivery and 58.7 percent attend surgery due to husband’s sexual dissatisfaction. The results showed that women’s body image, sexual function and couples’ sexual satisfaction improved significantly after gynecologic cosmetic surgery (p ≤ 0.001). Conclusion: The findings suggest that female genital cosmetic surgery improved the body image and sexual function of women and sexual satisfaction in couples that might lead to a more pleasurable and healthier marital relationship.


2014 ◽  
Vol 5 (2) ◽  
pp. 53-61 ◽  
Author(s):  
Lilita Ozoliņa ◽  
Inese Pontaga ◽  
Igors Ķīsis

Abstract The aim of our investigation was to determine and compare the pre- and post- training body hydration status in professional and amateur male ice hockey players consumed the drinks according to their thirst sensation in winter conditions. Materials and methods: 11 amateur and 23 professional ice hockey players participated in the investigation. The players were weighted before and after training using precise scales. The body mass composition of every athlete was determined by the body composition analyzer. Every player collected mid–stream urine specimens before and after the training. Urine specific gravity (USG) was measured by urine refractometer. Results: 56% of the professional ice hockey players and 82% of amateur players were hypohydrated before training according to their USG values ≥ 1.020, 5% of professional players were dehydrated their USG values ≥ 1.030. After the training with duration of 1.5 hours the mean body mass decreased for 0.9±0.5% of pre– training value in amateur players and for 1.6±0.8% in professionals (p=0.005). After the training the professional players’ hydration status worsened: 66% were hypohydrated and 26% dehydrated according to USG, the mean USG after training was significantly higher than before it (p=0.011). USG after training did not change in amateur players: their mean USG values before and after training did not differed significantly (p=0.677). Conclusions: Fluid uptake according to thirst sensation in winter conditions cannot compensate the fluid loss at rest and during training especially in professional ice hockey players. The body mass loss exceeded value critical for performance - 2 % in one third part of professionals. The differences between two groups can be explained by higher intensity of exercises during training, the better physical conditioning and greater sweating rate in professional players in comparison with amateurs, which causes close to twice greater uncompensated fluid loss in professionals than in amateurs.


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