scholarly journals Effect of Cable Cerclage on Regional Blood Circulation in Rabbits: A Scintigraphic Study

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.

2018 ◽  
Vol 35 (01) ◽  
pp. 54-57
Author(s):  
F.A. Silva ◽  
T.S. Silva ◽  
P.R.F.B. Souza ◽  
R.S. Reis ◽  
M.R.S. Ferreira ◽  
...  

Introduction The supratrochlear foramen (SF) is located in the distal portion of the humerus, formed in between the coronoid fossa and the olecranon fossa. Is associated with a narrowing of the medullary canal in the distal humerus, in addition to being a phylogenetic characteristic, more common in ancient populations. The objective was to evaluate the incidence of the supratrochlear foramen, it's shape, dimensions and translucency of the septum. Materials and Methods A total of 141 humerus adults, 72 right and 69 left-handed individuals from the collection of the Human Bone of the Academic Center of Vitória-Brazil. The format was classified as oval, round, irregular and cribriform. The vertical (VD) and transversal (TD) diameter were measured and the translucency of the septum was observed. Results Of the 141 humerus, 19.8% (28) had SF 39.3% (11) on the right side and 60.7% (17) on the left side. The oval was the most recurrent, found in 39% of the cases and the translucency was identified in 78% (110) of the bones. The mean VD was 3.653 mm and 3.492 mm on the right and left sides, respectively. The mean of the TD was 4.853 mm on the right side and 5.427 mm on the left. The area averages were 19.633 ± 20.57 mm2 on the right side and 19.919 ± 19.24 mm2 on the left side. Conclusion The knowledge of SF favors the preoperative procedures of patients with fractures in the distal humerus, necessary for the surgeries in the region.


Author(s):  
Sitti Nur Djannah ◽  
Sulistyawati Sulistyawati ◽  
Tri Wahyuni Sukesi ◽  
Surahma Asti Mulasari ◽  
Fatwa Tentama

<span>Lacking knowledge among adolescents affects their understanding of some problems related to sexual-reproduction health. Electronic media recognized as the favored source of information for adolescents. This research aimed to assess the effect of audio-visual media to the increasing of sexual-reproduction knowledge. We conducted a before and after without control informal experimental study design into 153 students in the 1st-3rd grade of junior high school. The effect of the intervention was assessed through the difference between pre- and post-intervention by using the Wilcoxon test. The mean score of the respondent pre and post-intervention was significantly increasing. The audiovisual increased the knowledge of the adolescent regarding sexual-reproduction health</span>


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.


2018 ◽  
Vol 21 (4) ◽  
pp. 447-455
Author(s):  
Sirlei Ricarte Bento ◽  
Ana Carolina Ottaviani ◽  
Allan Gustavo Brigola ◽  
Vânia Paula de Almeida Neris ◽  
Fabiana de Souza Orlandi ◽  
...  

Abstract Objective :to evaluate the presence of depressive symptoms and cognitive disorders before and after an intervention program with a digital therapeutic game among elderly persons undergoing hemodialysis. Method: a quasi-experimental study was carried out with 26 elderly patients on hemodialysis. For the data collection, a questionnaire relating to sociodemographic and health conditions, the Geriatric Depression Scale - 15 items and Addenbrooke’s Cognitive Examination Revised were used. The intervention with the digital therapeutic game was performed over 5 sessions. Results: of the participants, 80.8% were male, with a mean age of 66.7 (± 5.8) years. The mean pre-intervention depressive symptom score was 3.9 (± 3.0) while post-intervention it was 2.8 (± 2.9), representing a statistically significant difference (p = 0.005). Regarding cognitive function, there was no statistically significant difference before and after the intervention. There was a statistically significant difference in the mean of the depressive symptom scores, which were lower after the intervention. In addition, there was no statistically significant difference in the mean of the cognitive assessments. Conclusion: intervention studies with patients undergoing hemodialysis treatment are still scarce and this study describes the positive results of an intervention with a digital therapeutic game, demonstrating improvement in the depressive symptoms of the participants.


2015 ◽  
Vol 39 (5) ◽  
pp. 435-441
Author(s):  
F Abdelmegid ◽  
M Al-Agamy ◽  
A Alwohaibi ◽  
H Ka'abi ◽  
F Salama

Objectives: The aim of this cross-sectional in vivo study was to assess the effect of green tea and honey solutions on the level of salivary Streptococcus mutans. Study design: A convenient sample of 30 Saudi boys aged 7–10 years were randomly assigned into 2 groups of 15 each. Saliva sample was collected for analysis of level of S. mutans before rinsing. Commercial honey and green tea were prepared for use and each child was asked to rinse for two minutes using 10 mL of the prepared honey or green tea solutions according to their group. Saliva samples were collected again after rinsing. The collected saliva samples were prepared and colony forming unit (CFU) of S. mutans per mL of saliva was calculated. Results: The mean number of S. mutans before and after rinsing with honey and green tea solutions were 2.28* 108(2.622*108), 5.64 *107(1.03*108), 1.17*109(2.012*109) and 2.59*108 (3.668*108) respectively. A statistically significant reduction in the average number of S. mutans at baseline and post intervention in the children who were assigned to the honey (P=0.001) and green tea (P=0.001) groups was found. Conclusions: A single time mouth rinsing with honey and green tea solutions for two minutes effectively reduced the number of salivary S. mutans of 7–10 years old boys.


Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 154 ◽  
Author(s):  
Wojciech Wołyniec ◽  
Katarzyna Kasprowicz ◽  
Patrycja Rita-Tkachenko ◽  
Marcin Renke ◽  
Wojciech Ratkowski

Background and Objectives: Physical exercise increases the blood perfusion of muscles, but decreases the renal blood flow. There are several markers of renal hypoperfusion which are used in the differential diagnosis of acute kidney failure. Albuminuria is observed after almost any exercise. The aim of this study was to assess changes in renal hypoperfusion and albuminuria after a 100-km race. Materials and Methods: A total of 27 males who finished a 100-km run were studied. The mean age of the runners was 38.04 ± 5.64 years. The exclusion criteria were a history of kidney disease, glomerular filtration rate (GFR) <60 ml/min, and proteinuria. Blood and urine were collected before and after the race. The urinary albumin/creatinine ratio (ACR), fractional excretion of urea (FeUrea) and sodium (FeNa), plasma urea/creatinine ratio (sUrea/Cr), urine/plasma creatinine ratio (u/pCr), urinary sodium to potassium ratio (uNa/K), and urinary potassium to urinary potassium plus sodium ratio (uK/(K+Na)) were calculated. Results: After the race, significant changes in albuminuria and markers of renal hypoperfusion (FeNa, FeUrea, sUrea/Cr, u/sCr, urinary Na, uNa/K, uK/(K+Na)) were found. Fifteen runners (55.56%) had severe renal hypoperfusion (FeUrea <35, uNa/K <1, and uK/(Na+K) >0.5) after the race. The mean ACR increased from 6.28 ± 3.84 mg/g to 48.43 ± 51.64 mg/g (p < 0.001). The ACR was higher in the group with severe renal hypoperfusion (59.42 ± 59.86 vs. 34.68 ± 37.04 mg/g), but without statistical significance. Conclusions: More than 50% of the runners had severe renal hypoperfusion after extreme exercise. Changes in renal hemodynamics are probably an important, but not the only, factor of post-exercise proteinuria.


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.


2020 ◽  
pp. 096452842092028
Author(s):  
Blanca De-la-Cruz-Torres ◽  
Carlos Carrasco-Iglesias ◽  
Francisco Minaya-Muñoz ◽  
Carlos Romero-Morales

Background Crossover effects refer to the responses of a non-exercised contralateral limb. There is evidence of this effect, as it relates to muscle fatigue, strength, and stretch, but not as it relates to neuromodulation. Objectives To compare the crossover effects of percutaneous neuromodulation (PNM) on hip range of motion (ROM), observed in a straight leg raise (SLR) test, in asymptomatic participants with bilateral reduced hamstring flexibility, versus the neurodynamic sciatic sliding technique, hamstring stretching and mechanical stimulation of the sciatic nerve using a needle (without electrical stimulation). To evaluate the tensiomyographic changes between the two lower limbs after these interventions. Methods 80 participants with bilateral reduced hamstring flexibility were randomized into four groups: Stretching, Neurodynamic, PNM, and Needle groups. All interventions were performed on the right limb. Each participant’s leg was subjected to SLR testing and tensiomyography before and after the interventions. Results Each group improved their SLR values in the non-intervention limb compared to baseline values, but the PNM and Needle groups obtained higher values for the SLR test in the non-intervention limb compared with the Neurodynamic and Stretching groups. There were statistically significant differences for mean SLR measures between limbs pre- and post-intervention for all groups except the PNM group, suggesting crossover effects for PNM but not the other techniques studied. There were no differences in tensiomyographic assessments between groups or between sides, at baseline or upon completion of the study. Conclusion PNM produced benefits in the SLR test in the non-intervention limb and only 1.5 min was enough to obtain this effect. In addition, no technique interfered with muscle activation.


2019 ◽  
Vol 21 (1) ◽  
pp. 44-47
Author(s):  
Allin Pradhan ◽  
CP Lama ◽  
S Dhungel ◽  
SK Ghosh

 Femoral bicondylar angle is the angle between an axis through the shaft of the femur and a line perpendicular to the infracondylar plane. This study aims to assess femoral bicondylar angle measured from radiograph of femur and knee joints obtained from teaching hospitals in Kathmandu Nepal. Total of two hundred AP view radiograph of knee joint were collected, out of which, 50 each were of male right and left knee joint and 50 each were of female right and left knee joint. The mean angle for the right male femur was 7.86° with the range of 5°-10° and mean angle for the right female femur was 8.82° with the range of 6°-11°. On the left side, bicondylar angle ranged in male from 6° -10° with the average of 7.46° and in female range was 6°-11° and average was 8.66°. The bicondylar angle was higher in female on both the side, the difference was statistically significant on the left side (P=0.004) and significant on the right side (P=0.001). The finding of the study showed the femoral bicondylar angles were greater in right femur than left femur in both sexes. The difference in the bicondylar angle between the right and left femur was statistically insignificant in both sexes. (male p=0.144, female p=0.541). The result from this study has shown that femoral bicondylar angles were generally greater amongst the females as compared to the males; greater in right femur than left femur in both sexes.


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