scholarly journals ANALYSIS OF STERNAL CURVATURE PATTERNS IN PATIENTS WITH PECTUS AND CONTROL

2021 ◽  
Vol 29 (5) ◽  
pp. 258-262
Author(s):  
DAVI DE PODESTÁ HAJE ◽  
KELSEN DE OLIVEIRA TEIXEIRA ◽  
MOACIR SILVA NETO ◽  
JOSÉ BATISTA VOLPON ◽  
PAULO SERGIO MENDLOVITZ ◽  
...  
Keyword(s):  
Pectus Excavatum ◽  
Sagittal Plane ◽  
Chest Ct ◽  
Statistical Analyses ◽  
Control Group ◽  
Pectus Carinatum ◽  
Level Of Evidence ◽  
Normal Individuals ◽  
Different Types ◽  
And Control

ABSTRACT Objective: To analyze reformatted sagittal sternal tomography images and classify sternal body curvature types, and compare different types of pectus populations with one another and with normal individuals. Methods: In total, 50 controls and 167 pectus patients were selected for chest CT to analyze the median sagittal plane, of whom 89 had pectus carinatum (mean age, 12 ± 10 years) and 78 pectus excavatum (mean age, 14 ± 10 years). Clinical types of pectus were classified as inferior, superior, or lateral pectus carinatum, and localized or broad pectus excavatum. The following types of sternal patterns were defined: gradual vertical curve, gradual posterior curve, gradual anterior curve, proximal third curve, middle third curve, distal third curve, anterior rectilinear, vertical rectilinear, and posterior rectilinear. Statistical analyses were performed to compare the different types of pectus with one another and with the control group. Results: Patients with different thoracic deformities, but with similar sternal curvature patterns, were observed. Some types of sternal curvature were significantly more frequent in certain types of pectus (p < 0,05). The gradual vertical curve and anterior rectilinear types prevailed in controls (p < 0,05). Conclusion: Some sternal curvature patterns were more frequent than the others in certain types of pectus and the controls. Level of Evidence II, Prognostic studies - investigating the effect of a patient characteristic on the outcome of disease.

scholarly journals Study the Oxidative Stress, Some Biochemical and Hematological Parameters in patients with agout at AL-Ramadi city

2016 ◽  
Vol 13 (4) ◽  
pp. 694-701
Author(s):  
Baghdad Science Journal
Keyword(s):  
Blood Cells ◽  
Hematological Parameters ◽  
Age Groups ◽  
Control Group ◽  
Enzymatic Antioxidants ◽  
Blood Picture ◽  
Control Groups ◽  
Blood Samples ◽  
Normal Individuals ◽  
And Control

This study aims to study the effect of gout disease on complete blood picture and biochemical parameters and some non-enzymatic antioxidants, some tracing elements and lipid peroxidation ,in outpatients with gout disease at Al-Ramadi Teaching-Hospital ,Al-Razi Hospital and the study duration from Octo.2013-to May 2014.(50) blood samples were collected from patients with age groups (30-80 years) from both sexes (28 males,22 females),a (30) blood samples (15 males,15 females) were collected from normal individuals as a control group with age groups (27-75 years). Hematological measurement showed no significant differences in size compressed blood cells, the percentages in ( 45.15 +4.99 and 46.87+6.30) % in patient and control groups respectively, hemoglobin concentrations were ( 14.04+1.66 and 14.30+1.93) g/l in patient and control groups respectively, total number of red blood cells ( 5.21+0.43 and 5.12 +0.58) 106/mm3 in patient and control groups respectively with(P?0.05) in ESR (21.06+13.47 and 13.37 +7.45) mm/hr in patient and control groups respectively with (P?0.05), the total number of WBCs were recorded (8.96+2.04 and 7.50+1.69)in patient and control groups respectively. Results showed also significant differences (P?0.05) in uric acid levels (7.42+0.76 and 5.62+0.88) mg/dl,malondialdehyde levels were recorded (4.45+0.64 and 3.21+0.86) in patient and control groups

A study of the dermatoglyphic pattern in diabetic subjects in Kalaburagi district

2021 ◽  
Vol 8 (2) ◽  
pp. 90-93
Author(s):  
Arshiya Zeba ◽  
Mohd Ibrahim Pasha ◽  
Khwaja Nawazuddin Sarwari ◽  
Mohammed Mateen Ahmed
Keyword(s):  
Case Control Study ◽  
Screening Programme ◽  
Control Group ◽  
Ridge Count ◽  
Normal Individuals ◽  
Hereditary Disorders ◽  
Plantar Region ◽  
Genetically Determined ◽  
And Control ◽  
Control Study

Dermatoglyphics is the scientific study of epidermal ridges and their configurations on the palmar region of hand and fingers and plantar region of foot and toes. Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defect in insulin secretion, action or both. Dermatoglyphic patterns are genetically determined and can be used as supportive for diagnosis of various hereditary disorders including T2DM. This study was carried out to compare palmar dermatoglyphic pattern in T2DM and control group and compare with previous studies. A hospital based case control study was conducted 100 cases of T2DM are taken from Basaweshwar hospital Gulbarga, and another 100 persons are included as control group. The palms and fingers are smeared with ink to bring out the dermatoglyphiic patterns which were subsequently studied.There was increased number of whorls and decreased number of ulnar loops in both T2DM patients compared with normal individuals. Total finger ridge count and Absolute finger ridge count is increased in both T2DM patients and there is also increased atd angle. The knowledge of dermatoglyphics in patients with T2DM and essential hypertension can be utilized to find out genetic correlation. The existence of such relation might be important for the screening programme for prevention of T2DM.

A Comparative Study on Short-Term Effects of Compression Orthosis and Exercises in the Treatment of Pectus Carinatum: A Randomized Controlled Pilot Feasibility Trial

2020 ◽  
Author(s):  
Esra Giray ◽  
Nezih Onur Ermerak ◽  
Yeliz Bahar-Ozdemir ◽  
Melihat Kalkandelen ◽  
Mustafa Yuksel ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Chest Wall ◽  
Feasibility Trial ◽  
Control Group ◽  
Pectus Carinatum ◽  
Short Term ◽  
Similar Frequency ◽  
Custom Made ◽  
Before And After ◽  
And Control

Abstract Introduction Pectus carinatum (PC) is a congenital chest wall deformity which is characterized by the protrusion of the sternum and costal cartilages. Although orthotic and exercise therapies are commonly offered by physicians for PC treatment, there is a lack of evidence on the benefits of exercises and how long the orthosis should be worn. The aim of this study is to investigate the effects and feasibility of custom-made compression orthosis and exercises in the treatment of PC. Materials and Methods Patients with PC aged 7 to 17 years old were randomized into three groups: compression orthosis 23 hours, compression orthosis 8 hours, and control group. All groups received exercises for 1 hour a day for 3 weeks. Additionally, compression orthosis 23 hours group wore the orthosis for 23 hours a day, while compression orthosis 8 hours group wore the orthosis for 8 hours a day. PC protrusion, pressure of correction, thorax lateral and anteroposterior parameters, external chest wall measurements, and Nuss Questionnaire were evaluated before and after the treatment. Also, adverse effects, retention, and compliance were assessed. Feasibility was evaluated by calculating the percentages of recruitment, retention, and safety. Results The compression orthosis 23 hours group showed greater improvements than the other groups. After treatment, all groups showed significant changes in protrusion, pressure of correction, and external chest wall measurements. Adverse events occurred with similar frequency across groups. Retention percentages did not differ among groups. Conclusion Compression orthosis use for 23 hours can be recommended rather than its use for 8 hours because 23 hours of orthosis use has better correction and similar adverse effects.

scholarly journals VYC-25L Hyaluronic Acid Injectable Gel Is Safe and Effective for Long-Term Restoration and Creation of Volume of the Lower Face

2020 ◽  
Vol 40 (9) ◽  
pp. NP499-NP510 ◽  
Author(s):  
Patricia Ogilvie ◽  
Laurence Benouaiche ◽  
Wolfgang G Philipp-Dormston ◽  
Lakhdar Belhaouari ◽  
Frodo Gaymans ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Well Being ◽  
Controlled Study ◽  
Control Group ◽  
Level Of Evidence ◽  
Lower Face ◽  
Repeat Treatment ◽  
Acid Gel ◽  
Surgical Treatments ◽  
And Control

Abstract Background Juvéderm Volux (VYC-25L; Allergan plc) is an injectable hyaluronic acid gel designed to restore and create facial volume. Objective The aim of this study was to evaluate the safety and effectiveness of Volux for chin retrusion over 18 months and after repeat treatment. Methods This prospective, single-blind, controlled study enrolled subjects aged ≥18 years with chin retrusion (glabella-subnasale-pogonion facial angle 145°-165°). Subjects were randomized (3:1) to Volux at study onset or 3 months later (control group), and could receive a single repeat treatment during months 18 to 24. Assessments included mean facial-angle change from baseline, Global Aesthetic Improvement Scale (GAIS) responder rates (improved/much improved), improvements in 3 subject-reported FACE-Q scales, and safety. Results Of 132 enrolled subjects, 119 received initial Volux treatment and 89 received repeat treatment. Mean changes (95% confidence interval) in glabella-subnasale-pogonion angle from baseline for treatment and control groups, respectively, were: 1.15° (0.75°, 1.56°) and 1.16° (0.57°, 1.75°) at month 18, and 3.14° (2.68°, 3.61°) and 2.72° (1.78°, 3.66°) 1 month after repeat treatment. Investigators rated 52.5%/60.0% of treated/control subjects at month 18 and 96.9%/100% after retreatment as GAIS responders; subject-reported rates were 62.0%/64.0% and 93.8%/100%. Durable improvements in Satisfaction with Chin, Satisfaction with Lower Face and Jawline, and Psychological Well-Being were reported in 82.1%, 78.2%, and 60.3% of subjects, respectively, at month 18, and 92.3%, 93.8%, and 67.7% of subjects after retreatment. The safety profile was as expected. Conclusions Volux injectable gel is a safe, effective, and durable alternative to surgical treatments for increasing chin projection and jaw volume, and results in high patient satisfaction. Level of Evidence: 2

scholarly journals Accelerometer-Based Navigation in Total Knee Arthroplasty for the Management of Extra-Articular Deformity and Retained Femoral Hardware: Analysis of Component Alignment

Joints ◽  
2019 ◽  
Vol 07 (01) ◽  
pp. 001-007 ◽  
Author(s):  
Andrea Cozzi Lepri ◽  
Matteo Innocenti ◽  
Fabrizio Matassi ◽  
Marco Villano ◽  
Roberto Civinini ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Navigation System ◽  
Lower Limb ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Control Group ◽  
Navigation Systems ◽  
Level Of Evidence ◽  
Total Knee

Abstract Purpose Recent advances in total knee arthroplasty (TKA) include an accelerometer portable system designed to improve component position and alignment. The purpose of this study is to evaluate whether accelerometer navigation system can be a valuable option in complex TKAs for extra-articular deformity of the lower limb or in case of retained femoral hardware. Methods A group of 13 patients underwent TKA with an accelerometer navigation system. Three patients had a tibial extra-articular deformity, six had a femoral extra-articular deformity, and four had an intramedullary nail in the femur. Preoperative and postoperative mechanical axes were measured from full-length lower extremity radiographs to evaluate alignment. The alignment of prosthetic components in the frontal and sagittal planes was determined by postoperative radiographs. Results At 30-days postoperative radiographic check, the hip knee ankle angle was within 2.0° (0 ± 1) of the neutral mechanical axis. The alignment of the tibial component on the frontal plane was 90.0° (range 89–91) and on the sagittal plane 5.0° (range 3–7). The alignment of the femoral component on the frontal plane was 90.0° (range 89–91) and on the sagittal plane 3.0° (range 0–5). Conclusion The alignment of the prosthetic components has been accurate and comparable to other navigation systems in literature without any increase in surgical times. The accelerometer-based navigation system is therefore a useful technique that can be used to optimize TKA alignment in patients with extra-articular deformity or with lower limb hardware, where the intramedullary guides cannot be applied. Level of Evidence This is an observational study without a control group, Level III.

The Conundrum of Calcaneal Spurs

2013 ◽  
Vol 7 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Paul J. Moroney ◽  
Barry J. O’Neill ◽  
Khalid Khan-Bhambro ◽  
Shay J. O’Flanagan ◽  
Peter Keogh ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Incidental Finding ◽  
Radiographic Finding ◽  
Heel Pain ◽  
Control Group ◽  
X Rays ◽  
Foot Pain ◽  
Level Of Evidence ◽  
Associated Conditions ◽  
And Control

Background: Chronic plantar heel pain is a common and potentially debilitating condition, often caused by plantar fasciitis. Plantar calcaneal spurs were originally considered the cause of plantar fasciitis but are now regarded as an incidental finding by most authors. We aimed to test this hypothesis and to investigate predisposing factors for the development of spurs. Methods: We reviewed all lateral ankle X rays taken in our institution over a 6-month period and identified all X rays demonstrating calcaneal spurs. Then, we identified a similar number of age- and sex-matched controls without spurs. We contacted both groups by telephone and compared symptoms of heel pain, plantar fasciitis, associated comorbidities, and foot and ankle outcome scores (FAOSs). Results: We reviewed the X rays of 1103 consecutive patients and found a spur prevalence of 12.4%, more common in women and older patients. Questioning of the spur group and control group found a higher body mass index in the spur group. Patients with spurs were 4 times more likely to have diabetes mellitus and 10 times more likely to have lower-limb osteoarthritis. Patients with spurs had more foot pain and poorer FAOS than the control group, even when patients with plantar fasciitis were excluded. Conclusion: Our results demonstrate that the presence of a plantar calcaneal spur may be an indicator of foot pain independent of plantar fasciitis. Although spurs may not cause foot pain themselves, they may be an indication of other associated conditions. Clinical relevance: We have demonstrated the relevance of a radiographic finding once considered irrelevant. Level of Evidence: Prognostic, Level III: Case-control study

Rorschach Indices for Discriminating between Two Schizophrenic Syndromes

1988 ◽  
Vol 67 (2) ◽  
pp. 399-406 ◽  
Author(s):  
Santo Di Nuovo ◽  
Caterina Laicardi ◽  
Cinzia Tobino
Keyword(s):  
Emotional Control ◽  
Control Group ◽  
Reality Testing ◽  
Organizational Activity ◽  
Perceptual Functioning ◽  
Different Types ◽  
Form Quality ◽  
Withdrawal Syndromes ◽  
And Control ◽  
Negative Form

Thinking disturbance and disorder of affects may be different in two subtypes of schizophrenia, the “florid” and the “withdrawal” syndromes. In Exner's approach to the Rorschach system, the diagnostic indicators of disordered thinking may point out large differences not only between schizophrenic and control subjects but also between different types of schizophrenics. The Rorschach protocols of 45 subjects (15 “florid” schizophrenics, 15 “withdrawn” schizophrenics, and 15 controls of the same age and education, matched by sex) were examined on several Exner indices. Compared with the control group, both schizophrenic types confirmed an impairment of perceptual accuracy and of reality testing as well as a reduced emotional control. Compared with the “withdrawn” group, the “florid” schizophrenic subjects showed significantly higher indices of poor perceptual functioning, of an inadequate organizational activity (more Whole and Z responses characterized by negative Form Quality) and greater disordered ideational production.

scholarly journals ANALYSIS OF CERVICAL SAGITTAL PARAMETERS IN PATIENTS WITH RHEUMATOID ARTHRITIS

2021 ◽  
Vol 20 (2) ◽  
pp. 94-97
Author(s):  
Kaio Rodrigo Barreto Ramiro ◽  
Sylvio Mystro Neto ◽  
Ivan Guidolin Veiga ◽  
André Frazão Rosa ◽  
Mauricio Coelho Lima ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sagittal Plane ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Control Group ◽  
Chi Square ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Thoracic Inlet ◽  
Sagittal Parameters

ABSTRACT Objective: To analyze the cervical sagittal parameters of patients with rheumatoid arthritis (RA) and compare them with the parameters obtained from healthy patients in a sample of the Brazilian population. Methods: Epidemiological data were collected and 72 radiographs of the cervical spine in the sagittal plane were evaluated by measuring the cervical sagittal parameters COG-C7 (distance measured between the center of gravity of the head and the C7 plumb line -cranial offset), C2-C7 lordosis (vertebrae from C2 to C7), T1S (T1 slope), TIA (thoracic inlet angle) and NT (neck tilt). Statistical analysis was performed using the Student’s t and chi-square tests. Results: The TIA and NT values in the RA group were 88.8° ± 12.6° and 54.5° ± 9.3°, respectively, while for the control group, they were 77.7° ± 7.9° and 50.5° ± 7.7°, respectively, the RA group values being statistically higher than the control group values (p <0.001 and p = 0.050, respectively). The values obtained for COG-C7, C2-C7 lordosis and T1S for the RA group were 9.4 ± 16.4mm, 25° ± 22.4° and 2.6° ± 10.1°, respectively, while for the control group they were 11.8 ± 17.6mm, 26.8° ± 12.5° and 30.9° ± 8.4°, respectively. Conclusions: Patients with RA present changes in the thoracic inlet parameters as compared to the control group, with a statistically significant increase in the TIA and NT values, outlining a characteristic compensatory pattern for maintaining cervical sagittal balance. Level of evidence III; Controlled cross-sectional study.

scholarly journals Evaluation of correction rates for titanium-alloy and cobalt-chrome-alloy rods in adolescent idiopathic scoliosis

2021 ◽  
Vol 7 (3) ◽  
pp. 551
Author(s):  
Haresh F. Chaudhary ◽  
Manthan Soni ◽  
Kuldeep R. Chaudhary
Keyword(s):  
Sagittal Plane ◽  
Control Group ◽  
Factors Affecting ◽  
Instrument Selection ◽  
Double Curvature ◽  
Operative Care ◽  
Rigid Rods ◽  
Curve Magnitude ◽  
Significant Difference ◽  
And Control

<p><strong>Background: </strong>The customary treatment of AIS is spinal fusion with instrumentation using rigid rods. In parallel, agents such as, curve magnitude, points of fixation, level instrument selection, curve flexibility, kind of anchor rods used for patients and post-operative care are the main factors affecting the outcome of surgery.</p><p><strong>Methods: </strong>A total 50 patients was included in the study. The control group, which included 31 patients treated with Ti rods, was compared with an experimental group of 19 patients treated with CCM rods. Correction surgery was performed through posterior approach using rod-rotation maneuver after inserting a pedicle screw in each vertebrae within the fusion. Six-millimeter CCM and six-millimeter Ti rods were used in experimental and control groups, respectively. Pre and postoperative indices of coronal alignment and sagittal alignment were measured.</p><p><strong>Results: </strong>There was no statistical difference between the two groups for age, sex, Risser’s stage, preoperative Cobb’s angle, type and flexibility of curvature. The correction rate of thoracic curve was 71.4±10.2% for the CCM group and 71.8±6.1% for the Ti group. There were no statistical differences between the two groups for all coronal and sagittal factors (p&gt;0.05).</p><p><strong>Conclusions: </strong>AIS cases with double curvature, there was no statistically significant difference between Ti and CCM rods for coronal and sagittal plane correction rates. The derivations from biomechanical studies do not translate into clinical situations.</p>

Clinical Outcomes of Patients With Anterior Shoulder Instability and Glenolabral Articular Disruption Lesions: A Retrospective Comparative Study

2020 ◽  
Vol 48 (14) ◽  
pp. 3472-3477
Author(s):  
Martin S. Davey ◽  
Eoghan T. Hurley ◽  
Christopher A. Colasanti ◽  
John P. Scanlon ◽  
Mohamed Gaafar ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Shoulder Instability ◽  
Return To Sport ◽  
Return To Play ◽  
Anterior Shoulder Instability ◽  
Control Group ◽  
Control Groups ◽  
Level Of Evidence ◽  
Significant Difference ◽  
And Control

Background: Anterior shoulder instability is a common clinical condition that often requires surgical stabilization. Glenoid labral tears are often associated with instability, with glenolabral articular disruption (GLAD) lesions occasionally being identified arthroscopically during repair, particularly in collision athletes. Purpose: To evaluate the clinical outcomes and recurrence rates in patients who had GLAD lesions and underwent arthroscopic Bankart repair (ABR) and compare them with a control group without GLAD lesions. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of patients who underwent ABR with GLAD lesions, by a single surgeon between July 2012 and March 2017, was performed. Additionally, these were pair matched in a 2:1 ratio for age, sex, sport, and level of play with a control group who underwent ABR without GLAD lesions. Return to sport, the level of return, and the timing of return were assessed. The visual analog scale (VAS) for pain score, Rowe score, Shoulder Instability–Return to Sport after Injury (SIRSI) score, and Subjective Shoulder Value (SSV) were evaluated. Results: The study included a total of 66 patients (22 and 44 patients for the GLAD and control groups, respectively), with a mean age of 25.8 years and a mean follow-up of 66 months. Overall, there was no significant difference in any of the clinical outcome scores (VAS, Rowe, SIRSI, and SSV) utilized for the GLAD and control groups ( P > .05 for all). Similarly, there was no significant difference in the total rate of return to play (90.9% vs 88.6%; P > .99) or return at the same/higher level (68.2% vs 72.7%; P = .78). There was no significant difference in timing of return to play (6.3 ± 6.6 months vs 6.4 ± 2.5 months; P = .98). There were 3 cases (13.6%) requiring further surgery (1 revision stabilization, 1 arthroscopic release, and 1 rotator cuff repair) in the GLAD group and 2 cases (4.5%) requiring further surgery (both revision stabilization) in the control group; the difference was not statistically significant ( P = .32). Conclusion: After arthroscopic repair, patients with GLAD lesions had similar midterm outcomes when compared with a control group without GLAD lesions.

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