scholarly journals Overview of Motor Nerve Damage in People with Diabetes Mellitus

2021 ◽  
Vol 1 (3) ◽  
pp. 242-248
Author(s):  
Ana Nistiandani ◽  
Rondhianto Rondhianto ◽  
Muhammad Fakhrur Rozsy
Keyword(s):  
Muscle Strength ◽  
Motor Nerve ◽  
Sampling Technique ◽  
Nerve Damage ◽  
Foot Biomechanics ◽  
Foot Injury ◽  
History Of ◽  
Motor Nerves ◽  
The Right ◽  
Agricultural Areas

Damage to motor nerves in people with diabetes increases the risk of a foot injury. This occurs because the damage results in changes in foot biomechanics, muscle atrophy, deformity, and increased pressure on the feet. So far, the examination of motor nerve damage in people with diabetes in agricultural areas such as the Jember Regency is still rarely touched by primary health services. The purpose of this study was to identify motor nerve damage in people with diabetes in the agriculture area of ​​the Jember Regency. This type of research is exploratory, descriptive, 102 respondents obtained by purposive sampling technique. Inclusion criteria in this study are age> 18 years; do not have DFU active, and did not experience amputation in both legs. Data collection uses instrument modification from MNSI (Michigan Neuropathy Screening Instrument) and MDNS (Michigan Diabetic Neuropathy Score). MNSI using in inspecting for deformity, while MDNS using for forms of physiological reflex damage and muscle strength.  The analysis used in univariate and displayed in the frequency distribution. The results showed that the majority of respondents who suffer from DM are experienced in the middle adulthood category (71.6%), with a length of suffering more than five years (95.1%), and have a history of comorbidities (68.6%). The most common form of motor deformity damage was hallux valgus on the right and left legs (38.2%; 26.4%). Forms of motor damage in the form of muscle strength, severe damage to the abduction of the right and left legs (7.8%), and were found right or left toe extensions (1.9%; 2.9%). Motor damage in the form of no physiological reflexes was found in the right and left Quadriceps femoral (2%; 1%), and right or left leg Achilles (1%). The result of total motor damage assessment is that people with diabetes have decreased muscle strength in the right and left extremities (74.5%; 72.5%). This research shows that the majority of people with diabetes in the agricultur area of ​​the Jember Regency suffer motor nerve damage. Therefore, there is a need for preventive measures to prevent the worsening condition of people with diabetes.    

scholarly journals Lightning strike-induced brachial plexopathy

2014 ◽  
Vol 05 (04) ◽  
pp. 399-400 ◽  
Author(s):  
Amita N. Bhargava ◽  
Gaurav M. Kasundra ◽  
Subhakaran Khichar ◽  
Bharat S. K. Bhushan
Keyword(s):  
Upper Limb ◽  
High Voltage ◽  
Nerve Damage ◽  
Lightning Strike ◽  
Brachial Plexopathy ◽  
Limb Weakness ◽  
Severe Burns ◽  
Electrophysiological Studies ◽  
History Of ◽  
The Right

ABSTRACTWe describe a patient who presented with a history of lightning strike injury. Following the injury, he sustained acute right upper limb weakness with pain. Clinically, the lesion was located to the upper and middle trunk of the right brachial plexus, and the same confirmed with electrophysiological studies. Nerve damage due to lightning injuries is considered very rare, and a plexus damage has been described infrequently, if ever. Thus, the proposed hypothesis that lightning rarely causes neuropathy, as against high-voltage electric current, due to its shorter duration of exposure not causing severe burns which lead to nerve damage, needs to be reconsidered.

Analysis of river training in Qareaqaj River in Iran: Application of RiMARS

2020 ◽  
Author(s):  
Abolfazl Jalali Shahrood ◽  
Ali Torabi Haghighi ◽  
Meseret Menberu ◽  
Hamid Darabi ◽  
Björn Klöve
Keyword(s):  
Protected Area ◽  
Morphological Analysis ◽  
Construction Material ◽  
Remote Sensing Data ◽  
River Morphology ◽  
River Engineering ◽  
History Of ◽  
River Training ◽  
The Right ◽  
Agricultural Areas

<p>Erosion and sedimentation play a significant role in river morphology and are among the most important issues in river engineering. Riverbank protection is one of the common efforts in river engineering to stop or reduce the rate of side erosion in rivers. Riprap is one of the simplest and most economical river protection methods due to construction material availability, operation simplicity, flexibility, easiness to construct and repair.  Anthropogenic disturbances could have several side effects in rivers and subsequently induce a change in river morphology. Hence, morphological analysis is needed to trace the history of channel formation and forecast future changes. Riprap is widely used in the Southern parts of Iran to save the rural and agricultural areas located along the river. The Qareaqaj River is one of the major rivers in the South of Iran that is affected by side erosion in many places due to its high meandering morphology. Hence, a riprap structure was constructed in 2006 to protect the Qasr Ahmad village located in the right bank of the Qareaqaj River. The objective of this study is to evaluate how the river training has affected the channel morphology for 18 years in a 10 Km stretch (5 km above and 5 km below the riprap structure). Five Landsat multispectral images captured in 1995, 1999, 2003, 2010, and 2013 were used as input in the RiMARS (River Morphodynamics Analysis method based on Remote Sensing data) for morphological analysis. The Sinuosity Index (SI) has been estimated for meanders for 18 years and the results indicated that most meanders along the stretch are classified as <em>twisty</em> (about 36%), <em>meandering</em> (22%) and <em>winding</em> (18%). Furthermore, the river is divided into ten sections along the flow path and temporal migration of each section is separately analyzed. The river in its halfway (where the riprap was constructed) has migrated on average by 12.5 m, 2.2 m, 5.5 m, and 9 m in 1999, 2003, 2010, 2013, respectively, when compared to the year 1995. The maximum rate of river migration was observed (6.5 m per year) during 2010-2013 at the 7th decile of the stretch, which is about 2000 m below the protected area. The results clearly indicated that the migration rates increased in the downstream of the riprap protected area after the construction date.</p>

scholarly journals Morphometric study of the meningeal sheath of the oculo motor nerve in the latero-sellar lodge: Neuro surgical interest

2020 ◽  
Vol 9 (1) ◽  
pp. 1713-1718
Author(s):  
Fréjus Séry ◽  
Rodrigue Koffi
Keyword(s):  
Motor Nerve ◽  
Oculomotor Nerve ◽  
Morphometric Study ◽  
Anterior Clinoid Process ◽  
Vascular Elements ◽  
Motor Nerves ◽  
The Subject ◽  
The Right ◽  
The Brain ◽  
Oculomotor Nerves

The meningeal sheath of the oculomotor nerve is also known that the latero-sellar lodge. It has both dural and extra-dural components. This sheath  contains vascular elements including the carotid and nervous siphon, the motor nerves of the eye to which are added the division branches V1 and V2 of the trigeminal nerve. The oculomotor nerve runs through this lodge wrapped in its meningeal sheath. The purpose of this study was to document the dimensions of the different segments of the nerve as it crosses the lodge. Eight pairs of lodges were the subject of this study. Dead bodies fixed with 10% formalin for two to three weeks underwent a craniotomy. After removal of the brain, nerve III and its meningeal envelope were dissected and exposed. The different segments of the nerve were measured in both sides. The entrance orifice of the porus of the oculomotor nerve III was located behind the anterior clinoid process to 7.2 mm (extreme from 3 to 13mm) on the right and to 7.40mm (extreme from 4 to 12) on the left. The meningeal cul-de-sac represented the intra-conical segment and was either 5.2mm long (extreme from 4 to 6.5mm) or short 3.25mm (extreme from 2 to 3.5mm). The supra-cavernous segment measured on the right 5.2 mm (extreme from 2 to 8 mm) and on the left 4.6 mm (extreme from 3 to 7 mm). The latero-sellar lodge, a complex and narrowed region is crossed by nervous elements each in its meningeal sheath. This deserves an approach by surgical microdissection. Key words: Oculomotor nerves - meningeal cone - measurement – cadaver – latero-sellar lodge.

scholarly journals Frequency of Neurogenic Strabismus in Al-Ibrahim Eye Hospital, Karachi

2019 ◽  
Vol 34 (2) ◽  
Author(s):  
Shua Azam Priyanka Muhammad Qasim
Keyword(s):  
Motor Nerve ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Third Nerve Palsy ◽  
Cranial Nerve Palsies ◽  
The Right ◽  
Third Nerve ◽  
Cover Test ◽  
Sixth Nerve

Purpose: To determine the frequency of Neurogenic Strabismus presenting at the Orthoptics Clinic in Al-Ibrahim Eye Hospital, Malir Karachi. Study Design: Cross-sectional study. Sampling Technique: Non-probability convenient sampling. Place and Duration of Study: Orthoptics Clinic of Al-Ibrahim Eye Hospital (AIEH) Karachi, Pakistan from May to October, 2018. Material and Methods: This study included 349 subjects age ranged from 5 to 75 years. All ocular examinations for strabismus were performed, including cover test, prism cover test and Hess chart. Demographic features and etiologies were recorded, and the causes of extra ocular muscle palsies were grouped as; trauma, diabetes, hypertension and others. SPSS version 20.0 was used to analyze the data. Results: Frequency of neurogenic strabismus was found to be 6%. Out of 21 subjects, 8 (38.1%) subjects had diabetes, followed by 2 (9.5%) subjects with hypertension, 5 (23.8%) subjects with ocular trauma and 6 (28.6%) subjects with other causes. The most commonly affected side was the right eye seen in 13 (61.9%) subjects. The most common ocular motor nerve involved was abducent (sixth) nerve in 13 (61.9%) subjects, followed by oculomotor (third) nerve in 4 (19%) subjects. Out of the patients with third nerve palsy 3 (14.3%) subjects had pupil sparing and only 1 (4.8%) subject had no pupil sparing. Conclusion: Sixth nerve was the most common nerve involved and most common etiology was uncontrolled diabetes. Keywords: Neurogenic Strabismus, Cranial nerve palsies, Paralytic strabismus

scholarly journals Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage

2012 ◽  
Vol 45 (3) ◽  
pp. 375-379 ◽  
Author(s):  
Larissa Sales Téles Véras ◽  
Rodrigo Gomes de Souza Vale ◽  
Danielli Braga de Mello ◽  
José Adail Fonseca de Castro ◽  
Vicente Lima ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Negative Influence ◽  
Pain Scale ◽  
Nerve Damage ◽  
Control Group ◽  
Control Subjects ◽  
Degree Of Disability ◽  
The Right

INTRODUCTION: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. METHODS: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. RESULTS: McNemar's test found higher levels of grade 2 of disability (Δ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (Δ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (Δ = 1.28, p = 0.0001; Δ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (Δ = 1.24, p = 0.0001; Δ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (Δ = 181.66 m·s-2, p = 0.001) and left (Δ = 102.57m·s-2, p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. CONCLUSIONS: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention.

Z-line degradation and phagocytosis of sarcomeric fragments in myonecrosis

1983 ◽  
Vol 41 ◽  
pp. 790-791
Author(s):  
Melinda L. Estes ◽  
Samuel M. Chou
Keyword(s):  
Vastus Lateralis ◽  
Inflammatory Myopathy ◽  
Muscle Disease ◽  
White Female ◽  
Inflammatory Cell Infiltrate ◽  
Limb Weakness ◽  
Muscle Diseases ◽  
History Of ◽  
The Right ◽  
Mononuclear Inflammatory Cell

Many muscle diseases show common pathological features although their etiology is different. In primary muscle diseases a characteristic finding is myofiber necrosis. The mechanism of myonecrosis is unknown. Polymyositis is a primary muscle disease characterized by acute and subacute degeneration as well as regeneration of muscle fibers coupled with an inflammatory infiltrate. We present a case of polymyositis with unusual ultrastructural features indicative of the basic pathogenetic process involved in myonecrosis.The patient is a 63-year-old white female with a one history of proximal limb weakness, weight loss and fatigue. Examination revealed mild proximal weakness and diminished deep tendon reflexes. Her creatine kinase was 1800 mU/ml (normal < 140 mU/ml) and electromyography was consistent with an inflammatory myopathy which was verified by light microscopy on biopsy muscle. Ultrastructural study of necrotizing myofiber, from the right vastus lateralis, showed: (1) degradation of the Z-lines with preservation of the adjacent Abands including M-lines and H-bands, (Fig. 1), (2) fracture of the sarcomeres at the I-bands with disappearance of the Z-lines, (Fig. 2), (3) fragmented sarcomeres without I-bands, engulfed by invading phagocytes, (Fig. 3, a & b ), and (4) mononuclear inflammatory cell infiltrate in the endomysium.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

COMMONWEALTH Forum: The Politics of Science or the Science of Politics

Commonwealth ◽  
2017 ◽  
Vol 19 (1) ◽  
Author(s):  
John Arway
Keyword(s):  
Public Policy ◽  
Natural Resource ◽  
Factual Information ◽  
The Past ◽  
Difference Of Opinion ◽  
History Of ◽  
The Right ◽  
Scientific Facts ◽  
Environmental Agency ◽  
Laws And Regulations

The challenges of including factual information in public policy and political discussions are many. The difficulties of including scientific facts in these debates can often be frustrating for scientists, politicians and policymakers alike. At times it seems that discussions involve different languages or dialects such that it becomes a challenge to even understand one another’s position. Oftentimes difference of opinion leads to laws and regulations that are tilted to the left or the right. The collaborative balancing to insure public and natural resource interests are protected ends up being accomplished through extensive litigation in the courts. In this article, the author discusses the history of environmental balancing during the past three decades from the perspective of a field biologist who has used the strength of our policies, laws and regulations to fight for the protection of our Commonwealth’s aquatic resources. For the past 7 years, the author has taken over the reins of “the most powerful environmental agency in Pennsylvania” and charted a course using science to properly represent natural resource interests in public policy and political deliberations.

Multiple subluxations and comminuted fracture of the cervical spine in a sheep

2015 ◽  
Vol 43 (01) ◽  
pp. 44-38
Author(s):  
C.-C. Lin ◽  
K.-S. Chen ◽  
Y.-L. Lin ◽  
J. P.-W. Chan
Keyword(s):  
Cervical Spine ◽  
Pain Perception ◽  
Cervical Vertebrae ◽  
Traumatic Injury ◽  
Spinal Reflexes ◽  
Spine Trauma ◽  
Blunt Force Trauma ◽  
Comminuted Fracture ◽  
History Of ◽  
The Right

SummaryA 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1–C2 and C2–C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

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