Customised pressure profiles of made-to-measure sports compression garments

The purpose of this study was to make made-to-measure compression garments that elicit pressures within and below clinical standards. The study also examined whether pressures and gradients can be replicated within and between participants’ legs, and between separate compression garment conditions. Ten males volunteered to participate. Based on three-dimensional scans of the participants’ lower body, three different made-to-measure garments were manufactured: control, symmetrical and asymmetrical. Garment pressures were assessed from the malleolus to the gluteal fold using a pressure monitoring device. A root mean squared difference analysis was used to calculate the in vivo linear graduation parameters. Linear regression showed that peak pressure at the ankle in the left and right leg were: control garment, 13.5 ± 2.3 and 12.9 ± 2.6; asymmetrical garment, 12.7 ± 2.5 and 26.3 ± 3.4; symmetrical garment, 27.7 ± 2.2 and 27.5 ± 1.6 (all mmHg, mean ± standard deviation). Pressure reduction from the ankle to the gluteal fold in the left and right leg were: control, 8.9 ± 3.5 and 7.4 ± 3.0; asymmetrical, 7.8 ± 3.9 and 21.9 ± 3.2; symmetrical, 25.0 ± 4.1 and 22.3 ± 3.6 (all mmHg, mean ± standard deviation). Made-to-measure compression garments can be made to elicit pressures within and below clinical standards, and to elicit equivalent pressures and gradients in different participants.

OBSTETRIC GYNECOLOGICAL SOCIETY IN KIEV

MO Kleinman reported "a case of a vaginal septum obstructed during labor." A fleshy septum, thick as a goose feather, going from the anterior wall of the vagina to the posterior wall, prevented the forward movement of the child, who was in the second leg position in the anterior view. When the child was removed, the septum first caught on the gluteal fold, and then on the right axillary cavity; it was cut with scissors between two ligatures.

THERAPY LOW BACK PAIN WITH SWEDISH MASSAGE, ACUPRESSURE AND TURMERIC

Background: Low back pain is pain that arises below the costal margin and above the inferior gluteal fold. In Traditional Chinese Medicine (TCM) low back pain is referred to as Yao Tong. Low back pain cases experienced by patients are pain that gets worse when exposed to cold air, is too tired and feels stiff and heavy. The patient has low back pain with damp cold pathogenic syndrome. Purpose: To prove the effect of combination therapy for Swedish massage in the back and waist area, acupressure at Shenshu (BL23), Dachangshu (BL25), Taixi (KI3), Taibai (SP3), Fenglong (ST40) and turmeric herbs (Curcuma longa Linn) on low back pain sufferers. Methods: Management of low back pain with Swedish, acupressure and herbal massage methods. Swedish massage therapy is performed on the back and waist area. Acupressure at the points of Shenshu (BL23), Dachangshu (BL25), Taixi (KI3), Taibai (SP3), Fenglong (ST40) with the principle of therapy of kidney and spleen tonification and elimination of cold moist pathogens. The most common herbal therapy for patients is turmeric (Curcuma longa Linn). Results: The curcumin compounds in turmeric can inhibit lipoxygenase, phospholipase A2 and COX-2 so they can reduce low back pain. In the treatment of low back pain, massage and acupressure are performed 2 times a week 12 times. While herbal therapy is given for 42 days taken once a day with a dose of 9 grams of turmeric simplicia. Conlussion: Swedish massage therapy, acupressure and herbs can reduce low back pain.

Estimation of Profunda Artery Perforator Flap Weight Using Preoperative Computed Tomography Angiography

Background Given the relatively small size of thigh-based flaps and the possible necessity for a multiflap reconstruction, it is imperative to arrive at an accurate estimation of flap weight during preoperative planning. It was our objective to develop a novel technique for the preoperative estimation of profunda artery perforator (PAP) flap weight. Methods All patients that underwent transverse PAP flap breast reconstruction at two institutions were retrospectively reviewed. Subcutaneous tissue thicknesses were measured on axial computed tomography angiography scans at several predetermined points. The distance from the inferior gluteal crease to the PAP was also recorded. Linear regression was used to estimate flap weight. Results A total of 18 patients (32 flaps) were analyzed. The median intraoperative flap weight was 299 g (interquartile range [IQR]: 235–408). The parsimonious model (R 2 = 0.80) estimated flap weight using the Eq. 77.9x + 33.8y + 43.4z – 254.3, where x is subcutaneous tissue thickness (cm) at the lateral border of long head of the biceps femoris at a level 4.5 cm caudal to the inferior gluteal fold, y is distance (cm) from the inferior gluteal fold to the dominant PAP, and z has a value of 1 if the patient was scanned in the supine position or 0 if prone. The aforementioned formula yielded a median estimated flap weight of 305 g (IQR: 234–402) and a median percent error of 10.5% (IQR: 6.1–16.2). Conclusion The authors demonstrate a simple and accurate formula for the preoperative estimation of transverse PAP flap weight for breast reconstruction.

Faktor Risiko Nyeri Punggung Bawah pada Ibu Rumah Tangga

Nyeri punggung bawah (NPB) menjadi penyebab utama kecatatan di hampir semua negara. NPB merupakan nyeri yang terlokalisasi di bawah costal margin dan di atas gluteal fold. Masih sangat sedikit penelitian mengenai ibu rumah tangga yang mengalami nyeri punggung bawah. Tujuan penelitian ini mengetahui faktor rsiko yang dapat menyebabkan NPB pada ibu RT Penelitian ini menggunakan metode deskriptif observasional dengan desain cross sectional. Subjek diambil dengan consective sampling berdasar atas kedatangan pasien. Data didapat dari pasien yang datang pada periode Juni–Juli 2019 di RSUD Al-Ihsan Bandung sebanyak 40 subjek. Pengolahan data dilakukan menggunakan program SPSS versi 24. Hasil penelitian menunjukkan 40 orang subjek NPB dengan faktor risiko usia 30–50 tahun (72.5%), pendidikan SMA (35%), IMT dalam kategori normoweight (50%), Posisi bekerja berdiri (82,5%), Riwayat pernah bekerja (52,4%), lama kerja 5–10 tahun (20%), dan pasien yang melakukan terapi (62.5%). Simpulan penelitian ini risiko yang paling memengaruhi terjadi nyeri punggung bawah pada ibu rumah tangga adalah faktor usia, pendidikan SMA, IMT normoweight, posisi bekerja berdiri, dengan riwayat pernah melakukan pekerjaan.