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https://www.readbyqxmd.com/read/29352622/anaesthesia-for-caesarean-section-in-a-patient-with-parkinson-s-disease
#1
V D Ward
Parkinson's disease is prevalent worldwide but mainly affects the elderly and is rarely seen in women of child-bearing age. The clinical signs and symptoms, the physiological changes of pregnancy, and drug interactions, pose unique challenges for the anaesthetic management of patients with Parkinson's disease who present for delivery. A 36-year-old primigravid woman at 36 weeks' gestation, with Parkinson's disease, presented for pre-anaesthesia assessment prior to elective caesarean section. Her Parkinson's disease had been diagnosed four years previously and was treated with Sinemet (levodopa/carbidopa) and pramipexole...
November 21, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29352411/the-impact-of-using-an-upper-limb-prosthesis-on-the-perception-of-real-and-illusory-weight-differences
#2
Gavin Buckingham, Johnny Parr, Greg Wood, Samuel Vine, Pan Dimitriou, Sarah Day
Little is known about how human perception is affected using an upper-limb prosthesis. To shed light on this topic, we investigated how using an upper-limb prosthesis affects individuals' experience of object weight. First, we examined how a group of upper-limb amputee prosthetic users experienced real mass differences and illusory weight differences in the context of the 'size-weight' illusion. Surprisingly, the upper-limb prosthetic users reported a markedly smaller illusion than controls, despite equivalent perceptions of a real mass difference...
January 19, 2018: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/29352303/perfusion-decellularization-of-a-human-limb-a-novel-platform-for-composite-tissue-engineering-and-reconstructive-surgery
#3
Mattia Francesco Maria Gerli, Jacques Paul Guyette, Daniele Evangelista-Leite, Brian Burns Ghoshhajra, Harald Christian Ott
Muscle and fasciocutaneous flaps taken from autologous donor sites are currently the most utilized approach for trauma repair, accounting annually for 4.5 million procedures in the US alone. However, the donor tissue size is limited and the complications related to these surgical techniques lead to morbidities, often involving the donor sites. Alternatively, recent reports indicated that extracellular matrix (ECM) scaffolds boost the regenerative potential of the injured site, as shown in a small cohort of volumetric muscle loss patients...
2018: PloS One
https://www.readbyqxmd.com/read/29351645/dosimetry-during-percutaneous-coronary-interventions-of-chronic-total-occlusions
#4
Jérémie Dabin, Joren Maeremans, Danielle Berus, Werner Schoonjans, Giulia Tamborino, Jo Dens, Peter Kayaert
Percutaneous coronary interventions (PCI) of coronary chronic total occlusions (CTO) increase the risk of high radiation exposure for both the patient and the cardiologist. This study evaluated the maximum dose to the patients' skin (MSD) and the exposure of the cardiologists during CTO-PCI. Moreover, the efficiency of radioprotective drapes to reduce cardiologist exposure was assessed. Patient dose was measured during 31 procedures; dose to the cardiologist's extremities were measured during 65 procedures, among which 31 were performed with radioprotective drapes...
January 17, 2018: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/29351493/test-retest-reliability-of-the-unsupported-upper-limb-exercise-test-uulex-and-6-min-peg-board-ring-test-6pbrt-in-healthy-adult-individuals
#5
Vanessa Pereira Lima, Marcelo Velloso, Fabiana Damasceno Almeida, Bianca Carmona, Giane Amorim Ribeiro-Samora, Tania Janaudis-Ferreira
BACKGROUND: The unsupported upper-limb exercise (UULEX) and 6-min peg board ring tests (6PBRTs) have been developed to measure peak unsupported arm exercise capacity and arm endurance, respectively, in individuals with chronic obstructive pulmonary disease. These tests are valid and reproducible in this population; however, the reproducibility of healthy adults is currently unknown. OBJECTIVE: To determine the within-day test-retest reliability of the UULEX and 6PBRT in healthy adults...
January 19, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29351462/maximal-strength-training-induced-improvements-in-forearm-work-efficiency-are-associated-with-reduced-blood-flow
#6
Ole Kristian Berg, Stian Kwak Nyberg, Tobias Midtvedt Windedal, Eivind Wang
Maximal strength training (MST) improves work efficiency. However, since blood flow is greatly dictated by muscle contractions in arms during exercise, and vascular conductance is lower, it has been indicated that arms rely more upon adapting oxygen extraction than legs in response to the enhanced work efficiency. Thus, to investigate if metabolic and vascular responses are arm-specific, we utilized Doppler-ultrasound and a catheter placed in the subclavian vein to measure blood flow and a-vO2diff during steady state work in seven young males (24{plus minus}3(SD) years) following six-weeks of handgrip MST...
December 29, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/29351383/muscular-performance-and-body-composition-changes-following-multi-versus-combined-multi-and-single-joint-exercises-in-aging-adults
#7
Ewertton de Souza Bezerra, Antônio Renato Pereira Moro, Lucas Bet da Rosa Orssatto, Mariane Eichendorf da Silva, Jeffrey Michael Willardson, Roberto Simão
The aim of the present study was to compare muscular performance and body composition changes following low volume resistance training programs consisting of multi-joint (MJ) exercises (cable chest press and seated row)versus a combination of multi- and single-joint (MJ+SJ) exercises (cable chest press, seated row, biceps curl, and triceps extension). Thirty untrained healthy aging adults were randomly assigned to three groups: MJ (n=11), MJ+SJ (n=11), and Control (n=8). Twelve-repetition maximums (12-RM) for the cable chest press and seated row; localized muscular endurance for the elbow flexors handgrip strength; and body composition were assessed before and after the 8-week training program...
January 19, 2018: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/29351051/voluntary-ambulation-using-voluntary-upper-limb-muscle-activity-and-hybrid-assistive-limb%C3%A2-hal%C3%A2-in-a-patient-with-complete-paraplegia-due-to-chronic-spinal-cord-injury-a-case-report
#8
Yukiyo Shimizu, Hideki Kadone, Shigeki Kubota, Kenji Suzuki, Kousaku Saotome, Tomoyuki Ueno, Tetsuya Abe, Aiki Marushima, Hiroki Watanabe, Ayumu Endo, Kazue Tsurumi, Ryu Ishimoto, Akira Matsushita, Masao Koda, Akira Matsumura, Yoshiyuki Sankai, Yasushi Hada, Masashi Yamazaki
CONTEXT: We sought to describe our experience with the Hybrid Assistive Limb® (HAL®) for active knee extension and voluntary ambulation with remaining muscle activity in a patient with complete paraplegia after spinal cord injury. FINDINGS: A 30-year-old man with complete paraplegia used the HAL® for 1 month (10 sessions) using his remaining muscle activity, including hip flexor and upper limb activity. Electromyography was used to evaluate muscle activity of the gluteus maximus, tensor fascia lata, quadriceps femoris, and hamstring muscles in synchronization with the Vicon motion capture system...
January 19, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29350278/lower-body-blood-flow-restriction-training-may-induce-remote-muscle-strength-adaptations-in-an-active-unrestricted-arm
#9
Anthony K May, Aaron P Russell, Stuart A Warmington
PURPOSE: We examined the concurrent characteristics of the remote development of strength and cross-sectional area (CSA) of upper body skeletal muscle in response to lower body resistance training performed with an applied blood flow restriction (BFR). METHODS: Males allocated to an experimental BFR group (EXP; n = 12) or a non-BFR control group (CON; n = 12) completed 7-weeks of resistance training comprising three sets of unilateral bicep curls [50% 1-repetition maximum (1-RM)], then four sets of bilateral knee extension and flexion exercises (30% 1-RM)...
January 19, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29349396/isolated-lower-extremity-vasculitis-leading-to-progressive-critical-limb-ischemia
#10
Pouria Parsa, Anthony Rios, Lisa N Anderson, John F Eidt, Dennis Gable, Brad Grimsley
Giant cell arteritis is a large- and medium-vessel vasculitis that has been described as a systemic disease process with disseminated vessel involvement. Advances in vascular imaging techniques have demonstrated that involvement of the large vessels of the upper and lower limbs may be more prevalent than was once thought, although the clinical implications of this are unknown. Isolated lower extremity claudication without systemic or classic cranial symptoms, especially as a primary manifestation of giant cell arteritis, is rare...
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29346082/distal-upper-limb-kinematics-during-functional-everyday-tasks
#11
Ben Stansfield, Scott Rooney, Lisa Brown, Matthew Kay, Lisa Spoettl, Shivaramkumar Shanmugam
Quantitative characterisation of upper limb motion allows the evaluation of the effect of pathology on functional task performance, potentially directing rehabilitation strategies. Movement patterns of the distal upper limb in healthy adults during functional tasks have not been extensively characterised. During five loaded functional tasks (drinking from a glass, pouring from a kettle, turning a handle, lifting a bag to a shelf, turning a key) the movement patterns were characterised using three-dimensional motion analysis with a minimal marker set in 16 healthy adults (10 M,6F, 27 (IQR:25-43)years)...
January 10, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29345545/decisive-moment-a-metric-to-determine-success-in-elite-karate-bouts
#12
Montassar Tabben, Bianca Miarka, Karim Chamari, Ralph Beneke
PURPOSE: To evaluate the concept of Decisive-Moment (DM) as a novel analysis approach providing insights into factors leading to successful high-performance Kumite karate outcomes using time-motion variables. DM represents the moment from which one of the two opponents dominates uninterrupted the other until the end of the fight. METHODS: 120 elite seniors (60 males and 60 females) World Karate Federation combats were analysed during two World Championships (2012 and 2014)...
January 18, 2018: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/29344931/relationship-between-body-mass-lean-mass-fat-mass-and-limb-bone-cross-sectional-geometry-implications-for-estimating-body-mass-and-physique-from-the-skeleton
#13
Emma Pomeroy, Alison Macintosh, Jonathan C K Wells, Tim J Cole, Jay T Stock
OBJECTIVES: Estimating body mass from skeletal dimensions is widely practiced, but methods for estimating its components (lean and fat mass) are poorly developed. The ability to estimate these characteristics would offer new insights into the evolution of body composition and its variation relative to past and present health. This study investigates the potential of long bone cross-sectional properties as predictors of body, lean, and fat mass. MATERIALS AND METHODS: Humerus, femur and tibia midshaft cross-sectional properties were measured by peripheral quantitative computed tomography in sample of young adult women (n = 105) characterized by a range of activity levels...
January 18, 2018: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/29343900/direct-electrical-injury-to-brachial-plexus
#14
Maksud Mubarak Devale, Gaurav Jatin Kadakia, Vicky Ghewarchand Jain, Rohit Prakash Munot
Electrical current can cause neurological damage directly or by conversion to thermal energy. However, electrical injury causing isolated brachial plexus injury without cutaneous burns is extremely rare. We present a case of a 17-year-old boy who sustained accidental electrical injury to left upper extremity with no associated entry or exit wounds. Complete motor and sensory loss in upper limb were noted immediately after injury. Subsequently, the patient showed partial recovery in muscles around the shoulder and in ulnar nerve distribution at 6 months...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29343890/first-two-bilateral-hand-transplantations-in-india-part-2-technical-details
#15
Mohit Sharma, Subramania Iyer, P Kishore, Jimmy Mathew, Raghuveer Reddy, Janarthanan Ramu, Sundeep Vijayaraghavan, Abhijeet Wakure, S M Mali Chetan, Visakh Varma, Ashish Chaudhari, Swapnil Dhake, Akshay Omkumar, Jerry Paul, Sunil Rajan, Ayyappan Nair, Druvan Shaji
Introduction: This article deals with two patients who underwent bilateral hand transplantation following amputation of both upper limbs at the distal third of the foream. Materials and Methods: The first patient had a history of loss of hands in a train accident , with possiblity of a run over element during the injury. The second patient lost his both hands in a mine blast. The preoperative work up included detailed clinical and psychological evaluation. The donor retrieval was similar in both the cases and the donors were housed in our own instittution...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29341849/factors-affecting-occlusion-pressure-and-ischemic-preconditioning
#16
Henry Brown, Martyn J Binnie, Brian Dawson, Nicola Bullock, Brendan R Scott, Peter Peeling
PURPOSE: To determine the effect of limb selection (upper/lower), cuff width (small (6 cm)/medium (13 cm) upper; medium/large (18 cm) lower) and anthropometry on arterial occlusion pressure (AOP) in ischemic preconditioning (IPC). METHODS: Twenty athletes (10 females and 10 males) had surface anthropometry and dual x-ray absorptiometry (DXA) assessments before using Doppler ultrasound to confirm AOP for each limb. Subsequently, 5 min of occlusion occurred, with near-infrared spectroscopy (NIRS) measuring muscle oxygenation changes...
January 17, 2018: European Journal of Sport Science
https://www.readbyqxmd.com/read/29341362/a-novel-mutation-of-lrsam1-in-a-chinese-family-with-charcot-marie-tooth-disease
#17
Guohua Zhao, Jie Song, Mi Yang, Xiuhua Song, Xiaomin Liu
Charcot-Marie-Tooth (CMT) disease is the most common inherited peripheral neuropathy characterized by progressive distal muscle weakness and atrophy with decreased or absent tendon reflexes. Mutations in LRSAM1 have been identified to cause CMT disease type 2P. We report a novel LRSAM1 mutation c.2021-2024del (p.E674VfsX11) in a Chinese autosomal dominant CMT disease type 2 family. The phenotype was characterized by late onset and mild sensory impairment. Electrophysiological findings showed normal or mildly to moderately reduced motor and sensory nerve conduction velocities in lower and upper limb nerves...
January 17, 2018: Journal of the Peripheral Nervous System: JPNS
https://www.readbyqxmd.com/read/29340496/effects-of-simple-long-term-respiratory-care-strategies-in-older-men-with-copd
#18
Fabrício Zambom-Ferraresi, Pilar Cebollero, Javier Hueto, María Hernández, José Cascante, María Milagros Antón
OBJECTIVE: To evaluate a 24-month supervised, community-based maintenance exercise program after 3 months of pulmonary rehabilitation (PR) in comparison with a 27-month physical activity counseling program, in terms of the effects on maximal muscle strength, muscle power output, and exercise capacity, in individuals with COPD. METHODS: Sixty-three men with moderate-to-severe COPD were recruited from two previous studies. Of those 63 participants, 31 were offered 3 months of PR followed by a 24-month supervised maintenance exercise program (24MME group) and 32 were offered a 27-month physical activity counseling program (27MPAC group)...
November 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/29340002/performance-changes-of-elite-paralympic-judo-athletes-during-a-paralympic-games-cycle-a-case-study-with-the-brazilian-national-team
#19
Irineu Loturco, Lucas A Pereira, Ciro Winckler, Jaime R Bragança, Roger A da Fonseca, Ronaldo Kobal, Cesar C Cal Abad, Katia Kitamura, Fabio Y Nakamura, Emerson Franchini
The aim of this study was to describe the variations in power performance of elite Paralympic judo athletes across three consecutive training cycles of preparation for the ParaPan American Games, the World Championship and the Paralympic Games. Eleven Paralympic judokas from the Brazilian National team participated in this study. They were repeatedly assessed using squat and countermovement jumps, mean propulsive power (MPP) in the jump-squat (JS), the bench press and prone bench pull at several moments of the preparation...
December 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/29340001/neuromuscular-control-during-the-bench-press-movement-in-an-elite-disabled-and-able-bodied-athlete
#20
Artur Gołaś, Anna Zwierzchowska, Adam Maszczyk, Michał Wilk, Petr Stastny, Adam Zając
The disabled population varies significantly in regard to physical fitness, what is conditioned by the damage to the locomotor system. Recently there has been an increased emphasis on the role of competitive sport in enhancing health and the quality of life of individuals with disability. One of the sport disciplines of Paralympics is the flat bench press. The bench press is one of the most popular resistance exercises used for the upper body in healthy individuals. It is used not only by powerlifters, but also by athletes in most strength-speed oriented sport disciplines...
December 2017: Journal of Human Kinetics
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