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https://www.readbyqxmd.com/read/29457115/comparison-of-inflationary-non-invasive-blood-pressure-inibp-monitoring-technology-and-conventional-deflationary-non-invasive-blood-pressure-dnibp-measurement-in-detecting-hypotension-during-cesarean-section
#1
Akiko Yamashita, Shingo Irikoma
Background: The Nihon Kohden linear inflationary non-invasive blood pressure (iNIBP) monitoring technology is an oscillometric device that measures blood pressure by detecting oscillations during inflation. Systolic blood pressure can be recorded without overinflating the cuff higher than the true systolic pressure. Thus, total time taken for inflation and deflation is shorter than that by the conventional deflation devices. In this study, the ability of iNIBP to detect maternal hypotension during cesarean section faster than deflationary non-invasive blood pressure (dNIBP) monitoring devices under clinical settings was evaluated prospectively...
2018: JA Clin Rep
https://www.readbyqxmd.com/read/29456912/dural-tears-in-adult-deformity-surgery-incidence-risk-factors-and-outcomes
#2
Sravisht Iyer, Eric O Klineberg, Lukas P Zebala, Michael P Kelly, Robert A Hart, Munish C Gupta, D Kojo Hamilton, Gregory M Mundis, Daniel Sciubba, Christopher P Ames, Justin S Smith, Virginie Lafage, Douglas Burton, Han Jo Kim
Study Design: Retrospective cohort study. Objectives: Describe the rate of dural tears (DTs) in adult spinal deformity (ASD) surgery. Describe the risk factors for DT and the impact of this complication on clinical outcomes. Methods: Patients with ASD undergoing surgery between 2008 and 2014 were separated into DT and non-DT cohorts; demographics, operative details, radiographic, and clinical outcomes were compared. Statistical analysis included t tests or χ2 tests as appropriate and a multivariate analysis...
February 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29452744/emerging-concepts-in-diagnosis-and-treatment-of-syncope-by-pacing
#3
REVIEW
Richard Sutton, Jean-Claude Deharo, Michele Brignole, Mohamed H Hamdan
Neuroendocrine syncope is a newly proposed term to embody both syncope of reflex and adenosine-related etiology. Recent publications on tilt testing have revealed the presence of a hypotensive tendency in some patients, even in the face of severe cardioinhibition. This new understanding may allow better selection of older reflex syncope patients, documented by ECG loop recorder, for successful pacing where tilt testing is ideally negative for a good result in terms of few syncope recurrences and prompts a less aggressive management policy when hypotensive medication is required...
February 13, 2018: Trends in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29450486/differentiating-acute-and-subacute-vertical-strabismus-using-different-head-positions-during-the-upright-supine-test
#4
João Lemos, Adnan Subei, Mário Sousa, César Nunes, Luís Cunha, Christopher Glisson, Eric Eggenberger
Importance: Accurate clinical differentiation between skew deviation and fourth nerve palsy (4NP) is critical in the acute and subacute settings. Objective: To determine the sensitivity and specificity of the upright-supine test to detect vertical misalignment changes using different head positions for the diagnosis of acute or subacute skew deviation vs 4NP. Design, Setting, and Participants: This multicenter study enrolled consecutive patients from Coimbra University Hospital Centre, Coimbra, Portugal, and Michigan State University, Lansing, within 2 months of presenting with vertical diplopia and diagnosed as having skew deviation or acquired unilateral 4NP...
February 15, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29448152/the-clinical-utility-of-qualitative-electroencephalography-during-tilt-table-testing-a-retrospective-study
#5
Srikanth Muppidi, Babak Razavi, Mitchell G Miglis, Safwan Jaradeh
OBJECTIVE: To assess electroencephalography (EEG) changes during tilt table testing in syncope and other orthostatic syndromes. METHODS: We retrospectively reviewed consecutive tilt table studies with simultaneous EEG from April 2014 to May 2016 at our center. All patients had video EEG during tilt table. All patients had at least 10 min of head up tilt unless they had syncope or did not tolerate the study. Video EEG was interpreted by epileptologists. RESULTS: Eighty-seven patients met the inclusion criteria...
February 3, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29434413/influence-of-ultrasound-transducer-tilt-in-the-cranial-and-caudal-directions-on-measurements-of-inter-rectus-distance-in-parous-women
#6
Nicole F Hills, Nadia Keshwani, Linda McLean
Purpose: An increased inter-rectus distance (IRD) can persist after a pregnancy and may be associated with lumbopelvic dysfunction. Ultrasound imaging (USI) is currently the gold standard for measuring IRD; however, no study has explored the need to standardize the transducer angle during these evaluations. The purpose of this study was to determine whether the angle of the ultrasound transducer relative to the underlying abdominal wall has an effect on measurements of IRD in parous women. Method: Ultrasound images of the linea alba (LA) were captured from 15 women, at rest and during a head lift, beginning with images acquired perpendicular to the LA at the midline, then tilted in 5° increments to 15° in both the cranial and the caudal directions...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29429639/tilt-testing-and-what-you-should-know-about-it-experience-with-835-consecutive-patients-with-syncope-of-unknown-origin
#7
Christopher Gemein, Maike Roos, Anika Wolf, Nils Hermann, Augustin Kelava, Ritvan Chasan, Kay Weipert, Inga Helmig, Harilaos Bogossian, Christian W Hamm, Thomas Neumann, Joern Schmitt, Damir Erkapic
BACKGROUND: Numerous tilt testing protocols with and without a preceding passive phase or the administration of nitrates have already been investigated. However, a truely standardized method for the investigation does not yet exist. METHODS AND RESULTS: A total of 835 consecutive patients who underwent tilt testing between January 2005 and March 2015 were included in this study. Results of a passive tilt test (PTT), a nitrate-stimulated tilt test (NSTT) with a preceding passive phase of 20 min, or an early nitrate-stimulated tilt test (ENSTT) without a preceding passive phase were compared and analyzed retrospectively in 735 patients...
January 31, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29426786/effect-of-feldspathic-porcelain-layering-on-the-marginal-fit-of-zirconia-and-titanium-complete-arch-fixed-implant-supported-frameworks
#8
Burak Yilmaz, Faris A Alshahrani, Ediz Kale, William M Johnston
STATEMENT OF PROBLEM: Veneering with porcelain may adversely affect the marginal fit of long-span computer-aided design and computer-aided manufacturing (CAD-CAM) implant-supported fixed prostheses. Moreover, data regarding the precision of fit of CAD-CAM-fabricated implant-supported complete zirconia fixed dental prostheses (FDPs) before and after porcelain layering are limited. PURPOSE: The purpose of this in vitro study was to evaluate the effect of porcelain layering on the marginal fit of CAD-CAM-fabricated complete-arch implant-supported, screw-retained FDPs with presintered zirconia frameworks compared with titanium...
February 6, 2018: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/29419717/the-efficacy-of-brace-treatment-for-thoracolumbar-kyphosis-in-patients-with-achondroplasia
#9
Leilei Xu, Yetian Li, Fei Sheng, Chao Xia, Yong Qiu, Zezhang Zhu
STUDY DESIGN: A retrospective study. OBJECTIVES: To evaluate the outcome of brace treatment in the correction of thoracolumbar kyphosis (TLK) for patients with achondroplasia and to determine the factors associated with bracing efficacy. SUMMARY OF BACKGROUND DATA: Brace treatment has been used to correct TLK in patients with achondroplasia. However, there was a paucity of knowledge concerning its effectiveness. METHODS: 33 achondroplasic patients treated by bracing were included in this study...
February 6, 2018: Spine
https://www.readbyqxmd.com/read/29419685/the-adaptive-change-of-patellofemoral-joint-after-arthroscopic-discoid-lateral-meniscus-plasty-an-observational-study
#10
Jiangtao Dong, Hongtao Xu, Guorong Jin, Dongmei Xin, Jian Zhang, Kai Kang, Shijun Gao, Baicheng Chen, Yong Shen
The purpose of this study was to investigate the patellofemoral joint adaptive changes after discoid lateral meniscus (DLM) plasty.Forty-one patients with unilateral complete type DLM tears were included in this study. Demographic variables, including gender, age, body mass index (BMI), injury to operation interval, type of injury, and follow-up time, were recorded. The evolution of physical examination, imaging index, and functional score were analyzed by Chi-squared test, Wilcoxon signed ranks test, and Friedman test...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29417324/radiological-severity-of-hip-osteoarthritis-in-patients-with-adult-spinal-deformity-the-effect-on-spinopelvic-and-lower-extremity-compensatory-mechanisms
#11
Louis M Day, Edward M DelSole, Bryan M Beaubrun, Peter L Zhou, John Y Moon, Jared C Tishelman, Jonathan M Vigdorchik, Ran Schwarzkopf, Renaud Lafage, Virginie Lafage, Themistocles Protopsaltis, Aaron J Buckland
PURPOSE: Sagittal spinal deformity (SSD) patients utilize pelvic tilt (PT) and their lower extremities in order to compensate for malalignment. This study examines the effect of hip osteoarthritis (OA) on compensatory mechanisms in SSD patients. METHODS: Patients ≥ 18 years with SSD were included for analysis. Spinopelvic, lower extremity, and cervical alignment were assessed on standing full-body stereoradiographs. Hip OA severity was graded by Kellgren-Lawrence scale (0-4)...
February 7, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29413731/the-berbeo-sardi-angle-bsa-an-innovative-method-to-effectively-estimate-pelvic-retroversion-in-anteroposterior-radiographs-a-correlation-with-traditional-parameters
#12
Juan P Sardi, Jorge E Camacho, Roberto C Diaz, Miguel E Berbeo
STUDY: Design: Diagnostic studies-concordance between diagnostic tests. OBJECTIVES: The purpose of this study was to develop a novel spinopelvic parameter (Berbeo-Sardi angle [BSA], the angle formed at the intersection of a line that connects the inferior margin of the sacroiliac joint to the midpoint of a horizontal line joining both femoral heads) measurable in anteroposterior radiographs that indirectly estimates pelvic retroversion and correlates with traditional measurements like pelvic tilt (PT)...
March 2018: Spine Deformity
https://www.readbyqxmd.com/read/29410572/effects-of-pelvic-tilt-angles-and-forced-vital-capacity-in-healthy-individuals
#13
Young-In Hwang, Ki-Song Kim
[Purpose] The purpose of this study was to investigate the effect of pelvic tilt angles and lung function in participants performing pelvic tilts on a ball. [Subjects and Methods] Eighteen subjects participated in this study. While they performed pelvic tilt on sitting at a ball, the peak expiratory flow (PEF) and forced expiratory volume in one second (FEV1) were measured at 10 degrees of anterior and posterior pelvic tilt, respectively, and neutral position. The repeated measure ANOVA was performed, and the Bonferroni correction was used for post-hoc analysis...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29410560/the-relationship-between-anterior-pelvic-tilt-and-gait-balance-in-patient-with-chronic-stroke
#14
Myoung-Kwon Kim, Seong-Gil Kim, Young-Jun Shin, Eun-Hong Choi, Yu-Won Choe
[Purpose] The aim of this study is to find out the association between anterior pelvic tilt and gait and balance in chronic stroke. [Subjects and Methods] Fourteen chronic stroke patients were included in this study. A palpation meter was employed to measure the anterior inclination of the pelvis. A GAITRite system automates measuring temporal and spatial gait parameters. A 10-Meter Walk test was used to measure gait speed. The Timed Up and Go test was used to measure the dynamic balance ability and gait ability of the participants...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29409246/prospective-study-of-the-inside-out-arthroscopic-ankle-ligament-technique-preliminary-result
#15
Caio Nery, Lucas Fonseca, Fernando Raduan, Marcus Moreno, Daniel Baumfeld
BACKGROUND: Lateral ankle ligament injury is among the most common orthopedic injuries. The objective of this study is to present the preliminary prospective results of treatment using the "Inside-Out" variant of the fully arthroscopic Broström-Gould technique. METHODS: Twenty six patients were included: 20 male and 6 female, aged 19-60 years, mean 41 years. All patients had positive "anterior drawer" and "talar tilt" tests. When necessary, cartilage injuries were treated with microfracture and arthroscopic resection for anterior impingement; three patients had hindfoot varus, on whom Dwyer osteotomy was performed; one patient had peroneal tendinopathy and was treated with tendoscopic debridement and another one had partial injury of the deltoid ligament, which was treated by direct repair...
March 22, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29407353/scapular-kinematics-in-professional-wheelchair-tennis-players
#16
Martin B Warner, David Wilson, Markus O Heller, Dan Wood, Peter Worsley, Sarah Mottram, Nick Webborn, DirkJan Veeger, Mark Batt
BACKGROUND: Participating in wheelchair tennis increases the demands placed on the shoulder and could increase the risk of developing shoulder pain and injury that might be associated with differences in scapular kinematics. The aim of the study was to examine the presence of shoulder pain and scapular kinematics in professional wheelchair tennis players. METHOD: Scapular kinematics were obtained in 11 professional wheelchair tennis players, 16 people with shoulder impingement and 16 people without shoulder impingement during humeral elevation and lowering...
January 29, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29406569/neospora-caninum-and-ehrlichia-canis-co-infection-in-a-dog-with-meningoencephalitis
#17
Itamar Aroch, Gad Baneth, Harold Salant, Yaarit Nachum-Biala, Asaf Berkowitz, Merav Shamir, Orit Chai
An 8-year-old mixed-breed dog was presented for acute, progressive weakness and ataxia, inappetence, and weight loss. The patient was mentally normal, but nonambulatory, with a right head tilt, right positional ventral strabismus, and slight head tremors. A neurologic lesion was localized to the cerebellum and right brainstem. Cerebrospinal fluid (CSF) analysis showed a markedly increased protein concentration and mixed pleocytosis, with eosinophil predominance (44%), intracytoplasmic inclusions within eosinophils, consistent with Ehrlichia canis (E canis) morulae, and Toxoplasma gondii (T gondii) or Neospora caninum (N caninum) tachyzoites within eosinophils and monocytes...
February 6, 2018: Veterinary Clinical Pathology
https://www.readbyqxmd.com/read/29406344/digital-radiography-in-total-hip-arthroplasty-technique-and-radiographic-results
#18
Brad L Penenberg, Sanjum P Samagh, Sean S Rajaee, Antonia Woehnl, William W Brien
BACKGROUND: Obtaining the ideal acetabular cup position in total hip arthroplasty remains a challenge. Advancements in digital radiography and image analysis software allow the assessment of the cup position during the surgical procedure. This study describes a validated technique for evaluating cup position during total hip arthroplasty using digital radiography. METHODS: Three hundred and sixty-nine consecutive patients undergoing total hip arthroplasty were prospectively enrolled...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29402037/wavefront-control-in-adaptive-microscopy-using-shack-hartmann-sensors-with-arbitrarily-shaped-pupils
#19
Bing Dong, Martin J Booth
In adaptive optical microscopy of thick biological tissue, strong scattering and aberrations can change the effective pupil shape by rendering some Shack-Hartmann spots unusable. The change of pupil shape leads to a change of wavefront reconstruction or control matrix that should be updated accordingly. Modified slope and modal wavefront control methods based on measurements of a Shack-Hartmann wavefront sensor are proposed to accommodate an arbitrarily shaped pupil. Furthermore, we present partial wavefront control methods that remove specific aberration modes like tip, tilt and defocus from the control loop...
January 22, 2018: Optics Express
https://www.readbyqxmd.com/read/29398000/an-instrumental-approach-for-monitoring-physical-exercises-in-a-visual-markerless-scenario-a-proof-of-concept
#20
Marianna Capecci, Maria Gabriella Ceravolo, Francesco Ferracuti, Martina Grugnetti, Sabrina Iarlori, Sauro Longhi, Luca Romeo, Federica Verdini
This work proposes a real-time monitoring tool aimed to support clinicians for remote assessing exercise performances during home-based rehabilitation. The study relies on clinician indications to define kinematic features, that describe five motor tasks (i.e., the lateral tilt of the trunk, lifting of the arms, trunk rotation, pelvis rotation, squatting) usually adopted in the rehabilitation program for axial disorders. These features are extracted by the Kinect v2 skeleton tracking system and elaborated to return disaggregated scores, representing a measure of subjects performance...
January 16, 2018: Journal of Biomechanics
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