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https://www.readbyqxmd.com/read/29773438/the-relationship-of-subepidermal-moisture-and-early-stage-pressure-injury-by-visual-skin-assessment
#1
Chul-Gyu Kim, Seungmi Park, Ji Woon Ko, Sungho Jo
AIM: The purpose of this study was to examine the relationship of subepidermal moisture and early stage pressure injury by visual skin assessment in elderly Korean. METHODS: Twenty-nine elderly participated at a particular nursing home. Data were collected for 12 weeks by one wound care nurse. Visual skin assessment and subepidermal moisture value were measured at both buttocks, both ischia, both trochanters, sacrum, and coccyx of each subject once a week. RESULTS: Subepidermal moisture value of stage 1 pressure injury was significantly higher than that of no injury and blanching erythema...
May 8, 2018: Journal of Tissue Viability
https://www.readbyqxmd.com/read/29771806/supine-bottom-up-extralevator-abdominoperineal-excision-with-primary-perineal-approach
#2
Cécile de Chaisemartin, Diane Mège, Jean Michel Durey, Hélène Meillat, Jean Robert Delpero, Bernard Lelong
To improve poor oncological outcomes of conventional abdominoperineal excision (APE), an extralevator abdominoperineal excision has been developed. This technique is associated with a larger pelvic floor defect and needs position changing and flap reconstruction, which increase operating time and morbidity without proof of best oncological results. Based on the recent development of transanal approaches for retrograde transanal mesorectal excision, we describe a novel approach for APE by a primary perineal dissection...
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29738293/the-use-of-sub-epidermal-moisture-measurement-in-predicting-blanching-erythema-in-jaundice-patients
#3
Seungmi Park, Chul-Gyu Kim, Ji Woon Ko
OBJECTIVE: To investigate the relationship between sub-epidermal moisture (SEM) and visual skin assessment (VSA) in pressure ulcers (PU) patients with jaundice in Korea. METHOD: This is a longitudinal observational study. Data was collected by a wound care nurse, at a tertiary hospital, for six weeks beginning in June 2013. Once a week for the six weeks, the nurse assessed VSA and measured SEM, for each subject, on seven anatomical sites (both buttocks, both ischial tuberosities, both trochanters, and the sacral coccyx), using a NOVA Petite dermal phase meter for SEM...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29714819/complete-posterior-sagittal-anorectal-mobilization-psam-a-new-surgical-approach-for-pediatric-pelvic-perineal-tumor-resections
#4
Giuseppe Martucciello, Luca Pio, Stefano Avanzini, Alberto Garaventa
INTRODUCTION: Diffuse or massive tumors involving the perineal and pelvic compartments may require aggressive surgical treatment in children. The authors, propose and present their results using a Posterior Sagittal Anorectal Mobilization (PSAM) METHODS: The oncologic patient is placed in a prone position with the pelvis elevated, without a previous colostomy. A 10 Ch bladder catheter is positioned. A midline sagittal incision is performed from the coccyx to the posterior margin of the anus...
May 1, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29707680/osteological-development-of-the-larvae-and-juvenile-of-bullhead-torrent-catfish-liobagrus-obesus
#5
Won-Il Seo, Jae-Min Park, Sung-Hun Lee, Seong Min Yoon, Seon-Yeong Hwang, Kyeong-Ho Han
This study was conducted to investigate the skeletal development of bullhead torrent catfish, Liobagrus obesus larvae and to utilize them as basic data for the taxonomic study of Liobagrus larvae. Skeletal development was observed by being divided into cranium, visceral skeleton, shoulder girdle bone, pelvic girdle bone and vertebra. On the first day after hatching, the pre-larvae had an average total length of 7.92 mm, and a line-shaped parasphenoid ossified in the cranium. In the jaw bone, the dentary supporting the lower jaw and the maxillary supporting the upper jaw were ossified...
March 2018: Balsaeng'gwa Saengsig
https://www.readbyqxmd.com/read/29706703/influence-of-adequate-pelvic-floor-muscle-contraction-on-the-movement-of-the-coccyx-during-pelvic-floor-muscle-training
#6
Akiko Fujisaki, Miwa Shigeta, Misa Shimoinaba, Yasukuni Yoshimura
[Purpose] Pelvic floor muscle training is a first-line therapy for female stress urinary incontinence. Previous studies have suggested that the coccyx tip moves ventrally and cranially during pelvic floor muscle contraction. The study aimed to elucidate the influence of adequate pelvic floor muscle contraction on coccyx movement. [Subjects and Methods] Sixty-three females (57 patients with stress urinary incontinence and additional 6 healthy volunteers) were enrolled. Using magnetic resonance imaging, coccyx movement was evaluated during pelvic floor muscle contraction and strain...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29682021/coccygectomy-for-coccygodynia-a-single-center-experience-over-5-years
#7
Arif Hussain Sarmast, Altaf Rehman Kirmani, Abdul Rashid Bhat
Introduction: Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Aims and Objectives: This study aims to evaluate the role and effectiveness of coccygectomy in chronic refractory coccygodynia. Materials and Methods: Between January 2011 and January 2015, 16 consecutive patients (4 males and 12 females) who underwent surgical coccygectomy were enrolled prospectively in the study...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29644276/symptomatic-sacrococcygeal-joint-dislocation-treated-using-closed-manual-reduction-a-case-report-with-36-month-follow-up-and-review-of-literature
#8
Pratik Kanabur, Anirudh Gowd, Julia A Bulkeley, Caleb J Behrend, Jonathan J Carmouche
Dislocation of the sacrococcygeal joint is a rare injury from trauma to the buttocks, most often from falling backwards. Standard of care for this injury has not been determined because it is rare. Left untreated this can cause coccydynia in the long-term. Here we present a case report to describe the treatment of an anterior sacrococcygeal dislocation with closed manual reduction. A 13-year-old female presented to the emergency department with buttock pain after slipping backwards down the stairs. On X-ray the coccyx was in bayonette apposition to the anterior distal sacrum and shortened by 6 mm...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29605125/mri-artefact-in-the-rectum-caused-by-ingested-orthodontic-brackets
#9
M M Almuqbel, G J Leeper, J F Petelo, T J Page, T R Melzer
Magnetic susceptibility artefacts, caused by metallic objects, present a challenge in magnetic resonance imaging (MRI). In this case, MRI showed metal-induced artefact in the rectum of a 14-year-old girl who presented with pain in the coccyx after a snowboarding accident. Previous radiographs showed no evidence of metal in the area. After the identification of the artefact and upon discussion with the patient, she disclosed that two orthodontic brackets had been swallowed two days prior to the MRI examination, likely the source of artefact...
May 2018: Radiography
https://www.readbyqxmd.com/read/29556817/a-review-of-current-treatment-options-for-coccygodynia
#10
REVIEW
Yasmin Elkhashab, Andrew Ng
PURPOSE OF REVIEW: Coccygodynia is pain within the coccyx area. The diagnosis is made clinically with symptoms of pain in the coccyx region and worsening pain in sitting position. The initial treatment is conservative therapy. For patients who do not respond to conservative therapies, there are further interventions available. This includes local injection of local anesthetics and steroids, neurolysis of sacral nerve roots, caudal epidural block, pulse radiofrequency (PRF), intra-rectal massage and manipulation, ganglion impar block, levator ani massage and stretching, coccyx manipulation, and coccygectomy...
March 19, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29500087/the-use-of-fluoroscopy-during-direct-anterior-hip-arthroplasty-powerful-or-misleading
#11
Christopher R James, Blake E Peterson, Julia R Crim, James L Cook, Brett D Crist
BACKGROUND: Direct anterior approach total hip arthroplasty (THA) with fluoroscopic assistance is growing in popularity. Variables such as pelvic tilt, c-arm technique, and patient positioning can affect the perceived fluoroscopic view. This study evaluates the effect of these variables on the position of the acetabular component. METHODS: Forty-one hips in 40 patients undergoing direct anterior arthroplasty THA with fluoroscopic assistance underwent routine postoperative radiographs and postoperative pelvic computed tomography scan...
February 1, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29483606/clinicopathologic-characteristics-of-poorly-differentiated-chordoma
#12
Angela R Shih, Gregory M Cote, Ivan Chebib, Edwin Choy, Thomas DeLaney, Vikram Deshpande, Francis J Hornicek, Ruoyu Miao, Joseph H Schwab, G Petur Nielsen, Yen-Lin Chen
Chordoma is a rare malignant tumor of bone with high morbidity and mortality. Recently, aggressive pediatric poorly differentiated chordoma with SMARCB1 loss has been described. This study summarizes the clinicopathologic features of poorly differentiated chordoma with SMARCB1 loss in the largest series to date. A search of records between 1990-2017 at MGH identified 19 patients with poorly differentiated chordoma. Immunohistochemical stains were evaluated. Kaplan-Meier survival statistics and log-rank (Mantel Cox) tests compared survival with other subtypes...
February 26, 2018: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
https://www.readbyqxmd.com/read/29481326/a-retrospective-analysis-to-evaluate-seasonal-pressure-injury-incidence-differences-among-hip-fracture-patients-in-a-tertiary-hospital-in-east-china
#13
Hong-Lin Chen, Bin Zhu, Rong Wei, Zhen-Yu Zhou
Patients with a hip fracture are at high risk for pressure injury. A retrospective review of the electronic medical records of consecutive patients with a hip fracture treated in 2016 in a single tertiary hospital in east China were examined to investigate whether time of year affected the incidence of hospital-acquired pressure injury. Data collected included demographic characteristics (patient name, hospital number, age, gender, and body mass index); possible risk factors for pressure injury, such as presence of diabetes mellitus, admission hemoglobin, admission albumin, length of surgery, and the lowest and/or last Braden Scale score before pressure injury developed; and pressure injury information, which included time of occurrence (days after surgery), location (sacrum and coccyx, ischial tuberosity, or heel), stage, and treatment outcome...
February 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29394832/-a-case-of-pararectal-epidermoid-cyst-removed-by-sacral-approach
#14
Atsuhiro Imai, Kohei Murata, Atsushi Naito, Yoshinori Kagawa, Kenji Kawai, Takuya Sakamoto, Kohei Murakami, Yoshiteru Katsura, Yoshiaki Ohmura, Toru Masuzawa, Atsushi Takeno, Shinichi Nakatsuka, Hiroshi Takeda, Takeshi Kato, Shigeyuki Tamura
A 30-year-old woman was admittedto the hospital because of fecal occult bloodpositivity . Endoscopic colonoscopy indicated pressure on the right side of the rectum from the wall. Abdominal contrast CT and pelvic MRI revealed a cystic lesion with a maximum diameter of 5 cm on the pre-coccyx andthe right side of rectum. There was no continuity between the tumor andthe uterus/ovary. We diagnoseda pararectal tumor andremovedit via a sacral approach. The cyst was diagnosed as an epidermoid cyst. She was discharged on the 5th postoperative day...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29260897/coccydynia-could-age-trauma-and-body-mass-index-be-independent-prognostic-factors-for-outcomes-of-intervention
#15
P Kodumuri, S Raghuvanshi, R Bommireddy, Z Klezl
Introduction The aetiology of coccydynia can be multifactorial, with several associated factors such as obesity, female gender and low mood. The long-term results of operative interventions, such as manipulation under anaesthesia and coccygectomy are variable, ranging from 63-90%. Materials and methods Our aim was to identify whether age, trauma and body mass index (BMI) were independent prognostic factors in coccydynia treatment. All patients who presented to the Royal Derby Hospital with a primary diagnosis of coccydynia between January 2011 and January 2015 who had injections, manipulation under anaesthesia or coccygectomy were included...
January 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29234884/management-of-persistent-coccydynia-with-transrectal-manipulation-results-of-a-combined-procedure
#16
Ali Seker, Ilker Abdullah Sarikaya, Ozgur Korkmaz, Sercan Yalcin, Melih Malkoc, Ahmet Murat Bulbul
OBJECTIVE: We compared the results of manual therapy combined with steroid injection with single steroid injection in the treatment of persistent coccydynia. PATIENTS AND METHODS: Combined therapy was performed in 21 patients (Group 1) and steroid injection in 23 patients (Group 2). We compared two groups and investigated the combined therapy group in details. Patients were classified according to the underlying cause, BMI, anatomic type of coccyx and duration of symptoms (< 6 or ≥ 6 months)...
December 12, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29230985/-adult-stature-estimation-by-multiple-parameters-of-body-torso-segment
#17
R Q Wu, T Wang, Q Shi, B Xiao, K J Ma, X Chen
OBJECTIVES: To promote the further research on body stature estimation and the innovative applications based on the distances between the anatomical landmarks on body torso surface. METHODS: A specification for the collection of distances between the anatomical landmarks on body torso surface was established. The data of 933 cases of adult population in Yangtze River Delta region were collected. Multiple linear regression method was used to statistical analyse and establish the regression equation of stature estimation...
June 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29229485/the-position-of-the-anal-dimple-in-newborns-and-infants-with-anorectal-malformations-and-its-correlation-with-the-normal-anal-position
#18
Jigar N Patel, Amit Kumar, Partap Singh Yadav, Rajiv Chadha, Vikram Datta, Subhasis Roy Choudhury
BACKGROUND/PURPOSE: The anal position index (API) defines the normal anal position as the ratio of fourchette-anal distance to fourchette-coccyx distance for females and the scrotum-anal distance to scrotum-coccyx distance for males. In this study, measurement of the API in newborns and infants with anorectal malformations (ARM), using the center of the midline anal dimple (AD) to represent the center of the proposed neoanus, was performed to assess whether or not the AD was located in a significantly abnormal position as correlated with the normal anal position...
November 16, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29229278/the-impact-of-hoist-sling-fabrics-on-interface-pressure-whilst-sitting-in-healthy-volunteers-and-wheelchair-users-a-comparative-study
#19
J Webb, M Twiste, L A Walton, P Hogg
AIM OF THE STUDY: To evaluate the effect of three sling fabrics on gluteal interface pressure whilst sitting in a population of wheelchair users and to compare these to data previously collected in a pilot study with a healthy population. MATERIALS AND METHODS: A repeated measures experimental design was used with 32 adult wheelchair users (15 women, 17 men). Healthy population pilot study consisted of 61 participants (51 women, 10 men) recruited from staff and students at The University of Salford...
December 6, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/29184711/adult-sacrococcygeal-teratoma-with-coccygectomy-a-case-report-with-a-review-of-the-literature
#20
Daniel Diaz-Aguilar, Sergei Terterov, Rudi Scharnweber, Catherine Merna, Stephanie Wang, Shayan Rahman
Background: Saccrococcygeal teratomas (SCT) are derived from embryonic germ cell layers. They frequently present at the base of the coccyx within the pelvis. While these tumors are common in children, they are exceedingly rare in adults. In adults, a majority of these tumors are intrapelvic and associated with a low risk of malignant transformation. Therefore, this contributes to a good prognosis following resection of mostly benign lesions. Case Description: An adult female with chronic pelvic pain presented with a sacral teratoma...
2017: Surgical Neurology International
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