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https://www.readbyqxmd.com/read/29778980/the-influence-of-early-or-delayed-provision-of-ankle-foot-orthoses-on-pelvis-hip-and-knee-kinematics-in-patients-with-sub-acute-stroke-a-randomized-controlled-trial
#1
Corien D M Nikamp, Job van der Palen, Hermie J Hermens, Johan S Rietman, Jaap H Buurke
BACKGROUND: Compensatory pelvis, hip- and knee movements are reported after stroke to overcome insufficient foot-clearance. Ankle-foot orthoses (AFOs) are often used to improve foot-clearance, but the optimal timing of AFO-provision post-stroke is unknown. Early AFO-provision to prevent foot-drop might decrease the development of compensatory movements, but it is unknown whether timing of AFO-provision affects post-stroke kinematics. RESEARCH QUESTIONS: 1) To compare the effect of AFO-provision at two different points in time (early versus delayed) on frontal pelvis and hip, and sagittal hip and knee kinematics in patients with sub-acute stroke...
May 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29766732/-remission-of-the-disease-associated-related-with-immunoglobulin-igg4-accompanied-by-multiple-lymphadenopathy-after-treatment-with-rituximab-and-dexamethasone-a-case-report
#2
Zdeněk Adam, Zita Chovancová, Markéta Nová, Pavel Fabian, Zdeněk Řehák, Renata Koukalová, Marek Slávik, Luděk Pour, Marta Krejčí, Aleš Čermák, Zdeněk Král, Jiří Mayer
A disease associated with immunoglobulin IgG4 is a rare unit with very variable symptoms. We describe the course and treatment of the disease in a patient who presented with multiple lymphadenopathy and infiltrates in the area of the retroperitoneum and pelvis and signs of chronic sclerosing pancreatitis. The disease was clinically manifested by a significant loss of weight, but also by a loss of perception of taste and smell. The diagnosis was made based on a high amount of IgG4 expressing plasma cells in the sampled tissue and an increased concentration of immunoglobulins of type IgG and mainly subclass IG4...
2018: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29741117/biplanar-oblique-access-technique-a-new-approach-to-improve-the-success-rate-of-percutaneous-nephrolithotomy
#3
Abbas Basiri, Behnam Shakiba, Hasan Hoshyar, Anahita Ansari, Alireza Golshan
INTRODUCTION: Achieving suitable percutaneous access to the kidney is the most important step in percutaneous nephrolithotomy. The triangulation biplanar access technique under fluoroscopy is the standard method to achieve percutaneous renal access, but it is not successful in all cases. We used the new biplanar oblique access technique as a rescue method for the failed standard biplanar technique. The aim of this study was to evaluate the effects of this oblique access technique on access outcome...
May 1, 2018: Urologia
https://www.readbyqxmd.com/read/29524910/comparison-of-the-effects-of-fatigue-on-kinematics-and-muscle-activation-between-men-and-women-after-anterior-cruciate-ligament-reconstruction
#4
Giovanna Camparis Lessi, Rodrigo Scattone Silva, Fábio Viadanna Serrão
OBJECTIVES: Studies comparing the effects of fatigue between men and women after anterior cruciate ligament (ACL) reconstruction are lacking. The purpose of this study was to compare the effects of muscle fatigue on trunk, pelvis and lower limb kinematics and on lower limb muscle activation between male and female athletes who underwent ACL reconstruction. DESIGN: Cross-sectional study. SETTING: Laboratory setting. PARTICIPANTS: Fourteen recreational athletes (7 males and 7 females) with unilateral ACL reconstruction participated of this study...
May 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29515922/a-case-of-cushing-s-syndrome-due-to-ectopic-adrenocorticotropic-hormone-secretion-from-esthesioneuroblastoma-with-long-term-follow-up-after-resection
#5
Leslee N Matheny, Sudipa Sarkar, Hanyuan Shi, Jiun-Ruey Hu, Hannah Harmsen, Ty W Abel, Shubhada M Jagasia, Shichun Bao
We present a case of a 52-year-old male who developed Cushing's Syndrome due to ectopic adrenocorticotrophic hormone (ACTH) secretion from a large esthesioneuroblastoma (ENB) of the nasal sinuses. The patient initially presented with polyuria, polydipsia, weakness, and confusion. Computed tomography scan of the head and magnetic resonance imaging showed a 7 cm skull base mass centered in the right cribriform plate without sella involvement. Work-up revealed ACTH-dependent hypercortisolemia, which did not suppress appropriately after high-dose dexamethasone...
2018: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/29510652/kinematic-differences-during-single-leg-step-down-between-individuals-with-femoroacetabular-impingement-syndrome-and-individuals-without-hip-pain
#6
Cara L Lewis, Kari L Loverro, Anne Khuu
Study Design Controlled laboratory study, case-control design. Background Despite recognition that femoroacetabular impingement syndrome (FAIS) is a movement-related disorder, few studies have examined dynamic unilateral tasks in individuals with FAIS. Objectives To determine whether movements of the pelvis and lower extremities in individuals with FAIS differ from those in individuals without hip pain during a single-leg step-down, and to analyze kinematic differences between male and female participants within groups...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29390411/unexpected-hemorrhage-of-a-rare-vessel-a-pubic-branch-of-the-external-iliac-artery-after-laparoscopic-radical-prostatectomy-case-report
#7
Wei-Xing Jiang, Zhi-En Zhou, Wei-Gang Yan, Jie Pan, Zhi-Gang Ji
RATIONALE: Postoperative hemorrhage is a rare complication after laparoscopic radical prostatectomy (LRP), with no case reports of bleeding from the external iliac artery in the literature. PATIENT CONCERNS: A 73-year-old man diagnosed with clinical stage 2c prostate cancer underwent LRP successfully with only approximately 200 mL of intraoperative blood loss. However, his blood pressure dropped from 135/74 to 80/49 mm Hg and his hemoglobin decreased by 66 g/L compared with the preoperative level within 5 hours...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390363/ruptured-secondary-abdominal-pregnancy-after-primary-laparoscopic-treatment-for-tubal-pregnancy-a-case-report
#8
Duoduo Zhang, Anxia Chen, Yu Gu
INTRODUCTION: Most secondary abdominal pregnancies happen after spontaneous abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we presented a case of ruptured secondary abdominal pregnancy after primary laparoscopic treatment of tubal pregnancy. CASE REPORT: The ectopic pregnant lesion in the affected tube was thoroughly removed in the primary laparoscopy, and nothing abnormal was detected in abdomen or pelvis. Beta human chorionic gonadotropin levels dropped significantly after surgery, but the patient came back again for severe abdominal pain with beta human chorionic gonadotropin increasing, and free peritoneal fluid in the pouch of Douglas was detected at ultrasonography...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29250315/hepatic-portal-venous-gas-acute-deterioration-in-an-elderly-patient
#9
Brett Sydney Bernstein, Rory George Callan, Darryl Ethan Bernstein, Tom Pampiglione
A 91-year-old female presented to the Emergency Department with a 10-day history of constipation and abdominal pain. Abdominal examination was normal and rectal examination showed faecal loading. A phosphate enema was given and the patient was admitted. Overnight, the patient's GCS dropped from 15/15 to 3/15 and an arterial blood gas showed a lactate of 8 mmol/L (1.5 on admission). Abdomen remained soft throughout. A CT scan showed a large amount of free air and free fluid within the abdomen and pelvis, highly suspicious for perforation...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29234647/radiographic-anatomy-of-the-proximal-femur-femoral-neck-fracture-vs-transtrochanteric-fracture
#10
Ana Lecia Carneiro Leão de Araújo Lima, Saul Caldas Miranda, Hudson Felipe Oliveira de Vasconcelos
Objective: To evaluate the correlation between radiographic parameters of the proximal femur with femoral neck fractures or transtrochanteric fractures. Methods: Cervicodiaphyseal angle (CDA), femoral neck width (FNW), hip axis length (HAL), and acetabular tear drop distance (ATD) were analyzed in 30 pelvis anteroposterior view X-rays of patients with femoral neck fractures ( n  = 15) and transtrochanteric fractures ( n  = 15). The analysis was performed by comparing the results of the X-rays with femoral neck fractures and with transtrochanteric fractures...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29183568/vertical-head-and-pelvic-movement-symmetry-at-the-trot-in-dogs-with-induced-supporting-limb-lameness
#11
C B Gómez Álvarez, P Gustås, A Bergh, M Rhodin
Compensatory limb loading has been studied in lame dogs; however, little is known about how these compensations relate to motion of the head and pelvis, assessment of which is an important component of lameness examinations. The aim of this study was to describe the patterns of vertical head and pelvic motion symmetry at the trot in dogs with induced supporting limb lameness in the forelimbs or hind limbs. Ten sound dogs were trotted on a treadmill before and after temporary induction of moderate lameness (grade 2/5) in each limb...
November 2017: Veterinary Journal
https://www.readbyqxmd.com/read/29153707/the-influence-of-muscle-activation-on-impact-dynamics-during-lateral-falls-on-the-hip
#12
Daniel R Martel, Iris C Levine, Steven P Pretty, Andrew C Laing
Muscle activation has been demonstrated to influence impact dynamics during scenarios including running, automotive impacts, and head impacts. This study investigated the effects of targeted muscle activation magnitude on impact dynamics during low energy falls on the hip with human volunteers. Fifteen university-aged participants (eight females, seven males) underwent 12 lateral pelvis release trials. Half of the trials were muscle-'relaxed'; in the remaining 'contracted' trials participants isometrically contracted their gluteus medius to 20-30% of maximal voluntary contraction before the drop was initiated onto a force plate...
January 3, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29149623/the-effect-of-surgical-approach-on-gait-mechanics-after-total-hip-arthroplasty
#13
Joseph Zeni, Kathleen Madara, Hunter Witmer, Riley Gerhardt, James Rubano
BACKGROUND: Few studies have compared the biomechanical outcomes of different surgical approaches for hip arthroplasty. The purpose of this study was to compare hip, pelvic, and trunk kinematics and kinetics between individuals who underwent a posterior or anterolateral approach. METHODS: Forty-five individuals between 40 and 80 years old underwent motion analysis during overground gait prior to hip arthroplasty and 3 months after surgery. Walking speed, hip flexion angle, hip extension angle, adduction angle and moment, trunk angle, trunk lean, and pelvis drop were compared between approaches...
February 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29126072/an-unusual-case-of-giant-ileal-diverticulum-a-case-report
#14
Fang Ju Koh, Jen Lock Khor, Min Hoe Chew
Small bowel diverticulosis is rare with an incidence of 1-2% in the general population. It is an uncommon cause of gastrointestinal bleeding that ranges from obscure to overt bleeding. Large ileal diverticula are extremely rare and bleeding complications can result in high overall mortality. A young gentleman presented with persistent per-rectal bleeding and drop in hemoglobin level. He was recently diagnosed with acute myeloid leukemia and was undergoing chemotherapy. A computed tomography scan of the abdomen and pelvis revealed a giant ileal diverticulum...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28920556/the-effects-of-limb-dominance-and-a-short-term-high-intensity-exercise-protocol-on-both-landings-of-the-vertical-drop-jump-implications-for-the-vertical-drop-jump-as-a-screening-tool
#15
Enda F Whyte, Patrick Kennelly, Oliver Milton, Chris Richter, Siobhán O'Connor, Kieran A Moran
The effectiveness of vertical drop jumps (VDJs) to screen for non-contact ACL injuries is unclear. This may be contributed to by discrete point analysis, which does not evaluate patterns of movement. Also, limited research exists on the second landing of VDJs, potential lower limb performance asymmetries and the effect of fatigue. Statistical parametric mapping investigated the main effects of landing, limb dominance and a high intensity, intermittent exercise protocol (HIIP) on VDJ biomechanics. Twenty-two male athletes (21...
September 18, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28753685/effects-of-lumbar-spine-assemblies-and-body-borne-equipment-mass-on-anthropomorphic-test-device-responses-during-drop-tests
#16
Daniel Aggromito, Mark Jaffrey, Allen Chhor, Bernard Chen, Wenyi Yan
When simulating or conducting land mine blast tests on armored vehicles to assess potential occupant injury, the preference is to use the Hybrid III anthropomorphic test device (ATD). In land blast events, neither the effect of body-borne equipment (BBE) on the ATD response nor the dynamic response index (DRI) is well understood. An experimental study was carried out using a drop tower test rig, with a rigid seat mounted on a carriage table undergoing average accelerations of 161 g and 232 g over 3 ms. A key aspect of the work looked at the various lumbar spine assemblies available for a Hybrid III ATD...
October 1, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28733200/hypothermic-cooling-measured-by-thermal-magnetic-resonance-imaging-feasibility-and-implications-for-virtual-imaging-in-the-urogenital-pelvis
#17
Douglas Skarecky, Hon Yu, Jennifer Linehan, Blanca Morales, Min-Ying Su, Peter Fwu, Thomas Ahlering
OBJECTIVE: To study the combination of thermal magnetic resonance imaging (MRI) and novel hypothermic cooling, via an endorectal cooling balloon (ECB), to assess the effective dispersion and temperature drop in pelvic tissue to potentially reduce inflammatory cascade in surgical applications. METHODS: Three male subjects, before undergoing robot-assisted radical prostatectomy, were cooled via an ECB, rendered MRI compatible for patient safety before ECB hypothermia...
October 2017: Urology
https://www.readbyqxmd.com/read/28717541/is-standard-percutaneous-nephrolithotomy-still-the-standard-treatment-modality-for-renal-stones-less-than-three-centimeters
#18
Ömer Sarılar, Faruk Özgör, Onur Küçüktopçu, Burak Uçpınar, Mehmet Fatih Akbulut, Metin Savun, Zafer Gökhan Gürbüz, Murat Binbay
OBJECTIVE: The aim of study was to compare the efficiency and safety of standard percutaneous nephrolithotomy (sPNL) and miniaturized percutaneous nephrolithotomy (mPNL) in lower calyx and/or pelvic stones smaller than three centimeters. MATERIAL AND METHODS: From October 2010 to August 2015, 108 mPNL and 176 sPNL procedures were performed for renal stones smaller than three cm and located in the lower calyx and/or renal pelvis. All patients were evaluated preoperatively with intravenous pyelography and/or computed tomography...
June 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28717540/totally-tubeless-percutaneous-nephrolithotomy-is-feasible-in-morbidly-obese-patients
#19
Seyed Mohammad Kazem Aghamir, Mohammad Ghasem Mohseni, Seyed Reza Hosseini, Alborz Salavati, Hossein Ganjali, Mohammad Ali Fallah, Hamed Rezaei, Seyed Saeed Modaresi
OBJECTIVE: Regarding technical difficulties that obese body habitus might impose to percutaneous nephrolithotomy (PNL) success and higher risk of peri-operative complications in this group of patients, we decided to retrospectively gather data from our patients during past 8 years to determine the stone free and complication rates. MATERIAL AND METHODS: Between January 2007-December 2015, seventy-eight obese patients with body mass index over 35 who had indication for PNL including stones larger than 2 cm in pelvi-calyceal system or smaller extracorporeal shock wave lithotripsy (ESWL) resistant stones or who were not a fit candidate for ESWL due to increased skin to target distance, with no contraindication of PNL (including bleeding diathesis, inability to be positioned in prone) were enrolled...
June 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28634833/a-case-of-renal-dysfunction-caused-by-pelvic-organ-prolapse
#20
Ai Miyagi, Yusuke Inaguma, Tomoaki Tokoyoda, Takashi Nakajima, Ryozo Sezaki, Tetsuya Matsukawa
Pelvic organ prolapse (POP) is the descent of pelvic organs through the vagina, and sometimes causes hydronephrosis. Although the association between POP and hydronephrosis has long been recognized, severe hydronephrosis and renal dysfunction are rarely seen. We report a case of 66-year-old woman who had a vaginal delivery presented with externalized uterine and bladder prolapse during the previous 2 years. She had a 3-day history of hypophagia and vomiting, and laboratory analysis resulted in serum creatinine of 5...
November 2017: CEN Case Reports
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