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https://www.readbyqxmd.com/read/29448824/influence-of-diagnosis-and-other-factors-on-patients-expectations-of-foot-and-ankle-surgery
#1
Elizabeth A Cody, Huong T Do, Jayme C B Koltsov, Carol A Mancuso, Scott J Ellis
BACKGROUND: Many patient factors have been associated with higher or lower expectations of orthopaedic surgery. In foot and ankle surgery, the diverse diagnoses seen may also influence expectations. The aim of this study was to investigate the relationship between diagnosis and patients' preoperative expectations of elective foot and ankle surgery. METHODS: Two hundred seventy-eight patients undergoing elective foot or ankle surgery for 1 of 7 common diagnoses were enrolled in a prospective cohort study...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29414801/ultramorphological-characteristics-of-podocyte-development-in-the-human-fetal-metanephros
#2
Marija Dakovic Bjelakovic, Slobodan Vlajkovic, Milica Bjelakovic
The aim of this study was to determine the developmental characteristics of podocytes in the human fetal metanephros using scanning electron microscopy, light microscopy, and transmission electron microscopy. Kidney samples of 15 human fetuses of both sexes (gestational age 10-22 weeks) were analyzed. At the S-shaped body stage, primitive podocytes were arranged in a layer of cuboidal cells beneath the vascular cleft. When observed from Bowman's space, the demarcation between adjacent podocytes was not clear, but mild depressions indicated cell boundaries...
February 7, 2018: Cells, Tissues, Organs
https://www.readbyqxmd.com/read/29413796/varus-thrust-visualized-during-gait-was-associated-with-inverted-foot-in-patients-with-knee-osteoarthritis-an-exploratory-study
#3
Hiroshi Ohi, Hirotaka Iijima, Naoto Fukutani, Tomoki Aoyama, Eishi Kaneda, Kazuko Ohi, Hiromu Ito, Shuichi Matsuda, Abe Kaoru
The foot is speculated to play a role in knee joint kinematics. This exploratory cross-sectional study examined the association between static foot posture and the presence of varus thrust visualized during gait in patients with medial knee osteoarthritis (OA). Patients (n = 88 patients and 134 knees; age, 61-91 years; 68.2% female) with Kellgren/Lawrence (K/L) grade ≥1 in the medial compartment were included in this study and underwent gait observation for varus thrust. These patients' three-dimensional static foot posture while standing was evaluated and their tibiofemoral joint K/L grades and anatomical axis angles were also assessed as covariates...
January 29, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29412695/high-injury-burden-in-elite-adolescent-athletes-a-52-week-prospective-study
#4
Philip von Rosen, Annette Heijne, Anna Frohm, Cecilia Friden, Anders Kottorp
CONTEXT:   Our understanding of the injury burden in elite adolescent athletes in most sports is limited or unknown because of the lack of prospective, long-term injury studies. OBJECTIVE:   To describe injury patterns in terms of type, location, prevalence and incidence, recurrence, and severity grade; time to first injury; and prevalence of illness in elite adolescent athletes and to compare differences in injury data by sex and sport type. DESIGN:   Cohort study...
February 7, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29409492/epidemiology-of-paediatric-presentations-with-musculoskeletal-problems-in-primary-care
#5
Albert Tan, Victoria Y Strauss, Joanne Protheroe, Kate M Dunn
BACKGROUND: Musculoskeletal disease is a common cause of morbidity, but there is a paucity of musculoskeletal research focusing on paediatric populations, particularly in primary care settings. In particular, there is limited information on population consultation frequency in paediatric populations, and frequency varies by age and sex. Few studies have examined paediatric musculoskeletal consultation frequency for different body regions. The objective was to determine the annual consultation prevalence of regional musculoskeletal problems in children in primary care...
February 6, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29409285/the-physiological-range-of-the-b%C3%A3-hler-s-angle-in-the-adult-croatian-population
#6
Marko Šimunović, Dinko Nizić, Marijana Pervan, Marko Radoš, Mislav Jelić, Božidar Kovačević
BACKGROUND: To examine the relationship of the Böhler's angle with age, sex, and laterality, and to analyze the interrater agreement. METHODS: After 248 digital lateral radiographs of the foot were submitted to exclusion criteria, three raters independently measured the Böhler's angle on the remaining 130 X-rays in PACS. The variables were analyzed with correlation coefficients, and one-way ANOVA. The repeated measures of ANOVA were computed across age groups (30-39, 40-49, 50-59, and 60-69 years)...
October 31, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29394438/human-foot-ankle-injuries-and-associated-risk-curves-from-under-body-blast-loading-conditions
#7
Sajal Chirvi, Frank Pintar, Narayan Yoganandan, Anjishnu Banerjee, Mike Schlick, William Curry, Liming Voo
Under body blast (UBB) loading to military transport vehicles is known to cause foot-ankle fractures to occupants due to energy transfer from the vehicle floor to the feet of the soldier. The soldier posture, the proximity of the event with respect to the soldier, the personal protective equipment (PPE) and age/sex of the soldier are some variables that can influence injury severity and injury patterns. Recently conducted experiments to simulate the loading environment to the human foot/ankle in UBB events (~5ms rise time) with variables such as posture, age and PPE were used for the current study...
November 2017: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/29377639/polydactyly-postaxial-type-b
#8
Lewis B Holmes, Hanah Nasri, Anne-Therese Hunt, M Hassan Toufaily, Marie-Noel Westgate
BACKGROUND: Postaxial polydactyly, type B is the most common type of polydactyly. The vestigial sixth finger is attached by a narrow neurovascular pedicle to the lateral aspect of the hand or foot at the level of the metacarpal-phalangeal joint or the metatarsal-phalangeal joint. The occurrence of this type of polydactyly varies among racial groups, by sex and sidedness. Postaxial polydactyly, type A is a fully developed extra digit on the lateral aspect of the hand or foot with a bifid fifth or sixth metacarpal/metatarsal and is much less common...
January 2018: Birth Defects Research
https://www.readbyqxmd.com/read/29373799/the-role-of-the-vascular-and-structural-response-to-activity-in-the-development-of-achilles-tendinopathy-a-prospective-study
#9
Evi Wezenbeek, Tine Willems, Nele Mahieu, Martine De Muynck, Luc Vanden Bossche, Adelheid Steyaert, Dirk De Clercq, Erik Witvrouw
BACKGROUND: Several risk factors have been suggested in the development of Achilles tendinopathy, but large-scale prospective studies are limited. PURPOSE: To investigate the role of the vascular response to activity of the Achilles tendon, tendon thickness, ultrasound tissue characterization (UTC) of tendon structure, and foot posture as possible risk factors in the development of Achilles tendinopathy. STUDY DESIGN: Cohort study; Level of evidence, 2...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29366344/complications-after-multiple-site-peripheral-nerve-blocks-for-foot-and-ankle-surgery-compared-with-popliteal-sciatic-nerve-block-alone
#10
Young Uk Park, Jae Ho Cho, Doo Hyung Lee, Wan Sun Choi, Han Dong Lee, Keun Soo Kim
BACKGROUND: Single or combined multiple-site peripheral nerve blocks (PNBs) are becoming popular for patients undergoing surgery on their feet or ankles. These procedures are known to be generally safe in surgical settings compared with other forms of anesthesia, such as spinal block. The purposes of this study were to assess the incidence of complications after the administration of multiple PNBs for foot and ankle surgery and to compare the rates of complications between patients who received a single PNB and those who received multiple blocks...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29350875/highly-dynamic-wintering-strategies-in-migratory-geese-coping-with-environmental-change
#11
Kevin Kuhlmann Clausen, Jesper Madsen, Fred Cottaar, Eckhart Kuijken, Christine Verscheure
When and where to move is a fundamental decision to migratory birds, and the fitness-related costs and benefits of migratory choices make them subject to strong selective forces. Site use and migration routes are outcomes of opportunities in the surrounding landscape, and the optimal migration strategy may be conservative or explorative depending on the variability of the environment occupied by the species. This study applies 25 years of resighting data to examine development in winter migration strategy of pink-footed geese divided among Denmark, the Netherlands and Belgium, and analyse potential drivers of strategy change as well as individuals' likelihood to break with migratory tradition...
January 19, 2018: Global Change Biology
https://www.readbyqxmd.com/read/29348194/health-care-costs-associated-with-incident-complications-in-patients-with-type-2-diabetes-in-germany
#12
Katharina Kähm, Michael Laxy, Udo Schneider, Wolf H Rogowski, Stefan K Lhachimi, Rolf Holle
OBJECTIVE: The aim of this study is to provide reliable regression-based estimates of costs associated with different type 2 diabetes complications. RESEARCH DESIGN AND METHODS: We used nationwide statutory health insurance (SHI) data from 316,220 patients with type 2 diabetes. Costs for inpatient and outpatient care, pharmaceuticals, rehabilitation, and nonmedical aids and appliances were assessed in the years 2013-2015. Quarterly observations are available for each year...
January 18, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29343184/foot-strike-pattern-in-preschool-children-during-running-sex-and-shod-unshod-differences
#13
Pedro Á Latorre-Román, Juan A Párraga-Montilla, Ignacio Guardia-Monteagudo, Felipe García-Pinillos
PURPOSE: This study aims to determine the foot strike patterns (FSPs) and neutral support (no inversion [INV]/eversion [EVE] and no foot rotation) in preschool children, as well as to determine the influence of shod/unshod conditions and sex. METHODS: A total of 1356 children aged 3-6 years (673 boys and 683 girls) participated in this study. A sagittal and frontal-plane video (240 Hz) was recorded using a high-speed camcorder to record the following variables: rearfoot strike (RFS), midfoot strike (MFS), forefoot strike (FFS), inversion/ eversion (INV/EVE) and foot rotation on initial contact...
January 17, 2018: European Journal of Sport Science
https://www.readbyqxmd.com/read/29302550/metabolic-control-targets-in-sudanese-adults-with-type-1-diabetes-a-population-based-study
#14
Ahmed O Almobarak, Sufian K Noor, Wadie M Elmadhoun, Sarra O Bushara, Reham S Salim, Sittana A Forawi, Heitham Awadalla, Einas S Elwali, Mohamed H Ahmed
Background: Type 1 diabetes is a challenging metabolic disorder for health authorities in Sudan. The objective of this study was to assess the level of glycemic control and to determine the prevalence of dyslipidemia and complications among individuals with type 1 diabetes in Sudan. Materials and Methods: Individuals with type 1 diabetes, who were having the disease for at least 1 year, were invited to participate in this study. Data were collected from two diabetes centers, in the Capital Khartoum and Atbara City, North of Sudan...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29301188/a-boy-with-46-x-mar-presenting-gynecomastia-and-short-stature
#15
Ki Eun Kim, Ye Jin Kim, Mo Kyoung Jung, Hyun-Wook Chae, Ah Reum Kwon, Woo Jung Lee, Duk-Hee Kim, Ho-Seong Kim
A 15-year-old boy was referred due to gynecomastia and short stature. He was overweight and showed the knuckle-dimple sign on the left hand, a short fourth toe on the left foot, and male external genitalia with a small phallus. His levels of estradiol and follicle-stimulating hormone were increased, and his testosterone concentration was normal. Other hormonal tests were within the normal range. Radiographs showed short fourth and fifth metacarpals and fourth metatarsal bones. The karyotype was reported as 46,X,+mar, and the marker chromosome was shown to originate from the Y chromosome, which was identified by fluorescence in situ hybridization...
December 2017: Annals of Pediatric Endocrinology & Metabolism
https://www.readbyqxmd.com/read/29248973/alteration-of-serum-immunoglobins-c-reactive-protein-vitamin-d-and-electrolyte%C3%A2-by-atenolol-and-amlodipine-in-stress-induced-hypertensive-rats
#16
Moayad Mustafa Hejazi, Ala Osman Bacha, Mohammed Kaleemuddin, Fahad A Al-Abassi, Abdulbasit I Al-Alsieni, Imran Kazmi, Firoz Anwar
The present study is designed for the assessment of various pathological changes like immunoglobins, C-reactive protein, vitamin D, sodium, potassium, calcium in stress-induced hypertensive rats. Albino Wistar rats of sex male were grouped into six. Each group consists of six animals. Groups were Group I (normal control), Group II (disease control), Group III (amlodipine control), Group IV (atenolol control), Group V (amlodipine treatment), and Group VI (atenolol treatment). Group II, V, and VI animals exposed to regular stress by placing them in cages individually and giving foot electric shocks (1 mA, 50 ms duration with 0...
December 16, 2017: Molecular and Cellular Biochemistry
https://www.readbyqxmd.com/read/29245260/risk-factors-for-death-in-children-with-critical-and-severe-hand-foot-and-mouth-disease-in-chongqing-china-an-observational-study
#17
Gaihuan Zheng, Jiaoyang Cao, Jie Yu, Zhenzhen Zhang, Quanbo Liu, Junhua Chen
Hand-foot-and-mouth disease (HFMD) is a common childhood infection that may lead to serious complications and even death. Globally, epidemics of HFMD are increasing each year, especially in China. This study aimed to identify risk factors for death in children with critical and severe HFMD in Chongqing, China.We performed an observational study involving patients with critical and severe HFMD admitted to the Children's Hospital of Chongqing Medical University from January 2009 to December 2016. Overall, 179 patients aged 2 months to 16 years, were included; 127 died (non-survival group) and 52 survived (survival group); the case-fatality rate was 70...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29235129/association-of-gene-polymorphisms-of-pattern-recognition-receptor-signalling-pathway-with-the-risk-and-severity-of-hand-foot-and-mouth-disease-caused-by-enterovirus-71-in-chinese-han-population
#18
Ya-Ping Li, Mei Li, Xiao-Li Jia, Hui-Ling Deng, Wen-Jun Wang, Feng-Ping Wu, Jun Wang, Shuang-Suo Dang
Hand, foot and mouth disease (HFMD) caused by enterovirus 71 (EV71) presents with a wide variety of clinical manifestations. Host immune response is a factor that influences disease susceptibility and severity. We investigated the potential association of gene polymorphisms in the pattern recognition receptor (PRR) pathway with the risk and severity of EV71 infection. A total of 180 EV71 HFMD cases (108 severe case; 72 mild cases) were enrolled. A group of 201 sex- and age-matched children was included as a control...
December 12, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/29214210/excitatory-synaptic-input-to-hilar-mossy-cells-under-basal-and-hyperexcitable-conditions
#19
Tristan P Hedrick, William P Nobis, Kendall M Foote, Toshiyuki Ishii, Dane M Chetkovich, Geoffrey T Swanson
Hilar mossy cells (HMCs) in the hippocampus receive glutamatergic input from dentate granule cells (DGCs) via mossy fibers (MFs) and back-projections from CA3 pyramidal neuron collateral axons. Many fundamental features of these excitatory synapses have not been characterized in detail despite their potential relevance to hippocampal cognitive processing and epilepsy-induced adaptations in circuit excitability. In this study, we compared pre- and postsynaptic parameters between MF and CA3 inputs to HMCs in young and adult mice of either sex and determined the relative contributions of the respective excitatory inputs during in vitro and in vivo models of hippocampal hyperexcitability...
November 2017: ENeuro
https://www.readbyqxmd.com/read/29202994/functional-outcomes-following-surgical-site-infections-after-operative-fixation-of-closed-ankle-fractures
#20
Markus G Naumann, Ulf Sigurdsen, Stein Erik Utvåg, Knut Stavem
BACKGROUND: To compare the functional outcomes between patients with and without postoperative surgical-site infection (SSI) after surgical treatment in closed ankle fractures. METHODS: Retrospective cohort study with prospective follow-up. Of 1011 treated patients, 959 were eligible for inclusion in a postal survey. Functional outcomes were assessed using three self-reported questionnaires. RESULTS: In total 567 patients responded a median of 4...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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