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https://www.readbyqxmd.com/read/27925048/resting-energy-expenditure-in-critically-ill-patients-evaluation-methods-and-clinical-applications
#1
Ana Cláudia Soncini Sanches, Cassiana Regina de Góes, Marina Nogueira Berbel Bufarah, André Luiz Balbi, Daniela Ponce
Patients on intensive care present systemic, metabolic, and hormonal alterations that may adversely affect their nutritional condition and lead to fast and important depletion of lean mass and malnutrition. Several factors and medical conditions can influence the energy expenditure (EE) of critically ill patients, such as age, gender, surgery, serious infections, medications, ventilation modality, and organ dysfunction. Clinical conditions that can present with EE change include acute kidney injury, a complex disorder commonly seen in critically ill patients with manifestations that can range from minimum elevations in serum creatinine to renal failure requiring dialysis...
October 2016: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/27924396/-reconstructive-procedures-on-the-thumb
#2
EDITORIAL
M Schädel-Höpfner
No abstract text is available yet for this article.
December 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27924288/hysterectomy-due-to-abnormal-uterine-bleeding-in-a-15-year-old-girl-with-rubinstein-taybi-syndrome
#3
Kwang Ho Lee, Eun Young Park, Sang Woo Jung, Seung Woo Song, Hyun Kyo Lim
Rubinstein-Taybi syndrome is characterized by mental retardation, atypical facial features, broad thumbs and toes, and scoliosis. Polycystic ovaries are associated with chronic anovulation and abnormal uterine bleeding. A 15-year old female patient was diagnosed with Rubinstein-Taybi Syndrome, and had prolonged abnormal uterine bleeding for 2 years, accompanied by a polycystic ovary. As she showed no improvement during hormonal therapy or medical treatment, a hysterectomy was performed to control the bleeding...
September 2016: Journal of Lifestyle Medicine
https://www.readbyqxmd.com/read/27924250/first-carpo-metacarpal-joint-arthritis-interpositional-arthroplasty-using-trapezium
#4
Chirag Kapoor, Ankur Kansagra, Maulik Jhaveri, Aditya Merh, Paresh Golwala
Thumb pain secondary to arthritis at the basal joint of the thumb is a common condition, especially in women, and can be quite disabling. An accurate diagnosis can be readily made from the history and examination. Reconstructive procedures for each stage of the disease are aimed at relieving pain and restoring thumb motion and strength. There are a number of methods available to treat this condition both conservatively and surgically with variable success rates. We present a case of a middle-aged female with first carpo-metacarpal (CMC) joint arthritis in whom we have tried a new technique in which the trapezium is excised, crushed, put in a sponge covering and then inserted back in the void created after excision...
November 3, 2016: Curēus
https://www.readbyqxmd.com/read/27922091/an-increased-duplication-of-zrs-region-that-caused-more-than-one-supernumerary-digits-preaxial-polydactyly-in-a-large-chinese-family
#5
Bin Wang, Yutao Diao, Qiji Liu, Hongqiang An, Ruiping Ma, Guosheng Jiang, Nannan Lai, Ziwei Li, Xiaoxiao Zhu, Lin Zhao, Qiang Guo, Zhen Zhang, Rong Sun, Xia Li
Preaxial polydactyly (PPD) is inherited in an autosomal dominant fashion and characterized by the presence of one or more supernumerary digits on the thumb side. It had been identified that point mutation or genomic duplications of the long-range limb-specific cis-regulator - zone of polarizing activity regulatory sequence (ZRS) cause PPD or other limb deformities such as syndactyly type IV (SD4) and Triphalangeal thumb-polysyndactyly syndrome (TPTPS). Most previously reported cases involved with no more than one extra finger; however, the role of the point mutation or genomic duplications of ZRS in the case of more than one redundant finger polydactyly remains unclear...
December 6, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27921282/the-style-of-a-stranger-identification-expertise-generalizes-to-coarser-level-categories
#6
Rachel A Searston, Jason M Tangen
Experience identifying visual objects and categories improves generalization within the same class (e.g., discriminating bird species improves transfer to new bird species), but does such perceptual expertise transfer to coarser category judgments? We tested whether fingerprint experts, who spend their days comparing pairs of prints and judging whether they were left by the same finger or two different fingers, can generalize their finger discrimination expertise to people more broadly. That is, can these experts identify prints from Jones's right thumb and prints from Jones's right index finger as instances of the same "Jones" category? Novices and experts were both sensitive to the style of a stranger's prints; despite lower levels of confidence, experts were significantly more sensitive to this style than novices...
December 5, 2016: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/27917805/right-sided-lateralization-of-skin-temperature-in-healthy-young-persons
#7
Havva Demirel, Arzu Bahar, Nurcan Gokgoz, Muzeyyen Arslan, Senol Dane
PURPOSE: Previous studies reported a peripheral immune asymmetry and lateralization of different paired organ cancers. Because of the close relationship of immune system with body temperature, the aim of the study was to test the possible lateralization of skin temperature. MATERIALS AND METHODS: Four hundred sixty three healthy subjects (325 women, 138 men) with an average age of 23.62 years (SD = 8.65) participated in this study. All skin temperature measurements were done 8:00-9:00 a...
December 1, 2016: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/27917688/congenital-thumb-anomalies-and-the-consequences-for-daily-life-patients-long-term-experience-after-corrective-surgery-a-qualitative-study
#8
I K Carlsson, L B Dahlin, H-E Rosberg
PURPOSE: The aim of the study was to explore patients' long-term experience of a congenital hand problem, and the consequences for daily life. METHOD: Fifteen participants with a median age 24 years (17-55 years), born with thumb hypoplasia/aplasia or thumb duplication were interviewed using a semi-structured interview guide. The interviews were subjected to qualitative content analysis. RESULTS: Although the mobility and strength in the thumb/hand(s) varied within the group, hand function was generally described as good...
December 5, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27917634/-hand-osteoarthritis
#9
Ladislav Šenolt
Hand osteoarthritis (OA) is a common chronic disorder causing pain and limitation of mobility of affected joints. The prevalence of hand OA increases with age and more often affects females. Clinical signs obviously do not correlate with radiographic findings - symptomatic hand OA affects approximately 26 % of adult subjects, but radiographic changes can be found in up to two thirds of females and half of males older than 55 years.Disease course differ among individual patients. Hand OA is a heterogeneous disease...
2016: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/27916148/current-reconstruction-options-for-traumatic-thumb-loss
#10
REVIEW
David J Graham, Hari Venkatramani, S Raja Sabapathy
Traumatic loss of a thumb results in notable functional impairment. Multiple reconstructive procedures have been described to address these deficits. Compared with no reconstruction, any procedure is of benefit. However, each of the described methods offers subtle benefits and downsides and may be more applicable in certain situations. We present a review of current reconstructive options for traumatic thumb amputation in 2016.
December 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27913783/three-dimensional-printed-prosthesis-demonstrates-functional-improvement-in-a-patient-with-an-amputated-thumb-a-technical-note
#11
Keun Ho Lee, Sung Jae Kim, Yong Ho Cha, Jae Lim Kim, Dong Kyu Kim, Sang Jun Kim
BACKGROUND AND AIM: Three-dimensional printer is widely used in industry, biology, and medical fields. We report a finger prosthesis produced by a three-dimensional scanner and printer for a 67-year-old man with a right thumb amputation above the metacarpophalangeal joint. TECHNIQUE: His right amputated and left intact hands were scanned with a three-dimensional scanner, and the left-hand image was rotated to the right side to design the right thumb prosthesis. The designed prosthesis was printed with a three-dimensional printer using the fused filament fabrication output system...
December 1, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27912787/a-comparative-laboratory-trial-evaluating-the-immediate-efficacy-of-fluralaner-afoxolaner-sarolaner-and-imidacloprid%C3%A2-%C3%A2-permethrin-against-adult-rhipicephalus-sanguineus-sensu-lato-ticks-attached-to-dogs
#12
Federica Burgio, Leon Meyer, Rob Armstrong
BACKGROUND: Acaricides are used to treat and prevent tick infestations, and a common clinical scenario is to administer an acaricide on observing an attached tick. Consequently, immediate acaricidal efficacy (onset of activity and speed of kill) results are clinically valuable. This study evaluated the immediate efficacy of four commercially available acaricides against adult Rhipicephalus sanguineus (sensu lato). METHODS: Forty dogs were blocked on hair length and tick carrying capacity, then randomly assigned to receive one of four treatments (fluralaner, sarolaner, imidacloprid + permethrin, or afoxolaner) or left untreated as controls...
December 3, 2016: Parasites & Vectors
https://www.readbyqxmd.com/read/27909403/cortical-sensorimotor-processing-of-painful-pressure-in-patients-with-chronic-lower-back-pain-an-optical-neuroimaging-study-using-fnirs
#13
Andrea Vrana, Michael L Meier, Sabina Hotz-Boendermaker, Barry K Humphreys, Felix Scholkmann
In this study we investigated sensorimotor processing of painful pressure stimulation on the lower back of patients with chronic lower back pain (CLBP) by using functional near-infrared spectroscopy (fNIRS) to measure changes in cerebral hemodynamics and oxygenation. The main objectives were whether patients with CLBP show different relative changes in oxy- and deoxyhemoglobin ([O2Hb] and [HHb]) in the supplementary motor area (SMA) and primary somatosensory cortex (S1) compared to healthy controls (HC). Twelve patients with CLBP (32 ± 6...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27908764/discovery-and-initial-optimization-of-alkoxyanthranilic-acid-derivatives-as-inhibitors-of-hcv-ns5b-polymerase
#14
Kyle Parcella, Andrew Nickel, Brett R Beno, Steven Sheriff, Changhong Wan, Ying-Kai Wang, Susan B Roberts, Nicholas A Meanwell, John F Kadow
Alkoxyanthranilic acid derivatives have been identified to inhibit HCV NS5B polymerase, binding in an allosteric site located at the convergence of the palm and thumb regions. Information from co-crystal structures guided the structural design strategy. Ultimately, two independent structural modifications led to a similar shift in binding mode that when combined led to a synergistic improvement in potency and the identification of inhibitors with sub-micromolar HCV NS5B binding potency.
November 22, 2016: Bioorganic & Medicinal Chemistry Letters
https://www.readbyqxmd.com/read/27900716/corr-insights-%C3%A2-reduction-in-cylindrical-grasp-strength-is-associated-with-early-thumb-carpometacarpal-osteoarthritis
#15
Nash H Naam
No abstract text is available yet for this article.
November 29, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27900178/self-reported-worst-injuries-in-women-s-australian-football-identify-lower-limb-injuries-as-a-prevention-priority
#16
Lauren V Fortington, Alex Donaldson, Caroline F Finch
BACKGROUND: Increasing participation by women in Australian football (AF) has made understanding their specific injury prevention needs a priority. In other sports, men and women have different injury profiles. This study aims to provide the first overview of self-reported injuries in women's AF. METHODS: Nationwide survey of women aged 17+ years who played in an AF competition was conducted following the 2014 playing season. The players' self-reported worst injury from the 2014 season is presented according to injury type, body part injured, treatment sought and games/training missed...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27898040/identification-of-object-dynamics-using-hand-worn-motion-and-force-sensors
#17
Henk G Kortier, H Martin Schepers, Peter H Veltink
Emerging microelectromechanical system (MEMS)-based sensors become much more applicable for on-body measurement purposes lately. Especially, the development of a finger tip-sized tri-axial force sensor gives the opportunity to measure interaction forces between the human hand and environmental objects. We have developed a new prototype device that allows simultaneous 3D force and movement measurements at the finger and thumb tips. The combination of interaction forces and movements makes it possible to identify the dynamical characteristics of the object being handled by the hand...
November 26, 2016: Sensors
https://www.readbyqxmd.com/read/27895541/the-duplicated-thumb-a-review
#18
REVIEW
Renae D Van Wyhe, Jeffrey G Trost, John C Koshy, William C Pederson
Preaxial polydactyly is a common, often sporadic, congenital anomaly that must be addressed surgically early in life. Ideally, the surgeon seeks to accomplish three goals: construction of a thumb that is adequate in size, preservation of pinch function, and reconstruction of all components in one procedure. Although each case is unique, several classification systems attempt to describe the various types. In this article, the authors discuss the various classification systems, procedures, and outcomes after surgery for pediatric thumb duplication...
November 2016: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/27894853/concurrent-carpal-tunnel-syndrome-and-pronator-syndrome-a-retrospective-study-of-21-cases
#19
Chih-Wei Hsiao, Jui-Tein Shih, Sheng-Tsai Hung
PURPOSE: Concurrent carpal tunnel syndrome and pronator syndrome are rarely considered and the proximal compression sites are easily overlooked. We retrospectively studied 21 concurrent cases in our series from 2009 to 2015 and report the results. PATIENTS AND METHODS: The typical symptoms were pain, tingling, and numbness of the radial 3½ digits. If paresthesia involved the thenar eminence and proximal forearm pain was noted in cases of carpal tunnel syndrome, carpal tunnel syndrome combined with pronator syndrome was considered...
November 25, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#20
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
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