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Valsalva movement

Xu Sheng Cao, Xiao Yan Peng, Qi Sheng You, Li Bin Jiang, Jost B Jonas
PURPOSE: To describe the occurrence of a congenital contractile peripapillary staphyloma in association with a rhegmatogenous retinal detachment. METHODS: The clinical course of a 17-year-old patient with a contractile peripapillary staphyloma and undergoing pars plana vitrectomy for repair of an associated retinal detachment was studied. RESULTS: The left eye showed a peripapillary staphyloma which during the ophthalmoscopical examination revealed contractile movements after the presentation of a light stimulus to either eye...
September 23, 2016: Retinal Cases & Brief Reports
Jenny Kurz, Diane Borello-France
BACKGROUND AND PURPOSE: Postpartum women with pelvic organ prolapse (POP) and urinary incontinence (UI) are often managed by physical therapists specializing in women's health. Movement system impairments often co-exist in this patient population. The purpose of this case study was to describe the physical therapy management of a post-partum female with POP complicated by additional pelvic symptoms. CASE DESCRIPTION: A 31-year-old post-partum female presented with POP, diastasis recti, UI, and constipation...
September 1, 2016: Physical Therapy
Daphné Lizee, Giuseppe Campagna, Andrea Morciano, Giovanni Panico, Alfredo Ercoli, Pierre Gadonneix
AIMS: Laparoscopic sacral colpopexy (LSC) for pelvic prolapse is a complex procedure, characterized by an anterior mesh suspension to the sacral promontory and a posterior tension-free mesh fixation. METHODS: Totals of 150 age-BMI and parity matched consecutive POP patients were selected from our Diaconesses Hospital database among women who underwent a laparoscopic supracervical hysterectomy (LSH) plus sacral colpopexy (LSC) from June 2005 to March 2010. We analyzed two group of LSC populations, according to different tension-free apical fixation of the posterior mesh: Promontory (P) group and Utero-Sacral (US) group...
August 26, 2016: Neurourology and Urodynamics
Kawryshanker Rajaratnam, Chaitanya Tak, Sweeka Alexander, Jurgen Passage
A 69-year-old man underwent minimal incision mitral valve repair for severe symptomatic mitral regurgitation. The echocardiography showed that he had normal left ventricular function with a moderately to severely dilated left atrium, a mildly dilated right atrium, and a large patent foramen ovale. The multistage venous cannulation was very challenging because we could not negotiate the guide wire from the inferior vena cava via the right atrium into the superior vena cava. Despite several attempts, the guide wire would pass into the patent foramen ovale...
May 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
André Viveiros Monteiro, António Fiarresga, Duarte Cacela, Lídia de Sousa, Ruben Ramos, Ana Galrinho, Luísa Branco, Rui Cruz Ferreira
Acromegaly is a rare disease, mostly caused by a growth hormone (GH)-secreting benign pituitary tumor, with an increased production of GH and insulin-like growth factor 1 (IGF-1). Cardiovascular complications are common and are associated with cardiomyocyte apoptosis and concentric cardiac hypertrophy. Suppression of GH and IGF-1 appears to improve cardiac function only in the short term, with little or no decrease in left ventricular mass or improvement in cardiac function after prolonged treatment. Alcohol septal ablation (ASA) has emerged as a minimally invasive alternative to septal myectomy, with significant improvement in symptoms, gradients and left ventricular remodeling...
September 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
W J Zhang, Y L Yang, M X Xie, X F Wang, Q Lyu, L He, J Wang, L Li, J Zhang, Y Wang, J F Liu
OBJECTIVE: To observe image features of sinus of Valsalva aneurysm (SVA) extending into left ventricle by echocardiography. METHODS: Echocardiographic features of 5 cases of SVA extending into left ventricle and underwent surgery at Union Hospital from July 1995 to September 2015 were reviewed retrospectively and image and surgical findings were compared. A total of 4 patients were diagnosed by conventional and 3D echocardiography before surgery, and 1 patient was diagnosed by conventional echocardiography...
June 24, 2016: Zhonghua Xin Xue Guan Bing za Zhi
S De Sio, S Mandolesi, T Niglio, Aldo D'Alessandro, Alessandro D'Alessandro, A Vitarelli, S Ricci
BACKGROUND: The working posture affects the peripheral venous circulation, although the current literature does not report any correlation between working posture and the abnormalities of the jugular veins flow. The purpose of this preliminary research is to study, in female workers, the prevalence of Venous Compressive Syndrome (VCS) caused by total block of the internal jugular veins flow, so-called "White Compression". Due to complete compression by postural, muscular, fascial, anatomical or bone anomalies, White Compression is not visible by EchoColorDoppler (ECD) and its flow can only be detected by the rotational movements of the head or by Valsalva's maneuver...
May 2016: Annali di Igiene: Medicina Preventiva e di Comunità
Michael Henein, Sandra Arvidsson, Björn Pilebro, Christer Backman, Stellan Mörner, Per Lindqvist
BACKGROUND: Development of left ventricular outflow tract obstruction (LVOTO) in patients with hypertrophic cardiomyopathy (HCM) is important for explaining symptoms and designing management. LVOTO is mostly caused by a combination of septal hypertrophy and systolic anterior movement of the mitral valve (SAM). The aim of the present study was to determine predictors of exercise induced LVOTO in a group of HCM patients. METHODS: We performed supine exercise Doppler echocardiography, including measurements of LV morphology and function and anterior mitral leaflet length, in 51 mildly symptomatic HCM (septal thickness≥15mm) and compared them with 50 healthy controls...
June 1, 2016: International Journal of Cardiology
Fatemeh Heydari, Zahra Motaghed, Fatemeh Abbaszadeh
BACKGROUND: Stress urinary incontinence (SUI), the most common type of urinary incontinence (UI), is usually defined as leakage of urine during movement or activity which puts pressure on the bladder, such as coughing, sneezing, running or heavy lifting. It is reported in most countries that 15% to 40% of women struggle with SUI and its severe implications for daily life, including social interactions, sexuality, and psychological wellbeing. OBJECTIVES: The aim of our study was to assess the relationship between urinary tract infection and the severity of stress urinary incontinence (SUI)...
January 2016: Nephro-urology Monthly
Carolyn W Swenson, Jiajia Luo, Luyun Chen, James A Ashton-Miller, John O L DeLancey
INTRODUCTION AND HYPOTHESIS: This study aimed to describe a novel strategy to determine the traction forces needed to reproduce physiologic uterine displacement in women with and without prolapse. METHODS: Participants underwent dynamic stress magnetic resonance imaging (MRI) testing as part of a study examining apical uterine support. Physiologic uterine displacement was determined by analyzing uterine location in images taken at rest and at maximal Valsalva. Force-displacement curves were calculated based on intraoperative cervical traction testing...
August 2016: International Urogynecology Journal
George R Kasyan, Nataliya V Tupikina, Dmitry Yu Pushkar
INTRODUCTION AND HYPOTHESIS: Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS: Thirty-four patients with POP [grade ≥3 using the Pelvic Organ Prolapse Quantification (POP-Q) system] and 30 healthy volunteers (controls) at rest and during Valsalva maneuver were scanned using an Artec™ 3D optic portable scanner and 3D pelvic floor models were generated...
July 2016: International Urogynecology Journal
Vannessa Leung, John S Magnussen, Marcus A Stoodley, Lynne E Bilston
OBJECTIVE: The pathogenesis of syringomyelia associated with Chiari malformation type I (CM-I) is unclear. Theories of pathogenesis suggest the cerebellar tonsils may obstruct CSF flow or alter pressure gradients, or their motion might act as a piston to increase CSF pressure in the spinal subarachnoid space. This study was performed to measure cerebellar tonsillar and hindbrain motion in CM-I and assess the potential contributions to syrinx formation. METHODS: Sixty-four CM-I patients and 25 controls were retrospectively selected from a clinical database, and all subjects had undergone cardiac-gated cine balanced fast-field echo MRI...
April 2016: Journal of Neurosurgery. Spine
David W Brandel, Gandikota Girish, Catherine J Brandon, Qian Dong, Corrie Yablon, David A Jamadar
OBJECTIVES: The purpose of this article is to evaluate the diagnostic accuracy of sonography in clinically occult femoral hernias and to describe our sonographic technique. METHODS: The clinical and imaging data for 93 outpatients referred by general surgeons, all of whom underwent sonographic evaluation and surgery, were reviewed retrospectively. Of these, 55 patients who underwent surgical exploration for groin hernias within 3 months of sonography and met all inclusion criteria were included in the study...
January 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Pakeeza Alam, Rodrigo Guzmán Rojas, Ixora Kamisan Atan, Kirsty Mann, Hans Peter Dietz
OBJECTIVE: To examine the relationship of visual analog scale (VAS) bother scores for obstructed defecation (OD) with demographic data, physical examination, and sonographic findings of the posterior compartment. METHODS: All patients seen at a urogynecology clinic between January and October 2013 were included. Patients were identified to have OD with the following symptoms: incomplete bowel emptying, straining with bowel movements, and digitation. Patients used a VAS to rate OD bother on a scale of 0 to 10 (0= "no bother" and 10= "worst imaginable bother")...
November 27, 2015: Ultrasound in Obstetrics & Gynecology
Kai-Pun Wong, Jung-Woo Woo, Jason Yu-Yin Li, Kyu Eun Lee, Yeo Kyu Youn, Brian Hung-Hin Lang
To assess vocal cord (VC) movement with transcutaneous laryngeal ultrasound (TLUSG), three maneuvers, namely passive (quiet respiration), active (phonation), and Valsalva maneuvers have been described. It remains unclear which maneuver or using more maneuvers provides better visualization and assessment accuracy. We prospectively evaluated 342 post-thyroidectomy patients from two centers. They underwent TLUSG with direct laryngoscopic (DL) validation afterwards. During TLUSG, patients were instructed to perform all three maneuvers (passive, active, and Valsalva)...
March 2016: World Journal of Surgery
Denise F Blake, Clinton R Gibbs, Katherine H Commons, Lawrence H Brown
INTRODUCTION: In Professional Association of Diving Instructors (PADI) Open Water Diver certification courses that cater to tourists, instruction is often condensed and potentially delivered in a language that is not the candidate's native language. OBJECTIVE: To assess the incidence of middle ear barotrauma (MEBt) in open-water diver candidates during a condensed four-day certification course, and to determine if language of instruction affects the incidence of MEBt in these divers...
September 2015: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
Andrea Salica, Giuseppe Pisani, Umberto Morbiducci, Raffaele Scaffa, Diana Massai, Alberto Audenino, Luca Weltert, Lorenzo Guerrieri Wolf, Ruggero De Paulis
OBJECTIVES: Normal aortic valve opening and closing movement is a complex mechanism mainly regulated by the blood flow characteristics and the cyclic modifications of the aortic root. Our previous in vitro observations demonstrated that the presence of the Valsalva sinuses, independently from root compliance, is important in reducing systolic pressure drop across the aortic valve. This in vitro study was designed to ascertain if this effect is dependent on the flow characteristics. METHODS: Stentless 21, 23 and 25 mm aortic prostheses were sutured inside Dacron graft with and without sinuses...
April 2016: European Journal of Cardio-thoracic Surgery
Camilla Rocchi, Maria Albanese, Fabio Placidi, Andrea Romigi, Benedetta Lauretti, Girolama A Marfia, Claudio Liguori, Maria G Marciani, Nicola B Mercuri, Francesca Izzi
OBJECTIVE: The link between the autonomic nervous system and restless legs syndrome (RLS) has been recently postulated. Since dopaminergic agents are used as first-line treatment for RLS, the purpose of our study is to verify whether chronic pramipexole treatment could influence the autonomic control of cardiovascular reflexes and heart rate variability (HRV) in RLS during wakefulness. METHODS: Consecutive drug naive RLS patients underwent polysomnography (PSG), subjective scales, and cardiovascular function tests including head-up tilt test (HUTT), Valsalva maneuver, deep breathing, handgrip and cold face before and after 3-month pramipexole therapy...
September 2015: Sleep Medicine
Toshio Uesaka, Nobuhiko Nakajima, Takeo Amemiya, Yoshihiro Matsuo, Shintaro Nagaoka, Katsuharu Kameda, Yoshiaki Ikai, Junji Uno, Yuichi Inoue, Hidefuku Gi
We report a case of intraorbital varix. A 16-year-old girl showed sudden left-sided exophthalmos after vomiting. After several episodes of vomiting, she developed complete loss of vision in the left eye, followed by orbital pain, disruption of eye movement, and periorbital swelling. No change in symptoms or signs was observed after the Valsalva maneuver or jugular vein compression. Computed tomography (CT), magnetic resonance imaging (MRI), and angiography were inconclusive. Transcranial surgery revealed a large varix near the optic nerve...
July 2015: No Shinkei Geka. Neurological Surgery
Sofia Brandão, Marco Parente, Teresa Mascarenhas, Ana Rita Gomes da Silva, Isabel Ramos, Renato Natal Jorge
Excessive mobility of the bladder neck and urethra are common features in stress urinary incontinence. We aimed at assessing, through computational modelling, the bladder neck position taking into account progressive impairment of the pelvic ligaments. Magnetic resonance images of a young healthy female were used to build a computational model of the pelvic cavity. Appropriate material properties and constitutive models were defined. The impairment of the ligaments was simulated by mimicking a reduction in their stiffness...
January 21, 2015: Journal of Biomechanics
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