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showing 10 items of 1521 documents

Long-term functional results of digital replantation: A survey of 28 patients

2019

We sought to evaluate the long-term quality of life and functional outcome of patients who underwent digital replantation after amputation. A retrospective single-center study was conducted of patients treated between January 2010 to May 2016. Twenty-eight patients who underwent successful replantation after single or multiple digital amputation were reviewed in person after at least 2years' follow-up (mean 4.6years). Total active range of motion, grip and pinch strength were assessed. Functional outcomes were evaluated using the SF-36 and DASH questionnaires. The patients' occupational status and daily activities were reported. Mean total active range of motion was 42% of the contralateral…

AdultMalemedicine.medical_specialtyActivities of daily livingAdolescentmedicine.medical_treatment[SDV]Life Sciences [q-bio]030230 surgeryThumb03 medical and health sciencesGrip strengthDisability EvaluationYoung Adult0302 clinical medicineReturn to WorkQuality of lifeAmputation TraumaticDashFinger InjuriesmedicineHumansOrthopedics and Sports MedicineRange of Motion ArticularAgedRetrospective Studies030222 orthopedicsHand Strengthbusiness.industryRehabilitationMiddle AgedSurgerybody regionsCold Temperaturemedicine.anatomical_structureAmputationReplantationSensory ThresholdsReplantationQuality of LifeSurgeryFemaleRange of motionbusinessFollow-Up Studies
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Role of FNAC in the diagnosis of intraosseous jaw lesions

2014

Background: FNAC of intraosseous jaw lesions has not been widely utilized for diagnosis due to rarity and diversity of these lesions, limited experience and lack of well established cytological features. Aim of the study was to determine the role of FNAC in the diagnosis of intraosseous jaw swellings. Material and Methods: 42 patients underwent FNAC over a period of 7 years (2007-2013), of which 37 (88.1%) aspirates were diagnostic. Histopathology correlation was available in 33 cases and diagnostic accuracy of FNAC was calculated. Results: Lesions were categorized into inflammatory 3, cysts/hamartomas 15 and neoplasms 19. Mandibular and maxillary involvement was seen in 21 and 16 patients …

AdultMalemedicine.medical_specialtyAdolescentBiopsy Fine-NeedleOdontologíaOdontogenic cystCytologyBiopsymedicineHumansskin and connective tissue diseasesChildAmeloblastomaGeneral DentistryAgedRetrospective StudiesOral Medicine and Pathologymedicine.diagnostic_testbusiness.industryResearchRetrospective cohort studyMiddle Aged:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseCiencias de la saludOdontogenicSurgerybody regionsOtorhinolaryngologyChild PreschoolUNESCO::CIENCIAS MÉDICASFemaleSurgeryHistopathologyBone DiseasesJaw DiseasesbusinessJaw DiseasesMedicina Oral Patología Oral y Cirugia Bucal
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Search for variants of the gene-promoter and the potential phosphotyrosine encoding sequence of the insulin receptor substrate-2 gene: evaluation of …

1999

Aims/hypothesis. The aim of this study was to screen part of the putative promoter sequence in addition to 14 potential phosphotyrosine residues of human IRS-2 for genetic variability which might cause changes in protein expression or function. Furthermore, the potential impact on insulin secretion and sensitivity of a previously identified IRS-2 variant (Gly1057Asp) was analysed Methods. The screenings were carried out by the SSCP-heteroduplex technique on DNA from Type II (non-insulin-dependent) diabetic patients. The impact of the Gly1057Asp variant was analysed in four glucose-tolerant Scandinavian study groups. Results. The results showed no nucleotide substitutions in the promoter seq…

AdultMalemedicine.medical_specialtyAdolescentInsulin Receptor Substrate ProteinsEndocrinology Diabetes and Metabolismmedicine.medical_treatmentMolecular Sequence Datamedicine.disease_causeGene FrequencyTwo-Hybrid System TechniquesInternal medicineDiabetes mellitusInsulin SecretionInternal MedicinemedicineHumansInsulinGenetic TestingProspective StudiesPhosphotyrosinePromoter Regions GeneticPolymorphism Single-Stranded ConformationalPancreatic hormoneAgedMutationGlucose tolerance testBase Sequencebiologymedicine.diagnostic_testGenetic Carrier ScreeningInsulinIntracellular Signaling Peptides and ProteinsGlucose Tolerance TestMiddle AgedPhosphoproteinsmedicine.diseaseIRS2PedigreeInsulin receptorEndocrinologyAmino Acid SubstitutionDiabetes Mellitus Type 2Insulin Receptor Substrate Proteinsbiology.proteinDiabetologia
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Neuromuscular and physiological variables evolve independently when running immediately after cycling

2015

International audience; During the early period of running after cycling, EMG patterns of the leg are modified in only some highly trained triathletes. The majority of studies have analysed muscle EMG patterns at arbitrary, predetermined time points. The purpose of this study was to examine changes to EMG patterns of the lower limb at physiologically determined times during the cycle-run transition period to better investigate neuromuscular adaptations. Six highly trained triathletes completed a 10 min isolated run (IR), 30 min of rest, then a 20 min cycling procedure, before a 10 min transition run (C-R). Surface EMG activity of eight lower limb muscles was recorded, normalised and quantif…

AdultMalemedicine.medical_specialtyAdolescentenergy-costperformance-levelBiophysicsNeuroscience (miscellaneous)submaximal exerciseBiologyTriathlonLower limbRunningPhysical medicine and rehabilitationEMGmuscle-fiber typeHeart ratemedicine[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]Humansolympic-triathlonMuscle SkeletalCycle-runReproducibility[ SDV.MHEP.PHY ] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]Cyclingslow componentOxygen uptakeAdaptation Physiologicalpriming exerciseBicyclingbody regionso-2 uptake kineticsprior heavy exerciseMotor unit recruitmentTransitionPhysical therapyoxygen-uptake kineticsNeurology (clinical)Cycling
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Effects of joint angle and age on ankle dorsi- and plantar-flexor strength.

2007

This study aimed at examining the effects of joint angle and age on the maximal voluntary contraction (MVC) torque, for the agonist and antagonist muscle groups around the ankle, i.e., the dorsi- and plantar-flexors. To this aim, neural and muscular factors were investigated in two groups of healthy men: 11 young (mean age, 24 years) and 18 older (mean age, 78 years). Plantar-flexion (PF) and dorsiflexion (DF) isometric MVC torques were measured in three different ankle joint angles and surface electromyographic activities of the triceps surae and of the tibialis anterior muscles were recorded. The main findings were that the DF-to-PF MVC torque ratio varied with joint angle and age, indica…

AdultMalemedicine.medical_specialtyAgingBiophysicsNeuroscience (miscellaneous)ElectromyographyIsometric exercisePlantar flexionVoluntary contractionPhysical medicine and rehabilitationAge groupsMedicineHumansMuscle StrengthAgedmedicine.diagnostic_testbusiness.industryElectromyographyElectric StimulationRapid assessmentbody regionsmedicine.anatomical_structureTorqueJoint anglePhysical therapyNeurology (clinical)AnklebusinessAnkle JointMuscle ContractionJournal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
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Subfascial Endoscopic Perforator Surgery With Tumescent Local Anesthesia

2002

background. Subfascial endoscopic perforator surgery (SEPS) has become an established procedure. objective. To evaluate SEPS with tumescent local anesthesia (TLA) using an single-port device originally designed for that purpose. methods. Patients selected for SEPS received subcutaneous infiltration of TLA into the medial aspect of the calf 20 minutes before surgery. Bipolar coagulation and dissection were used to treat incompetent perforators. results. Fifty-one patients with 67 legs of CEAP stages C3–C6 underwent SEPS with TLA. In 40 patients or 53 legs (79.1%) TLA alone allowed successful completion of the SEPS procedure. Five patients with 7 legs (10.4%) required additional intravenous a…

AdultMalemedicine.medical_specialtyConscious SedationSuccessful completionDermatologyVaricose UlcerPain controlmedicineHumansLocal anesthesiaIn patientAgedEndoscopesLegVascular diseasebusiness.industryEquipment DesignGeneral MedicineMiddle AgedIncompetent perforatorsmedicine.diseaseSurgerybody regionsTreatment OutcomeVenous InsufficiencyAnesthesiaFemaleSurgeryVenous diseasebusinessVascular Surgical ProceduresBipolar coagulationAnesthesia LocalDermatologic Surgery
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Unchanged H-reflex during a sustained isometric submaximal plantar flexion performed with an EMG biofeedback.

2008

The aim of this study was to assess H-reflex plasticity and activation pattern of the plantar flexors during a sustained contraction where voluntary EMG activity was controlled via an EMG biofeedback. Twelve healthy males (28.0+/-4.8 yr) performed a sustained isometric plantar flexion while instructed to maintain summed EMG root mean square (RMS) of gastrocnemius lateralis (GL) and gastrocnemius medialis (GM) muscles fixed at a target corresponding to 80% maximal voluntary contraction torque via an EMG biofeedback. Transcutaneous electrical stimulation of the posterior tibial nerve was evoked during the contraction to obtain the maximal H-reflex amplitude to maximal M-wave amplitude ratio (…

AdultMalemedicine.medical_specialtyContraction (grammar)Posterior tibial nervePhysical Exertion/physiologyPhysical ExertionBiophysicsNeuroscience (miscellaneous)Isometric exercisePlantar flexionActivation patternFoot/physiologyH-Reflexddc:616.9802Physical medicine and rehabilitationIsometric ContractionMedicineHumansEmg biofeedbackIsometric Contraction/physiologyMuscle SkeletalBiofeedback Psychology/methodsbusiness.industryElectromyographyFootBiofeedback Psychologymusculoskeletal systembody regionsAnesthesiaReflexNeurology (clinical)H-reflexMuscle Skeletal/innervation/physiologybusinessElectromyography/methodsH-Reflex/physiologyJournal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
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A multicenter, site-independent, blinded study to compare the diagnostic accuracy of contrast-enhanced magnetic resonance angiography using 1.0M gado…

2007

Abstract Purpose Prospective evaluation of diagnostic accuracy of single field-of-view contrast-enhanced MR Angiography (ceMRA) with 1.0 M gadobutrol compared to intraarterial DSA in body arteries. Materials and methods In an European multicenter study 179 patients underwent ceMRA and DSA. For each indication five prospectively defined vessel segments were evaluated by local investigators onsite and by three site-independent blinded readers (BR) independently. Results The agreement between ceMRA and DSA diagnosis was statistically significant in the onsite (96.6%) and blinded reader (86.6–90.2%) evaluation. Sensitivity, specificity, accuracy, positive (PPV) and negative predictive values (N…

AdultMalemedicine.medical_specialtyContrast MediaDiagnostic accuracyGadoliniumConstriction PathologicSensitivity and SpecificityMagnetic resonance angiographyGadobutrolmedicineOrganometallic CompoundsHumansRadiology Nuclear Medicine and imagingSingle-Blind MethodProspective StudiesProspective cohort studyAgedAged 80 and overmedicine.diagnostic_testbusiness.industryAngiography Digital SubtractionGeneral MedicineDigital subtraction angiographyArteriesMiddle Agedmedicine.diseasebody regionsStenosismedicine.anatomical_structureAngiographyRadiologyNuclear medicinebusinessMagnetic Resonance Angiographymedicine.drugArteryEuropean journal of radiology
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Hypothenar hammer syndrome in sports

1996

Repetitive blunt trauma or single severe trauma to the hypothenar region may lead to traumatic thrombosis of the distal ulnar artery (hypothenar hammer syndrome, HHS). In the sports-related literature we found and analysed isolated cases attributed to injuries sustained during sporting activities such as baseball, badminton, handball, football, frisbee, softball, karate, weight-lifting and hockey. Further, we report the case of an amateur golf player with ischaemic symptoms of his left hand, where angiography revealed filling defects in the digital arteries associated with a corkscrew-like configuration of the distal ulnar artery. Magnetic resonance imaging (MRI) scan demonstrated, at the l…

AdultMalemedicine.medical_specialtyCumulative Trauma DisordersPoison controlUlnar ArteryBluntmedicine.arterymedicineHumansOrthopedics and Sports MedicineUlnar arterymedicine.diagnostic_testbusiness.industryAngiographyThrombosisSyndromeHandmedicine.diseaseMagnetic Resonance ImagingThrombosisSurgerybody regionsmedicine.anatomical_structureBlunt traumaAthletic InjuriesOrthopedic surgeryAngiographyGolfSurgerybusinessArteryKnee Surgery, Sports Traumatology, Arthroscopy
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EMG and force production of the flexor hallucis longus muscle in isometric plantarflexion and the push-off phase of walking

2015

Large forces are generated under the big toe in the push-off phase of walking. The largest flexor muscle of the big toe is the flexor hallucis longus (FHL), which likely contributes substantially to these forces. This study examined FHL function at different levels of isometric plantarflexion torque and in the push-off phase at different speeds of walking. FHL and calf muscle activity were measured with surface EMG and plantar pressure was recorded with pressure insoles. FHL activity was compared to the activity of the calf muscles. Force and impulse values were calculated under the big toe, and were compared to the entire pressed area of the insole to determine the relative contribution of…

AdultMalemedicine.medical_specialtyFHLBiomedical EngineeringBiophysicsPlantar surfaceIsometric exerciseToeYoung AdultwalkingEMGPhysical medicine and rehabilitationIsometric ContractionmedicineHumansOrthopedics and Sports MedicineMuscle StrengthRange of Motion ArticularGround reaction forceMuscle Skeletalta315force plantarflexion walkingMathematicsplantarflexionElectromyographyRehabilitationta3141Anatomybody regionsPreferred walking speedFlexor hallucis longusPush offHalluxFlexor hallucis longus muscleforcehuman activitiesJournal of Biomechanics
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