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Supine

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https://read.qxmd.com/read/32227323/increased-sympathetic-cardiac-autonomic-modulation-after-two-consecutive-tilt-tests-in-women-with-polycystic-ovary-syndrome
#1
Victor Barbosa Ribeiro, Gislaine Satyko Kogure, Rafael Costa Silva, Hugo Celso Dutra Souza, Rui Alberto Ferriani, Rosana Maria Reis
OBJECTIVE:  The present study aimed to analyze cardiac autonomic modulation via spectral and symbolic analysis of heart rate variability (HRV) in women with polycystic ovary syndrome (PCOS) who were subjected to two consecutive tilt tests. METHODS:  A total of 64 women were selected and divided into 2 groups: control (without PCOS), and PCOS. Concentrations of follicle-stimulating hormone, luteinizing hormone, prolactin, estradiol, homocysteine, sex hormone-binding globulin, thyroid stimulating hormone, fasting insulin, testosterone, androstenedione, and 17-hydroxyprogesterone levels, triglycerides, free androgen index (FAI), and homeostasis assessment model (HOMA-IR) were assessed...
February 2020: Revista Brasileira de Ginecologia e Obstetrícia
https://read.qxmd.com/read/32224680/a-novel-technique-in-treatment-of-calcaneocuboid-dislocation-with-bifurcate-ligament-reconstruction-using-a-semitendinosus-allograft-a-case-report
#2
Eildar Abyar, Brent Cone, Haley McKissack, Michael Johnson
CASE: A 19-year-old woman sustained a plantar flexion-inversion injury to her right ankle after a low-speed motor vehicle collision. Clinical examination demonstrated supinated, adducted deformity of the foot, and prominent calcaneus laterally. Radiographs revealed dislocation of the calcaneocuboid joint, a rare injury, which was successfully stabilized by a novel technique using a hamstring allograft. The presentations and clinical and surgical management of this rare condition are discussed...
January 2020: JBJS Case Connector
https://read.qxmd.com/read/32224642/rare-complication-of-distal-radius-and-ulnar-styloid-fractures-with-percutaneous-fixation-a-case-report-on-distal-radioulnar-synostosis
#3
Serkan Bayram, Necmettin Turgut, Alper Şükrü Kendirci, Turgut Akgül, Hayati Durmaz
CASE: A 42-year-old man presented with distal radius fracture. We performed external fixation combined with Kirschner wiring, which was removed 6 weeks postoperatively. After the removal of the implants, the patient could not achieve any pronation-supination, and distal radioulnar synostosis became apparent during the follow-up. The patient underwent distal ulnar osteotomy, and 60° pronation and full supination were achieved. No complications were reported at the 32-month follow-up. CONCLUSION: This is a rare case of radioulnar synostosis after percutaneous fixation surgery for distal radius fracture...
January 2020: JBJS Case Connector
https://read.qxmd.com/read/32224047/-autonomic-dysfunction-in-the-patient-with-neurodegenerative-disease
#4
R Roa-Chamorro, L Torres-Quintero, P González-Bustos
Autonomic dysfunction is a common condition in the alpha-synucleinopathies (Parkinson's disease, dementia with Lewy bodies, multiple system atrophy). Cardiovascular symptoms may include orthostatic hypotension, supine hypertension or decreased heart rate response. A clinical suspicion and physical examination are essential for diagnosis, taking blood pressure in supine and standing positions. The electrocardiogram may show a prolongation of the PR and QT intervals, while 24-hour ambulatory blood pressure monitoring provides information on blood pressure patterns...
March 26, 2020: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/32223873/quantifying-the-effect-of-biopsy-lateral-decubitus-patient-positioning-compared-to-supine-prostate-mri-scanning-on-prostate-translocation-and-distortion
#5
Žiga Snoj, Leonardo Rundo, Andrew B Gill, Tristan Barrett
INTRODUCTION: More than a quarter of tumors are missed by magnetic resonance imaging/ultrasound (MRI/US) fusion-guided biopsy, the majority due to software-based mis-registration. Transrectal approaches to biopsy are typically performed in the lateral decubitus position; conversely, diagnostic MRI is performed with the patient lying supine. Any position-related difference in prostate location or gland deformation could potentially exacerbate mis-registration at subsequent biopsy. METHODS: Fifteen healthy male volunteers (mean age 35...
March 30, 2020: Canadian Urological Association Journal
https://read.qxmd.com/read/32223645/biceps-tenodesis-versus-tenotomy-in-the-treatment-of-lesions-of-the-long-head-of-the-biceps-tendon-in-patients-undergoing-arthroscopic-shoulder-surgery-a-prospective-double-blinded-randomized-controlled-trial
#6
Peter MacDonald, Fleur Verhulst, Sheila McRae, Jason Old, Greg Stranges, Jamie Dubberley, Randy Mascarenhas, James Koenig, Jeff Leiter, Mark Nassar, Peter Lapner
BACKGROUND: The biceps tendon is a known source of shoulder pain. Few high-level studies have attempted to determine whether biceps tenotomy or tenodesis is the optimal approach in the treatment of biceps pathology. Most available literature is of lesser scientific quality and shows varying results in the comparison of tenotomy and tenodesis. PURPOSE: To compare patient-reported and objective clinical results between tenotomy and tenodesis for the treatment of lesions of the long head of the biceps brachii...
March 30, 2020: American Journal of Sports Medicine
https://read.qxmd.com/read/32223377/symptom-recognition-is-impaired-in-patients-with-orthostatic-hypotension
#7
Roy Freeman, Ben M W Illigens, Razvan Lapusca, Marta Campagnolo, Ahmad R Abuzinadah, Istvan Bonyhay, Dong-In Sinn, Mitchell Miglis, Jeffrey White, Christopher H Gibbons
Failure to recognize symptoms of orthostatic hypotension (OH) may result in falls, syncope, and injuries. The relationship between orthostatic changes in blood pressure and symptom occurrence and severity is not known. The goal of the present study was to define the relationship between the occurrence and severity of the symptoms of orthostatic hypotension (OH) and (1) the upright systolic blood pressure (SBP) and (2) the fall in SBP after tilting in patients with OH. We prospectively studied 89 patients with OH...
March 30, 2020: Hypertension
https://read.qxmd.com/read/32222907/the-predictive-performance-of-propofol-target-controlled-infusion-during-robotic-assisted-laparoscopic-prostatectomy-with-co-2-pneumoperitoneum-in-the-head-down-position
#8
Tomoko Ogawa, Shinju Obara, Mitsue Akino, Chie Hanayama, Hidemi Ishido, Masahiro Murakawa
PURPOSE: Propofol clearance can be reduced when cardiac output (CO) is decreased. This clearance reduction may alter the pharmacokinetics of propofol and worsen the predictive performance of target-controlled infusion (TCI) of propofol. The head-down position (HDP) and CO2 pneumoperitoneum, which are required for robotic-assisted laparoscopic prostatectomy (RALP), may cause changes in CO. We investigated the predictive performance of propofol TCI during CO2 pneumoperitoneum in patients who underwent RALP in the HDP...
March 28, 2020: Journal of Anesthesia
https://read.qxmd.com/read/32221704/intraoperatively-accurate-limb-alignment-after-opening-wedge-high-tibial-osteotomy-can-be-lost-by-large-knee-joint-line-convergence-angle-during-surgery
#9
Ken Kumagai, Shunsuke Yamada, Tomotaka Akamatsu, Shuntaro Nejima, Takehiro Ogino, Masaichi Sotozawa, Yutaka Inaba
INTRODUCTION: The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO). MATERIALS AND METHODS: OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Anteroposterior radiographs of the knee and full-length leg, and varus and valgus stress radiographs of the knee were taken, and the femorotibial angle (FTA), joint line convergence angle (JLCA), and medial proximal tibial angle (MPTA) were measured...
March 27, 2020: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/32219543/deterioration-of-initially-accepted-radiological-alignment-of-conservatively-treated-ao-type-c-distal-radius-fractures-mid-term-outcome
#10
Leena Raudasoja, Heidi Vastamäki, Samuli Aspinen
BACKGROUND AND AIMS: It still remains controversial how often the once-accepted radiological alignment of an AO type-C distal radius fracture deteriorates after conservative treatment, and to what extent this deterioration is perhaps associated with patient-rated outcome measures (PROms). Thus, we aimed to evaluate this radiological deterioration and its association with mid-term functional follow-up. PATIENTS AND METHODS: We retrospectively reviewed 66 patients (mean age at fracture 53 years, SD 14...
March 26, 2020: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/32218722/respiratory-sinus-arrhythmia-mechanisms-in-young-obese-subjects
#11
Michal Javorka, Jana Krohova, Barbora Czippelova, Zuzana Turianikova, Nikoleta Mazgutova, Radovan Wiszt, Miriam Ciljakova, Dana Cernochova, Riccardo Pernice, Alessandro Busacca, Luca Faes
Autonomic nervous system (ANS) activity and imbalance between its sympathetic and parasympathetic components are important factors contributing to the initiation and progression of many cardiovascular disorders related to obesity. The results on respiratory sinus arrhythmia (RSA) magnitude changes as a parasympathetic index were not straightforward in previous studies on young obese subjects. Considering the potentially unbalanced ANS regulation with impaired parasympathetic control in obese patients, the aim of this study was to compare the relative contribution of baroreflex and non-baroreflex (central) mechanisms to the origin of RSA in obese vs...
2020: Frontiers in Neuroscience
https://read.qxmd.com/read/32217777/population-based-analysis-of-survival-in-spinal-muscular-atrophy
#12
Camiel A Wijngaarde, Marloes Stam, Louise A M Otto, Ruben P A van Eijk, Inge Cuppen, Esther S Veldhoen, Leonard H van den Berg, Renske I Wadman, W Ludo van der Pol
OBJECTIVE: To investigate probabilities of survival and its surrogate, that is, mechanical ventilation, in patients with spinal muscular atrophy (SMA). METHODS: We studied survival in a population-based cohort on clinical prevalence of genetically confirmed, treatment-naive patients with SMA, stratified for best acquired motor milestone (i.e., none: type 1a/b; head control in supine position or rolling: type 1c; sitting independently: type 2a; standing: type 2b; walking: type 3a/b; adult onset: type 4)...
March 26, 2020: Neurology
https://read.qxmd.com/read/32217275/effects-of-midfoot-joint-mobilization-on-ankle-foot-morphology-and-function-following-acute-ankle-sprain-a-crossover-clinical-trial
#13
John J Fraser, Susan A Saliba, Joseph M Hart, Joseph S Park, Jay Hertel
BACKGROUND: Midfoot joint impairment is likely following lateral ankle sprain (LAS) that may benefit from mobilization. OBJECTIVE: To investigate the effects of midfoot joint mobilizations and a one-week home exercise program (HEP) compared to a sham intervention and HEP on pain, patient-reported outcomes (PROs), ankle-foot joint mobility, and neuromotor function in young adults with recent LAS. METHODS: All participants were instructed in a stretching, strengthening, and balance HEP and were randomized a priori to receive midfoot joint mobilizations (forefoot supination, cuboid glide and plantar 1st tarsometatarsal) or a sham laying-of-hands...
April 2020: Musculoskeletal Science & Practice
https://read.qxmd.com/read/32215339/autologous-neurosensory-retinal-flap-for-closure-of-refractory-macular-hole-in-a-patient-with-macular-telangiectasia
#14
Andrew Hewson, Andrew McAllister, Ian Reddie
Purpose: This study explores autologous neurosensory autograph for a patient with a chronic full-thickness macular hole (FTMH) and idiopathic macular telangiectasia type 2 (IMT2). Observations: The patient had a chronic 1355 μm FTMH and best corrected visual acuity (BCVA) of 2 logMAR units after two unsuccessful attempts to close the macular hole. Following a 25-gauge vitrectomy, a 2-disc diameter neurosensory autograft from the supertemporal retina was mobilized and secured with perfluoro-N-octane (PFO) tamponade...
June 2020: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/32214393/associations-between-symptoms-of-sleep-disordered-breathing-and-maternal-sleep-patterns-with-late-stillbirth-findings-from-an-individual-participant-data-meta-analysis
#15
Robin S Cronin, Jessica Wilson, Adrienne Gordon, Minglan Li, Vicki M Culling, Camille H Raynes-Greenow, Alexander E P Heazell, Tomasina Stacey, Lisa M Askie, Edwin A Mitchell, John M D Thompson, Lesley M E McCowan, Louise M O'Brien
BACKGROUND AND OBJECTIVES: Sleep-disordered breathing (SDB) affects up to one third of women during late pregnancy and is associated with adverse pregnancy outcomes, including hypertension, diabetes, impaired fetal growth, and preterm birth. However, it is unclear if SDB is associated with late stillbirth (≥28 weeks' gestation). The aim of this study was to investigate the relationship between self-reported symptoms of SDB and late stillbirth. METHODS: Data were obtained from five case-control studies (cases 851, controls 2257) from New Zealand (2 studies), Australia, the United Kingdom, and an international study...
2020: PloS One
https://read.qxmd.com/read/32213685/a-prospective-comparative-study-of-ultrasonography-contrast-enhanced-mri-and-18f-fdg-pet-ct-for-preoperative-detection-of-axillary-lymph-node-metastasis-in-breast-cancer-patients
#16
Isa Burak Guney, Kubilay Dalci, Zafer Teke, Kadir Alper Kucuker
AIM: We aimed to evaluate; (i) the accuracy of ultrasonography (US), contrast-enhanced magnetic resonance imaging (cMRI) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) for detection of axillary lymph node metastases (ALNMs), (ii) the role of late prone imaging, and (iii) the effect of PET/CT on preoperative staging of breast cancer. MATERIAL AND METHODS: From June 2015 to January 2019, 236 breast cancer patients were preoperatively exam ined using US, cMRI, and PET/CT and whom underwent pathological evaluations of axillary lymph nodes were analyzed...
March 25, 2020: Annali Italiani di Chirurgia
https://read.qxmd.com/read/32213203/staghorn-renal-stones-what-the-urologist-needs-to-know
#17
REVIEW
Fabio C M Torricelli, Manoj Monga
Patients with staghorn renal stones are challenging cases, requiring careful preoperative evaluation and close follow-up to avoid stone recurrence. In this article we aim to discuss the main topics related to staghorn renal stones with focus on surgical approach. Most of staghorn renal stones are composed of struvite (magnesium ammonium phosphate) and are linked to urinary tract infection by urease-producing pathogens. Preoperative computed tomography scan and careful evaluation of all urine cultures made prior surgery are essential for a well-planning surgical approach and a right antibiotics choice...
March 15, 2020: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://read.qxmd.com/read/32213110/vascular-resistance-arm-of-the-baroreflex-methodology-and-comparison-with-the-cardiac-chronotropic-arm
#18
Jana Krohova, Luca Faes, Barbora Czippelova, Riccardo Pernice, Zuzana Turianikova, Radovan Wiszt, Nikoleta Mazgutova, Alessandro Busacca, Michal Javorka
Baroreflex response consists of cardiac chronotropic (effect on heart rate), cardiac inotropic (on contractility), venous (on venous return) and vascular (on vascular resistance) arms. Because of its measurement simplicity, cardiac chronotropic arm is most often analysed. The aim was to introduce a method to assess vascular baroreflex arm, and to characterize its changes during stress. We evaluated the effect of orthostasis and mental arithmetics (MA) in 39 (22 female, median age: 18.7 yrs.) and 36 (21 female, 19...
March 26, 2020: Journal of Applied Physiology
https://read.qxmd.com/read/32209931/change-in-incisional-design-in-primary-unilateral-cleft-lip-repair-under-general-anesthesia
#19
Tomoko Tsuda, Lan Lan, Daichi Morioka, Nobuhiro Sato, Yasuyoshi Tosa, Fumio Ohkubo, Koichi Kadomatsu
Nasolabial features of infants with unilateral cleft lip (UCL) are different when they are under general anesthesia for lip repair compared to when they are awake. This study aimed to investigate changes in the incisional design of cheiloplasty according to patient position and anesthesia: upright and awake versus supine and under general anesthesia. Three-dimensional images of 20 infants with UCL were randomly selected. Two different incisional designs were drawn on the images captured while the infants were awake...
March 23, 2020: Journal of Craniofacial Surgery
https://read.qxmd.com/read/32209409/anatomical-considerations-of-infrageniculate-popliteal-artery-puncture-alternative-pathway-for-retrograde-access-after-failed-re-entry
#20
T Mennecart, A Normand, P Lermusiaux, A Millon, N Della Schiava, Philippe Tresson
AIMS: A distal approach in endovascular procedures for revascularization of lowers limbs can be considered in case of no re-entry in subintimal recanalization. The aim of this study is to evaluate the feasibility of a medial approach to the infrageniculate popliteal artery (IPA) using existing CT scan simulation and punctures performed on cadavers. METHODS AND RESULTS: CT angiographies of lower extremities were used to simulate IPA puncture and puncture trajectory...
March 21, 2020: Annals of Vascular Surgery
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