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Comparison of two insole materials using subjective parameters and pedobarography (pedar-system).

INTRODUCTION:: The objective of this trial was to investigate two commonly used insole materials prescribed for shock-absorption and cushion … e Time Integral' (PTI). These parameters were determined for the whole footsole, medial and lateral heel, medial and lateral midfoot, medial, middle and lateral forefoot, hallux and toes II-V. Additionally the subjects filled in a questionnaire including: time wearing the insoles daily (in hours), sweating (visual analogue scale -- VAS), wearing comfor …

[A 64-year-old woman with severe headache and progressive disturbance of consciousness].

We report a 64-year-old woman who developed nausea, headache, and consciousness disturbance. She was well until four years before the onset … functions were intact. Cranial nerves were also unremarkable. She was able to walk in tandem and on heels. No motor weakness or ataxia was noted. Deep tendon reflexes were moderately increased, however, no Babinski sign was noted. Although she had headache, no meningeal signs were seen. Slight superficial and vibratory sensory loss was noted in both fe …

EXPERIMENTAL SYPHILIS IN THE RABBIT : IV. CUTANEOUS SYPHILIS. PART 2. CLINICAL ASPECTS OF CUTANEOUS SYPHILIS.

From the study of a large number of rabbits with generalized cutaneous syphilis following local inoculation with Treponema pallidum, lesions … and external malleolus, the base of the fifth metatarsal, the lateral and posterior surfaces of the heel and tendo achillis, and the base of the fifth toe. In many instances, the positions of predilection were exposed positions or areas of skin covering bony or tendinous prominences. It was also found that the character of the lesions differed somewhat …

Evaluation of Wound Closure Rates Using a Human Fibroblast-derived Dermal Substitute Versus a Fetal Bovine Collagen Dressing: A Retrospective Study.

UNLABELLED: Diabetic foot ulcers (DFUs) are associated with an increased risk for serious and costly outcomes such as osteomyelitis, amputat … eceived at least one treatment in 2014 with HFDS or FBCD on a DFU with location coded as foot, toe, heel, metatarsal head, toe web space, toe amputation site, or transmetatarsal amputation site; ulcer size ≥1 cm2 to <20 cm2; and ulcer area reduction ≤50% in the 28 days before the first treatment with HFDS or FBCD were eligible for inclusion. Wounds tha …

Nutritional status and complications in children with diabetic ketoacidosis.

OBJECTIVE: Diabetic ketoacidosis in children continues to be an important cause of morbidity and mortality, especially in developing economi … consecutively and assessed for nutritional status by anthropometric parameters (body weight, crown-heel length/height, mid-upper arm circumference, triceps and subscapular skin fold thicknesses), biochemical parameters (serum albumin, zinc, magnesium, vitamin A levels), and preillness dietary history (by pretested Food Frequency Questionnaire). Patien …

Calcaneo-Cuboid-Cuneiform Osteotomy for the Treatment of Planovalgus Feet in Patients with Spastic Cerebral Palsy.

BACKGROUND: The calcaneo-cuboid-cuneiform (triple-C) osteotomy is indicated for the correction of symptomatic flexible planovalgus foot defo … ace of the calcaneus. The posterior calcaneal fragment is displaced medially to allow correction of heel valgus. A separate lateral incision is made over the cuboid in order to expose it. An osteotomy is performed in the middle third of the cuboid without violating the adjacent joints and opened with a lamina spreader to allow correction of the forefoo …

[A 32-year-old man who developed a posterior fossa mass 12 years after the radiation therapy for cerebellar arteriovenous malformation].

We report a 32-year-old man who developed cerebellar ataxia and a posterior fossa mass 12 years after the radiation therapy for a cerebellar … support but was unable to walk. No muscle atrophy or weakness was noted. The finger-to-nose and the heel-to-knee tests showed dysmetria and decomposition more on the right. Rapid alternating movements were ataxic on the right. Muscle tone was diminished on the right. Muscle stretch reflexes were normally elicited and were symmetric. The plantar respons …

Регенеративная терапия на основе коллагена в критическом ишемическом диабиотическом ульце: доклад по делу о лимб-алкоголе.

58-летний мужчина с диабетом, конечной стадией почечных заболеваний и тяжелой периферической артерией страдал от хронической ишемической язвы ступни до одного года традиционной терапии. Инъекционная регенеративная терапия на основе коллагена привела к полной эпителиализации в течение трех месяцев и к долговременному спасению конечностей даже после техногенного рецидива, требующего реваскуляции.

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… Weeks 10–12 Development of two additional ulcers over the great toe and posterior heel. Weeks 12–17 Five sessions for the toe and heel ulcers: two Collagen‐Poly + Matrix, two Collagen‐Poly + Muscle, one Collagen‐Poly + Matrix. … Posterior heel ulcer following collagen therapy, with infection resolution and contraction of the wound margins to a small residual epithelial defect. …

Assessment of dried blood spot and umbilical cord blood samples for the quantification of maternally transferred IgG against the group B streptococcal alpha-like surface proteins in neonates at Kolding Hospital, Denmark: a proof-of-concept, cross-sectional study.

BACKGROUND: Maternally transferred IgG against group B Streptococcus (GBS) reduces the risk of GBS disease in infants. Previous studies have … serum volume. Umbilical cord blood samples were collected immediately after birth. Paired neonatal heel blood samples and DBSSs were collected 48-72 h after birth. Using ELISA, we measured the levels of AlpN-specific IgG in cord serum, neonatal serum, and DBSS eluates using two 3-mm punches. Agreement between sample types was assessed using the concor …

Topical anaesthesia for needle-related pain in newborn infants.

BACKGROUND: Hospitalised newborn neonates frequently undergo painful invasive procedures that involve penetration of the skin and other tiss … puncture and venepuncture. Three studies found no statistical difference between the groups during heel lancing. For amethocaine, three studies reported a statistically significant reduction in pain compared to placebo during venepuncture and one study reported a statistically significant reduction in pain compared to placebo during cannulation. One s …

Displaced intra-articular calcaneal fractures: variables predicting late subtalar fusion.

OBJECTIVE: The goal of the current study was to analyze the prospective clinical outcome of patients who failed closed or open treatment of … ) patients and operative (open reduction and internal fixation) in 7 (16%) (1 patient had bilateral heel fractures). Patients requiring fusion differed demographically from those patients not requiring fusion. Mean age was 39 years in both the fusion and nonfusion group. The fusion group had 97% males, whereas the nonfusion group had 89% males. Sixty-f …

Preoperative Pain Sensitization Is Associated With Postoperative Pillar Pain After Open Carpal Tunnel Release.

BACKGROUND: Postoperative pillar pain (deep-seated wrist pain worsened by leaning on the heel of the hand) sometimes occurs after carpal tunnel release (CTR), leading to weakness in the hand and delayed return to work. Increased pain sensitivity has been found to be associated with worse symptoms and poorer treatment response in a number of chronic musculoskeletal conditions, but few studies have investigated the association of pain sensitization with pillar pain after CTR. QUESTIONS/PURPOSES: (1) Is preoperative pain sensitization in patients with carpal tunnel syndrome (CTS) associated with…

Sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age.

BACKGROUND: Administration of oral sucrose or glucose with and without non-nutritive sucking is frequently used as a non-pharmacological int … dures included but were not limited to: subcutaneous or intramuscular injections, venepuncture, and heel lance. Studies in which the painful procedure was circumcision, lumbar puncture or supra-pubic bladder aspiration were not included as they are more severe and painful than needle-related procedures. Control conditions included no treatment or place …

Automatic detection of human gait events: a simple but versatile 3D algorithm.

BACKGROUND: Detecting Foot Strike and Foot Off events in human gait, which is cyclic yet variable, consistently requires expert correction. This subjective correction can reduce spatiotemporal parameters, joint kinematic and kinetic accuracy, regardless of the gait event detection algorithm used from the literature. Recently developed methods have combined existing algorithms to better capture this gait variability, using Ground Reaction Forces. However, those methods do not fully account for intra-individual variability, particularly in the case of multiple and simultaneous gait patterns. ME

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… fore-foot (Toe) and Sacrum Y HEE FS: Maximum of high-filtered antero-posterior Heel position Desailly et al. [ 4 ] TOE FO: Minimum of high-filtered antero-posterior Toe position Velocity Z HEE, TOE FS: Minimum of foot virtual centre (Heel–Toe middle) vertical speed O’Connor et al. [ 8 ] HEE, TOE FO: … Finally, if only two markers can be placed on the foot, we recommend using Heel and Hallux markers. …

Breastfeeding or breast milk for procedural pain in neonates.

BACKGROUND: Physiological changes brought about by pain may contribute to the development of morbidity in neonates. Clinical studies have sh … n evaluated breastfeeding and ten evaluated supplemental breast milk. Sixteen studies analysed used heel lance and four used venepuncture as procedure. We noted marked heterogeneity in control intervention and pain assessment measures among the studies. Neonates in the breastfeeding group had statistically a significantly lower increase in heart rate, …

Current epidemiology of atopic dermatitis in south-eastern Nigeria.

BACKGROUND: Atopic dermatitis (AD) is a common pruritic, eczematous skin disorder that runs a chronic and relapsing course. In Nigeria, it i … peripheral blood eosinophils in 519 patients (51%), particularly for those with severe AD. Fissured heels, forehead lichenification, orbital darkening, nail pitting, sand paper-like skin lesions on the elbows/knees/lateral malleolli, knuckle dermatitis of the hands, palmar erythema and pitted keratolysis occurred more uncommonly as minor features. Infe …

[Subtalar arthrodesis-surgical management of the planovalgosity of the foot in infantile cerebral palsy.].

UNLABELLED: PURPOSE OF THE STUDY The study evaluated the possibilities of the application of the surgical method of fusion and the mutual co … clinical and x-ray examinations inform about clinical condition of the deformity (derotation of the heel, condition of the longitudinal arch), walking stereotype and evaluation of the position of the bone graft. The results may be divided into 3 categories. The category of excellent results comprises 25 (61 %) operated on feet from the group of extraar …

Surgical versus conservative interventions for displaced intra-articular calcaneal fractures.

BACKGROUND: Fractures of the calcaneus (heel bone) comprise up to 2% of all fractures. These fractures are mostly caused by a fall from a height, and are common in younger adults. Treatment can be surgical or non-surgical; however, there is clinical uncertainty over optimal management. OBJECTIVES: To assess the effects of surgical compared with conservative treatment of displaced intra-articular calcaneal fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (to July 2011), the Cochrane Central Register of Controlled Trials (Th…

Operative treatment of the difficult stage 2 adult acquired flatfoot deformity.

In the flexible pes planovalgus deformity of stage 2 posterior tibial tendon dysfunction, osteotomies appear to have a significant role in o … cuneiform tendon transfer, débridement or removal of the posterior tibial tendon, and percutaneous heel cord lengthening. Early results were positive at 1.5 years after surgery with respect to maintenance of correction and functional improvement with no evidence of calcaneocuboid arthrosis. More recently, the intermediate 5-year follow-up has been ass …

Analysis of plantar loading parameters pre and post surgical intervention for hallux vargus.

INTRODUCTION:: The purpose of the study was to compare range of motion (ROM) and plantar loading parameters pre and post surgical interventi … surgical correction for HV. Each step was analysed by dividing the foot into seven plantar regions: heel (HL), midfoot (MF), medial forefoot (MFF), central forefoot (CFF), lateral forefoot (LFF), medial toe (MT) and lateral toe (LT). The following variables for each region were generated via the Novel-win software: peak force (%BW), peak pressure (Kpa) …