- A systematic review of the efficacy and limitations of venous intervention in stasis ulceration. [Review]
- JVJ Vasc Surg Venous Lymphat Disord 2018 Feb 13
- CONCLUSIONS: Currently available minimally invasive techniques correct most venous pathologic processes in chronic venous disease with a good sustainable healing rate. There are still specific diagnostic and efficacy limitations that mandate proper match of individual patients with the planned approach.
- What is the effect of exercise on wound healing in patients with venous leg ulcers? A systematic review. [Journal Article]
- IWInt Wound J 2018 Feb 15
- Standard best practice for the treatment of venous leg ulcers (VLUs) is compression bandaging of the lower leg to reduce hydrostatic pressure. There is considerable variation in reported healing rate...
Standard best practice for the treatment of venous leg ulcers (VLUs) is compression bandaging of the lower leg to reduce hydrostatic pressure. There is considerable variation in reported healing rates when using this gold-standard approach; therefore, a systematic and robust evaluation of other interventions is required. Exercise interventions, in addition to standard compression therapy, could improve wound-healing time and prevent their recurrence. We have conducted a systematic review to examine the effects of exercise on wound characteristics, including time to heal, size and recurrence, pain, quality of life, adverse events, and economic outcomes. This review was registered with PROSPERO 2016:CRD42016046407. A systematic search of Ovid Medline, Ovid EMBASE, Ovid CINAHL, The Cochrane Library, PsycINFO, Web of Science, and PEDro was conducted on January 30, 2017, for randomised control trials to examine the effects of exercise on time to heal, size and recurrence, pain, quality of life, adverse events, and economic outcomes. Six studies met the inclusion criteria, but all had design flaws leading to biases, most commonly performance and selective reporting bias. Three studies compared a progressive resistance exercise programme (PREG) plus compression with compression alone for a period of 12 weeks. Low-quality evidence indicates the following: possibly no difference in the proportion of ulcers healed (risk ratio [RR] 1.14, 95% CI 0.71 to 1.84, I236%; 3 trials, 116 participants); probably no difference in quality of life (mean difference [MD] 3 points better on 100 point scale with exercise, 95% CI -1.89 to 7.89, 1 trial, 59 participants); possible increase in the risk of adverse events with exercise (OR 1.32, 95% CI 0.95 to 1.85, 1 RCT, 40 participants); and no difference in ankle range of motion and calf muscle pump. Evidence was downgraded due to susceptibility to bias and imprecision. Recurrence, pain, and economic outcomes were not measured in these trials, and time to healing was measured but not fully reported in 1 trial. We are uncertain of the effects of other interventions (community-based exercise and behaviour modification, ten thousand steps, supervised vs unsupervised exercise) due to the availability of low- or very low-quality evidence only from single trials. The review highlights the need for further research, with larger sample sizes, to properly address the significance of the effect of exercise on VLU wound characteristics.
- Saphenous nerve block as a diagnosis tool for chronic postsurgical pain of the left medial calf. [Journal Article]
- CCClin Case Rep 2018; 6(2):454-455
- Ultrasound-guided saphenous nerve block above the knee may be a valuable diagnosis tool in patient presenting chronic pain of the calf.
Ultrasound-guided saphenous nerve block above the knee may be a valuable diagnosis tool in patient presenting chronic pain of the calf.
- Muscle metastases: rare problem with unusual solution. [Journal Article]
- BSBMJ Support Palliat Care 2018 Feb 01
- Skeletal muscle is an unusual site for metastasis from malignancy. We report a patient who presented with calf metastases from a squamous cell carcinoma of lung. Attempts were made to control his pai...
Skeletal muscle is an unusual site for metastasis from malignancy. We report a patient who presented with calf metastases from a squamous cell carcinoma of lung. Attempts were made to control his pain conservatively for almost 2 years before he was referred for a below-knee amputation. He did well following this and was able to stop the majority of his analgesic drugs.
- Outcome after operative treatment for chronic versus acute Achilles tendon rupture - A comparative analysis. [Journal Article]
- FAFoot Ankle Surg 2017 Jan 04
- CONCLUSIONS: Open reconstruction for chronic AT rupture may result in comparable clinical and functional outcomes, but a thicker tendon compared with percutaneous suturing after acute AT rupture.
- An intradural extramedullary bronchogenic cyst in the thoracolumbar spine: A case report. [Case Reports]
- MMedicine (Baltimore) 2017; 96(50):e9263
- CONCLUSIONS: If the patient's MRI findings are not correlated with the electrophysiologic and physical examination findings, additional MRI should be accompanied with other tests for an early detection.
- Analysis of Clinical Manifestations and Laboratory Findings in Children with Influenza B-Associated Myositis: A Single Center Study. [Journal Article]
- KJKorean J Fam Med 2018; 39(1):37-41
- CONCLUSIONS: IBAM was generally benign and short, and although the blood AST, CK, and LDH levels were markedly high, the erythrocyte sedimentation rate and C-reactive protein levels were normal. Further, the duration of IBAM symptoms correlated with the duration of fever. The IBAM-associated clinical and laboratory findings are highly characteristic and may allow its rapid diagnosis during the influenza season.
- [Capsular-enhanced repair with suture anchors in bipolar hemiarthroplasty for the treatment of femoral neck fractures in elderly patients]. [Journal Article]
- ZGZhongguo Gu Shang 2017 Apr 25; 30(4):313-317
- CONCLUSIONS: The bipolar hemiarthroplasty with capsular-enhanced repair with suture anchors is effective in reducing postoperative complications of prosthesis dislocation.
- Clinical and metabolic indicators associated with early mortality at a milk-fed veal facility: A prospective case-control study. [Journal Article]
- JDJ Dairy Sci 2018; 101(3):2669-2678
- Antimicrobial use and resistance, in combination with high levels of mortality, are important challenges facing the veal industry. To improve both the economic sustainability of the industry and anim...
Antimicrobial use and resistance, in combination with high levels of mortality, are important challenges facing the veal industry. To improve both the economic sustainability of the industry and animal welfare, measures need to be taken to explore and address reasons for these challenges. Health status at arrival may be an important predictor of calf mortality because substantial mortality occurs early in the growing period on veal operations. The objective of this observational case-control study was to identify clinically measurable variables and metabolic indicators associated with mortality in the first 21 d following arrival at a veal facility. Calves were evaluated using a standardized health scoring system, blood was collected, calves were weighed, and the supplier of the calf was recorded at arrival. The calves were followed until death or 21 d after arrival. Cases were defined as calves that died ≤21 d following arrival. Two controls for every case were randomly selected from calves that survived >21 d, arrived on the same day, and were housed in the same barn as cases. Stored serum harvested at arrival from cases and controls was submitted for measurement of concentrations of nonesterified fatty acids, β-hydroxybutyrate, glucose, cholesterol, urea, haptoglobin, and immunoglobulin G. A conditional logistic regression model was built to evaluate factors associated with mortality ≤21 d following arrival. A total of 4,825 calves were evaluated from November 2015 to September 2016. The mortality risk in the first 21 d was 2.8%, giving 135 cases, which were compared with 270 controls. Six variables were significant in the final multivariable model. Calves with a slightly enlarged navel with slight pain or moisture, and those with severe dehydration had increased odds of mortality ≤21 d following arrival. Drover-derived calves, calves that weighed more, and calves that had higher concentration of immunoglobulin G or cholesterol at arrival were less likely to die. The results demonstrate that calves at elevated risk for early mortality can be identified at arrival using both health and hematological factors. Early recognition of high-risk calves may allow for an intervention that could result in improvement in survival rates; however, prevention of these abnormalities before arrival at veal facilities needs to be further explored.
New Search Next
- Chronic Calf Pain Caused by Fibroma-Induced Chronic Inflammation Around the Tibial and Peroneal Nerves that Was Misdiagnosed as Centralized Neuropathic Pain: A Case Report. [Case Reports]
- PPPain Pract 2017 Dec 28
- CONCLUSIONS: The findings from this case suggest that ultrasonography should be used as the primary modality for the evaluation of calf pain. Although the features of unresolved calf pain are similar to those of neuropathic pain, more curable etiologies should be considered.