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Gastrointestinal diseases and pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Murtaza Arif, Anjana Sathyamurthy, Jessica Winn, Jamal A. Ibdah
Pregnant patients should not be placed in the decubitus or prone position during endoscopic procedures. Position pregnant patients in left pelvic tilt or left lateral position to avoid vena caval or aortic compression. External abdominal pressure should be avoided. If pressure is required, it should be minimal and directed away from the uterus.
Examination of Hip Joint in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
Nirmal Raj Gopinathan, Reet Mukopadhya, Karthick Rangasamy, Ramesh Kumar Sen
Look for symmetry of the shoulders and look at the spine for any curvature or scoliosis. Look at the skin of the lower back for any tufts of hair/dimples/swelling. A pelvic tilt, if any, should be identified by comparing the position of the posterior superior iliac spine (PSIS) (dimple of venous) on both sides. The gluteal fold level and any sagging/atrophy should be compared with the opposite side.
A-P Full Spine and Lumbar, Sacrum, and Coccyx Views
Published in Russell L. Wilson, Chiropractic Radiography and Quality Assurance Handbook, 2020
The image should be free of any rotation of the patient. If time permits, take the routine lateral and look at the film before taking the spot film. The amount of pelvic tilt and posture will impact positioning. If there is a leg length discrepancy or scoliosis, taking the full lateral with the beam aimed into the convexity may avoid the need for the spot film.
The association between physical activity and sleep during pregnancy: a systematic review
Published in Behavioral Sleep Medicine, 2023
Summer S. Cannon, Michele Lastella, Kelly R. Evenson, Melanie J. Hayman
The mechanisms by which PA improves sleep during pregnancy are not yet fully understood. What is currently known is that PA assists with sleep inducing thermoregulation, optimizes the levels of brain neuropeptides and neurotransmitters necessary for sleep, reduces depressive and anxiety related symptoms that prevent sleep, and promotes the bodily need for the muscle restorative rest that sleep brings (Buman & King, 2010). Pregnancy specific mechanisms by which PA improves sleep are yet to be investigated and may differ from non-pregnant populations. It is possible that exercise during pregnancy reduces body pain levels which subsequently benefits sleep. For example, lower back pain resulting from a growing pregnant belly is a common barrier to sleep during pregnancy (Won, 2015). A study by Kamali et al. (2009) found that engaging in sitting pelvic tilt exercise significantly reduced lower back pain and improved sleep quality in pregnant women (Kamali et al., 2009). Thus, future studies should aim to further understand the specific mechanisms by which PA improves sleep during pregnancy.
Rapidly destructive coxopathy due to dialysis amyloidosis: a case report
Published in Modern Rheumatology Case Reports, 2021
Shiho Nakano, Arata Nakajima, Masato Sonobe, Manabu Yamada, Hiroshi Takahashi, Yasuchika Aoki, Kensuke Terai, Hiroyuki Hiruta, Koichi Nakagawa
A 61-year-old male who had been on dialysis for seven years due to diabetic nephropathy felt left hip pain for the first time one year before. Thereafter the pain increased, and he visited our hospital as he had difficulty walking. He was 181 cm tall and weighed 98 kg; his body mass index was 29.9 kg/m2 so he was considered obese. He had not received medical treatment for inflammatory arthritis or gastrointestinal disorders despite long-term haemodialysis. The standing radiograph at the first visit showed collapse of the femoral head and joint space narrowing. Posterior pelvic tilt was also observed (Figure 1(A)). One month later, progress of the collapse and flattening of the femoral head were evident on the standing radiograph (Figure 1(B)). Magnetic resonance imaging (MRI) of the hip revealed bone marrow edoema of the acetabulum and sclerosis of the subchondral bone of the femoral head (Figures 2(A,B)). The bone marrow edoema extended from the femoral head to the proximal femur. Joint fluid effusion was also evident (Figure 2(B)). Biochemical analyses for the blood disclosed an elevated C-reactive protein (CRP) of 5.91 mg/dl but the white blood cell count (WBC) was 8910/μl. Joint fluid cultures were negative for general bacteria, tubercle bacillus, and nontuberculous mycobacteria.
Benefits of a musculoskeletal modelling decision making procedure on hamstring lengthening outcomes: a retrospective study
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2019
Crouch gait is one of the most common gait deviations in cerebral palsy. When caused by short hamstrings, surgical lengthening may be indicated. Although effective this procedure may also be inefficient or iatrogenic on the pelvic tilt. Musculoskeletal modelling has been introduced to help lengthening decision (Arnold et al. 2006). We add to this approach clinical maximum hamstring length and machine learning in a procedure named SiMusCP (Desailly et al. 2012; Sebsadji et al. 2012). Except in MacWilliams et al. (2016) and Laracca et al. (2014) studies has only assessed the benefits of those approaches on series that has not been operated with knowledge of the recommendations prior to surgery. The purpose of this paper is to assess the contribution of the SiMusCP procedure to surgical decision making.