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21.
《Indian journal of medical microbiology》2021,39(3):384-385
Aeromonas species can cause gastroenteritis, soft tissue infections, hepatobiliary tract and other infections. While most reported soft tissue infections have been attributed to Aeromonas hydrophila, we report a case of necrotizing fasciitis caused by Aeromonas veronii biovar sobria. Prompt and accurate diagnosis cum treatment could help save children with Aeromonas soft tissue infections from developing a bacteremia with extended morbidity and mortality. 相似文献
22.
《Indian journal of medical microbiology》2021,39(3):386-388
Vibrio vulnificus is a Gram negative motile bacterium known to cause fatal septicaemia and wound infection. It is commonly associated with the consumption of under-cooked seafood or exposure to marine environment. We report a case of a 55 year old male patient, who was presented with right lower limb cellulitis and septicaemia due to V. vulnificus. V. vulnificus infection in India are rare. However, increasing reports of V. vulnificus from India recommends considering the pathogen while dealing necrotising fasciitis especially in the proximity of marine environment. 相似文献
23.
目的 通过运动生物力学手段从动、静态两个方面评价不同足型受试者足踝功能的差异,为足踝运动研究提供理论支持和参考依据.方法 对65名受试者以足弓指数区分成扁平足、低弓足和正常足3组,采用单因素方差分析3组受试者静、动态足踝功能指标的差异.结果 在静态足踝功能方面,正常足踝关节适应性(malleolar valgus fl... 相似文献
24.
目的探讨应用负压封闭引流技术(vacuum sealing drainage,VSD)治疗糖尿病并发坏死性筋膜炎的护理。方法对我科收治的13例2型糖尿病并发坏死性筋膜炎患者应用VSD治疗,探讨应用VSD治疗2型糖尿病并发坏死性筋膜炎患者的护理对策及其方法。结果 VSD治疗坏死性筋膜炎创面有较好的效果,可以促进创面肉芽组织生长,防止创面感染加重,减轻创面渗出,创面一期手术植皮均成活。12例患者创面全部愈合后出院;1例患者因坏死性筋膜炎创面较大,治疗过程中因并发大面积脑梗死而病死。结论 VSD治疗糖尿病并发坏死性筋膜炎患者的效果较好,值得推广。 相似文献
25.
目的 提出一种鞋材弹性模量与厚度联合优化设计糖尿病足鞋垫的方法,以降低足底压力和软组织内部应力。方法 通过逆向工程方法建立足部有限元模型,基于足底压力分布特征划分鞋垫压力区域,采用有限元法对接触力学进行研究,为优化过程中调整不同区域内材料的弹性模量和鞋垫前后足厚度奠定基础,使用最优拉丁超立方设计得到最优参数组合。结果 设计的鞋垫增加约37.55%的足底接触面积,跖骨区和足跟区的压力峰值分别降低15.07%、36.96%,足跟处软组织内部应力降低20.83%,足底筋膜张力降低约60%。结论 所提出的方法可用于设计定制鞋垫,设计的个性化鞋垫具有更大的接触面积和降低糖尿病足底溃疡的良好潜力。 相似文献
26.
摘要目的:探究肌电生物反馈疗法(EMGBFT)结合镜像疗法(MT)对脑卒中患者下肢运动和平衡功能的影响。方法:选取60例脑卒中后偏瘫患者,随机分为肌电反馈组与镜像肌电组,每组30例。在常规康复基础上,肌电反馈组患者接受假MT刺激结合EMGBFT,镜像肌电组患者接受MT结合EMGBFT。于治疗前后,选用Fugl-Meyer运动功能评定量表下肢部分(FMA-LE)、表面肌电图-膝屈曲及踝背伸下的积分肌电值(iEMG)、协同收缩率(CR)评价患者下肢运动功能;睁眼及闭眼状态下,足底压力-双足平均压力和接触面积的对称指数(SI)、身体重心椭圆面积、身体重心前后向(AP)和内外向(ML)位移距离评价患者负重与平衡功能。结果:治疗后,两组患者的FMA-LE,股二头肌和股直肌、胫骨前肌和腓肠肌内侧头的CR和iEMG均明显改善(P<0.01)。治疗后,睁眼状态下,两组患者双足平均压力和接触面积SI、身体重心椭圆面积、身体重心AP及ML位移距离均明显改善(P<0.05, P<0.01),闭眼状态下,两组患者双足平均压力和接触面积SI、身体重心ML位移距离均明显改善(P<0.05, P<0.01)。与肌电反馈组治疗后比较,镜像肌电组FMA-LE、股二头肌和胫骨前肌iEMG、睁眼时身体重心椭圆面积和身体重心AP及ML位移距离、闭眼时双足接触面积SI变化幅度更加显著(P<0.05, P<0.01)。结论:肌电生物反馈疗法结合镜像疗法可提高脑卒中患者下肢运动和平衡功能,其潜在机制可能是激活了下肢薄弱肌群运动单位,缓解了下肢痉挛,改善了站立位静态平衡能力。 相似文献
27.
28.
Jarred G. Gillett Glen A. Lichtwark Roslyn N. Boyd Lee A. Barber 《Archives of physical medicine and rehabilitation》2018,99(5):900-906.e1
Objective
To investigate the relation between lower limb muscle strength, passive muscle properties, and functional capacity outcomes in adults with cerebral palsy (CP).Design
Cross-sectional study.Setting
Tertiary institution biomechanics laboratory.Participants
Adults with spastic-type CP (N=33; mean age, 25y; range, 15–51y; mean body mass, 70.15±21.35kg) who were either Gross Motor Function Classification System (GMFCS) level I (n=20) or level II (n=13).Interventions
Not applicable.Main Outcome Measures
Six-minute walk test (6MWT) distance (m), lateral step-up (LSU) test performance (total repetitions), timed up-stairs (TUS) performance (s), maximum voluntary isometric strength of plantar flexors (PF) and dorsiflexors (DF) (Nm.kg?1), and passive ankle joint and muscle stiffness.Results
Maximum isometric PF strength independently explained 61% of variance in 6MWT performance, 57% of variance in LSU test performance, and 50% of variance in TUS test performance. GMFCS level was significantly and independently related to all 3 functional capacity outcomes, and age was retained as a significant independent predictor of LSU and TUS test performance. Passive medial gastrocnemius muscle fascicle stiffness and ankle joint stiffness were not significantly related to functional capacity measures in any of the multiple regression models.Conclusions
Low isometric PF strength was the most important independent variable related to distance walked on the 6MWT, fewer repetitions on the LSU test, and slower TUS test performance. These findings suggest lower isometric muscle strength contributes to the decline in functional capacity in adults with CP. 相似文献29.
30.
Takahiko Sakuma M.D. Ph.D Koji Matsuo M.D. Shinya Koike M.D. Ph.D. Kouichiro Tagami M.D. Ph.D. 《Diagnostic cytopathology》2015,43(3):222-229
We report a case of nodular fasciitis (NF) of the breast, which was cytologically diagnosed as a spindle cell proliferation with undetermined malignant potential. Owing to small size of the lesion (5.9 × 3.7 × 4.1 mm), only fine needle aspiration (FNA) cytology was performed under ultrasound guidance. The FNA smears were cellular, rich in single/clustered spindle cells but mammary ductal epithelial/myoepithelial cells were absent. These cytologic findings suggested spindle cell growth of mesenchymal origin. Pattern‐less arrangement of spindle cells, heterogeneous composition of the stromal matrix, lack of nuclear/cellular atypia, occasional mitosis but no aberrant mitotic figures, and lymphocyte infiltration indicated reactive rather than neoplastic nature of the lesion. Nonetheless, lumpectomy was conducted because the possibility of neoplasm was not completely ruled out. The histologic diagnosis of the resected nodule was NF. FNA specimens were reviewed thoroughly in an attempt to define the key cytomorphologic features of NF that are important for the correct diagnosis. Differential diagnoses from the lesions that show similar cytologic pictures are discussed in detail. Although NF arising from the breast is rare, cytopathologists should be aware of its clinical and cytopathologic characteristics. Knowledge of the possibility of NF in the breast and its cytologic findings may help cytopathologists to discern its reactive, not neoplastic, characteristics of the lesion. If the referring surgeon is alerted NF as a possibility along with other differential diagnoses, close observation would become a management option. In‐depth discussion of cytologic features and a review of the pertinent literature are also included. Diagn. Cytopathol. 2015;43:222–229. © 2014 Wiley Periodicals, Inc. 相似文献