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Su X, Wang Z, Wu B, Song K, Chen Y, Zhang C, Xue C, Ge L, Liu Y. Care of abdominal skin in ankylosing spondylitis patients undergoing corrective spinal surgery. Exp Ther Med 2021; 22:1350. [PMID: 34659496 DOI: 10.3892/etm.2021.10785] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 12/15/2020] [Indexed: 11/06/2022] Open
Abstract
The present study aimed to investigate the effect of a new method of abdominal skin care on patients with ankylosing spondylitis (AS) undergoing orthopedic surgery. A total of 90 patients with AS and thoracolumbar kyphosis undergoing orthopedic surgery were randomly divided into two groups. Patients in the control group received routine care while those in experimental group received the following new treatment regimen: i) Vaseline cream was applied to the abdominal skin for 3-5 min every 6 h; ii) preoperative stretch exercises were encouraged and iii) 24 h after surgery, the patient was placed in a lateral decubitus position. The difference in abdominal pain levels and the size of tension blisters was the compared between the two groups. There was no difference in age, gender, disease course and kyphosis angle between two groups (P>0.05). Compared with the patients in the control group, those in test group experienced milder pain when evaluated by visual analogue score at 6, 18 and 30 h after surgery (3.6±1.2 vs. 4.5±1.8; 4.4±2.3 vs. 6.1±2.7; 4.1±2.1 vs. 4.1±2.1, P<0.05). Moreover, tension vesicles in the abdominal skin were significantly smaller in the treatment group than the control group (P<0.05). Optimal nursing may be the key to the reduction of the level of pain and occurrence of tension vacuoles in the abdominal skin.
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Affiliation(s)
- Xiaojing Su
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Zheng Wang
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Bing Wu
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Kai Song
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Yixiu Chen
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Chunzheng Zhang
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Chuanjuan Xue
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Lili Ge
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
| | - Yang Liu
- Department of Orthopedics, General Hospital of The People's Liberation Army, Beijing 100853, P.R. China
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Wang L, Kwakyi O, Nguyen J, Ogbuokiri E, Murphy O, Caldito NG, Balcer L, Frohman E, Frohman T, Calabresi PA, Saidha S. Microvascular blood flow velocities measured with a retinal function imager: inter-eye correlations in healthy controls and an exploration in multiple sclerosis. EYE AND VISION 2018; 5:29. [PMID: 30410945 PMCID: PMC6217760 DOI: 10.1186/s40662-018-0123-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 10/17/2018] [Indexed: 01/13/2023]
Abstract
Background The retinal microcirculation has been studied in various diseases including multiple sclerosis (MS). However, inter-eye correlations and potential differences of the retinal blood flow velocity (BFV) remain largely unstudied but may be important in guiding eye selection as well as the design and interpretation of studies assessing or utilizing retinal BFV. The primary aim of this study was to determine inter-eye correlations in BFVs in healthy controls (HCs). Since prior studies raise the possibility of reduced BFV in MS eyes, a secondary aim was to compare retinal BFVs between MS eyes, grouped based on optic neuritis (ON) history and HC eyes. Methods Macular arteriole and venule BFVs were determined using a retinal function imager (RFI) in both eyes of 20 HCs. One eye from a total of 38 MS patients comprising 13 eyes with ON (MSON) and 25 eyes without ON (MSNON) history were similarly imaged with RFI. Results OD (right) and OS (left) BFVs were not significantly different in arterioles (OD: 3.95 ± 0.59 mm/s; OS: 4.08 ± 0.60 mm/s, P = 0.10) or venules (OD: 3.11 ± 0.46 mm/s; OS: 3.23 ± 0.52 mm/s, P = 0.06) in HCs. Very strong inter-eye correlations were also found between arteriolar (r = 0.84, P < 0.001) and venular (r = 0.87, P < 0.001) BFVs in HCs. Arteriolar (3.48 ± 0.88 mm/s) and venular (2.75 ± 0.53 mm/s) BFVs in MSNON eyes were significantly lower than in HC eyes (P = 0.009 and P = 0.005, respectively). Similarly, arteriolar (3.59 ± 0.69 mm/s) and venular (2.80 ± 0.45 mm/s) BFVs in MSON eyes were also significantly lower than in HC eyes (P = 0.046 and P = 0.048, respectively). Arteriolar and venular BFVs in MSON and MSNON eyes did not differ from each other (P = 0.42 and P = 0.48, respectively). Conclusions Inter-eye arteriolar and venular BFVs do not differ significantly in HCs and are strongly correlated. Our findings support prior observations that arteriolar and venular BFVs may be reduced in MS eyes. Moreover, this seems to be the case in both MS eyes with and without a history of ON, raising the possibility of global blood flow alterations in MS. Future larger studies are needed to assess differences in BFVs between MSON and MSNON eyes.
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Affiliation(s)
- Liang Wang
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | - Ohemaa Kwakyi
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | - James Nguyen
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | - Esther Ogbuokiri
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | - Olwen Murphy
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | | | - Laura Balcer
- 2Departments of Neurology, Population Health and Ophthalmology, New York University School of Medicine, New York, NY USA
| | - Elliot Frohman
- 3Departments of Neurology and Ophthalmology, University of Texas Austin Dell Medical School, Austin, TX USA
| | - Teresa Frohman
- 3Departments of Neurology and Ophthalmology, University of Texas Austin Dell Medical School, Austin, TX USA
| | - Peter A Calabresi
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
| | - Shiv Saidha
- 1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD USA
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Ciccone MM, Scicchitano P, Gesualdo M, Cortese F, Zito A, Manca F, Boninfante B, Recchia P, Leogrande D, Viola D, Damiani M, Gambacorta V, Piccolo A, De Ceglie V, Quaranta N. Idiopathic sudden sensorineural hearing loss and ménière syndrome: The role of cerebral venous drainage. Clin Otolaryngol 2017; 43:230-239. [PMID: 28744995 DOI: 10.1111/coa.12947] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To evaluate the influence of cerebral venous drainage on the pathogenesis of idiopathic sudden sensorineural hearing loss (ISSHL) and Ménière syndrome (MD). DESIGN Observational, prospective, cohort study. SETTING ENT and Cardiology Departments (University of Bari, Policlinico Hospital, Bari, Italy). PARTICIPANTS We enrolled 59 consecutive patients (32 males, mean age 53.05 + 15.37 years): 40 ISSHL and 19 MD. MAIN OUTCOME MEASURE All patients underwent physical examination, biochemical evaluation (glycemic and lipid profile, viral serology, C reactive protein, etc), audiometric (tonal, vocal, vestibular evoked myogenic potentials and auditory brainstem response test) and impedentiometric examination. The pure tone average (PTA) was calculated for the following frequencies: 250, 500, 1000, 2000, 3000, 4000, 8000. An echo-color Doppler evaluation of the venous cerebral veins, internal jugular (IJV) and vertebral veins (VV) at supine and 90° position was performed. RESULTS No morphological alterations were found both in patients and controls. There were no signs of stenosis, blocked flow, membranes, etc. We found lower minimum, mean and maximum velocities in distal IJVs (P = .019; P = .013; P = .022; respectively) and left VVs (P = .027; P = .008; P = .001; respectively) in supine (0°) position in both MD and ISSHL patients as compared to controls. The same was for orthostatic position (90°). We found negative correlations between the velocities in extracranial veins and PTA values: therefore, the worst the audiometric performance of the subjects, the lower the velocities in the venous cerebral drainage. CONCLUSIONS Idiopathic sudden sensorineural hearing loss and Ménière syndrome patients showed altered venous flow in IJVs and VVs as compared to controls, independently from posture. This different behavior of venous tone control can influence the ear performance and may have a role in the pathogenesis of both diseases.
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Affiliation(s)
- M M Ciccone
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - P Scicchitano
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - M Gesualdo
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - F Cortese
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - A Zito
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - F Manca
- Department of Science of Educational, Psicology and Communication, University of Bari, Bari, Italy
| | - B Boninfante
- P.J.D. of Statistical- Department of Medical Statistics, University of Bari, Bari, Italy
| | - P Recchia
- Dipartimento di studi aziendali e giusprivatistici, University "A. Moro" of Bari, Bari, Italy
| | - D Leogrande
- Dipartimento di studi aziendali e giusprivatistici, University "A. Moro" of Bari, Bari, Italy
| | - D Viola
- Dipartimento di studi aziendali e giusprivatistici, University "A. Moro" of Bari, Bari, Italy
| | - M Damiani
- Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Bari, Italy
| | - V Gambacorta
- Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Bari, Italy
| | - A Piccolo
- Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Bari, Italy
| | - V De Ceglie
- Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Bari, Italy
| | - N Quaranta
- Section of Otolaryngology, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Bari, Italy
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