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Biomedical subjects

M Tolley

Publications and source records attributed to M Tolley.

11 recordsLinked to original sources
PubMed2002

Theoretical study of the decrease in the femoral neck anteversion during growth.

This theoretical analysis tries to explain the decrease of the femoral neck anteversion during growth according to well-established concepts. In the frontal plane, it was demonstrated that the capital epiphyseal plate inclination allows the plate to remain perpendicular to the resultant force applied to the hip during gait. In the transversal plane, the projection of this force varies from -24 degrees, outwards and forwards (heel strike), to 20 degrees, outwards and backwards (toe off). A mathematical formula calculates the instantaneous coordinates of the plate in this plane during gait. This kinematic study points out that the physiological value of the capital epiphyseal plate anteversion at the end of the growth is theoretically the ideal value to obtain in the transversal or horizontal plane a perpendicular relation between the orientation of this plate and the projection of the resultant force during walking.

Biomechanical Phenomena↗
PubMed1999

[Analysis of the acetabulum anterior cover].

PURPOSE: The false profile X-Ray view as described by Lequesne, allowing the measurement of the anterior cover of the acetabulum, is a slantwise view obtained by a 65 degrees inclination of the pelvis on the radiographic plate. The errors introduced by this radiological measurement of the anterior cover are evaluated. MATERIALS AND METHODS: An anatomical and radiological analysis is conducted on 20 acetabula. The anterior cover is measured on the bone and the A point, the anterior extremity of the acetabular roof, is plumbed. Each pelvis is imaged following the Lequesne method. The VCA angle is measured with the radiological point A described by Lequesne and with the metallic point A as reference. RESULTS: The difference between the anatomical and radiological values of the anterior cover is an average by 11 degrees and undervalues the anatomical value. The deviation is reduced by the application of a trigonometrical formula. A difference between the radiological localisation of A point described by Lequesne and the metallic marker is pointed out. This difference increases when the acetabulum becomes dysplasic. CONCLUSION: The acetabular anterior cover measured with the radiological incidence described by Lequesne undervalues the real value. Moreover, the error increases when the acetabulum is dysplasic.

Acetabulum↗
PubMed1999

A method to measure acetabular cup anteversion after total hip replacement.

The authors propose a simple and practical method to measure radiologically the angle of ante- or retroversion of the acetabular cup using a goniometer. It only necessitates an anteroposterior radiograph centered on the femoral head and another one centered on the public symphysis. Special x ray equipment, compass, conversion table, mathematical formulas, or a pocket calculator are not required. The opening of the prosthetic cup is projected on the film as an ellipse. According to the rules of descriptive geometry, the true size of the angle of anteversion is easily obtained. The geometric constructions consist in drawing four lines. The adequate positioning on a hip radiograph of the protractor, drawn on the goniometer, permits the direct reading of the true and planar anteversion angles of the cup.

Acetabulum↗
PubMed1998

[Study of cotyloid anteversion by coxometric measurement].

A coxometric evaluation is helpful for the diagnosis and the prognosis of hip dysplasia. These measurements also given an intrinsic guide to the surgeon for total hip arthroplasty. A coxometric protractor is drawn on the majority of the goniometers and allows the measurement of the angle of internal and external roof, the angle of the acetabular roof obliquity and the femoral neck-shaft angle on a hip AP X-ray. The purpose of this report is to demonstrate that on the same X-ray, the adequate placement of the coxometric protractor allows to calculate the inclination angle, the acetabular anteversion angles and the anterior roof angle.

Acetabulum↗
PubMed1997

Power to the patient.

1. The move to a long-term care facility often strips elders of self-control and decision-making, leading to a sense of powerlessness and low self-esteem. 2. Life is measured day to day. Restoring choices in activities of daily living, nutrition and fluids, and social activities allows clients to function at maximum autonomy while reducing the workload of staff. 3. The key is a change of focus. Innovative changes providing variety and choice in long-term care facilities are achievable and cost-effective.

Activities of Daily Living↗
PubMed1990

Structure and function of X-Pro dipeptide repeats in the TonB proteins of Salmonella typhimurium and Escherichia coli.

The TonB protein is required for several outer membrane transport processes in bacteria. A short 33-residue peptide segment of TonB has been studied by 1H and 13C nuclear magnetic resonance spectroscopy. The sequence of this peptide segment contains multiple Glu-Pro and Lys-Pro dipeptide repeats that maintain rigid, elongated structures and flank a short connecting segment that adopts a beta-strand configuration. This TonB peptide is shown to interact specifically with the FhuA protein, the outer membrane receptor for ferrichrome-iron, providing the first direct evidence that the TonB protein interacts with outer membrane receptors. Interaction with the FhuA protein involves the extended structural element containing positively charged Lys-Pro repeats, and suggests a functional role for this segment of the TonB protein. As TonB is anchored in the cytoplasmic membrane the protein must, uniquely, span the periplasm. These data, together with studies described in the accompanying paper, suggest a model by which TonB serves to transduce conformational information over extended distances, from the cytoplasmic membrane to the outer membrane.

Amino Acid Sequence↗
PubMed1977

Management of inferior vena caval injury in liver trauma.

The management of patients with severe hepatic trauma and damage to the inferior vena cava presents many difficulties. Our experience suggests that vena caval injury is more common than has previously been reported. In spite of the severity of the injuries a period for resuscitation is usually available and operation must not be started until full supportive measures are ready. We have evolved a technique of vascular isolation of the liver aboiding the use of internal vena caval shunts that permits repair of the damaged vena cava.

Humans↗
PubMed1975

Janie remembered.

Explore the source record for details and available documents.

Adolescent↗
PubMedDate not supplied

Computed tomography evaluation of shoulder prosthesis retroversion.

Computed tomography (CT) allows calculation of anatomic and prosthetic humeral head retroversion. The purpose of this study was to demonstrate how the retroversion angle measured by CT scan varied with changes in arm position in the CT scan reference system. A trigonometric analysis shows that the measured retroversion angle decreases when the arm is in extension and increases when it is in flexion, compared with the true retroversion angle determined perioperatively. For the same degree of flexion, or extension, the error of measurement is greater when the initial true retroversion is low. A shoulder prosthesis with 20 degrees of true head retroversion was radiologically scanned with different degrees of flexion, extension, and abduction. The results validate the theoretical analysis. Trigonometric formulas are proposed to correct the retroversion angle measured by CT scan.

Biomechanical Phenomena↗
PubMedDate not supplied

Use of the innovative decision-making process in primary health care.

In an effort to provide accessible and affordable health care to the populations of the world, governments and non-governmental organizations have turned to primary health care. The Maua Methodist Hospital in the community health Maua Via Meru, Kenya, gives us an example of such efforts.

Community Health Services↗