[Study on the incidence of rachitis in the children population of the Martin district and the relationship of vitamin D to early deformities of the thorax].
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Development of the gonometrical measuring method has allowed the respiratory movement of the lateral chest wall and the sternum to be investigated. The mobility of a single rib varies enormously in gradual transitions. There are distinct differences between species. For a number of reasons, the cat can achieve more intense thoracic respiration than the dog.
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Percussion of the chest cannot detect small lesions (< 3 cm in diameter) and lesions situated deep in the lung (5-7 cm away from the outside of the thoracic wall). The value of percussion as a test to detect a pathological pulmonary situation in comparison with chest radiography is evaluated in only a few studies. Chest percussion appears to be of limited value; especially the sensitivity is very low. Moreover, the inter- and intra-observer errors are high. The value of percussion to detect cardiomegaly is only investigated in one recent study in a selected patient population. In this study the predictive values as well as the reproducibility appear to be moderate.
The present study evaluated the effects of tissue massage on a part of the body remote from the region of lymph uptake into the initial lymphatics. Lymph uptake was assessed with a fluorescent probe placed in a potential space of the lower extremity of anesthetized female Sprague-Dawley rats. Tail blood was assayed at intervals over 15 hours for fluorescence. A total of 63 animals were utilized (treatment = 32 and control = 31). The manipulated group received lymph flow enhancing treatment (LFET) five minutes per rat per hour until they were aroused. The control group were left lying prone in cages until a blood sample was taken. The LFET procedure was bilateral finger pressure applied to the lower ribs of a supine rat followed immediately by a light tap to the sternum. These maneuvers were repeated for 5 minutes. The rate of appearance of fluorescent probe was greater during the first nine hours of the experiment in the treatment group than in the controls but not at hours 12 and 15. This study demonstrates that mechanical pressure to body regions physically distant from the location of lymph formation enhances lymph uptake.
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From 1948 to 1973, intercostal nerve block was used 10,941 times or a total of approximately 100,000 individual nerves were blocked. Junior staff (residents) performed 95% of the blocks. The local anaesthetic solution of choice used 0.25 or 0.5% bupivacaine (Marcaine) with adrenaline. Total milligram doses of bupivacaine as high as 400 mg were employed. The duration of the blocks was 9-18 hr. No severe systemic toxic reactions occurred, e.g. disorientation, convulsions, etc. The incidence of pneumothorax was 0.073%.
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