Trait�� de m��decine op��ratoire : bandages et appareils /

Contiene: t. 1: primera y segunda parte - t. 2: primera y segunda parte.

Trait�� complet de bandages et d'anatomie appliqu��e �� l'��tude des fractures et luxations, avec les appareils qui leur conviennent /

Mode of access: Internet.

Pr��cis iconographique de bandages, pansements et appareils /

Mode of access: Internet.

Manuel de petite chirurgie : contenant les pansements, les bandages ... /

Mode of access: Internet.

Trait�� de petite chirurgicale : contenent l'art des pasemens, les m��dicaments topiques, les bandages ... /

Mode of access: Internet.

Investigation of liquid sodium alginates as mucoadhesive bandages coating the oesophageal mucosa and protecting it from gastric reflux

Gastro-oesophageal Reflux Disease (GORD), is generally caused by excess gastric reflux back to the oesophagus where damage to the mucosa results in injury. GORD is a very common disease in western countries, more than a quarter of western people are suffering from this disease and there is a trend that the percentage population in eastern countries who are diagnosed as GORD is increasing. GORD and its complications damage the quality of life and can lead to serious oesophageal diseases including Barrett���s disease and oesophageal carcinoma. Sodium alginate dissolved in water forms a viscous liquid and can coat on oesophageal mucosa for a period of time. In this study the ability of the liquid alginate to adhere to the oesophageal mucosa was investigated and the factors that affect this retention were examined. The potential of this liquid alginate as a drug delivery vehicle to extend the duration of contact with the oesophageal mucosa was confirmed by this study. The capacity of an alginate coating to retard acid and pepsin diffusion, the two main aggressive factors in gastric reflux, was investigated. A significant reduction in acid and pepsin diffusion by alginate gel layer was demonstrated in this project, indicating that alginate has great potential to protect against damage caused by acidic reflux. A novel method was introduced using an independent score system to assess the protection of oesophageal tissue by a coating of liquid alginate using microscopy as a technique. This technique demonstrated that alginate can protect the oesophageal epithelial tissue from the damage caused by gastric acid and pepsin. Many techniques were used in this study. The experimental results suggested that liquid sodium alginate is a very promising candidate in treating local oesophageal diseases through forming a coating on the oesophageal mucosal surface, retarding the diffusion of components of gastric refluxate and thus reducing the contact of these noxious factors with the epithelium and minimising injury.

Chitosan gel film bandages: correlating structure, composition, and antimicrobial properties

Chitosan gel films were successfully obtained by evaporation cast from chitosan solutions in aqueous acidic solutions of organic acids (lactic and acetic acid) as gel film bandages, with a range of additives that directly influence film morphology and porosity. We show that the structure and composition of a wide range of 128 thin gel films, is correlated to the antimicrobial properties, their biocompatibility and resistance to biodegradation. Infrared spectroscopy and solid-state 13C nuclear magnetic resonance spectroscopy was used to correlate film molecular structure and composition to good antimicrobial properties against 10 of the most prevalent Gram positive and Gram negative bacteria. Chitosan gel films reduce the number of colonies after 24 h of incubation by factors of ���105���107 CFU/mL, compared with controls. For each of these films, the structure and preparation condition has a direct relationship to antimicrobial activity and effectiveness. These gel film bandages also show excellent stability against biodegradation with lysozyme under physiological conditions (5% weight loss over a period of 1 month, 2% in the first week), allowing use during the entire healing process. These chitosan thin films and subsequent derivatives hold potential as low-cost, dissolvable bandages, or second skin, with antimicrobial properties that prohibit the most relevant intrahospital bacteria that infest burn injuries.

Proprioception in ankle sprain from exercises and bandages

Ankle sprains are the most common injuries in sports, usually causing damage to the lateral ligaments. Recurrence has as usual result permanent instability, and thus loss of proprioception. This fact, together with residual symptoms, is what is known as chronic ankle instability, CAI, or FAI, if it is functional. This problem tries to be solved by improving musculoskeletal stability and proprioception by the application of bandages and performing exercises. The aim of this study has been to review articles (meta-analisis, systematic reviews and revisions) published in 2009-2015 in PubMed, Medline, ENFISPO and BUCea, using keywords such as ���sprain instability���, ���sprain proprioception���, ���chronic ankle instability���. Evidence affirms that there does exist decreased proprioception in patients who suffer from CAI. Rehabilitation exercise regimen is indicated as a treatment because it generates a subjective improvement reported by the patient, and the application of bandages works like a sprain prevention method limiting the range of motion, reducing joint instability and increasing confidence during exercise. As podiatrists we should recommend proprioception exercises to all athletes in a preventive way, and those with CAI or FAI, as a rehabilitation programme, together with the application of bandages. However, further studies should be generated focusing on ways of improving proprioception, and on the exercise patterns that provide the maximum benefit.

O efeito da drenagem linf��tica manual e das bandas neuromusculares na reabilita����o p��s-lipoaspira����o para reconstru����o mam��ria: estudo de caso

Introdu����o ��� A reconstru����o mam��ria, no processo p��s-cancro da mama, poder�� ser levada a cabo atrav��s da lipoaspira����o cujas consequ��ncias poder��o ser ultrapassadas atrav��s da fisioterapia. Objetivo ��� Verificar, num estudo de caso, os resultados da drenagem linf��tica manual (DLM) e das bandas neuromusculares (BNM) na dor, edema, hematoma e pigmenta����o do abd��men e mamas ap��s lipoaspira����o para reconstru����o mam��ria. Metodologia ��� Uma paciente foi sujeita a 10 sess��es de fisioterapia com aplica����o de DLM e BNM. Em cada sess��o foram avaliados, nas mamas e no abd��men, a dor, o edema, o hematoma e a pigmenta����o. Resultados ��� Elimina����o da dor, desaparecimento do hematoma abdominal, normaliza����o da pigmenta����o mam��ria e diminui����o do edema. Conclus��o ��� Neste estudo de caso, a DLM e as BNM melhoram as consequ��ncias no p��s-cir��rgico de lipoaspira����o para reconstru����o mam��ria. ABSTRACT - Introduction ��� Breast reconstruction, post breast cancer, can be carried out through liposuction which consequences may be overcomed through physiotherapy. Objective ��� Check, in a study case, the results of manual lymphatic drainage (MLD) and neuromuscular bandages (NMB) in pain, edema, bruising and pigmentation on abdomen and breasts, after liposuction for breast reconstruction. Methodology ��� A patient underwent 10 sessions of physiotherapy with application of MLD and NMB. In each session were evaluated breast and abdomen pain, edema, bruising and pigmentation. Results ��� Elimination of pain, disappearance of abdominal hematoma, normalization of breast pigmentation and reduction of edema. Conclusion ��� In this study case, MLD and NMB improve the consequences of post-surgical liposuction for breast reconstruction.

Influ��ncia de duas ligaduras no tempo de reac����o dos peroniais

Pretendeu-se verificar a influ��ncia de dois tipos de ligaduras no tempo de reac����o dos peroniais, atrav��s de electromiografia de superf��cie, em atletas femininas de voleibol, com hist��ria de entorse e indicadores de instabilidade. Efectuou-se um estudo com uma amostra de 15 atletas. Seleccionaram-se as ligaduras el��stica adesiva em heel-lock e kinesiotape com aplica����o peronial e ligamentar, pela sua indica����o de diminui����o da instabilidade t��bio-t��rsica. Utilizaram-se os testes param��tricos ANOVA de medidas repetidas e Teste t para amostras emparelhadas. Verificou-se que a aplica����o da ligadura kinesiotape reduziu o tempo de reac����o dos peroniais enquanto a ligadura el��stica n��o exerceu influ��ncia sobre este.

Efetividade do tratamento em fisioterapia na pubalgia num jogador de futsal

A pubalgia �� uma inflama����o que ocorre na regi��o do osso p��bis, ponto de origem ��� inser����o de diversos m��sculos, como os adutores da coxa e os abdominais. �� respons��vel pelo afastamento de atletas de diversas modalidades da sua pr��tica desportiva. Objectivo: Analisar a efectividade do tratamento em fisioterapia num jogador de futsal profissional que apresenta sintomatologia de pubalgia. M��todo: Foi realizado um estudo de caso com um jogador de futsal de 28 anos atuante na posi����o ala/pivot. O atleta foi avaliado e tratado durante seis semanas. As sess��es de tratamento inclu��am electroterapia, crioterapia, termoterapia, exerc��cios de alongamento, de fortalecimento muscular e de mobilidade da p��lvis, hidroterapia e ligaduras funcionais. Na avalia����o da flexibilidade dos isquiotibiais, adutores da coxa, abdominais e iliopsoas (teste de Thomas) foi usado o goni��metro (marca Baseline), o teste muscular manual para avaliar a for��a muscular dos diversos m��sculos, a escala num��rica para avaliar a dor e o teste de Gillet para avaliar a mobilidade sacro-il��aca. Resultados: O jogador de futsal apresentou ganhos de flexibilidade de 6 graus nos isquiotibiais, abdominais, adutor (lado esquerdo) e iliopsoas (lado esquerdo), e de 7 graus no adutor (lado direito) e iliopsoas (lado direito). Houve tamb��m ganho de for��a muscular nos abdominais, por����o superior e por����o inferior atingindo o grau 5 (grau m��ximo) do teste muscular manual, aumento da mobilidade p��lvica e diminui����o do quadro ��lgico, passando de dor 5 para dor 1 na inser����o do reto abdominal e nos adutores de dor 3 para dor 0 (sem dor) de acordo com a escala num��rica. Conclus��o: O tratamento proposto para este atleta foi eficaz, visto que, houve aumento da flexibilidade, for��a muscular e mobilidade p��lvica, e diminui����o da dor na regi��o do p��bis, o que possibilitou o retorno �� actividade desportiva.

Efeito da ligadura funcional na preven����o da recorr��ncia da entorse do tornozelo numa equipa de basquetebol feminino

Introdu����o: O basquetebol �� considerado um desporto de alto risco para a ocorr��ncia de les��es, nomeadamente das entorses do tornozelo. Como a hist��ria de les��o anterior �� um fator de risco para a ocorr��ncia de entroses t��m-se desenvolvido estrat��gias de preven����o para evitar as recidivas, um dos m��todos poss��veis �� o recurso a ligaduras funcionais em ���tape���. Objetivo: Neste trabalho vai-se verificar se as ligaduras funcionais em ���tape��� previnem a recorr��ncia de entorse do tornozelo, numa equipa feminina de basquetebol sub-16. M��todos: A amostra �� composta por 9 atletas de basquetebol sub-16 com hist��ria de entorse no tornozelo na ��poca precedente, v��o-se utilizar ligaduras funcionais no tornozelo. Resultados: A entorse teve 9 registos na ��poca anterior. N��o houve registo de qualquer les��o da tibiot��rsica nos treinos ou jogos, durante a aplica����o das ligaduras. Conclus��o: A utiliza����o das ligaduras funcionais no grupo estudado, como m��todo de preven����o foi eficaz, n��o se registando qualquer entorse no decorrer das atividades desportivas (treinos/jogos).

Prise en charge de l'ulc��re de jambe d'origine veineuse [Management of venous leg ulcers].

Leg ulcers are a major health and economic problem especially in elderly. More than 70% are associated with venous disease. Compressive therapy is the most effective treatment but bandages are often poorly tolerated and well trained nurses are required to apply them effectively. In recent years, the VAC system (vacuum assisted closure) has profoundly changed the wound healing approach. The objective is now to regenerate the tissues and not to replace them with skin grafts which give uncertain results. The other important challenge is to prevent recurrences. New pharmacologic treatments acting on microcirculation and hemostasis would probably appear in the near future opening new therapeutic perspectives.