A quantitative analysis of microcirculation in sore-prone pressure areas on conventional and pressure relief hospital mattresses using laser Doppler flowmetry and tissue spectrophotometry

BACKGROUND Pressure ulcers are associated with severe impairment for the patients and high economic load. With this study we wanted to gain more insight to the skin perfusion dynamics due to external loading. Furthermore, we evaluated the effect of different types of pressure relief mattresses. METHODS A total of 25 healthy volunteers were enrolled in the study. Perfusion dynamics of the sacral and the heel area were assessed using the O2C-device, which combines a laser light, to determine blood flow, and white light to determine the relative amount of hemoglobin. Three mattresses were evaluated compared to a hard surface: a standard hospital foam mattress bed, a visco-elastic foam mattress, and an air-fluidized bed. RESULTS In the heel area, only the air-fluidized bed was able to maintain the blood circulation (mean blood flow of 13.6 ± 6 versus 3.9 ± 3 AU and mean relative amount of hemoglobin of 44.0 ± 14 versus 32.7 ± 12 AU.) In the sacral area, all used mattresses revealed an improvement of blood circulation compared to the hard surface. CONCLUSION The results of this study form a more precise pattern of perfusion changes due to external loading on various pressure relief mattresses. This knowledge may reduce the incidence of pressure ulcers and may be an influencing factor in pressure relief mattress selection.

Central-Verein deutscher Staatsbürger jüdischen Glaubens : Bericht der Rechtsschutz-Commission über ihre bisherige Thätigkeit erstattet in d. ordentl. Versammlung vom 16. Apr. 1894

durch Eugen Fuchs

Auff das am 26ten Januar ergangene Decretum anbefohlene gehorsame Erklärungs-Deduction : Auß welchen Ursachen, die, an die Judenschafft beschehene Uberlassung des Völckerischen Gartens, wie auch anderer ... ohngültig, und solche Stück wiederum der Bürgerschafft einzuraumen ; In causa Commissionis Der Impetrantischen Burgerschafft der Kaiserlichen Reichs- auch Wahl- und Crönungs-Stadt Contrà E. E. Ruth[!] allda ; Den ... Febr. 1714 bey Kaiserl. Commission übergeben

Unser, Der Burgerlichen Deputirten [[Elektronische Ressource]]

No Effect of Acupuncture in the Relief of Delayed-Onset Muscle Soreness: Results of a Randomized Controlled Trial

BACKGROUND Delayed-onset muscle soreness (DOMS) is a common symptom in people participating in exercise, sport, or recreational physical activities. Several remedies have been proposed to prevent and alleviate DOMS. DESIGN AND METHODS A five-arm randomized controlled study was conducted to examine the effects of acupuncture on eccentric exercise-induced DOMS of the biceps brachii muscle. Participants were recruited through convenience sampling of students and general public. Participants were randomly allocated to needle, laser, sham needle, sham laser acupuncture, and no intervention. Outcome measures included pressure pain threshold (PPT), pain intensity (visual analog scale), and maximum isometric voluntary force. RESULTS Delayed-onset muscle soreness was induced in 60 participants (22 females, age 23.6 ± 2.8 years, weight 66.1 ± 9.6 kg, and height 171.6 ± 7.9 cm). Neither verum nor sham interventions significantly improved outcomes within 72 hours when compared with no treatment control (P > 0.05). CONCLUSIONS Acupuncture was not effective in the treatment of DOMS. From a mechanistic point of view, these results have implications for further studies: (1) considering the high-threshold mechanosensitive nociceptors of the muscle, the cutoff for PPT (5 kg/cm) chosen to avoid bruising might have led to ceiling effects; (2) the traditional acupuncture regimen, targeting muscle pain, might have been inappropriate as the DOMS mechanisms seem limited to the muscular unit and its innervation. Therefore, a regionally based regimen including an intensified intramuscular needling (dry needling) should be tested in future studies, using a higher cutoff for PPT to avoid ceiling effects.

Bericht der Commission der preußischen Nationalversammlung über die Steuerverweigerung, vorgetragen in der Sitzung vom 15. November 1848: Die hohe National-Versammlung hat in ihrer Sitzung vom 11. November beschlossen ...

Boberach: Die "reichsständischen Befugnisse" der Nationalversammlung werden aus den Rechten des Vereinigten Landtags von 1847 abgeleitet. - Welsch (Projektbearbeiter): Samt dem Abdruck der Rede des Abgeordneten Kirchmann, dem Berichterstatter der Kommission

Die Organisation der Volksbewaffnung in Deutschland, mit besonderem Bezuge auf Sachsen : eine Denkschrift an die deutsche Nationalversammlung zu Frankfurt und an alle deutschen Regierungen ; Auf Grund der Berathungen einer vom deutschen Vaterlandsvereine zu Dresden berufenen Commission

Boberach: Die Landesverteidigung muß auf der Grundlage der Volksbewaffnung mit Wehrpflicht vom 20. bis 50. Lebensjahr organisiert sein. Stellvertretung wird gestattet. Die Offiziere sollen frei gewählt werden, der oberste Verwaltungsrat des Heeres auch Kriegsgericht sein. Die Rüstung kann mit Anleihen finanziert werden, die später durch die Einsparungen infolge Verminderung des stehenden Heeres zu tilgen sind