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Debridement for venous leg ulcers | Cochrane

Venous leg ulcers are a common type of leg wound. They can cause pain, stress, social isolation and depression. These ulcers take approximately 12 weeks to heal and the best and first treatment to try is compression bandages. In an attempt to improve the healing process it is thought that removing dead or dying tissue (debridement) from the surface of the wound can speed up healing. Six different methods can be used to achieve debridement: use of an instrument such as a scalpel (with or without anaesthesia - surgical debridement and sharp debridement, respectively); washing solutions and dressings (mechanical debridement); enzymes that break down the affected tissue (enzymatic debridement); moist dressings or natural agents, or both, to promote the wound's own healing processes (autolytic debridement); or maggots (biosurgical debridement).  
cochrane.org
over 4 years ago
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Rutosides for prevention of post-thrombotic syndrome | Cochrane

Blood clots in the veins of the leg are a common problem and are termed deep vein thrombosis (DVT). One in three patients with a DVT develops a complication known as post-thrombotic syndrome (PTS). This syndrome involves ongoing swelling of the affected leg, pain, and also skin changes. At the current time the main way of preventing PTS is to wear compression stockings. However, it is known that patients frequently find the stocking uncomfortable and would prefer to take an oral medication to prevent the problem.  
cochrane.org
over 4 years ago
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Rutosides for treatment of post-thrombotic syndrome  | Cochrane

Blood clots in the veins of the leg are a common problem and are termed deep vein thrombosis (DVT). One in three patients with a DVT develops a complication known as post-thrombotic syndrome (PTS). This syndrome involves ongoing swelling of the affected leg, pain, cramps, burning or prickling, and itching. Darkening of the skin because of increased pigmentation and varicose veins, redness and skin irritation can also occur. At the current time the main way of treating PTS is to wear compression stockings. It is known however that patients frequently find the stocking uncomfortable and so they may prefer to take an oral medication to treat the problem. Rutosides are a herbal remedy which has been shown to be effective in other conditions affecting the veins (chronic venous insufficiency).  
cochrane.org
over 4 years ago
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Paralysed man moves legs using brain-reading device - BBC News

A paralysed man has been able to regain some control over his legs using a device to read his brain, scientists say.  
bbc.co.uk
over 4 years ago
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Different stent grafts for repair of abdominal aortic aneurysms | Cochrane

An aneurysm is a localised widening of an artery. The abdominal aorta is the largest artery in the body, delivering blood from the heart to the organs in the abdomen and the legs. If an aneurysm occurs in the abdominal aorta it can expand and may rupture, resulting in death. Open surgery can treat these aneurysms; this involves opening the abdomen and placing an artificial graft over the widening. A new alternative treatment involves an artifical stent graft, delivered through an arterial blood vessel in the groin, fixed over the widening. This technique is called endovascular repair. There are many different types of stent graft available. They differ in how they are inserted in/access the blood vessel, how they attach to the walls of the artery and the design and materials they are made from.  
cochrane.org
over 4 years ago
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Pentoxifylline for intermittent claudication | Cochrane

Atherosclerosis, or hardening of the arteries, results in narrowing and blockage of the arteries and can reduce the blood supply to the legs, causing peripheral arterial disease. Intermittent claudication (IC) is a cramp-like pain felt in the leg muscles that is brought on by walking and is relieved by standing still or resting. Pentoxifylline is a drug that is used to relieve IC while improving people's walking capacity. It decreases blood viscosity and improves red blood cell flexibility, promoting microcirculatory blood flow and increasing oxygen in the tissues. This review looked at all available evidence from randomised controlled trials on the efficiency of pentoxifylline for treatment of IC.  
cochrane.org
over 4 years ago
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Paralyzed Patient Uses Brain-Computer Interface to Walk

A computer translating brain waves and sending signals to stimulate leg muscles has allowed a patient who was paralyzed after a spinal cord injury to walk.  
medscape.com
over 4 years ago
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Left leg syndactyly

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 4 years ago
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Boy With Abdominal Pain, Rash, Proteinuria and Microhematuria: Diagnosis?

A boy has cramp-like abdominal pain and a rash on the back of his legs, buttocks, as well as on the extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and microhematuria. What is his likely diagnosis?  
medscape.com
over 4 years ago
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Rare but Serious Injuries With Epinephrine Autoinjectors

Seventeen children in whom an EpiPen epinephrine autoinjector was used in response to an allergic reaction experienced preventible leg lacerations, and four needles were lodged in children's limbs.  
medscape.com
over 4 years ago
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Interventions for varicose veins and leg oedema in pregnancy | Cochrane

Varicose veins, sometimes called varicosity, occur when a valve in the blood vessel walls weakens and the blood stagnates. This in turn leads to problems with the circulation in the veins and to oedema or swelling. The vein then becomes distended, its walls stretch and sag, allowing the vein to swell into a tiny balloon near the surface of the skin. The veins in the legs are most commonly affected as they are working against gravity, but the vulva (vaginal opening) or rectum, resulting in haemorrhoids (piles), can be affected too. Pregnancy seems to increase the risk of varicose veins and they cause considerable pain, night cramps, numbness, tingling, the legs may feel heavy, achy, and they are rather ugly. Treatments for varicose veins are usually divided into three main groups: pharmacological treatments, non-pharmacological and surgery. The review identified seven trials involving 326 women. Although there was a moderate quality evidence to suggest that the drug rutoside seemed to be effective in reducing symptoms, the study was too small to be able to say this with real confidence. Similarly, with reflexology and water immersion, there were insufficient data to be able to assess benefits and harms, but they looked promising. Compression stockings do not appear to have any advantages. More research is needed.  
cochrane.org
over 4 years ago
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Ozone therapy as a treatment for foot ulcers in people with diabetes | Cochrane

Diabetes mellitus (DM) is a common condition that leads to high sugar concentrations in the blood. People who have had diabetes for a long time often suffer from foot ulcers. Nearly 35% of all hospital admissions from diabetes clinics are due to them, as are nearly 80% of all non-traumatic amputations of the leg and foot.  
cochrane.org
over 4 years ago
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Radiological Case: Multifocal Osteomyelitis

What did CT scan reveal regarding the cause of leg, knee and hip pain in this 57-year-old man?  
medscape.com
over 4 years ago
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Modified Valsalva Converts More SVT Patients to Normal Rhythm

The modified Valsalva, which involves a supine repositioning and passive legs raises, can be taught to patients and should be considered a routine first treatment for supraventricular tachycardia, say investigators.  
medscape.com
over 4 years ago
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For Children With Different Leg-Lengths, a New Consideration

The positive correlation between height and income could affect the decisions of parents with children who have leg-length discrepancies, researchers suggest.  
medscape.com
over 4 years ago
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Fit legs equals fit brain, study suggests - BBC News

Leg muscle strength is a good marker of brain health, say researchers who have studied pairs of twin sisters.  
bbc.co.uk
over 4 years ago
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Complex Regional Pain Syndrome - Causes, Treatment & Therapies - Gold Canyon AZ

The Complex regional pain syndrome (CRPS) is an unceasing pain condition that often affects one of the limbs (that can be arms, legs, hands, or feet), generally after an injury or trauma to that particular limb. Complex regional pain syndrome is believed to be caused due to damage, or malfunctioning of the peripheral and central nervous systems. The central nervous system encompasses the brain and spinal cord; whereas the peripheral nervous system includes the nerve signaling from the brain and the spinal cord to the other parts of the body. The Complex Regional Pain Syndrome is exemplified by prolonged or a chronic pain and mild or dramatic changes in the color of the skin, temperature or even swelling in the affecting area.  
calmareaz.com
over 4 years ago
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Carnegie Mellon's Prosthetic Leg Control Software Modeled on Natural Reflexes |

Researchers at Carnegie Mellon University have been studying the way that humans and other animals use their muscles in order to better control powered pro  
medgadget.com
over 4 years ago
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Critical Care

The aim of this study was to assess how mean systemic pressure (Psm) and resistance to venous return (Rvr) behave during passive leg raising (PLR) in cases of fluid responsiveness and fluid unresponsiveness.  
ccforum.com
over 4 years ago
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Amputated leg weight contest raises £1.5k for charity - BBC News

A competition to guess the weight of a man's amputated leg raises nearly £1,500 for a London hospital.  
bbc.co.uk
about 4 years ago