Advantage of the Right Lateral Position Compared with the Lithotomy Position during the Perineal Procedure in Abdominoperineal Resection

2006 ◽  
Vol 23 (1-2) ◽  
pp. 32-37 ◽  
Author(s):  
Takeshi Iwamura ◽  
Masayuki Hotokezaka ◽  
Tada-aki Eto ◽  
Tomotaka Taniguchi ◽  
Kazuo Chijiiwa
Keyword(s):  
Abdominoperineal Resection ◽  
Lateral Position ◽  
Lithotomy Position ◽  
The Right

Larval and juvenile development of the Iceland cockle Ciliatocardium ciliatum (Fabricius, 1780) (Bivalvia: Cardiidae)

2020 ◽  
Vol 324 (2) ◽  
pp. 242-251
Author(s):  
L.P. Flyachinskaya ◽  
P.A. Lezin
Keyword(s):  
Lateral Position ◽  
Larval Shell ◽  
Subtidal Zone ◽  
Larval Stages ◽  
Posterior Shoulder ◽  
Blade Shape ◽  
The Right ◽  
Lateral Structures ◽  
Juvenile Development ◽  
Concentric Structure

The paper considers the development of Ciliatocardium ciliatum from the stage of straight hinge to juvenile. In the White Sea the spawning of C. ciliatum begins at the end of June, larvae at different stages of development occur in plankton until the end of September. The earliest of the larvae found had shell lengths of 123–130 µm. The paper first examined the anatomy and structure of the larval shell of C. ciliatum. During the development, the main stages of organogenesis were described and special attention was paid to the formation of the digestive and muscular systems. The digestive system begins to function when the larva reaches a size of 170–180 µm. The digestive gland has a two-blade shape and is shifted to the right side. The foot is formed at a size of 230 µm, the gill rudiments appear when the larva reaches 270 µm. The development of the larval shell and larval hinge of the mollusc is considered in detail. The development of the larval shell of C. ciliatum is similar to the development of other family members. Throughout all the larval stages, the shell has a rounded shape with a low umbos, and the prodissoconch II has a clearly visible concentric structure. The C. ciliatum larval hinge is characterized by weak differentiation and the absence of pronounced cardinal teeth typical for other Cardiidae. However, the lateral structures of the castle – ridges and flanges – are well developed. The ligament begins to form at a size of 240–250 µm and occupies a lateral position. The settlement of the cockle takes place in September in the subtidal zone. After the metamorphosis, a large radial sculpture is formed on the dissoconch and a number of small spikes are formed at the rib of the posterior shoulder.

Hypotension in the Right Lateral Position Secondary to Inferior Vena Cava Abnormality

2015 ◽  
Vol 5 (6) ◽  
pp. 103-105 ◽  
Author(s):  
Meredith J. H. Hutton ◽  
Ganesh Swamy ◽  
Kelly Shinkaruk ◽  
Kaylene Duttchen
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Lateral Position ◽  
The Right

scholarly journals Perioperative and oncological outcomes of abdominoperineal resection in the prone position vs the classic lithotomy position: A systematic review with meta‐analysis

2019 ◽  
Vol 119 (7) ◽  
pp. 979-986
Author(s):  
Jose Wilson B. Mesquita‐Neto ◽  
Hassan Mouzaihem ◽  
Francisco Igor B. Macedo ◽  
Lance K. Heilbrun ◽  
Donald W. Weaver ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prone Position ◽  
Abdominoperineal Resection ◽  
Meta Analysis ◽  
Lithotomy Position ◽  
Oncological Outcomes

Impairments in Prehension Produced by Early Postnatal Sensory Motor Cortex Activity Blockade

2000 ◽  
Vol 83 (2) ◽  
pp. 895-906 ◽  
Author(s):  
John H. Martin ◽  
Laura Donarummo ◽  
Antony Hacking
Keyword(s):  
Motor Cortex ◽  
Motor Behavior ◽  
Lateral Position ◽  
Postnatal Life ◽  
Contralateral Limb ◽  
Early Postnatal Development ◽  
End Point ◽  
Sensory Motor ◽  
Impaired Limb ◽  
The Right

This study examined the effects of blocking neural activity in sensory motor cortex during early postnatal development on prehension. We infused muscimol, either unilaterally or bilaterally, into the sensory motor cortex of cats to block activity continuously between postnatal weeks 3–7. After stopping infusion, we trained animals to reach and grasp a cube of meat and tested behavior thereafter. Animals that had not received muscimol infusion (unilateral saline infusion; age-matched) reached for the meat accurately with small end-point errors. They grasped the meat using coordinated digit flexion followed by forearm supination on 82.7% of trials. Performance using either limb did not differ significantly. In animals receiving unilateral muscimol infusion, reaching and grasping using the limb ipsilateral to the infusion were similar to controls. The limb contralateral to infusion showed significant increases in systematic and variable reaching end-point errors, often requiring subsequent corrective movements to contact the meat. Grasping occurred on only 14.8% of trials, replaced on most trials by raking without distal movements. Compensatory adjustments in reach length and angle, to maintain end-point accuracy as movements were started from a more lateral position, were less effective using the contralateral limb than ipsilateral limb. With bilateral inactivations, the form of reaching and grasping impairments was identical to that produced by unilateral inactivation, but the magnitude of the reaching impairments was less. We discuss these results in terms of the differential effects of unilateral and bilateral inactivation on corticospinal tract development. We also investigated the degree to which these prehension impairments after unilateral blockade reflect control by each hemisphere. In animals that had received unilateral blockade between postnatal weeks (PWs) 3 and 7, we silenced on-going activity (after PW 11) during task performance using continuous muscimol infusion. We inactivated the right (previously active) and then the left (previously silenced) sensory motor cortex. Inactivation of the ipsilateral (right) sensory motor cortex produced a further increase in systematic error and less frequent normal grasping. Reinactivation of the contralateral (left) cortex produced larger increases in reaching and grasping impairments than those produced by ipsilateral inactivation. This suggests that the impaired limb receives bilateral sensory motor cortex control but that control by the contralateral (initially silenced) cortex predominates. Our data are consistent with the hypothesis that the normal development of skilled motor behavior requires activity in sensory motor cortex during early postnatal life.

Expiratory flow limitation and intrinsic positive end-expiratory pressure in obesity

1998 ◽  
Vol 85 (4) ◽  
pp. 1236-1243 ◽  
Author(s):  
W. Pankow ◽  
T. Podszus ◽  
T. Gutheil ◽  
T. Penzel ◽  
J.-H. Peter ◽  
...  
Keyword(s):  
Supine Position ◽  
Lateral Position ◽  
Normal Weight ◽  
Upright Position ◽  
Flow Limitation ◽  
Positive End Expiratory Pressure ◽  
Expiratory Flow Limitation ◽  
Transdiaphragmatic Pressure ◽  
Expiratory Flow ◽  
The Right

Breathing at very low lung volumes might be affected by decreased expiratory airflow and air trapping. Our purpose was to detect expiratory flow limitation (EFL) and, as a consequence, intrinsic positive end-expiratory pressure (PEEPi) in grossly obese subjects (OS). Eight OS with a mean body mass index (BMI) of 44 ± 5 kg/m2 and six age-matched normal-weight control subjects (CS) were studied in different body positions. Negative expiratory pressure (NEP) was used to determine EFL. In contrast to CS, EFL was found in two of eight OS in the upright position and in seven of eight OS in the supine position. Dynamic PEEPi and mean transdiaphragmatic pressure (mean Pdi) were measured in all six CS and in six of eight OS. In OS, PEEPi increased from 0.14 ± 0.06 (SD) kPa in the upright position to 0.41 ± 0.11 kPa in the supine position ( P < 0.05) and decreased to 0.20 ± 0.08 kPa in the right lateral position ( P < 0.05, compared with supine), whereas, in CS, PEEPi was significantly smaller (<0.05 kPa) in each position. In OS, mean Pdi in each position was significantly larger compared with CS. Mean Pdi increased from 1.02 ± 0.32 kPa in the upright position to 1.26 ± 0.17 kPa in the supine position (not significant) and decreased to 1.06 ± 0.26 kPa in the right lateral position ( P < 0.05, compared with supine), whereas there were no significant changes in CS. We conclude that in OS 1) tidal breathing can be affected by EFL and PEEPi; 2) EFL and PEEPi are promoted by the supine posture; and 3) the increased diaphragmatic load in the supine position is, in part, related to PEEPi.

Human tactile pattern recognition: active versus passive touch, velocity effects, and patterns of confusion

1991 ◽  
Vol 65 (3) ◽  
pp. 531-546 ◽  
Author(s):  
F. Vega-Bermudez ◽  
K. O. Johnson ◽  
S. S. Hsiao
Keyword(s):  
Confusion Matrix ◽  
Detailed Comparison ◽  
Lateral Position ◽  
Letter Recognition ◽  
Scanning Velocity ◽  
Percent Correct ◽  
Left Hand ◽  
Passive Touch ◽  
Wide Range ◽  
The Right

1. Subjects without any previous experience in a tactile psychophysics task participated in a study of tactile letter recognition employing active and passive touch. In the active task, subjects reached through a curtain and examined embossed letters with horizontal, unidirectional finger strokes. In the passive task, subjects sat with their arms and hands immobilized while a rotating drum stimulator pressed the embossed letters onto the right index finger. The stimulus conditions in the passive task were identical to those used in neurophysiological experiments with monkeys. 2. A survey of 40 naive subjects who were not screened in any way showed a wide range of performance levels. There was no difference between the subjects in the active and passive tasks, either in overall mean percent correct scores, which were 49.0 and 50.7%, respectively or in the percent correct scores for individual letters whose product-moment correlation coefficient was 0.94. The active and passive groups, which contained 25 and 15 members, respectively, had no members in common. 3. Videotapes of the finger movements of eight subjects in the active task showed a characteristic V-shaped velocity profile (velocity vs. lateral position) starting at approximately 100 mm/s at the left-hand edge of the plate containing the embossed letter, decelerating to a minimum when the center of the finger was directly over the letter, and then accelerating away from the letter. The average minimum scanning velocity was 17 mm/s. 4. Scanning velocity had no significant effect on performance in the passive task between 20 and 40 mm/s. An increase to 80 mm/s produced a 16% decline in percent correct identifications. 5. Learning effects were evident across sessions even though subjects were given no feedback or training. The increase in mean percent correct judgments averaged 4% per session, which lasted for approximately 1 h. 6. Data from 64 subjects were pooled for detailed comparison of identification patterns in active and passive touch. The results were analyzed and found to be consistent with the hypothesis that the identification and confusion probabilities are identical in the two modes. We conclude that there is no difference between active and passive touch in form recognition when the stimulus pattern is smaller than a finger pad. 7. Data from all experiments were pooled to produce a single confusion matrix with 324 presentations per letter. The majority of erroneous responses are grouped in a small number of confusion pairs and the majority of those confusion pairs are strongly asymmetric. The probable neural mechanisms of some confusion patterns are discussed.

scholarly journals Lateral position during severe mono-lateral pneumonia: an experimental study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Andrea Meli ◽  
Enric Barbeta Viñas ◽  
Denise Battaglini ◽  
Gianluigi Li Bassi ◽  
Hua Yang ◽  
...  
Keyword(s):  
Lateral Position ◽  
Dependent Lung ◽  
Mechanically Ventilated ◽  
Left Lateral Position ◽  
Lateral Decubitus ◽  
Ultrasound Score ◽  
The Right ◽  
Lateral Positioning ◽  
Diseased Lung ◽  
Healthy Lung

Abstract Patients with mono-lateral pneumonia and severe respiratory failure can be positioned in lateral decubitus, with the healthy lung dependent, to improve ventilation-perfusion coupling. Oxygenation response to this manoeuvre is heterogeneous and derecruitment of dependent lung has not been elucidated. Nine pigs (32.2 ± 1.2 kg) were sedated and mechanically ventilated. Mono-lateral right-sided pneumonia was induced with intrabronchial challenge of Pseudomonas aeruginosa. After 24 h, lungs were recruited and the animals were randomly positioned on right or left side. After 3 h of lateral positioning, the animals were placed supine; another recruitment manoeuvre was performed, and the effects of contralateral decubitus were assessed. Primary outcome was lung ultrasound score (LUS) of the dependent lung after 3-h lateral positioning. LUS of the left non-infected lung worsened while positioned in left-lateral position (from 1.33 ± 1.73 at baseline to 6.78 ± 4.49; p = 0.005). LUS of the right-infected lung improved when placed upward (9.22 ± 2.73 to 6.67 ± 3.24; p = 0.09), but worsened in right-lateral position (7.78 ± 2.86 to 13.33 ± 3.08; p < 0.001). PaO2/FiO2 improved in the left-lateral position (p = 0.005). In an animal model of right-lung pneumonia, left-lateral decubitus improved oxygenation, but collapsed the healthy lung. Right-lateral orientation further collapsed the diseased lung. Our data raise potential clinical concerns for the use of lateral position in mono-lateral pneumonia.

scholarly journals Trifurcation of the right common carotid artery

2008 ◽  
Vol 41 (01) ◽  
pp. 85-88
Author(s):  
R. Chitra
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Lateral Position ◽  
External Carotid Artery ◽  
External Carotid ◽  
Occipital Artery ◽  
Branching Pattern ◽  
Male Cadaver ◽  
The Right ◽  
Common Carotid Arteries

ABSTRACTVariations in the position of the bifurcation of the common carotid artery and the origin or branching pattern of the external carotid artery are well known and documented. Here, we report the trifurcation of the right common carotid artery in a male cadaver aged about 55 years. The right common carotid artery was found to divide into the external and internal carotids and the occipital artery. High division of bilateral common carotid arteries and a lateral position of the right external carotid artery at its origin were also observed in the same cadaver. There were two ascending pharyngeal arteries on the right side - one from the occipital artery and another from the internal carotid artery. The intraarterial approach is one of the most important routes for the administration of anticancer drugs for head and neck cancers. A profound knowledge of the anatomical characteristics and variations of the carotid artery such as its branching pattern and its position is essential to avoid complications with catheter insertion.

Reliability of measurements of pulmonary artery pressure obtained with patients in the 60 degrees lateral position

2000 ◽  
Vol 9 (1) ◽  
pp. 43-51 ◽  
Author(s):  
LM Aitken
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Capillary Wedge Pressure ◽  
Pulmonary Artery Pressure ◽  
General Medicine ◽  
Lateral Position ◽  
Artery Pressure ◽  
Pulmonary Capillary ◽  
Quasi Experimental ◽  
The Right ◽  
Wedge Pressure

BACKGROUND: Monitoring of pulmonary artery pressure is an essential component of the care of critically ill patients. The conditions under which reliable measurements can be obtained must be clarified. OBJECTIVES: To determine (1) whether reliable measurements of pulmonary artery pressure can be obtained with patients in the right or left 60 degrees lateral position and (2) which characteristics of patients preclude obtaining reliable measurements. METHODS: One hundred five patients (65 cardiac surgery, 40 general medicine) with pulmonary artery catheters were enrolled in a prospective, stratified, quasi-experimental study. Subjects were repositioned from supine (head of bed elevated &lt; 30 degrees with 1 pillow) to the left and right 60 degrees lateral positions. Systolic, diastolic, and mean pulmonary artery pressures and pulmonary capillary wedge pressure were measured before and 5, 10, and 20 minutes after lateral repositioning. The zero reference was the phlebostatic axis when patients were supine and the dependent midclavicular line at the level of the fourth intercostal space when patients were in the lateral positions. RESULTS: In most patients, measurements obtained with patients in the lateral position differed significantly from measurements obtained with patients supine. None of the variables examined were reliable predictors of which patients would have these differences. More than 11% of the patients had clinically significant differences in addition to the statistically significant differences. CONCLUSION: Reliable measurements of pulmonary artery pressure and pulmonary capillary wedge pressure cannot be obtained with patients in the 60 degrees lateral position.

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