OBJECTIVE To evaluate the comparative diagnostic value of harmonic imaging (HI) in the assessment of patients with suspected infective endocarditis (IE). SETTING Tertiary referral centre. DESIGN 139 consecutive patients were evaluated with three imaging modalities: transthoracic echocardiography with fundamental imaging (FI); HI; and transoesophageal echocardiography (TOE). Image quality wa...

SUMMARY The initial location of necrosis may affect the limb salvage rate. This study of 130 patients with chronic toe ulcers or gangrene was performed to assess whether the location of initial necrosis in the toes affected limb salvage prognosis. The patients were divided into 2 groups according to whether the initial necrosis was in the great toe or in other toes. Limb salvage prognosis was d...

Transoesophageal echocardiography (TOE) has gained widespread acceptance among cardiac anaesthetists as a tool to facilitate peri-operative decision-making. This observational study analyses the impact of TOE and its inter-observer variability on intra-operative patient management during cardiac and major vascular surgery. From June 1996 to December 1998, standardized reports were obtained from...

[Purpose] To compare the toe flexor, hand grip and knee extensor strengths of young and elderly men, and to examine the association between toe flexor strength and physical activity or inactivity levels. [Subjects and Methods] Young (n=155, 18-23 years) and elderly (n=60, 65-88 years) men participated in this study. Toe flexor, hand grip, and knee extensor strength were measured. Physical activ...

background:   to introduce our experience of using the free neurovascular flap from great and second toe. methods:   thirteen patients (fifteen fingers) sought surgical treatment for soft tissue defects of the hand at our medical institutin between march 2006 and september 2009. in two patients, fibular side skin-nail flaps of great toe were applied to cover the dorsal defect of distal thumb. i...

The objective of this study was to evaluate function of the great toe in maintaining human static and dynamic balance. Correlation among the great toe length, body height and balance performance parameters were also investigated. Thirty female subjects (aged 22.1±1.87 years) were tested in two great toe conditions, unconstrained and constrained. Balance testing was done in the orders listed: 1)...

the aim of this study was to find any structural differences between the digital pads of forelimbs and hind limbs as well as more careful investigation of the internal and external structures of the toe-pad. in this study, pad morphology and cytology in litoria caerulea is described using sem, tem and light microscopy. at the gross anatomical level, toe-pads in hind limbs were subdivided into m...

Wide variety of timings and techniques has been used based on the housing, production, availability of requirements etc. This current study was done for a morphologic evaluation of the cow's digit in different trimming times. A dairy herd with 2200 milking cow, free stalls barns, average daily production of 36 liters per cow was selected. Forty cows were assigned to four groups based on hoof tr...

The time at which the signal of climate change emerges from the noise of natural climate variability (Time of Emergence, ToE) is a key variable for climate predictions and risk assessments. Here we present a methodology for estimating ToE for individual climate models, and use it to make maps of ToE for surface air temperature (SAT) based on the CMIP3 global climate models. Consistent with prev...

INTRODUCTION Hallux valgus and lesser toe deformities are highly prevalent foot problems in older adults, affecting up to 74% of this population. One suggested cause of these toe deformities is inadequate strength of the intrinsic flexor muscles of the toes [1]. Adequate toe flexor strength is essential to control body weight shifts, propel the body during gait and assist in shock absorption du...