L. Cavalli, Maria Elena Arcangeli, A. Paladini, R. Riccioni, Giovanna Lazzeri
{"title":"Importance of motor rehabilitation (R.I.C) in medullary lesions in chronic phase","authors":"L. Cavalli, Maria Elena Arcangeli, A. Paladini, R. Riccioni, Giovanna Lazzeri","doi":"10.15761/SCRR.1000134","DOIUrl":"https://doi.org/10.15761/SCRR.1000134","url":null,"abstract":"The RIC (Continuous and Personalized Intensive Motor Rehabilitation) is a rehabilitative method which, based on the plasticity of the CNS, requires to adequately stimulate the subject affected by spinal cord injury through personalized exercises of determined intensity, protracted over time [1,2] and suitable for all physiological postures (supine and prone lying down, lateral decubitus, quadrupedal position, kneeling position, semi-upright posture, standing erect and free standing), which allows, even in chronic phase, several years after the injury, the recovery of some lost features, the maintenance of the performances obtained and the prevention of secondary complications of the lesion itself.","PeriodicalId":185712,"journal":{"name":"Surgical Case Reports and Reviews","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132901014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analytic studies on fetal heart rate changes to prevent cerebral palsy with novel hypoxia index in fetal monitoring","authors":"K. Maeda","doi":"10.15761/SCRR.1000131","DOIUrl":"https://doi.org/10.15761/SCRR.1000131","url":null,"abstract":"Fetal heart rate (FHR) rises when the fetus moves, where FHR acceleration is reacted fetal brain to fetal movements (burst), it losts in early fetal hypoxia, while FHR variability is the reaction to minor fetal motions, which losts in severe hypoxia followed by cerebral palsy. FHR falls in hypoxia when fetal PaO2 is 50 or less mmHg, while fetal PaO2 is lower than 50 mmHg, where fetal vagal nerve center is excited by hypoxia, forming FHR bradycardia and deceleration. The late deceleration was ominous in the past, while 3 connective typical late decelerations’ outcome was normal, while repeated late deceleraions for 50 minutes developed heavy asphyxia and severe brain damage, thus, novel hypoxia index is the sum of deceleration durations (min) divided by the lowest FHR, and multiplied by 100, where no cerebral palsy developed when hypoxia index was 24 or less, while the index was 25 or more in cases of cerebral palsy. Visual FHR patttern classification will be changed to objective hypoxia index and FHR score which predicts Apgar score and UApH. FHR frequency spectrum diagnoses pathologic sinusoidal FHR.caused by severe fetal anemia imminent to fetal death. *Correspondence to: Kazuo Maeda, MD, PhD, 3-125 Nadamachi, Yonago, Tottoriken, 683-0835, Japan, Tel: +81859226856; E-mail: maedak@mocha.ocn.ne.jp","PeriodicalId":185712,"journal":{"name":"Surgical Case Reports and Reviews","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131073204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Aguiar, E. Vigia, A. Nobre, L. Bicho, E. Filipe, J. Paulino
{"title":"Peritoneum patch repair in oncologic major resections – An autolog alternative","authors":"C. Aguiar, E. Vigia, A. Nobre, L. Bicho, E. Filipe, J. Paulino","doi":"10.15761/SCRR.1000130","DOIUrl":"https://doi.org/10.15761/SCRR.1000130","url":null,"abstract":"The evaluation of tumor extension to major vessels involved in the tumor mass, such as the inferior vena cava, superior mesenteric vein or portal vein, may not be a criterion of non resectability and lead to excision of the tumor mass with vascular resection [4]. This reconstruction may imply the need for prosthetic material if the length of autologous vessels is not sufficient, which is not the most desirable option. The surgeon’s experience in vascular reconstruction is of great importance for surgical success and postoperative morbidity.","PeriodicalId":185712,"journal":{"name":"Surgical Case Reports and Reviews","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131570409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}