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Biomedical subjects

L Rácz

Publications and source records attributed to L Rácz.

At least 19 recordsLinked to original sources

Foot placement modifies kinematics and kinetics during drop jumping.

PURPOSE: Sprinting, bouncing, and spontaneous landings are associated with a forefoot contact whereas walking, running, and jumping are associated with heel-toe foot placement. Because such foot placement strategies influence landing mechanics or the ensuing performance, the purpose of this work was to compare lower extremity kinematics and kinetics and muscle activation patterns between drop vertical jumps performed with heel-toe (HTL) and forefoot (FFL) landings. METHODS: Ten healthy male university students performed two types of drop jump from a 0.4-m high box placed 1.0-m from the center of the force plate. They were instructed to either land first on the ball of the feet without the heels touching the ground during the subsequent vertical jump, i.e., forefoot landing jump (FFL), or to land on the heels followed by depression of the metatarsals, i.e., heel-toe landing jump (HTL). Three successfully performed trials per jump type were included in the analysis. The criteria for selection of the correct jumps was proper foot position at contact as judged from video records and the shape of force-time curve. RESULTS: The first peak and second peak determined from the vertical force-time curves were 3.4 times greater and 1.4 times lower for HTL compared with those with FFL (P<0.05). In the flexion phase of HTL, the hip and knee joints contributed 40% and 45% to the total torque, whereas during FFL the greatest torque contributions were 37% for both the knee and ankle joints. During the extension phase, the greatest torque contributions to the total torque were 41% and 45% by the knee and ankle joints during HTL and 34% and 55% during FFL. During the flexion phase, power production was 20% greater (P<0.05) in HTL than in FFL, whereas during the extension phase power production was 40% greater in FFL than in HTL. In the flexion phase of HTL the hip and knee joints produced the greatest power, and during the extension phase the knee and ankle joints produced the greatest power. In contrast, during both the flexion and extension phases of FFL, the knee and ankle joints produced the greatest power. The EMG activity of gluteus, vastus lateralis, and plantar flexor muscles was similar between HTL and FFL in most cases except for the greater vastus lateralis EMG activity during precontact phase in HTL than in FFL and the greater gastrocnemius activity in FFL than in HTL. CONCLUSION: Foot placement strategy modifies the individual joint contributions to the total power during drop jumping.

Adult↗

Catheter types and their abdominal implantation in peritoneal dialysis.

In the period 1976-1990 a total of 282 chronic uraemic patients were put to peritoneal dialysis by means of abdominally implanted Tenckhoff catheters, out of which 170 had to be replaced. Description of the catheter types is followed by a summary of the rules of surgical implantation and postoperative treatment that should be observed for the peritoneal dialysis to be effective. Discussed are the causes and percentage distribution of changes that call for catheter replacement, finally the alternatives of conservative therapy.

Abdomen↗

[Complications of peritoneal dialysis: sclerosing peritonitis].

One chronic uraemic patient was treated with intermittent peritoneal dialysis. During the 9th month decreasing of ultrafiltration and increasing of the blood level of low-molecular weight substances was observed. Laparotomy was performed twice because of increased intraperitoneal bleeding. During the operation peritoneal thickening, intestinal adhesion and diffuse bleeding was noticed. The patient died because of ileus. The most probable cause of sclerosing peritonitis was due to the formalin solution, which was used for the disinfection of the Tenckhoff catheter. The causes and prevention of sclerosing peritonitis has been summarised.

Adult↗

Sclerosing peritonitis caused by disinfectant in a patient under peritoneal dialysis.

An uraemic patient under intermittent peritoneal dialysis was found in the 9th month of treatment to present ultrafiltration drop and increase of low-molecular weight substances. Two instances of laparotomy for heavy abdominal bleeding revealed peritoneal thickening, laminar intestinal concrescence and diffuse haemorrhage. The patient died in the 13th month of treatment under symptoms of ileus. Other reasons excluded, sclerosing peritonitis was attributed to the formalin solution employed as disinfectant for the abdominal catheter. The causative factors are listed together with the chances of prevention.

Disinfectants↗

[Complications in hemodialysis performed by catheterization of the subclavian vein].

Hemodialysis was performed in 349 cases on 35 patients with 50 special subclavian catheters. The catheters were inserted infraclavicularly with Seldinger's technique. The cannulation period was 26.6 (1-148) days and on the average 7 hemodialyses (1-63) were performed through 1 catheter. The aspects of subclavian catheterization, indication and complications are described. In 3 patients suffering from chronic uremia the end of the catheter (3-5 cm) in the subclavian vein was found broken after 1-5-6 weeks long "single-needle" dialysis. The broken end became fixed into the segmental artery of the lung and did not cause any complication during the long (6-14-33 months) observation period, thus its open or transluminal removal was not considered necessary. In the opinion of the authors the "single-needle" hemodialysis should be avoided to prevent similar complications. The use of the "two-needle" treatment or a catheter with double lumen is advisable.

Catheterization↗

Broken piece in the lungs: a complication of haemodialysis via subclavian cannulation.

For a total of 349 haemodialysis sessions in 35 patients, 50 special subclavian cannulations were performed. The catheters were implanted infraclavicularly by the Seldinger technique. The average duration of the cannulation period was 26.6 days and the number of dialysis sessions per catheter was 7. Aspects of subclavian cannulation together with indications and complications are described. In three chronically uraemic patients, after 1, 5, and 6 weeks of single-needle haemodialysis, it was noticed that the catheter tip (3-5 cm) inserted into the subclavian vein had broken off. The broken pieces, lodged in the segmental pulmonary arteries, never caused any complication during the observation periods as long as 6, 14 and 33 months. Therefore their removal, either open or transluminal, seemed unnecessary. To prevent complications of similar type it is advisable to avoid single-needle dialysis. Recommended instead is either the double-needle method or the use of a double-lumen catheter.

Acute Kidney Injury↗

A new conception concerning the angioarchitectural organization of the canine kidney.

The sublobular artery arises from the arcuate artery, as a constant vessel possessing its proper personality, giving 2 equal subdivisions, from which part the interlobular arteries. The sublobular arteries are characterized by a particular origin and branching type, having no or sporadically disposed glomeruli. Occasionally, arteriae interlobulares derive directly from the arcuate artery too. The authors suggest the acception of term "Arteria sublobularis " in the international nomenclature of the renal vessels. According our opinion the canine kidney is composed of a number of conical units, containing in their axis a sublobular artery of 2nd order. Certain theoretical and practical aspects of this new conception are briefly discussed.

Animals↗

Effect of hyperosmolar peritoneal dialysis fluid on the elimination of small- and medium-molecular substances.

The efficiency of peritoneal dialysis by the use of hyperosmolar dialyzing fluid (680 mOsm/1) was studied in 7 patients with chronic renal failure. The results were referred to the control values obtained in the first and in the terminal periods. In the course of treatment by means of the solution of high osmolarity the clearance of small- and medium-molecular substances increased. A significant increase in ultrafiltration was demonstrable. Protein loss and elevation of the blood glucose levels were noted as side-effects.

Adolescent↗

Contributions to the morphology of the human coronary sinus.

The configuration and morphological features of the coronary sinus (c.s.) were studied on 54 human adult hearts. The c.s. has on an average 36 mm in length and 9 mm in diameter. The most frequent is the cylindrical configuration (67%), then follows the so-called "wafer" form (19%) and the funnel shaped c.s. (13%). The valve of Vieussens was present in 78%, but well developed only in 6% of the cases. The classical opening of the middle and small cardiac veins into c.s. was remarked in 28%; for the rest the particular forms described in this work make themselves obvious. The large tributaries of c.s. are provided with ostial valves in a percentage of 41%. The form and dimensions of the Thebesius valve are very variable; it is absent in 9% of the cases. The Marshall's vein appears as an obturated cord in a proportion of 20%. In each case there was found on the surface of the c.s. a myocardial coat, consisting of two layers, which form a device having probably a constrictive function during the atrial systole.

Adult↗

Infection of the abdominal cavity and chronic peritoneal dialysis.

Peritoneal dialyses have been performed in 1072 instances by the manual infusion technique in 16 patients with chronic renal failure, during a period of 2 years. Among the intraabdominal bacterial cultures done before each dialysis, 79 were positive, and peritonitis developed in 7 cases. As related to the total number of dialyses, these figures represent 7.37 and 0.65 per cent, respectively. Local intraabdominal applications has been found to reduce the hazard of peritonitis. Increased frequency of dialyses and combined antibiotic therapy proved curative to peritonitis. The results of the bacterial cultures indicate that in case of intraabdominal infections caused by Pseudomonas aeruginosa, acetate-containing dialysing fluids should be given preference.

Acetates↗

[The anatomic variants of the lingual nerve in human (author's transl)].

The authors studied the lingual nerve in 24 human heads through medial discovering after cutting the heads in the mediosagittal plan. In the 48 heads halved, plexiform roots of the lingual nerve were observed in 8.3%, while in 4.1% the origin of the nerve was formed by 2 roots. In 25%, between the lingual and inferior alveolar nerves connection bridges were found, represented either by only one nervous branch or 2-3 branches. The inferior and of the connection branches presents a similar structure to that of the vegetative ganglion. In 12.5% there were displayed 2 nervous branches destined to the lateral and medial pterygoid muscle and palatoglossal muscle. In 33.3%, one of the terminal branches of the mylohyoid nerve after perforating the homonymous muscle, anastomoses with the lingual nerve in the lateral sulcus of the tongue (Sulcus lateralis linguae) achieving, in the author's opinion, the "mylohyoid or sublingual curl". Considering these facts, in the author's opinion, the mylohyoid nerve is a mixed nerve which transmits, trough the anastomotic branch, the sensitive and postganglionar vegetative fibres to the lingual nerve.

Adult↗

[Anatomical variations of the nervus alveolaris inferior and their importance for the practice (author's transl)].

The authors have studied the anatomic variations of the inferior alveolar nerve (N. alveolaris inferior) in 18 human heads. The mandibular nerve being free by medial abord. At about half of the studied cases the M. pterygoideus medialis presents a widened insertion extending on the posterior border of the Ramus mandibulae. Before entering into the mandibular channel the inferior alveolar nerve separated from the next elements by expansion of "aponévrose interptérygoidienne". At this level gets sympathic branches from the plexus caroticus externus et internus, making a plexiform structure interfering sometimes a vegetative ganglion formation. At 16.6% of the cases between the alveolar inferior nerve and the lingual nerve are established connection bridges more or less developed. They have an asymetric aspect. There were observed evident connections between the inferior alveolar nerve and the auriculotemporal nerve taking a mono- or pluriradicular form. The mylohyoidian nerve on his homonymous way gives 2--3 sensitive, or vegetative branches to the bone. Practically speaking are important the branches coming from the precanalicular portion of n. alveolaris inferior perforating the periost and penetrating independently in to mandibula through separated vents. These results are practically useful in Stomatological technique explaining from an anatomically point of view the inefficiency of mandibular anaesthesia in some cases although it is correctly applied.

Humans↗