The 'DIMPLE SIGN' of Intra-Aortic Cord.

Background: With increasing use of imaging to diagnose human pathology, newer aortic anomalies are being identified. An intra-aortic cord is one such abnormality, which requires differentiating from an intimal flap of dissection, to avoid major surgery or prolonged surveillance. The aim of this study was to bring forth a unique feature of the intra-aortic cord on imaging, using volume rendering reformatting and identify similar findings in published literature and hence establish the role of the 'Dimple' sign.

Understanding the relationship between surfing performance and fin design.

This research aimed to determine whether accomplished surfers could accurately perceive how changes to surfboard fin design affected their surfing performance. Four different surfboard fins, including conventional, single-grooved, and double-grooved fins, were developed using computer-aided design combined with additive manufacturing (3D printing). We systematically installed these 3D-printed fins into instrumented surfboards, which six accomplished surfers rode on waves in the ocean in a random order while blinded to the fin condition.

Perioperative variable rate intravenous insulin infusion: a quality improvement project on a vascular surgery ward.

Aims: Variable rate intravenous insulin infusion (VRIII) is used perioperatively to maintain normoglycaemia in patients with diabetes who are undergoing surgery. The aims of this project were as follows: (1) to audit the extent to which perioperative prescribing of VRIII for diabetic vascular surgery inpatients at our hospital meets established standards and (2) to use the results of the audit to guide improvement in the quality and safety of prescribing practices and reduce VRIII overuse.

Methods: Vascular surgery inpatients who had perioperative VRIII were included in the audit.

Increasing women's participation in biomechanics through National Biomechanics Day events.

Science, technology, engineering and mathematics (STEM) occupations represent one of the broadest gender gaps in any professional field, with women and girls grossly underrepresented in STEM education and careers, particularly engineering and biomechanics. Factors such as bias, stereotyping, and a lack of female role models can significantly influence women's and girls' decisions to enter and remain in the field of biomechanics. A critical first step in increasing the number of female biomechanists is to create early opportunities for girls to explore biomechanics.

Provision of NICE-recommended varicose vein treatment in the NHS.

Background: Standardization of access to treatment and compliance with clinical guidelines are important to ensure the delivery of high-quality care to people with varicose veins. In the National Health Service (NHS) in England, commissioning of care for people with varicose veins is performed by Clinical Commissioning Groups (CCGs) and clinical guidelines have been developed by the National Institute for Health and Care Excellence (NICE CG168). The Evidence-Based Intervention (EBI) programme was introduced in the NHS with the aim of improving care quality and supporting implementation of NICE CG168.

Can we predict the landing performance of simulated aerials in surfing?

This study explored which technical and physical attributes could predict superior and/or safe landing performance when surfers performed variations of a simulated aerial task. Fourteen surfers (age 20.6 ± 5.

Rate of loading, but not lower limb kinematics or muscle activity, is moderated by limb and aerial variation when surfers land aerials.

We aimed to determine whether there were any differences in how surfers used their lead and trail limbs when landing two variations of a simulated aerial manoeuvre, and whether technique affected the forces generated at landing. Fifteen competitive surfers (age 20.3 ± 5.

Training for success: Do simulated aerial landings replicate successful aerial landings performed in the ocean?

Purpose: Physical preparation of competitive surfers includes substantial dry-land training. It is currently unknown, however, how closely these exercises replicate surfing maneuvers performed in the ocean. This study compared the technique features displayed by surfers when landing simulated aerial maneuvers on land to critical features previously established as necessary for surfers to successfully land aerials in the ocean during competition.

Essential Skills for Superior Wave-Riding Performance: A Systematic Review.

Forsyth, JR, Riddiford-Harland, DL, Whitting, JW, Sheppard, JM, and Steele, JR. Essential skills for superior wave-riding performance: A systematic review. J Strength Cond Res 34(10): 3003-3011, 2020-To successfully and safely perform surfing maneuvers, surfers and their coaches need to know how to perform each maneuver correctly.

Life-threatening intraoperative anaphylaxis as a result of chlorhexidine present in Instillagel.

A 70-year-old man with left lower limb critical ischaemia was admitted to our vascular unit for a femoral-popliteal bypass. He had experienced a skin reaction to chlorhexidine 6 months previously during an angioplasty procedure. After intubation, once in the operating theatre, the patient had a urinary catheter inserted using Instillagel.

Analysis of Scoring of Maneuvers Performed in Elite Men's Professional Surfing Competitions.

Purpose: To investigate the influence of turns, tube rides, and aerial maneuvers on the scores awarded in elite men's professional surfing competitions. The successful completion rate and scores associated with different aerial variations were also investigated.

Methods: Video recordings from all 11 events of the 2015 World Surf League men's world championship tour were viewed to classify maneuvers performed by the competitors on each wave as turns, tube rides, and aerials.

The evolving management of the appendix mass in the era of laparoscopy and interventional radiology.

Aim: An appendix mass is the result of a walled-off perforation of the appendix which localises, resulting in a mass and it is encountered in up to 7% of patients presenting with acute appendicitis. However, its management is controversial due to the lack of high level evidence. This review article sets out a rationale diagnostic and therapeutic strategy for the appendix mass based upon up-to-date available evidence.

Superior mesenteric artery syndrome as a cause for recurrent abdominal pain and vomiting in a 9-year-old girl.

A 9-year-old girl was admitted under our general surgical team with 2 days of diffuse abdominal pain and vomiting. This was one of multiple admissions for similar symptoms over the past 5 years. She was feverish on admission but haemodynamically stable.