Sonographic measurement of deep fascia parameters - Interrater reliability.

Purpose: The deep fascia has recently been a current topic in many medical fields, including rehabilitation. Some research has already focused on assessing deep fascia, however results of individual authors differ in certain aspects. This study focuses on the inter-rater reliability of ultrasound (US) measurement of the thickness of deep fascia and loose connective tissue (LCT).

Mirror visual feedback as therapeutic modality in unilateral upper extremity complex regional pain syndrome type I: randomized controlled trial.

Background: There is growing evidence for the effectiveness of mirror therapy (MT) on pain reduction in patients with type I complex regional pain syndrome (CRPS I).

Aim: To evaluate the efficacy of MT on pain reduction and hand function in subjects with unilateral upper extremity CRPS I.

Design: Randomized controlled trial with control group cross-over (half cross-over design).

The Development of Musculoskeletal Disorders during Undergraduate Dentistry Studies-A Long-Term Prospective Study.

Musculoskeletal disorders (MSDs) frequently occur among dental practitioners and present a significant occupational burden with an early onset in the dentists' career. This study aimed to analyze the five-year development of self-reported overall MSDs among the dentistry students during the course of their studies and to assess the possible influence of the risk as well as protective factors. The questionnaire inquiry was performed among the first-year dentistry students, regarding the occurrence of MSDs and the presence of potential risk and protective factors.

Ulnar Neuropathy at the Elbow: From Ultrasound Scanning to Treatment.

Ulnar neuropathy at the elbow (UNE) is commonly encountered in clinical practice. It results from either static or dynamic compression of the ulnar nerve. While the retroepicondylar groove and its surrounding structures are quite superficial, the use of ultrasound (US) imaging is associated with the following advantages: (1) an excellent spatial resolution allows a detailed morphological assessment of the ulnar nerve and adjacent structures, (2) dynamic imaging represents the gold standard for assessing the ulnar nerve stability in the retroepicondylar groove during flexion/extension, and (3) US guidance bears the capability of increasing the accuracy and safety of injections.

A new instrument to personalize ovarian stimulation: results of the CERES study after using a novel gonadotropin - follitropin delta.

Unlabelled: : Objective: The aim of the study CERES (CzEch REkovelle real life Study) was to gather experience with the use of a novel gonadotrophine, to evaluate the efficacy of follitropin delta in Czech clinical settings and to compare our results with the clinical trial ESTHER-1.

Methods: Individualized follitropin delta daily dose in µg based on the patient’s anti-Müllerian hormone (AMH) level and body weight (AMH < 15 pmol/ L: 12 µg/ d; AMH > 15 pmol/ L: 0.10–0.

Vaginismus - who takes interest in it?

Objective: Vaginismus is caused by involuntary spasm of muscle surrounding the vaginal wall, a condition which makes it impossible to have a comfortable sexual intercourse. Due to its significant psychogenic part this topic is often neglected by specialists, however it is a very sensitive one for women patients. We are bringing a summary of literature dealing with vaginismus, clarifying the possibilities of diagnostics, therapy and we are discussing relation of this dysfuntion to reproduction.

Prevalence of Musculoskeletal Disorders Symptoms Among Czech Dental Students. Part 2: The Predictive Value of Digital Assessment.

This article is the second part of an evaluation of musculoskeletal disorders (MSDs) prevalence among dental students. As the majority of complaints are in the back region, there is an endeavor to analyze objectively the disorders in this region. One of the non-invasive and non-radiation methods is the spinal curve mapping using the Spinal Mouse® device (Idiag AG, Fehraltorf, Switzerland).

Prolactin and alteration of fertility.

Aim: Physiology and pathology of prolactin production, clinical consequences.

Design: Review.

Setting: Reprogenesis International, Brno.

Prevalence of Musculoskeletal Disorders Symptoms among Czech Dental Students. Part 1: a Questionnaire Survey.

Musculoskeletal disorders (MSDs) frequently occur among dentists and dental students. The first aim of this study was to gather and analyze information about the prevalence of symptoms of MSDs. The second aim was to determine a correlation between subjectively described complaints and the results of an objective examination of the spine using the Spinal Mouse® device; that part is described in the second section of this article.

Positioning Techniques to Improve the Ultrasound Evaluation of the Elbow.

We introduce an ergonomic positioning for sonographic scanning of elbow joint where the patient is lying semisupine on the examination bed. This is in contrast with the conventional positioning where the patient is sitting on the edge of the bed or across the table on a chair. Our proposed positioning is more comfortable for both the patient and ultrasound practitioner.

Cardiovascular response to peak voluntary exercise in males with cervical spinal cord injury.

Context/objective: Traumatic damage to the cervical spinal cord is usually associated with a disruption of the autonomic nervous system (ANS) and impaired cardiovascular control both during and following exercise. The magnitude of the cardiovascular dysfunction remains unclear. The aim of the current study was to compare cardiovascular responses to peak voluntary exercise in individuals with tetraplegia and able-bodied participants.

Validation of physical activity monitors in individuals with diabetes: energy expenditure estimation by the multisensor SenseWear Armband Pro3 and the step counter Omron HJ-720 against indirect calorimetry during walking.

Background: The purpose of this study is to test the agreement between energy expenditure estimate of the SenseWear(®) Armband Pro3 (SWA) (BodyMedia, Pittsburgh, PA) and the Omron HJ-720 (Omron Healthcare, Kyoto, Japan) step counter with indirect calorimetry (IC) as a gold standard in older individuals with type 1 and type 2 diabetes mellitus while walking on a treadmill.

Subjects And Methods: In total, six men (60.3±3.

Prevalence of inherited thrombophilia in patients with severe ovarian hyperstimulation syndrome.

Background And Objective: To determine the prevalence of markers of inherited thrombophilia in patients with severe form of ovarian hyperstimulation syndrome (OHSS) DESIGN AND METHODS: Blood samples were analysed for markers of thrombophilia (mutation of factor V - Leiden, mutation of methylentetrahydrofolat reductase (MTHFR) C677T and mutation of prothrombin G20210A). The study group consisted of women who had undergone controlled ovarian hyperstimulation for IVF complicated by severe OHSS (group A, n = 50). Results were compared with two controls groups - women who underwent ovarian hyperstimulation for IVF without developing OHSS (group B, n = 93) and healthy pregnant women with no history of infertility (group C, n = 196).

Incidence of pericardial effusion in females stimulated in "in vitro fertilization" program.

Aims: To evaluate the incidence of pericardial irritation in females after hormonal stimulation in in vitro fertilization program, and to set its clinical significance as a symptom of ovarian hyperstimulation syndrome (OHSS).

Patients: Thirty-nine females, aged 30 +/- 5 years (20-46), with a normal echo finding prior to hormonal stimulation.

Methods: Serial echocardiography: baseline A, in hCG application B, embryo-transfer C.

[Prevalence of thrombophilia in patients with severe ovarian hyperstimulation syndrome].

Objective: To determine the prevalence of markers of thrombophilia in patients with severe form of ovarian hyperstimulation syndrome

Design: Retrospective case - control study

Setting: Unica, Institute for Reproductive Medicine, Brno

Methods: Blood samples to test for markers of thrombophilia were obtained from 30 patients who were hospitalised for severe OHSS. Results were compared with two control groups.

Results: None of the patients with severe OHSS had antithrombin, protein C or protein S deficiencies.

[Changes of coagulation parameters during stimulation in the IVF programme and in ovarian hyperstimulation syndrome].

Objective: Evaluation of changes in hemostasis system during the ovarian stimulation in IVF programme and in patients with severe form of ovarian hyperstimulation syndrome.

Design: Review article.

Setting: Unica, Institute for Reproductive Medicine, Brno.

[Contribution of Doppler examination in pregnancy at risk of alloimune fetus anemia].

Objective: To evaluate the utilisation measurements of peak systolic velocities in the middle cerebral artery (MCA-PSV) to predict fetal anemia in pregnancies complicated by alloimmune antibodies known to cause immunological hydrops.

Design: A prospective study.

Setting: Department of Obstetrics and Gynecology, University Hospital, Olomouc.

[Doppler blood flow velocity in the evaluation of fetal anemia].

Objective: To review (summarize), in maternal red blood cell alloimmunization, the diagnostic value of Doppler blood flow velocity in the evaluation and prediction of fetal anemia.

Design: A review article.

Setting: Department of Obstetric and Gynecology, University Hospital, Olomouc.

[The effectiveness and complications of ovarian transposition in young women with cervical cancer].

Objective: To discuss the indications, effectiveness, and complications of ovarian transposition before pelvic irradiation for cervical cancer.

Design: A review article.

Setting: Department of Obstetric and Gynecology, University Hospital, Olomouc.

[Hysterectomy at the Olomouc Clinic 1989-2002: evolution in the indication spectrum and surgical approach].

Objective: Analysis of representation in surgical approaches and techniques to hysterectomy (abdominal hysterectomy, vaginal hysterectomy, laparoscopically assisted vaginal hysterectomy) in our clinic. The evolution of indications, diagnosis and operating approaches from 1989 to 2002 were analysed.

Design: Retrospective study.

[Effect of early cleavage of embryos after intracytoplasmic sperm injection (ICSI) into oocytes on results of fertilization in vitro (IVF) and embryo transfer (ET)].

Objective: To evaluate the influence of early cleavage in embryos obtained using ICSI on the success rate of IVF-ET.

Design: A prospective study.

Setting: Centre of Assisted Reproduction, Department of Obstetrics and Gynecology, Medical Faculty, Palacký University, Olomouc.

[Early cleavage embryos and their effect on the results of standard in vitro fertilization].

Objective: To assess if early cleavage embryo is an additional indicator of embryo quality that could be used to increase the efficiency of IVF and ET.

Design: A prospective study.

Setting: Centre for Assisted Reproduction, Department of Gynecology and Obstetrics, Medical Faculty, Palacký University, University Hospital, Olomouc.

[Multiple pregnancy--a significant complication of in vitro fertilization protocols].

Objective: To evaluate the history of pregnancies after IVF-ET, to define multiple pregnancy risk factors.

Design: A retrospective analysis of the period of 1992-2000.

Setting: Department of Gynecology and Obstetrics, University Hospital, Palacký University, Olomouc.