Evaluation of a Primary Care Weight Management Program in Children Aged 2⁻5 years: Changes in Feeding Practices, Health Behaviors, and Body Mass Index.

Background: Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact of a parent-based, primary care intervention on the feeding habits, health behaviors, and body mass index (BMI) of 2⁻5 year olds with elevated or rapidly-increasing BMI.

Methods: Four private pediatric offices in West Michigan were assigned as control ( = 2) or intervention ( = 2) sites based on patient load and demographics.

Synovial cyst formation complicating total hip arthroplasty: a case report.

The most frequent causes of unilateral limb swelling unrelated to trauma or surgery are deep venous thrombosis, chronic venous insufficiency, and primary lymphedema. Other important but less frequent causes include infection and neoplasm. Neoplasms may cause limb swelling, either by soft tissue enlargement or incidental compression of venous or lymphatic structures.

Current management of coexistent intra-abdominal pathology in patients with abdominal aortic aneurysms.

In conclusion, it can be seen that coexistent intra-abdominal pathology and aortic aneurysms demands an individualized approach to determine a treatment plan for a given patient. Life expectancy must be balanced against the risk of a complication developing in either the treated or untreated condition as well as the potential for increased morbidity associated with combined procedures. If combined procedures are performed, they must be undertaken only if the aneurysm resection has gone smoothly.

Perimalleolar subcutaneous tissue pressure effects of elastic compression stockings.

Purpose: We hypothesized that the clinical benefit of elastic compression stockings (ECS) is at least in part due to an increase in subcutaneous pressure that may promote resorption of extracellular fluids, providing more efficient diffusion of oxygen and nutrients from the microcirculation to the skin and subcutaneous tissues.

Methods: To test this hypothesis we designed and standardized a device for measuring subcutaneous pressure in patients. We then measured the supine perimalleolar subcutaneous pressure from a single limb in four groups: group 1 consisted of control subjects (n = 8); group 2 consisted of patients with varicose veins and superficial venous insufficiency without lipodermatosclerosis or edema (n = 5); group 3 consisted of patients with deep venous insufficiency and lipodermatosclerosis but without edema (n = 8); and group 4 consisted of patients with deep venous insufficiency, lipodermatosclerosis, and clinically evident edema (n = 8).