RESUMO
The purpose of this study was to construct a 3D dynamic model to quantify low back load during single person dependent transfer, and to compare the effects of wearing style of a low back belt on low back loading. Of the nine subjects participating in this study, eight adopted the role of caregiver and one was a simulated patient. Tasks were general transfer without either subject wearing a low back belt (WB), transfer with the patient wearing a low back belt (BP), transfer with both subjects wearing low back belts (BB), and transfer with the caregiver wearing a low back belt (BC). Low back lateral and extension moments in BB and BC transfers showed the significantly smaller values than those in WB transfers (p<0.01). The results suggest that the wearing of a low back belt by caregivers would reduce low back joint moment during transfers.
Assuntos
Região Lombossacral/fisiologia , Transferência de Pacientes , Equipamentos de Proteção , Cuidadores , Humanos , Masculino , Modelos Teóricos , Transferência de Pacientes/métodos , Adulto JovemRESUMO
We present a rare occurrence of woman monozygotic twins with ulcerative colitis (UC). A 21-year-old woman came to our hospital because of diarrhea, abdominal pain and hematochezia. We diagnosed this case as proctitis type UC by endoscopic and histological findings. Six months later, her twin sister developed total colitis type UC. Both twins had HLA-A24, B52, DR2, and DQ1 serological types, and had DRB1*1502 DNA type, previously shown to be associated with UC. This case report suggested an association of genetic factor together with environmental factors in the etiology for UC.
Assuntos
Colite Ulcerativa/genética , Colite Ulcerativa/imunologia , Doenças em Gêmeos/genética , Adulto , Colite Ulcerativa/patologia , DNA/genética , Feminino , Antígenos HLA-DR/genética , Cadeias HLA-DRB1 , Teste de Histocompatibilidade , Humanos , Fatores de Risco , Gêmeos MonozigóticosRESUMO
Dietary supplements have become very popular worldwide because they are believed to be safe with few side effects. Here, we report three cases of liver injury caused by Sennomotokounou, a Chinese dietary supplement for weight reduction. All patients developed acute hepatotoxicity and recovered spontaneously after withdrawal of dietary product. This product contains fenfluramine, n-nitroso-fenfluramine, and dried thyroid tissue powder. In Japan, the regulatory agency for drug and food safety received 120 reports of hepatotoxicity associated with Sennomotokounou between 2000 and 2002. Physicians should inquire about the use of dietary supplements whenever patients present with unexplained acute liver dysfunction.