Patient Benefit from Modified Nuss Correction of Pex Excavatum is Physical as well as Cosmetic

Efst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files

Crown Towers Hotel, Southbank, Melbourne, May 2007, 1 [picture] /

Title devised by cataloguer based on information from acquisition documentation.; Part of collection: Changes to the built environment in the City of Melbourne, Southbank and Docklands, 4-7 May 2007; Acquired in digital format; access copy available online.; Mode of access: Internet via World Wide Web.; Photographed by the National Library's photographers, Damian McDonald and Greg Power, 4-7 May 2007. The Crown Towers Hotel located on the banks of the Yarra, overlooking the City of Melbourne. Designed by architects Bates Smart, Perrot Lyon, Mathieson and Daryl Jackson

Tatiana Riabouchinska as The Golden Cockerel (centre), and artists of the company, in Le coq d'or, Covent Garden Russian Ballet, Australian tour, His Majesty's Theatre, Melbourne, October 1938 (3) [picture] /

From: Le coq d'or (The golden cockerel) : ballet in three scenes / based on the fairy tale by Aleksandr Pushkin and the opera libretto by Vladimir Bielsky ; music by Nikolay Rimsky-Korsakoff, adapted by Nikolai Tcherepnine.; Inscription: "V16".; Part of the collection: Hugh P. Hall collection of photographs, 1938-1940.; Choreography by Michel Fokine ; curtain, scenery and costumes by Nathalie Gontcharova ; scenery executed by Prince A. Schervachidze ; costumes executed by B. Karinska.; Also available in an electronic version via the Internet at: http://nla.gov.au/nla.pic-vn3992394. One of a collection of photographs taken by Hugh P. Hall of 28 ballet productions performed by the Covent Garden Russian Ballet (toured Australia 1938-1939) and the Original Ballet Russe (toured Australia 1939-194040). These are the second and third of the three Ballets Russes companies which toured Australasia between 1936 and 1940. The photographs were taken from the auditorium during a live performance in His Majesty's Theatre, Melbourne and mounted on cardboard for display purposes. For conservation and storage, the photographs have been demounted. The original arrangement of the photographs has been recorded, and details are available from the Pictures Branch of the National Library

Irregular amplitude and frequency of respiratory movements in hemispheric stroke

To access publisher's full text version of this article click on the hyperlink belowObjectives: The aims of the study were to investigate respiratory movement patterns among patients with right versus left hemispheric stroke with emphasis on regularity of respiratory frequency and amplitude of movements during both quiet and voluntary deep breathing and to compare the results with reference values. Materials and methods: Eighteen patients with severe stroke were measured with the Respiratory Movement Measuring Instrument. Respiratory frequencies, movements, regularity of amplitude and frequency were compared with individuals with no neurological disease. Results: The demographics and physical performance were comparable for 8 left and 10 right hemispheric stroke. Deep respiratory movements were significantly decreased (p< 0.001) and frequency significantly increased (p< 0.03 for quiet and p = 0.002 for deep breathing), for the group (n = 18) compared with reference values. Fifty-six percent of our stroke patients had irregular amplitude of deep respiratory movements (p = 0.003), and 33% had irregular frequency (p = 0.058), but none of the individuals with no neurological diseases (p = 0.003). Seventy percent of RHS patients had irregular amplitude of deep respiratory movements, compared with 38% of LHS patients (p = 0.34). Conclusion: Results show significantly decreased amplitude of deep breathing in hemispheric stroke and indicate a possible effect on regularity of range and frequency of respiratory movements.Landspitali National University Hospital, Reykjavik, Iceland Icelandic Physotherapy Association research fun

A comparison of the 6-minute walk test and symptom limited graded exercise test for phase II cardiac rehabilitation of older adults

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldBackground and Purpose: Older adults often find it difficult to bicycle or walk on a treadmill. Therefore we prospectively evaluated whether the 6-minute walk test (6MWT) could be used as a valid substitute for symptom limited graded exercise testing (SLGXT) to determine exercise capacity in a group of cardiovascularly stable older adults after cardiac surgery. Subjects: Ten older adults who had undergone cardiac surgery participated in the study. Methods: The pedaling speed of the SLGXT was 55-60 rpm, beginning at 20 watts and increasing incrementally until exhaustion. Perceived exertion was rated using the Borg rating scale. Four 6MWTs were performed during the same day with a rest periods of 15-60 minutes. The best distance achieved in the four 6MWTs was used in subsequent analysis. Descriptive statistics and Pearson’s correlation coefficients were calculated. Results: Performance at the 6MWT and the SLGXT were highly and significantly correlated (r = .93, p< .001). The maximum heart rate achieved during the best 6MWT and the SLGXT were moderately and significantly correlated (r = .64, p< .009). The correlation between maximum systolic blood pressure during the 6MWT and SLGXT was somewhat lower (r = .52, p< .038). Conclusions: The 6MWT can be used as a valid substitute for ‘the golden standard’ SLGXT to evaluate exercise capacity after phase II rehabilitation of cardiovascularly stable older adults who have undergone cardiac surgery

A comparison of the 6-minute walk test and symptom limited graded exercise test for phase II cardiac rehabilitation of older adults

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldBackground and Purpose: Older adults often find it difficult to bicycle or walk on a treadmill. Therefore we prospectively evaluated whether the 6-minute walk test (6MWT) could be used as a valid substitute for symptom limited graded exercise testing (SLGXT) to determine exercise capacity in a group of cardiovascularly stable older adults after cardiac surgery. Subjects: Ten older adults who had undergone cardiac surgery participated in the study. Methods: The pedaling speed of the SLGXT was 55-60 rpm, beginning at 20 watts and increasing incrementally until exhaustion. Perceived exertion was rated using the Borg rating scale. Four 6MWTs were performed during the same day with a rest periods of 15-60 minutes. The best distance achieved in the four 6MWTs was used in subsequent analysis. Descriptive statistics and Pearson’s correlation coefficients were calculated. Results: Performance at the 6MWT and the SLGXT were highly and significantly correlated (r = .93, p< .001). The maximum heart rate achieved during the best 6MWT and the SLGXT were moderately and significantly correlated (r = .64, p< .009). The correlation between maximum systolic blood pressure during the 6MWT and SLGXT was somewhat lower (r = .52, p< .038). Conclusions: The 6MWT can be used as a valid substitute for ‘the golden standard’ SLGXT to evaluate exercise capacity after phase II rehabilitation of cardiovascularly stable older adults who have undergone cardiac surgery

Respiratory movements are altered three months and one year following cardiac surgery

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldOBJECTIVE: Pulmonary complications following cardiac surgery through sternotomy are well known, but little is known about the proposed alterations of the chest wall mechanism. The purpose of this study was to examine changes in chest wall motion and pulmonary function after cardiac surgery. DESIGN: The subjects were 20 cardiac surgery patients, 13 men and 7 women, mean age 65 years. Measurements: Bilateral respiratory movements were measured using the Respiratory Movement Measuring Instrument before, 3 and 12 months after the operation. Vital capacity (VC), forced vital capacity (FVC) and forced expiratory volume (FEV1) were measured with the Pulminet III (Gold Godart Ltd Vitalograph Alpha Ltd. Maids Morton, Buckingham, England) preoperatively, 3 and 12 months postoperatively, and radiographs were taken at the same points in time. Analysis: Descriptive statistics, paired sample t-tests, Mann-Whitney and Wilcoxon Signed Rank tests were used for analyses, p < or = 0.05. RESULTS: Average abdominal movements 3 months postoperatively were significantly decreased and the difference between right and left side in upper thoracic and abdominal movements was significant. All pulmonary function measurements except the FEV1/FVC showed a significant decrease and a restrictive pattern compared with preoperative values. Twelve months after the operation the upper thoracic movements were significantly increased. Five patients had an abnormal chest x-ray before the operation, eight 3 months and three 12 months after the operation. CONCLUSION: The motor system of the respiratory organs suffers considerable injury from cardiac surgery, which in part at least can explain the restrictive breathing 3 months postoperatively

Chest wall motion and pulmonary function are more diminished following cardiac surgery when the internal mammary artery retractor is used

To access publisher full text version of this article. Please click on the hyperlink in Additional Links filedOBJECTIVES: Pulmonary complications following cardiac surgery through sternotomy have been widely studied. The duration of these complications, however, has been less studied and the proposed alterations in chest wall mechanism even less. The purpose of this study was to investigate changes in chest wall motion and pulmonary function of cardiac surgery patients, where both the median and the internal mammary artery retractor was used (IMA group) and cardiac surgery patients, where only the median retractor was used (Median group). DESIGN: Subjects were 20 cardiac surgery patients with mean age 65 years (12 in the IMA group and 8 in the Median group). Bilateral respiratory movements (RMs) using the Respiratory Movement Measuring Instrument, lung volumes including vital capacity (VC), forced vital capacity (FVC) and forced expiratory volume (FEV1) using the Vitalograph Alpha were measured and pulmonary radiographs analyzed before, 3 and 12 months after the operation. ANALYSIS: Descriptive statistics, t-tests, Mann-Whitney and Wilcoxon Signed Rank tests were used for analyses, p < or = 0.05. RESULTS: RMs were symmetrical in both groups prior to the operation and the differences in RMs and lung volumes between the groups were not significant. Three and 12 months postoperatively bilateral abdominal respiratory movements (ARM) were significantly less in the IMA group than in the Median group. Average left ARM were significantly less than the average right ARM in the IMA group 3 months postoperatively, while symmetrical in the Median group. Average FVC and FEV1 were significantly less in the IMA group than in the Median group 3 months postoperatively and FVC was still significantly less in the IMA group 12 months after the operation. CONCLUSION: The significantly more reduced ARM and lung volumes 3 months postoperatively in the IMA group than in the Median group suggests that the IMA retractor causes greater injury to the rib cage and the diaphragm

Sketch map, Lachlan no. 4 [cartographic material] /

Cadastral map of 268,800 acres of pastoral country fronting the Murrumbidgee River showing area of forest reserves, land purchased for station, land purchased by bona fide selectors, pre-leases for station and land measured for auction.; Includes explanatory notes above the map.; Also available in an electronic version via the Internet at: http://nla.gov.au/nla.map-rm1991-18.Lachlan no.

Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldOBJECTIVE--To study the changes in bilateral respiratory motion and pulmonary function following sternotomy and the relationships between the changes in respiratory movements, spirometry, radiographic analyses, and several intra-operative surgical characteristics. DESIGN--Respiratory motion during deep breathing and lung volumes were measured in 20 patients (mean age 65 years, SD 16) before and after median sternotomy. Chest x-rays were analyzed pre- and postoperatively and a variety of perioperative variables were measured. RESULTS--Average abdominal motion decreased to 57% of preoperative values bilaterally 1 week postoperatively, the average lower thoracic motion decreased to 72%, and the average upper thoracic motion decreased to 87%, whereas the right upper thoracic motion increased 3% compared with preoperative values. Lung volumes decreased to around 60% of preoperative values (p<0.05). Significant correlations were found between the decrease in pulmonary function and the mean respiratory movements. Abnormal chest radiographs were found in all patients. CONCLUSION--The breathing pattern before sternotomy is predominantly abdominal but moves to a thoracic and upper thoracic pattern postoperatively and is associated with reduced pulmonary function. Therapeutic interventions aimed at correcting the less effective upper thoracic breathing pattern should likely be implemented