OBJECTIVE To evaluate the comparative diagnostic value of harmonic imaging (HI) in the assessment of patients with suspected infective endocarditis (IE). SETTING Tertiary referral centre. DESIGN 139 consecutive patients were evaluated with three imaging modalities: transthoracic echocardiography with fundamental imaging (FI); HI; and transoesophageal echocardiography (TOE). Image quality wa...

Transoesophageal echocardiography (TOE) has gained widespread acceptance among cardiac anaesthetists as a tool to facilitate peri-operative decision-making. This observational study analyses the impact of TOE and its inter-observer variability on intra-operative patient management during cardiac and major vascular surgery. From June 1996 to December 1998, standardized reports were obtained from...

SUMMARY The initial location of necrosis may affect the limb salvage rate. This study of 130 patients with chronic toe ulcers or gangrene was performed to assess whether the location of initial necrosis in the toes affected limb salvage prognosis. The patients were divided into 2 groups according to whether the initial necrosis was in the great toe or in other toes. Limb salvage prognosis was d...

The objective of this study was to evaluate function of the great toe in maintaining human static and dynamic balance. Correlation among the great toe length, body height and balance performance parameters were also investigated. Thirty female subjects (aged 22.1±1.87 years) were tested in two great toe conditions, unconstrained and constrained. Balance testing was done in the orders listed: 1)...

Wide variety of timings and techniques has been used based on the housing, production, availability of requirements etc. This current study was done for a morphologic evaluation of the cow's digit in different trimming times. A dairy herd with 2200 milking cow, free stalls barns, average daily production of 36 liters per cow was selected. Forty cows were assigned to four groups based on hoof tr...