Abdominal Massage Research Articles

Bowel Emptying Methods Used by German Residents Living With Spina Bifida.

The purpose of this study was to describe and analyze methods of bowel emptying among Germans living with spina bifida. We also analyzed relationships between age, sex, level of spinal bifida anomaly, and methods of bowel elimination. A quantitative, descriptive study. The sample comprised 88 persons (56 women and 32 men) residing anywhere in the Federal Republic of Germany. Their mean age was 17.5 years (SD 13.64 years), range 0 to 55 years. Data were collected through an online survey questionnaire developed for the urological follow-up protocol for patients with spina bifida. Parents completed the questionnaire for participants younger than 18 years. Twenty participants (22.7%) reported normal defecation and 68 (77.3%) reported neurogenic bowel dysfunction requiring regular bowel management. Participants requiring bowel management predominately used rectal irrigation (40.9%) and digital rectal stimulation (27.3%) to enhance bowel evacuation. Age emerged as the only factor related to the bowel management techniques. Younger participants (≤20 years) were more likely to use rectal irrigation for bowel evacuation (P = .001, Fisher's exact test), whereas older respondents (≥21 years) were more likely to use digital rectal stimulation (P = .015, Fisher's exact test). Analysis revealed no differences in methods of bowel evacuation based on sex or level of spina bifida anomaly (cervical, thoracic, lumbar, or sacral). Rectal irrigation was the most common method for bowel evacuation. Participants were less likely to employ potentially effective and more conservative measures for intestinal emptying, such as toilet training/timed evacuation associated with Valsalva maneuvers, abdominal press, abdominal massage, and digital rectal stimulation. Additional comparative studies with more participants and other countries with intestinal emptying methods are needed to better understand the needs of individuals with spina bifida and their families and to improve the health-related quality of life of these people.

Abdominal Stiffness Evaluation in Massage for Constipation.

According to the experience of nurses and physiotherapists, the abdomen of constipated people becomes softer after abdominal massage. However, the relationship between the decrease in abdominal stiffness and the benefits of abdominal massage has not been examined quantitatively and is unclear. Furthermore, devices for measuring stiffness have been designed to measure relatively hard areas such as the shoulders and do not take into account the lateral outflow of the target tissue, which can be a problem when measuring the stiffness of soft areas such as the abdomen. To address these issues, this study presents a stiffness sensor suitable for measuring abdominal stiffness and investigates the relationship between the reduction in abdominal stiffness and the benefits of abdominal massage. The solution to prevent the lateral outflow of the target is the realization of a stopper, including a contact detection device, which enables a wide-area contact around the targeted area. The sensor consists of a stopper, probe, spring, and time-of-flight (ToF) sensors. The probe and spring provide appropriate pressure and deformation to the abdomen, whereas the stopper prevents the probe from being pushed into the abdomen more than necessary. The ToF sensor measures the deformation length when the deformation is stopped by the stopper. The abdominal stiffness can be derived from the deformation length. The investigation results indicate that the reduction in abdominal stiffness corresponds to the improvement of the stool condition or the maintenance of a healthy stool condition, whereas the maintenance of abdominal stiffness indicates the maintenance or deterioration of the stool condition.

Analysis of the Effect of Health Management of Chronic Diseases and Metabolic Disorders under the Guidance of B-Ultrasound.

Chronic diseases are diseases with insidious onset, prolonged duration, and intractability and are associated with complex etiology and multiple morbidities, including hypertension, obesity, liver disease, kidney disease, cancer, cardiovascular disease, and chronic lung disease. For patients with chronic diseases, although the cause of the disease is not in the spleen and stomach, medication or further development of the disease will affect the function of the spleen and stomach disorders, leading to worsening of the disease. In this article, ultrasound is used to detect health disorders of the spleen and stomach. Patients should eat a light diet and exercise more. Elderly patients can increase abdominal massage and other health care. It should be emphasized that the prevalence of chronic diseases is not lower in people with high education or high economic income but is closely related to people's daily living habits; secondly, we should enhance physical exercise and advocate annual physical examination. Finally, we need to develop different measures according to different regions to prevent and treat chronic diseases and give timely feedback to the interventions. New preventive and curative measures are given in time to improve public health.

Evidence Based Nursing Self-Management untuk Mengurangi Konstipasi pada Pasien Kanker Payudara yang Menjalani Kemoterapi: A Literature Review

Introduction: Breast cancer is a protrusion or abnormal growth in the breast area, cancer patients are usually treated with chemotherapy. In the administration of chemotherapy, especially the frequency of administration can cause several effects such as nausea, vomiting, constipation, weight loss, loss, diarrhea, changes in taste, and changes in emotions. Method: Search journal articles electronically through several databases including Google Scholar, Science Direct, Proquest, and Pubmed. Search is done using English that is relevant to the topic. The keywords used are "constipation / self constipation, self management / chemotherapy / chemotherapy, breast cancer / breast cancer" and found 5 articles to be reviewed based on the PICO framework. Results: the application of self management has proven effective, easy to do, safe and technically practical to reduce constipation in breast cancer patients because it does not require special skills or training to do so. Self management can be used as a non-pharmacological therapy. Discussion: the use of self management methods which include abdominal massage, abdominal streching, and health promotion related to the position of the right defecation is believed to be effective for reducing constipation. The mechanism that is carried out is stimulating or giving a sensation in the abdominal area by massaging. The use of self management does not cause significant obstacles and adverse effects. Conclusion: self management can reduce constipation due to chemotherapy.

The effects of abdominal "I LOV U" massage along with lifestyle training on constipation and distension in the elderly with stroke

IntroductionConstipation and distension are dominant gastrointestinal problems after stroke in the elderly. Always they are treated by the use of laxatives and fibers. Abdominal massage along with a healthy lifestyle can be a solution. PurposeThis study aimed to investigate the effect of abdominal massage and lifestyle training on constipation and distention of the elderly with stroke. MethodThis study was a randomized clinical trial that was conducted on elderly patients with stroke at Qaem hospital of Mashhad, Iran. 68 patients were randomly allocated into control (n = 34) and intervention (n = 34) groups in 2017−2018. Finally 29 elderly in the intervention and 34 in the control group completed the study. Intervention included the abdominal massage by using "I LOV U" method along with lifestyle education. Each abdominal massage lasted for 15 min, twice daily for ten days that was performed at first session by the researcher and then continued by the key care giver. Data were collected by the demographic form, constipation assessment score (CAS), distension measurement tool (meter), and food tolerance evaluation checklist. ResultsThe results indicated that both groups were homogeneous in demographic variables (P > 0.05). The repeated ANOVA showed a more significant decrease in abdominal circumference of the intervention group during the 10- days study (P = 0.029).The Friedman test showed a significant difference in frequency of defecation in two groups in 10- day study (P < 0.0001). Therefore the CAS Score was significantly decreased in intervention group more than the control group (0.30 < 0.98 < 1.59, P = 0.001, EF = 0.44). The food tolerance frequencies through Gavage (P = 0.20), and also orally (P < 0.001) were significantly improved in the intervention group. ConclusionAccording to results, the abdominal massage along with lifestyle training could improve constipation and distension and also increase food intake tolerance in the elderly patients with stroke.

Lactobacillus johnsonii BS15 combined with abdominal massage on intestinal permeability in rats with nonalcoholic fatty liver and cell biofilm repair

ABSTRACT This study aimed to analyze the effect of lactobacillus johnsonii BS15 (isolation of homemade yogurt from Ahu Hongyuan Grassland) combined with abdominal massage on intestinal permeability in rats with nonalcoholic fatty liver disease (NAFLD) and cell biofilm repair. Forty-five rats were divided randomly into five groups, four of which were fed with high-fat diet to establish NAFLD models. According to the treatment methods, they were grouped into group A (lactic acid bacteria feeding), group B (abdominal massage), group A + B (a combination of the two methods), model group (distilled water feeding), and normal group (distilled water feeding). Then, the pathological indexes of liver and intestinal permeability were observed. FITC-Dextran content of the model group elevated markedly compared with normal group (P < 0.01), indicating that the intestinal permeability of NAFLD rats fed with high-fat diet increased. The intestinal permeability of groups A, B, and A + B was lower sharply than that of model group (P < 0.01), and the effect of group A + B was the most obvious. HE staining of liver tissues showed that combined treatment could improve structural changes in liver cells caused by modeling and restore the normal structure of intestinal cells. Lactobacillus combined with abdominal massage was better than two treatments alone, further promoting the permeability of intestinal mucosa in NAFLD rats and repair biofilm of hepatocytes. The results initially verified the intervention effect of abdominal massage on intestinal mucosal permeability, and further revealed the mechanism of abdominal massage in treatment of NAFLD by improving intestinal mucosal barrier permeability.

The Response of Cockerel Semen Kinematic Parameters LIN, STR, WOB, ALH and BCF to Induced Oxidative Stress

Computer-assisted sperm class analyser (CASA) analysis of avian semen following cryopreservation indicates that their semen motility and viability parameters become compromised, due in part to oxidative stress. To mimic these observations we have treated cockerel semen with an oxidative stress inducing agent, namely hydrogen peroxide (H2O2) and monitored the motility, kinematic and viability parameters over time. Briefly, five healthy and fertile South African Venda cockerels were selected and their semen was collected using the abdominal massage technique. The semen was then treated with H2O2 at 0 &microM, 5 &microM, 50 &microM and 200 &microM concentrations for 0, 3, 16 and 24 hrs. The semen motility, kinematic and viability parameters were then determined using the CASA system while the viability was determined using the SYBR-14/PI staining. The Pearson’s correlation coefficient was determined to test the relationships between the levels of induced oxidative stress, period of exposure to oxidative stress inducing agent and the motility plus kinematic parameters. Our data revealed that in raw cockerel semen, there was high and positive correlations between total motility (TM), progressive motility (PM), rapid (RAP), curvilinear velocity (VCL), straight line velocity (VSL) and average path velocity (VAP) while the kinematic parameters LIN, STR, WOB, ALH and BCF had low or negative correlations with them. Furthermore, TM, PM, RAP, VCL and VSL remained highly and positively correlated with the induced oxidative stress and also, linearity (LIN), straightness (STR), wobble (WOB), amplitude of lateral head displacement (ALH) and beat cross frequency (BCF) remained negatively correlated with the induced oxidative stress, after 3 hrs. After 24 hrs, TM, PM, RAP, VCL, VSL, VAP and ALH, became negatively correlated with the induced oxidative stress while LIN, STR, WOB and BCF became positively correlated with the induced oxidative stress. Conversely, when the H2O2 concentration used was correlated with motility and kinematic parameters over time, TM, PM, RAP, VCL, VSL, VAP became negatively correlated with oxidative stress while LIN, STR, WOB, ALH and BCF show negative or low correlations with the induced oxidative stress. This data indicates that LIN, STR, WOB, BCF and to some extend ALH, reveal the least correlations with the induced oxidative stress under persistent oxidative stress conditions in cockerel semen. In conclusion, cockerel semen, like buck semen, does not easily succumb to oxidative stress since the raw semen correlations of CASA analysed parameters are comparable to these observed after 3 hrs of H2O2 treatment. In addition, the oxidative stress levels tolerated by cockerel semen should not 5 &microM H2O2 oxidative stress levels. Lastly, lack of correlation between LIN, STR, WOB, BCF and ALH and induced oxidative stress can be used in cockerel semen to show intolerable cryopreservation conditions.

Observation on the clinical effect of abdominal massage combined with fomentation in the treatment of constipation-predominant irritable bowel syndrome

Observation on the clinical effect of abdominal massage combined with fomentation in the treatment of constipation-predominant irritable bowel syndrome

Efficacy of daily abdominal self-massage for the prevention of recurrent common bile duct stones after endoscopic biliary sphincterotomy.

Recurrent common bile duct stones (CBDS) can occur after endoscopic biliary sphincterotomy (EST). Bile flow through the papilla of Vater could be improved by means of abdominal massage. We report the results of self-abdominal massage in four patients who had previously undergone cholecystectomy and experienced multiple CBDS recurrences after EST.

The “Tongmai Tiaoshen” abdominal massage therapy of traditional Chinese medicine improves sleep quality of chronic insomnia patients: A case report

Background and purpose“Tongmai Tiaoshen” practices are effective for treating psychophysiological disorders. Herein, we report the treatment of a post-menopausal female patient with chronic insomnia using “Tongmai Tiaoshen” abdominal massage therapy. Materials and methodsA 62-year-old woman who had chronic insomnia due to deficiency of heart and spleen accompanied by anxiety and depression for 30 years was treated with “Tongmai Tiaoshen” abdominal massage therapy for six weeks. The Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Rating Scale (HDRS), and Self-Rating Anxiety Scale (SAS) scores were recorded before and after treatment to evaluate treatment efficacy. ResultsCompared with the baseline, PSQI, HDRS, and SAS scores were significantly lower after application of the abdominal massage therapy. ConclusionThe “Tongmai Tiaoshen” abdominal massage therapy may alleviate the symptoms of chronic insomnia caused by deficiency of heart and spleen, thus improving the quality of sleep and mitigating the state of anxiety and depression.

Comparative study on the semen quality characteristics of parthenotes and parent toms reared in Nsukka

The study was conducted to evaluate the semen quality characteristics of turkey parthenotes and parent toms. A total of twenty-four turkeys were used for the study. These comprised of twelve parthenotes toms and twelve parent toms. Parthenotes are male turkeys produced through parthenogenesis. The toms were subjected to abdominal massage techniques for semen collection. Semen collection was done twice per week and analyzed for volume, motility, sperm concentration, like sperm, abnormal sperm, normal sperm, dead sperm, total sperm/ejaculates and total motile sperm cells. The results showed that there were significant differences (p&lt;0.05) in semen volume, sperm concentration, normal sperm cell, abnormal sperm and total motile sperm with mean values being 0.35mL, 1.74x109/mL, 97.80%, 2.20%, 1.68x1012 and 0.41ml, 1.50x109/mL, 94.00%, 6.00% and 1.42x1012, respectively for both parthenotes and parent toms. However, semen parameters such as motility, live sperm cell, dead sperm cell and total sperm/ejaculate showed no significant difference (p&gt;0.05) with values of 96.7%, 97.7%, 2.30% and 6.07x109 for parthenotes toms and 93.20%, 98.50%, 1.50% and 6.23x109 for parent toms. It was observed from the results that turkey parthenotes possess good quality semen characteristic and therefore, recommended for use in poultry industry for turkey production.

Effect of genotype on semen quality traits of main and reciprocal crossbred chickens

Semen quality of cocks is of utmost importance in reproduction. Breeding method, breed, strain and genetic constitution are the major components of the genetic factors capable of affecting the semen quality of cocks. This research seeks to determine the effect of genotype on the semen quality traits of 272 F crossbred cocks produced at day-old by main and 1 reciprocal crossbreeding of 69 Isa Brown and local frizzle feathered, naked neck and normal feathered chickens. The genotypes of the cocks were Isa Brow x frizzle feathered main cross (IBxF), Isa Brown x naked neck main cross (IBxNa), Isa Brown x normal feathered main cross (IBxN), frizzle feathered x Isa Brown reciprocal cross (FxIB), naked neck x Isa Brown reciprocal cross (NaxIB) and normal feathered x Isa Brown reciprocal cross (NxIB). At 36-40 weeks of age, semen was extracted from the cocks by abdominal massage technique and used to evaluate semen volume (SV), sperm motility (SM), sperm concentration (SC) and live sperm (LS) at weekly intervals. Data obtained from the evaluation were subjected to analysisof variance and tested at 5% level of probability. Genotypes differed significantly (P &lt;0.05) in SC at 37-40 weeks and in SM and LS at all ages. There was no significant difference (P&gt;0.05) in SV. Regardless of genotype and age, the mean SV, SM, SC and LS ranged from 0.31±0.02 to 0.24±0.01ml, 71.84±1.33 to 58.75±2.16 %, 3.22±0.02 to2.92±0.02 x109/ml and 71.91±1.37 %, respectively. The NxIB and IBxNa genotypes produced largest numericalsemen volume at 37 and 39 weeks of age respectively. Whereas SC and LS were significantly highest for IBxF and IBxN respectively at week 37, SM was so for IBxN at all ages. Further, the LS of IBxN genotype was significantly highest at 36-38 and 40 weeks of age. The exotic Isa Brown and normal feathered main cross cocks exhibited the best semen quality traits among all genotypes studied and should be selected for improvement of the reproductive characteristics of cocks.

ADVANCES IN REPRODUCTION OF THE LEBRANCHE MULLET &lt;i&gt;Mugil liza&lt;/i&gt;: MATURATION AND SPAWNING OF F1 BREEDERS IN CAPTIVITY

This study aimed to evaluate the reproductive response of mullets born in captivity (F1) using hormonal induction. Therefore, it was described maturation and induced spawning of mullet (Mugil liza) breeders born in captivity (F1). F1 males presented viable sperm at 11 months of age, with length of 25.7 ± 0.4 cm and weight of 205.7 ± 11.5 g. In contrast, at three years of age F1 females could be reproduced, with length of 47.4 ± 1.4 cm and weight of 1263.0 ± 64.6 g. Ten spawnings were conducted, and the average diameter of the oocytes at the time of hormonal induction, fertilization rate, total and relative fertility and hatching rate were recorded. Spawning was attained through hormonal induction in females with oocyte diameter greater than 600 µm and in males that released semen with abdominal massage. During this reproductive period, induced females produced a second group of mature oocytes so another hormonal induction was performed. The present study describes the induction of mullet breeders born in captivity and the possibility of females to be induced more than once during the same reproductive period.

Effect of abdominal massage on feeding intolerance among premature baby with mechanical ventilation in neonatal intensive care unit in indonesia

BackgroundFeeding intolerance in premature infants is due to the immaturity of the gastrointestinal system which is aggravated by the installation of mechanical ventilation. The impact of premature babies is delaying enteral nutrition, NEC, the risk due to parenteral nutrition and the high cost of care. Abdominal massage is one of the recommended actions to prevent it. ObjectiveThe study aimed to determine the effect of abdominal massage on feeding intolerance in premature infants with mechanical ventilation in the NICU. MethodsThis study was conducted using quasi-experimental with nonequivalent control group pretest and posttest design in the neonatal intensive care unit (NICU). The study was conducted on 34 premature infants, 17 groups who did abdominal massage and 17 as a control group. Feeding intolerance is determined by the presence of one or more symptoms such as increased gastric residue, abdominal distension and frequency of vomiting observed on the first (pre) and fifth (post) days. Abdominal massage is carried out twice a day for 15 min in a 5 day period. Data can be seen the difference on the first day and the last day. ResultsThe results showed a decrease in average gastric residue difference of 0.65 cc and abdominal distension of 0.59 cm in the intervention group (p < 0.05). Whereas in the control group gastric residue increased 3.59 cc and abdominal distension 1.88 cm (p < 0.05). The mean difference in vomiting frequency decreased in both groups, a decrease of 0.118 in the intervention group and 0.18 in the control group (p = 0.63). There was a significant difference in the occurrence of feeding intolerance between groups after the intervention (p = 0.05), where the incidence of feeding intolerance did not increase (0%) in the intervention group, while the control group increased by 9 (52.9%) respondents. There was a significant contribution to the confounding factor of the type of mechanical ventilation in the amount of gastric residue after the intervention (p = 0.02). ConclusionThere is an effect of abdominal massage on the incidence of feeding inolerance in premature infants with mechanical ventilation, so researchers recommend SPO abdominal massage to be considered as a treatment for intolerance feeding in premature infants with mechanical ventilation in the NICU.

PENGARUH TEKNIK MASSASE EFFLEURAGE TERHADAP TINGKAT NYERI PADA IBU BERSALIN

A mother who faces childbirth tends to be afraid especially with primigravida. Because thatpain must be alleviated effectively because pain accompanied by stress reactions haveharmful effects on the mother and fetus. One way to overcome the problem of pain duringlabor is a Massase Effleurage. Abdominal massage or massage (Effleurage) is a form ofskin stimulation used during labor that has a relaxing effect. This study aims to analyze theresult of the Massase Effleurage technique reducing the paint level in first phase favorablemothers on BPM in the environmental area of Panarung Public Health Center at PalangkaRaya. This study uses a Pre-Experimental research method with One Group Pretest Posttest. Design with samples in this study are maternity mothers who are facing the first stage of the latent phase that is included in the inclusion criteria. Bivariate analysis results using the Wilcoxon signed rank test at alpha 0.05 obtained P value 0,000 (p0.05) which there is a significant influence between pain previous massase and after massase, in other words if done Massase Effleurage can reduce pain. So that the results that there an impact the Massase Effleurage technique in pain the first stage of latent phase

Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients.

There are many factors, which affect the bowel evacuation of neurosurgical intensive care unit (NICU) patients, resulting in constipation. The aim of this study was to investigate effect of abdominal massage on bowel evacuation and the risk of constipation in NICU patients. A prospective, randomized-controlled clinical trial. The sample of this study included 80 NICU patients. The patients were randomly assigned to abdominal massage and control groups. The constipation risk of all the patients was assessed with Constipation Risk Assessment Scale (CRAS). The patients in the abdominal massage group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all patients in the abdominal massage and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form. The risk of constipation was higher in the patients in the abdominal massage (CRAS score 19.02 ± 1.81) and control groups (CRAS score 20.45 ± 2.61). The time of return of bowel sounds and the time of the first defecation were earlier in the abdominal massage group, compared to the control group (P< .05). In the control group, there was a weak correlation (P= .004) between the CRAS score and the time of return of bowel sounds, while there was a moderate correlation between the CRAS score and the time of the first defecation (P< .001). Our study results show that the risk of constipation is high in NICU patients, and abdominal massage is an effective nursing intervention to shorten the time of return of bowel sounds and the time of the first defecation. Nurses can safely apply abdominal massage to improve bowel evacuation in NICU patients.

10.4314/sajas.v40i5.65348

This study evaluated the effect of breed on the survivability and motility rate of cryopreserved cock semen. Semen from three cock breeds; White Leghorn (WL), Ovambo (OV) and Potchefstroom Koekoek (PK) was collected by means of the abdominal massage technique. Following semen collection, sperm were analyzed for motility and survivability with the use of contrast light BHTU microscope (20 x magnification). The semen was diluted (1 : 2 v/v) with egg yolk citrate (EYC) (extender A) and thereafter with extender B (EYC + 5% DMSO). The equilibration after each dilution was 2 h at 5 °C. The diluted samples were evaluated for sperm concentration, motility, survivability and pH. The samples were then loaded into straws and cooled in programmable freezer from 5 °C to -20 °C at the rate of 1 °C/minute. Semen straws were then exposed to liquid nitrogen vapour (-80 °C) for five minutes, plunged directly into liquid nitrogen (-196 °C) and stored for a week or more. Frozen straws were thawed at 5 °C and evaluated at 0, 30, 60 and 90 min post-thaw. From the results there was no significant effect of breed on the survival and motility of fresh-diluted and frozen-thawed semen at 30 and 90 min post-thaw in all breeds. The sperm survivability of the PK breed was significantly higher than that of the WL breed. However, there was no sperm survivability difference between PK and OV breed immediately after thawing. The cryopreservation and thawing processes affected the survivability and motility of sperm of all poultry breeds negatively.

Effects of Automatic Abdominal Massage Device in Treatment of Chronic Constipation Patients: A Prospective Study.

Manual abdominal massage has been shown to effectively treat slow-transit constipation, but it is labor-intensive. To offer an alternative treatment option for constipation, the Bamk-001 automatic abdominal massage device was developed. The aim of this study was to assess the effect of the Bamk-001 device on symptom profiles and colon transit time (CTT) in patients with chronic constipation. Thirty-seven patients with chronic functional constipation diagnosed using the Rome IV criteria were enrolled prospectively from December 2018 to February 2019. All patients received device-assisted automatic abdominal massage for 15min twice daily, once in the morning before breakfast and once at night, for 14days. CTT was measured before and at the end of the study period. Slow-transit constipation and very-slow-transit constipation were defined as CTT ≥ 48h and ≥ 72h, respectively. Patients' symptom profiles regarding overall defecation satisfaction and device-related adverse events were analyzed. Among the 37 patients, the mean age was 40.1 ± 11.8, and 5.4% (n = 2) were men. The Bamk-001 device significantly improved CTT from 54.0 (33.6-75.6) to 28.8 (18.0-52.8)h (p = 0.001) in patients with chronic constipation. In subgroup analysis, CTT improved significantly from 54.0 (33.6-75.6) to 28.8 (18.0-52.8)h (p = 0.003) and from 88.2 (74.4-124.8) to 45.6 (27.3-74.1)h (p = 0.005) in the slow-transit and very-slow-transit constipation groups, respectively (p = 0.001). Moreover, all patient symptoms were alleviated after treatment. No serious adverse events were reported. The Bamk-001 automatic abdominal massage device showed significant care efficacy, including the improvement in CTT and symptom profiles in patients with slow-transit constipation. The use of an automatic abdominal massage device as an adjunct in the management of constipation is a potentially beneficial intervention for patients with slow-transit constipation.

Constipation and Asymmetric Rectal Tone in a 10-month-old Girl.

1. Kevin A Pettit, MD* 2. Daniel Beardmore, DO† 1. *Department of Pediatrics, American Family Children’s Hospital, University of Wisconsin, Madison, WI 2. †Department of Pediatrics, SSM Health Dean Medical Group, Janesville, WI A 10-month-old girl presents to the primary care office for follow-up of worsening constipation. Over approximately 3 weeks, her mother reports a transition from daily soft stools to hard and round stools every other day. She had been seen for this 2 days previously in the pediatrician’s office and the night before in urgent care. An abdominal radiograph in urgent care had demonstrated a normal gas pattern and sigmoidal colonic stool burden. Rectal stimulation completed once in urgent care and one home glycerin suppository were both tried with no resultant stool by the time she presented to the pediatrician’s office. Caregivers have also attempted frequent abdominal massages, prune juice, and dark corn syrup over the previous 3 weeks. In the pediatrician’s office now, the mother reports that the patient has been eating less than usual, is intermittently fussier, and is having night awakenings with crying. She is voiding normally and acting at baseline between episodes of fussiness. She drinks standard antireflux formula per parental choice, which they are mixing appropriately, and eats other age-appropriate infant foods. Past medical history is significant for a full-term healthy birth with normal growth and development. At 6 months, there was parental concern that she preferred her right leg for weight bearing when held in the standing position by caregivers, with an “out-turned” left leg. Examination at that time was unremarkable, with normal Barlow and Ortolani maneuvers at that and all prior visits. A hip/pelvis radiograph was without sign of developmental hip dysplasia nor other abnormality. Approximately 2 weeks before this presentation for constipation, the parents brought up motor concerns while in a physician’s office …

Effects of Extenders and Cryoprotectants on Cryopreservation of Duck Semen

In this study, it was aimed to determine the usability of different diluents and cry protectants in cryopreservation of Peking duck semen. Semen samples were collected from five male ducks, twice a week for four weeks, using the abdominal massage method. In the study, 40 semen samples were used. Semen samples from ducks were combined (mixed) after being evaluated individually. Mix semen volume (ml), density (×109 / mL), pH, motility (%) and vitality (%) values were determined as 1.84±0.04, 1.72±0.8, 6.88±0.29, 71.55±3.28 and 74.27±4.67 respectively. In the study, as cry protectant, Glucose I (Gâ… ) containing 6%DMF (dimethylformamide), Tris-Glucose I (TI), Lactated Ringer's-Glucose I (LGI), Lactated Ringer's I (LI) and Glucose II (Gâ… I) containing 5% DMSO, Tris-Glucose II (TII), Lactated Ringer's-Glucose II (LGII), Lactated Ringer's II (LII) were used as diluents. The mixed semen was divided into eight equal parts and 1:3 ratio diluent was added and equilibrated in straws for 90 minutes at + 4°C. The straws were first frozen to -80°C with liquid nitrogen vapour, and then stored in liquid nitrogen at -196°C. After freezing and thawing, the highest motility value was determined in diluent LGI with 41.91%. In other diluents used, the mortality values were determined as LII (33.10%), LGII (32.80%), LI (29.00%), GI (23.66%), TI (12.91%), GII (11.22%) and TII (6.90%). Vitality (%) values were determined as LGI (44.08%), LII (38.50%), LGII (35.10%), LI (33.58), GI (30.91%), GII (23.10%), TI (20.66%) and TII (14.80%) respectively. In this study, it has been determined that the lactated Ringer's-Glucose diluent containing 6% DMF is more advantageous in terms of semen vitality and mortality values when compared to other diluents and that it can be used for long-term storage of duck sperm.