Body Parts Research Articles

THE EFFECTS OF SWIMMING ON BODY POSTURE IN PRESCHOOL AGE CHILDREN

In this study we analyzed the effects of swimming on the posture of preschool children. The sample for this study consisted of 153 preschool boys and girls children aged 4-6 years (standard deviation= 1.1 years) living in Canton Sarajevo and divided into two groups of boys and girls, with one attended swimming school (n=61) and other did not (n=92). In order to evaluate the postural status, we used a reduced Napoleon Wolanski method with eight variables for the observed body parts: assessment of head posture (HPA), assessment of shoulder posture (SPA), assessment of scapular posture (SBPA), assessment of chest posture (CPA), scoliotic posture (SCP), assessment of abdominal posture (APA), assessment of leg posture (LPA), and assessment of foot posture (FPA). The results indicated a great effect of swimming on posture. We concluded the paper with some suggestions on how to incorporate swimming programs into regular school curricula.

The self-in-the-world map emerged in the primate brain as a basis for Homo sapiens abilities.

The brain in the genus Homo expanded rapidly during evolution, accelerated by a reciprocated interaction between neural, cognitive, and ecological niches (triadic niche construction, or TNC). This biologically costly expansion incubated latent cognitive capabilities that, with a quick and inexpensive rewiring of brain areas in a second phase of TNC, provided the basis for Homo sapiens specific abilities. The neural demands for perception of the human body in interaction with tools and the environment required highly integrated sensorimotor domains, inducing the parietal lobe expansion seen in humans. These newly expanded brain areas allowed connecting the sensations felt in the body to the actions in the world through the cognitive function of "projection". In this opinion article, we suggest that as a relationship of equivalence between body parts, tools and their external effects was established, mental mechanisms of self-objectification might have emerged as described previously, grounding notions of spatial organization, idealized objects, and their transformations, as well as socio-emotional states in the sensing agent through a self-in-the-world map. Therefore, human intelligence and its features such as symbolic thought, language, mentalizing, and complex technical and social behaviors could have stemmed from the explicit awareness of the causal relationship between the self and intentional modifications to the environment.

Sex, tissue, and mitochondrial interactions modify the transcriptional response to rapamycin in Drosophila

BackgroundMany common diseases exhibit uncontrolled mTOR signaling, prompting considerable interest in the therapeutic potential of mTOR inhibitors, such as rapamycin, to treat a range of conditions, including cancer, aging-related pathologies, and neurological disorders. Despite encouraging preclinical results, the success of mTOR interventions in the clinic has been limited by off-target side effects and dose-limiting toxicities. Improving clinical efficacy and mitigating side effects require a better understanding of the influence of key clinical factors, such as sex, tissue, and genomic background, on the outcomes of mTOR-targeting therapies.ResultsWe assayed gene expression with and without rapamycin exposure across three distinct body parts (head, thorax, abdomen) of D. melanogaster flies, bearing either their native melanogaster mitochondrial genome or the mitochondrial genome from a related species, D. simulans. The fully factorial RNA-seq study design revealed a large number of genes that responded to the rapamycin treatment in a sex-dependent and tissue-dependent manner, and relatively few genes with the transcriptional response to rapamycin affected by the mitochondrial background. Reanalysis of an earlier study confirmed that mitochondria can have a temporal influence on rapamycin response.ConclusionsWe found significant and wide-ranging effects of sex and body part, alongside a subtle, potentially time-dependent, influence of mitochondria on the transcriptional response to rapamycin. Our findings suggest a number of pathways that could be crucial for predicting potential side effects of mTOR inhibition in a particular sex or tissue. Further studies of the temporal response to rapamycin are necessary to elucidate the effects of the mitochondrial background on mTOR and its inhibition.

The estimation of different body dimensions of children aged 6-11 years for the needs of furniture designers.

There are some rules that furniture designers must take into consideration to design ergonomic furniture. The main design principle is the target group for which the furniture will be designed, considering the dimensions of people who use the furniture. The paper presents the correlation between 12 parts of children's body, as well as the proportion between stature and 11 other parts of the body which are used for the purposes of furniture and interior designers. Field measurements include: Stature (S), Sitting height (She), Shoulder height (Sh), Popliteal height (Ph), Hip width (Hb), Elbow rest height (Erh), Buttock-popliteal length (Bpl), Buttock-knee length (Bkl), Thigh clearance (Tc), Eye height sitting (Eh), Knee height (Kh) and Shoulder breadth (Sb) to pupils aged 6-11 (grades 1 to 5). The measurements were done in 687 children in 12 primary schools in 4 different regions in Kosovo. The data of the study shows that, in general, there is a correlation (in some parts strong and in some medium) for the measured parts. Also, the study presents the proportion between the stature and other parts of the body which are necessary for the design of children's furniture. Using this data will enable furniture designers to easily target the dimensions of the group they will design, even by measuring only one dimension, i.e. stature and then setting the proportions for each piece separately.

A Comprehensive Review of Transdermal Patch Delivery Systems

In order to overcome the difficulties associated with administering medication, especially orally, the application of medication transdermal administration technique Was developed. Transdermal patches are an a sticky a medication-infused patch and put to the skin to provide a certain quantity delivering medicine transdermally entering the blood. It promotes the recuperation process when a body part is injured. By using a membrane that is permeable to cover a supply of medicine or by liquefying small layers of drugs imbedded within the glue with body heata transdermal application allows for a managed delivery of medicine to the individual. One advantages of transdermal medicine delivery above alternative kinds of administration, like current, i.v., and i.m., or oral, is that the remedy offers a regulated The medication's release.

Improved Arithmetic Optimization Algorithm with Transfer Learning based Arabic Sign Language Identification System

The Arabic sign language (ArSL) has witnessed ground-breaking research activities to identify hand gestures and signs through the deep learning (DL) model. SL is a unique communication tool that bridges the gaps between people with hearing impairment and ordinary people. The ArSL recognition system is of immense importance for different groups of people since it enables individuals with hearing impairment to communicate effectively. In SLs, signs are characterized by discrepancies in hand positions, shapes, motions, body parts, and facial expressions, posing a crucial threat to visual recognition in computer vision (CV). An automated sign detection technique needs two primary courses of action: the recognition of specific features and the classification of the input dataset. Previously, several approaches for detecting and classifying SLs had been proposed. In this study, an Improved Metaheuristics with Transfer Learning based Arabic Sign Language Identification System (IMTL-ArSL) method is developed. The primary objective of the IMTL-ArSL method is to detect and classify the existence of various signs in the Arabic language. In the IMTL-ArSL model, the bilateral filtering (BF) model is initially used for preprocessing. Besides, the Residual Network (ResNet50v2) model is applied for extracting features, and an improved arithmetic optimization algorithm (IAOA) model is utilized for hyperparameter tuning. Finally, a gated recurrent unit (GRU) network is exploited to identify sign languages. The empirical analysis of the IMTL-ArSL approach is tested using a benchmark dataset. The experimental values of the IMTL-ArSL approach portrayed a superior accuracy value of 93.87% over other techniques.

Relationship between Improper Working Posture among Maintenance Workers using Different Assessment Methods

The purpose of ergonomics is to take advantage of human ability limits in order to implement an efficient and comfortable interface to use. When the worker is performing an improper posture, it may cause the worker to feel discomfort when doing the work and may lead to getting musculoskeletal disorders (MSDs). According to past research, there is a relationship between improper working posture and MSDs. The objective of this study was to determine the relationship between improper working posture at maintenance workers using different assessment methods. CMDQ, RULA, REBA and ENBORA were conducted among 34 maintenance workers around Parit Raja, Johor. The selected maintenance workers were interviewed via CMDQ and RULA, REBA and ENBORA were conducted based on their working posture at the time of the interview. The data were analysed and compared based on similar observed body parts. Among the respondents, lower back discomfort was most prevalent (70.59%), followed by right and left shoulders (58.82% and 55.88%, respectively) as well as right wrist (29.47%) and left wrist (55.88%). The mean RULA Score for the respondents was 4.76 (SD=1.37), which indicates a medium risk level. The mean REBA Score for the respondents was 7.41 (SD=2.26), which indicates the average REBA risk level was high. The mean value for the ENBORA Final Score was 33.56 (SD=11.98), indicating that the respondents overall have a negligible risk of getting MSD based on their working posture. The body parts compared in CMDQ, RULA, REBA and ENBORA were neck, upper arm, lower arm, wrist and trunk. Based on findings, ENBORA has the highest Pearson Correlation to CMDQ followed by RULA and REBA. In conclusion, the maintenance workers were found to be exposed to ergonomic risk factors (ERFs) and ergonomics improvement were needed in future.

A Compact Wearable Textile Antenna for NB-IoT and ISM Band Patient Tracking Applications

This paper proposes a novel multi-band textile monopole antenna for patient tracking applications. The designed antenna has compact footprints (0.13λ02) and works in the narrow band-internet of things (NB-IoT) 1.8 GHz, radio frequency identification (RFID), and industrial, scientific, and medical (ISM) 2.45 GHz and 5.8 GHz bands. The impedance bandwidths and gain of the antenna at 1.8 GHz, 2.45 GHz, and 5.8 GHz are 310 MHz, 960 MHz, and 1140 MHz; 3.7 dBi, 5.3 dBi, and 9.6 dBi, respectively. Also, the antenna’s behavior is checked on different body parts of the human body in various bending scenarios. As per the evaluated link budget, the designed antenna can easily communicate up to 100 m of distance. The specific absorption rate values of the designed antenna are also within acceptable limits as per the (FCC/ICNIRP) standards at the reported frequency bands. Unlike traditional rigid antennas, the proposed textile antenna is non-intrusive, enhancing user safety and comfort. The denim material makes it comfortable for extended wear, reducing the risk of skin irritation. It can also withstand regular wear and tear, including stretching and bending. The presented denim-based antenna can be seamlessly integrated into clothing and accessories, making it less obtrusive and more aesthetically pleasing.

Understanding musculoskeletal disorders in dancers: The role of lumbopelvic muscles and movement competency

ObjectiveTo investigate whether transversus abdominis activation (TrA), hip strength, and movement competency are associated with the incidence of musculoskeletal disorder episodes (MDEs) in dancers when controlling for confounding variables. The secondary objectives were to determine if there were differences between professional and preprofessional dancers for the aforementioned factors, as well as to determine if there were differences in TrA activation and hip strength between the dominant and non-dominant sides. DesignProspective cohort study. Methods118 dancers were recruited. The independent variables were collected at the beginning of the dance season: 1) TrA activation, 2) hip strength, and 3) movement competency. To assess the development of MDEs, a weekly electronic diary was used over a 38-week period. MDEs were compiled for each dancer's whole body and subdivided into total musculoskeletal disorder episodes (all body parts) and lower quadrant musculoskeletal disorder episodes (lower limb and lower back). ResultsLower TrA, as well as higher hip abductor and external rotator strength, were associated with a lower incidence of MDEs. TrA activation (β = 0.260, p = 0.023) and hip external rotator strength (β = −0.537, p = 0.002) could significantly explain 25.4% of the variance of total MDEs, as well as 20.9% of the variance of lower quadrant musculoskeletal disorder episodes (β = 0.272, p = 0.016; β = −0.459, p = 0.011). No significant associations were found between movement competency and MDEs. ConclusionsHigher hip strength could be a protective factor for MDEs among dancers. Further studies are needed to better understand the involvement of the transversus abdominis in MDEs.

Comparison of balance and proprioception of the shoulder joint in girls with and without upper cross syndrome

Introduction.Upper cross syndrome is one of the most common disorders of the upper part of body, often associated with abnormalities of forward head, forward shoulders, elevated and protracted of scapula, and increased thoracic kyphosis. Conducting research on upper cross syndrome, especially in girls, is of highly significant, considering this issue and lack of examination of complications and consequences of this syndrome; therefore, this study aims to compare the balance and proprioception of the shoulder joint in girls with and without upper cross syndrome.Method The statistical population included two groups of 10-12-year-old female students, i.e., healthy and those with upper cross syndrome in the city of Khalkhal in Iran in 2022–2023. A total of 60 girl children were included in this study. The subjects were screened using a checker board and after quantitative evaluations of posture, they were assigned into two groups: healthy group (No. 30) and the one suffering from upper cross syndrome (No. 30). Forward head and forward shoulder angle were assessed using photography and kinovea software, kyphosis angle using Goniometer-pro app, static and dynamic balance using BESS and Y tests, also proprioception at angles of 45- and 80-degrees external rotation of the shoulder joint through photography and kinovea software. Data were analyzed through independent t-test in SPSS software version 26 at the significance level of 0.05.Results Healthy girls were in a better position in all variables of static balance (1.14 95% CI: [0.96, 1.70], p = 0.001), dynamic balance (0.81, 95% CI: [0.73,1.24], p = 0.001), proprioception of external rotation of shoulder joint at 45- (0.78, 95% CI: [0.64, 1.14], p = 0.001) and 80-degrees (0.89, 95% CI: [0.59, 1.34], p = 0.001) angles than those with upper cross syndrome.Conclusion It can be concluded that upper cross syndrome causes a decrease in balance and proprioception of the shoulder joint in female students; therefore, along with correcting the abnormalities, special attention should be paid to strengthening and improving these components. It is recommended for rehabilitation professionals to apply exercise training programs to improve the balance and proprioception and correct of the upper cross syndrome: that the strengthening of these components prevents musculoskeletal disorders.Implications for clinical practice• It is recommended for rehabilitation professionals to apply exercise training programs to improve the balance and proprioception of individual with upper cross syndrome.• It is recommended for rehabilitation professionals to apply exercise training programs to correct of the upper cross syndrome in order to prevents musculoskeletal disorders.

Bioactivity and corrosion analysis of thermally sprayed hydroxyapatite based coatings

Metallic biomaterials have been used to repair and replace human body parts because of their excellent biocompatibility, strong corrosion resistance, and high mechanical properties. A ceramic biomaterial that is highly suitable for coating on metallic biomaterials is hydroxyapatite. This is because it is biocompatible with synthetic and natural bone tissue. There has been a growing interest in HAp-based coatings using thermal spray techniques to enhance the crystallinity and adhesion quality and produce a dense coating of metallic biomaterials. Thermally sprayed coating material has been studied and reviewed in detail in the bioactivity analysis and electro-corrosion analysis. Furthermore, the bioactivity of HAp coatings is determined by their ability to promote bone formation and osseointegration and a valuable understanding of the mechanisms and current advancements in bioactivity. Additionally, the corrosion behaviour of thermally sprayed HAp coatings under simulated conditions has been reviewed.

Association between pain intensity and depressive status in patients with hip fracture: An observational study.

Identifying depression symptoms in patients with hip fractures and studying the relationship between depression and pain intensity and pain location in hip fracture patients is of great significance for disease recovery in hip fracture patients. This cohort study analyzed 5 wave data from the China Health and Retirement Longitudinal Study in 2011, 2013, 2015, 2018, and 2020, focusing on 1222 patients with hip fractures. The study utilized the CESD-10 Depression Scale to assess depressive symptoms in hip fracture patients and conducted analyses to explore the relationship between depression symptoms, pain, and pain intensity, including binary logistic regression and examination of interaction terms between pain variables and pain intensity in key body parts. Depression symptoms are strongly associated with pain intensity in hip fracture patients, particularly in key body areas. Severe pain significantly increases the risk of depressive symptoms. Moreover, absence of pain in other key body parts is linked to depressive symptoms. Multivariate analysis reveals that higher education levels, marriage, urban residence, and self-rated good health serve as protective factors against depression, while diabetes and heart disease pose significant risks for depressive symptoms in hip fracture patients. Hip fracture pain can induce discomfort and trigger depressive symptoms, showing varied trajectories among patients. Pain intensity predicts the course of depressive symptoms, emphasizing the importance of tailored pain management strategies including medication, physical therapy, and nonpharmacological interventions. Personalized rehabilitation and mental health plans should be designed based on individual patient needs and differences.

Human-Robot Interaction in Motor Imagery: A System Based on the STFCN for Unilateral Upper Limb Rehabilitation Assistance

BackgroundRehabilitation training based on the brain-computer interface of motor imagery (MI-BCI) can help restore the connection between the brain and movement. However, the performance of most popular MI-BCI system is coarse-level, which means that they are good at guiding the rehabilitation exercises of different parts of the body, but not for the individual component.New methodsIn this paper, we designed a fine-level MI-BCI system for unilateral upper limb rehabilitation assistance. Besides, due to the low discrimination of different sample classes in a single part, a classification algorithm called spatial-temporal filtering convolutional network (STFCN) was proposed that used spatial filtering and deep learning.Comparison with existing methods: Our STFCN outperforms popular methods in recent years using BCI IV 2a and 2b data sets. ResultsTo verify the effectiveness of our system, we recruited 6 volunteers and collected their data for a four-classification online experiments, resulting in an average accuracy of 62.7%. ConclusionThis fine-level MI-BCI system has good appli-cation prospects, and inspires more exploration of rehabilitation in a single part of the human body.

Pose-Aware Attention Network for Flexible Motion Retargeting by Body Part.

Motion retargeting is a fundamental problem in computer graphics and computer vision. Existing approaches usually have many strict requirements, such as the source-target skeletons needing to have the same number of joints or share the same topology. To tackle this problem, we note that skeletons with different structure may have some common body parts despite the differences in joint numbers. Following this observation, we propose a novel, flexible motion retargeting framework. The key idea of our method is to regard the body part as the basic retargeting unit rather than directly retargeting the whole body motion. To enhance the spatial modeling capability of the motion encoder, we introduce a pose-aware attention network (PAN) in the motion encoding phase. The PAN is pose-aware since it can dynamically predict the joint weights within each body part based on the input pose, and then construct a shared latent space for each body part by feature pooling. Extensive experiments show that our approach can generate better motion retargeting results both qualitatively and quantitatively than state-of-the-art methods. Moreover, we also show that our framework can generate reasonable results even for a more challenging retargeting scenario, like retargeting between bipedal and quadrupedal skeletons because of the body part retargeting strategy and PAN.

Palmoplantar psoriasis: A clinicopathological correlation in a tertiary care hospital.

Palmoplantar psoriasis is a clinical variant of psoriasis characterized by well-defined erythematous desquamating plaques on palms and soles, which may or may not include pustules. Hyperkeratotic lesions of palm and sole commonly include Psoriasis, Eczema and Tinea. These conditions often present with overlapping clinical and histopathological features requiring clinicohistopathological correlation for a conclusive diagnosis. The presence of munro's microabscess or spongiform pustule of kogoj differentiates psoriasis of palm and sole from other hyperkeratotic lesions of palm and sole. The objective of this study was to study the clinical and histopathological profile of palmoplantar psoriasis and correlate clinical diagnosis with histopathological diagnosis. A hospital-based, descriptive study was conducted from January 1, 2020, to December 31, 2020. Fifty-two patients were clinically diagnosed as palmoplantar psoriasis with or without involving other parts of body and routine histopathological evaluation was carried out as per standard protocols. Clinically diagnosed 52 cases of palmoplantar psoriasis showed varied histopathology with hyperkeratosis (100%), parakeratosis (100%), regular acanthosis (75%), Supra-papillary thinning (44.2%), spongiosis (65.4%), tortuous vessels in the papillary dermis (78.8%) and mixed inflammatory infiltrates (predominantly lymphocytic-100%), which were observed to be prominent findings in skin biopsies of our patients.Clinicopathological correlation was achieved in 88.5% of cases. This study shows clinically diagnosed palmoplantar psoriasis with histopathological features consistent with palmoplantar psoriasis in 88.5% cases. Thus, clinically inconclusive hyperkeratotic lesions with palmoplantar psoriasis can be diagnosed with histopathological correlation improving the therapeutic intervention.

Growth inhibition of P. aeruginosa by methanol extract of Bridelia stipularis and identification of active components using in silico studies

BackgroundAntimicrobial resistance among pathogens is an emerging problem, gaining significant importance recently. Pharmaceutical scientists are constantly exploring innovative and effective antibacterial agents. Pseudomonas aeruginosa (P. aeruginosa) is a bacterium primarily responsible for pneumonia and infections in the liver, kidneys, and other body parts. It is a Gram-negative bacterium that can be controlled by antibiotics such as ciprofloxacin and levofloxacin. However, this pathogen sometimes exhibits resistance to these antibacterial agents.MethodsRecognizing the well-known potential of plants as sources of medicinal compounds, our study focused on the ethyl acetate, acetone and methanol extract of the leaves of Bridelia stipularis and its impact on the growth of P. aeruginosa using well diffusion method. To gain insight into the composition of the extract, we conducted GC–MS analysis. After identifying the components present in the extract, we assessed the drug-likeness, absorption, distribution, metabolism, and excretion (ADME) and conducted docking studies of the molecules with the selected structural receptors of P. aeruginosa to find out the active component present in the extract.ResultsRemarkably, only methanol extract of Bridelia stipularis demonstrated significant antibacterial activity against this pathogen. In silico investigations revealed that two compounds, namely ethyl iso-allocholate and toluene sulfonylhydrazone derivative, exhibited high inhibition potencies. All structural receptors of the pathogen taken for this study were well inhibited by ethyl iso-allocholate while the receptors such as laconizing lipase and penicillin-binding protein of the bacterium were bound well with the 4-phenyl-3-penten-2-one p-toluene sulfonylhydrazone.ConclusionsObservations of this study clearly establish that the two phytochemicals present in the methanolic extract, i.e., ethyl iso-allocholate and toluene sulfonylhydrazone derivative of Bridelia stipularis leaves are highly active against the growth of the opportunistic pathogen P. aeruginosa.Graphical abstract

Retrospective Analysis Of Lung Cancer In A Tertiary Care Hospital: Unravelling Treatment Modalities, Adverse Drug Reactions, And Secondary Cancer

Cancer involves abnormal cell growth that can invade or spread to other body parts, unlike benign tumors which don't spread. Symptoms may include lumps, abnormal bleeding, cough, weight loss, and changes in bowel movements. There are over 100 cancer types. This 6-month retrospective study at an oncology hospital analyzed 400 patients' records to explore cancer types, treatment methods, adverse drug reactions, and secondary cancers, particularly focusing on lung cancer. The study aims to enhance understanding of cancer prevalence, treatment strategies, and the effects of therapies to improve patient care in tertiary settings.

A Two-Part Transformer Network for Controllable Motion Synthesis.

Although part-based motion synthesis networks have been investigated to reduce the complexity of modeling heterogeneous human motions, their computational cost remains prohibitive in interactive applications. To this end, we propose a novel two-part transformer network that aims to achieve high-quality, controllable motion synthesis results in real-time. Our network separates the skeleton into the upper and lower body parts, reducing the expensive cross-part fusion operations, and models the motions of each part separately through two streams of auto-regressive modules formed by multi-head attention layers. However, such a design might not sufficiently capture the correlations between the parts. We thus intentionally let the two parts share the features of the root joint and design a consistency loss to penalize the difference in the estimated root features and motions by these two auto-regressive modules, significantly improving the quality of synthesized motions. After training on our motion dataset, our network can synthesize a wide range of heterogeneous motions, like cartwheels and twists. Experimental and user study results demonstrate that our network is superior to state-of-the-art human motion synthesis networks in the quality of generated motions.

Composition and diversity of 16S rRNA based skin bacterial microbiome in healthy horses.

Characterization of microbiota structure on the skin of healthy horses is important for further development of modulation strategies to ensure optimal bacterial composition for physiological processes. This requirement is also supported by the relatively high incidence of dermatological diseases in horses and thus the need to manage them therapeutically. The taxonomic analysis of skin samples (n = 30) from five different body parts of clinically healthy Shetlands ponies females (neck, back, abdomen, pastern, muzzle) kept under homogeneous conditions (in open stalls with paddock, feed with dry hay, green grass ad libitum and granulated feed) was performed using amplification of V3-V4 region of the 16S rRNA gene. Results indicate that bacteria associated with healthy equine skin represent 18 phyla, 29 classes and 119 families. The most abundant phyla were Proteobacteria (30.8 ± 9.1%) followed by Actinobacteriota (20.4 ± 7.6%), Firmicutes (19.5 ± 10.1%), Bacteroidota (8.5 ± 5.0%) and Deinococcota (7.2 ± 14.8%). Among 229 genera identified, Corynebacterium (7.4 ± 6.5%) was the most abundant genus in skin sites of horses, followed by Deinococcus (7.1 ± 14.9%) and Macrococcus (5.0 ± 8.2%). Indices for the richness and diversity of species within bacterial populations for five regions of horses skin revealed no significant variations observed for species richness (Chao1, p-value 0.2001) but significant result for species evenness (Shannon, p-value 0.0049) with maximum on the neck and minimum on the back skin site. The clustering was seen across samples from different skin sites but also across samples collected from individual horses.

Plastic Surgery and the Management of Surgical Infections.

Plastic surgeons bring wide anatomic competence and reconstructive surgical capacities to the management of surgical infections. Their anatomical expertise allows them to definitively explore and treat acute infections. Reconstructive options allow for the eradication of chronic infections with salvage of the infected body part. Hand infections illustrate the plastic surgeon's anatomic approach to acute infections. The management of distal tibial osteomyelitis illustrates how plastic surgeons can introduce techniques developed for other body regions in the treatment of a chronic infection.