Mature Woman Girdle
The authors report a 71-year-old woman with limb-girdle muscular dystrophy (LGMD) associated with an R27Q mutation in the CAV3 gene. Immunohistochemistry showed a >90% reduction of caveolin-3 on the sarcolemma by western blot, and anti-dysferlin immunoreactivity was reduced. This case emphasizes that an R27Q missense mutation in the CAV3 gene can lead to various clinical phenotypes including hyperCKemia, rippling muscle disease, distal myopathy, and LGMD1C.
mature woman girdle
That's probably what a Guyanese woman thought when she hatched her plan to smuggle cocaine into the United States. Olive Fowler, 70-years-old, caught airport investigators' attention when she acted nervous at JFK airport. Authorities said she was sweating profusely and avoided eye contact with officers. They decided to pull her aside for a pat down search in a private room. After feeling a "dense hard material" under her clothes, authorities found over $73,000 of cocaine in Fowlers underwear and girdle. (Who wears a girdle anymore?)
Major clinical features of LGMDs are progressive weakness and muscle atrophy mainly involving the shoulder girdle (scapulohumeral type), the pelvic girdle (pelvifemoral type), or both. Most childhood-onset cases have a pelvifemoral distribution of weakness. Adult-onset disease usually involves both shoulder and pelvic girdles with gradually increasing proximal limb (close to the body core) weakness. Facial weakness is usually mild or totally absent.
A power wheelchair or scooter becomes convenient when weakness in the pelvic girdle and upper legs causes frequent falls. People whose LGMD has reached this stage often find that a great deal of their independence returns, and they are much less fatigued, when they begin using this type of vehicle.
The most common type of corset in the 1700s was an inverted conical shape, often worn to create a contrast between a rigid quasi-cylindrical torso above the waist and heavy full skirts below. The primary purpose of 18th-century stays was to raise and shape the breasts, tighten the midriff, support the back, improve posture to help a woman stand straight, with the shoulders down and back, and only slightly narrow the waist, creating a "V" shaped upper torso over which the outer garment would be worn; however, "jumps" of quilted linen were also worn instead of stays for informal situations. Deriving from the French word jupe, which in the eighteenth century referred to a short jacket, jumps were only partially boned and padded with cotton to provide support for the breasts while not being restrictive. Jumps were made of silk, cotton, or linen and often embroidered. Jumps fastened over the breasts with ties such as silk ribbons, buttons, and sometimes, metal hooks. Both garments were considered undergarments, and would be seen only under very limited circumstances. Well-fitting eighteenth-century corsets were quite comfortable, did not restrict breathing, and allowed women to work, although they did restrict bending at the waist, forcing one to protect one's back by lifting with the legs.[11][12]
From 1908 to 1914, the fashionable narrow-hipped and narrow-skirted silhouette necessitated the lengthening of the corset at its lower edge. A new type of corset covered the thighs and changed the position of the hip, making the waist appear higher and wider. The new fashion was considered uncomfortable, cumbersome, and required the use of strips of elastic fabric. The development of rubberized elastic materials in 1911 helped the girdle replace the corset.[19]
However, these garments were better known as girdle with the express purpose of reducing the hips in size. A return to waist nipping corsets in 1939 caused a stir in fashion circles but World War II ended their return. In 1952,[21] a corset known as 'The Merry Widow' was released by Warner's. Initially, the Merry Widow was a trademark of the famous Maidenform company, which designed it for Lana Turner's role in a 1952 movie of the same name.[22] The Merry Widow differed from earlier corsets in that it separated the breasts, whereas corsets had held them together. Both the Merry Widow and girdles remained popular throughout the 1950s and 1960s. However, in 1968 at the feminist Miss America protest, protestors symbolically threw a number of feminine products into a "Freedom Trash Can." These included girdles and corsets,[23] which were among items the protestors called "instruments of female torture".[24]
Faren allegedly first denied carrying anything other than the $1,200 she had written down, but an initial inspection of her bag reportedly yielded $8,000 stashed in various wallets. Officers again asked the woman if she was carrying any more cash.
processing.... Drugs & Diseases > Rheumatology Polymyalgia Rheumatica (PMR) Clinical Presentation Updated: Mar 03, 2023 Author: Ehab R Saad, MD, MA, FACP, FASN; Chief Editor: Herbert S Diamond, MD more...
Share Print Feedback Close Facebook Twitter LinkedIn WhatsApp Email webmd.ads2.defineAd(id: 'ads-pos-421-sfp',pos: 421); Sections Polymyalgia Rheumatica (PMR) Sections Polymyalgia Rheumatica (PMR) Overview Practice Essentials
Pathophysiology Etiology Epidemiology Show All Presentation History
Physical Examination Show All DDx Workup Approach Considerations
Temporal Artery Biopsy Imaging Studies Show All Treatment Approach Considerations
Diet and Activity Consultations and Long-Term Monitoring Show All Guidelines Medication Medication Summary
Corticosteroids DMARDs, Immunomodulators Antineoplastics, Antimetabolite Nonsteroidal Anti-Inflammatory Drugs Show All Follow-up Further Outpatient Care
Complications Prognosis Patient Education Show All Questions & Answers References Presentation History Patients with polymyalgia rheumatica (PMR) were often in good health prior to disease onset, which is abrupt in about 50% of patients. In most patients, symptoms appear first in the shoulder girdle. In the remainder, the hip or neck are involved at onset. At presentation, symptoms may be unilateral but they usually become bilateral within a few weeks.
The symptoms include pain and stiffness of the shoulder and hip girdle. The stiffness may be so severe that the patient may have a great difficulty rising from a chair, turning over in bed, or raising the arms above shoulder height. Stiffness after periods of rest (gel phenomenon) as well as morning stiffness of more than 1 hour typically occurs.
These effects were observed in a 23-year-old woman with epilepsy who was being monitored for a seizure diagnosis, and the technique was then used two days later to help calm her during brain surgery while she was awake.
Long-term steroid use has a well-documented risk of myopathy that imposes functional limitations for patients and challenges for health care providers. Proximal weakness from steroid myopathy affects support structures around the pelvic girdle and likely predisposes patients to somatic dysfunction. To the authors' knowledge, there are no prior reports in the literature that describe an osteopathic manipulative medicine (OMM) approach for patients with steroid myopathy. In the present case report, a 59-year-old woman with acute myeloid leukemia received a blood stem cell transplantation and developed gastrointestinal graft-versus-host disease. High-dose steroids were prescribed, and she developed proximal weakness from steroid myopathy. The patient's acute inpatient rehabilitation was impacted by new onset left sacroiliac dysfunction. A patient-focused OMM approach was used to assist the patient in maximizing her sacroiliac function. The proximal weakness seen with steroid myopathy necessitates special considerations for an OMM approach to address somatic dysfunction associated with this disease.
A 59-year-old woman with acute myeloid leukemia (AML) was admitted to a university hospital with complaints of diarrhea, nausea, and vomiting. The patient had a past medical history of goiter, fibrocystic breast disease, and migraines. Her previous home-scheduled medications included acyclovir, budesonide, calcium citrate supplement, cyclosporine, ergocalciferol, esomeprazole, fluoxetine, magnesium supplement, levothyroxine, omega-3 fatty acids, prednisone, and voriconazole. The patient denied a history of cigarette smoking but reported consumption of alcohol in social settings. She had a family history of cancer, including a father with prostate cancer, bladder cancer, and colon cancer; a brother with renal cell carcinoma; and a sister with AML.
At admission to the hospital, the patient performed activities of daily living with no assistance and lived alone in a 2-story home with 4 steps to enter. On physical therapy evaluation approximately 6 weeks after hospital admission, the patient required the maximum assistance of 2 caregivers for sit-to-stand transfers. Once standing, she was able to ambulate 140 ft using a wheeled walker with contact guard assistance. Thus, the steps to the patient's home were a barrier to discharging the patient directly home. Therefore, the patient was admitted to an inpatient acute rehabilitation service approximately 7 weeks after hospital admission. She gradually progressed to near antigravity pelvic girdle strength as the steroids were tapered. The patient improved from requiring the maximum assistance of 2 caregivers to requiring standby assistance with transfers, though the patient exerted considerable effort during transfers. 041b061a72
