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https://www.readbyqxmd.com/read/29239761/deflate-to-extricate-a-technique-for-rectal-foreign-body-removal-of-inflatable-ball
#1
Elizabeth C Robinson, David Roy, Brian E Driver
BACKGROUND: Rectal foreign bodies are commonly encountered in the emergency department (ED). Three techniques are well described in literature, including using a Foley catheter, "scooping" the object out, or grasping the object directly with ring forceps. We present a novel extraction method for an inflatable foreign body. CASE REPORT: A 27-year-old man presented to the ED 13 h after inserting a rubber inflatable child's ball into his rectum. After well-described extraction techniques failed to remove the ball, an 18-gauge needle at the end of a syringe was inserted into the rectum to puncture the ball and partially deflate it...
November 24, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29239735/burns-centre-and-fire-services-what-information-can-be-exchanged-to-manage-the-burn-patient
#2
O Pujji, B Nizar, J Bechar, D North, S Jeffery
AIM: To describe the experience of using a "Burns Extrication Form" at a regional Burns Centre. Communication between the fire services and burns team previously has been regarded as poor. Significant information is collected by the fire services at the scene and this can aid the management of the patient. METHODS: The Burns Extrication Form was devised to provide a clear framework of communication between the two services. Information regarding time frames, exposure to heat & smoke, fire loading (potential severity of a fire in a given space by measuring amount of combustible material in confined space), building construction, chemicals involved is passed to the medical team through this form through a National Health Service mailbox...
November 24, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29233200/first-rescue-under-the-rubble-the-medical-aid-in-the-first-hours-after-the-earthquake-in-amatrice-italy-on-august-24-2016
#3
Angelo Geremia Blasetti, Emiliano Petrucci, Vincenza Cofini, Barbara Pizzi, Paolo Scimia, Tullio Pozone, Stefano Necozione, Pierfrancesco Fusco, Franco Marinangeli
Specific Event Identifiers a. Event Type: Earthquake measuring 6.2 (SD=0.016) on the moment magnitude; b. Event Onset: August 24, 2016 - 03:36:32 CEST (01:36 UTC); c. Location of Event: Central Italy, in the town of Amatrice; d. Geographic Coordinates: latitude (DMS): 42°37'45.77″N; longitude (DMS): 13°17'18.14″E; elevation: 955 meters above sea-level; e. Dates: August 24, 2016 at 4:48 AM; f. Response Type: Medical Relief. ABSTRACT: On August 24, 2016, an earthquake hit the town of Amatrice (Italy)...
December 13, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29224137/considerations-for-design-and-analysis-of-dna-methylation-studies
#4
Karin B Michels, Alexandra M Binder
The number of epigenetic studies is exponentially increasing. There is anticipation that DNA methylation may close gaps in our understanding of disease etiology, and how certain risk factors affect health and disease, but also that it has potential as a biomarker for disease. Human DNA methylation studies require careful considerations for design and analysis including population and tissue selection, population stratification, cell heterogeneity, confounding, temporality, sample size, appropriate statistical analysis, and validation of results...
2018: Methods in Molecular Biology
https://www.readbyqxmd.com/read/29197385/qualitative-evaluation-of-trauma-delays-in-road-traffic-injury-patients-in-maring%C3%A3-brazil
#5
Anjni Patel, João Ricardo Nickenig Vissoci, Michael Hocker, Enio Molina, Nelly Moraes Gil, Catherine Staton
BACKGROUND: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport of RTI patients to trauma centers in LMICs. The objective of this study is to determine specific causes of delays in prehospital transport of road traffic injury patients to designated trauma centers in Maringá, Brazil. METHODS: A qualitative method was used based on the Consolidated Criteria for Reporting Qualitative Research (COREQ) approach...
December 2, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29194055/hinged-lids-and-fatal-head-entrapment-in-early-childhood
#6
Roger W Byard, Allan D Cala
Young children are at risk of head entrapment because they often do not understand potentially dangerous situations or have the intellectual or physical capabilities to self-extricate. Two cases of head entrapment due to hinged lids are presented to demonstrate another rare lethal situation specific to the very young. Case 1 was a 14-month-old boy found suspended by his neck in a semikneeling position under a toilet seat. A horizontal linear bruise measuring 0.6 × 20 mm was present on the right side of the neck with petechial hemorrhages of the forehead...
December 1, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/29175906/traumatic-pneumocephaly-trapped-air-from-where
#7
Azam Basheer, Mohamed Macki, Asim Mahmood
Traumatic pneumocephaly is literally defined as 'air in the head' after trauma. While this phenomenon has been well described in the literature, our case report is unique in describing diffuse pneumocephalus in the subaponeurotic space, subdural space, subarachnoid space, brain and ventricles without a break in the cranial vault: a 26-year-old man fell from a =9 meter scaffolding in a water tower. Following an arduous and delayed extrication, the patient was unresponsive with loss of pulse requiring intubation, cardiopulmonary resuscitation and release of tension pneumothorax with bilateral thoracostomy tubes...
November 25, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29102097/management-of-an-entrapped-patient-with-a-field-amputation
#8
John C Bunyasaranand, Erasmo Espino, Kelli A Rummings, Gregory M Christiansen
BACKGROUND: Emergency surgical amputations are rare and resource-intensive lifesaving interventions. Most emergency medical services (EMS) lack a formal protocol to manage these high-risk but low-occurrence events. There has been limited attention in the EMS community to address this issue. Without a literature-based approach, the EMS community has been offered little guidance on managing surgical field amputations. CASE REPORT: A 38-year-old man was terminally entrapped below the waist in an industrial auger...
October 25, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28973493/survey-of-hatching-spines-of-bee-larvae-including-those-of-apis-mellifera-hymenoptera-apoidea
#9
COMPARATIVE STUDY
Jerome G Rozen, Corey Shepard Smith, James H Cane
This article explores the occurrence of hatching spines among bee taxa and how these structures enable a larva on hatching to extricate itself from the egg chorion. These spines, arranged in a linear sequence along the sides of the first instar just dorsal to the spiracles, have been observed and recorded in certain groups of solitary and cleptoparasitic bee taxa. After eclosion, the first instar remains loosely covered by the egg chorion. The fact that this form of eclosion has been detected in five families (Table 1 identifies four of the families...
July 1, 2017: Journal of Insect Science
https://www.readbyqxmd.com/read/28971647/revisiting-the-jewish-ethical-approach-toward-peripartum-cesarean-section-in-light-of-emerging-medical-evidence
#10
Sody A Naimer, Edward Fram
BACKGROUND: Maternal cardiac arrest during gestation constitutes a devastating event. Training and anticipant preparedness for prompt action in such cases may save the lives of both the woman and her fetus. OBJECTIVES: To address a previous Jewish guideline that a woman in advanced pregnancy should not undergo any medical procedure to save the fetus until her condition is stabilized. METHODS: Current evidence on perimortal cesarean section shows that immediate section during resuscitation provides restoration of the integrity of the mother's vascular compartment and increases her probability of survival...
September 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28971619/incompatibility-of-chemical-protein-synthesis-inhibitors-with-accurate-measurement-of-extended-protein-degradation-rates
#11
Christina Chan, Philip Martin, Neill J Liptrott, Marco Siccardi, Lisa Almond, Andrew Owen
Protein synthesis inhibitors are commonly used for measuring protein degradation rates, but may cause cytotoxicity via direct or indirect mechanisms. This study aimed to identify concentrations providing optimal inhibition in the absence of overt cytotoxicity. Actinomycin D, cycloheximide, emetine, and puromycin were assessed individually, and in two-, three-, and four-drug combinations for protein synthesis inhibition (IC50 ) and cytotoxicity (CC50 ) over 72 h. Experiments were conducted in HepG2 cells and primary rat hepatocytes (PRH)...
October 2017: Pharmacology Research & Perspectives
https://www.readbyqxmd.com/read/28969289/extrication-of-dna-from-burnt-teeth-exposed-to-environment
#12
Gantala Ramlal, Devarajn Vevaraju, Arjun Yadav Vemula, Tipirisety Swapna, P Hima Bindu
INTRODUCTION: Teeth are good sources of DNA in mass disasters especially in fires and explosions because they are largely protected from environmental and physical conditions. It is possible to obtain mitochondrial DNA (mtDNA) even in cases of degraded human remains. AIM: To obtain DNA from burnt teeth exposed to environment for a period of six months and 12 months and to highlight the importance of DNA obtained from tooth in identifying a deceased in fire accidents after being subjected to environment...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28940043/extricating-manual-and-non-manual-features-for-subunit-level-medical-sign-modelling-in-automatic-sign-language-classification-and-recognition
#13
Elakkiya R, Selvamani K
Subunit segmenting and modelling in medical sign language is one of the important studies in linguistic-oriented and vision-based Sign Language Recognition (SLR). Many efforts were made in the precedent to focus the functional subunits from the view of linguistic syllables but the problem is implementing such subunit extraction using syllables is not feasible in real-world computer vision techniques. And also, the present recognition systems are designed in such a way that it can detect the signer dependent actions under restricted and laboratory conditions...
September 22, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28815714/william-hazlitt-obsessive-love-and-liber-amoris
#14
Harry Trosman
William Hazlitt, a distinguished literary figure of the early nineteenth century and a forerunner of psychoanalytic insights, had a keen awareness of the impact of the imagination on assessing works of art. At forty-two, he became hopelessly involved in an obsessive love affair with a nineteen-year-old woman and could not extricate himself from the relationship. The affair followed the death of his father, a powerful influence on his life. Factors in his obsessive love included finding an object of idealization subject to his imaginative creation and narcissistically reexperiencing himself about to begin a new life...
July 2017: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/28797640/a-comprehensive-literature-review-of-chronic-pain-and-memory
#15
REVIEW
Stéphanie Mazza, Maud Frot, Amandine E Rey
Chronic pain patients often complain of their "poor memory" and numerous studies objectively confirmed such difficulties in reporting working memory (WM) and long-term memory (LTM) dysfunctions. This paper provides a comprehensive review of the literature on memory impairment in chronic pain (CP) patients. Twenty-four observational studies evaluating WM or/and LTM in a chronic pain group and a control group were included in this review. Results showed that studies consistently reported a moderate decline, in both WM and LTM performances in CP patients...
August 8, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/28748566/application-of-whole-exome-sequencing-to-direct-the-specific-functional-testing-and-diagnosis-of-rare-inherited-bleeding-disorders-in-patients-from-the-%C3%A3-resund-region-scandinavia
#16
Eva Leinøe, Eva Zetterberg, Savvas Kinalis, Olga Østrup, Peter Kampmann, Eva Norström, Nadine Andersson, Jenny Klintman, Klaus Qvortrup, Finn Cilius Nielsen, Maria Rossing
Rare inherited bleeding disorders (IBD) are a common cause of bleeding tendency. To ensure a correct diagnosis, specialized laboratory analyses are necessary. This study reports the results of an upfront diagnostic strategy using targeted whole exome sequencing. In total, 156 patients with a significant bleeding assessment tool score participated in the study, of which a third had thrombocytopenia. Eighty-seven genes specifically associated with genetic predisposition to bleeding were analysed by whole exome sequencing...
October 2017: British Journal of Haematology
https://www.readbyqxmd.com/read/28471789/review-of-existing-measurement-tools-to-assess-spinal-motion-during-prehospital-immobilization
#17
Jeronimo O N Weerts, Lars Schier, Hendrik Schmidt, Michael Kreinest
The quantification of spinal movement to investigate the efficacy of prehospital immobilization devices and techniques remains difficult. Therefore, we aim to systematically review the literature on reported measurement tools applicable within this research field. A keyword literature search of relevant articles was performed using the database of PubMed including international literature published in English between January 2010 and December 2015. Only studies describing methods applicable to estimate spinal movement during prehospital immobilization were included...
May 3, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28429117/a-comparison-of-mcgrath-mac%C3%A2-and-standard-direct-laryngoscopy-in-simulated-immobilized-cervical-spine-pediatric-intubation-a-manikin-study
#18
Marcin Madziala, Jacek Smereka, Marek Dabrowski, Steve Leung, Kurt Ruetzler, Lukasz Szarpak
Emergency airway management in children is generally considered to be challenging, and endotracheal intubation requires a high level of personal skills and experience. Immobilization of the cervical spine is indicated in all patients with the risk of any cervical spine injury but significantly aggravates endotracheal intubation. The best airway device in this setting has not been established yet, although the use of videolaryngoscopes is generally promising. Seventy-five moderately experienced paramedics of the Emergency Medical Service of Poland performed endotracheal intubations in a pediatric manikin in three airway scenarios: (A) normal airway, (B) manual in-line cervical immobilization, and (C) cervical immobilization using a Patriot cervical extrication collar and using two airway techniques: (1) McGrath videolaryngoscope and (2) Macintosh blade in a randomized sequence...
June 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28422746/integrating-nanohybrid-membranes-of-reduced-graphene-oxide-chitosan-silica-sol-gel-with-fiber-optic-spr-for-caffeine-detection
#19
Ravi Kant, Rana Tabassum, Banshi D Gupta
Caffeine is the most popular psychoactive drug consumed in the world for improving alertness and enhancing wakefulness. However, caffeine consumption beyond limits can result in lot of physiological complications in human beings. In this work, we report a novel detection scheme for caffeine integrating nanohybrid membranes of reduced graphene oxide (rGO) in chitosan modified silica sol gel (rGO: chitosan: silica sol gel) with fiber optic surface plasmon resonance. The chemically synthesized nanohybrid membrane forming the sensing route has been dip coated over silver coated unclad central portion of an optical fiber...
May 12, 2017: Nanotechnology
https://www.readbyqxmd.com/read/28265593/retained-digital-flexible-ureteroscopes
#20
Melissa Huynh, Siobhan Telfer, Stephen Pautler, John Denstedt, Hassan Razvi
This report documents two instances of retained flexible ureteroscopes at the time of ureteroscopy and laser lithotripsy in a healthy 37-year-old male and a 53-year-old male with a pelvic kidney. We describe maneuvers to remove the ureteroscope endoscopically in the first case, while the second case required conversion to open surgery for ureteroscope extrication.
2017: Journal of Endourology Case Reports
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