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https://www.readbyqxmd.com/read/28471789/review-of-existing-measurement-tools-to-assess-spinal-motion-during-prehospital-immobilization
#1
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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/28256818/investigating-the-photocatalytic-degradation-of-oil-paint-using-atr-ir-and-afm-ir
#5
Suzanne Morsch, Birgit A van Driel, Klaas Jan van den Berg, Joris Dik
As linseed oil has a longstanding and continuing history of use as a binder in artistic paints, developing an understanding of its degradation mechanism is critical to conservation efforts. At present, little can be done to detect the early stages of oil paint deterioration due to the complex chemical composition of degrading paints. In this work, we use advanced infrared analysis techniques to investigate the UV-induced deterioration of model linseed oil paints in detail. Subdiffraction limit infrared analysis (AFM-IR) is applied to identify and map accelerated degradation in the presence of two different grades of titanium white pigment particles (rutile or anatase TiO2)...
March 22, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28215553/organization-of-rescue-behaviour-sequences-in-ants-cataglyphis-cursor-reflects-goal-directedness-plasticity-and-memory
#6
Thierry Duhoo, Jean-Luc Durand, Karen L Hollis, Elise Nowbahari
The experimental study of rescue behaviour in ants, behaviour in which individuals help entrapped nestmates in distress, has revealed that rescuers respond to victims with very precisely targeted behaviour. In Cataglyphis cursor, several different components of rescue behaviour have been observed, demonstrating the complexity of this behaviour, including sand digging and sand transport to excavate the victim, followed by pulling on the victim's limbs as well as the object holding the victim in place, behaviour that serves to free the victim...
June 2017: Behavioural Processes
https://www.readbyqxmd.com/read/28207605/ultrasound-guided-fenestration-of-the-carpal-ligament-using-a-double-needle-approach
#7
Gloria E Hwang, Sanjay Kumbar, Todd Stitik, John S Georgy, Hoss Hanna
Injection techniques for carpal tunnel syndrome have evolved from landmark palpation injection techniques to more accurate ultrasound-guided approaches. Presented is a case report describing a technique serendipitously discovered during a carpal ligament fenestration. The case involved a 66-year-old man with a diagnosis of carpal tunnel syndrome. After a failed attempt at treatment using a wrist splint and activity modification, he was treated by median nerve hydrodissection with 100% temporary pain relief...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28166701/aligning-yoga-with-its-evolving-role-in-health-care
#8
Avinash R Patwardhan
Evidence is accumulating that suggests that yoga has beneficial effects in mitigating the impact of certain diseases. As a result, efforts are being made to medicalize yoga and use it within integrative medicine as a therapy. However, there are substantial shortcomings in the practice, policy, and research of yoga that undermine its optimal use. Yoga as a modality functions within a context. Therefore, it is important to occasionally step back and examine the entirety of the context from a high vantage to assess whether the tactical and programmatic endeavors are aligned with the strategic intended purpose...
February 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28137341/evaluating-the-potential-benefits-of-advanced-automatic-crash-notification
#9
Rebecca E Plevin, Robert Kaufman, Laura Fraade-Blanar, Eileen M Bulger
OBJECTIVE: Advanced Automatic Collision Notification (AACN) services in passenger vehicles capture crash data during collisions that could be transferred to Emergency Medical Services (EMS) providers. This study explored how EMS response times and other crash factors impacted the odds of fatality. The goal was to determine if information transmitted by AACN could help decrease mortality by allowing EMS providers to be better prepared upon arrival at the scene of a collision. METHODS: The Crash Injury Research and Engineering Network (CIREN) database of the US Department of Transportation/National Highway Traffic Safety Administration (USDOT/NHTSA; Washington DC, USA) was searched for all fatal crashes between 1996 and 2012...
January 31, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28129077/contributing-causes-of-injury-or-death-in-grain-entrapment-engulfment-and-extrication
#10
Salah Fuad Issa, William E Field, Charles V Schwab, Fadi S Issa, Eric Nauman
OBJECTIVES: Grain entrapments and engulfments are one of most common hazards associated with grain storage facilities with over 1,140 such entrapments/engulfments documented since the 1970's. The objective of the study was to determine the factors that contribute to injury or death in grain entrapment, engulfment and extrication cases. METHODS: A literature review, including data contained in the Purdue Agricultural Confined Spaces Incident Database was conducted to determine the conditions that the body experiences during an entrapment or engulfment in grains and during extrication efforts...
January 27, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28005155/on-scene-treatment-of-spinal-injuries-in-motor-sports
#11
REVIEW
M Kreinest, M Scholz, P Trafford
Because spinal cord injuries can have fatal consequences for injured race car drivers, prehospital treatment of spinal injuries is a major concern in motor sports. A structured procedure for assessing trauma patients and their treatment should follow established ABCDE principles. Only then, a stable patient could be further examined and appropriate measures can be undertaken. For patients in an acute life-threatening condition, rapid transport must be initiated and should not be delayed by measures that are not indicated...
December 22, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27833704/superior-orbital-fissure-syndrome-in-lateral-orbital-wall-fracture-management-and-classification-update
#12
REVIEW
Claudio Caldarelli, Rodolfo Benech, Caterina Iaquinta
The superior orbital fissure syndrome (SOFS) is an uncommon complication rarely occurring in association with craniofacial trauma. Work-up of a patient injured by a traumatic right orbitozygomatic complex fracture and SOFS is presented. Accurate computed tomography scan and three-dimensional reconstruction showed a medial displacement of the lateral orbital wall, compressing the right superior orbital fissure (SOF), without intraorbital bone fragment displacement or hemorrhage. Imaging also revealed a frontosphenotemporal fracture, according to Pellerin et al, that is, frequently associated with visual impairment...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27797797/infrarenal-aortic-clamp-reviving-a-patient-from-acute-surgical-haemorrhagic-shock-a-novel-management-technique
#13
Ranjith Kumar, M V S Satya Prakash, Subhasree Das, Ramanitharan Manikandan
Surgical management of renal cell carcinoma extending into the inferior vena cava (IVC) is almost always accompanied by massive intraoperative blood loss and associated complications. It is a widely recognised problem, and its active management is essential in improving the perioperative morbidity and mortality. We share our experience with a similar case of open radical nephrectomy with massive blood loss of twice the circulating volume in a duration of <8 surgical hours. Although we emphasise the goals of securing haemostasis, restoration of circulating volume, and efficient management by replacing blood components, in the present case, despite the above-mentioned goals being fulfilled, we were unable to extricate the patient from haemorrhagic shock by conventional means and therefore resorted to desperate measures, namely the novel approach of infrarenal aortic clamping along with higher than recommended vasopressor support...
October 19, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27794594/metalation-triggers-single-crystalline-order-in-a-porous-solid
#14
Yun-Long Hou, Ka-Kit Yee, Yan-Lung Wong, Meiqin Zha, Jun He, Matthias Zeller, Allen D Hunter, Kaiqi Yang, Zhengtao Xu
We report the dramatic triggering of structural order in a Zr(IV)-based metal-organic framework (MOF) through docking of HgCl2 guests. Although as-made crystals were unsuitable for single crystal X-ray diffraction (SCXRD), with diffraction limited to low angles well below atomic resolution due to intrinsic structural disorder, permeation of HgCl2 not only leaves the crystals intact but also resulted in fully resolved backbone as well as thioether side groups. The crystal structure revealed elaborate HgCl2-thioether aggregates nested within the host octahedra to form a hierarchical, multifunctional net...
November 16, 2016: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/27753548/forty-years-on-from-an-event-that-changed-the-management-of-trauma-around-the-world-what-actually-happened-that-night-forty-years-ago
#15
Franklin H G Bridgewater
The management of trauma has evolved significantly over the last 40 years. Seminal to this process was the development in Nebraska of a concept of trauma management that was promulgated as Advanced Trauma Life Support (ATLS). It has achieved global support and is considered by many to be the acme in trauma management. Every participant in an ATLS course remembers that an aviation accident in rural Nebraska was responsible for the nascence of the program but very few know the details of the crash. February 17, 2016, was the 40th anniversary of the accident...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27748690/cervical-spine-immobilization-during-extrication-of-the-awake-patient-a-narrative-review
#16
Alan Cowley, Ashley Hague, Neal Durge
Techniques for extricating vehicle occupants after road-traffic collisions have evolved largely through fear of worsening a cervical spine injury, rather than being evidence-based. Recent research has looked at the safety of allowing the alert patient to self-extricate, rather than being assisted with equipment such as long spinal boards and semirigid cervical collars. This review aims to elucidate whether it is safe to allow an alert, ambulant patient to self-extricate from a vehicle with minimal or no cervical spine immobilization...
September 29, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27635250/the-resource-utilisation-of-medically-unexplained-physical-symptoms
#17
Kimberley Lee, Malcolm H Johnson, Julie Harris, Frederick Sundram
OBJECTIVES: As patients with medically unexplained physical symptoms may present frequently to hospital settings and receive potentially unnecessary investigations and treatments, we aimed to assess the frequency and type of medically unexplained physical symptoms presentations to clinical services and estimate the associated direct healthcare costs. METHODS: This study was undertaken at the largest district health board in New Zealand. All patients with a diagnosed presentation of medically unexplained physical symptoms in 2013 were identified using the district health board's clinical coding system...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27634704/loss-of-consciousness-during-single-sling-helicopter-hoist-rescue-resulting-in-a-fatal-fall
#18
Jessie Biles, Alan A Garner
INTRODUCTION: Although harness suspension trauma has been documented since the 1960s, especially in the mountaineering setting, there is little robust medical research into the area. Helicopter hoist rescue shares similar risks and is reserved for those cases that cannot be accessed safely by other routes, where extrication may be hazardous or will take an unreasonable amount of time. The single sling or chest harness used for hoist rescue is a single harness around the upper torso and is easier and quicker to apply than a stretcher...
September 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27615346/triad-of-death-the-importance-of-temperature-monitoring-in-trauma-patients
#19
Matthew Keane
Multiple organ failure is a significant complication in traumatic injury, and can be exacerbated by a failure to adequately monitor and control trauma patients' core body temperature in emergency departments (EDs). Nearly half of trauma patients are hypothermic on arrival at emergency departments, often due to factors beyond the control of emergency service responders and during on-scene resuscitation attempts. This article examines the physiology of the 'triad of death' -hypothermia, metabolic acidosis and coagulopathy - to highlight the importance of monitoring and maintaining normothermia, or normal body temperature, which is between 36°C and 37...
September 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27450044/pressure-ulcer-development-in-trauma-patients-with-suspected-spinal-injury-the-influence-of-risk-factors-present-in-the-emergency-department
#20
H W Wietske Ham, L Lisette Schoonhoven, M Marieke J Schuurmans, L Luke P H Leenen
OBJECTIVES: To explore the influence of risk factors present at Emergency Department admission on pressure ulcer development in trauma patients with suspected spinal injury, admitted to the hospital for evaluation and treatment of acute traumatic injuries. DESIGN: Prospective cohort study setting level one trauma center in the Netherlands participants adult trauma patients transported to the Emergency Department on a backboard, with extrication collar and headblocks and admitted to the hospital for treatment or evaluation of their injuries...
July 19, 2016: International Emergency Nursing
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