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Bi O Jeong, Duke Whan Chung, Jong Hun Baek
RATIONALE: Calcific myonecrosis is a very rare late sequela that occurs in patients who have had trauma accompanied by vascular compromise, in which a single muscle or entire muscles in a compartment undergoes necrosis and form a calcified mass. It is mostly a benign entity, but some cases cause bone destruction and form non-healing chronic sinuses. In such cases, wound management becomes difficult and there is a potential risk of secondary infection. PATIENT CONCERNS: A 60-year-old male was referred for evaluation of a pain, erythematous changes, and draining sinus of the anterolateral aspect of his left leg...
September 2018: Medicine (Baltimore)
Wonho Kim, Tae Soo Kang
Aortoiliac occlusive disease (AIOD) affects the systemic vascular resistance and increases the afterload because the left ventricle (LV) must work harder to eject blood into a smaller vascular bed. This study was to determine whether successful revascularization of AIOD is associated with improvement of left ventricular diastolic dysfunction (LVDD).A total of 37 patients with AIOD (34 men and 3 women; age 65.1 ± 7.2 years) were analyzed. The primary endpoint was defined as the change in the mitral E/E' ratio...
September 2018: Medicine (Baltimore)
Weigang Gan, Yu Xiang, Yiping Tang, Xinrong He, Juanjuan Hu, Fengjuan Yang, Shixi Liu, Junming Xian, Juan Meng
RATIONALE: Nasal glial heterotopia is a rare type of neoplasm consisting of meningothelial and/or neuroglial elements. PATIENT CONCERNS: A 17-month-old female infant was evaluated for treatment for a congenital mass present since birth on the right side of the nasal dorsum. DIAGNOSES: The patient was preoperatively diagnosed with a congenital extranasal neoplasm. INTERVENTIONS: Surgery was performed under general anesthesia, and the mass was completely resected...
September 2018: Medicine (Baltimore)
Benjamin Mos, Symon A Dworjanyn, Lea T Mamo, Brendan P Kelaher
Global climate change is driving sea level rise and increasingly frequent storm events, which are negatively impacting rapidly-growing coastal communities. To mitigate these impacts, coastal infrastructure must be further protected by upgrading hard defences. We propose that incorporating pH-buffering materials into these upgrades could safeguard marine organisms from the adverse effects of ocean acidification and ocean warming during the vulnerable transition from planktonic larvae to benthic juveniles. To test this, we examined the effects of ocean warming (24 or 27 °C), ocean acidification (pH 8...
January 1, 2019: Science of the Total Environment
Eja Pedersen, Stefan E B Weisner, Maria Johansson
Wetlands in urban areas will be crucial to counteract the effects of climate change, for example, by improving flood protection and regulating local climate. To gain acceptance for larger-scale creation of wetlands, total values must be identified and revealed. Provisioning and regulating ecosystem services can be described as the quantitative effect, but cultural ecosystem services require other assessments. This study sought to determine whether peri-urban and urban wetland areas contribute to the well-being and quality of life of nearby residents, and to capture their value relative to two other types of green areas (i...
January 1, 2019: Science of the Total Environment
Petr Zajicek, Christian Wolter
Recreational and commercial navigation is omnipresent, rendering European large rivers highways for cargo vessels, passenger ships and sport boats. Any types of motorized vessels create waves and drawdown eroding shallow shore areas. Consequently, inland navigation alters the living environment of fish with specific habitat requirements on nursing, hatching and spawning along shorelines. We assess the influence of recreational (sport boats) and commercial navigation (passenger ships, cargo vessels) on fish assemblages...
January 1, 2019: Science of the Total Environment
Neil Sadick
When rejuvenating the face with soft tissue fillers, one must consider its structural framework, and patient specific goals/needs holistically to achieve natural results.
September 1, 2018: Journal of Drugs in Dermatology: JDD
Boram Kim, Seunghyun Yoo, Sung-Il Cho
This study aimed to investigate whether smokers who are ready to quit are more likely to use electronic cigarette (e-cigarette) than those who are not. The association between the ever and current use of e-cigarettes with the stages of change (SOC) model was examined, which reflects the readiness to quit smoking. Current smokers were categorized based on the SOC (precontemplation, contemplation, and preparation). We investigated the associations between quit attempts, intention to quit, and stage of change with e-cigarette use in the general population and different age groups...
2018: PloS One
Mary Langevin, Helena Synkova, Tereza Jancuskova, Sona Pekova
It has been recognized that the Merle coat pattern in dogs is not only a visually interesting feature, but it also exerts an important biological role, in terms of hearing and vision impairments. In 2006, the Merle (M) locus was mapped to the SILV gene (aka PMEL) with a SINE element in it, and the inserted retroelement was proven causative to the Merle phenotype. Mapping of the M locus was a genetic breakthrough and many breeders started implementing SILV SINE testing in their breeding programs. Unfortunately, the situation turned out complicated as genotypes of Merle tested individuals did not always correspond to expected phenotypes, sometimes with undesired health consequences in the offspring...
2018: PloS One
Emerson Keenan, Chandan Karmakar, Marimuthu Palaniswami
OBJECTIVE: Non-invasive fetal electrocardiography (NI-FECG) shows promise for capturing novel physiological information that may indicate signs of fetal distress. However, significant deterioration in NI-FECG signal quality occurs during the presence of a highly non-conductive layer known as vernix caseosa which forms on the fetal body surface beginning in approximately the 28th week of gestation. This work investigates asymmetric modeling of vernix caseosa and other maternal-fetal tissues in accordance with clinical observations and assesses its impacts for NI-FECG signal processing...
September 20, 2018: Physiological Measurement
Coleman Merenda, Hyungil Kim, Kyle Tanous, Joseph L Gabbard, Blake Feichtl, Teruhisa Misu, Chihiro Suga
The automotive industry is rapidly developing new in-vehicle technologies that can provide drivers with information to aid awareness and promote quicker response times. Particularly, vehicles with augmented reality (AR) graphics delivered via head-up displays (HUDs) are nearing mainstream commercial feasibility and will be widely implemented over the next decade. Though AR graphics have been shown to provide tangible benefits to drivers in scenarios like forward collision warnings and navigation, they also create many new perceptual and sensory issues for drivers...
September 17, 2018: IEEE Transactions on Visualization and Computer Graphics
Craig M Klugman, Laura B Dunn, Jack Schwartz, I Glenn Cohen
Digital medicine is a medical treatment that combines technology with drug delivery. The promises of this combination are continuous and remote monitoring, better disease management, self-tracking, self-management of diseases, and improved treatment adherence. These devices pose ethical challenges for patients, providers, and the social practice of medicine. For patients, having both informed consent and a user agreement raises questions of understanding for autonomy and informed consent, therapeutic misconception, external influences on decision making, confidentiality and privacy, and device dependability...
September 2018: American Journal of Bioethics: AJOB
Agustín Silberberg, Josefina Robetto, Magdalena Grillo
Intrauterine surgery shows that the prognosis of neonates with myelomeningocele (MMC) has improved, both in survival and in quality of life. In order to study the current efficacy of intrauterine surgery for MMC and to make an ethical analysis of its proportionality, we conducted a PubMed search using the keywords "myelomeningocele", "intrauterine surgery", "MOMS", and "trial". Thirty-eight articles were found. The literature investigated the risks and benefits of intrauterine surgery based on the physiological parameters of MMC...
September 20, 2018: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
Kursat Bora Carman, Mustafa Calik, Yasemin Karal, Sedat Isikay, Ozan Kocak, Aysima Ozcelik, Ahmet Sami Yazar, Cagatay Nuhoglu, Cigdem Sag, Omer Kilic, Meltem Dinleyici, Sibel Lacinel Gurlevik, Sevgi Yimenicioglu, Arzu Ekici, Pelen Perk, Ayse Tosun, Ilhan Isik, Coskun Yarar, Didem Arslantas, Ener Cagri Dinleyici
BACKGROUND: Febrile seizure is the most common childhood neurological disorder, is an important health problem with potential short- and long-term complications, also leading to economic burden and increased parental anxiety about fevers and seizures occurring in their children. There are no routine recommendation to detect etiological causes of FS for neurological perspective, further knowledge about the etiological causes of FS in children will support preventive measures and follow-up strategies...
September 20, 2018: Human Vaccines & Immunotherapeutics
Sonya Chelvanayagam, Janet James
Diabulimia has become a common term used to describe a condition when a person with type 1 diabetes has an eating disorder. The individual may omit or restrict their insulin dose to lose/control weight. Evidence suggests that as many as 20% of women with type 1 diabetes may have this condition. The serious acute and long-term complications of hyperglycaemia are well documented. Detection of this condition is challenging and health professionals need to be vigilant in assessing reasons for variable glycaemic control and weight changes...
September 20, 2018: British Journal of Nursing: BJN
Nathan Herdener, Benjamin A Clegg, Christopher D Wickens, C A P Smith
OBJECTIVE: The aim of this study was to explore the impact of prior information on spatial prediction and understanding of variability. BACKGROUND: In uncertain spatial prediction tasks, such as hurricane forecasting or planning search-and-rescue operations, decision makers must consider the most likely case and the distribution of possible outcomes. Base performance on these tasks is varied (and in the case of understanding the distribution, often poor). Humans must update mental models and predictions with new information, sometimes under cognitive workload...
September 20, 2018: Human Factors
Karine Caron, Stephen C Trowell
Sensitive and selective quantification of individual sugars in complex media is technically challenging and usually requires HPLC separation. Accurate measurement without the need for separation would be highly desirable. The measurement of trace levels of lactose in lactose-reduced milk exemplifies the problem, with the added challenge that trace lactose must be measured in the presence of ≈140 mM glucose and galactose, the products of lactase digestion of lactose. Biosensing is an alternative to HPLC but current biosensing methods, based on coupled-enzyme assays, tend to have poor sensitivity and complex biochemistry and can be time consuming...
September 20, 2018: Analytical Chemistry
F Peirce Eichelberger
Few examples of enterprise geographic information systems (GISs) implementation are as important and illustrative as the use of GIS to support the four stages of emergency management (EM). The full range of data required to support the four stages of EM are much greater, then any one department can be responsible for by itself. Only with an enterprise-wide GIS perspective can the full range of required data elements be made available to the emergency manager. Most critically, to keep these data sets accurate and up to date, the emergency manager must rely on other agencies and functions to keep all the data current...
July 2018: Journal of Emergency Management: JEM
Shin Oe, Daisuke Togawa, Yu Yamato, Go Yoshida, Tomohiko Hasegawa, Sho Kobayashi, Tatsuya Yasuda, Tomohiro Banno, Hideyuki Arima, Yuki Mihara, Hiroki Ushirozako, Yukihiro Matsuyama
STUDY DESIGN: Retrospective study of postoperative outcomes of adult spinal deformity (ASD) surgery. OBJECTIVE: To clarify the differences in postoperative outcomes depending on the presence or absence of thoracic compensatory changes among patients with a T1 slope (TS)more than 40°. SUMMARY OF BACKGROUND DATA: Loss correction after ASD surgery is more likely to occur when preoperative TS ismore than 40°. When preoperative TS is more than 40°, some cases involve compensatory changes in the thoracic spine and decreased thoracic kyphosis (TK); others involve increased TK without compensatory changes...
September 17, 2018: Spine
Bastien Valding, Hugues Zrounba, Sébastien Martinerie, Laurence May, Martin Broome
The use of three-dimensional (3D) printing has been growing significantly in medicine for the past 10 years, especially in maxillofacial surgery. A lot a different softwares and printers are available on the market, and it can be difficult to choose which one fits best one's needs. In the authors' institution, the authors regularly print orbits to prepare the reconstruction. The authors then compared the 3D printing of an orbital fracture between a professional and nonprofessional software and between a bottom of the range and a more elaborated printer...
September 17, 2018: Journal of Craniofacial Surgery
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