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Abdulhadi Jfri, Ali Alajmi
BACKGROUND: Keloids are benign fibroproliferative tumors that extend beyond the original wound. Spontaneous keloids are those that result without a significant history of trauma. There are multiple reported cases in the literature. OBJECTIVE: This article provides a summary and review of the cases that have been reported with spontaneous keloids and organizes them according to their associated medical conditions. METHODS: A literature review was conducted using PubMed and MEDLINE that included all English published cases and case series from May 1955 to February 2018...
August 16, 2018: Dermatology: International Journal for Clinical and Investigative Dermatology
Vicente Mosquera, Carlota Fernández, Amer Zanabili, Jose A Del Castro, Mónica G Pandavenes, Manuel Alonso
BACKGROUND: Iliac vein injury associated with pelvic fracture due to blunt trauma is an uncommon and difficult diagnosis but a life-threatening condition which often requires an emergent management. Although open repair has been traditionally used as the treatment of choice in unstable patients, it is controversial, given the difficulty injured vessel exposure in patients with significant retroperitoneal hematoma as well as tamponade effect loss associated to laparotomy. We present a challenging case of iliac vein laceration successfully treated by placement of a self-expanding covered stent...
August 13, 2018: Annals of Vascular Surgery
Tomasz Grzela, Radosław Piotrowicz, Krzysztof Leksowski
Aneurysms of the dorsalis pedis artery are rare, and they are not commonly examined histologically. In general, pseudoaneurysms are thought to be more common than true aneurysms of the dorsalis pedis artery. We present a patient with a true aneurysm of the dorsalis pedis artery, which was initially diagnosed as a pseudoaneurysm that had developed due to a blunt trauma of the ankle. However, the intraoperative appearance and histological examination both confirmed a true aneurysm. Our experiences seem to confirm, that postoperative histological examination is needed to distinguish pseudoaneurysms from true aneurysm of the dorsalis pedis artery...
August 13, 2018: Annals of Vascular Surgery
Thiago Ferreira Timoteo, Paula Barreiros Debien, Bernardo Miloski, Francisco Zacaron Werneck, Tim Gabbett, Maurício Gattás Bara Filho
Timoteo, TF, Debien, PB, Miloski, B, Werneck, FZ, Gabbett, T, and Filho, MGb. Influence of workload and recovery on injuries in elite male volleyball players. J Strength Cond Res XX(X): 000-000, 2018-The aim of this study was to investigate the influence of workload and recovery on injury rates in elite male volleyball players. Data were collected from 14 male professional volleyball players over a 27-week season. Workloads were monitored daily using the session rating of perceived exertion, and recovery status was appraised using the Total Quality Recovery (TQR) scale...
August 15, 2018: Journal of Strength and Conditioning Research
Avi Shemesh, Galit Birnboim-Blau, Ronen Zoizner, Joe Ben Itzhak, Michael Solomonov
External invasive resorption (EIR) is a type of external resorption that can involve the coronal, middle and apical parts of the root in its advanced stages and results in progressive loss of tooth structure. Common potential predisposing factors for EIR are orthodontic treatment and trauma. The EIR progression rate has not been described previously. This case report describes rapidly progressive EIR in an impacted maxillary canine after surgical exposure and application of directional orthodontic traction over 8 months...
August 16, 2018: Australian Endodontic Journal: the Journal of the Australian Society of Endodontology Inc
Cara Jane Sturman, Chris Miles Frampton, Wouter J F Ten Cate
OBJECTIVE: To determine whether occupational noise exposure causes symmetrical or asymmetrical hearing loss. STUDY DESIGN: Retrospective Case Series. SETTING: Otorhinolaryngology Specialist Centre. PATIENTS: Seven hundred forty-four reports for occupational noise-induced hearing loss (NIHL) compensation were analyzed. Subjects with at least 40% of their total hearing loss due to occupational NIHL were included. Claimants with any confounding factor that could cause asymmetric hearing loss such as history of shooting, head, or ear trauma were excluded...
September 2018: Otology & Neurotology
Jinlin Liu, Xiaocheng Luo, Wenjian Wang, Sujie Zheng, Huijun Lin, Juping Zeng, Mao Wu
To systemically analyze megakaryocytes in pleural and peritoneal fluids and their clinical significance. We retrospectively examined 10,846 pleural, peritoneal, and pericardial fluid samples obtained from 3 hospitals over a 20-year period. Megakaryocytes were observed in the pleural fluid samples from 7 patients and peritoneal fluid samples from 2 patients, and the incidence was 0.83%. The clinical diagnoses of these 9 patients included myeloproliferative disorders, trauma, and tumors. The serous effusions in all 9 patients were bloody, and the megakaryocytes could be associated with trauma, bone marrow pollution, extramedullary hematopoiesis, or cancer...
August 2018: Medicine (Baltimore)
Karl Schwaiger, Paul Panzenbeck, Martin Purschke, Elisabeth Russe, René Kaplan, Klemens Heinrich, Patrick Mandal, Gottfried Wechselberger
Meralgia paresthetica (MP) is a rare lateral femoral cutaneous nerve-(LFCN)-mononeuropathy. Treatment for this disorder includes conservative and operative approaches; the latter is considered if conservative therapy fails. The most commonly used surgical approaches are decompression/neurolysis and avulsion/neurectomy. However, there are no definitive guidelines on the optimal surgical approach to be used. The purpose of this study was to evaluate the outcome of surgical decompression of the LFCN for the treatment of persistent MP with preservation of sensation along the distribution of the LFCN...
August 2018: Medicine (Baltimore)
Dong Hun Lee, Byung Kook Lee, Kyung Woon Jeung, Jung Soo Park, Yong Deok Lim, Yong Hun Jung, Sung Min Lee, Yong Soo Cho
The present study aimed to analyze and compare the prognostic performances of the Japanese Ministry of Health and Welfare (JMHW) score, the Korean Society on Thrombosis and Hemostasis (KSTH) score, the International Society on Thrombosis and Haemostasis (ISTH) score, the Japanese Association for Acute Medicine (JAAM) score, and the revised JAAM (rJAAM) score, for 28-day mortality in severe trauma.This retrospective observational study included patients admitted for severe trauma between 2012 and 2015. Receiver operating characteristics analysis was performed to examine the prognostic performance of the 5 different DIC score systems...
August 2018: Medicine (Baltimore)
Scott Nathan Loewenstein, Stephen P Duquette, Joshua M Adkinson
BACKGROUND: Hand surgery dogma suggests that simultaneous surgical treatment of carpal tunnel syndrome (CTS) and Dupuytren's contracture (DC) results in an increased incidence of Complex Regional Pain Syndrome (CRPS). As a result, many surgeons do not perform surgery for the two conditions concurrently. Our goal was to determine the extent of this association. METHODS: We identified all patients undergoing surgical treatment for CTS, DC, or both between April 1982 and March 2017 using the Indiana Network for Patient Care (INPC), a large, multi-institutional, statewide information exchange...
August 11, 2018: Plastic and Reconstructive Surgery
Guntaragorn Hongrattana, Potipong Reungjui, Panaya Tumsatan, Chulee Ubolsakka-Jones
AIM: The aim of the study was to obtain information about the incidence and risk factors for pulmonary atelectasis in mechanically ventilated patients in the trauma ICU (TMICU). Pulmonary atelectasis is a common complication leading to serious lung dysfunction in patients in the TMICU and early identification of patients at risk is important for their effective management. METHODS: All trauma patients admitted to the TMICU with mechanical ventilation for more than 1 day were included in a prospective 12-month study...
August 14, 2018: International Journal of Evidence-based Healthcare
David T Lubkin, Muath Bishawi, Andrew S Barbas, Todd V Brennan, Allan D Kirk
OBJECTIVES: Extracellular mitochondrial DNA and N-formyl peptides released following tissue damage may contribute to systemic inflammation through stimulation of the innate immune system. In this review, we evaluate existing in vivo human data regarding a role for mitochondrial DNA and N-formyl peptides in producing systemic inflammation in trauma and critical illness, investigate the utility of these molecules in risk prediction and clinical decision support, and provide suggestions for standardization of future research...
August 14, 2018: Critical Care Medicine
Amadeu J R Queiróz, Fernanda Pereira Domingos, João R Antônio
BACKGROUND: Chromoblastomycosis is a tropical chronic infectious dermatosis characterized by the moriform bodies. To review all cases of chromoblastomycosis attended in the reference service of dermatology. METHODS: Series of cases of chromoblastomycosis attended in a dermatology reference service. Through an integrated system search of assistance, based on CID-10 B43, we reviewed epidemiological and comorbidities data, clinical presentations, treatments, and outcomes of each clinical case...
August 16, 2018: International Journal of Dermatology
P Roy, R Mukherjee, M Parik
Over the past three decades, management of blunt splenic trauma has changed radically. Use of improved diagnostic techniques and proper understanding of disease pathology has led to nonoperative management being chosen as the standard of care in patients who are haemodynamically stable. This review was undertaken to assess available literature regarding changing trends of management of blunt splenic trauma, and to identify the existing lacunae in nonoperative management. The PubMed database was searched for studies published between January 1987 and August 2017, using the keywords 'blunt splenic trauma' and 'nonoperative management'...
August 16, 2018: Annals of the Royal College of Surgeons of England
A M Khan, M Rafferty, J S Daurka
Introduction The aim of this study was to determine the trends in national practice regarding total hip arthroplasty compared with hemiarthroplasty in fractured neck of femur between 2010 and 2016. Materials and methods A retrospective review was conducted of NHS Digital data (England) between 2010 and 2016. 'Emergency' neck of femur fracture admissions, hemiarthroplasties and total hip arthroplasties were included. Elective total hip arthroplasties, revisions and prostheses relocations were excluded. Annual percentages for each operation were calculated...
August 16, 2018: Annals of the Royal College of Surgeons of England
Makini Chisolm-Straker
Human trafficking was defined in the United States in 2000, with the Trafficking Victims Protection Act (TVPA). Studies demonstrate that clinicians are seeing trafficked persons and emergency departments (ED) are among their most frequented healthcare sites.,, These studies were of survivors reporting their healthcare experiences while being trafficked, some of which occurred before the TVPA; EDs have been serving trafficked persons as patients long before the government named the problem. This is not surprising...
August 16, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Abdulla Jawed, Awaiz Ahmed, Mark Rees Williams
AIM OF THE STUDY: To determine if the intraoperative use of cell salvage (CS) led to a decrease in allogeneic blood transfusion by comparing with a control group that did not receive CS. We also looked at the effects of injury severity and surgical approach. METHODS: This was a retrospective study at a major trauma center. One hundred and nineteen patients underwent open reduction and internal fixation of pelvic and acetabular fractures with (59 patients) or without intra-operative blood cell salvage (60 patients)...
August 15, 2018: International Orthopaedics
Brittany A Robinson, Cassandra L Hendrix, H Sloan Krakovsky, Alicia K Smith, Patricia A Brennan
The current study aimed to explore the relationship between maternal exposure to various types of trauma and child anxiety outcomes, and to investigate maternal depression and parenting quality as potential mediators of these relationships. Aims were examined within a sample of 185 mother-child dyads who participated in a longitudinal study assessing maternal trauma history, maternal depression, and parenting quality at preschool age (ages 2.5 to 5.5 years), and for whom maternal and secondary caregiver reports of child anxiety were obtained at school age (ages 6 to 11 years)...
August 15, 2018: Journal of Abnormal Child Psychology
Vishnu Prasad, Victor Samuel, Mahesh Ramakrishnan, Dhanalakshmi Ravikumar, N Sharna
Cerebral palsy (CP) is described as a group of permanent, nonprogressive movement disorders that cause physical disability in development and further affecting body movement and muscle coordination. The condition develops when certain abnormalities persist inside the developing brain that ultimately disrupts the brain's ability to control movement and maintain posture and balance. Patients with CP are more susceptible to dental trauma due to the lack of muscle coordination and unexpected involuntary movements...
May 2018: Journal of Family Medicine and Primary Care
Amjad Kanj, Hussam Tabaja, Ayman O Soubani, Nadim Kanj
Traumatic pulmonary pseudocyst (TPP) is a rare entity that occurs following a trauma to the chest. It usually presents as multiple cystic lesions on thoracic imaging. It is treated conservatively and tends to completely resolve after few months. In the absence of striking signs of trauma such as rib fractures, TPP can be mistaken for other cystic lung diseases. We present a case of TPP in a 17-year-old male who was seen for mild hemoptysis after falling off a cliff. The extent of his right lower lobe cystic lesions along with the lack of major signs of trauma led to an incorrect diagnosis of congenital pulmonary airway malformation...
2018: Case Reports in Pulmonology
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