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Isabelle Schöffl, Johannes Deeg, Christoph Lutter, Thomas Bayer, Volker Schöffl
RATIONALE AND OBJECTIVES:  Pulley ruptures are the most common injuries in sport climbing. Ruptures of the A2 and A4 pulleys have been studied extensively, and ultrasound has proven to be a highly sensitive and specific tool for their diagnosis. However, the correct diagnosis of A3 pulley ruptures continues to be a challenge. Therefore, we investigated a novel approach to this pathology. MATERIAL AND METHODS:  Eighteen fingers from nine different human cadavers were examined using high-resolution, dynamic ultrasound before and after being subjected to different combinations of singular and multiple iatrogenic pulley ruptures in a standardised fashion...
December 2018: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Filippo Montevecchi, Alberto Caranti, Giovanni Cammaroto, Giuseppe Meccariello, Claudio Vicini
Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervical approach. An effective styloidectomy may be either total or partial, provided the bony residue's length is within the range of normality. Here, we report our experience with a bilateral robotic-assisted styloidectomy in a young female patient...
December 11, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Koen A van Overdam, Peter G van Etten, Jan C van Meurs, Sonia S Manning
PURPOSE: Unremoved vitreoschisis-induced vitreous cortex remnants (VCR) are associated with macular pathology. When present on the retinal periphery, they may play a role in proliferative vitreoretinopathy and retinal detachment after vitrectomy. Existing instruments for their removal involve substantial risk of iatrogenic retinal damage. Purpose of this study was to evaluate the use of a new technique, Vitreous Wiping, for removal of VCR during vitrectomy. METHODS: Proof-of-concept case series of six eyes (six patients) treated with vitrectomy for various pathologies (macula-on and macula-off retinal detachment, macular hole, macular pucker and vitreous floaters)...
December 7, 2018: Acta Ophthalmologica
Zhu-Hua Wu, Ming-You Xing, Sheng Wei, Man-Zhi Zhao, Wen-Xia Wang, Lin Zhu, Ji-Ling Zhu, Cai-Feng Zheng, Si-Jun Wang, Jun-Ying Qi, Jian-Xin Song
The present study aimed to establish a list of parameters indicative of pathogen invasion and develop a predictive model to distinguish the etiologies of fever of unknown origin (FUO) into infectious and non-infectious causes. From January 2014 to September 2017, 431 patients with FUO were prospectively enrolled in the study population. This study established a list of 26 variables from the following 4 aspects: host factors, epidemiological factors, behavioral factors, and iatrogenic factors. Predefined predicted variables were included in a multivariate logistic regression analysis to develop a predictive model...
December 2018: Current medical science
Richard E Heyman, Amy M Smith Slep, Michael F Lorber, Danielle M Mitnick, Shu Xu, Katherine J W Baucom, W Kim Halford, Phyllis Holditch Niolon
Effective, accessible prevention programs are needed for adults at heightened risk for intimate partner violence (IPV). This parallel group randomized controlled trial examines whether such couples receiving the American version of Couple CARE for Parents of Newborns (CCP; Halford et al. 2009) following the birth of a child, compared with controls, report fewer first occurrences of clinically significant IPV, less frequent physical and psychological IPV, and improved relationship functioning. Further, we test whether intervention effects are moderated by level of risk for IPV...
December 7, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
Dennis C Hammond
No abstract text is available yet for this article.
December 8, 2018: Aesthetic Surgery Journal
Pramod Theetha Kariyanna, Amog Jayarangaiah, Apoorva Jayarangaiah, Sudhanva Hegde, Jonathan D Marmur, Syed Haseeb, Teresa Song, Navneet Singh, Samy I McFarlane
Coronary air embolism (CARE) is a rare complication during transluminal coronary angiography or angioplasty and is almost always iatrogenic. CARE can cause significant morbidity and mortality as shown in animal studies. CARE is known to cause acute chest pain, hypotension, bradycardia, ST-segment elevation myocardial infarction (STEMI), and death. Multiple isolated case reports of CARE have been reported. We here present a systematic review of cases of CARE during transluminal coronary angiography or angioplasty...
2018: SciFed journal of cardiology
Yueh-Hsiu Lu, Chia-Chieh Wu, Chen-Pu Hsieh
Background: A variety of surgical techniques for treating mallet fracture finger has been reported with different outcomes and complications. However, the optimal procedure remains controversial. This study describes surgical outcomes of mallet fractures of the finger with distal phalanx treated by modified pull-out wire fixation with Kirschner wire (K-wire) stabilization of the DIP joint in hyperextension. Materials and Methods: 30 patients who had mallet fracture finger injuries (Doyle's classification type IVC) with DIP joint subluxation between January 2009 and January 2015 were included in this study...
November 2018: Indian Journal of Orthopaedics
Rebecca Inglis, Emmanuel Ayebale, Marcus J Schultz
PURPOSE OF REVIEW: This review focuses on the emerging body of literature regarding the management of acute respiratory failure in low- and middle-income countries (LMICs). The aim is to abstract management principles that are of relevance across a variety of settings where resources are severely limited. RECENT FINDINGS: Mechanical ventilation is an expensive intervention associated with considerable mortality and a high rate of iatrogenic complications in many LMICs...
December 5, 2018: Current Opinion in Critical Care
Greta Gintautaitė, Giedrius Kenstavičius, Alė Gaidytė
The objective of this article was to conduct a systematic literature review about the consequences and recovery of dental roots' and surrounding structures' after iatrogenic mini implant (MI) contact based on peer reviewed publications of 2008-2017 January. The Cochrane and PRISMA references were used while searching for scientific literature in six data bases. The inclusion criteria to select articles were: 1) root contact evaluation associated with the use of orthodontic MI, 2) the diameter of MI was ≤2...
2018: Stomatologija
Rebecca Doran Butler, Ryan J Halter
OBJECTIVE: Multiple surgical procedures require drilling through bone to access underlying anatomy or for device placement. In dental applications, iatrogenic injury caused by accidental perforation of cortical bone into critical anatomy occurs in a significant number of dental implant procedures. Limited real-time sensing methods are available to guide clinicians while drilling through cancellous bone towards cortical interfaces. Early interface detection could prevent accidental damage to underlying anatomic structures...
December 10, 2018: Physiological Measurement
Kaitlin M Best, Lisa A Asaro, Martha A Q Curley
OBJECTIVE: To compare current analgesia and sedation management practices between critically ill children with pre-existing cognitive impairment and critically ill neurotypical children, including possible indicators of therapeutic efficacy. STUDY DESIGN: This study used secondary analysis of prospective data from the RESTORE clinical trial, with 2449 children admitted to the pediatric intensive care unit and receiving mechanical ventilation for acute respiratory failure...
December 5, 2018: Journal of Pediatrics
Honlok Lo, Po-Yin Shen, Po-Chih Shen, Pei-Hsi Chou, Cheng-Chang Lu
BACKGROUND: Anterior dislocation of the glenohumeral joint is a common upper extremity injury in orthopedic and emergency medicine. The aim of this study was to introduce a novel reduction technique, "elbow technique," for anterior shoulder dislocations. DISCUSSION: This study included 26 patients with anterior shoulder dislocation who were treated using the elbow technique in our hospital's emergency department between October 2014 and December 2015. One orthopedic physician performed the reduction maneuver and the vast majority of the patients were sedated...
December 6, 2018: Journal of Emergency Medicine
Bill S Majdalany, Mamdouh Khayat, Trevor Downing, Timothy P Killoran, Ghassan El-Haddad, Minhaj S Khaja, Wael A Saad
OBJECTIVES: Lymphangiography and thoracic duct embolization are established treatments for post-surgical chylothorax. There is only limited experience in their application to treat post-surgical chylous ascites. A multi-center analysis of the technical and clinical success of lymphangiography and lymphatic interventions in the treatment of isolated, iatrogenic chylous ascites is reported. METHODS: 21 patients (14 males; 7 females) aged 3-84 years (mean 56.9 years; median 63 years) were treated for isolated, iatrogenic chylous ascites between August 2012 and January 2018...
December 2018: European Journal of Radiology
Dimin Zhou, Mohsin Jafri, Inna Husain
OBJECTIVE: To identify dysphagia prevalence and characteristics among patients with unilateral vocal fold immobility (UVFI) through a systematic review of current literature. DATA SOURCES: Embase, PubMed, ScienceDirect, Wiley Online Library. REVIEW METHODS: Four electronic databases were reviewed according to the PRISMA criteria. Original English-language studies examining dysphagia among adult patients with UVFI met eligibility. Two researchers independently analyzed qualified articles...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Codi White, Dianne C Shanley, Melanie J Zimmer-Gembeck, Kerryann Walsh, Russell Hawkins, Katrina Lines
In this study, the effectiveness of the Observed Protective Behaviors behaviors test, a single-session, disclosure-focused, in situ skills training (IST), was evaluated as a standalone program (IST only) or as a booster to the child protective education program, Learn to be safe with Emmy and friends™ (program + IST). Participants included 281 Year 1 children (5-7 years; 52% male), randomly assigned to IST only, program + IST, program only or waitlist, and followed across 6 months. At each assessment, children completed interviews to assess their intention and confidence to disclose unsafe situations (disclosure intentions and confidence) and their ability to identify unsafe situations (safety identification skills)...
December 9, 2018: Child Maltreatment
Russell Maxwell, Andrew S Luksik, Tomas Garzon-Muvdi, Alice L Hung, Eileen S Kim, Adela Wu, Yuanxuan Xia, Zineb Belcaid, Noah Gorelick, John Choi, Debebe Theodros, Christopher M Jackson, Dimitrios Mathios, Xiaobu Ye, Phuoc T Tran, Kristin J Redmond, Henry Brem, Drew M Pardoll, Lawrence R Kleinberg, Michael Lim
Immune checkpoint blockade targeting programmed cell death protein 1 (PD-1) is emerging as an important treatment strategy in a growing list of cancers, yet its clinical benefits are limited to a subset of patients. Further investigation of tumor-intrinsic predictors of response and how extrinsic factors, such as iatrogenic immunosuppression caused by conventional therapies, impact the efficacy of anti-PD-1 therapy are paramount. Given the widespread use of corticosteroids in cancer management and their immunosuppressive nature, this study sought to determine how corticosteroids influence anti-PD-1 responses and whether their effects were dependent on tumor location within the periphery versus central nervous system (CNS), which may have a more limiting immune environment...
2018: Oncoimmunology
E Ramos, A Torres, E Callejas, M Micha, P Jorba, A Farah
INTRODUCTION: Quadrilateral plate fractures are the most difficult to reduce and fix. Different techniques have been developed for quadrilateral plate osteosynthesis. The objective of this work was to create an implant and a novel approach to simplify and improve acetabular fracture osteosynthesis. MATERIAL AND METHODS: A total of 83 patients were studied. Pelvic CT scan images of both acetabula were measured at the proximal and distal posterior column. Implant length, diameters and morphological characteristics were determined...
May 2018: Acta Ortopédica Mexicana
Unzila Ali Nayeri, Catalin S Buhimschi, Guomao Zhao, Irina A Buhimschi, Vineet Bhandari
We aimed to test the hypothesis that determinants of the perinatal clinical exposome related to the underlying etiology of premature birth (PTB) impact differently on select neonatal outcomes. We conducted a prospective longitudinal study of 377 singleton preterm neonates [gestational age (GA) at birth: 23-34 weeks] separated into three distinct contemporaneous newborn cohorts: i) spontaneous PTB in the setting of intra-amniotic infection/inflammation (yes-IAI, n = 116); ii) spontaneous PTB in the absence of IAI (no-IAI, n = 130), and iii) iatrogenic PTB for preeclampsia (iPTB-PE, n = 131)...
2018: PloS One
Fu-Chieh Chuang, Kwang-Yi Tung, Wen-Chen Huang, Chia-Meng Yu, Wen-Teng Yao
BACKGROUND: An iatrogenic tracheoesophageal (TE) fistula is one possible complication after total laryngectomy with flap reconstruction. We used sternocleidomastoid (SCM) rotation flap to close a TE fistula. METHODS AND RESULTS: A 69-year-old man with laryngeal cancer underwent total laryngectomy with radial forearm free flap reconstruction. A tracheostoma stenosis was noticed 7 months after the tracheostomy tube was removed. The patient underwent tracheostoma dilatation; the iatrogenic TE fistula was noticed 1 month later...
December 3, 2018: Annals of Plastic Surgery
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