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https://www.readbyqxmd.com/read/28345064/pneumocephalus-in-a-patient-with-multiple-stab-wounds
#1
Yusuf Savran, Volkan Karacam, Basak Bayram, Erdem Yaka, Nuri Karabay
Pneumocephalus is a complication of trauma to the chest and many iatrogenic interventions. It may arise due to systemic air embolism or retrograde cerebral venous air embolism which is an extremely rare complication. We report a 26-years-old female patient who presented to the Emergency Department suffering of multiple stab wounds. She was in a state of shock and after first aid and evaluation she was operated successfully. In the early postoperative period generalized tonic clonic convulsions were observed following cardiopulmonary resuscitation due to sudden cardiovascular collapse...
March 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28344815/occupational-exposure-to-sharps-injury-among-healthcare-providers-in-ethiopia-regional-hospitals
#2
Nigussie Tadesse Sharew, Getaneh Baye Mulu, Tesfa Dejenie Habtewold, Kefyalew Dagne Gizachew
BACKGROUND: Sharps injury is a penetrating stab wound from a needle, scalpel, or another sharp object that may result in exposure to blood or other body fluids. According to World Health Organization pooled estimate, the annual incidence of sharps injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate sharps injury prevalence and associated risk factors. METHODS: Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28338614/unintentional-injuries-and-violence-among-adults-in-northern-jordan-a-hospital-based-retrospective-study
#3
Manal M Alzghoul, Mohammed K Shakhatreh, Nihaya Al-Sheyab
Injuries (unintentional and intentional) are the main cause of death and disability worldwide, including Jordan. The main purpose of this hospital-based retrospective study was to identify characteristics, causes, and risk factors of unintentional injuries and violence among all adult patients who approached the Accidents and Emergency department because of injury in Northern Jordan. Data were collected retrospectively from four major hospitals from January 2008 to January 2013. A total of 2425 Jordanian individuals who accessed and were treated by the four hospitals were included in this study...
March 24, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28333700/intimate-partner-violence-a-rare-case-of-reciprocal-homicide
#4
Aurélie Cauchois, François Paraire, Geoffroy Lorin de la Grandmaison
We present the case of a reciprocal homicide by stabbing that occurred within an unmarried couple without known history of spousal violence. Each partner killed the other one at the same time and at the same place using kitchen knives. They were both found dead at home lying on the floor after the neighbors heard an argument and screams coming from the couple's apartment, so they called the police and the fire department. The door was locked from the inside, and the fire department was forced to break the door...
March 23, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28331143/chopstick-injury-successful-stent-graft-therapy-for-traumatic-left-subclavian-artery-aneurysm
#5
Tatsuo Ueda, Hiroyuki Tajima, Satoru Murata, Ryo Takagi, Hiroyuki Yokota, Shin-Ichiro Kumita
Traumatic chopstick injury is very rare, especially in the vascular system. We present an unusual case of a 19-year-old man who presented at the emergency department after being stabbed with a chopstick by his elder brother. Computed tomography revealed a left subclavian artery pseudoaneurysm, which increased from 4 mm to 7 mm in diameter within 47 days. We successfully deployed a Niti-S stent graft for the increasing aneurysm, thereby avoiding a surgical operation. Balloon angioplasty was added for re-stenosis 8 months after the first intervention...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/28326453/violent-trauma-recidivism-does-all-violence-escalate
#6
R M Nygaard, A P Marek, S R Daly, J M Van Camp
PURPOSE: Rates of trauma patients presenting with history of prior trauma range from 25 to 44%. Outcomes involving recidivists in the setting of intentional trauma, especially penetrating trauma, are conflicting. We hypothesized that if violence does escalate with successive incidence, then injuries due to successive violence should escalate or become increasingly severe with successive admissions. METHODS: The trauma registry from an urban level I adult and pediatric trauma center was queried for injuries due to blunt assault, stabbing, and firearm injury...
March 22, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28303879/-successful-repair-of-ascending-aortic-stab-wound
#7
S Yu Boldyrev, R I Kibirov, V V Danilov, R D Nirov, V A Porkhanov
No abstract text is available yet for this article.
2017: Khirurgiia
https://www.readbyqxmd.com/read/28302276/rp-uhplc-uv-esi-ms-ms-analysis-of-lpmo-generated-c4-oxidized-gluco-oligosaccharides-after-non-reductive-labeling-with-2-aminobenzamide
#8
Matthias Frommhagen, Gijs van Erven, Mark Sanders, Willem J H van Berkel, Mirjam A Kabel, Harry Gruppen
Lytic polysaccharide monooxygenases (LPMOs) are able to cleave recalcitrant polysaccharides, such as cellulose, by oxidizing the C1 and/or C4 atoms. The analysis of the resulting products requires a variety of analytical techniques. Up to now, these techniques mainly focused on the identification of non-oxidized and C1-oxidized oligosaccharides. The analysis of C4-oxidized gluco-oligosaccharides is mostly performed by using high pressure anion exchange chromatography (HPAEC). However, the alkaline conditions used during HPAEC analysis lead to tautomerization of C4-oxidized gluco-oligosaccharides, which limits the use of this technique...
March 6, 2017: Carbohydrate Research
https://www.readbyqxmd.com/read/28294279/smart-wearable-kevlar-based-safeguarding-electronic-textile-with-excellent-sensing-performance
#9
Sheng Wang, Shouhu Xuan, Mei Liu, Linfeng Bai, Shuaishuai Zhang, Min Sang, Wanquan Jiang, Xinglong Gong
A novel S-ST/MWCNT/Kevlar-based wearable electronic textile (WET) with enhanced safeguarding performance and force sensing ability was fabricated. Stab resistance performance tests under quasi-static and dynamic conditions show that the maximum resistance force and penetration impact energy for the WET are 18 N and 11.76 J, which represent a 90% and 50% increment with respect to the neat Kevlar, respectively. Dynamic impact resistance tests show that the WET absorbs all the impact energy. The maximum resistance force of the WET is 1052 N, which represents an improvement of about 190% with respect to neat Kevlar...
March 15, 2017: Soft Matter
https://www.readbyqxmd.com/read/28291521/the-spectrum-of-injuries-in-buttock-stab-wounds
#10
REVIEW
T Campion, S Cross
Buttock stab wounds are a surprisingly common and increasing source of presentations to emergency departments. These injuries can have a significant impact on quality of life, and there are a number of often subtle, but significant, injuries that the radiologist must be alert to when interpreting computed tomography examinations in these patients. In this review, we will examine briefly the sociological reasons for the increase in these injuries, discuss appropriate imaging techniques, and provide imaging examples of the clinically important injuries that may be encountered in this region...
March 10, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28286841/diagnostic-accuracy-of-abdominal-wall-ultrasonography-and-local-wound-exploration-in-predicting-the-need-for-laparotomy-following-stab-wound
#11
Ali Vafaei, Kamran Heidari, Afshin Saboorizadeh, Amin Shams Akhtari
INTRODUCTION: Screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. This study aimed to compare the accuracy of abdominal wall ultrasonography (AWU) and local wound exploration (LWE) in this regard. METHODS: This diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency department with anterior abdominal stab wound and stable hemodynamics, to compare the characteristics of AWU and LWE in screening of patients in need of laparotomy...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28281999/the-hidden-story-of-innovation-charity-hospital-angola-prison-and-the-challenging-of-surgical-dogma
#12
Patrick Greiffenstein, Paul R Hastings
The late 1960s was a period of significant upheaval of social, cultural, and scientific norms. The generally accepted notion of mandatory laparotomy for all penetrating abdominal injuries was among those norms being called into question across the country and many advocated expectant management of selected patients presenting with this type of injury. Leaders of the surgical community published opinions on either side of the argument. The house staff at Charity Hospital during this period was among the busiest in the nation in treating these injuries, many of them inmates of the Louisiana State Penitentiary who used self-inflicted stab wounds to the abdomen as a means of temporary respite from the inhumane conditions in the prison...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28273544/the-development-of-a-stabbing-machine-for-forensic-textile-damage-analysis
#13
Natasha Benson, Robson Oliveria Dos Santos, Kate Griffiths, Nerida Cole, Philip Doble, Claude Roux, Lucas Blanes
This article describes the development of a horizontal stabbing machine with an interchangeable knife holder to simulate stab events. The machine consists of a motorised arm with a pneumatic system designed to deliver 60 unique stabbing positions. The mechanics were robust and the positioning system highly reproducible with standard deviations of less than 1.0mm in the x-axis and 2.3mm in the y-axis for a given stab position. The force of the instrument may be varied by the operator to a maximum of approximately 221N...
February 22, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28272851/the-effect-of-emergency-medical-services-response-on-outcome-of-trauma-laparotomy-at-a-level-1-trauma-centre-in-south-africa
#14
S Chowdhury, P H Navsaria, S Edu, A J Nicol
BACKGROUND: Due to resource constrained pre-hospital emergency medical services (EMSs) there is a significant delay in injured patients arriving at Groote Schuur Hospital Trauma Centre (GSHTC). The aim of the study was to examine the effectiveness of EMSs in transferring trauma patients to GSHTC. The effect of any delay to laparotomy from injury was noted. METHOD: A prospective audit of patients presented directly from the scene to GSHTC following abdominal trauma over a four-month period was performed...
November 2016: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28266523/abnormalities-in-a-to-i-rna-editing-patterns-in-cns-injuries-correlate-with-dynamic-changes-in-cell-type-composition
#15
Nurit Gal-Mark, Lea Shallev, Sahar Sweetat, Michal Barak, Jin Billy Li, Erez Y Levanon, Eli Eisenberg, Oded Behar
Adenosine to Inosine (A-to-I) RNA editing is a co- or post-transcriptional mechanism that modifies genomically encoded nucleotides at the RNA level. A-to-I RNA editing is abundant in the brain, and altered editing levels have been reported in various neurological pathologies and following spinal cord injury (SCI). The prevailing concept is that the RNA editing process itself is dysregulated by brain pathologies. Here we analyzed recent RNA-seq data, and found that, except for few mammalian conserved editing sites, editing is significantly higher in neurons than in other cell populations of the brain...
March 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28255445/a-failure-of-preoperative-duplex-imaging-to-diagnose-a-lower-extremity-venous-aneurysm-in-a-patient-with-severe-chronic-venous-insufficiency
#16
Roy Wesley Jones, Godfrey Ross Parkerson, Mary Ottinger, Eduardo Rodriguez, Brian Park
OBJECTIVE: We present a case of recurrent bilateral lower extremity venous stasis ulcers in association with a superficial venous aneurysm at the right saphenofemoral junction that was misdiagnosed on preoperative duplex scanning. METHODS: A 53-year-old female presented to our clinic with 6-year history of bilateral lower extremity venous stasis ulcers. Her past medical history was significant for refractory venous stasis ulcers of the bilateral lower extremities present for 6 years and morbid obesity...
2017: SAGE open medical case reports
https://www.readbyqxmd.com/read/28248122/-double-homicide-with-a%C3%A2-damning-bite-mark-on-the-offender%C3%A2-s%C3%A2-body-case-report
#17
Markéta Kulvajtová, Jiří Hladík, Lucie Zemančíková
The authors deal with a case of a double homicide, the parental murder made by their older son, which was committed by a combination of stabbing and cutting wounds. The perpetra-tor tried to hide the bodies, so he doused them with gasoline and set fire to them on a lonely forest road. Then he ran over the remains by his car. The cause of death was in both cases open wound of the neck - autopsy findings of the woman´s body testified for a blood aspi-ration, on the man´s body it was not clear for a partial charring, so the possibilities were blood aspiration, air embolism or external bleeding with haemorrhagic shock...
2017: Soudní Lékarství
https://www.readbyqxmd.com/read/28246619/effect-of-fibrin-packing-on-managing-hepatic-hemorrhage-and-liver-wound-healing-in-a-model-of-liver-stab-wound-in-rat
#18
Mehrzad Banihashemi, Azam Safari, Navid Nezafat, Mahmoodreza Tahamtan, Manica Negahdaripour, Negar Azarpira, Younes Ghasemi
OBJECTIVE: To evaluate the effect of fibrin perihepatic packing on controlling liver hemorrhage and liver wound healing. METHODS: In this animal experimental study, 20 adult male Sprague Dawley rats, weighing 200-220 g, were included. Stab wound injury was created by number 15 scalpel, so that bilateral liver capsules and liver tissue were cut, and acute bleeding was accrued. The animals were divided into 2 study groups: control (with a primary gauze packing treatment) and test group (with fibrin packing treatment)...
January 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/28242403/pseudoaneurysm-of-the-radial-artery-on-the-hand-secondary-to-stabbing
#19
Melih Bagir, Emrah Sayit, Asli Tanrivermis Sayit
Pseudoaneurysm of the radial artery is extremely rare. It usually occurs secondary to trauma, interventional procedures, and infections. Symptoms occur due to mass effect by the pseudoaneurysm, digital ischemia, or nerve suppression. B-mode and color Doppler ultrasonography are the first choice in diagnosis. The pathognomonic ultrasound sign of pseudoaneurysm is the turbulent flow, which is called the "ying-yang" sign. Bandages, ultrasound probe compression, ultrasound-guided thrombin injection, covered stents, and surgical ligation can be used in treatment...
February 27, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28240500/sharp-force-fatalities-at-the-pretoria-medico-legal-laboratory-2012-2013
#20
L Mitton, L du Toit-Prinsloo
BACKGROUND: South Africa's crude death rate was recorded as the highest in the world in 2014. In 2013, 47 murders occurred daily nationwide, and it was confirmed that sharp force fatalities were frequent events. The aim of our study was to review the fatalities of persons admitted to the Pretoria Medico-Legal Laboratory over a two-year period. Understanding the magnitude of the problem, identifying the most commonly injured area and the mechanism of death in cases where the patient died in hospital could aid in the clinical management of some of these cases in order to reduce mortality...
June 2016: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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