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https://www.readbyqxmd.com/read/27906924/reducing-harm-from-falls
#1
Shelley Jones, Sandy Blake, Richard Hamblin, Carmela Petagna, Carl Shuker, Alan F Merry
Serious adverse event reporting from district health boards (DHBs) brought in-hospital falls to the attention of the Health Quality & Safety Commission (the Commission) when it was incepted in 2010. In 2012, responding to the large numbers reported, the Commission began planning for a three-year programme to reduce harm from falls, initially to run 2013-2015. In this article we discuss the serious consequences of falls, and the challenges and practical considerations involved in reducing the risk of falling and the rate of falls...
December 2, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27894507/do-simple-beside-lung-function-tests-predict-morbidity-after-rib-fractures
#2
Christopher A Butts, John J Brady, Sara Wilhelm, Laura Castor, Alicia Sherwood, Abby McCall, John Patch, Pamela Jones, Vicente Cortes, Adrian W Ong
BACKGROUND: We evaluated if incentive spirometry volume (ISV) and peak expiratory flow rate (PEFR) could predict acute respiratory failure (ARF) in patients with rib fractures. METHODS: Normotensive, co-operative patients were enrolled prospectively. ISV and PEFR were measured on admission, at 24 h and at 48 h by taking the best of three readings each time. The primary outcome, ARF, was defined as requiring invasive or noninvasive positive pressure ventilation...
November 19, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27869630/a-prospective-evaluation-of-opioid-utilization-after-upper-extremity-surgical-procedures-identifying-consumption-patterns-and-determining-prescribing-guidelines
#3
REVIEW
Nayoung Kim, Jonas L Matzon, Jack Abboudi, Christopher Jones, William Kirkpatrick, Charles F Leinberry, Frederic E Liss, Kevin F Lutsky, Mark L Wang, Mitchell Maltenfort, Asif M Ilyas
BACKGROUND: Although adequate management of postoperative pain with oral analgesics is an important aspect of surgical procedures, inadvertent overprescribing can lead to excess availability of opioids in the community for potential diversion. The purpose of our study was to prospectively evaluate opioid consumption following outpatient upper-extremity surgical procedures to determine opioid utilization patterns and to develop prescribing guidelines. METHODS: All patients undergoing outpatient upper-extremity surgical procedures over a consecutive 6-month period had the following prospective data collected: patient demographic characteristics, surgical details, anesthesia type, and opioid prescription and consumption patterns...
October 19, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27856906/the-formation-of-peak-rings-in-large-impact-craters
#4
Joanna V Morgan, Sean P S Gulick, Timothy Bralower, Elise Chenot, Gail Christeson, Philippe Claeys, Charles Cockell, Gareth S Collins, Marco J L Coolen, Ludovic Ferrière, Catalina Gebhardt, Kazuhisa Goto, Heather Jones, David A Kring, Erwan Le Ber, Johanna Lofi, Xiao Long, Christopher Lowery, Claire Mellett, Rubén Ocampo-Torres, Gordon R Osinski, Ligia Perez-Cruz, Annemarie Pickersgill, Michael Poelchau, Auriol Rae, Cornelia Rasmussen, Mario Rebolledo-Vieyra, Ulrich Riller, Honami Sato, Douglas R Schmitt, Jan Smit, Sonia Tikoo, Naotaka Tomioka, Jaime Urrutia-Fucugauchi, Michael Whalen, Axel Wittmann, Kosei E Yamaguchi, William Zylberman
Large impacts provide a mechanism for resurfacing planets through mixing near-surface rocks with deeper material. Central peaks are formed from the dynamic uplift of rocks during crater formation. As crater size increases, central peaks transition to peak rings. Without samples, debate surrounds the mechanics of peak-ring formation and their depth of origin. Chicxulub is the only known impact structure on Earth with an unequivocal peak ring, but it is buried and only accessible through drilling. Expedition 364 sampled the Chicxulub peak ring, which we found was formed from uplifted, fractured, shocked, felsic basement rocks...
November 18, 2016: Science
https://www.readbyqxmd.com/read/27844118/the-cost-of-infection-in-severe-open-tibial-fractures-treated-with-a-free-flap
#5
Ulrik Kähler Olesen, Nicolas Jones Pedersen, Henrik Eckardt, Line Lykke-Meyer, Christian Thorsten Bonde, Upender Martin Singh, Martin McNally
PURPOSE: Open tibial fractures needing soft tissue cover are challenging injuries. Infection risk is high, making treatment difficult and expensive. Delayed skin closure has been shown to increase the infection rate in several studies. We aimed at calculating the direct and indirect cost of treatment, and to determine the effect of delayed skin closure on this cost. METHODS: We reviewed all records of patients treated with a free flap in our institution for an open tibial fracture from 2002 to 2013...
November 14, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27809990/the-roles-of-immune-cells-in-bone-healing-what-we-know-do-not-know-and-future-perspectives
#6
REVIEW
Jehan J El-Jawhari, Elena Jones, Peter V Giannoudis
Key events occurring during the bone healing include well-orchestrated and complex interactions between immune cells, multipotential stromal cells (MSCs), osteoblasts and osteoclasts. Through three overlapping phases of this physiological process, innate and adaptive immune cells, cytokines and chemokines have a significant role to play. The aim of the escalating immune response is to achieve an osseous healing in the shortest time and with the least complications facilitating the restoration of function. The uninterrupted progression of these biological events in conjunction with a favourable mechanical environment (stable fracture fixation) remains the hallmark of successful fracture healing...
November 2016: Injury
https://www.readbyqxmd.com/read/27800460/metacarpal-neck-fractures-a-review-of-surgical-indications-and-techniques
#7
REVIEW
Eric M Padegimas, William J Warrender, Christopher M Jones, Asif M Ilyas
CONTEXT: Hand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each. EVIDENCE ACQUISITION: Literature review of the different treatment modalities for metacarpal neck fractures...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27797787/re-evaluation-of-low-intensity-pulsed-ultrasound-in-treatment-of-tibial-fractures-trust-randomized-clinical-trial
#8
Jason W Busse, Mohit Bhandari, Thomas A Einhorn, Emil Schemitsch, James D Heckman, Paul Tornetta, Kwok-Sui Leung, Diane Heels-Ansdell, Sun Makosso-Kallyth, Gregory J Della Rocca, Clifford B Jones, Gordon H Guyatt
OBJECTIVE:  To determine whether low intensity pulsed ultrasound (LIPUS), compared with sham treatment, accelerates functional recovery and radiographic healing in patients with operatively managed tibial fractures. DESIGN:  A concealed, randomized, blinded, sham controlled clinical trial with a parallel group design of 501 patients, enrolled between October 2008 and September 2012, and followed for one year. SETTING:  43 North American academic trauma centers...
October 25, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27779590/management-of-rib-fractures-a-western-trauma-association-critical-decisions-algorithm
#9
Karen J Brasel, Ernest E Moore, Roxie A Albrecht, Marc deMoya, Riyad Karmy-Jones, Nicholas Namias, Susan Rowell, Martin Schreiber, Mitchell Cohen, David V Shatz, Walter L Biffl
No abstract text is available yet for this article.
October 25, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27777916/result-of-modular-necks-in-primary-total-hip-arthroplasty-with-a-average-follow-up-of-four-years
#10
Jemin Yi, Kye Young Han, Young Jun Nam, Keun Woo Kim
PURPOSE: This study aimed to investigate the outcomes of modular neck-utilization in primary total hip arthroplasty (THA). MATERIALS AND METHODS: Thirty patients (34 hips) who had modular stem THA between April 2011 and January 2013 were evaluated. There were 19 men and 11 women with a mean age of 61.2 years at the time of surgery. There were 20 cases of osteonecrosis of femoral head, 7 cases of osteoarthritis, 6 cases of femur neck fracture, and 1 case of rheumatoid arthritis...
September 2016: Hip & Pelvis
https://www.readbyqxmd.com/read/27744559/performance-of-computed-tomography-of-the-head-to-evaluate-for-skull-fractures-in-infants-with-suspected-non-accidental-trauma
#11
Paige A Culotta, James E Crowe, Quynh-Anh Tran, Jeremy Y Jones, Amy R Mehollin-Ray, H Brandon Tran, Marcella Donaruma-Kwoh, Cristina T Dodge, Elizabeth A Camp, Andrea T Cruz
BACKGROUND: Young children with suspected abusive head trauma often receive skull radiographs to evaluate for fractures as well as computed tomography (CT) of the head to assess for intracranial injury. Using a CT as the primary modality to evaluate both fracture and intracranial injury could reduce exposure to radiation without sacrificing performance. OBJECTIVE: To evaluate the sensitivity of CT head with (3-D) reconstruction compared to skull radiographs to identify skull fractures in children with suspected abusive head trauma...
October 15, 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27737281/foot-and-ankle-injuries-in-american-football
#12
Andrew R Hsu, Robert B Anderson
Physicians need to be aware of a variety of foot and ankle injuries that commonly occur in American football, including turf toe, Jones fractures, Lisfranc injuries, syndesmotic and deltoid disruption, and Achilles ruptures. These injuries are often complex and require early individual tailoring of treatment and rehabilitation protocols. Successful management and return to play requires early diagnosis, a thorough work-up, and prompt surgical intervention when warranted with meticulous attention to restoration of normal foot and ankle anatomy...
September 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27649404/minimally-invasive-repair-of-bilateral-calcaneal-fractures-with-unilateral-external-fixation-a-case-report
#13
Louis V DeFazio, Guido A LaPorta
INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk of soft tissue compromise caused by the traumatic nature of the injury. A percutaneous approach allows the soft tissue envelope to remain viable, while still fixating the fractures. The purpose of this presentation is to highlight the use of percutaneous repair, the role of external fixation in calcaneal fractures, and lastly discuss the outcome for this particular patient...
September 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27647261/activating-patients-with-a-tailored-bone-density-test-results-letter-and-educational-brochure-the-paadrn-randomized-controlled-trial
#14
Fredric D Wolinsky, Yiyue Lou, Stephanie W Edmonds, Sylvie F Hall, Michael P Jones, Nicole C Wright, Kenneth G Saag, Peter Cram, Douglas W Roblin
In cross-sectional studies, patient activation has been associated with better health behaviors, health outcomes, and health-care experiences. Moreover, tailored interventions have led to clinically meaningful improvements in patient activation, as well as health outcomes over time. We tested whether a tailored patient-activation letter communicating bone mineral density (BMD) test results plus an educational brochure improved patient activation scores and levels at 12 and 52 wk post-baseline as the mechanism leading to enhanced bone healthcare...
September 16, 2016: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/27641221/heal-rate-of-metatarsal-fractures-a-propensity-matching-study-of-patients-treated-with-low-intensity-pulsed-ultrasound-lipus-vs-surgical-and-other-treatments
#15
Peter Nolte, Robert Anderson, Elton Strauss, Zhe Wang, Liuyi Hu, Zekun Xu, R Grant Steen
INTRODUCTION: Whether to treat metatarsal fractures conservatively or surgically is controversial. We test a hypothesis that metatarsal fractures treated conservatively with non-invasive low-intensity pulsed ultrasound (LIPUS) obtain heal rates comparable to current surgical techniques. PATIENTS AND METHODS: This is a retrospective observational cohort study, using patient outcomes from a prospectively-collected LIPUS registry required by the U.S. Food & Drug Administration...
September 13, 2016: Injury
https://www.readbyqxmd.com/read/27638130/identification-and-pharmacological-characterization-of-a-novel-inhibitor-of-autotaxin-in-rodent-models-of-joint-pain
#16
K Thirunavukkarasu, C A Swearingen, J L Oskins, C Lin, H H Bui, S B Jones, L A Pfeifer, B H Norman, P G Mitchell, M G Chambers
OBJECTIVE: Autotaxin is a secreted lysophospholipase that mediates the conversion of lysophosphatidyl choline (LPC) to lysophosphatidic acid (LPA), a bioactive lipid mediator. Autotaxin levels in plasma and synovial fluid correlate with disease severity in patients with knee osteoarthritis (OA). The goal of this study was to develop and characterize a novel small molecule inhibitor of autotaxin to inhibit LPA production in vivo and determine its efficacy in animal models of musculoskeletal pain...
September 13, 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/27631015/operative-management-of-patellar-instability-in-the-united-states-an-evaluation-of-national-practice-patterns-surgical-trends-and-complications
#17
Armin Arshi, Jeremiah R Cohen, Jeffrey C Wang, Sharon L Hame, David R McAllister, Kristofer J Jones
BACKGROUND: Treatment of patellofemoral instability has evolved as our understanding of the relevant pathoanatomy has improved. In light of these developments, current practice patterns and management trends have likely changed to reflect these advancements; however, this has not been evaluated in a formal study. PURPOSE: To determine nationwide patient demographics, surgical trends, and postoperative complications associated with the operative management of patellar instability surgery...
August 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27601501/methodology-of-aa-crash-a-prospective-observational-study-evaluating-the-incidence-and-pathogenesis-of-adverse-post-traumatic-sequelae-in-african-americans-experiencing-motor-vehicle-collision
#18
Sarah D Linnstaedt, JunMei Hu, Andrea Y Liu, April C Soward, Kenneth A Bollen, Henry E Wang, Phyllis L Hendry, Erin Zimny, Christopher Lewandowski, Marc-Anthony Velilla, Kathia Damiron, Claire Pearson, Robert Domeier, Sangeeta Kaushik, James Feldman, Mark Rosenberg, Jeffrey Jones, Robert Swor, Niels Rathlev, Samuel A McLean
INTRODUCTION: A motor vehicle collision (MVC) is one of the most common life-threatening events experienced by individuals living in the USA. While most individuals recover following MVC, a significant proportion of individuals develop adverse post-traumatic sequelae such as post-traumatic stress disorder or persistent musculoskeletal pain. Adverse post-traumatic sequelae are common, morbid and costly public health problems in the USA and other industrialised countries. The pathogenesis of these disorders following MVC remains poorly understood...
September 6, 2016: BMJ Open
https://www.readbyqxmd.com/read/27586111/lumbar-vertebrae-fracture-injury-risk-in-finite-element-reconstruction-of-ciren-and-nass-frontal-motor-vehicle-crashes
#19
Derek A Jones, James P Gaewsky, Mireille E Kelley, Ashley A Weaver, Anna N Miller, Joel D Stitzel
INTRODUCTION: The objective of this study was to reconstruct 4 real-world motor vehicle crashes (MVCs), 2 with lumbar vertebral fractures and 2 without vertebral fractures in order to elucidate the MVC and/or restraint variables that increase this injury risk. METHODS: A finite element (FE) simplified vehicle model (SVM) was used in conjunction with a previously developed semi-automated tuning method to arrive at 4 SVMs that were tuned to mimic frontal crash responses of a 2006 Chevrolet Cobalt, 2012 Ford Escape, 2007 Hummer H3, and 2002 Chevrolet Cavalier...
September 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27570324/optic-neuropathy-with-delayed-onset-after-trauma-case-report-and-review-of-the-literature
#20
Kai B Kang, Scott Jones, Amjad Ahmad, Heather E Moss
We report a case of a 16 year-old healthy male, who experienced loss of vision in the right eye immediately after getting punched by a fist. His visual acuity improved to 20/20 within hours, and the optic nerve head appeared normal. CT scan of the orbits showed fractures of the right inferior orbital wall and lamina papyracea. The morning after the injury, he awoke with right eye vision decline to count fingers. There was pallid optic nerve swelling. MRI scan of the orbits showed right medial rectus enlargement and no optic canal abnormalities...
2016: Neuro-ophthalmology
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