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https://www.readbyqxmd.com/read/27454514/intraosseous-ganglion-cyst-of-scaphoid-an-uncommon-cause-of-radial-wrist-pain
#1
Abhijeet Ashok Salunke, Saranjeet Singh, Himanshu Kanani, Jimmy Chokshi, G I Nambi, Pradyumna Raval, Pathik Vala, Shantanu Jain, Sanjay Chaudhari, Amit Patel, Ramesh Panchal
Intraosseous ganglion cyst is a rare bone tumor and the lesion could often be missed. The diagnosis could be delayed so proper radiologic investigation and index of suspicion is necessary .Differential diagnoses of painful cystic radiolucent carpal lesion are osteoid osteoma, osteoblastoma and intraosseous ganglion. Curettage of the scaphoid lesion and filling of void with bone graft provides good functional outcomes. The cyst contains mucoid viscous material without epithelial or synovial lining. We present a case of 30 years old male with intraosseous ganglion cyst of scaphoid which was treated with curettage and bone grafting...
February 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27433053/calcifying-odontogenic-cyst-with-luminal-and-mural-component-type-1c
#2
Bhushan Sharma, George Koshy, Shekhar Kapoor
Calcifying odontogenic cyst (COC) was first described and classified by Gorlin et al. It is defined as a cystic lesion in which the epithelial lining shows a well defined basal layer of columnar cells, an overlying layer that often resemble stellate reticulum and masses of ghost cells that may be in the epithelial cystic lining or in the fibrous capsule. The lesion generally occurs in the region anterior to maxillary and mandibular molars and either intraosseous or extraosseus. This entity might present as a cystic or solid lesion...
April 2016: Indian Journal of Dentistry
https://www.readbyqxmd.com/read/27196493/a-randomized-cadaver-study-comparing-first-attempt-success-between-tibial-and-humeral-intraosseous-insertions-using-nio-device-by-paramedics-a-preliminary-investigation
#3
Lukasz Szarpak, Zenon Truszewski, Jacek Smereka, Paweł Krajewski, Marcin Fudalej, Piotr Adamczyk, Lukasz Czyzewski
UNLABELLED: Medical personnel may encounter difficulties in obtaining intravenous (IV) access during cardiac arrest. The 2015 American Heart Association guidelines and the 2015 European Resuscitation Council guidelines for cardiopulmonary resuscitation (CPR) suggest that rescuers establish intraosseous (IO) access if an IV line is not easily obtainable.The aim of the study was to compare the success rates of the IO proximal tibia and proximal humerus head access performed by paramedics using the New Intraosseous access device (NIO; Persys Medical, Houston, TX, USA) in an adult cadaver model during simulated CPR...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27092217/rare-appearance-of-an-odontogenic-myxoma-in-cone-beam-computed-tomography-a-case-report
#4
Arash Dabbaghi, Nafiseh Nikkerdar, Soheyla Bayati, Amin Golshah
Odontogenic myxoma (OM) is an infiltrative benign bone tumor that occurs almost exclusively in the facial skeleton. The radiographic characteristics of odontogenic myxoma may produce several patterns, making diagnosis difficult. Cone-beam computed tomography (CBCT) may prove extremely useful in clarifying the intraosseous extent of the tumor and its effects on surrounding structures. Here, we report a case of odontogenic myxoma of the mandible in a 27-year-old female. The patient exhibited a slight swelling in the left mandible...
2016: Journal of Dental Research, Dental Clinics, Dental Prospects
https://www.readbyqxmd.com/read/27073770/arthroscopic-bone-grafting-of-deep-acetabular-cysts-using-a-curved-delivery-device
#5
Tigran Garabekyan, Vivek Chadayammuri, Cecilia Pascual-Garrido, Omer Mei-Dan
Acetabular intraosseous cysts are frequently encountered in patients with dysplasia or femoroacetabular impingement. Small cysts are typically addressed by removing the cyst lining and stimulating healing via microfracture or abrasion chondroplasty. In contrast, larger cysts involving 1-3 cm(3) frequently require additional fortification with bone graft material to facilitate osseous ingrowth and cyst healing. Previous arthroscopic reports have described the use of rim trimming to access the extra-articular side of the cyst, with subsequent use of straight metal cannulas for delivery of bone graft material...
February 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26980976/primary-intraosseous-squamous-cell-carcinoma-in-odontogenic-keratocyst-a-rare-entity
#6
Chitrapriya Saxena, Pooja Aggarwal, Vijay Wadhwan, Vishal Bansal
Squamous cell carcinoma (SCC) arising from the wall of an odontogenic cyst (also known as primary intraosseous carcinoma) is a rare tumor which occurs only in jaw bones. This tumor was first described by Loos in 1913 as a central epidermoid carcinoma of the jaw. Primary intraosseous carcinomas (PIOC) may theoretically arise from the lining of an odontogenic cyst or de novo from presumed odontogenic cell rests. According to the new histological classification of tumors of the World Health Organization, odontogenic keratocyst is nowadays considered a specific odontogenic tumor and the PIOC derived from it is considered as a specific entity which is different from other PIOCs derived from the odontogenic cysts...
September 2015: Journal of Oral and Maxillofacial Pathology: JOMFP
https://www.readbyqxmd.com/read/26973756/effects-of-intraosseous-tibial-vs-intravenous-vasopressin-in-a-hypovolemic-cardiac-arrest-model
#7
Justin Fulkerson, Robert Lowe, Tristan Anderson, Heather Moore, William Craig, Don Johnson
INTRODUCTION: This study compared the effects of vasopressin via tibial intraosseous (IO) and intravenous (IV) routes on maximum plasma concentration (Cmax), the time to maximum concentration (Tmax), return of spontaneous circulation (ROSC), and time to ROSC in a hypovolemic cardiac arrest model. METHODS: This study was a randomized prospective, between-subjects experimental design. A computer program randomly assigned 28 Yorkshire swine to one of four groups: IV (n=7), IO tibia (n=7), cardiopulmonary resuscitation (CPR) + defibrillation (n=7), and a control group that received just CPR (n=7)...
March 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26948074/pediatric-anesthesiology-fellow-education-is-a-simulation-based-boot-camp-feasible-and-valuable
#8
Aditee P Ambardekar, Devika Singh, Justin L Lockman, David L Rodgers, Roberta L Hales, Harshad G Gurnaney, Aruna Nathan, Ellen S Deutsch
BACKGROUND: Pediatric anesthesiologists must manage crises in neonates and children with timely responses and limited margin for error. Teaching the range of relevant skills during a 12-month fellowship is challenging. An experiential simulation-based curriculum can augment acquisition of knowledge and skills. OBJECTIVES: To develop a simulation-based boot camp (BC) for novice pediatric anesthesiology fellows and assess learner perceptions of BC activities. We hypothesize that BC is feasible, not too basic, and well received by fellows...
May 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26778743/procedural-experience-and-confidence-among-graduating-medical-students
#9
Justin Barr, Christopher S Graffeo
OBJECTIVE: Bedside procedures are a vital component of patient care-particularly for surgeons. Anecdotal evidence and previous studies from individual institutions reveal a lack of exposure to these interventions in medical school. Our objective was to ascertain medical students' experience and confidence in performing bedside procedures. DESIGN: Our study included a multi-institutional, anonymous, Health Insurance Portability and Accountability Act-compliant electronic survey...
May 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/26776564/bone-alterations-are-associated-with-ankle-osteoarthritis-joint-pain
#10
Yukio Nakamura, Shigeharu Uchiyama, Mikio Kamimura, Masatoshi Komatsu, Shota Ikegami, Hiroyuki Kato
The etiology of ankle osteoarthritis (OA) is largely unknown. We analyzed 24 ankle OA of 21 patients diagnosed by plain radiographs using magnetic resonance imaging (MRI). Ankle joint pain disappeared in 22 out of 24 joints by conservative treatment. MRI bone signal changes in and around the ankle joints were observed in 22 of 24 joints. Bone signal changes along the joint line were seen in 10 of 11 joints as a Kellgren-Lawrence (KL) grade of II to IV. Such signal changes were witnessed in only 4 of 13 joints with KL grade 0 or I...
2016: Scientific Reports
https://www.readbyqxmd.com/read/26767186/radiographic-study-of-the-distribution-of-maxillary-intraosseous-vascular-canal-in-koreans
#11
JuHyon Lee, Nara Kang, Young-Mi Moon, Eun-Kyoung Pang
BACKGROUND: This study aimed to investigate the distribution and prevalence of intraosseous loop (anastomosis between posterior superior alveolar artery and infraorbital artery) in Koreans detected on computed tomography (CT) images taken prior to sinus augmentation surgery. METHODS: From the 177 patients who underwent sinus augmentation with lateral approach at Ewha Womans University Department of Implant Dentistry, 284 CT scans were evaluated. The canal height (CH), ridge height (RH), and canal height from the sinus floor (CHS) were measured on para-axial views at the first premolar, first molar, and second molar...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26692930/stat3-is-a-key-pathway-in-primary-intraosseous-squamous-cell-carcinoma-arising-from-an-odontogenic-keratocyst
#12
Ling Zhang, Shu-Li Liu, Wei-Min Ye, Jing Zheng
PURPOSE: Primary intraosseous squamous cell carcinoma (PIOSCC) arising within an odontogenic keratocyst (OKC) is rare malignancy, entailing a poor prognosis for delayed diagnosis. The number of reports concerning this entity is extremely small. The aim of this study is to present the clinical and pathologic characteristics of PIOSCC and investigate its pathogenesis. MATERIALS AND METHODS: This study describes three patients with mandibular PIOSCC derived from an OKC over a seven-year period, each of which suffering from decompression in mandible...
2015: American Journal of Translational Research
https://www.readbyqxmd.com/read/26603361/dermal-abrasion-experienced-as-an-adverse-effect-of-the-ez-io-%C3%A2
#13
Jamie K Overbey, Alexander A Kon
BACKGROUND: In 2007, an update was released to the pediatric and neonatal septic shock guidelines, which emphasized early use of therapies, specifically, first-hour fluid resuscitation and inotrope therapy. This has led to increased use of intraosseous (IO) access as a source of vascular access. Previously, IO access could be obtained only via a manual IO placement. New semi-automatic devices, such as EZ-IO(®) (Vidacare, Shavano Park, TX), allow for safer and quicker IO access. Data support the use of semi-automatic devices during the acute resuscitation period...
January 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26323041/double-blind-prospective-randomized-controlled-trial-of-dopamine-versus-epinephrine-as-first-line-vasoactive-drugs-in-pediatric-septic-shock
#14
RANDOMIZED CONTROLLED TRIAL
Andréa M C Ventura, Huei Hsin Shieh, Albert Bousso, Patrícia F Góes, Iracema de Cássia F O Fernandes, Daniela C de Souza, Rodrigo Locatelli Pedro Paulo, Fabiana Chagas, Alfredo E Gilio
OBJECTIVES: The primary outcome was to compare the effects of dopamine or epinephrine in severe sepsis on 28-day mortality; secondary outcomes were the rate of healthcare-associated infection, the need for other vasoactive drugs, and the multiple organ dysfunction score. DESIGN: Double-blind, prospective, randomized controlled trial from February 1, 2009, to July 31, 2013. SETTING: PICU, Hospital Universitário da Universidade de São Paulo, Brazil...
November 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/26312264/intraosseous-access-to-the-circulatory-system-an-under-appreciated-option-for-rapid-access
#15
G Benson
In many emergency situations rapid vascular access is a priority, particularly in cases involving haemodynamic compromise. Traditional vascular access through the use of an intravenous cannula, although the preferred first line method, can in certain circumstances have a high rate of failure. A study by Minville et al (2006) showed that the success rate of first attempt venous cannulation can be as low as 76%. Repeated attempts at venous cannulation in patients with difficult vascular access wastes valuable time which in some situations could prove fatal...
July 2015: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/26298660/-family-s-presence-in-the-pediatric-emergency-room-opinion-of-health-s-professionals
#16
Francine Fernandes Pires Mekitarian, Margareth Angelo
OBJECTIVE: To learn the opinion of health professionals regarding the presence of family during pediatric emergency care. METHODS: Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals...
December 2015: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/26281805/the-use-of-intraosseous-fluid-resuscitation-in-a-pediatric-patient-with-ebola-virus-disease
#17
Michael L Paterson, Charles W Callahan
BACKGROUND: Vomiting, diarrhea, and severe dehydration are common manifestations of Ebola virus disease (EVD), leading to its high mortality. Mortality is especially high in patients older than 45 years, younger than 5 years, and in pregnant women and their fetuses. The majority of patients with EVD are not able to tolerate the quantities of oral hydration solutions necessary to rehydrate properly. Although some have speculated that IV and intraosseous lines are not practical in the austere, resource-constrained settings of an Ebola treatment unit during an epidemic, it is necessary to provide parenteral fluids and electrolyte replacements to significantly decrease mortality...
December 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26275743/a-survey-of-the-first-hour-basic-care-tasks-of-severe-sepsis-and%C3%A2-septic-shock-in-pediatric-patients-and-an-evaluation-of-medical-simulation-on-improving-the-compliance-of-the-tasks
#18
Juan Qian, Ying Wang, Yucai Zhang, Xiaodong Zhu, Qunfang Rong, Hongxia Wei
BACKGROUND: Application of the sepsis resuscitation bundle is limited by clinician knowledge, skills, and experience. We used the adjusted first-hour basic care tasks in pediatric patients in three tertiary hospitals in Shanghai, China. OBJECTIVE: The aim of this study is to survey the compliance of the adjusted tasks and to evaluate in situ simulation team training on improving the compliance. METHODS: A prospective observational study was performed with the survey checklists from May 2011 to January 2012 in three pediatric intensive care units...
February 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26254175/intraosseous-verrucous-carcinoma-arising-from-an-infected-dentigerous-cyst-a-case-report
#19
Chih-Yu Peng, Yu-Feng Huang, Ming-Yi Lu, Yu-Hsien Lee, Chuan-Hang Yu
Intraosseous verrucous carcinoma (IOVC) arising from an odontogenic cyst is extremely rare. We report a case of intraosseous verrucous carcinoma in a 74-year-old male who presented with a left mandibular swelling with recurrent pus discharge from gingiva of tooth #35. Panoramic radiography revealed an impacted tooth #34 and a large well-defined, radiolucent lesion surrounding the crown of tooth #34. The clinical diagnosis was an infected dentigerous cyst. Surgical excision of the cyst together with extraction of tooth #34 was performed...
August 2015: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/26229584/management-of-intraosseous-vascular-malformations-of-the-jaws-in-children-and-adolescents-report-of-6-cases-and-literature-review
#20
Nadia Theologie-Lygidakis, Ourania Schoinohoriti, Fotios Tzermpos, Panos Christopoulos, Ioannis Iatrou
BACKGROUND: Intraosseous vascular malformations represent a rare clinical entity of the facial skeleton. The purpose of the current study was to present our experience in a Greek paediatric population and propose guidelines for the treatment of these jaws anomalies in children and adolescents. METHODS: A retrospective study (from 2009 to 2014) was performed to investigate the features and management of the intraosseous vascular anomalies in a Greek paediatric population...
April 2015: Journal of Oral & Maxillofacial Research
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