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https://www.readbyqxmd.com/read/29041027/-late-sequelae-of-a-stab-injury-in-the-forearm-with-incorporation-of-a-foreign-body
#1
Roland Ludwig Stocker, Alexandra Macheiner
No abstract text is available yet for this article.
October 2017: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29038886/forces-generated-in-stabbing-attacks-an-evaluation-of-the-utility-of-the-mild-moderate-and-severe-scale
#2
Gary Nolan, Sarah V Hainsworth, Guy N Rutty
The commonest way of killing in the UK is by a sharp instrument. Knight reported in 1975 that it is impossible to discern with any degree of certainty the degree of force used to create a stab wound. Despite this, expert witnesses continue to approximate the degree of force used for their reports and evidence in court. It is usually subjectively categorized as mild, moderate or severe, based solely on the examination of the wound. We undertook a study considering forces generated in a range of blunt trauma actions, using a novel force plate dynamometer to measure the peak forces obtained by adult male and female volunteers...
October 16, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29037893/gelatin-promotes-rapid-restoration-of-the-blood-brain-barrier-after-acute-brain-injury
#3
Lucas S Kumosa, Valdemar Zetterberg, Jens Schouenborg
Gelatin coating of brain implants is known to provide considerable benefits in terms of reduced inflammatory sequalae and long-term neuroprotective effects. However, the mechanisms for gelatin's protective role in brain injury are still unknown. To address this question, cellular and molecular markers were studied with quantitative immunohistochemical microscopy at acute (<2 hours, 1, 3 days), intermediate (1-2 weeks) and long-term time points (6 weeks) after transient insertion of stainless steel needles into female rat cortex cerebri with or without gelatin coating...
October 13, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/29034450/new-onset-focal-stabbing-headache-associated-with-peripheral-vertigo-a-case-report
#4
Tommy L H Chan, David D Kim, Werner J Becker
We present a novel case of a focal stabbing headache sharing features of primary stabbing headache that started and resolved with the onset and resolution of a course of self-limiting peripheral vertigo. The association of onset and improvement of the stabbing headaches support the trigeminal and vestibular reciprocal relationships. Vestibular input may be the driving force and a potential target for treatment.
October 16, 2017: Headache
https://www.readbyqxmd.com/read/29022789/the-impact-of-mechanism-on-the-management-and-outcome-of-penetrating-colonic-trauma
#5
G V Oosthuizen, V Y Kong, T Estherhuizen, J L Bruce, G L Laing, J J Odendaal, D L Clarke
Introduction In light of continuing controversy surrounding the management of penetrating colonic injuries, we set out to compare the outcome of penetrating colonic trauma according to whether the mechanism of injury was a stab wound or a gunshot wound. Methods Our trauma registry was interrogated for the 5-year period from January 2012 to December 2016. All patients over the age of 18 years with penetrating trauma (stab or gunshot) and with intraoperatively proven colonic injury were reviewed. Details of the colonic and concurrent abdominal injuries were recorded, together with the operative management strategy...
September 15, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29022520/prevalence-of-suicidal-behaviour-and-associated-factors-in-a-large-sample-of-chinese-adolescents
#6
X C Liu, H Chen, Z Z Liu, J Y Wang, C X Jia
AIMS: Suicidal behaviour is prevalent among adolescents and is a significant predictor of future suicide attempts (SAs) and suicide death. Data on the prevalence and epidemiological characteristics of suicidal behaviour in Chinese adolescents are limited. This study was aimed to examine the prevalence, characteristics and risk factors of suicidal behaviour, including suicidal thought (ST), suicide plan (SP) and SA, in a large sample of Chinese adolescents. METHOD: This report represents the first wave data of an ongoing longitudinal study, Shandong Adolescent Behavior and Health Cohort...
October 12, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28980554/-the-possibilities-for-the-expert-diagnostics-of-the-injuries-for-the-purpose-of-examination-of-the-remains-of-the-strongly-burnt-and-carbonized-corpses
#7
V A Fetisov, I Yu Makarov, A V Kovalev, A A Gusarov, B A Sarkisyan, V E Yankovsky
The objective of the present study was the analysis of the publications in the domestic and foreign literature containing the reports concerning the experience with forensic medical expertise of the strongly burnt and carbonized human corpses. Flame is known to sometimes cause injuries simulating the intravital wounds. Such injuries are categorized into the following types. Thermal ruptures reminiscent of the classical stab and slash wounds unaccompanied by swelling and hemorrhage in the surrounding tissues...
2017: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/28978816/development-of-a-high-density-nonwoven-structure-to-improve-the-stab-resistance-of-protective-clothing-material
#8
Limin Bao, Yanling Wang, Takeichiro Baba, Yasuhiro Fukuda, Kaoru Wakatsuki, Hideaki Morikawa
The purpose of this research was to enhance the stab resistance of protective clothing material by developing a new high-density nonwoven structure. Ice picks often injure Japanese police officers due to the strict regulation of swords in the country. Consequently, this study was designed to improve stab resistance against ice picks. Most existing anti-stab protective clothing research has focused on various fabrics impregnated with resin, an approach that brings with it problems of high cost and complicated processing...
October 5, 2017: Industrial Health
https://www.readbyqxmd.com/read/28975247/association-of-prehospital-mode-of-transport-with-mortality-in-penetrating-trauma-a-trauma-system-level-assessment-of-private-vehicle-transportation-vs-ground-emergency-medical-services
#9
Michael W Wandling, Avery B Nathens, Michael B Shapiro, Elliott R Haut
Importance: Time to definitive care following injury is important to the outcomes of trauma patients. Prehospital trauma care is provided based on policies developed by individual trauma systems and is an important component of the care of injured patients. Given a paucity of systems-level trauma research, considerable variability exists in prehospital care policies across trauma systems, potentially affecting patient outcomes. Objective: To evaluate whether private vehicle prehospital transport confers a survival advantage vs ground emergency medical services (EMS) transport following penetrating injuries in urban trauma systems...
September 20, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28950788/computed-tomography-angiography-is-the-definitive-vascular-imaging-modality-for-penetrating-neck-injury-a-south-african-experience
#10
A S Madsen, V Y Kong, G V Oosthuizen, J L Bruce, G L Laing, D L Clarke
BACKGROUND AND AIMS: Computed tomography angiography has become central to the diagnostic algorithm for penetrating neck injury, but despite its widespread use the literature to support this adoption is limited. We reviewed our experience with computed tomography angiography for the identification of vascular trauma in hemodynamically stable patients with penetrating neck injury at a major trauma center in South Africa. MATERIALS AND METHODS: A prospectively kept trauma registry capturing data in real time was retrospectively reviewed...
September 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28947402/etiological-clinical-and-therapeutic-aspects-of-acute-generalized-peritonitis-in-n-djamena-chad
#11
O Choua, M M Ali, M Kaboro, K M Moussa, M Anour
Our aim was to define the epidemiological profile of acute generalized peritonitis in N'Djamena, Chad. This retrospective study, conducted in the general surgery department of the National Reference General Hospital, examined the files of 492 patients who underwent surgery for acute generalized peritonitis from June 2007 to December 2012. Epidemiological, clinical, paraclinical, and therapeutic characteristics were described. Acute generalized peritonitis accounted for 35.2 % of all visceral surgical emergencies...
August 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28941811/reversible-induction-of-tdp-43-granules-in-cortical-neurons-after-traumatic-injury
#12
Diana Wiesner, Lilla Tar, Birgit Linkus, Akila Chandrasekar, Florian Olde Heuvel, Luc Dupuis, William Tsao, Philip C Wong, Albert Ludolph, Francesco Roselli
Traumatic brain injury (TBI) has been proposed as a risk factor for neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS). To determine whether TBI might trigger or exacerbate ALS-relevant pathology, we delivered a mild stab-wound injury to the motor cortex of three different ALS mouse models expressing mutations in SOD1, TDP-43 or FUS and scrutinized the effects on the formation of phospho-TDP-43 (pTDP-43) cytoplasmic granules. Stab-injury induced the formation of cytoplasmic TDP-43 granules in wt animals, peaking at 3dpi; a much larger response was seen in mutant TDP-43 mice, whose response peaked at 7dpi...
September 21, 2017: Experimental Neurology
https://www.readbyqxmd.com/read/28941568/resuscitation-thoracotomy
#13
G Boddaert, E Hornez, H De Lesquen, A Avramenko, B Grand, T MacBride, J-P Avaro
Resuscitation thoracotomy is a rarely performed procedure whose use, in France, remains marginal. It has five specific goals that correspond point-by-point to the causes of traumatic cardiac arrest: decompression of pericardial tamponade, control of cardiac hemorrhage, performance of internal cardiac massage, cross-clamping of the descending thoracic aorta, and control of lung injuries and other intra-thoracic hemorrhage. This approach is part of an overall Damage Control strategy, with a targeted operating time of less than 60minutes...
September 20, 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/28925655/pleuritic-chest-pain-sorting-through-the-differential-diagnosis
#14
Brian V Reamy, Pamela M Williams, Michael Ryan Odom
Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling. Pulmonary embolism is the most common serious cause, found in 5% to 21% of patients who present to an emergency department with pleuritic chest pain. A validated clinical decision rule for pulmonary embolism should be employed to guide the use of additional tests such as d-dimer assays, ventilation-perfusion scans, or computed tomography angiography. Myocardial infarction, pericarditis, aortic dissection, pneumonia, and pneumothorax are other serious causes that should be ruled out using history and physical examination, electrocardiography, troponin assays, and chest radiography before another diagnosis is made...
September 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28917706/the-effects-of-needle-damage-on-annulus-fibrosus-micromechanics
#15
Claudio Vergari, Jessica C Mansfield, Daniel Chan, Andrew Clarke, Judith R Meakin, Peter C Winlove
Needle puncture of the intervertebral disc can initiate a mechanical and biochemical cascade leading to disc degeneration. Puncture's mechanical effects have been shown near the puncture site, mechanical effects should be observed far, relative to needle size, from the puncture site, given the disc-wide damage induced by the stab. The aim of this work was to quantify these far-field effects, and to observe the local structural damage provoked by the needle. Strips of cow tail annulus fibrosus underwent two consecutive mechanical loadings to 5% tensile strain; fifteen samples were punctured in a radial direction with a randomly assigned needle between the two loadings (needle gauges between 19 and 23)...
September 13, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28916875/traumatic-injuries-to-the-pregnant-patient-a-critical-literature-review
#16
REVIEW
P Petrone, P Jiménez-Morillas, A Axelrad, C P Marini
INTRODUCTION: Trauma during pregnancy is the leading non-obstetrical cause of maternal death and a significant public health burden. This study reviews the most common causes of trauma during pregnancy, morbidity, and mortality, and the impact upon perinatal outcomes associated with trauma, providing a management approach to pregnant trauma patients. MATERIALS AND METHODS: A systematic review of the current literature from January 2006 to July 2016 was performed...
September 15, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28912997/laparoscopic-repair-of-diaphragmatic-rupture-a-case-report-with-radiological-and-surgical-correlation
#17
Patrick Nguyen, Bonnie Davis, Daniel D Tran
The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28882409/assessment-of-growth-of-aspergillus-spp-from-agricultural-soils-in-the-presence-of-glyphosate
#18
Cecilia S Carranza, Carla L Barberis, Stella M Chiacchiera, Carina E Magnoli
Agriculture is one of the bases of the Argentine economy. Glyphosate is undoubtedly one of the most important herbicides used. The increasing consumption and the efficiency of glyphosate-based herbicides have encouraged several studies on their persistence in soils, their effects on soil microbiota and their degradation processes. Fungi have been reported as being the main herbicide-degrading microorganisms as well as the most tolerant to environmental stress conditions. This study evaluated the growth performance of Aspergillus section Flavi and Aspergillus niger aggregate strains on Czapek Dox media supplied with a commercial glyphosate formulation as sole source of carbon (CZC), phosphorus (CZP) or nitrogen (CZN)...
September 4, 2017: Revista Argentina de Microbiología
https://www.readbyqxmd.com/read/28877185/feet-deformities-are-correlated-with-impaired-balance-and-postural-stability-in-seniors-over-75
#19
Ewa Puszczalowska-Lizis, Przemyslaw Bujas, Jaroslaw Omorczyk, Slawomir Jandzis, Marek Zak
OBJECTIVE: Understanding the factors and mechanisms that determine balance in seniors appears vital in terms of their self-reliance and overall safety. The study aimed to determine the relationship between the features of feet structure and the indicators of postural stability in the elderly. METHODS: The study group comprised 80 seniors (41F, 39M; aged 75-85 years). CQ-ST podoscope and the CQ-Stab 2P two-platform posturograph were used as primary research tools...
2017: PloS One
https://www.readbyqxmd.com/read/28876671/screening-for-an-occult-penetrating-cardiac-injury-using-transoesophageal-echcardiography-toe-a-prospective-study
#20
A Nicol, K Steur, R Bent, R Myburgh, G Sudwarts, F Roodt, S Edu, P Navsaria
BACKGROUND: 30% of patients with a cardiac injury will present with a penetrating chest wound and be haemodynamically stable, the so-called "occult cardiac injury". Current international practice is to screen for occult cardiac injuries using ultrasound (US) of the pericardial sac. If the US confirms the presence of fluid, then the patient undergoes a subxiphoid pericardial window (SPW) under general anaesthetic. In our experience, US Results in a large number of false positives and unnecessary operations...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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