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https://www.readbyqxmd.com/read/28650944/intramedullary-implant-choice-and-cost-in-the-treatment-of-pediatric-diaphyseal-forearm-fractures
#1
Austin Heare, Dawn Goral, Matthew Belton, Corey Beebe, Anastasiya Trizno, Jason Stoneback
OBJECTIVES: The aim of this study was to compare outcomes and costs between titanium elastic nails (TENs), stainless steel elastic nails (SENs), and Kirschner wires (K-wires) in the treatment of pediatric diaphyseal forearm fractures with intramedullary fixation. DESIGN: Retrospective cohort study. SETTING: Level 1 Pediatric Trauma Center. PATIENTS/PARTICIPANTS: A total of 100 patients (65 male and 35 female) under 18 years of age with diaphyseal forearm fractures treated with intramedullary fixation were included in the study...
June 15, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28650496/orientation-and-crystallization-of-regioregular-poly-3-dodecylthiophene-in-alumina-nanopores
#2
Hui Wu, Yuji Higaki, Shiki Nojima, Atsushi Takahara
The orientation and crystallization of regioregular poly(3-dodecylthiophene) (P3DDT) in different diameter nanopores were investigated. P3DDT nanowires were prepared by a melt-wetting nonporous alumina template with P3DDT melts. The microstructure of the nanowires was analyzed by micro-Fourier transform infrared spectroscopy, grazing incidence wide angle X-ray diffraction, and differential scanning calorimetry. Although Form I modification prevails in all the nanowires, Form I crystals decrease and Form II crystals increase as the pore diameter decreases...
June 26, 2017: Soft Matter
https://www.readbyqxmd.com/read/28649951/video-motion-analysis-in-live-coronary-angiography-differentiates-levels-of-experience-and-provides-a-novel-method-of-skill-assessment
#3
Alexander Eric Rolls, Celia Riga, Sybghat Rahim, Danail Stoyanov, Isabelle Van Herzeele, Ghada Mikhail, Mohamad Hamady, Nick Cheshire, Colin Bicknell
AIMS: Video-motion analysis (VMA) uses fluoroscopic sequences to derive on catheter and guide-wire movement, and is able to calculate 2D catheter-tip path-length (PL) on the basis of frame-by-frame pixel coordinates. The objective of this study was to validate VMA in coronary angiography as a method of skill assessment. METHODS AND RESULTS: 47 coronary interventions performed by 10 low- (<1000 cases; group A), 5 medium- (1000-4000; group B) and 6 high- (>4000; group C) experience- volume cardiologists were prospectively recorded and analysed using this software...
June 27, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28649249/dscam1-in-pancrustacean-immunity-current-status-and-a-look-to-the-future
#4
Sophie A O Armitage, Joachim Kurtz, Daniela Brites, Yuemei Dong, Louis Du Pasquier, Han-Ching Wang
The Down syndrome cell adhesion molecule 1 (Dscam1) gene is an extraordinary example of diversity: by combining alternatively spliced exons, thousands of isoforms can be produced from just one gene. So far, such diversity in this gene has only been found in insects and crustaceans, and its essential part in neural wiring has been well-characterized for Drosophila melanogaster. Ten years ago evidence from D. melanogaster showed that the Dscam1 gene is involved in insect immune defense and work on Anopheles gambiae indicated that it is a hypervariable immune receptor...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/28648667/simultaneous-recordings-of-intrinsic-cardiac-nerve-activities-and-skin-sympathetic-nerve-activities-from-human-patients-during-the-postoperative-period
#5
Mark J Shen, Arthur C Coffey, Susan Straka, David E Adams, David B Wagner, Richard J Kovacs, Michael Clark, Changyu Shen, Lan S Chen, Thomas H Everett, Shien-Fong Lin, Peng-Sheng Chen
BACKGROUND: Intrinsic cardiac nerve activities (ICNA) and the skin nerve activities (SKNA) are both associated with cardiac arrhythmias in dogs. OBJECTIVE: To test the hypothesis that ICNA and SKNA correlate with postoperative cardiac arrhythmias in humans. METHODS: Eleven patients (60±13 years old; 4 female) were enrolled in this study. Electrical signals were simultaneously recorded from electrocardiogram (ECG) patch electrodes on the chest wall and from two temporary pacing wires placed during open heart surgery on the left atrial epicardial fat pad...
June 22, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28648656/endovascular-reconstruction-for-chronic-infrarenal-aortoiliac-occlusive-disease
#6
Russell J Pepe, Priya Patel, Lauren A Huntress, Naiem Nassiri
According to the 2007 TransAtlantic Inter-Society Consensus (TASC II) guidelines, surgery is the preferred treatment for extensive (TASC II type C and D) aortoiliac occlusive disease (AIOD). Recent studies, however, have shown that endovascular management can be an effective first-line treatment option for TASC II type C & D categories. While endovascular therapy is now commonly performed in patients with TASC II type D lesions, very few studies have investigated the feasibility and effectiveness of extending endovascular therapy to the most severe subcategory of TASC II D lesions, chronic infrarenal aortoiliac occlusion (CIAO)...
June 22, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28648482/comparison-of-intravascular-ultrasound-and-centerline-computed-tomography-determined-aortic-diameters-during-thoracic-endovascular-aortic-repair
#7
Sukgu M Han, Ramsey S Elsayed, Sung W Ham, Anuj Mahajan, Fernando Fleischman, Vincent L Rowe, Mark J Cunningham, Fred A Weaver
BACKGROUND: Accurate sizing of stent grafts during thoracic endovascular aortic repair (TEVAR) is critical for a successful outcome. Centerline measurements using three-dimensional reconstruction of preoperative computed tomography angiography (CTA) is the current standard for stent graft sizing. However, this technique is predicated on an idealized straightened aorta and does not account for the variability in the aortic diameter during the cardiac cycle or the overall status of the patient's volume...
June 22, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28645829/from-sutures-to-wires-the-evolving-necessities-of-cardiac-surgery-training
#8
EDITORIAL
Marc P Pelletier, Tsuyoshi Kaneko, Mark D Peterson, Vinod H Thourani
No abstract text is available yet for this article.
May 25, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28645655/5-lipoxygenase-in-monocytes-emerges-as-a-therapeutic-target-for-intimal-hyperplasia-in-a-murine-wire-injured-femoral-artery
#9
Seung Eun Baek, Min A Jang, Seung Jin Lee, So Youn Park, Sun Sik Bae, Chi Dae Kim
Given the importance of leukotrienes in vascular inflammation induced by local tissue injury, this study investigated the role for 5-lipoxygenase (5-LO) in monocytes in the development of intimal hyperplasia. As a mechanistic study, the importance of monocyte 5-LO in monocyte-macrophage differentiation with subsequent infiltration in neointima was evaluated. In a mouse model of wire-injured femoral artery, intimal hyperplasia started as early as 2 wks after injury, and luminal area and blood flow were reduced due to increased neointima formation...
June 20, 2017: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/28645602/clinical-application-of-insertion-force-sensor-system-for-coil-embolization-of-intracranial-aneurysms
#10
Noriaki Matsubara, Shigeru Miyachi, Takashi Izumi, Hiroyuki Yamada, Naoki Marui, Keisuke Ota, Hayato Tajima, Kazunori Shintai, Masashi Ito, Tasuku Imai, Masahiro Nishihori, Toshihiko Wakabayashi
INTRODUCTION: In endovascular embolization for intracranial aneurysms, it is important to properly control the coil insertion force. However, the force can only be subjectively detected by the subtle feedback experienced by the neurointerventionists at their fingertips. The authors envisioned a system that would objectively sense and quantify that force. In this article, coil insertion force was measured in cases of intracranial aneurysm using this sensor, and its actual clinical application was investigated...
June 20, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28645547/an-alternative-strategy-for-treatment-of-distal-tibiofibular-syndesmotic-disruption-a-technical-note
#11
Jin-Tao Qu, Guo-Hua Shi, Yang-Cai Wang, Jian Li, Ji-Wu Dong, Yue Hu
Metal screws are the most widely used in treating syndesmotic injuries; however, failure and the rigidity of the screws can threaten the success of the treatment and increase the cost of care. We performed open reduction and internal fixation of a fibula fracture followed by fixation of the tibiofibular joint with an olive wire and one half of an external fixator. We present a review of 1 patient treated with this material. We believe this method to be a physiologic fixation system with the advantage of being safe, inexpensive, adjustable, and effective; however, further clinical investigation and comparison to other methods is needed in order to better understand it clinical utility...
June 20, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28645423/a-technique-for-extraction-of-the-distal-segment-of-a-broken-femoral-nail-using-a-flexible-reamer
#12
C Zhao, G J R Slater
INTRODUCTION: Extraction of broken femoral nails in peri-implant fractures is becoming an increasingly common problem faced by orthopaedic surgeons. Different closed and open techniques for removal of broken nails have been previously described but due to variations in equipment and fracture configurations these methods are not always easily reproducible. We describe an open surgical technique using simple equipment that can be utilised when other methods of extraction have failed. CASE PRESENTATION AND SURGICAL TECHNIQUE: We present a case of a peri-implant fracture secondary to non-union involving a short cephalomedullary nail where the broken distal segment of nail was significantly more distal to the femoral fracture site...
June 16, 2017: Injury
https://www.readbyqxmd.com/read/28644940/percutaneous-treatment-of-unstable-scaphoid-waist-fractures
#13
Andrew P Matson, Ryan M Garcia, Marc J Richard, Fraser J Leversedge, J Mack Aldridge, David S Ruch
BACKGROUND: Percutaneous techniques have been described for the treatment of nondisplaced scaphoid fractures, although less information has been reported about outcomes for unstable, displaced fractures. The aim of this study was to evaluate the union and complication rates following manual closed reduction and percutaneous screw placement for a consecutive series of unstable, displaced scaphoid fractures. METHODS: A total of 28 patients (average age, 27 years; 22 male/6 female) were treated for isolated unstable displaced scaphoid waist fractures...
July 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28644920/genome-scale-metabolic-models-applied-to-human-health-and-disease
#14
REVIEW
Daniel J Cook, Jens Nielsen
Advances in genome sequencing, high throughput measurement of gene and protein expression levels, data accessibility, and computational power have allowed genome-scale metabolic models (GEMs) to become a useful tool for understanding metabolic alterations associated with many different diseases. Despite the proven utility of GEMs, researchers confront multiple challenges in the use of GEMs, their application to human health and disease, and their construction and simulation in an organ-specific and disease-specific manner...
June 23, 2017: Wiley Interdisciplinary Reviews. Systems Biology and Medicine
https://www.readbyqxmd.com/read/28644919/signaling-and-epigenetic-mechanisms-of-intestinal-stem-cells-and-progenitors-insight-into-crypt-homeostasis-plasticity-and-niches
#15
REVIEW
Ryan J Smith, Abilasha Rao-Bhatia, Tae-Hee Kim
The rapid turnover of intestinal epithelial cells is maintained by a small number of stem cells located in pocket-like gland structures called crypts. While our understanding of the identity and function of intestinal stem cells (ISCs) has rapidly progressed, epigenetic and transcriptional regulation in crypt stem cell and progenitor pools remains an active field of investigation. Surrounded by various types of cells in the stroma, crypt progenitors display high levels of plasticity, harboring the ability to interconvert in the face of epithelial damage...
June 23, 2017: Wiley Interdisciplinary Reviews. Developmental Biology
https://www.readbyqxmd.com/read/28644647/quasi-low-dimensional-electron-gas-with-one-populated-band-as-a-testing-ground-for-time-dependent-density-functional-theory-of-mesoscopic-systems
#16
Vladimir U Nazarov
We find an exact analytical solution to the exchange-only time-dependent density-functional theory (TDDFT) problem for a significant class of quasi-low-dimensional (QLD) materials: QLD electron gas with only one band filled in the direction perpendicular to the layer or wire. The theory yields the TD exchange potential as an explicit nonlocal operator of the TD spin density. The dressed interband (image states) excitation spectra of quasi-two-dimensional electron gas are obtained, while the comparison with the Kohn-Sham transitions provides insights into the qualitative and quantitative role of the many-body interactions...
June 9, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/28644003/chemical-sensor-based-upon-stress-induced-changes-in-the-permeability-of-a-magnetoelastic-wire
#17
Nahla A Hatab, Nichole A Crane, David K Mee, L Neville Howell, Larry R Mooney, Russell L Hallman, Michael J Sepaniak, Vincent E Lamberti
We introduce a chemical sensing technology, named ChIMES (Chemical Identification through Magneto-Elastic Sensing), that can detect a broad range of targets and that has the capability of untethered communication through a metallic or nonmetallic barrier. These features enable many applications in which penetrations into the sampled environment are unwanted or infeasible because of health, safety, or environmental concerns, such as following the decomposition of a dangerous material in a sealed container. The sensing element is passive and consists of a target response material hard-coupled to a magnetoelastic wire...
June 23, 2017: Analytical Chemistry
https://www.readbyqxmd.com/read/28643832/metasurface-integrated-high-energy-efficient-and-high-linearly-polarized-ingan-gan-light-emitting-diode
#18
Miao Wang, Fuyang Xu, Yu Lin, Bing Cao, Linghua Chen, Chinhua Wang, Jianfeng Wang, Ke Xu
We proposed and demonstrated an integrated high energy efficient and high linearly polarized InGaN/GaN green LED grown on (0001) oriented sapphire with combined metasurface polarizing converter and polarizer system. It is different from those conventional polarized light emissions generated with plasmonic metallic grating in which at least 50% high energy loss occurs inherently due to high reflection of the transverse electric (TE) component of an electric field. A reflecting metasurface, with a two dimensional elliptic metal cylinder array (EMCA) that functions as a half-wave plate, was integrated at the bottom of a LED such that the back-reflected TE component, that is otherwise lost by a dielectric/metal bi-layered wire grids (DMBiWG) polarizer on the top emitting surface of the LED, can be converted to desired transverse magnetic (TM) polarized emission after reflecting from the metasurface...
June 23, 2017: Nanoscale
https://www.readbyqxmd.com/read/28643358/maximizing-functional-axon-repair-in-the-injured-cns-lessons-from-neuronal-development
#19
Andrew Kaplan, Mardja Bueno, Luyang Hua, Alyson E Fournier
The failure of damaged axons to regrow underlies disability in central nervous system injury and disease. Therapies that stimulate axon repair will be critical to restore function. Extensive axon regeneration can be induced by manipulation of oncogenes and tumor suppressors, however it has been difficult to translate this into functional recovery in models of spinal cord injury. The current challenge is to maximize the functional integration of regenerating axons to recover motor and sensory behaviours. Insights into axonal growth and wiring during nervous system development are helping guide new approaches to boost regeneration and functional connectivity after injury in the mature nervous system...
June 23, 2017: Developmental Dynamics: An Official Publication of the American Association of Anatomists
https://www.readbyqxmd.com/read/28642907/flexural-strengths-of-reinforced-denture-base-resins-subjected-to-long-term-water-immersion
#20
Kaneyoshi Yoshida, Yutaka Takahashi, Hirono Sasaki, Ippei Hamanaka, Tomohiro Kawaguchi
Objective This study evaluated the flexural strengths of reinforced denture base resins subjected to long-term water immersion. Materials and methods Acrylic denture base resin reinforced with metal wire or glass fiber-reinforced composite (FRC), and without reinforcement were tested. Bar-shaped specimens were fabricated. Half of the specimens were stored in 37 °C distilled water for 50 hours (h), the other half were stored in 37 °C distilled water for 180 days (d) before testing. Ten specimens were fabricated per group for each reinforcement/water immersion period combination...
December 2016: Acta Biomaterialia Odontologica Scandinavica
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