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Pediatric orthopedic oncology

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https://www.readbyqxmd.com/read/27741957/where-teachers-are-few-documenting-available-faculty-in-five-tanzanian-medical-schools
#1
Charles A Mkony, Ephata E Kaaya, Alex J Goodell, Sarah B Macfarlane
BACKGROUND: Faced with one of the lowest physician-to-population ratios in the world, the Government of Tanzania is urging its medical schools to train more physicians. The annual number of medical students admitted across the country rose from 55 in the 1990s to 1,680 approved places for the 2015/16 academic year. These escalating numbers strain existing faculty. OBJECTIVE: To describe the availability of faculty in medical schools in Tanzania. DESIGN: We identified faculty lists published on the Internet by five Tanzanian medical schools for the 2011/12 academic year and analyzed the appointment status, rank, discipline, and qualifications of faculty members...
2016: Global Health Action
https://www.readbyqxmd.com/read/27676853/pediatric-rehabilitation-and-pediatric-oncology-a-winner-association-the-experience-of-grenoble-pediatric-hospital
#2
Véronique Bourg, Anne Descotes, Anne Pagnier, Jacques Griffet, Dominique Plantaz
The Child and Family Hospital of Grenoble is one of the rare university hospitals in France to benefit from the presence of a physician specializing in rehabilitation medicine. This hospital includes both inpatient and outpatient units. During the temporary closure of one department, certain members of the rehabilitation unit were reassigned to the acute care wards of the pediatric department, including physical therapists, occupational therapists, and speech therapists. Over the course of one year, these therapists completed more than 150 interventions in this department, more than half of which were in the hematology and oncology ward...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27448611/orthopedic-oncology-caseload-among-orthopedic-surgery-residents
#3
Richard M Hinds, Timothy B Rapp, John T Capo
Despite educational focus regarding orthopedic oncology during residency, assessment of resident orthopedic oncology caseload has not been performed. The purpose of this study was to evaluate orthopedic oncology caseload trends and variation among residents. The Accreditation Council for Graduate Medical Education case log reports for orthopedic surgery residents were reviewed for graduating years 2007 to 2013. Trends in orthopedic oncology cases and variation in the median number of cases performed by residents in the 90th, 50th, and 10th percentiles of caseload were evaluated...
July 23, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/27235871/fluid-collection-in-the-retropharyngeal-space-a-wide-spectrum-of-various-emergency-diseases
#4
REVIEW
Hayato Tomita, Tsuneo Yamashiro, Hirotaka Ikeda, Atsuko Fujikawa, Yoshiko Kurihara, Yasuo Nakajima
Fluid collections in the retropharyngeal space (RPS) result from a wide spectrum of diseases, including retropharyngeal abscess, cervical osteomyelitis, and calcific tendinitis of the longus colli muscle. These conditions should be managed by different specialties; beginning with care in the emergency room, physicians from orthopedics, pediatrics, otolaryngology, and oncology are in charge of the treatment. Since these diseases demonstrate similar fluid collections in the RPS on computed tomography (CT) and magnetic resonance imaging (MRI), the radiologist's diagnosis based on the characteristic imaging findings is very important to identify the primary disease...
July 2016: European Journal of Radiology
https://www.readbyqxmd.com/read/27111078/ipsilateral-nonvascularized-autograft-and-periosteal-repair-for-the-treatment-of-pediatric-tumors-of-the-distal-fibula
#5
Caleb M Yeung, Santiago A Lozano-Calderón, Benjamin Allar, Manahil Naqvi, Mark C Gebhardt, Megan E Anderson
Resection of the distal fibula is used to treat malignant or benign locally aggressive tumors involving this region. Current reconstructive techniques are limited by undesirable functional deficits. The authors present a part-retrospective and part-prospective case-comparison of 2 patient groups (study and control) treated for malignant or benign locally aggressive primary bone tumors of the distal fibula. Patients in the study group underwent a novel surgical technique involving distal transportation of the ipsilateral proximal portion of the fibula after periosteal dissection and osteotomy with subsequent proximal periosteal reconstruction...
July 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27045485/bilateral-total-knee-arthroplasty-in-a-15-year-old-with-skeletal-dysplasia-and-open-physes
#6
Jason C Ho, Marcelo B P Siqueira, Paul Jacob, Ryan C Goodwin, Wael K Barsoum
There are limited reports of total knee arthroplasty (TKA) in the pediatric population. The use of constrained, stemmed components is particularly unusual in the setting of open physes due to concerns with growth arrest and implant survivorship. The current authors describe a 15-year-old boy with open growth plates and an epiphyseal dysplasia-like condition affecting the knees bilaterally. He had no other significant medical or orthopedic conditions and his genetic workup was negative. He had severe knee pain and a bilateral 40° valgus with severe lateral compartment arthritis...
May 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27013273/opinions-of-adolescents-and-parents-about-pediatric-biobanking
#7
Cynthia C Kong, Tamsin E Tarling, Caron Strahlendorf, Michelle Dittrick, Suzanne M Vercauteren
PURPOSE: A biobank is defined as "a facility for the collection, preservation, storage and supply of biological samples and associated data, which follows standardized operating procedures and provides material for scientific and clinical use." The practice of biobanking must consider the best interests of participants, which is especially complicated in the pediatric setting, where parents or guardians are responsible for consent of their children. Age of participant assent, consent, and reconsent at the age of majority are some of the issues which need to be addressed...
April 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/26806975/publication-trend-in-the-indian-journal-of-orthopaedics-what-is-published-and-why
#8
Rishiram Poudel, Venkatesan Sampath Kumar, Ashok Kumar, Shah Alam Khan
BACKGROUND: Factors influencing publication of manuscripts in reputed journals have never been studied to the best of our knowledge. This study was conducted to evaluate the trend in publication within the Indian Journal of Orthopaedics (IJO). MATERIALS AND METHODS: A cross-sectional study was conducted by accessing the online database of the IJO. All the issues available online were included. Published articles were classified into one of the following thirteen categories: (i) Basic Sciences (ii) trauma (upper limb and lower limb) (iii) infections (iv) pediatric orthopedics (v) arthroplasty (vi) arthroscopy (vii) spine surgery (viii) musculoskeletal oncology (ix) hand and microvascular surgery (x) adult reconstruction (including the Ilizarov technique) (xi) general orthopedics and miscellaneous (xii) letter to editor (xiii) book review...
November 2015: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/26683933/scaffold-free-three-dimensional-graft-from-autologous-adipose-derived-stem-cells-for-large-bone-defect-reconstruction-clinical-proof-of-concept
#9
Denis Dufrane, Pierre-Louis Docquier, Christian Delloye, Hélène A Poirel, Wivine André, Najima Aouassar
Long bone nonunion in the context of congenital pseudarthrosis or carcinologic resection (with intercalary bone allograft implantation) is one of the most challenging pathologies in pediatric orthopedics. Autologous cancellous bone remains the gold standard in this context of long bone nonunion reconstruction, but with several clinical limitations. We then assessed the feasibility and safety of human autologous scaffold-free osteogenic 3-dimensional (3D) graft (derived from autologous adipose-derived stem cells [ASCs]) to cure a bone nonunion in extreme clinical and pathophysiological conditions...
December 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26060443/growing-applications-of-fdg-pet-ct-imaging-in-non-oncologic-conditions
#10
Hongming Zhuang, Ion Codreanu
As the number of clinical applications of 2-[fluorine 18]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography/computed tomography (PET-CT) grows, familiarity with the conditions that can be diagnosed by this modality and when relevant pieces of additional information can be obtained becomes increasingly important for both requesting physicians and nuclear medicine physicians or radiologists who interpret the findings. Apart from its heavy use in clinical oncology, FDG PET-CT is widely used in a variety of non-oncologic conditions interconnecting to such disciplines as general internal medicine, infectious diseases, cardiology, neurology, surgery, traumatology, orthopedics, pediatrics, endocrinology, rheumatology, psychiatry, neuropsychology, and cognitive neuroscience...
May 2015: Journal of Biomedical Research
https://www.readbyqxmd.com/read/26022287/-thoraco-abdomino-pelvic-surgery-for-tumors-in-children-postoperative-sequelae
#11
REVIEW
Christian Piolat, Frédéric Lavrand, Sabine Sarnacki
Thoracic surgery for pediatric tumors may induce a large variety of sequelae that mainly concern skin, muscles and bones (ribs), thoracic nerve and spinal cord and respiratory system. Muscle-sparing thoracotomy, intrathoracic expanders inserted after right pneumonectomy, early orthopedic evaluation and follow-up are useful preventive proceedings able to decrease postoperative sequelae. Surgery for abdominal tumors in children is part of a sequence where each therapeutic treatment can induce its own sequelae possibly potentiated by other therapies...
July 2015: Bulletin du Cancer
https://www.readbyqxmd.com/read/25626877/variability-in-the-reported-management-of-pulmonary-metastases-in-osteosarcoma
#12
Onita Bhattasali, Andrea T Vo, Michael Roth, David Geller, R Lor Randall, Richard Gorlick, Jonathan Gill
Nearly 20% of patients with newly diagnosed osteosarcoma have detectable metastases at diagnosis; the majority of which occur in the lungs. There are no established recommendations for the timing and modality of metastasectomy. Members of the Connective Tissue Oncology Society (CTOS) were emailed an anonymous 10-min survey assessing their management practices for pulmonary findings at the time of an osteosarcoma diagnosis. The questionnaire presented three scenarios and discussed the choice to perform surgery, the timing of resection, and the choice of surgical procedure...
April 2015: Cancer Medicine
https://www.readbyqxmd.com/read/25146655/-placement-of-the-ommaya-reservoir-in-narrow-and-slit-like-ventricles-using-a-neuronavigation-system-author-s-own-experience-and-literature-review
#13
REVIEW
S S Ozerov, A V Mel'nikov, D I Ibragimova, G V Tereshchenko, V E Rachkov
In modern neuro-oncology and onco-hematology, intraventricular injection of chemotherapeutic agents (most typically, methotrexate) is an inevitable part of many protocols for treating patients with malignant tumors of the CNS, neuroleukemia, CNS lymphomas and some other disorders. A ventricular catheter system (also known as the Ommaya reservoir) is used to provide repeated injection of chemotherapeutic agents to cerebral ventricles. The use of modern neuronavigation systems allows one to place Ommaya reservoir in patients with narrow and slit-like ventricles...
2014: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/23955975/high-bmi-at-diagnosis-is-associated-with-inferior-survival-in-patients-with-osteosarcoma-a-report-from-the-children-s-oncology-group
#14
Sadaf Altaf, Felicity Enders, Elysia Jeavons, Mark Krailo, Donald A Barkauskas, Paul Meyers, Carola Arndt
BACKGROUND: Body mass index (BMI), at diagnosis has been associated with lower survival and increased toxicity in cancer patients. We analyzed the effect of BMI at diagnosis on therapy related toxicities and outcome in pediatric osteosarcoma patients treated on Children's Oncology Group (COG) trial INT0133. PROCEDURES: All patients enrolled on COG-INT0133 with height, weight and toxicity information were eligible. BMI was expressed as age and gender specific percentiles using height and weight at diagnosis...
December 2013: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/23595077/podium-disclosures-at-the-2012-aaos-meeting-an-exercise-in-going-through-the-motions
#15
Adam A Sassoon, Robert T Trousdale
BACKGROUND: Slide-based disclosure of potential conflicts of interest prior to presentations is practiced at most orthopaedic meetings to help audiences critically evaluate the data presented. These slides are often supplemented with a printed disclosure in program guides and occasionally on Internet sites. The fidelity and usefulness of this format have not been investigated. We report the practice of disclosure of potential conflicts of interest during the 2012 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting to determine if the process is accomplishing its primary goal...
April 17, 2013: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/23407432/musculoskeletal-problems-in-pediatric-acute-leukemia
#16
COMPARATIVE STUDY
Ilaria Riccio, Marco Marcarelli, Nicola Del Regno, Claudia Fusco, Martina Di Martino, Raffaele Savarese, Giovanna Gualdiero, Matilde Oreste, Cristiana Indolfi, Giovanni Porpora, Marco Esposito, Fiorina Casale, Giovanni Riccardi
Acute leukemia (AL) in children can mimic several orthopedic pathologies at presentation, with a variable delay in the correct diagnosis. This is a major problem, which may result in fractures, loss of mobility, and deformity, with resultant adverse effects on quality of life. Here, we studied the clinical and radiological musculoskeletal manifestations in children with AL. We reviewed 328 children [208 boys (62%), median age 7.2 years] with acute lymphoblastic (279, 85%) or myeloid (49, 15%) leukemia, treated between January 1982 and December 2003 by the Paediatric Oncology Service, Second University of Naples...
May 2013: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/23013255/epidemiology-and-antimicrobial-sensitivities-of-536-multi-drug-resistant-gram-negative-bacilli-isolated-from-patients-treated-on-surgical-wards
#17
Sofia Maraki, Michael N Mavros, Diamantis P Kofteridis, George Samonis, Matthew E Falagas
BACKGROUND: In this era of increasing antimicrobial resistance, infections caused by multi-drug-resistant (MDR) gram-negative bacilli (GNB) are becoming more common and pose a challenge to all clinicians, including surgeons. METHODS: We evaluated the epidemiology and antimicrobial sensitivities of GNB isolated from patients treated on surgical wards at the University Hospital of Heraklion, Crete, Greece, from 2004 to 2009. The MDR isolates were defined according to an international expert proposal supported by the U...
October 2012: Surgical Infections
https://www.readbyqxmd.com/read/22943497/a-conceptual-framework-and-protocol-for-defining-clinical-decision-support-objectives-applicable-to-medical-specialties
#18
Justin W Timbie, Cheryl L Damberg, Eric C Schneider, Douglas S Bell
BACKGROUND: The U.S. Centers for Medicare and Medicaid Services established the Electronic Health Record (EHR) Incentive Program in 2009 to stimulate the adoption of EHRs. One component of the program requires eligible providers to implement clinical decision support (CDS) interventions that can improve performance on one or more quality measures pre-selected for each specialty. Because the unique decision-making challenges and existing HIT capabilities vary widely across specialties, the development of meaningful objectives for CDS within such programs must be supported by deliberative analysis...
2012: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/22884750/-macrocephaly-capillary-malformation-a-neonatal-case
#19
K Coste, C Sarret, A Cisse, A Delabaere, C Francannet, P Vanlieferinghen
UNLABELLED: Macrocephaly-cutis marmorata telangiectatica congenita is a multiple congenital anomaly syndrome first described in 1997 in children with macrocephaly, cutis marmorata telangiectatica congenita, and several other abnormalities. Since 2007, this syndrome has been renamed macrocephaly-capillary malformation. CASE REPORT: The pregnancy was marked by polyhydramnios associated with fetal macrosomia and macrocephaly. Clinical examination of the newborn confirmed overgrowth, macrocephaly, and found skin abnormalities with diffuse marbled skin, filtrum and upper lip vascular anomaly, and several superficial capillary malformations on the chest and abdomen, partial bilateral syndactyly between the 2nd and 3rd toes, and right hemi-hypertrophy of the body...
September 2012: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/22691643/pediatric-and-adolescent-applications-of-the-taylor-spatial-frame
#20
Michael Paloski, Benjamin C Taylor, Christopher Iobst, Kevin J Pugh
Limb deformity can occur in the pediatric and adolescent populations from multiple etiologies: congenital, traumatic, posttraumatic sequelae, oncologic, and infection. Correcting these deformities is important for many reasons. Ilizarov popularized external fixation to accomplish this task. Taylor expanded on this by designing an external fixator in 1994 with 6 telescoping struts that can be sequentially manipulated to achieve multiaxial correction of deformity without the need for hinges or operative frame alterations...
June 2012: Orthopedics
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