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https://www.readbyqxmd.com/read/29450484/neurological-manifestations-among-us-government-personnel-reporting-directional-audible-and-sensory-phenomena-in-havana-cuba
#1
Randel L Swanson, Stephen Hampton, Judith Green-McKenzie, Ramon Diaz-Arrastia, M Sean Grady, Ragini Verma, Rosette Biester, Diana Duda, Ronald L Wolf, Douglas H Smith
Importance: From late 2016 through August 2017, US government personnel serving on diplomatic assignment in Havana, Cuba, reported neurological symptoms associated with exposure to auditory and sensory phenomena. Objective: To describe the neurological manifestations that followed exposure to an unknown energy source associated with auditory and sensory phenomena. Design, Setting, and Participants: Preliminary results from a retrospective case series of US government personnel in Havana, Cuba...
February 15, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29450389/unilateral-eales-disease-a-case-report
#2
Andreea Nicolcescu, Carmen Mocanu, Loredana Dinu, Andrei Olaru, Mara Ionete, Dima Alin Stefanescu
Introduction. Eales disease is an idiopathic peripheral vascular occlusive disease characterized by inflammation, ischemia, and retinal neovascularization and is hallmarked by recurrent vitreous hemorrhages and vision loss. Case report. We present a case of a 48-year-old female with recurrent floaters and decreased vision in her right eye. The onset of symptoms was in 2007 when a diagnose of retinal vasculitis was made. She had no accompanying systemic signs and symptoms and no history of ocular trauma or previous tuberculosis infection...
April 2017: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29445965/traumatic-subarachnoid-hemorrhage-related-to-ophthalmic-artery-avulsion-a-case-report
#3
Alessandro Prior, Luca Allegretti, Ilaria Melloni, Marta Bovio, Francesco Laganà, Marco Ceraudo, Gianluigi Zona
We present a case of ophthalmic artery (OA) traumatic avulsion, leading to a post-traumatic subarachnoid hemorrhage (SAH) with ventricular blood invasion and hydrocephalus, mimicking an internal carotid aneurysm rupture. This is the third case of such an event reported in literature and the first without orbital fractures and optic nerve avulsion. Conservative treatment was sufficient for the avulsion, but surgery was needed for the coexisting eye luxation. Traumatic OA avulsion is a rare but possible event and should be suspected in case of basal cisterns SAH, evidence of orbital trauma and CT angiogram or angiographic absence of opacification of the OA...
February 14, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29436320/long-term-outcomes-of-trauma-focused-treatment-in-psychosis
#4
David van den Berg, Paul A J M de Bont, Berber M van der Vleugel, Carlijn de Roos, Ad de Jongh, Agnes van Minnen, Mark van der Gaag
We present 12-month follow-up results for a randomised controlled trial of prolonged exposure and eye movement desensitisation and reprocessing (EMDR) therapy in 85 (78.8%) participants with psychotic disorder and comorbid post-traumatic stress disorder (PTSD). Positive effects on clinician-rated PTSD, self-rated PTSD, depression, paranoid-referential thinking and remission from schizophrenia were maintained up to 12-month follow-up. Negative post-traumatic cognitions declined in prolonged exposure and were stable in EMDR...
February 7, 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29426788/approach-to-a-patient-with-diplopia-in-the-emergency-department
#5
Edward Margolin, Cindy T Y Lam
BACKGROUND: Diplopia can be the result of benign or life-threatening etiologies. It is imperative for the emergency physician to be proficient at assessing diplopia and recognize when urgent referral or neuroimaging is required. OBJECTIVE: The first part of this review highlights a simple framework to arrive at the appropriate disposition of diplopic patients presenting to the emergency department (ED). The second part of this review provides more detail and further management strategies...
February 6, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29416094/traumatic-cataract-in-children-in-eastern-china-shanghai-pediatric-cataract-study
#6
Yu Du, Wenwen He, Xinghuai Sun, Yi Lu, Xiangjia Zhu
Traumatic cataract is a main cause of visual impairment in pediatric populations and is preventable. Awareness of the causes and consequences of pediatric eye trauma play roles in health education and prevention of blindness. We conducted a retrospective chart review based on 5-year clinical data of pediatric traumatic cataract cases treated at the Eye and Ear, Nose and Throat Hospital of Fudan University, Shanghai, China. Clinical features including demographic data, injury mechanism, and causative agents were analyzed...
February 7, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29410140/nonaccidental-injury-presenting-as-unilateral-retinal-detachment-in-two-infants
#7
Krishanthy Sornalingam, Arundhati Dev Borman, Jane Ashworth
The association between abusive head trauma and retinal hemorrhages is well documented. As such, ophthalmic review in suspected nonaccidental injury has become routine. However, there is a paucity of reports focusing on ocular trauma and retinal detachment presenting as unilateral findings in nonaccidental injury and in the absence of other signs of physical abuse. This report identifies 2 suspected cases of nonaccidental injury in infants presenting to a tertiary care center with retinal detachment presumed secondary to severe unilateral direct ocular trauma...
January 31, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29406473/characteristics-of-pediatric-patient-transferred-from-hospital-based-general-emergency-departments-to-acute-care-facilities-an-analysis-of-the-healthcare-cost-and-utilization-project-nationwide-emergency-department-sample
#8
Isabel Araujo Barata, Meredith Akerman, Zayan Mahmooth, Kathryn Bradburn, John DʼAngelo
STUDY OBJECTIVE: The objective of this study was to analyze the characteristics of pediatric patients transferred from a hospital-based general emergency department (ED) to an acute care facility. METHODS: Study data were abstracted from the 2010 Healthcare Cost and Utilization Project Nationwide Emergency Department Sample database. A multivariate logistic regression was constructed for pediatric patients (<18 years old) who require a transfer to an acute care facility from a general ED...
February 5, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29396276/evaluating-fitness-to-perform-in-surgical-residents-after-night-shifts-and-alcohol-intoxication-the-development-of-a-fit-to-perform-test
#9
Coen R H Huizinga, Marieke L de Kam, Hein B A C Stockmann, Joop M A van Gerven, Adam F Cohen, Koen E A van der Bogt
OBJECTIVE: To develop a self-test to measure clinical fitness to perform in surgical residents, with alcohol-induced impairment as reference. DESIGN: Observational, exploratory study to evaluate night shift-induced impaired performance in surgical residents followed by a randomized blinded, placebo-controlled, crossover study to evaluate impaired performance as a result of ethanol intoxication. Impairment was quantified using the Mini-NeuroCart, a psychomotor and cognitive test battery for assessment of subjective and objective measures of alertness, concentration, eye-hand coordination, mood, and self-assessed ability to perform...
January 30, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29393309/transient-orbital-compartment-syndrome-caused-by-spontaneous-lamina-papyracea-dehiscence
#10
Shihab Ali, Megan L Ranney, Angela F Jarman
Orbital compartment syndrome typically occurs due to trauma or burns. Here we discuss a case of spontaneous lamina papyracea dehiscence associated with transient orbital compartment syndrome. A previously healthy woman presented to the Emergency Department complaining of unilateral eye pain after nose blowing. The patient did not have any pupillary or extra-ocular movement abnormalities; however, she did have mildly decreased visual acuity in the affected eye. Intraocular pressure was found to be elevated and a subsequent CT scan showed orbital emphysema with spontaneous dehiscence of the lamina papyracea...
February 2, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29386884/the-uk-paediatric-ocular-trauma-study-2-pots2-demographics-and-mechanisms-of-injuries
#11
Freda Sii, Robert J Barry, Joseph Abbott, Richard J Blanch, Caroline J MacEwen, Peter Shah
Purpose: Pediatric ocular trauma is an important cause of visual morbidity worldwide, accounting for up to one-third of all ocular trauma admissions. It has long-term implications for those affected and significant economic consequences for healthcare providers. It has been estimated that 90% of all ocular trauma is preventable. Targeted strategies are required to reduce the incidence and the severity of pediatric ocular trauma; this requires an understanding of the epidemiology and characteristics of these injuries and the children involved...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29382031/anterior-scleritis-following-intravitreal-injections-in-a-patient-with-rheumatoid-arthritis-a-case-report
#12
So Jung Ryu, Min Ho Kang, Mincheol Seong, Heeyoon Cho, Yong Un Shin
RATIONALE: Surgically induced scleritis is a rare complication following ophthalmologic surgery such as cataract surgery, pterygium excision, strabismus surgery, and retinal detachment repair. Rheumatoid arthritis (RA) is the connective tissue disease most commonly associated with scleritis. PATIENT CONCERNS: A 70-year-old woman visited our clinic with complaint of visual disturbance, ocular pain, and conjunctival injection in her right eye of 1 month's duration...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381601/open-globe-injury-demographic-and-clinical-features
#13
Sevinc Sahin Atik, Seyda Ugurlu, Emine Deniz Egrilmez
BACKGROUND: Open globe injuries (OGIs) are the main cause of visual impairment worldwide. The aim of this study was to evaluate the clinical features and the visual outcome of OGIs presented to the largest Teaching Hospital in Western part of Turkey. METHODS: The study included patients presented with OGI between Jan 2009 and Dec 2013. Data including patient demographics, causes of injury, visual acuity (VA) at presentation, and final VA were collected. Ocular Trauma Scores (OTS) were calculated...
January 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29380790/unusual-ulcerative-keratitis-caused-by-prototheca-wickerhamii-in-a-diabetic-patient
#14
Niveditha Narayanan, D Vaidehi, L Dhanurekha, K Lily Therese, Rama Rajagopal, Radhika Natarajan, Meena Lakshmipathy
The purpose of the study was to report a case of ulcerative keratitis caused by an unusual algae Prototheca wickerhamii in a diabetic patient. This study design was a case report. A 46-year-old male, who was a known diabetic for 3 years, had an injury to the left cornea with the sparks of fire from wielding at work that developed into an ulcerative keratitis over a period of next 3 months as the patient was not on any medication. Corneal scraping culture report and Vitek 2 system investigation result confirmed it to be a P...
February 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29380770/a-3-year-prospective-study-on-ocular-injuries-with-tennis-or-cricket-ball-while-playing-cricket-a-case-series
#15
Santosh Kumar Mahapatra, Kundan Malhotra, Rohit Ganapatrao Mendke
PURPOSE: The purpose of this study is to study the clinical features, visual outcome, management, and ocular complications of ocular injury, following trauma with tennis or cricket ball. METHODS: A prospective, noncomparative case study of patients having injury with tennis/cricket ball while playing cricket was conducted between January 2013 and April 2016. Seventy-six eyes of 76 patients were studied. Presenting vision, age, gender, time since injury, general and ocular examination, intraocular pressure, indirect ophthalmoscopy, B scan, and X-ray/computed tomography scan findings were noted...
February 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29372249/prevalence-and-causes-of-unilateral-vision-impairment-and-unilateral-blindness-in-australia-the-national-eye-health-survey
#16
Joshua Foreman, Jing Xie, Stuart Keel, Ghee Soon Ang, Pei Ying Lee, Rupert Bourne, Jonathan G Crowston, Hugh R Taylor, Mohamed Dirani
Importance: This study determines the prevalence of unilateral vision impairment (VI) and unilateral blindness to assist in policy formulation for eye health care services. Objective: To determine the prevalence and causes of unilateral VI and unilateral blindness in Australia. Design, Setting, and Participants: This cross-sectional population-based survey was conducted from March 2015 to April 2016 at 30 randomly selected sites across all strata of geographic remoteness in Australia...
January 25, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29372075/feasibility-of-using-experimental-high-viscosity-silicone-oils-a-pilot-study
#17
Shira Sheen-Ophir, Mordechai Rosner, Alexander Rubowitz
Background: Polydimethyl silicones (silicone oils) are used in complex retinal surgeries, including difficult or recurrent retinal detachments, severe eye trauma, and other indications for long term tamponade. Two major problems with currently available silicone oils are emulsification and recurrent retinal detachment. The primary endpoint of this study was to evaluate the toxicity and safety of high viscosity silicone oils and second, the feasibility of using them with currently available vitrectomy systems...
2018: International Journal of Retina and Vitreous
https://www.readbyqxmd.com/read/29368371/the-association-of-nursing-care-perception-with-coping-skills-and-posttraumatic-growth-in-mental-disorders
#18
Buket Şimşek Arslan, Kadriye Buldukoglu
INTRODUCTION: Although it is recognized that suffering a mental illness is a traumatic experience, the fact that this can lead to posttraumatic growth and the variables that may affect the situation are rarely discussed in the literature. AIM: This study was conducted to determine the effects of coping styles and nursing care perceptions on posttraumatic growth in mental disorders. METHOD: The descriptive study was conducted at a psychiatric clinic with a personal information form and three scale test...
January 25, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29361927/incidence-of-endophthalmitis-after-23-gauge-pars-plana-vitrectomy
#19
Zhong Lin, Xiaofen Feng, Liya Zheng, Nived Moonasar, Lijun Shen, Ronghan Wu, Feng Chen
BACKGROUND: Endophthalmitis is a rare but severe complication following PPV. The incidence of endophthalmitis varies between 20-gauge, 23-gauge, and 25-gauge incisions. The incidence and clinical features of endophthalmitis after 23-gauge PPV in an eye hospital in China was reported in this study. METHODS: Data of the eyes that underwent 23-gauge PPV from January 2011 to December 2014 at the Eye Hospital of Wenzhou Medical University was retrospectively collected...
January 23, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29356716/chronic-hematic-cyst-of-the-right-maxillary-sinus-and-orbit-presenting-as-proptosis
#20
Martin Ochoa-Escudero, Diego A Herrera, Arthur B Dublin
A 28-year-old man presented to the emergency room complaining of right proptosis. He also manifested eye pain and facial fullness and redness in this side. Seven years ago, he had right hemifacial gunshot trauma treated with surgical reconstruction. The CT scan showed expansion of the right maxillary sinus due to a hypodense nonenhancing lesion extending to the nasal cavity, masticatory space, and extraconal space of the orbit. MRI was performed showing high signal intensity of the lesion on T2-weighted images indicating a cystic nature...
January 19, 2018: Ophthalmic Plastic and Reconstructive Surgery
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