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https://www.readbyqxmd.com/read/29219962/predictors-of-long-term-neurological-outcomes-in-non-accidental-head-injury
#1
C F Chong, S L Misra, J A Escardo-Paton, S Dai
BackgroundNon-accidental head injury (NAI) is an inflicted injury usually on a child, often resulting in long-term neurological impairment and occasionally death. This study aimed to investigate the predictive values of acute findings, especially ocular, for long-term neurological outcomes.MethodsMedical records including retinal images of all children who attended the local Children's hospital with a diagnosis of NAI from over a period of 5 years were reviewed and data collected via the electronic patient record system...
December 8, 2017: Eye
https://www.readbyqxmd.com/read/29218849/reconstruction-of-full-thickness-cheek-defect-with-chimeric-facial-artery-free-flap-a-case-report
#2
Olindo Massarelli, Luigi Angelo Vaira, Roberta Gobbi, Giovanni Dell'aversana Orabona, Giacomo De Riu
Full-thickness cheek defects represent a difficult challenge for reconstructive surgeons. Multiple techniques have been described, including local, regional, and free flaps. In this report, the reconstruction of a through and through left cheek defect, resulting from a self-inflicted gunshot injury, with a chimeric facial artery free flap is presented. The patient underwent reconstruction with a chimeric full-thickness facial artery free flap, with 9 × 3 cm diameter skin paddle and a 6 × 5 cm myomucosal paddle, was harvested on the contralateral cheek with a 7-cm length of facial pedicle...
December 8, 2017: Microsurgery
https://www.readbyqxmd.com/read/29207735/pattern-of-isolated-fatal-mechanical-injury-in-homicidal-deaths-a-cross-sectional-study
#3
Kiran Kumar Patnaik, Sudeepa Das, Sachidananda Mohanty, Hemanta Panigrahi
Introduction: Homicide is the death of one human being as a result of conduct of another. Multiple assaults on the body are seen in 70% cases, which indicate determination on the part of the accused to end the life of the victim. Aim: To identify the pattern, distribution and means of inflicting fatal isolated mechanical injury on the body in cases of homicide. Materials and Methods: This cross-sectional study was conducted on total 728 homicide deaths, out of which 63 cases had an isolated fatal mechanical injury over the body and the rest 665 cases had multiple injuries...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29206306/nail-extracting-behavior-as-an-unusual-manifestation-of-adjustment-disorder-confused-with-onychotillomania
#4
H Lee, W S Lee
Nails are the subject of various psychocutaneous disorders. This spectrum of disorders includes onychophagia, nail tic disorder, onychotillomania, and nail destruction associated with psychiatric disorders.[1] Although self-induced nail injuries, such as biting and rubbing, are common, there was an extraordinary case of self-inflicted, nail-extracting behaviors in an unusual presentation of adjustment disorder. This article is protected by copyright. All rights reserved.
December 5, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29200552/self-inflicted-cut-injury-as-common-method-of-deliberate-self-harm-a-retrospective-study-from-nepal
#5
Shakya Rabi, Joshi Sulochana, Sharma Pawan
Context: Deliberate self-injury, a fairly common condition is present across all culture. It is defined as intentional, direct injuring of body tissue without suicidal intent. We continue to lack a sufficient understanding of this behavior in the context of South East Asian region. Aims: This study aims to explore the characteristics of self-cutting, and gender differences in homologous group of youth applying for foreign employment in Nepal. Settings and Design: Cross-sectional, single interview method in an out-patient setting...
September 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29198401/wounded-to-the-bone-digital-microscopic-analysis-of-traumas-in-a-medieval-mass-grave-assemblage-sandbjerget-denmark-ad-1300-1350
#6
Alexandra Boucherie, Marie Louise S Jørkov, Martin Smith
Battle-related mass burials are considered the most unequivocal evidence of past violence. However, most published studies involve only macroscopic analysis of skeletal remains, commonly arriving only at broad conclusions regarding trauma interpretation. The current study considers a possible avenue for achieving both greater detail and accuracy through digital microscopy. Patterns of injury were investigated among 45 individuals from a Medieval Danish mass grave (Sandbjerget, AD 1300-1350). Injuries were recorded on every anatomical element, except hand and foot bones...
December 2017: International Journal of Paleopathology
https://www.readbyqxmd.com/read/29197948/injury-potential-of-thrown-sharp-kitchen-and-household-utensils
#7
Sarah Schaerli, Richard Schulz, Dominic Gascho, Markus Enders, Sandra Baumann, Michael J Thali, Stephan A Bolliger
We examined the possibility of inflicting serious injuries with sharp objects in an experimental setting by throwing four sharp objects from different distances and with different throwing techniques. Using an overarm-handle (OA/H), overarm-blade (OA/B), underarm-handle (UA/H), underarm-blade (UA/B) and thrust (T/H) throwing technique, 10 adults (sex ratio 1:1) threw a chef's knife, a skinning knife, a paring knife and office scissors from 4 m and 2 m distance at synthetic abdomen models made of 10% gelatin covered with synthetic skin...
December 2, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29194057/approaches-and-techniques-to-avoid-development-or-progression-of-acute-respiratory-distress-syndrome
#8
François Beloncle, Alain Mercat
PURPOSE OF REVIEW: Despite major improvement in ventilation strategies, hospital mortality and morbidity of the acute respiratory distress syndrome (ARDS) remain high. A lot of therapies have been shown to be ineffective for established ARDS. There is a growing interest in strategies aiming at avoiding development and progression of ARDS. RECENT FINDINGS: Recent advances in this field have explored identification of patients at high-risk, nonspecific measures to limit the risks of inflammation, infection and fluid overload, prevention strategies of ventilator-induced lung injury and patient self-inflicted lung injury, and pharmacological treatments...
November 30, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29191542/self-inflicted-dry-wall-screws-in-the-sagittal-sinus
#9
Kern H Guppy, Calvin Ochi
A 30-year-old right hand male with a history of schizophrenia presented with two self-inflicted drywall screws in the skull. The patient was sleepy but easily arousable with blood tests showing he had taken methamphetamines. Computed Tomography (CT) and Computed Tomography angiography (CTA) of the head showed the frontal screw abutted left of the superior sagittal sinus while the posterior screw went through the superior sagittal sinus with no extravasation of contrast at either site. Both screws were removed with exposure of the sagittal sinus using "U" shape craniectomies...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29189516/the-relationship-between-concomitant-benzodiazepine-opioid-use-and-adverse-outcomes-among-u-s-veterans
#10
Laura E Gressler, Bradley C Martin, Teresa J Hudson, Jacob T Painter
Benzodiazepines and opioids are commonly used among Veterans suffering from mental health disorders and pain conditions. The objective of this study is to determine if concomitant benzodiazepine-opioid use increases the incidence of adverse outcomes above the baseline risk of non-acute opioid only use. The dataset contained all Veterans who filled at least one opioid prescription during the years 2008 to 2012. Non-acute opioid use was defined as having opioid prescriptions greater than or equal to 20 days within a 60-day period...
November 20, 2017: Pain
https://www.readbyqxmd.com/read/29187863/smooth-an-hnrnp-l-homolog-might-decrease-mitochondrial-metabolism-by-post-transcriptional-regulation-of-isocitrate-dehydrogenase-idh-and-other-metabolic-genes-in-the-sub-acute-phase-of-traumatic-brain-injury
#11
Arko Sen, Katherine Gurdziel, Jenney Liu, Wen Qu, Oluwademi O Nuga, Rayanne B Burl, Maik Hüttemann, Roger Pique-Regi, Douglas M Ruden
Traumatic brain injury (TBI) can cause persistent pathological alteration of neurons. This may lead to cognitive dysfunction, depression and increased susceptibility to life threatening diseases, such as epilepsy and Alzheimer's disease. To investigate the underlying genetic and molecular basis of TBI, we subjected w1118Drosophila melanogaster to mild closed head trauma and found that mitochondrial activity is reduced in the brains of these flies 24 h after inflicting trauma. To determine the transcriptomic changes after mild TBI, we collected fly heads 24 h after inflicting trauma, and performed RNA-seq analyses...
2017: Frontiers in Genetics
https://www.readbyqxmd.com/read/29183681/effects-of-repeated-nerve-injuries-at-different-time-intervals-on-functional-recovery-and-nerve-innervation
#12
Mika Karasawa, Kumiko Yokouchi, Kyutaro Kawagishi, Tetsuji Moriizumi, Nanae Fukushima
Effects of repeated nerve injuries on functional recovery and nerve innervation were examined in rodents. Crush injuries of the sciatic nerve were inflicted on adult rats and repeated twice or thrice at different time intervals of 1, 2, 3, and 4 weeks. Motor function was assessed by the static sciatic index at 1, 7, 14, 21, 28, 35, 42, 49, and 56 days after the final crush. The rates of nerve innervation of the tibialis anterior muscle, a main muscle innervated by the common peroneal nerve, were evaluated by the quantification of βIII-tubulin-positive nerve terminals and α-bungarotoxin-positive acetylcholine receptors 21 and 56 days after the final crush of triple nerve injuries at 1-, 2-, 3-, and 4-week intervals...
November 25, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29176330/dissipation-of-energy-during-the-respiratory-cycle-conditional-importance-of-ergotrauma-to-structural-lung-damage
#13
John J Marini
PURPOSE OF REVIEW: To describe and put into context recent conceptual advances regarding the relationship of energy load and power to ventilator-induced lung injury (VILI). RECENT FINDINGS: Investigative emphasis regarding VILI has almost exclusively centered on the static characteristics of the individual tidal cycle - tidal volume, plateau pressure, positive end-expiratory pressure, and driving pressure. Although those static characteristics of the tidal cycle are undeniably important, the 'dynamic' characteristics of ventilation must not be ignored...
November 16, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29173965/complications-and-patient-injury-after-ankle-fracture-surgery-a-closed-claim-analysis-with-data-from-the-patient-compensation-association-in-denmark
#14
Naja Bjørslev, Lars Bo Ebskov, Camilla Mersø, Christian Wong
BACKGROUND: The Patient Compensation Association (PCA) receives claims for financial compensation from patients who believe they have sustained damage from their treatment in the Danish health care system. In this study, we have analysed closed claims in which patients suffered injuries due to the surgical treatment of their ankle fracture. We identified causalities contributing to these injuries and malpractices, as well as the economic consequences of these damages. METHODS: Fifty-one approved closed claims from the PCA database from the years 2004-2009 were analysed in a retrospective systematic review...
November 21, 2017: Injury
https://www.readbyqxmd.com/read/29168896/healing-of-self-inflicted-thermal-injury-of-palatal-mucosa-by-low-level-laser-therapy
#15
Abdul Ahad, Shazra Tasneem, Arundeep Kaur Lamba, Saif Khan
Self-inflicted injury to oral mucosa is a rare entity. These injuries can be premeditated, accidental, or can result from an abnormal habit. These uncommon gingival injuries can sometimes test the clinician's diagnostic abilities as well as treatment planning skills. In conventional treatment, removal of etiology and application of topical drugs is usually sufficient for healing. However, some cases require alternative or adjunctive wound healing methods. Low-level laser therapy (LLLT) has been reported to be effective in pain management and improvement in wound healing through promotion, fortification, and commissioning of cellular cycle to generate productive and substitute cells...
November 23, 2017: Special Care in Dentistry
https://www.readbyqxmd.com/read/29167651/nonsuicidal-self-injury-a-systematic-review
#16
Annarosa Cipriano, Stefania Cella, Paolo Cotrufo
Objective: Nonsuicidal self-injury (NSSI) refers to the intentional self-inflicted destruction of body tissue without suicidal intention and for purposes not socially sanctioned. Our paper presents an up-to-date overview on nonsuicidal, self-injurious behaviors. Method: In accordance with PRISMA guidelines, a systematic literature search was conducted across two databases, PubMed and PsycARTICLES, regarding the main features of NSSI with a focus on epidemiological and etiologic data, diagnostic criteria, and functions...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29166710/-effects-of-hydrogen-on-the-lung-damage-of-mice-at-early-stage-of-severe-burn
#17
C Qin, Y X Bian, T T Feng, J H Zhang, Y H Yu
Objective: To investigate the effects of hydrogen on the lung damage of mice at early stage of severe burn. Methods: One hundred and sixty ICR mice were divided into sham injury, hydrogen, pure burn, and burn+ hydrogen groups according to the random number table, with 40 mice in each group. Mice in pure burn group and burn+ hydrogen group were inflicted with 40% total body surface area full-thickness scald (hereafter referred to as burn) on the back, while mice in sham injury group and hydrogen group were sham injured...
November 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29166708/-effects-of-astragalus-polysaccharide-on-cardiac-dysfunction-in-rabbits-with-severe-scald-injury
#18
L Zhong, J H Zhan, J H Luo, X Cheng
Objective: To investigate the effects of astragalus polysaccharide (AP) on cardiac dysfunction in rabbits with severe scald injury. Methods: Sixty-four New Zealand white rabbits were divided into pure scald group and AP group according to the random number table, with 32 rabbits in each group. Rabbits in the two groups were all inflicted with 30% total body surface area full-thickness scald on the back. Immediately after injury, rabbits in two groups were intraperitoneally injected with lactated Ringer's solution once for antishock...
November 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29164246/trends-in-emergency-department-visits-for-nonfatal-self-inflicted-injuries-among-youth-aged-10-to-24-years-in-the-united-states-2001-2015
#19
Melissa C Mercado, Kristin Holland, Ruth W Leemis, Deborah M Stone, Jing Wang
No abstract text is available yet for this article.
November 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29133075/spinal-cord-self-repair-during-tail-regeneration-in-polypedates-maculatus-and-putative-role-of-fgf1-as-a-neurotrophic-factor
#20
Jutshina Hota, Sushri Sangita Pati, Pravati Kumari Mahapatra
Spinal cord injury could be fatal in man and often results in irreversible medical conditions affecting mobility. However, anuran amphibians win over such pathological condition by the virtue of regeneration abilities. The tail of anuran tadpoles therefore allures researchers to study spinal cord injury and self- repair process. In the present study, we inflicted injury to the spinal cord by means of surgical transection of the tail and investigated the self-repair activity in the tadpoles of the Indian tree frog Polypedates maculatus...
November 10, 2017: Journal of Chemical Neuroanatomy
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