30,640 results match your criteria Blunt Force Trauma


Healed impact trauma to a Neolithic cattle frontal bone: A posthuman perspective.

Int J Paleopathol 2018 Dec 3;24:197-200. Epub 2018 Dec 3.

School of Archaeology and Ancient History, University of Leicester, University Road, Leicester, LE1 7RH, UK. Electronic address:

Trauma associated with slaughter is identified occasionally archaeologically in the cranial remains of domesticated animals, with evidence for pole-axing occurring in Europe, especially from the Roman period onwards. The injury typically extends through the frontal bone and sinuses to penetrate the braincase, causing haemorrhage, loss of consciousness, brain damage, and death. Evidence for slaughter methods in the British Neolithic, however, is lacking. Read More

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December 2018
1 Read

[Traumatic rectal lesions].

Ugeskr Laeger 2018 Dec;180(49)

Traumatic rectal lesions can be seen in both blunt and penetrating traumas and are associated with a high morbidity and high mortality. This is a review of the literature on diagnosis and treatment of intra- and extraperitoneal rectal lesions. There is a consensus, that intraperitoneal rectal lesions should be treated with primary repair alone. Read More

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December 2018

Successful repair of coronary sinus rupture presenting as cardiac tamponade following blunt chest trauma.

Interact Cardiovasc Thorac Surg 2018 Dec 1. Epub 2018 Dec 1.

Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Republic of Korea.

The isolated coronary sinus (CS) rupture causing cardiac tamponade following blunt chest trauma is a very rare and very unique traumatic form of cardiac tamponade. Prompt recognition of this injury is crucial for patient survival. CS injuries are frequently difficult to repair and are potentially lethal. Read More

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December 2018

Identifying temporal patterns in trauma admissions: Informing resource allocation.

PLoS One 2018 3;13(12):e0207766. Epub 2018 Dec 3.

Vanderbilt University Hospital, Division of Trauma and Surgical Critical Care, Nashville, TN, United States of America.

Background: Increased knowledge of the temporal patterns in the distribution of trauma admissions could be beneficial to staffing and resource allocation efforts. However, little work has been done to understand how this distribution varies based on patient acuity, trauma mechanism or need for intervention. We hypothesize that temporal patterns exist in the distribution of trauma admissions, and that deep patterns exist when traumas are analyzed by their type and severity. Read More

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December 2018

An exploratory study toward the contribution of 3D surface scanning for association of an injury with its causing instrument.

Int J Legal Med 2018 Dec 1. Epub 2018 Dec 1.

University Centre for Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 25, 1000, Lausanne, Switzerland.

3D surface scanning is a technique brought forward for wound documentation and analysis in order to identify injury-causing tools in legal medicine and forensic science. Although many case reports have been published, little is known about the methodology employed by the authors. The study reported here is exploratory in nature, and its main purpose was to get a first evaluation of the ability of an operator, by means of 3D surface scanning and following a simple methodology, to correctly exclude or associate an incriminated tool as the source of a mock wound. Read More

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December 2018

Simon's hemorrhages in a case of a fatal construction site accident as the result of body hyperextension in the upside-down position - a possible reconstruction of the injury mechanism.

Forensic Sci Med Pathol 2018 Dec 1. Epub 2018 Dec 1.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska str., Belgrade, 11000, Serbia.

An accident occurred at a construction site and a 27-year-old worker was fatally injured. Equipped with personal protective equipment (helmet and a safety belt), he was standing on an 8-meter-high platform holding a large hose that was attached to a pipe connected to a concrete pump truck. Whilst in use the pipe broke and the hose sent the man flying with force, knocking down the platform railing. Read More

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December 2018

Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries.

Patient Saf Surg 2018 27;12:32. Epub 2018 Nov 27.

1Department of Trauma, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.

Background: Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little is known about the impact of concomitant injury on outcome. Read More

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November 2018

A Rare Primary Tumor of the Thyroid Gland: A New Case of Leiomyoma and Literature Review.

Clin Med Insights Oncol 2018 26;12:1179554918813535. Epub 2018 Nov 26.

Department of Pathology, Wanbei Coal-Electricity Group General Hospital, Suzhou, China.

Primary leiomyomas of the thyroid are very rare. We here report a case of a 53-year-old woman with a painless mass at the right thyroid, revealed by physical examination. The patient underwent a lobectomy. Read More

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November 2018

Comparison of Geriatric Trauma Outcomes When Admitted to a Medical or Surgical Service After a Fall.

J Surg Res 2019 Jan 14;233:391-396. Epub 2018 Sep 14.

Department of Surgery, Marshall University, Huntington, West Virginia.

Background: Blunt trauma in the geriatric population is fraught with poor outcomes, with injury severity and comorbidities impacting morbidity and mortality.

Methods: We retrospectively reviewed 2172 patients aged ≥65 y who fell, requiring hospital admission between January 2012 and December 2016. There were 403 patients in the surgical arm (SA) and 1769 patients in the medical arm (MA). Read More

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January 2019

Prehospital Tranexamic Acid Administration During Aeromedical Transport After Injury.

J Surg Res 2019 Jan 21;233:132-138. Epub 2018 Aug 21.

Division of Trauma, Department of Surgery, Section of General Surgery, University of Cincinnati, Cincinnati, Ohio. Electronic address:

Background: Tranexamic acid (TXA) has been shown to reduce mortality in the treatment of traumatic hemorrhage. This effect seems most profound when given early after injury. We hypothesized that extending a protocol for TXA administration into the prehospital aeromedical setting would improve outcomes while maintaining a similar safety profile to TXA dosed in the emergency department (ED). Read More

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January 2019

External validation of a clinical prediction rule for very low risk pediatric blunt abdominal trauma.

Am J Emerg Med 2018 Nov 23. Epub 2018 Nov 23.

Department of Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center, 2200 Children's Way Suite 1025, Nashville, TN 37232, USA. Electronic address:

Background: Computed tomography (CT) is frequently used to identify intra-abdominal injuries in children with blunt abdominal trauma (BAT). The Pediatric Emergency Care Applied Research Network (PECARN) proposed a prediction rule to identify children with BAT who are at very low risk for clinically-important intra-abdominal injuries (CIIAI) in whom CT can be avoided.

Objective: To determine the sensitivity of this prediction rule in identifying patients at very low risk for CIIAI in our pediatric trauma registry. Read More

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November 2018
2 Reads

[Application Value of Blunt Separation Method in the Modified Sytinger Technology PICC Catheterization in Hemopathic Patients].

Zhongguo Shi Yan Xue Ye Xue Za Zhi 2018 Dec;26(6):1822-1825

Department of Hematology, Huaian Hospital Affiliated to Xuzhou Medical University (Huaian Second People's Hospital), Huaian 223002, Jiangsu Province, China.

Objective: To explore the application value of blunt separation method in the modified sytinger technology peripherally inserted central catheter (PICC) catheterization in the hemopathic patients.

Methods: One hundred and twenty cases of the hemopathic diseases used modified sytinger technology PICC catheterization were selected from January 2016 to July 2017 in our Hospital, and randomly divided into blunt and routine group, each with 60 patients. For the routine group, the routine longitudinal method was used to expand the skin, for the blunt group the blunt separation method was used to expand the skin. Read More

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December 2018
1 Read

The effectiveness of non-operative treatment in high-grade liver and spleen injury in children.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):569-574

Department of Pediatric Surgery, Marmara University Faculty of Medicine, İstanbul-Turkey.

Background: Although a nonoperative treatment approach is preferred for blunt liver and spleen trauma in childhood, there are significant differences between clinics in the algorithms used. The approach to high-grade liver and spleen injury is still controversial, particularly as grade V liver and spleen injuries are not included in the American Pediatric Surgical Association guideline. The aim of this study was to present experience with a non-operative treatment approach to children with high-grade liver and spleen injuries. Read More

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November 2018
3 Reads

Wound dehiscence after penetrating keratoplasty.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):563-568

Department of Ophthalmology, Ankara Training and Research Hospital, Ankara-Turkey.

Background: The purpose of this study was to investigate factors affecting wound dehiscence due to blunt trauma following penetrating keratoplasty (PK) and the clinical outcomes.

Methods: The medical records of patients who experienced blunt traumatic wound dehiscence after PK between 1995 and 2015 were analyzed retrospectively. The incidence and etiology of the trauma, the time interval between PK and globe rupture, final graft clarity, best-corrected visual acuity, complications, secondary surgeries, and factors potentially affecting wound dehiscence size were recorded. Read More

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November 2018
1 Read

A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):521-527

Department of Thoracic Surgery, Ege University Faculty of Medicine, İzmir-Turkey.

Background: Bilateral pneumothorax (BPTx) can become tension PTx and a cause of mortality, especially in severe multi-trauma patients. The purpose of this study was to analyze the incidence, morbidity, mortality, and associated factors of BPTx in multi-trauma patients in order to highlight the importance of the management of these cases, as well as complications, morbidity, and mortality.

Methods: The data of 181 patients with BPTx, from a total of 3782 trauma patients, were reviewed retrospectively. Read More

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November 2018

Investigation of the Role That NADH Peroxidase Plays in Oxidative Stress Survival in Group B .

Front Microbiol 2018 20;9:2786. Epub 2018 Nov 20.

Department of Microbiology and Molecular Genetics, Michigan State University, East Lansing, MI, United States.

Macrophages play an important role in defending the host against infections by engulfing pathogens and containing them inside the phagosome, which consists of a harsh microbicidal environment. However, many pathogens have developed mechanisms to survive inside macrophages despite this challenge. Group B (GBS), a leading cause of sepsis and meningitis in neonates, is one such pathogen that survives inside macrophages by withstanding phagosomal stress. Read More

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November 2018

Bedside Ultrasound Assessment of Lung Reaeration in Patients With Blunt Thoracic Injury Receiving High-Flow Nasal Cannula Oxygen Therapy: A Retrospective Study.

J Intensive Care Med 2018 Dec 4:885066618815649. Epub 2018 Dec 4.

1 Department of Emergency Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Background:: High-flow nasal cannula (HFNC) oxygen therapy has been shown to reduce the need for mechanical ventilation and decrease the duration of hospital and intensive care unit (ICU) stays for patients with a severely compromised respiratory system. This study aims to observe the evolution of lung aeration via lung ultrasound score (LUS) in a chest-injured population who had been treated with HFNC oxygen therapy, and to assess the benefit of the HFNC oxygen therapy in trauma patients.

Methods:: A retrospective study examined trauma patients with moderate to severe thoracic injuries who were admitted to the ICU at a tertiary hospital between October 2015 and March 2017. Read More

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December 2018

New pharmacological targets of three Asphodeline species using in vitro and ex vivo models of inflammation and oxidative stress.

Int J Environ Health Res 2018 Dec 5:1-11. Epub 2018 Dec 5.

c Department of Health Sciences, Faculty of Science , University of Mauritius , Reduit , Mauritius.

This study explored the efficacy of the methanolic extract of three Asphodeline species (A. damascena subsp. rugosa, A. Read More

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December 2018

Selection, Characterization, and Application of ssDNA Aptamer against Furaneol.

Molecules 2018 Nov 30;23(12). Epub 2018 Nov 30.

Scientific-Manufacturing Complex Technological Centre, 1⁻7 Shokin Square, Zelenograd, 124498 Moscow, Russia.

Furaneol is an aroma compound which occurs naturally in foods and is used as an artificial flavor. Detection of furaneol is required in food science and food processing industry. Capture- Systematic Evolution of Ligands by EXponential enrichment (SELEX) protocol was applied for the isolation of an aptamer binding to furaneol, a small volatile organic substance contributing to the flavor of various products. Read More

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November 2018
3 Reads

Imaging in blunt thoracic trauma: The importance of clinical correlation.

Echocardiography 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

We present the case of a 26-year-old female restrained front-seat passenger who presents following a motor vehicle accident, with CT angiogram features suggestive of possible acute aortic injury. However, clinical features including relative hemodynamic stability and absence of typical symptoms were discordant with these imaging findings. This case illustrates that even with ECG-gating, CT angiogram artifact mimicking acute aortic injury may still occur. Read More

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December 2018
2 Reads

Lateral sided trocar site hernia following laparoscopic hernia repair: results of a long-term follow-up.

Hernia 2018 Dec 3. Epub 2018 Dec 3.

Department of General Surgery, Dr. Lutfi Kirdar Kartal Research and Education Hospital, Semsi Denizer Street, Cevizli, Kartal, Istanbul, Turkey.

Purpose: Trocar site hernias (TSH) at the umbilical site following laparoscopic cholecystectomy forms the majority of the studies about TSH and there is a missing data in literature about lateral sided TSH. We aimed to evaluate the incidence and factors affecting lateral sided TSH occurrence following laparoscopic abdominal wall hernia repair (LAHR).

Methods: Patients who underwent LAHR between March 2013 and 2015 were included in the study. Read More

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December 2018
2 Reads

Spleen-preserving spleen-sacrificing distal pancreatectomy in adults with blunt major pancreatic injury.

BJS Open 2018 Dec 10;2(6):426-432. Epub 2018 Jul 10.

Department of General Surgery, Chang Gung Memorial Hospital Chang Gung University Tao-Yuan City Taiwan.

Background: The aim of this study was to analyse outcomes of spleen-preserving (SPDP) and spleen-sacrificing (SSDP) distal pancreatectomy in adults with severe blunt pancreatic injuries.

Methods: This was an observational study of adult patients who underwent distal pancreatectomy for grade III or IV blunt pancreatic injury between 1991 and 2015. Outcomes of SPDP and SSDP were compared. Read More

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December 2018

Cervical spine clearance in the adult obtunded blunt trauma patient: A systematic review.

Intensive Crit Care Nurs 2018 Nov 30. Epub 2018 Nov 30.

Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK; Critical Care Research Group, Southampton NIHR Biomedical Research Centre, University Hospital Southampton, Southampton, UK.

Background: A missed cervical spinal injury could have devastating consequences. Patients with a suspected cervical spinal injury are kept in rigid collars for cervical immobilisation. Prolonged collar use has important clinical implications. Read More

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November 2018
1 Read

Abdominal vascular injuries: Blunt vs. penetrating.

Injury 2018 Nov 26. Epub 2018 Nov 26.

Chulalongkorn University, Surgery, Rama4 rd, Bangkok, Thailand.

Introduction: Abdominal vascular injuries (AVIs) remain a great challenge since they are associated with significant mortality. Penetrating injury is the most common cause of AVIs; however, some AVI series had more blunt injuries. There is little information regarding differences between penetrating and blunt AVIs. Read More

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November 2018
1 Read

The 2015 Amtrak Philadelphia Train Derailment: After-Action Review of the Emergency Radiology Response at Temple University Health System.

J Am Coll Radiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Radiology, Temple University Hospital, Philadelphia, Pennsylvania.

Purpose: The aim of this article is to assess a large tertiary care medical center's emergency radiology response after the 2015 Amtrak Philadelphia train derailment.

Methods And Materials: A total of 55 patients with 308 total CTs and radiographs ordered within 12 hours of arrival to Temple University Health System (combining Temple University Hospital and Episcopal Hospital) emergency departments on May 12 to 13, 2015, were included in this study. A retrospective PACS and electronic medical record chart review of emergency department imaging turnaround times (TAT) during this event was completed and compared with emergency department radiology operations for the same 12-hour period throughout the preceding year. Read More

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November 2018

Occult bowel injury after blunt abdominal trauma.

Am J Surg 2018 Nov 28. Epub 2018 Nov 28.

University of Florida Health, Department of Surgery, Gainesville, FL, USA; University of Florida Health, Sepsis and Critical Illness Research Center, Gainesville, FL, USA. Electronic address:

Background: Following blunt abdominal trauma, bowel injuries are often missed on admission computed tomography (CT) scan.

Methods: Multicenter retrospective analysis of 176 adults with moderate-critical blunt abdominal trauma and admission CT scan who underwent operative exploration. Patients with a bowel injury missed on CT (n = 36, 20%) were compared to all other patients (n = 140, 80%). Read More

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November 2018

Aortic curvature remodeling after thoracic endovascular aortic repair: assessing device conformability, employing image vector analysis.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Hospital Clínic. Barcelona, Spain.

Introduction: Aortic arch curvature can be straightened by endograft placement. However, different measurement methods with dissimilar follow-up and endografts have been published. The aim of this study is to corroborate, for the first time, the pliability of the C-TAG thoracic endograft (W. Read More

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November 2018

[Firework injuries in the south-western region of the Netherlands around the turn of the year 2017-2018].

Ned Tijdschr Geneeskd 2018 Nov 29;162. Epub 2018 Nov 29.

Erasmus MC, Trauma Research Unit, afd. Heelkunde, Rotterdam.

Objective: To report the number of patients with firework-related injuries treated in December 2017 and January 2018 in a hospital in the south-west Netherlands trauma region, and to provide details about the types of firework used and the specific injuries.

Design: A prospective multicentre cohort study (NTR6793).

Methods: Patients of all ages with firework-related injuries were eligible for inclusion. Read More

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November 2018
4 Reads

[The use of the three-dimensional modeling for the elucidation of the mechanism of injury formation and identification of the injurious agents].

Sud Med Ekspert 2018 ;61(6):43-45

The 111; Department of Forensic Medicine and Medical Law, A.I. Evdokimov Moscow State Medical Stomatological University, Ministry of Health of the Russia, Moscow, Russia, 127473 ,Department of Forensic Medicine, N.I. Pirogov, Russian National Research Medical University, Ministry of Health of the Russia, Moscow, Russia, 117997.

The article reports a case of the application of the thee-dimensional models of an injury on a corpse and of a blunt trace-forming object with which it was presumably inflicted for the identification purposes. The models were constructed based on a series of the digital photographs processed with the use of the specialized software program. The work with the application of the three dimensional models made it possible to avoid disfiguring of the corpse, to determine the stages and conditions of infliction of the injury in the graphic editor software environment, and to arrive at the conclusion about the parts of the traumatic agent with which the injury was caused. Read More

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January 2018
2 Reads

Impact of time to repair on outcomes in patients with lower extremity arterial injuries.

J Vasc Surg 2018 Nov 26. Epub 2018 Nov 26.

Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Md.

Background: Six hours has long been considered the threshold of ischemia after peripheral artery injury. However, there is a paucity of evidence regarding the impact of operative delays on morbidity and mortality in patients with lower extremity arterial injuries.

Methods: We analyzed the records of 3,441,259 injured patients entered into the National Trauma Data Bank Research Dataset from 2012 to 2015. Read More

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November 2018
2 Reads

Predictive value of quick surgical airway assessment for trauma (qSAT) score for identifying trauma patients requiring surgical airway in emergency room.

BMC Emerg Med 2018 Nov 29;18(1):48. Epub 2018 Nov 29.

Department of Emergency and Critical Care Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Background: A surgical airway is usually unpredictable in trauma patients. The aim of this study was to develop a predictable scoring system to determine the need for a surgical airway by using a database from a large multicenter trauma registry.

Methods: We obtained data from the nationwide trauma registry in Japan for adult blunt trauma patients who were intubated in the emergency department. Read More

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November 2018
3 Reads

Meteorological Register: From March 25th, to April 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 May;31(183):439-440

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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Meteorological Register: From February 25th, to March 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Apr;31(182):351-352

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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Meteorological Register: From April the 25th, to May the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Jun;31(184):527-528

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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Meteorological Register: From December 25, 1813, to January 25, 1814.

Authors:
C Blunt

Med Phys J 1814 Feb;31(180):175-176

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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February 1814

Meteorological Register: From January 25, 1813, to February 25, 1814.

Authors:
Blunt

Med Phys J 1814 Mar;31(181):263-264

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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Meteorological Register: From November 25, to December 25, 1813.

Authors:
C Blunt

Med Phys J 1814 Jan;31(179):88

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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January 1814

Meteorological Register: From October the 25th, to November the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Dec;32(190):527

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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December 1814

Meteorological Register: From July the 25th, to August the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Sep;32(187):263

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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September 1814

Meteorological Register: From June the 25th, to July the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Aug;32(186):175-176

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

View Article

Meteorological Register: From May the 25th, to June the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Jul;32(185):87-88

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

View Article

Meteorological Register: From August the 25th, to September the 25th, 1814.

Authors:
C Blunt

Med Phys J 1814 Oct;32(188):351-352

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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October 1814

Meteorological Register: From September the 25th, to October the 20th, 1814.

Authors:
C Blunt

Med Phys J 1814 Nov;32(189):439-440

Philosophical Instrument Maker, No. 38, Tavistock-Street, Covent-Garden.

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November 1814

Accident or crime? About the meaning of face injuries inflicted by blunt force.

Forensic Sci Res 2016 14;1(1):14-21. Epub 2016 Dec 14.

Institute of Forensic Medicine, Julius-Maximilians-University, Würzburg, Germany.

Injuries caused by blunt force are seen frequently in daily forensic casework. Sometimes, especially when there is less information about the surrounding circumstances, it might become difficult to figure out the cause and background of injuries: accident, criminal violence or self-infliction? In the study presented, face injuries caused by blunt force in 694 cases were analyzed comparing the injury patterns in accidents to those in crimes. It turned out injuries of the ear and retroauricular region clearly indicate a crime. Read More

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December 2016
2 Reads

Management of blunt force bladder injuries: A practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2018 Nov 27. Epub 2018 Nov 27.

From the Department of Urology (L.L.Y.), University of Florida College of Medicine, Gainesville, FL; Department of Surgery, Cleveland VAMC and Case Western Reserve University, Cleveland, OH (A.A.M); Department of Surgery, MetroHealth Medical Center, Cleveland, OH (J.J.C); ; Department of Surgery Harborview Medical Center University of Washington, Seattle, WA (B.R); Department of Surgery, West Virginia University, Morgantown, WV (J.K.); Department of Surgery, University of South Dakota, Sanford School of Medicine (M.A.P); Department of Surgery, Department of Surgery, University of Illinois at Chicago (J.K.L.); Department of Urology, Minneapolis VAMC and University of Minnesota, Minneapolis, MN, USA (P.D.).

Background: The diagnostic evaluation and clinical management of bladder injuries due to blunt force trauma is variable. We aim to formulate a practice management guideline using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology.

Methods: The working group, PICO (Patient, Intervention, Comparator, Outcome), formulated four questions regarding the following topics: 1) diagnostic evaluation based on patient baseline risk of bladder injury (CT cystography vs. Read More

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November 2018
3 Reads

Things Are Not Always What They Seem: Two Cases of Child Maltreatment Presenting With Common Pediatric Chief Complaints.

Pediatr Emerg Care 2018 Nov 26. Epub 2018 Nov 26.

Hospital Medicine, Department of Pediatrics, and.

We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl who presented with progressive right eye pain, swelling, and discharge. She was initially treated for preseptal cellulitis, but eye cultures ultimately grew Neisseria gonorrhoeae. Read More

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November 2018

Contrast-enhanced ultrasound in delayed splenic vascular injury and active extravasation diagnosis.

Radiol Med 2018 Nov 28. Epub 2018 Nov 28.

Department of Radiological Sciences, Azienda Ospedaliero Universitaria Ospedali Riuniti, Università Politecnica delle Marche, Ancona, Italy.

Introduction: We describe the use of contrast-enhanced ultrasound (CEUS) in the diagnosis of delayed splenic vascular injury (DSVI) and active extravasation (DAE) during spleen injury follow-up. CEUS might be used instead of contrast-enhanced computed tomography (CECT) during spleen injury follow-up in order to reduce radiation exposure.

Objective: Assess diagnostic comparability between CEUS and CECT in the evaluation of DSVI and DAE during spleen injury follow-up. Read More

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November 2018

De-implementation of low value castration for men with prostate cancer: protocol for a theory-based, mixed methods approach to minimizing low value androgen deprivation therapy (DeADT).

Implement Sci 2018 Nov 29;13(1):144. Epub 2018 Nov 29.

VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI, 48105, USA.

Background: Men with prostate cancer are often castrated with long-acting injectable drugs termed androgen deprivation therapy (ADT). Although many benefit, ADT is also used in patients with little or nothing to gain. The best ways to stop this practice are unknown, and range from blunt pharmacy restrictions to informed decision-making. Read More

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November 2018