544 results match your criteria Hand Injury High Pressure


Human physiological responses of exposure to extremely cold environments.

J Therm Biol 2021 May 3;98:102933. Epub 2021 Apr 3.

School of Emergency Management & Safety Engineering, China University of Mining and Technology, Beijing, 100083, China.

Extremely cold events have occurred more frequently in the past few years. People exposed to extremely cold exposure could suffer the threats of human health and safety like cold stress and injury. This study aims to investigate human physiological responses of exposure to extremely cold environments and the moment of temperature step. Read More

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Diffusion weighted imaging to identify subcutaneous grease after a high-pressure injection injury: a case report.

J Hand Surg Eur Vol 2021 May 20:17531934211017401. Epub 2021 May 20.

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.

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BILATERAL EYE INJURY WITH BILATERAL BLOWOUT FRACTURE CAUSED BY A HIGH-PRESSURE WATER JET IN 16-YEARS-OLD FIREMAN GIRL. CASE REPORT.

Cesk Slov Oftalmol 2021 ;77(2):88-93

Purpose: The aim is to present a report of a case of bilateral eye injury with bilateral blowout fracture caused by a high-pressure water jet from a fire hose in a 16-year-old girl during a competition for young firefighters.

Methods: We present a case report of a 16-year-old female patient with bilateral extensive eyelid contusion, oedema and lacerations of upper eyelids, lacerations of bulbar conjunctiva, contusion of both eyes, left optic nerve and bilateral blowout fractures of orbits.  Results: The initial ocular examination revealed "hand motion" in the right eye and no light perception in the left eye. Read More

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High-Pressure Injection Injuries of the Hand: A 10-Year Retrospective Analysis at a Single Academic Center.

Ann Plast Surg 2021 Jun;86(6S Suppl 5):S517-S520

College of Medicine, Medical University of South Carolina.

Introduction: The incidence of high-pressure injection injuries of the hand is low. Although the occurrence is rare, the precarious progression of the injury exacts prompt surgical evaluation in order to avoid complications and amputation. The current study was devised in order to make comparisons to the current data, in addition to supplementing the literature with observations regarding clinical course and management. Read More

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Extensive high-pressure injection injury of the hand due to epoxy resin paint: a case report.

Case Reports Plast Surg Hand Surg 2021 Mar 15;8(1):56-62. Epub 2021 Mar 15.

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Epoxy resin paint has rarely been inoculated in high-pressure injection injuries. We report the surgical management of a patient with a rare extensive high-pressure injection injury caused by epoxy resin paint. A pedicled groin flap was used, as it prevents tissue scarring, tendon adhesion, and contracture of the fingers. Read More

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Date Palm Thorn Injury: A Literature Review and a Case Study of Extensive Hand Haematoma.

Cureus 2021 Feb 10;13(2):e13252. Epub 2021 Feb 10.

Department of Plastic Surgery, Hamad Medical Corporation, Doha, QAT.

Date palm thorn injuries require a high level of clinical suspicion and careful management as they can lead to severe complications, such as tissue inflammation, synovitis, and extensive haematoma. Although it is associated with serious injuries, this type of injury is often underdiagnosed and is not sufficiently reported in the literature. We describe a case report of an 18-year-old male patient who presented with significant progressive swelling of the right hand that extended to the distal third of the forearm, having received a date thorn injury the day before. Read More

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February 2021

Glymphatic System as a Gateway to Connect Neurodegeneration From Periphery to CNS.

Front Neurosci 2021 9;15:639140. Epub 2021 Feb 9.

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

The classic concept of the absence of lymphatic vessels in the central nervous system (CNS), suggesting the immune privilege of the brain in spite of its high metabolic rate, was predominant until recent times. On the other hand, this idea left questioned how cerebral interstitial fluid is cleared of waste products. It was generally thought that clearance depends on cerebrospinal fluid (CSF). Read More

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February 2021

Civilian gunshot wounds to the head: a case report, clinical management, and literature review.

Chin Neurosurg J 2021 Feb 3;7(1):12. Epub 2021 Feb 3.

The Affiliated Hospital of Qinghai University, No. 29 Tongren Road, Xining, 810000, Qinghai Province, China.

Background: Civilian gunshot wounds to the head refer to brain injury caused by projectiles such as gun projectiles and various fragments generated by explosives in a power launch or explosion. Gunshot wounds to the head are the deadliest of all gun injuries. According to literature statistics, the survival rate of patients with gunshot wounds to the head is only 9%. Read More

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February 2021

Association of lower nighttime diastolic blood pressure and hypoxia with silent myocardial injury: The Japan Morning Surge-Home Blood Pressure study.

J Clin Hypertens (Greenwich) 2021 Feb 13;23(2):272-280. Epub 2020 Dec 13.

Division of Cardiovascular Medicine, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.

Whether marked nocturnal blood pressure (BP) reduction is associated with cardiovascular disease (CVD) is still controversial. In addition, no report has yet discussed the relationship between lower nocturnal BP and CVD, involving modification by nighttime hypoxia. We evaluated 840 patients who had one or more cardiovascular risk factors by measuring their high-sensitivity cardiac troponin T (Hs-cTnT), N-terminal pro-B-type natriuretic peptide (NT-pro BNP), and nighttime saturation levels and performing ambulatory BP monitoring. Read More

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February 2021

A SORAFENIB INDUCED MODEL OF GLOMERULAR KIDNEY DISEASE.

Visnyk Kyivskoho Natsionalnoho Universytetu Imeni Tarasa Shevchenka Biolohiia 2020 ;81(2):25-31

The Medical College of Wisconsin, Milwaukee, WI, USA.

Glomerular injury and proteinuria are important pathophysiological features of chronic kidney disease. In the present study, we provide data on a glomerular injury model that was developed using the cancer chemotherapy drug sorafenib. Sorafenib is a tyrosine kinase inhibitor that acts via the vascular endothelial growth factor (VEGF) signaling pathway and is widely used to treat a variety of cancers. Read More

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January 2020

Planned early delivery versus expectant management to reduce adverse pregnancy outcomes in pre-eclampsia in a low- and middle-income setting: study protocol for a randomised controlled trial (CRADLE-4 Trial).

Trials 2020 Nov 23;21(1):960. Epub 2020 Nov 23.

Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.

Background: Pre-eclampsia is a pregnancy complication characterised by high blood pressure and multi-organ dysfunction in the mother. It is a leading contributor to maternal and perinatal mortality, with 99% of these deaths occurring in low- and middle-income countries (LMIC). Whilst clear guidelines exist for management of early-onset (< 34 weeks) and term (≥ 37 weeks) disease, the optimal timing of delivery in pre-eclampsia between 34 and 36 weeks is less clear. Read More

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November 2020

High-pressure injection injuries to the upper extremity and the review of the literature.

Ulus Travma Acil Cerrahi Derg 2020 11;26(6):899-904

Department of Plastic, Reconstrutive and Aesthetic Surgery, Division of Hand Surgery, Selçuk University Faculty of Medicine, Konya-Turkey.

Background: High-pressure injection injuries of the hand are rare severe injuries. This study aimed to present a retrospective analysis of current and possible prognostic factors, treatment modalities and evaluation criteria.

Methods: Ten patients who had high-pressure injection injury to their upper extremity between 2005-2018 were included in this study. Read More

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November 2020

Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Authors:

Lancet 2020 Oct;396(10258):1223-1249

Background: Rigorous analysis of levels and trends in exposure to leading risk factors and quantification of their effect on human health are important to identify where public health is making progress and in which cases current efforts are inadequate. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a standardised and comprehensive assessment of the magnitude of risk factor exposure, relative risk, and attributable burden of disease.

Methods: GBD 2019 estimated attributable mortality, years of life lost (YLLs), years of life lived with disability (YLDs), and disability-adjusted life-years (DALYs) for 87 risk factors and combinations of risk factors, at the global level, regionally, and for 204 countries and territories. Read More

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October 2020

Pine bark (Pinus spp.) extract for treating chronic disorders.

Cochrane Database Syst Rev 2020 09 29;9:CD008294. Epub 2020 Sep 29.

Division of Human Nutrition, Stellenbosch University, Cape Town, South Africa.

Background: Pine bark (Pinus spp.) extract is rich in bioflavonoids, predominantly proanthocyanidins, which are antioxidants. Commercially-available extract supplements are marketed for preventing or treating various chronic conditions associated with oxidative stress. Read More

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September 2020

Upper extremity musculoskeletal symptoms among Iranian hand-woven shoe workers.

Work 2020 ;67(1):129-139

Student Research Committee, Department of Occupational Health Engineering, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Studies have demonstrated that upper extremity musculoskeletal disorders (UEMSDs) are highly prevalent among weavers. In Iran, little information is available regarding the prevalence of MSDs and their causal risk factors among hand-woven shoe workers. This cross-sectional study aimed to determine the prevalence of UEMSDs and to identify risk factors associated with UEMSDs symptoms among 586 Iranian hand-woven shoe workers. Read More

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Interprofessional, multitiered daily rounding management in a high-acuity hospital.

Int J Health Care Qual Assur 2020 Sep;ahead-of-print(ahead-of-print)

Department of Internal Medicine, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA.

Purpose: The purpose of this explanatory case study is to explain the implementation of interprofessional, multitiered lean daily management (LDM) and to quantitatively report its impact on hospital safety.

Design/methodology/approach: This case study explained the framework for LDM implementation and changes in quality metrics associated with the interprofessional, multitiered LDM, implemented at Saint Francis Hospital and Medical Center (SFHMC) at the end of 2018. Concepts from lean, Total Quality Management (TQM) and high reliability science were applied to develop the four tiers and rounding components of LDM. Read More

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September 2020

Health status of Medicare-enrolled autistic older adults with and without co-occurring intellectual disability: An analysis of inpatient and institutional outpatient medical claims.

Autism 2021 01 9;25(1):266-274. Epub 2020 Sep 9.

The Ohio State University, OH, USA.

Lay Abstract: Little is known about the extent to which the healthcare needs of autistic older adults with intellectual disability differ from autistic older adults without intellectual disability. Our study is the first, to our knowledge, to use US national data to compare physical and mental health conditions among autistic older adults with and without intellectual disability. The data analyzed in this study consisted of records from inpatient hospitalizations as well as "institutional outpatient" healthcare visits, which include visits to hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, Federally Qualified Health Centers, and community mental health centers. Read More

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January 2021

A Multistep Iter for Functional Reconstruction in Mangled Upper Limb: A Retrospective Analysis of Integrated Surgical and Medical Approach.

Medicina (Kaunas) 2020 Aug 7;56(8). Epub 2020 Aug 7.

Department of General and Specialties Surgery, SOD of Reconstructive Surgery and Hand Surgery, AOU "OspedaliRiuniti", 60126 Ancona, Italy.

Complex limb wounds with multiple tissue involvement are commonly due to high energy trauma. Tissue damage is a dynamic entity and the exact extent of the injury is rarely instantly perceptible. Hence, reconstruction frequently involves a multi-stage procedure concluding with tissue replacement. Read More

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A unique case report of a high-pressure paint injection injury of the hand with associated carbapenemase resistant infection.

J Surg Case Rep 2020 Jul 14;2020(7):rjaa154. Epub 2020 Jul 14.

Orthopaedic Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USA.

High pressure injection injuries to the hand should not be taken lightly as urgent surgical debridement is required to ensure favorable outcomes. Empiric antibiotic administration is recommended; however, few studies focus on the secondary infection risk associated with these high pressure injection injuries. We present a rare case of a patient presenting with carbapenem resistant following a high pressure paint gun injury of the thumb. Read More

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The Registry of Senior Australians outcome monitoring system: quality and safety indicators for residential aged care.

Int J Qual Health Care 2020 Nov;32(8):502-510

South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.

Objectives: To introduce the Registry of Senior Australians (ROSA) Outcome Monitoring System, which can monitor the quality and safety of care provided to individuals accessing residential aged care. Development and examination of 12 quality and safety indicators of care and their 2016 prevalence estimates are presented.

Design: Retrospective. Read More

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November 2020

Safety and Efficacy of Prophylactic Closed Incision Negative Pressure Therapy after Acute Fracture Surgery.

Injury 2020 Aug 23;51(8):1805-1811. Epub 2020 May 23.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung City, 813, Taiwan, ROC; Department of Orthopaedics, National Defense Medical Center, 161, Section 6, Minquan E Rd, Neihu District, Taipei City, Taiwan 114 Taipei city, Taiwan Republic of China. Electronic address:

Introduction: Soft tissue swelling after acute fracture surgery is a challenge which may increase wound dehiscence, delay early range of motion, and increase infection rate postoperatively. This study investigates closed incision negative pressure therapy (ciNPT) using wide-range cover over the incision site and the peripheral swelling trauma zone to promote early active motion and to mitigate joint stiffness, bulla formation, and tendon adhesion.

Methods: Twenty-nine patients were enrolled between January 2018 and December 2018. Read More

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Exercise-induced Hypoalgesia Is Impaired in Chronic Whiplash-associated Disorders (WAD) With Both Aerobic and Isometric Exercise.

Clin J Pain 2020 08;36(8):601-611

RECOVER Injury Research Centre and NHMRC Centre of Research Excellence in Road Traffic Injury Recovery, The University of Queensland, St Lucia.

Objectives: Exercise-induced hypoalgesia (EIH) can be impaired in patients with chronic pain and may be dependent on exercise type. Factors predictive of EIH are not known. This study aimed to: (1) compare EIH in participants with chronic whiplash-associated disorders (WAD) to asymptomatic controls, (2) determine if EIH differs between aerobic and isometric exercise, (3) determine predictors of EIH. Read More

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Molten metal high pressure injection injury of the hand.

Hand Surg Rehabil 2020 09 7;39(4):328-331. Epub 2020 May 7.

Orthopedic Department, HaEmek Medical Center, Yitshak Rabin Boulevard 21, 1834111 Afula, Israel; Faculty of Medicine, Technion, 3200003 Haifa, Israel. Electronic address:

The second case of high temperature molten metal, high-pressure injection injury of the hand is reported here. Like in the previous case, there was an innocent-looking entry point with deep thermal injury to the flexor tendons and the digital nerves that appeared a few days after the injury and lead to finger amputation. LEVEL OF EVIDENCE: 5. Read More

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September 2020

Subterminal key pinch dynamometry: a new method to quantify strength deficit in ulnar nerve paralysis.

J Hand Surg Eur Vol 2020 Oct 29;45(8):813-817. Epub 2020 Apr 29.

Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Tubarão, SC, Brazil.

Precise pre- and postoperative assessments are fundamental to recording the quality of recovery after ulnar nerve repair. Because of its imprecision, manual muscle testing is being replaced by dynamometry to measure grasping and key-pinch strengths. However, both grasping and key pinch are dependent not only on the ulnar nerve but also the median and radial nerves. Read More

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October 2020

Indicators of effectiveness of nursing care in the dimension of patient safety.

Rev Bras Enferm 2020 22;73(3):e20180833. Epub 2020 Apr 22.

Universidade Federal do Paraná. Curitiba, Paraná, Brazil.

Objectives: to validate nursing care effectiveness indicators of patient safety dimension.

Methods: quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. Read More

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February 2021

Prioritized Criteria for Casualty Distribution following Trauma-related Mass Incidents; a Modified Delphi Study.

Arch Acad Emerg Med 2020 7;8(1):e47. Epub 2020 Apr 7.

Meybod Nursing School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Introduction: In the aftermath of mass casualty incidents (MCIs), many decisions need to be made in a fast and influential manner in a high pressure environment to distribute the limited resources among the numerous demands. This study was planned to rank the criteria influencing distribution of casualties following trauma-related MCI.

Methods: This study utilized a modified Delphi methodology, concentrating on extracted criteria attained from preceding systematic literature reviews. Read More

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PaO greater than 300 mmHg promotes an inflammatory response during extracorporeal circulation in a rat extracorporeal membrane oxygenation model.

J Thorac Dis 2020 Mar;12(3):749-757

Department of Clinical Engineering and Medical Technology, Niigata University of Health and Welfare, Niigata, Japan.

Background: Extracorporeal membrane oxygenation (ECMO) is being increasingly used for mechanical support of respiratory and cardio-circulatory failure. An excessive systemic inflammatory response is observed during sepsis and after cardiopulmonary bypass (CPB) with similar clinical features. We hypothesized that hyperoxia condition encourages the systemic inflammatory response and organ disorder during ECMO. Read More

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Extracorporeal Membrane Oxygenation for Respiratory Failure.

Anesthesiology 2020 05;132(5):1257-1276

From the Department of Anesthesiology and Intensive Care Medicine, University of Göttingen Medical Center, Göttingen, Germany (M.Q., M.B., L.G.) University of Michigan, Ann Arbor, Michigan (R.H.B.) Perioperative Medicine and Critical Care Research Group, Southampton NIHR Biomedical Research Centre, University Hospital Southampton/University of Southampton, Southampton, United Kingdom (M.P.W.G.) Sorbonne Université, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, Paris, France (A.C.) Service of Intensive Care, Institute of Cardiology, APHP Hôpital Pitié-Salpêtrière, Paris, France (A.C.) Alma Mater Studiorum - Department of Medical and Surgical Sciences, University of Bologna, Anesthesia and Intensive Care Medicine, Policlinico di Sant'Orsola, Bologna, Italy (M.V.R., M.B.) Department of Clinical, Integrated, and Experimental Medicine (DIMES), Respiratory and Critical Care, Sant'Orsola Malpighi Hospital, Bologna, Italy (S.N.) Department of Medicine, Columbia University College of Physicians and Surgeons, and New York Presbyterian Medical Center, New York, New York (D.B.) Department of Adult Critical Care, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, and Division of Centre of Human Applied Physiological Sciences, King's College London, London, United Kingdom (L.C., F.V.) Department of Pulmonary and Critical Care Medicine, Regions Hospital and University of Minnesota, Minneapolis/St. Paul, Minnesota (J.J.M.).

This review focuses on the use of veno-venous extracorporeal membrane oxygenation for respiratory failure across all blood flow ranges. Starting with a short overview of historical development, aspects of the physiology of gas exchange (i.e. Read More

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