1,250,252 results match your criteria trauma

Effects of endodontic infections on the maxillary sinus: a case series of treatment outcome.

J Endod 2021 Apr 14. Epub 2021 Apr 14.

Member of the Endochat research group, Rio de Janeiro, RJ, Brazil; Postgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro, RJ, Brazil; Department of Dental Research, Faculty of Dentistry, Iguaçu University (UNIG), Nova Iguaçu, RJ, Brazil.

Introduction: This article shows the follow-up of several cases of maxillary sinusitis of dental (usually endodontic) origin, with different manifestations, diagnostic challenges and outcomes.

Methods: Cases from 14 patients from 3 countries and treated by 7 different endodontists are presented, all of them with inflammatory sinus changes represented by mucositis, osteoperiostitis, and partial/full obstruction.

Results: All cases showed dental and/or sinus signs/symptoms, that resolved after dental management. Read More

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Transcervical Carotid Artery Revascularization: a Systematic Review and Meta-analysis of Outcomes.

J Vasc Surg 2021 Apr 14. Epub 2021 Apr 14.

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.

Objective: Carotid artery stenosis is a determinant factor accused for cerebrovascular events, estimated to be the cause of 10-20% of all ischemic strokes. Trans-cervical carotid artery revascularization (TCAR) has been offered as an alternative to transfemoral carotid artery stenting and carotid endarterectomy.

Methods: A systematic review and meta-analysis of prospective and retrospective studies reporting on outcomes of patients undergoing TCAR for carotid stenosis was conducted. Read More

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Achievement of goal anti-Xa activity with weight-based enoxaparin dosing for venous thromboembolism prophylaxis in trauma patients.

Pharmacotherapy 2021 Apr 17. Epub 2021 Apr 17.

Augusta University Medical Center, Augusta, Georgia.

Background: Trauma patients are at an increased risk of developing venous thromboembolism (VTE), and enoxaparin is considered the standard of care for VTE prophylaxis in this population. Although there is literature to suggest higher doses of enoxaparin are more effective in achieving goal anti-Xa levels, there is limited information regarding the use of weight-based dosing across all weights in the trauma population.

Objective: The purpose of this study was to evaluate the utility of routine anti-Xa peak monitoring for trauma patients initiated on weight-based enoxaparin for VTE prophylaxis and identify patient populations where monitoring is necessary. Read More

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Replantation of forequarter amputation: Report of two cases with successful structural, motor and sensorial results.

Microsurgery 2021 Apr 17. Epub 2021 Apr 17.

Akdeniz University Faculty of Medicine, Antalya, Turkey.

Although there have been numerous reports of major replantation of upper extremity amputations, limited numbers of above-elbow amputation replantation have been reported. We present the technical details of two successful replantations of forequarter amputations in a nine-year-old girl and a three-year-old boy. In both cases, the forequarter was amputated due to avulsion traction injuries resulting in amputation including the entire upper limb, while the integrity of the scapula and parascapular muscles was maintained, with no injury to the glenohumeral joint. Read More

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Radiographic and MRI Assessment of the Thrower's Elbow.

Curr Rev Musculoskelet Med 2021 Apr 17. Epub 2021 Apr 17.

Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Purpose Of Review: Throwing athletes are vulnerable to elbow injuries, especially in the medial elbow, related to high stress and valgus load in both acute and chronic settings as a result of this complex biomechanical action. This current review details the relevant anatomy and imaging features of common elbow pathology identified with radiographs and MRI in throwing athletes.

Recent Findings: Although elbow pathology in throwing athletes is well documented, advances in imaging technology and technique, particularly with MRI, have allowed for more detailed and accurate imaging description and diagnosis. Read More

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Implications of component size and calibration error on digital templating for total hip arthroplasty. A visual matrix from a simple mathematical model.

Int J Comput Assist Radiol Surg 2021 Apr 17. Epub 2021 Apr 17.

Division of Orthopaedics, Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Objective: Preoperative digital templating is a standard procedure in total hip arthroplasty. Deviations between template size and final implant size may result from inaccurate calibration, templating as well as intraoperative decisions. So far, the explicit effect of calibration errors on templating has not been addressed adequately. Read More

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Historical evolution of surgical approaches to the face-part III: lower face.

Oral Maxillofac Surg 2021 Apr 17. Epub 2021 Apr 17.

Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky, Lexington, KY, USA.

Surgical approaches to the head and maxillofacial area have been described and modified by many authors throughout history. It was, however, during the nineteenth and twentieth centuries when most of the techniques were described, mainly thanks to the advent of anesthesia and antibiotic therapy. Currently, a myriad of surgical techniques are employed to access the maxillofacial complex, with each of them having advantages and disadvantages. Read More

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The triangular fibrocartilage complex on high-resolution 3 T MRI in healthy adolescents: the thin line between asymptomatic findings and pathology.

Skeletal Radiol 2021 Apr 17. Epub 2021 Apr 17.

Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Objective: The objective of the study is to provide a reference for morphology, homogeneity, and signal intensity of triangular fibrocartilage complex (TFCC) and TFCC-related MRI features in adolescents.

Materials And Methods: Prospectively collected data on asymptomatic participants aged 12-18 years, between June 2015 and November 2017, were retrospectively analyzed. A radiograph was performed in all participants to determine skeletal age and ulnar variance. Read More

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Clinical prediction is at the heart of preventing birth trauma and pelvic floor disorders for individual women.

Int Urogynecol J 2021 Apr 17. Epub 2021 Apr 17.

Department of Obstetrics & Gynecology, Duke University School of Medicine, DUMC 3084, Durham, NC, 27710, USA.

Introduction And Hypothesis: The purpose of this article is to understand that the majority of studies investigating the role of risk factors for maternal birth trauma and pelvic floor disorders are designed using causal inferential statistical methods and have not been designed to investigate the more useful goal of clinical prediction.

Methods: A review of the literature was conducted to describe notable causal and predictive associations between risk factors and maternal birth trauma outcomes. Examples were obtained to illustrate and contrast differences in clinical usefulness between causal and predictive models. Read More

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Glucose-induced decrease of cystathionine β-synthase mediates renal injuries.

FASEB J 2021 May;35(5):e21576

Department of Nephrology, Nanjing BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, China.

Exogenous hydrogen sulfide (H S) protects kidneys from diabetic injuries in animal models. In order to explore the role of endogenous H S in diabetic nephropathy, we determined the renal H2S producing enzymes in vivo and in vitro. In diabetic mice, H S levels in blood and kidney were decreased while cystathionine β-synthase (CBS), mainly located in mouse renal proximal convoluted tubules (PCT), was reduced selectively. Read More

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Masked and Distanced: A Qualitative Study of How Personal Protective Equipment and Distancing Affect Teamwork in Emergency Care.

Int J Qual Health Care 2021 Apr 17. Epub 2021 Apr 17.

Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, MA.

Background: Newly intensified use of personal protective equipment (PPE) in emergency departments presents teamwork challenges affecting the quality and safety of care at the frontlines. We conducted a qualitative study to categorize and describe barriers to teamwork posed by PPE and distancing in the emergency setting.

Methods: We conducted 55 semi-structured interviews between June-August, 2020 with personnel from two emergency departments serving in a variety of roles. Read More

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Site-specific features of active muscle stiffness and proximal aponeurosis strain in biceps femoris long head.

Scand J Med Sci Sports 2021 Apr 16. Epub 2021 Apr 16.

Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan.

Limited information is available on site-specific features of muscle stiffness and aponeurosis strain of the biceps femoris long head (BFlh) during contractions. Therefore, understanding of the mechanics and etiology of hamstring strain injuries remains difficult. As a first step to gain further insight into them, the present study aimed to identify whether active muscle stiffness and proximal aponeurosis strain during contractions are varied along the long-axis of the BFlh. Read More

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The effect of speed on Achilles tendon forces and patellofemoral joint stresses in high performing endurance runners.

Scand J Med Sci Sports 2021 Apr 16. Epub 2021 Apr 16.

Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.

Achilles tendinopathy and patellofemoral pain are common running injuries associated with increased Achilles tendon (AT) forces and patellofemoral joint (PFJ) stresses. This study examined AT forces and PFJ stresses at different running speeds in high performing endurance runners. Twenty runners ran overground at four running speeds (3. Read More

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Cemental tear: an overlooked finding associated with rapid periodontal destruction. A case series.

Aust Dent J 2021 Apr 17. Epub 2021 Apr 17.

Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, 55455, USA.

Cemental tear is defined as cementum fragment completely or partially detached from the root surface and it has been associated with localized rapid periodontal breakdown. Although history of trauma and/or attrition may be risk factors, the etiopathology of cemental tear remains unknown. This case series aims to discuss the clinical, radiographic, and histopathologic features of cemental tears to aid clinicians in making differential diagnosis. Read More

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Modelling growth curves of the normal infant's mandible: 3D measurements using computed tomography.

Clin Oral Investig 2021 Apr 16. Epub 2021 Apr 16.

Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Sophia's Children's Hospital, 's Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.

Objectives: Data on normal mandibular development in the infant is lacking though essential to understand normal growth patterns and to discriminate abnormal growth. The aim of this study was to provide normal linear measurements of the mandible using computed tomography performed in infants from 0 to 2 years of age.

Material And Methods: 3D voxel software was used to calculate mandibular body length, mandibular ramus length, bicondylar width, bigonial width and the gonial angle. Read More

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Incidence and factor analysis of laryngohyoid fractures in hanging individuals-computed tomography study.

Eur Radiol 2021 Apr 16. Epub 2021 Apr 16.

Department of Diagnostic Radiology, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.

Objectives: Although laryngohyoid fracture indicates the applied neck pressure and is an important finding in hanging individuals, the reported rate varies widely and its true incidence remains controversial. We used computed tomography (CT) studies to investigate the incidence of laryngohyoid fracture in hanging individuals and identify factors contributing to such fractures.

Methods: Considered for inclusion in this study were 107 attempted or successful hanging individuals subjected to CT studies between 2005 and 2019. Read More

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Should the location of distal tibial plating be influenced by the varus or valgus fracture pattern of tibial pilon fracture?

Arch Orthop Trauma Surg 2021 Apr 16. Epub 2021 Apr 16.

Department of Orthopaedic Surgery, National University Hospital, National University Health System, 1E Kent Ridge Road, Singapore, 119228, Singapore.

Introduction: Operative treatment of tibial pilon fracture is challenging. There is a lack of consensus and only one clinical study on the optimal location of distal tibial plating for fixation of pilon fractures based on varus or valgus fracture patterns. We hypothesize that complications rates, specifically mechanical complications, are not influenced by the location of the tibial plating in the fixation of pilon fractures with respect to varus or valgus fracture patterns. Read More

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The factors that affect blood loss in intertrochanteric fractures treated with proximal femoral nail in the elderly.

Eur J Trauma Emerg Surg 2021 Apr 16. Epub 2021 Apr 16.

Department of Orthopedics, Gülhane Education and Research Hospital, Etlik, Keçiören, Ankara, Turkey.

Purpose: Intertrochanteric femur fractures (IFF) is one of the biggest health problems in elderly population and mostly treated by proximal femoral nails. Although it is done in less invasive technique this method can cause higher blood loss than expected and subsequent allogenic blood transfusions. In this study, we aimed to investigate the factors that were related to the blood loss in proximal femoral nail fixation of IFF including patients' ongoing anticoagulant treatments. Read More

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A global perspective of Indigenous child health research: a systematic review of longitudinal studies.

Int J Epidemiol 2021 Apr 17. Epub 2021 Apr 17.

Centre for Community Child Health, Royal Children's Hospital, Murdoch Children's Research Institute, Melbourne, VIC, Australia.

Background: Rigorously designed longitudinal studies can inform how best to reduce the widening health gap between Indigenous and non-Indigenous children.

Methods: A systematic review was performed to identify and present the breadth and depth of longitudinal studies reporting the health and well-being of Indigenous children (aged 0-18 years) globally. Databases were searched up to 23 June 2020. Read More

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A combined assay for quantifying remdesivir and its metabolite, along with dexamethasone, in serum.

J Antimicrob Chemother 2021 Apr 17. Epub 2021 Apr 17.

Center for Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.

Background: As global confirmed cases and deaths from coronavirus disease 2019 (COVID-19) surpass 100 and 2.2 million, respectively, quantifying the effects of the widespread treatment of remdesivir (GS-5734, Veklury) and the steroid dexamethasone is becoming increasingly important. Limited pharmacokinetic studies indicate that remdesivir concentrations in serum decrease quickly after dosing, so its primary serum metabolite GS-441524 may have more analytical utility. Read More

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Life Course Stressors and Functional Limitations in Later Life among White, Black, and Hispanic Adults: Deleterious, Hardening, or Benign?

J Gerontol B Psychol Sci Soc Sci 2021 Apr 17. Epub 2021 Apr 17.

Department of Sociology, Purdue University, 700 West State Street, West Lafayette, IN 47907-2059, USA.

Objectives: Although striking racial and ethnic disparities in health are manifest during later life, they may be rooted in early-life exposures. Drawing from cumulative inequality theory, we investigate whether life course stressors are associated with risk of later life functional limitations and whether this relationship differs by race and ethnicity.

Methods: We utilize longitudinal data from the Health and Retirement Study to test whether child and adult stressors predict trajectories of the occurrence and severity of functional limitations among a diverse sample of older adults. Read More

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CRISPR base editor treats premature-aging syndrome.

Signal Transduct Target Ther 2021 Apr 16;6(1):158. Epub 2021 Apr 16.

Department of Biomedical Sciences, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, USA.

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The short-term impact of combining pain neuroscience education with exercise for chronic musculoskeletal pain: a systematic review and meta-analysis.

Pain 2021 Apr 9. Epub 2021 Apr 9.

ANU Medical School, Australian National University, Canberra, Australian Capital Territory, Australia. School of Medical Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia Trauma and Orthopaedic Research Unit, Canberra Hospital, Canberra, Australian Capital Territory, Australia. Discipline of Physiotherapy, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia. Brain Stimulation and Rehabilitation (BrainStAR) Lab, Western Sydney University, NSW 2560, Australia Discipline of Sport and Exercise, Faculty of Health, University of Canberra, ACT 2617, Australia Research School of Biology, Australian National University, ACT 2600, Australia.

Abstract: Exercise and pain neuroscience education (PNE) have both been used as standalone treatments for chronic musculoskeletal pain. The evidence supporting PNE as an adjunct to exercise therapy is growing but remains unclear. The aim of this systematic review and meta-analysis was to evaluate the effect of combining PNE and exercise for patients with chronic musculoskeletal pain, when compared to exercise alone. Read More

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Attributable mortality of acute respiratory distress syndrome: a systematic review, meta-analysis and survival analysis using targeted minimum loss-based estimation.

Thorax 2021 Apr 16. Epub 2021 Apr 16.

Department of Medicine, Division of Pulmonary and Critical Care Medicine, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA

Background: Although acute respiratory distress syndrome (ARDS) is associated with high mortality, its direct causal link with death is unclear. Clarifying this link is important to justify costly research on prevention of ARDS.

Objective: To estimate the attributable mortality, if any, of ARDS. Read More

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The struggle of nurses in initial trauma emergency care in challenging geographic areas of Indonesia: A phenomenology.

Australas Emerg Care 2021 Apr 13. Epub 2021 Apr 13.

Department of Public Health, Faculty of Medicine, Universitas Brawijaya, Malang Indonesia. Electronic address:

Background: East Sumba Regency is dominated by hills, mountains, and damaged road conditions, which increases the prevalence of accidents that result in trauma. The initial management of trauma patients by puskesmas nurses has several obstacles that cause delays in the treatment process; consequently, the safety of patients becomes a serious problem. This study is aimed to explore nurses' experience in managing early trauma emergencies. Read More

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Post-traumatic entrapment of the median nerve in the ulno-humeral joint: Diagnosis, treatment and literature review.

J Orthop Sci 2021 Apr 14. Epub 2021 Apr 14.

Department of Hand Surgery and Microsurgery, Azienda Ospedaliero Universitaria Modena, Largo Del Pozzo, 71, 41125 Modena, Italy.

Background: The incidence of median nerve injuries in pediatric elbow dislocations is approximately 3% and avulsion of the open medial epicondylar epiphysis in the pediatric population is one predisposing factor that may explain this age predilection. These lesions can be difficult to diagnose in the acute phase because symptoms tend to be mild or delayed, consequently their management can be challenging and functional outcome poorer.

Methods: We present the case of an unrecognized median nerve entrapment in a 16-year-old boy with posterior dislocation of the elbow and a medial epicondyle fracture, treated initially with close reduction and open stabilization with a cannulated screw. Read More

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A case-control study of risk factors for survival after laparotomy in patients with pancreatic trauma.

Asian J Surg 2021 Apr 13. Epub 2021 Apr 13.

Division of Trauma and Surgical Intensive Care Unit, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu Province, PR China; Division of Trauma and Surgical Intensive Care Unit, The First School of Clinical Medicine, Southern Medical University, Guangdong Province, PR China. Electronic address:

Background: Pancreatic trauma results in significant morbidity and mortality. However, few studies have investigated the postoperative prognostic factors in patients with pancreatic trauma.

Material And Methods: A retrospective study was conducted on consecutive patients with pancreatic trauma who underwent surgery in a national referral trauma center. Read More

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Barriers to PTSD treatment-seeking by women veterans who experienced military sexual trauma decades ago: The role of institutional betrayal.

Ursula A Kelly

Nurs Outlook 2021 Apr 13. Epub 2021 Apr 13.

Atlanta VA Health Care System, Decatur, GA; Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA. Electronic address:

Background: While some barriers to PTSD treatment engagement among veterans are well-identified, e.g., stigma, little is known about the barriers to VA PTSD treatment-seeking among women veterans who experienced military sexual trauma (MST) decades ago. Read More

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Risk factors and outcomes in 385 cases of ulnar nerve submuscular transposition.

J Clin Neurosci 2021 May 5;87:8-16. Epub 2021 Mar 5.

Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Submuscular transposition (SMT) for treatment of ulnar nerve entrapment is commonly performed, however published comparisons of surgical techniques exclude a high proportion of the at-risk population encountered in real world practice. To examine the influence of risk factors on the clinical outcome following SMT we performed a retrospective review of all patients who underwent SMT, including patient self-reported outcome and Louisiana State University Medical Centre ulnar nerve grading scale. A total of 403 ulnar nerves were operated, with follow-up data available for 385 cases (359 patients). Read More

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Amount of blood during the subacute phase and clot clearance rate as prognostic factors for delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.

J Clin Neurosci 2021 May 11;87:74-79. Epub 2021 Mar 11.

Service de réanimation neurologique, Hôpital neurologique Pierre Wertheimer, Hospices Civils de Lyon, 69 bld Pinel, 69650 BRON Cedex, France.

Delayed cerebral ischemia (DCI) is a poorly predictable complication occurring after aneurysmal subarachnoid hemorrhage (SAH) that can have dramatic functional consequences. Identifying the patients with the highest risk of DCI may help to institute more suitable monitoring and therapy. Early brain injuries and aneurysm-securing procedure complications could be regarded as confounding factors leading to severity misjudgment. Read More

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