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Management of screwdriver-induced penetrating brain injury: a case report

Background Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is ... screwdriver assaults: literature review and case report . Am J Forensic Med Pathol . 2016 ; 37 ( 4 ): 291 - 8 . 7. Moussa WM , Abbas M. Management and outcome of low velocity penetrating head injury caused by

Patterns of acute poisoning with pesticides in the paediatric age group

in paediatric age group (<12 years) is a relatively uncommon yet significant cause of child health-related morbidity and mortality in rural Sri Lanka. Patterns of poisoning represent the pattern of ... and teaching hospital. Cardiac and respiratory arrests, aspiration pneumonia and convulsions were among the reported complications. Conclusions: Acute pesticide poisoning in paediatric age group (<12

The value of postmortem computed tomography in paediatric natural cause of death: a Dutch observational study

Background Postmortem CT is a relatively new field of interest within paediatric radiology. This paper focusses on its value in cases of unexpected natural death. Objective We report on an ... –patient privilege does not apply. A paediatric radiologist reviews the postmortem CT. A skeletal survey is conducted for every child younger than 4 years. This is reviewed by a paediatric radiologist. The

Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma

no clear signs of vascular injury at the physical examination, and the patient is stable, imaging investigation and observation can be useful in the diagnosis and management of these patients. Although ... wounds that deserve especial considerations (Fig.  1). Most vascular injuries are caused by penetrating trauma, such as gunshot wounds, stabbing, and blast injuries [6]. Blunt trauma causes significant

Control of standing balance at leaning postures with functional neuromuscular stimulation following spinal cord injury

cord injury (SCI). Perturbations ranging from 2 to 6% body weight were applied to two subjects with motor complete thoracic level SCI who were proficient at standing with implanted multichannel neural ... neurotherapeutic uses of electrical stimulation for children with motor dysfunction due to spinal cord injury or cerebral palsy. He is currently a Professor of Orthopaedics and Biomedical Engineering at Case Western

A systematic review of primary Sjögren’s syndrome in male and paediatric populations

Primary Sjögren’s syndrome (pSS) is a chronic multisystem autoimmune rheumatic disease characterised by female predominance. Although the disease is rare in the male and paediatric populations, it ... female patient population, while in the paediatric studies, only one study compared children with adult pSS population [ 23 ]. Three studies reported on patients from the American population, eight were

Surgical management of spontaneous, late-onset Descemet membrane detachment after penetrating keratoplasty for keratoconus: a case report

Background To report a surgical method for treating corneal oedema in a case of late-onset Descemet membrane detachment after penetrating keratoplasty. Case presentation A 55-year old patient ... : Penetrating keratoplasty Authors’ contributions GK, MP, KO, IG managed the patient and created assessment and plan. AM and KA contributed to data acquisition and MP, KO drafted manuscript. All authors read and

The hormetic functions of Wnt pathways in tubular injury

in acute tubular injury. We now have demonstrated that Dickkopf 3 (DKK3) is an agonist for canonical Wnt signaling in CKD and fosters chronic fibrosing inflammation of the tubulointerstitial ... differentiated cells [ 31, 41 ]. Injection of pure T cells from wild-type mice and DKK3-systemically deficient mice into T cell-deficient Rag2 mice caused an increase in chronic tubulointerstitial injury in UUO

Bedside selection of positive end-expiratory pressure by electrical impedance tomography in hypoxemic patients: a feasibility study

best method to set it. The purpose of the study was to test the feasibility of setting PEEP with electrical impedance tomography in order to prevent lung de-recruitment following a recruitment maneuver ... , et al. Recruitment maneuvers for acute lung injury. A systematic review . Am J Respir Crit Care Med . 2008 ; 178 ( 11 ): 1156 - 63 . 15. Frerichs I , Amato MB , van Kaam AH , et al. Chest electrical

Mobile Monitoring of Traumatic Brain Injury in Older Adults: Challenges and Opportunities

whose onset might be delayed or prevented if the risk for sequelae could be assessed on a patient-tailored basis early after injury.6 Two important goals of mTBI care involve understanding (1) how brain ... management of severe head injury for the practicing neurosurgeon. Surgical Neurology, 50(3), 187–193. 10 Watts, D. D., Hanfling, D., Waller, M. A., Gilmore, C., Fakhry, S. M., & Trask, A. L. (2004). An

A case study exploring firefighters’ and municipal officials’ preparedness for electrical vehicles

regarding rescue operations involving electrical vehicles (EVs). Methods In this multi-method study, in-depth interviews were performed with emergency service officers and municipal officers in each city ... weather conditions led to a short circuit, which caused the car to ignite. A petrol-fuelled car crashed into an electrical taxi at 180 km/h in China. The taxi flipped over, hit a tree, and caught fire

The brain-penetrating CXCR4 antagonist, PRX177561, increases the antitumor effects of bevacizumab and sunitinib in preclinical models of human glioblastoma

and sunitinib increase the in vivo expression of CXCR4, SDF-1α, and TGFβ1. In addition, we demonstrate that the co-administration of the novel brain-penetrating CXCR4 antagonist, PRX177561, with

Identification of factors predicting scar outcome after burn injury in children: a prospective case-control study

scarring in children will be guided by evidence on risk factors and risk stratification. This study aimed to examine the association between selected patient, injury and clinical factors and the development ... occurrence in children [ 9 ], and hypertrophic scars and keloids are not always well-differentiated [ 10 ]. This study aimed to examine the association between selected patient, injury and clinical

Implementation and evaluation of a paediatric nurse-driven sedation protocol in a paediatric intensive care unit

Background Optimal sedation and analgesia is a challenge in paediatric intensive care units (PICU) because of difficulties in scoring systems and specific metabolism inducing tolerance and withdrawal ... inducing tolerance and withdrawal. Excessive sedation is associated with prolonged mechanical ventilation and hospitalisation. Adult and paediatric data suggest that goal-directed sedation algorithms reduce

A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient

report of its kind in the published literature detailing the use of a zygomatic implant-retained obturator in a paediatric patient. ... complex area where there is still much debate [2], but in the paediatric patient, there is virtually no literature detailing the most appropriate approach. The use of microvascular free-tissue transfer has

Surgical intervention for paediatric liver injuries is almost history - a 12-year cohort from a major Scandinavian trauma centre

. Two (3.0%) patients died secondary to traumatic brain injury. Discussion This single institution paediatric liver injury cohort confirms high attempted NOM and NOM success rates even in patients with ... injury. Yet, there is a paucity of reports from Europe addressing contemporary treatment of paediatric liver injuries. The aim of the present study was to review the treatment and outcomes in children

Closed-loop mechanical ventilation for lung injury: a novel physiological-feedback mode following the principles of the open lung concept

pig model of severe lung injury, we tested the feasibility and physiological responses to a novel fully closed-loop mechanical ventilation algorithm based on the “open lung” concept. Lung injury was ... (VT) ventilation and selected positive end-expiratory pressures are low during mechanical ventilation for treatment of the acute respiratory distress syndrome. Using a pig model of severe lung injury

Penetrating Pancreatic Injury

Pancreatic injury following penetrating trauma is a rare but complex problem in trauma surgery. The retroperitoneal location of the pancreas and its intricate anatomic relationship to other vital ... set of the surgeon is also important to surgical decision-making in these patients. In the patient who has sustained penetrating injury to the abdomen, a number of key indicators will signal pancreatic

Filamentous actin accumulates during plant cell penetration and cell wall plug formation in Phytophthora infestans

identified actin plaques as structures that are unique for oomycetes. Here we describe two additional novel actin configurations; one associated with plug deposition in germ tubes and the other with ... Lifeact-eGFP caused differences in plug formation and positioning by comparing the previously described Lifeact-eGFP expressing line [21] with its recipient strain 88069. No significant differences were

The influence of head-of-bed elevation in patients with obstructive sleep apnea

Purpose The purpose of this study is to test the effects of a mild degree of head-of-bed elevation (HOBE) (7.5°) on obstructive sleep apnea (OSA) severity and sleep quality. Methods OSA patients were ... [81.6-93.3]; p = 0.005). The AHI obtained at the third PSG without HOBE (n = 7) returned to baseline values. Obstructive sleep apnea; Therapy; Patient positioning; Polysomnography - SLEEP BREATHING