Slothharrison5353
We report a prevalence of 46.94% of AMOA, who were amenable for UKA. Obese patients were more likely to have a damaged or non-functional ACL and more likely to have a high degree of wear, not amenable for UKA (
< 0.05). Non-functional ACL was associated with higher prevalence of posterior extension of arthritic wear.
This study demonstrated a high prevalence (46.94%) of antero-medial osteoarthritis (AMOA), amenable for UKA. Patient selection is important for improving outcomes after TKA or UKA. Future studies are warranted to compare outcomes of both UKA and TKA in patients with isolated AMOA of the knee.
This study demonstrated a high prevalence (46.94%) of antero-medial osteoarthritis (AMOA), amenable for UKA. Patient selection is important for improving outcomes after TKA or UKA. Future studies are warranted to compare outcomes of both UKA and TKA in patients with isolated AMOA of the knee.[This corrects the article DOI 10.1007/s43465-021-00570-8.].
Although there is no consensus regarding the best skin disinfection technique, whatever antiseptic solution is used, the "prep and drape" portion of most upper extremity procedures requires the presence of at least one operative room assistant or scrub nurse to elevate and hold the hand and forearm. Nonetheless, especially in a busy hand surgery practice and during fast procedures, an operative room assistant or scrub nurse are frequently not available leading to a reduced time efficiency between procedures.
This article describes an innovative easy-to-use and hands-free device that helps the surgeon during disinfection of the skin and the setup of the surgical field by keeping elevated the upper limb with respect for tissues.
The development of the surgical arm holder starts from three easily available and washable thermoplastic splint sheets 40 × 60cm with 2.5cm thickness. The final device measures 40 × 25 × 15cm and is placed underneath the proximal third of the humerus in order to keep the upper limse, improving hospital pre-operative flow and reducing the need for other staff members to be engaged in holding the upper limb in the operating room.
In Professional Athletes, quadriceps and patellar tendon ruptures are devastating injuries, often resulting in the loss of a season or a decreased return to the pre-injury level of sport. This study aimed to perform a comprehensive Video Analysis on extensor mechanism rupture (EMR) to describe the body postures and related mechanism in Professional Athletes.
Using publicly available data on quadriceps tendon and patellar tendon ruptures from between 2000 and 2020, 52 elite athletes were identified. Of these, twenty-eight injuries with adequate video data were analyzed for Injury Mechanism, body posture, as well as player and sports characteristics.
Of the 27 athletes included in the study, with an average age of 28.18 ± 4.96years, there were injuries in 28 extremities (1 case bilateral). The patellar tendon was ruptured in 20 cases (71.4%), and the quadriceps tendon in 8 cases (28.6%). There was total tendon rupture in 13 cases, and partial rupture in 6 cases (data for 1 case was not available). In 20 cases (70.4%), there was no contact resulting in the injury. Four of the contact injuries occurred in American football (3 direct, one indirect), 3 in basketball (1 direct, two indirect), and 1 in baseball (direct).
The results of this research indicate that EMR occurs most commonly when the knee is in flexion and the ankle is in plantar flexion. There is the tendency for the knee to be in valgus at the time of injury. This information can guide physical therapy techniques, including neuromuscular training, proprioception, and balance training in the prevention of EMR in elite athletes.
The results of this research indicate that EMR occurs most commonly when the knee is in flexion and the ankle is in plantar flexion. read more There is the tendency for the knee to be in valgus at the time of injury. This information can guide physical therapy techniques, including neuromuscular training, proprioception, and balance training in the prevention of EMR in elite athletes.The study examined how friendships among women in recovery from substance use disorders are related to individual resources (e.g., social support, self-esteem, and hope) and empowerment (e.g., power and optimism). Findings from a path analysis of 244 women in recovery revealed that friendships among women were positively related to individual resources; that is, the stronger the relationships with other women, the higher women perceived their resources to be. Further, individual-level resources mediated the relations between friendships and empowerment, with higher levels of individual resources related to higher levels of empowerment constructs of power and optimism. Results point to the importance of developing and sustaining empowering relationships for women in recovery. Findings have implications for gender-specific treatment practices and recommendations impacting substance use recovery outcomes.Ascochyta blight management strategy in chickpea standing crops in Australia is solely based on applying protective fungicides before a forecast rainfall event. Despite this, studies on the likely interaction between natural rain (as well as simulated rain) amount, duration and Ascochyta blight development are rare. This study was conducted to investigate the relationship between natural rain intensity (mm/h) and Ascochyta blight development. Infested chickpea residue were placed at the soil surface, and three pots of a susceptible chickpea cultivar were randomly placed on each side of the plot (total 12 pots and 36 plants), preceding a forecast rainfall event. Trap plants were transferred to a controlled temperature room after rain events. After a 48 h incubation period, trap plants were transferred to a glasshouse to allow lesion development. The number of lesions on all plant parts were counted after two weeks. Lesions developed in rain amounts as low as 1.4 mm and rain durations as short as 0.7 h. The number of lesions significantly increased with increasing rain amount. There was a positive effect of increasing rain duration and a negative effect of increasing wind speed. This study suggests that small rain amounts, shorter duration rains or a limited amount of primary inoculum are not barriers to conidial dispersal or host infection, and that the current value of a rainfallthreshold (2 mm) for conidial spread and host infection is not accurate for susceptible cultivars.
This study aimed to develop and validate a risk nomogram model for predicting the risk of atrial fibrillation recurrence after radiofrequency catheter ablation.
A retrospective observational study was conducted using data from 485 patients with atrial fibrillation who underwent the first radiofrequency ablation in our hospital from January 2018 to June 2021. All patients were randomized into training cohort (70%; n=340) and validation cohort (30%; n=145). Univariate and multivariate logistic regression analyses were used to identify independent risk factors. The predictive nomogram model was established by using R software. The nomogram was developed and evaluated based on differentiation, calibration, and clinical efficacy by concordance statistic (C-statistic), calibration plots, and decision curve analysis (DCA), respectively.
The nomogram was established by four variables including left atrial diameter (OR 1.057, 95% CI 1.010-1.107,
=0.018), left ventricular ejection fraction (OR 0.943, 95% CI 0.905-0.982,
=0.005), type of atrial fibrillation (OR 2.164, 95% CI 1.262-3.714), and systemic inflammation score (OR 1.905, 95% CI 1.408-2.577). The C-statistic of the nomogram was 0.741 (95% CI 0.689-0.794) in the training cohort and 0.750 (95% CI 0.670-0.831) in the validation cohort. The calibration plots showed good agreement between the predictions and observations in the training and validation cohorts. Decision curve analysis and clinical impact curves indicated the clinical utility of the predictive nomogram.
The nomogram model has good discrimination and accuracy, which can screen high-risk groups intuitively and individually, and has a certain predictive value for atrial fibrillation recurrence in patients after radiofrequency ablation.
The nomogram model has good discrimination and accuracy, which can screen high-risk groups intuitively and individually, and has a certain predictive value for atrial fibrillation recurrence in patients after radiofrequency ablation.
Confusion and hallucinations in geriatric patients are frequent symptoms and typically associated with delirium, late-life psychosis or dementia syndromes. A far rarer but well-established differential in patients with rapid cognitive deterioration, acute psychosis, abnormal movements and seizures is autoimmune encephalitis. Exemplified by our case we highlight clinical and economic problems arising in management of geriatric patients with cognitive decline and psychotic symptoms.
A 77-year-old female caucasian patient with an unremarkable medical history was hospitalized after a fall in association with diarrhea and hyponatremia. Upon adequate therapy, disorientation and troubled short-term memory persisted. Within a week the patient developed visual hallucinations. Basic blood and urine samples and imaging (cranial computed tomography and magnetic resonance imaging) were unremarkable. With progressive cognitive decline, amnestic impairment, word finding difficulty and general apathy, psychiatric and neunti-LGI1-encephalitis. Education and awareness about autoimmune encephalitis of all physicians treating a geriatric population is important in order to involve expertise and establish treatment within reasonable time.
Rapidly progressive dementia in geriatric patients demands a structured and multidisciplinary diagnostic approach. Accurate management and financially supportable care is a major issue in rare diseases such as anti-LGI1-encephalitis. Education and awareness about autoimmune encephalitis of all physicians treating a geriatric population is important in order to involve expertise and establish treatment within reasonable time.
The problem of ischemic stroke (IS) has become increasingly important in recent years, as it ranks first in the structure of disability and mortality, crowding out other vascular diseases. In this regard, the study of this pathology and the search for new therapeutic and diagnostic tools remains an urgent problem of modern medical science and practice. Long non-coding RNAs (lncRNAs)-based therapeutics and diagnostic tools offer a very attractive area of study. Therefore, this systematic review aims at summarizing current knowledge on promising lncRNAs as biomarkers and therapeutic targets for IS exploring original articles and literature reviews on
, in vitro and
experiments.
The current systematic review was performed according to PRISMA guidelines. PubMed, MEDLINE and Google Scholar databases were comprehensively explored to perform the article search.
34 eligible studies were included and analyzed 25 focused on lncRNAs-based therapeutics and 9 on lncRNAs-based diagnosis. We found 31 different lncRNAs tested as potential therapeutic and diagnostic molecules in cells and animal model experiments.