Macleanbrowne9456
The purpose of this study is to compare patient outcomes between the Equinoxe® (Exactech, Gainesville, Fla) proximal humerus locking plate and the PHILOS® (Synthes, Paoli, PA) proximal humerus locking plate.
Two hundred and seventy-one patients with a displaced proximal humerus fracture presented to our academic medical center between February 2003 and October 2020. Functional outcomes assessed included the Disabilities of the Arm, Shoulder, and Hand questionnaire and shoulder range of motion. Radiographs were utilized to determine fracture healing and development of posttraumatic osteoarthritis or osteonecrosis.
Overall, 108 Equinoxe® and 87 PHILOS® patients treated by a single surgeon with complete clinical, functional, and radiographic follow-up were included in the study. Demographics were similar between groups. One hundred and eight Equinoxe® patients healed at a mean time to union by 3.7 ± 2.2months, and 86 PHILOS® patients healed (p = 0.24) by 4.1 ± 2.3months after surgery (p = 0.31). Shoulder ee rather than the implant itself.
The purpose of this study is to determine the effects of blood transfusion timing in hip fracture patients.
A consecutive series of hip fracture patients 55years and older who required a blood transfusion during hospitalization were reviewed for demographic, injury, clinical outcome, and cost information. A validated risk predictive score (STTGMA) was calculated for each patient. Patients were stratified to preoperative, intraoperative, or postoperative first transfusion cohorts. The intraoperative and postoperative cohorts were matched by STTGMA, sex, and procedure to the preoperative cohort. Baseline patient characteristics and outcomes were compared before and after matching.
Prior to matching, the preoperative cohort was more often male (p < 0.001) with increased Charlson comorbidity index (p = 0.012), ASA class (p < 0.002), STTGMA (p < 0.001), total transfused volume (p = 0.002), incidence of inpatient mortality (p = 0.045), myocardial infarction (p = 0.005) and cardiac arrest (p = 0.014). After matching, the preoperative cohort had increased total transfused volume (p = 0.015) and decreased pneumonia incidence (p = 0.040).
Matching STTGMA score, sex, and procedure results in non-inferior outcomes among hip fracture patients receiving preoperative first blood transfusions compared to intraoperative and postoperative transfusions.
Matching STTGMA score, sex, and procedure results in non-inferior outcomes among hip fracture patients receiving preoperative first blood transfusions compared to intraoperative and postoperative transfusions.Free amino acids (FAAs), the major constituents of the natural moisturizing factor (NMF), are very important for maintaining the moisture balance of human skin and their deficiency results in dry skin conditions. There is a great interest in the identification and use of nature-based sources of these molecules for such cosmeceutical applications. Pluronic F-68 in vitro The objective of the present study was, therefore, to investigate the FAA contents of selected Ethiopian plant and fungi species; and select the best sources so as to use them for the stated purpose. About 59 different plant species and oyster mushroom were included in the study and the concentrations of 27 FAAs were analyzed. Each sample was collected, lyophilized, extracted using aqueous solvent, derivatized with Fluorenylmethoxycarbonyl chloride (Fmoc-Cl) prior to solid-phase extraction and quantified using Liquid Chromatography Electrospray Ionization Tandem Mass Spectrometric (LC-ESI-MS/MS) system. All the 27 FAAs were detected in most of the samples. The dominant FAAs that are part of the NMF were found at sufficiently high concentration in the mushroom and some of the plants. This indicates that FAAs that could be included in the preparations for the management of dry skin condition can be obtained from a single natural resource and the use of these resources for the specified purpose have both economic and therapeutic advantage in addition to fulfilling customer needs.Environmental stressors such as temperature, humidity, rainfall, photoperiod, etc. under tropical conditions are some of the important limiting factors for optimum expression of production and reproduction in dairy cows. The present study evaluated changes in cardinal physiological responses, heat tolerance indices, and milk yield in Jersey crossbred cows due to abiotic stress. Climograph was developed using daily maximum and minimum temperatures, humidity, and rainfall at livestock farm over a period of 15 years. Seasons significantly (P less then 0.01) influenced cardinal physiological responses and thermal adaptability of Jersey crossbred cows. Diurnal environmental variations between morning and afternoon of the shed caused increase in body temperature, pulse, and respiration rate by 0.59-0.91%, 4.95-7.18%, and 9.73-32.37%, respectively. Thermal adaptability of cows showed significant (P less then 0.01) higher deviations from perfect state of adaptability during summer, monsoon, and post-monsoon as compared to winter and spring seasons. The responsiveness and ranking of cows were dissimilar among 3 heat tolerance indices, viz., Iberia heat tolerance index, Benezara's coefficient of adaptability, and Dairy Search Index (DSI). Enhanced respiration rate was the most important observable bio-indicator to poor thermal adaptability. Good thermo-tolerant cows had 8.86% higher (P less then 0.05) monthly milk yield per cow than poorly adapted ones. Findings of this study suggest that deviations in cardinal physiological responses across the seasons are very reliable and simple estimates for evaluating levels of thermo-tolerance in crossbred cows.A study was conducted to evaluate the characteristics of West African Dwarf (WAD) goat keepers and their trait preferences as part of a broader phenotypic characterisation work with the aim of providing information for improving the household management, conservation and productivity of the breed in Ghana. A total of 384 respondent households were selected from four agro-ecological zones in the middle belt and southern part of the country for questionnaire administration and direct observation of animals under field conditions. The results showed that there are slightly more women (54.2%) keeping WAD goats than men (45.8%) and fall within the economically active population of youthful and middle age categories (53.9%). A majority of these goat keepers were married (73.8%) and educated (87.3%) in one way or the other. They obtained their starter or foundation stock mainly from neighbours (80.5%) and the open market (16.0%). The average flock size from the households sampled was 7.9 ± 1.5, whereas the flock structure constituted 56.
