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Results 801 - 850 of 2831
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Rehman Lal - - 2013
Objective: To evaluate the role of anterior cervical decompression and fixation with Caspar plating in cervical spine injury on neurological outcome. Study Design: A case series. Place and Duration of Study: Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, from July 2008 to March 2011. Methodology: Thirty patients admitted with ...
Razi Mohammad - - 2013
To review a single-surgeon series of 616 athletic patients with anterior cruciate ligament reconstructions in order to evaluate the relationship between the timing of the reconstruction and the incidence of meniscal and chondral injuries. SIX GROUP OF PATIENTS WERE CATEGORIZED BASED ON THE TIME INTERVAL FROM THEIR INJURY TO SURGERY ...
Shi Wei - - 2013
Indirect traumatic optic neuropathy (TON) is an acute injury of the optic nerve associated with severe visual dysfunction, which may be a result of secondary mechanical injury and vascular disorder of the optic nerve due to trauma. We analyzed the natural course of axonal loss and blood flow disturbances in ...
DiCocco Jennifer M - - 2013
There has been much debate on whom to screen, how to screen, and how to treat blunt cerebrovascular injury (BCVI), but there has been little published on long-term functional outcomes following diagnosis and treatment of BCVI. This study was conducted to address those long-term outcomes. Patients with BCVI during a ...
Ke Lu - - 2013
Surgical decompression is widely considered as an important treatment in patients with severe acute pancreatitis (SAP) and abdominal compartment syndrome (ACS). Until now, the indication and optimal time of decompression remain unknown, and no experimental data exist, although extremely high mortality has been repeatedly reported in these patients. The aim ...
Song Jieun - - 2013
This study evaluated the efficacy of ulinastatin for attenuating organ injury and the release of proinflammatory cytokines due to cardiopulmonary bypass (CPB) during cardiac surgery. Patients undergoing valvular heart surgery employing CPB were assigned to receive either ulinastatin (group U, n = 13) or a placebo (group C, n = ...
Dienstknecht T - - 2013
We report the functional and socioeconomic long-term outcome of patients with pelvic ring injuries. We identified 109 patients treated at a Level I trauma centre between 1973 and 1990 with multiple blunt orthopaedic injuries including an injury to the pelvic ring, with an Injury Severity Score (ISS) of ≥ 16. ...
Kristeller Judith L - - 2013
STUDY OBJECTIVE: Because alkalinization of the renal tubules can theoretically protect against the mechanisms of acute kidney injury, we sought to determine whether a sodium bicarbonate infusion can prevent acute kidney injury after cardiac surgery. DESIGN: Prospective, randomized, double-blind, controlled trial. SETTING: Cardiac surgery service in a community hospital. PATIENTS: ...
Ghorbani Ali A Department of Nephrology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, - - 2013
Renal injury is common following cisplatin infusion. Some agents have been used to attenuate cisplatin nephrotoxicity. However, except hydration, none of them has been proved to be effective. In this study selenium as an antioxidant supplement was tested on cisplatin induced renal injury. 122 cancerous patients (85 male and 37 ...
Tsai January Y - - 2013
OBJECTIVE: Selective antegrade cerebral perfusion (ACP) during hypothermic circulatory arrest (HCA) provides cerebral protection during aortic arch surgery. However, the ideal temperature for HCA during ACP remains unknown. Clinical outcomes were compared in patients who underwent moderate (nasopharyngeal temperature, ≥20°C) versus deep (nasopharyngeal temperature, <20°C) HCA with ACP during aortic ...
Quirke Michael - - 2013
INTRODUCTION: Patients  with corneal foreign bodies (CFBs) often present to the emergency department (ED). However, removal techniques vary among emergency physicians (EPs). A prospective, single-blinded, observational study was performed to compare slit-lamp-aided (SLA) versus non-slit-lamp-aided (NSLA) CFB removal by EPs. METHODS: Five EPs enrolled consecutive patients with a CFB over ...
Santana Orlando - - 2013
BACKGROUND: We evaluated the safety and feasibility of minimally invasive mitral valve repair with papillary muscle sling placement via a right anterior thoracotomy approach in patients with severe functional mitral regurgitation (MR). METHODS: We retrospectively reviewed all minimally invasive mitral valve repairs with papillary muscle sling placement in patients with ...
Gamboa Gloria Mabel - - 2013
Autologous fat graft transplantation has become increasingly popular in recent years. The recognition that soft tissue volume loss contributes to the aging of the face has driven the use of this procedure. Tumescent lipoaspirate provides ready accessibility of tissue for this transplantation, despite some perceived deficiencies in the predictability of ...
Celik Feyzi - - 2013
BACKGROUND: The purpose of this study is the investigation of the effects of intrathecally injected dexmedetomidine and methylprednisolone and their dominancy over one another in rats with generated Spinal Cord Injury (SCI). METHODS: 40, female, adult Wistar Albino rats weighing 220-260g were included in the study. The rats were fixed ...
Chiu Chih-Hao CH Chang Gung Memorial Hospital, Taoyuan, - - 2013
We developed a technique for endoscopy-assisted percutaneous repair of acute Achilles tendon tears. Nineteen patients with acute Achilles tendon tears were prospectively recruited into the study. All patients (18 male, 1 female) had sports-related injuries. Preoperative diagnosis was made from patient history, physical examination, and sonography. The average patient age ...
Hultman Charles Scott - - 2013
INTRODUCTION: Hypertrophic burn scars produce significant morbidity, including itching, pain, stiffness, and contracture. Best practices for management continue to evolve. Lasers have recently been added to treatment algorithms, but indications and efficacy have not been fully defined. We studied the impact of laser therapies on hypertrophic burn scars. METHODS: We ...
Morrison A P AP Royal Liverpool and Broadgreen University Hospital NHS Trust, Prescot Street, Liverpool L7 8XP, - - 2013
Spinal anaesthesia is the primary anaesthetic technique for many types of surgery. Adjuncts to the local anaesthetics (LA) used in spinal anaesthesia can exhibit undesirable side-effects, limiting their use, but magnesium may have advantages in this respect. We sought randomized control trials (RCTs) in patients undergoing all types of surgery ...
Karvonen Jukka - - 2013
Abstract Background: BDIs complicate 0.5 - 0.8% of all LCs even after the learning curve and the limited QoL data on these patients are conflicted. The objective of the current study was to compare the quality of life (QoL) of patients who sustained a bile duct injury (BDI) during laparoscopic ...
Duytschaever Mattias - - 2013
BACKGROUND: To prevent thrombo-embolic (TE) events during ablation of atrial fibrillation (AF), warfarin is recommended in all patients irrespective of baseline TE risk. We evaluated the efficacy and safety of a simplified periprocedural anticoagulation strategy of aspirin (ASA) and low molecular weight heparin (LMWH) in patients at low TE risk. ...
Meguro Kentaro - - 2013
Transcatheter aortic valve implantation (TAVI) is effective in treating severe aortic stenosis in high-risk surgical patients. We evaluated the value of the QRS duration (QRSd) in predicting the mid-term morbidity and mortality after TAVI. We conducted a prospective cohort study of 91 consecutive patients who underwent TAVI using the CoreValve ...
Itoi Eiji - - 2013
BACKGROUND:Immobilization in external rotation is one of the treatment options for an initial dislocation of the shoulder. However, it remains unclear how long it takes for a Bankart lesion to heal. HYPOTHESIS:Protection of a healing Bankart lesion from stretching would promote the healing process and decrease the recurrence rate after ...
Felson D T DT Clinical Epidemiology Unit, Boston University School of Medicine, Boston, MA 02118, USA. - - 2013
To determine the effect of physical activity on knee osteoarthritis (OA) development in persons without knee injury and according to knee alignment. We combined data from Multicenter Osteoarthritis (MOST) and Osteoarthritis Initiative (OAI), studies of persons with or at high risk of OA. Subjects had long limb and repeated posteroanterior ...
Cooper D James DJ Department of Intensive Care, Alfred Hospital, Melbourne, Australia - - 2013
Mortality is higher in patients with traumatic brain injury (TBI) resuscitated with albumin compared with saline, but the mechanism for increased mortality is unknown. In patients from the Saline vs. Albumin Fluid Evaluation (SAFE) study with TBI who underwent intracranial pressure (ICP) monitoring, interventional data were collected from randomization to ...
Jamjoom Aimun A B - - 2013
Abstract Patients with traumatic brain injury (TBI) are at an increased risk of developing venous thromboembolic events (VTE). Pharmacological thromboprophylaxis (PTP) is routinely delayed because of concerns of exacerbating intracranial hemorrhage (ICH). The aim of this review is to examine the literature and assimilate suitable data to assess the safety ...
Ali Asghar - - 2013
Phosphodiesterase 5 inhibitors are cardio-protective against myocardial reperfusion ischemic injury in animal modelsbut are contraindicated in patients with coronary disease who take nitrates because of a risk for hypotension. We investigated the safety of vardenafil in patients undergoing coronary bypass grafting surgery (CABG). A single dose of vardenafil was given ...
Fukui Kiyokazu - - 2013
We previously reported the results of wear comparison at a minimum of 5years between highly cross-linked polyethylene (HXLPE) and conventional polyethylene (PE) against a zirconia femoral head. We now report the mean wear at 10years for 52 patients (56 hips) of the original cohort of 61 patients (65 hips) who ...
Hill Nicholas S - - 2013
QUESTION In ventilated patients without acute lung injury or the acute respiratory distress syndrome (ARDS), does protective ventilation with lower tidal volumes (VT) improve outcomes compared with conventional ventilation? REVIEW SCOPE Included studies compared protective ventilation (lower VT) with conventional ventilation (higher VT) in patients who did not meet the ...
Lauzier François - - 2013
QUESTION In critically ill adults, what are the efficacy and safety of 6% hydroxyethyl starch (HES) 130/0.4 compared with saline for fluid resuscitation? METHODS DESIGN Randomized controlled trial (RCT) (Crystalloid versus Hydroxyethyl Starch Trial [CHEST]). ClinicalTrials.gov NCT00935168. ALLOCATION Concealed.* BLINDING Blinded* (patients, clinicians, {data collectors, outcome assessors, and data analysts}†). ...
Prakash S S Department of Anesthesia and Intensive Care, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi, India. - - 2013
Maternal position affects spinal block characteristics. We investigated the effect of lateral, modified lateral and sitting position for spinal anesthesia with 2 mL hyperbaric bupivacaine 0.5% on spinal block characteristics in this prospective, randomized study. Seventy-five ASA physical status I parturients were randomly allocated to the left lateral to supine-wedged, ...
Kievit Arthur J - - 2013
PURPOSE: The purpose of this study was to assess the degree of osteoarthritis, degree of laxity, and quality-of-life (QOL) scores in primary and revision anterior cruciate ligament (ACL) reconstruction. METHODS: This was a cross-sectional study; 25 patients who had undergone revision ACL reconstruction with allografts were identified and compared with ...
Pang Xiaoyang - - 2013
PURPOSE: Retrospective analysis of the clinical efficacy and feasibility of patients with thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. METHOD: A total of 18 patients with thoracolumbar tuberculosis (TB), between February 2007 and February 2011, underwent one-stage ...
Saitoh Masakazu - - 2013
BACKGROUND: The aim of this multicenter study was to evaluate the relationship between preoperative kidney function, postoperative acute kidney injury (AKI), and postoperative fluid balance (POFB) with the progress of early postoperative cardiac rehabilitation (CR) in patients undergoing isolated cardiac surgery. METHODS: Four hundred twenty three consecutive patients (137 females, ...
Chen Yih-Chou - - 2013
OBJECTIVES: To investigate the therapeutic effects of repeated detrusor onabotulinumtoxinA injections on treatment outcomes, quality of life (QoL), and glomerular filtration rate (GFR) in chronic spinal cord injured (SCI) patients with neurogenic lower urinary tract dysfunction and urinary incontinence. MATERIALS AND METHODS: Patients with SCI who failed antimuscarinic treatment were ...
Romagna Alexander - - 2013
BACKGROUND: Tethered spinal cord syndrome (TCS) is characterized by attachment of the spinal cord down toward the tail end of the spine, comprising the danger of myelopathic symptoms. We retrospectively analyzed postoperative neurological outcome in adult patients with congenital TCS with special regard to the extent of resection of concomitant ...
Tanriverdi Fatih - - 2013
Traumatic brain injury (TBI) has been recently recognized as a common cause of pituitary dysfunction. However there are not sufficient numbers prospective studies to understand the natural history of TBI induced hypopituitarism. The aim was to report the results of 5 years prospective follow-up results of anterior pituitary function in ...
Liu Xin - - 2013
BACKGROUND:Symptomatic medial collateral ligament (MCL) instability is rare, and it is frequently associated with multiligament injuries. Most clinical investigations have failed to clearly define the specific objective outcome measures assessing the stability of the MCL quantitatively before and after the reconstruction procedure. PURPOSE:To quantitatively evaluate the early clinical outcomes of ...
Kouloulas Efthimios J - - 2013
The severity of traumatic brain injury (TBI) is determined by many variables, the complexity of which has made prediction of functional outcome an elusive target. To evaluate whether the three components of the Glasgow Coma Scale (GCS) and their alterations over time can serve as predictors of functional outcome after ...
Leder Steven B - - 2013
OBJECTIVES:: This prospective single-arm study investigated both laryngeal physiology and voice acoustic measures in patients undergoing minimally invasive parathyroidectomy (MIP) due to primary hyperparathyroidism (primary HPTH). BACKGROUND:: Avoidance of recurrent or superior laryngeal nerve injury and maintenance of normal laryngeal physiology and vocal function are key goals in the treatment ...
Pereira Bruno Monteiro Tavares - - 2013
BACKGROUND: Penetrating traumas, including gunshot and stab wounds, are the major causes of cardiac trauma. Our aim was to describe and compare the variables between patients with penetrating cardiac trauma in the past 20 y in a university hospital, identifying risk factors for morbidity and death. METHODS: Review of trauma ...
Leitgeb Johannes - - 2013
BACKGROUND: Patients with traumatic brain injury (TBI) frequently have concomitant injuries; we aimed to investigate their impact on outcomes. METHODS: Between February 2002 and April 2010, 17 Austrian centers prospectively enrolled 863 patients with moderate and severe TBI into observational studies. Data on accident, treatment, and outcomes were collected. Patients ...
Lee Hongliang - - 2013
PURPOSE: Both passive flexion-active extension and active rehabilitation have shown advantages and disadvantages in tendon healing. The purpose of this study was to measure the effect of a combination of these 2 rehabilitation protocols. METHODS: A tendon injury model was used in white Leghorn chickens. Thirty-two animals were randomly assigned ...
Engebretsen Steven R - - 2013
Background: The robotic monopolar scissors Tip Cover Accessory (TCA) is an insulation device that prevents current leak from surfaces on the instrument other than the scissors tip. Reports of insulation failure and patient injury have been made, but not systematically studied. We investigate the incidence of TCA failure and potential ...
Lozos Vasileios A - - 2013
BACKGROUND: Potassium adenosine triphosphate (KATP) channel openers have been involved in the enhancement of ischemic tolerance in various tissues. The purpose of the present study is to evaluate the effects of aprikalim, a specific KATP channel opener, on spinal cord ischemic injury. METHODS: Fifty-four rabbits were randomly assigned to three ...
Provencher Matthew T - - 2013
BACKGROUND:There is a paucity of type 2 superior labrum anterior and posterior (SLAP) surgical outcomes with prospective data. PURPOSE:To prospectively analyze the clinical outcomes of the arthroscopic treatment of type 2 SLAP tears in a young, active patient population, and to determine factors associated with treatment success and failure. STUDY ...
Acar U─čur - - 2013
The object of this study was to determine factors that might be associated with intraocular pressure (IOP) elevation after anterior segment open globe injuries (zone I). Data were obtained from the records of 68 patients who experienced zone I open globe injury between January 2008 and October 2010. Group I ...
Deniz Yeliz Y Staff Doctor, MD, Karaelmas University, School of Medicine, Department of Anaesthesiology and Reanimation, Zonguldak, - - 2013
In our study we aimed to investigate the effect of bupivacaine and levobupivacaine on QT, corrected QT (QTc), and P wave dispersion durations during spinal anesthesia in cesarean section. Sixty parturients scheduled for elective cesarean section in ASA I-II risk groups were included in the study. Baseline electrocardiographic (ECG) records ...
Sinikoglu Nadir S - - 2013
This study was conducted to investigate the effects of reinsertion of the stylet after a spinal anesthesia procedure on the Post Dural Puncture Headache (PDPH). We have enrolled into this study 630 patients who were undergoing elective operations with spinal anesthesia and randomized them to Group A (stylet replacement before ...
Georgiev Stanimir - - 2013
OBJECTIVES: Phrenic nerve injury after paediatric heart surgery is associated with significant morbidity. Surgical plication of the diaphragm is believed to be beneficial to the patient, with difficult weaning from ventilation; however, the optimal timing remains unclear. We aimed to compare the outcome after two different strategies for treating hemidiaphragmatic ...
Deniz Yeliz - - 2013
BACKGROUND AND OBJECTIVES: In our study we aimed to investigate the effect of bupivacaine and levobupivacaine on QT, corrected QT (QTc), and P wave dispersion durations during spinal anesthesia in cesarean section. METHODS: Sixty parturients scheduled for elective cesarean section in ASA I-II risk groups were included in the study. ...
Dewar David C - - 2013
The epidemiology of multiple-organ failure (MOF) after injury has been changing, questioning the validity of previously described prediction models. This study aimed to describe the current epidemiology of MOF. The secondary aim was development of a prediction model that could be used for early identification of patients at risk of ...
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