Search Results
Results 401 - 450 of 2572
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Scheyerer Max J - - 2013
The influence of high blood alcohol level (BAL) on the outcome of severely injured patients and the corresponding pathophysiological changes is a controversial issue. To carry out a prognostic study to compare the physiological values and short-term outcome of severely injured patients depending on their serum alcohol level. A total ...
Sobel Michael - - 2013
All humans have natural, protective antibodies directed against phosphorylcholine (PC) epitopes, a common inflammatory danger signal appearing at sites of cell injury, oxidative stress, and on bacterial capsules. In large human cohorts, low levels of anti-PC IgM were associated with a significantly increased risk of stroke or myocardial infarction. However, ...
Chen Xiaobin - - 2013
The effects of nutrition on the mortality of cervical spinal cord injury (CSCI) patients, unlike other risk factors, are poorly documented. The relationship between dynamic nutritional status change and mortality in patients treated for CSCI was investigated. A retrospective study of 128 patients treated for CSCI at the Beijing Army ...
Dinkel J - - 2013
BACKGROUND AND PURPOSE:Extensive white matter damage has been documented in patients with severe traumatic brain injury, yet how this damage evolves in the long term is not well understood. We used DTI to study white matter changes at 5 years after traumatic brain injury.MATERIALS AND METHODS:There were 8 healthy control ...
Moen Kent Gøran - - 2013
The objective of this study was to explore the evolution of apparent diffusion coefficient (ADC) values in MRI in normal appearing tissue of the corpus callosum during the first year after traumatic brain injury (TBI) and relate findings to outcome. 57 patients (mean age 34 [11-63] years) with moderate to ...
Tarwala Rupesh - - 2013
Total knee arthroplasty with the use of a tourniquet during the entire operation has not been shown to improve the performance of the operation and may increase the risk of complications. We asked whether the limited use of a tourniquet for cementation only would affect (1) surgical time; (2) postoperative ...
Kedev Sasko - - 2013
Objectives: We evaluated the safety and feasibility of transulnar approach when ipsilateral radial access was not available. Methods and results: From March 2011 until February 2013, 476 consecutive patients that underwent transulnar catheterization were included in a single center prospective registry of effectiveness and safety. Diagnostic coronary angiography accounted for ...
Delaney Ruth A - - 2013
Partial humeral head resurfacing arthroplasty uses a stemless device, which conserves bone and restores normal anatomy. We hypothesized that this does not offer a reasonable alternative to full resurfacing or total shoulder arthroplasty. We performed a retrospective study of 39 shoulders with focal chondral defects of the humeral head treated ...
Krishnan Manju - - 2013
Introduction: hip fracture is expensive in terms of mortality, hospital length of stay (LOS) and consequences for independence. Poor outcome reflects the vulnerability of patients who typically sustain this injury, but the impact of different comorbidities and impairments is complex to understand. We consider this in a prospective cohort study ...
Tasanarong Adis - - 2013
Cardiac surgery-associated acute kidney injury (CSA-AKI) is a common complication following coronary bypass graft (CABG) surgery. Multi-factorial causes of CSA-AKI involve oxidative stress and inflammation. Erythropoietin (EPO) has been shown from many studies to have a reno-protective effect. The present study was conducted to examine the role of EPO in ...
Luque-Suarez A - - 2013
The first aim of this study was to investigate whether kinesiotaping (KT) can increase the acromiohumeral distance (AHD) in asymptomatic subjects in the short term. The second aim was to investigate whether the direction of kinesiotaping application influences AHD. In recent years, the use of KT has become increasingly popular ...
Watari Ikue - - 2013
Treatment of low-dose aspirin (LDA)-induced small-bowel injury has not been established. Polaprezinc, a chelate of zinc and L-carnosine, may be efficacious for such injury. We conducted a pilot randomized controlled study to investigate whether polaprezinc is effective against LDA-induced small-bowel injuries. Consecutive patients under long-term (>3 months) LDA treatment and ...
Meftah Morteza - - 2013
Ceramic femoral heads produce less wear of the opposing polyethylene than do metal femoral heads in wear simulation studies. This is a matched-pair analysis of the wear of ceramic and metal femoral heads on conventional polyethylene in uncemented total hip replacements in young, active patients at a minimum of fifteen ...
Omae Kenji - - 2013
Mannitol has been administered during partial nephrectomy as a renal protective agent for ischemic damage. However, we do not have any high-level clinical evidence of its effectiveness. The aim of the present study was to evaluate the effect of mannitol during open partial nephrectomy by comparing the postoperative renal function ...
Zhu Ying - - 2013
To compare the clinical outcome of patients undergoing liver resection under ischemic preconditioning (IP) versus intermittent clamping (IC). A systematic literature search was conducted to detect randomized controlled trials (RCTs) comparing ischemic preconditioning and intermittent clamping of portal triad. A meta-analysis was conducted to estimate postoperative morbidity and mortality, blood ...
Yeatts Dale J - - 2013
Many resuscitation scenarios include the use of emergency intubation to support injured patients. New video-guided airway management technology is available, which may minimize the risk to patients from this procedure. This was a controlled clinical trial conducted in the trauma receiving unit in a university-affiliated urban hospital in which 623 ...
Wu Jau-Ching - - 2013
Object This study aimed to determine the age- and sex-specific incidence of cervical spondylotic myelopathy (CSM) and its associated risk of causing subsequent spinal cord injury (SCI). Methods Using the National Health Insurance Research Database (NHIRD), a 12-year nationwide database in Taiwan, this retrospective cohort study analyzed the incidence of ...
Ashes Catherine - - 2013
Perioperative metoprolol increases postoperative stroke. Animal studies indicate that the mechanism may be related to attenuated β2-adrenoreceptor-mediated cerebral vasodilatation. The authors therefore conducted a cohort to study whether the highly β1-specific β-blocker (bisoprolol) was associated with a reduced risk of postoperative stroke compared with less selective β-blockers (metoprolol or atenolol). ...
Holcomb John B - - 2013
There are few clinical data to guide the use of cryoprecipitate in severely injured trauma patients. Cryoprecipitate is a rich source of fibrinogen, and has been associated with improved survival in animal as well as limited human studies. Our objective was to identify patterns and predictors of cryoprecipitate use and ...
Chhabra Gaurav - - 2013
Coagulopathy frequently occurs following traumatic brain injury (TBI) and usually occurs 6-72 hour post-trauma. The incidence and the probable risk factors for development of coagulopathy and poor outcome following TBI are largely unknown and vary considerably. To assess the incidence and probable risk factors for development of coagulopathy and to ...
Yeung Jacky T - - 2013
Animal and molecular studies have shown that cocaine exerts a neuroprotective effect against cerebral ischemia. To determine if the presence of cocaine metabolites on admission following traumatic brain injury (TBI) is associated with better outcomes. Level-1 trauma center, retrospective cohort. After obtaining Institutional Review Board (IRB) approval, the trauma registry ...
Banerjee Aman - - 2013
This study aimed to evaluate if variation in management of blunt splenic injury (BSI) among Level I trauma centers is associated with different outcomes related to the use of splenic artery embolization (SAE). All adult patients admitted for BSI from 2008 to 2010 at 4 Level I trauma centers were ...
Holcomb John B - - 2013
There are few clinical data to guide the use of cryoprecipitate in severely injured trauma patients. Cryoprecipitate is a rich source of fibrinogen and has been associated with improved survival in animal as well as limited human studies. Our objectives were to identify patterns and predictors of cryoprecipitate use and ...
Riha Gordon M - - 2013
Previous studies have shown large-volume resuscitation modulates coagulopathy and inflammation. Our objective was to analyze the effects of initial bolus fluids used in military and civilian settings on coagulation and inflammation in a prospective, randomized, blinded trial of resuscitation of uncontrolled hemorrhage. Fifty swine were anesthetized, intubated, and ventilated and ...
Joseph Bellal - - 2013
Neurosurgical services are a limited resource and effective use of them would improve the health care system. Acute care surgeons (ACS) are accustomed to treating mild traumatic brain injury (TBI) including those with minor radiographic intracranial injuries. We hypothesized that ACS safely manage mild TBI with intracranial hemorrhage (ICH) on ...
Hampton David A - - 2013
Delivery of intravenous crystalloid fluids (IVF) remains a tradition-based priority during prehospital resuscitation of trauma patients. Hypotensive and targeted resuscitation algorithms have been shown to improve patient outcomes. We hypothesized that receiving any prehospital IVF is associated with increased survival in trauma patients compared with receiving no prehospital IVF. Prospective ...
Raja Shahzad G - - 2013
Octogenarians, as the fastest growing stratum of the population and with the highest prevalence of coronary artery disease, are being increasingly referred for coronary artery bypass grafting (CABG). The general perception is that the presence of comorbidities and the propensity for neurological injury expose them to a higher risk for ...
Reis Helena França Correia Dos - - 2013
To investigate the association between the rapid shallow breathing index and successful extubation in patients with traumatic brain injury. This study was a prospective study conducted in patients with traumatic brain injury of both genders who underwent mechanical ventilation for at least two days and who passed a spontaneous breathing ...
Durukan A B - - 2013
Cardiopulmonary bypass causes a series of inflammatory events that have adverse effects on the outcome. The release of cytokines, including interleukins, plays a key role in the pathophysiology of the process. Simultaneously, cessation of ventilation and pulmonary blood flow contribute to ischaemia-reperfusion injury in the lungs when reperfusion is maintained. ...
Munivenkatappa Ashok A Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, - - 2013
To describe the epidemiology of head injuries sustained due to bicycle accidents in India. Data were retrospectively collected over a period of six months (15 May 2011 to 15 November 2011). Demography of patients, Glasgow coma scale (GCS), clinical and imaging findings, and mortality and outcome using Glasgow outcome scale ...
Kumar Shine S Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, - - 2013
To study the impact of red cell distribution width (RDW) on postoperative recovery after correction of Tetralogy of Fallot (TOF). Increased RDW indicates dysregulated erythropoiesis and predicts survival in critical illnesses that include idiopathic pulmonary artery hypertension and chronic heart failure. Myocardial injury and oxidative stress induced by cardiopulmonary bypass ...
Salehi Seyed Hamid - - 2013
Electrical injury in construction workers due to contact with overhead power lines accounts for an important cause of admission at the emergency department. Due to lack of specific treatment options for this type of injury, prevention remains the mainstay of management. Our study aimed to demonstrate the characteristics of electrical ...
Vinita Puri - - 2013
The present study attempts to compare how the patients who undergo early excision and grafting behave as compared with patients who are treated along usual conservative lines of management in centers where the resources are less than optimal. The data of 20 female patients were analyzed. Age of the patients ...
Trichine Faycal - - 2013
A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) ...
Shyamsundar Murali - - 2013
To test whether simvastatin improves physiological and biological outcomes in patients undergoing esophagectomy. One-lung ventilation during esophagectomy is associated with inflammation, alveolar epithelial and systemic endothelial injury, and the development of acute lung injury (ALI). Statins that modify many of the underlying processes are a potential therapy to prevent ALI. ...
Boykin Robert E - - 2013
Injuries of the hip in the adolescent and young adult athlete are receiving more attention with advances in the understanding of femoroacetabular impingement (FAI), labral pathology, and hip arthroscopy. Labral tears have not been well characterized in rowers. The purposes of this study were (1) to describe the clinical presentation ...
Ebert Jay R JR School of Sport Science, Exercise and Health, University of Western Australia, Crawley, Perth, WA, Australia; Hollywood Functional Rehabilitation Clinic, Nedlands, Perth, WA, Australia. Electronic address: - - 2013
To investigate the efficacy of manual lymphatic drainage (MLD) in the early postoperative period after total knee arthroplasty (TKA) to reduce edema and pain and improve knee range of motion. Prospective randomized controlled trial. Private hospital and functional rehabilitation clinic. Consecutive sample of patients (N=43; 53 knees) scheduled for TKA. ...
Sugasawa Yusuke - - 2013
To assess the impact of stroke volume index (SVI) at the end of esophagectomy upon postoperative renal function. We reviewed medical records of 128 patients undergoing esophagectomy. Intraoperative hemodynamics were monitored with the FloTrac sensor/Vigileo monitor system in addition to standard monitors. Patients were divided into two groups according to ...
Fedorka Catherine J - - 2013
A private payer database was used to examine the incidence and rates of knee arthroscopy in patients less than 65years of age and the subsequent risk of knee arthroplasty. Time to event analysis was performed using the Kaplan-Meier method; also, Cox regression analysis was used to evaluate the relative risk ...
Dahl Jon J Department of Orthopaedics, Ringerike Hospital, Hønefoss, Norway. - - 2013
Excessive wear of acetabular liners in hip replacements may lead to osteolysis and cup loosening. Different head materials are currently used. We measured differences in wear between alumina and cobalt-chrome heads with the same polyethylene liner. 39 patients (43 hips) with osteoarthritis were included in a study with 10-year follow-up. ...
Seo J-H - - 2013
/st>During endobronchial intubation with a double-lumen endobronchial tube (DLT), the DLT is conventionally rotated through 90° when the bronchial tip is just past the vocal cords. This study was performed to investigate if rotation of the DLT through 180° decreases postoperative hoarseness, sore throat, or vocal cord injuries. /st>Patients (n=164) ...
Pol Robert A - - 2013
To evaluate the outcome of carotid endarterectomy (CEA) in octogenarians. Between January 2005 and July 2010, all CEA patients were prospectively recorded. Patients were categorized into those <80 and ≥80 years of age. Primary outcome measures were hospital duration of stay (HDOS), mortality, any stroke, and postprocedural complications. In total, ...
Bianchi Paolo - - 2013
BACKGROUND:Acute renal failure (ARF) is a severe complication of cardiac operations in pediatric patients. Angiography with the exposure to contrast media is a risk factor for ARF. In the present study, we explored the association between timing of angiography, dose of contrast media, and the incidence of ARF after cardiac ...
Singh Balwinder - - 2013
BACKGROUND:: The use of beta-2 agonist as an intervention for acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) patients is controversial. Therefore, we performed a systematic review and meta-analysis of the published randomized controlled trials (RCT) using beta (β)-2-agonists to improve outcomes (mortality and ventilator free days) among patients with ...
Mori Jinichi - - 2013
To assess the localized incidence of dog bites following the nuclear accident related to the Great East Japan Earthquake in March 2011. We identified the patients with dog bites in our hospital in Minamisoma City, Fukushima, during the period from 1 year prior to the earthquake to 3.5 months following ...
Hohman Donald W - - 2013
Comminuted intra-articular distal humeral fractures represent a challenging upper extremity injury. This study reviews clinical and radiographic results in patients with distal humeral hemiarthroplasty (DHH). DHH with the Latitude prosthesis (Tornier, Saint-Ismier, France) was performed in 8 patients (mean age, 64 years; age range, 33-75 years) for unreconstructible fractures of ...
Holland A J A - - 2013
OBJECTIVE: To assess the accuracy of a Laser Doppler Line Scanner (LDLS) in predicting burn wound healing in children compared to conventional Laser Doppler Imaging (LDI). METHODS: A prospective study comparing a LDLS with a conventional LDI to assess burn wound Healing Potential (HP) was performed in 50 paediatric patients ...
Glotzbecker Michael P - - 2013
BACKGROUND:: Osteonecrosis of the humeral trochlea is an uncommon but challenging complication of pediatric elbow fractures. The purpose of this investigation was to characterize the clinical and radiographic presentation of fishtail deformity and outline a treatment algorithm. METHODS:: Fourteen patients were treated at a tertiary children's hospital between 1995 and ...
Joaquim Andrei F - - 2013
The Subaxial Injury Classification (SLIC) system has been developed to improve injury classification and guide surgical decision making yet clinical validation remains necessary. We evaluated the validity and safety of the SLIC system prospectively in patients treated for subaxial cervical spine trauma (SCST) between 2009 and 2012. Patients with four ...
Joaquim Andrei F - - 2013
The Thoracolumbar Injury Classification and Severity Score (TLICS) was proposed to improve injury classification and guide surgical decision-making of thoracolumbar spinal trauma (TLST), but its impact on the care of patients has not been quantified. Retrospective study. Patient sample: Analysis of 458 patients treated for TLST trauma from 2000 through ...
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