The prevalence of rotator cuff repair continues to rise, with a noted transition from open arthroscopic techniques in recent years. One reported advantage is lower infection rate. However, date, the rates these 2 have not been directly compared large samples at single institution fully integrated medical records.To retrospectively compare postoperative between and repair.Cohort study; Level evidence, 3.From January 2003 until May 2011, total 1556 patients underwent institution. These were...

In pediatric cardiac anesthesiology, there is increased focus on minimizing morbidity, ensuring optimal functional status, and using health care resources sparingly. One aspect of that has potential to affect all the above postoperative mechanical ventilation. Historically, ventilation was considered a must for maintaining patient stability. Ironically, it recognized may increase risk adverse outcomes in period. Hence, many institutions have advocated immediate extubation or early after...

Abstract Background There are currently no data on the relationship between frailty and mortality in pleural disease. Understanding outcomes is increasingly important for clinicians to guide decisions regarding investigation management. This study aims explore all-cause status patients with Methods In this retrospective analysis of a prospectively collected observational cohort study, outpatients presenting service at tertiary centre Bristol, UK radiologically confirmed, undiagnosed effusion...

In acute stroke, the target of therapy is severely hypoxic but salvageable tissue. Previous human studies using 18F-fluoromisonidazole and positron emission tomography (18F-FMISO PET) have shown high tracer retention indicative tissue hypoxia, which had normalized at repeat scan >48 h later. only validation study 18F-FMISO, ex vivo autoradiography in thread middle cerebral artery occluded (MCAo) rats, there was unexpected uptake as late 22 after reperfusion, raising questions about use...

Recurrent shoulder dislocation after surgical intervention in adolescents with anterior instability is now understood to occur a relatively high frequency. The remplissage procedure successfully used the adult population mitigate ability of Hill-Sachs lesion engage glenoid and can be during an arthroscopic Bankart repair for instability.To compare clinical outcomes adolescent patients who underwent or without treatment recurrent associated defects.Cohort study; Level evidence, 3.A...

This book examines a type of object that was widespread and very popular in classical antiquity - votive offerings the shape parts human body, using them to explore how beliefs about body changed throughout period.

Abstract Aim To evaluate the outcomes of a low‐cost hospital‐grade breast pump hire program for women experiencing financial hardship with infants in neonatal intensive care. Design A multi‐method evaluation including data audits and surveys. Methods Twenty‐four electric pumps were purchased rented to mothers at cost $1/day. be eligible, needed have given birth an infant <32 weeks and/or <1500 g self‐identified as hardship. Data collected by (1) retrospective audit feeding clinical...

This article represents an initial exploration of how allegorical figures were made and viewed in classical antiquity. It focuses on a well‐known series personifications which decorated second‐century ce temple complex the heart Rome. Previous studies these sculpted reliefs have engaged lively debate about nations are represented, without ever reflecting processes by group has been designed made. Here individual replaced within context group, fact that even most cosmopolitan ancient viewer...

Summary Background Dexmedetomidine is a selective alpha‐2 adrenergic agonist with sedative, analgesic, and anxiolytic properties. has not been approved for use in pediatrics. reported to depress sinus node atrioventricular nodal function pediatric patients; it suggested that the of dexmedetomidine may be desirable during electrophysiological studies. Aim We hypothesize does inhibit induction supraventricular tachyarrhythmias (SVT) studies ablation such arrhythmias. Methods In this...

Screw fixation is the most commonly employed strategy for displaced medial epicondyle fractures, but in younger patients with minimal ossification, fracture fragment may not accommodate a screw. In these situations, Kirschner-wires (K-wire) or suture anchors be utilized as alternatives. The purposes of this study were to examine biomechanical properties fractures fixed screw, K-wires, anchors, evaluate clinical outcomes and complications 10 years age treated approaches, perform...

Pleural infection is usually treated with empirical broad-spectrum antibiotics, but limited data exist on their penetrance into the infected pleural space. We performed a pharmacokinetic study analysing concentration of five intravenous antibiotics across 146 separate time points in 35 patients (amoxicillin, metronidazole, piperacillin-tazobactam, clindamycin and cotrimoxazole). All tested, apart from co-trimoxazole, reach fluid levels equivalent to within blood well above relevant minimum...

As more adults undergo surgical fixation of clavicle fractures with improved outcomes, interest is renewed in managing adolescents. The medial clavicular physis does not fuse until 23 to 25 years age, but studies report minimal growth during adolescence-studies that employed cross-sectional methodologies, which cannot capture patients over time. assumption length at each stage uniform, as the final overall length, may be accurate if age groups studied comprise various ethnicities,...

Patients suffering from tissue ischemia, who would greatly benefit angiogenesis-promoting therapies such as hypoxia preconditioned blood-derived secretomes commonly receive oral anticoagulation (OA) and/or have diabetes mellitus (DM). In this study, we investigated the effect of OA administration on in vitro angiogenic potential plasma (HPP) and serum (HPS), prepared nondiabetic/diabetic subjects did not (n = 5) or were treated with acetylsalicylic acid (ASA, n 8), ASA + clopidogrel 10),...

Many of the votive offerings which survive from antiquity were purpose-made for dedication. These include things like anatomical votives, figurines, temple models, and sculpted reliefs bearing scenes sacrifice or healing. Other types offer- ing not dedication but had served other functions before being brought to sanctuary, such as jewellery, tools, mirrors, cups, clothes children’s toys. Such ‘recycled’ (or, perhaps more accurately, ‘non-purpose-made’) votives arguably give us our most...

Hypoxia Preconditioned Plasma (HPP) and Serum (HPS) are regenerative blood-derived growth factor compositions that have been extensively examined for their angiogenic lymphangiogenic activity towards wound healing tissue repair. Optimization of these secretomes' profile, through adjustments the conditioning parameters, is a key step clinical application. In this study, autologous liquid components (plasma/serum) HPP HPS were replaced with various media (NaCl, PBS, Glucose 5%, AIM V medium)...

To examine the current attitudes towards prevention of venous thromboembolism among a cohort surgeons.A postal survey, comprising questionnaire covering various aspects prophylaxis was sent to all (n=84) consultant general surgeons in Wales.Replies were received from 57 (68%), whom routinely used prophylaxis, most frequent modalities being heparin (100%) and graded compression stockings (79%). A combination physical pharmacological methods by over 89% surgeons, with 60% starting more than...

Abstract Introduction As the population ages, frailty is becoming more common and understanding how impacts on patient outcomes has become an integral part of clinical care. To date, there no evidence available relationship between in pleural disease. In this study we explore both malignant non-malignant disease using modified index (mFI). Methods Analysis Outpatients with will be identified from a prospectively collected single-centre UK database their data notes retrospectively analysed....

Background: Accurate and reliable assessment of tibial torsional is critical for the identification treatment rotation malalignment, however ideal rotational measurement modality technique are controversial. This study compares measurements between computed tomography (CT), magnetic resonance imaging (MRI), biplanar erect radiograph (BER) reconstructions three-dimensional (3D) reconstructed CT before after standardized training to evaluate reliability. Methods: Eight adult cadaveric...

Up to 77% of women have uterine fibroids on histological examination hysterectomy specimens. Imaging is used primarily exclude other causes pelvic masses. Fibroid embolisation a relatively new technique that awaits long term data for validation. Short show 80% patients are happy with the improvement in their symptoms. The indications artery fibroid disease same as or myomectomy. most common complication post syndrome. 1% require after usually because infection.