- A 6 year old boy presented with a history of falling on his left elbow and being diagnosed with a soft tissue injury. He was subsequently seen in cardiology and orthopedic clinics.
- The document discusses a study of 63 pediatric patients with lateral condylar fractures of the humerus treated with either closed or open reduction from 2001-2005.
- Results found that closed reduction and in-situ pin fixation was effective for fractures with ≤2mm displacement, while open reduction was used for fractures with >2mm displacement after failed closed reduction. Complications were minor and outcomes were excellent or good for 96-100% of patients.
Critical Appraisal of an RCT using GATE - SPORT Trial Kshitij Chaudhary
This is a presentation given at the research methodology workshop at IOACON 2016, Kochi, India. Critical appraisal of the SPORT RCT study is presented using the GATE framework developed by Prof Rod Jackson. SPORT was a large multicenter trial conducted in the USA that compared surgery versus nonoperative treatment for lumbar disc herniation
reduction of a fixed anterior shoulder dislocation, rational, technique, earl...Duanerid
reduction of a fixed anterior shoulder dislocation, rational, technique, early results. rational, cadaver photo dissections, six patient followups, link to a video on Vumedi
http://www.drsandeepagrawal.com/spine.php
There are many different types of conditions that cause back pain. Like most medical conditions, back pain is treatable through several methodologies. Determining what condition you have is the key to determining the right treatment option for you. Back pain comes in many forms, lower back pain, middle back pain, and upper back pain are just a few of the symptoms associated with spinalconditions. You may also have pain or tingling in your extremities that may be indications of spinal conditions. Feel free to browse through our articles about conditions. Contact your doctor to set up an appointment to start your road to recovery.
Every person is different, so symptoms of conditions may present
differently for different people. Symptoms also vary depending on the
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Early Outcome of Discectomy with Interspinous Process Distraction Device a Re...CrimsonPublishersOPROJ
Early Outcome of Discectomy with Interspinous Process Distraction Device a Retrospective Cross-Sectional Study by Gunaseelan Ponnusamy* in Crimson Publishers: Orthopedic Research and Reviews Journal
Critical Appraisal of an RCT using GATE - SPORT Trial Kshitij Chaudhary
This is a presentation given at the research methodology workshop at IOACON 2016, Kochi, India. Critical appraisal of the SPORT RCT study is presented using the GATE framework developed by Prof Rod Jackson. SPORT was a large multicenter trial conducted in the USA that compared surgery versus nonoperative treatment for lumbar disc herniation
reduction of a fixed anterior shoulder dislocation, rational, technique, earl...Duanerid
reduction of a fixed anterior shoulder dislocation, rational, technique, early results. rational, cadaver photo dissections, six patient followups, link to a video on Vumedi
http://www.drsandeepagrawal.com/spine.php
There are many different types of conditions that cause back pain. Like most medical conditions, back pain is treatable through several methodologies. Determining what condition you have is the key to determining the right treatment option for you. Back pain comes in many forms, lower back pain, middle back pain, and upper back pain are just a few of the symptoms associated with spinalconditions. You may also have pain or tingling in your extremities that may be indications of spinal conditions. Feel free to browse through our articles about conditions. Contact your doctor to set up an appointment to start your road to recovery.
Every person is different, so symptoms of conditions may present
differently for different people. Symptoms also vary depending on the
condition, its severity, location, and other factors.
Early Outcome of Discectomy with Interspinous Process Distraction Device a Re...CrimsonPublishersOPROJ
Early Outcome of Discectomy with Interspinous Process Distraction Device a Retrospective Cross-Sectional Study by Gunaseelan Ponnusamy* in Crimson Publishers: Orthopedic Research and Reviews Journal
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In this presentation I summarize research on Endobutton-assisted repair of the distal biceps tendon. Find out more about hand and arm problems at http://www.noelhenley.com
Dr. Haley Dusek’s CMC Pediatric Orthopedic X-Ray Mastery Project: #6 Presenta...Sean M. Fox
Dr. Haley Dusek is an Emergency Medicine Resident and interested in pediatric emergency medicine and medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, and supervision of Dr. Danielle Sutton, a Pediatric Emergency Medicine specialist, and Dr. Virginia Casey, a Pediatric Orthopedic Surgeon, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Tufts fracture
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
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Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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Closed vs. open reduction in lateral condylar fractures of humerus in childern
1. Case Presentation
• 6 y.o. boy K/C of coarctation of the aorta status post
repair
• referred to Dr. Hamdi with Hx of Fall down to Lt elbow
9/7 before time of presentation.
• Family went to private clinic @ time of injury Dx soft
tissue injury, put him in back slab & discharged.
• Pt seen in cardiology clinic then referred to Dr. Hamdi.
• Seen in 1-2-2011 & Admitted.
• Pt was C/O pain & he was on back slap.
• Distal NV intact.
2.
3.
4.
5.
6. Closed vs. Open Reduction in
Lateral Condylar Fractures of
Humerus in Children
By
Dr. Yousef T. Khoja (R1)
7.
8. Materials and Methods
• Prospective studied 63 pts, 2001 – 2005 with
lateral condylar #.
• 4 views : anteroposterior, lateral, internal
oblique, and external oblique x-ray
• Measured from the lateral metaphyseal cortex
of the distal part of the humerus to the lateral
cortex of the fracture fragment.
• Greatest displacement on any single
radiograph was recorded as the amount of
displacement of the fragment.
9.
10.
11.
12.
13. Result
• 63 pts:
– 42 boys : 21 girls.
– Mean age 6 4/12 yr old.
– Rt 35 : 28 Lt.
– Mean F/U 25/12.
14. Result
• 63 pts:
– Stage1 & 2: 43 stable # excellent outcome.
– Stage 3: 17 pts
• 13 pts were reduced to ≤ 1mm
• Remaining 4 Rx w/ in situ pin fixation w/o
attempts reduction
– Stage 4: 40 ats.
• 30 pts were reduced to ≤ 2 mm
• Remaining 10 ORIF was performed
– Stage 5: 6 pts.
• 3 pts were reduced to ≤ 2 mm
• Remaining 3 ORIF was performed
15.
16.
17.
18. Result
• Complication:
– 11 pts had osteophyte formation w/o any
symptoms.
– 4 pts had mild hypertrophy of the
capitellum with no change in angle.
– There were no serious complications such
as osteonecrosis of the trochlea or
capitellum, nonunion, malunion, or early
physeal arrest
19. Result
• According to the criteria of Hardacre et al:
– 96 % excellent.
– 4 % good.
– 0 % poor.
• 46/63 ( 73 % ) were reduced and stabilized
with good results and no serious
complications.
20. Conclusion
• CRIF is an effective treatment for unstable
displaced lateral condylar fractures of the
humerus in many children. If fracture
displacement after closed reduction exceeds
2 mm, ORIF is recommended.