Incidence of complications among operative pediatric supracondylar humerus fractures using medial and lateral pins: a safe technique for percutaneous medial pin placement.

Cross-pinning of displaced pediatric supracondylar elbow fractures offers a superior stability construct. However, there is a reluctance to use this construct by closed means because of the risk of iatrogenic ulnar nerve injuries associated with percutaneous medial pin placement. This study describes a safe technique for closed reduction percutaneous with medial pin placement.

The Social Media Footprint of Pediatric Surgery Fellowship Programs: Where Do We Stand?

Introduction: Social media utilization is expanding within graduate medical education and academic surgery. This study aims to quantify the current social media footprint of pediatric surgery (PS) fellowship training programs.

Methods: United States PS fellowship programs from the American Pediatric Surgical Association website and social media accounts on three platforms (Facebook, Instagram, Twitter) were identified.

Monozygotic twins discordant for a congenital cranial dysinnervation disorder with features of Moebius syndrome.

Moebius syndrome is a congenital cranial dysinnervation disorder (CCDD) that presents with nonprogressive cranial nerve (CN) VI and VII palsies resulting in facial weakness and inability to abduct the eye(s). While many CCDDs have an underlying genetic cause, the etiology of Moebius syndrome remains unclear as most cases are sporadic. Here, we describe a pair of monochorionic, diamniotic twin girls; one with normal growth and development, and one with micrognathia, reduced facial expression, and poor feeding.

A Rare Case of Erosive Esophagitis Due to Sarcina Ventriculi Infection.

is a Gram-positive anaerobic found in soil that is a rare cause of inflammatory infections of the GI tract. This bacterium has a propensity for causing gastritis in patients with delayed gastric emptying. Of the 66 reported cases in the literature, 10 involved the esophagus.

Expanding the clinical phenotype of individuals with a 3-bp in-frame deletion of the NF1 gene (c.2970_2972del): an update of genotype-phenotype correlation.

Purpose: Neurofibromatosis type 1 (NF1) is characterized by a highly variable clinical presentation, but almost all NF1-affected adults present with cutaneous and/or subcutaneous neurofibromas. Exceptions are individuals heterozygous for the NF1 in-frame deletion, c.2970_2972del (p.

Genotype-phenotype correlations in individuals with pathogenic RERE variants.

Heterozygous variants in the arginine-glutamic acid dipeptide repeats gene (RERE) have been shown to cause neurodevelopmental disorder with or without anomalies of the brain, eye, or heart (NEDBEH). Here, we report nine individuals with NEDBEH who carry partial deletions or deleterious sequence variants in RERE. These variants were found to be de novo in all cases in which parental samples were available.

Prevalence of antibodies against hepatitis C virus in a dialysis unit.

Anti-HCV was tested in 77 uremic patients, 48 on hemodialysis (HD), 29 on CAPD, by immunoenzymatic 1st and 2nd generation assays (ELISA I, II) and 4-antigen (4-RIBA) immublotting. The investigation was extended to the staff (n = 29) and to HCV-positive patients' families (n = 30). The prevalence using 2nd generation tests was double (21%) that in 1st generation tests (11%).

A new protocol for assessing viseme perception in sentence context: the lipreading discrimination test.

Forty-six hearing-impaired young adults were tested with a newly developed instrument that requires a discrimination response to assess viseme perception as a component of lipreading performance. Stimuli were videotaped sentences that differed on half of the trials from a captioned target sentence by one viseme embedded in the middle of the sentence. Discrimination within six visual categories was tested: gross syllable pattern, consonant articulation--lips, consonant articulation--tongue, vowel articulation--extreme lip shapes, vowel articulation--graded lip shapes, and vowel articulation--jaw movement.

Detection of a temporal gap in low-frequency narrow-band signals by normal-hearing and hearing-impaired listeners.

Temporal processing ability in the hearing impaired was investigated in a 2IFC gap-detection paradigm. The stimuli were digitally constructed 50-Hz-wide bands of noise centered at 250, 500, and 1000 Hz. On each trial, two 400-ms noise samples were paired, shaped at onset and offset, filtered, and presented in the quiet with and without a temporal gap.