Necrotizing soft tissue infections (NSTIs), characterized by extensive soft tissue destruction, are rare but life-threatening. We present a case of a NSTI in a healthy 65-year-old woman following a closed distal radius fracture. The patient presented with severe pain, fever, and lethargy 4 days after her index injury, with physical examination of the right upper limb revealing erythema and swelling to the mid-humeral level and blisters of the fingers and hand.
View Article and Find Full Text PDFBackground: Breast augmentation mammaplasty (BAM) remains the most popular cosmetic procedure done worldwide. Bleeding in this procedure increases the chance of capsular contracture. Tranexamic acid (TXA), an antifibrinolytic, has been widely used by other surgical specialties to reduce bleeding.
View Article and Find Full Text PDFBackground: Calculating an accurate prognosis for melanoma patients who have a positive sentinel node (SN) biopsy is important both for them and for their treating doctors to guide decision-making, particularly when adjuvant systemic therapy is being considered. The recently published EORTC-DeCOG nomograms aim to provide this via an online portal that predicts 5-year rates for recurrence, distant metastasis and overall mortality. The present study provides external validation of these nomograms.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
February 2017
Craniosynostosis is a condition in which one or more of the cranial sutures have fused prematurely, affecting the growth pattern and contours of the infant skull. The pterion is the junction of temporal, frontal, parietal, and sphenoid bones of the skull. We present a case of unilateral pterional craniosynostosis, which was treated with strip craniectomy and helmet therapy.
View Article and Find Full Text PDFArch Gerontol Geriatr
February 2015
Objectives: To examine whether centenarians have a unique set of personality traits, which may in part explain their longevity.
Methods: 79 Australian centenarians completed the NEO Five Factory Inventory (NEO-FFI), Connor-Davidson Resilience Scale (CD-RISC) and Life Orientation Test Revised (LOT-R) to assess different dimensions of their personalities. Centenarians were asked to answer items of the NEO-FFI, CD-RISC and LOT-R based on current views, and were then asked to recall in the presence of an informant (e.
Aim: To examine the lifetime prevalence and initial onset of diseases among centenarians.
Methods: In this descriptive study, we administered structured questionnaires by interview to 188 centenarians and asked about the presence and timing of 14 common age-related diseases.
Results: The most common conditions were ocular disease (70%), arthritis (58%) and hypertension (40%).
Australas J Dermatol
August 2011
Background: Lymphatic malformations (LM) are rare vascular malformations.
Objectives: To define the clinical characteristics of children with LM and their management.
Methods: We performed a retrospective chart review of children with LM and telephone interviews with parents.
Objectives: To examine the physical, mental, and cognitive function of centenarians.
Design: Descriptive study using a structured questionnaire and convenience sampling.
Setting: Residential care facilities and private dwellings in Australia.
Background: The objective of this study was to examine blood pressure (BP) and cholesterol levels among centenarians in Australia, and to compare the relationship between these biological parameters with cognitive and functional status.
Methods: We performed BP (n = 142) and cholesterol (n = 67) measurements using the Omron automated sphygmomanometer (Omron Healthcare, Melbourne, Australia) and the LDX Cholestech Analyzer (Inverness Medical, San Diego, CA), respectively. A medical history was also obtained.