Pediatric trauma during the COVID-19 lockdown: caregiver abuse and self-harm in a vulnerable population.

Purpose: This retrospective cohort study explores the impact of the COVID-19 pandemic on pediatric trauma cases in Singapore's National University Hospital from January 2015 to July 2021. The pandemic prompted unprecedented measures, altering societal dynamics. The study hypothesizes a reduction in major trauma incidents during the pandemic period.

Effectiveness of a native vein arteriovenous fistula tracking system.

Objective: This study aims to evaluate the effectiveness of a tracking program on the functional maturation rate of arteriovenous fistula (AVF).

Methods: Two major clinical outcomes (commencement of cannulation and functional maturation) of created AVFs were compared between two cohorts. (i) Cohort 1: historical cohort; (ii) Cohort 2: AVFs created after implementation of the tracking project.

Aortic root abscess and anomalous aortic origin of right coronary artery in a 5-year-old child.

Background: Aortic root abscess is a rare complication of infective endocarditis in children.

Case Report: A 5-year-old boy with infective endocarditis of aortic valve and an anterior aortic root abscess was found to have anomalous aortic origin of right coronary artery from the left coronary sinus on computed tomography scan with contrast.

Result: He was managed surgically by "patch and prosthesis" approach and required aortic root enlargement.

Refining mass casualty plans with simulation-based iterative learning.

Background: Preparatory, written plans for mass casualty incidents are designed to help hospitals deliver an effective response. However, addressing the frequently observed mismatch between planning and delivery of effective responses to mass casualty incidents is a key challenge. We aimed to use simulation-based iterative learning to bridge this gap.

Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic.

Singapore was one of the first countries to be affected by COVID-19, with the index patient diagnosed on January 23, 2020. For 2 weeks in February, we had the highest number of COVID-19 cases behind China. In this article, we summarize the key national and institutional policies that were implemented in response to COVID-19.

ELSA recommendations for minimally invasive surgery during a community spread pandemic: a centered approach in Asia from widespread to recovery phases.

Background: The COVID-19 pandemic has resulted in significant changes to surgical practice across the worlds. Some countries are seeing a tailing down of cases, while others are still having persistent and sustained community spread. These evolving disease patterns call for a customized and dynamic approach to the selection, screening, planning, and for the conduct of surgery for these patients.

Descriptors for High Throughput in Structural Materials Development.

The development of novel structural materials with increasing mechanical requirements is a very resource-intense process if conventional methods are used. While there are high-throughput methods for the development of functional materials, this is not the case for structural materials. Their mechanical properties are determined by their microstructure, so that increased sample volumes are needed.

A comparative study between the dynamic method and passive can technique of radon exhalation measurements from samples.

A comparative study has been carried out between the SSNTD based 'can' technique and active monitors based dynamic method using nine different samples, eight of granite and one of phosphogypsum. Besides radon ((222)Rn) exhalation, thoron((220)Rn) exhalation and (226)Ra and (232)Th content were also measured. The results are: (i) presence of significant thoron exhalation from samples and (ii) observation of thoron interference and leak (~0.

Self-assembly and conformational heterogeneity of the AXH domain of ataxin-1: an unusual example of a chameleon fold.

Ataxin-1 is a human protein responsible for spinocerebellar ataxia type 1, a hereditary disease associated with protein aggregation and misfolding. Essential for ataxin-1 aggregation is the anomalous expansion of a polyglutamine tract near the protein N-terminus, but the sequence-wise distant AXH domain modulates and contributes to the process. The AXH domain is also involved in the nonpathologic functions of the protein, including a variety of intermolecular interactions with other cellular partners.

Wandering permanent pacemaker generators in children: a case series.

Introduction: Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups.

Case Presentation: Three permanent epicardial pacemakers that migrated in an unusual manner producing intraabdominal complications are reported.

Conclusion: The different clinical presentations of pacemaker migration in the pediatric age groups are highlighted and a few suggestions are made for avoiding such a complication.

Methemoglobinemia masquerading as pulmonary hypertension.

Pulmonary arterial hypertension is known to occur postoperatively after closure of VSD. It results in a low cardiac output state with need for ventilation and frequent bagging. Methemoglobinemia, a condition associated with toxic ingestions, has been described in this setting.

Unexplained systemic hypertension after closure of ductus arteriosus.

Immediately after surgical closure of a patent ductus arteriosus, a 12-year-old boy developed severe systemic arterial hypertension refractory to medication. The cause of hypertension could not be found, but it came under control 3 weeks postoperatively with a combination of angiotensin-converting enzyme inhibitor and chlorothiazide.