Short-term clinical outcomes of subway-related amputations.

Introduction: In city hospitals, subway-related traumatic amputations are a frequent pattern of injury, however there is a paucity of literature on this specific injury pattern. The purpose of this study was to describe the epidemiology of subway-related traumatic amputations, as well as compare them to non-subway traumatic amputations.

Patients And Methods: Retrospective review was performed at a single Level-1 trauma center in a metropolitan area.

Treating a case of diabetic stump ulceration after Chopart's amputation with total contact casting.

Chopart's amputation is a limb length-preserving amputation that retains function but often suffers from stump ulcerations. We report a case of a 68-year-old male patient with poorly controlled type 2 diabetes mellitus and peripheral arterial disease who underwent left Chopart's amputation, presenting subsequently with nonhealing ulcers at the Chopart stump and heel for >1 year. Total contact casting was initiated, resulting in rapid wound healing without further interventions.

The Impact of Culture Negativity on the Outcomes of Revision Total Knee Arthroplasty for Chronic PJI.

Culture-positive (CP) and culture-negative (CN) periprosthetic joint infections (PJI) remain a crucial area of research; however, current studies comparing these infections rely on unstandardized outcome reporting tools. Our study aimed to compare the outcomes of two-stage revision of CP and CN PJI using the standardized Musculoskeletal Infection Society (MSIS) outcome reporting tool. We retrospectively reviewed 138 patients who were diagnosed with PJI and indicated for two-stage revision total knee arthroplasty (rTKA).

Subtype-Independent ANP32E Reduction During Breast Cancer Progression in Accordance with Chromatin Relaxation.

Background: Chromatin state provides a clear decipherable blueprint for maintenance of transcriptional patterns, exemplifying a mitotically stable form of cellular programming in dividing cells. In this regard, genomic studies of chromatin states within cancerous tissues have the potential to uncover novel aspects of tumor biology and unique mechanisms associated with disease phenotypes and outcomes. The degree to which chromatin state differences occur in accordance with breast cancer features has not been established.

Buoyancy effects on concurrent flame spread over thick PMMA.

The flammability of combustible materials in a spacecraft is important for fire safety applications because the conditions in spacecraft environments differ from those on earth. Experimental testing in space is difficult and expensive. However, reducing buoyancy by decreasing ambient pressure is a possible approach to simulate on-earth the burning behavior inside spacecraft environments.

Evaluation of Spacecraft Smoke Detector Performance in the Low-Gravity Environment.

In the interest of fire prevention, most materials used in the interior construction of manned spacecraft are non-flammable, however, they do produce smoke when overheated. Spacecraft smoke detectors will ideally detect smoke generated by oxidative pyrolysis (such as smoldering) in order to allow the maximum time for the crew to respond before a larger flaming fire develops. An experiment on the International Space Station (ISS) characterized smoke from overheating common spacecraft materials.

On Simulating Concurrent Flame Spread in Reduced Gravity by Reducing Ambient Pressure.

The flammability of combustible materials in spacecraft environments is of importance for fire safety applications because the environmental conditions can greatly differ from those on earth, and a fire in a spacecraft could be catastrophic. Moreover, experimental testing in spacecraft environments can be difficult and expensive, so using ground-based tests to inform microgravity tests is vital. Reducing buoyancy effects by decreasing ambient pressure is a possible approach to simulate a spacecraft environment on earth.

An 81-year-old man with an abnormal right-sided heart shadow on chest radiograph.

An 81-year-old man presented with a 1-week history of dry cough. He also complained of mild dyspnea, wheezing, and low-grade fever. He denied hemoptysis, fever, rashes, or chest pain.

The history of barbed sutures.

Ligatures have been used for millennia to close wounds. Sterilization and synthetic polymers that degrade in a commensurate fashion with wound healing have been the most significant improvements in these age-old devices. However, the constricting loop of a traditional suture and subsequent ischemia ("approximate, don't strangulate") still account for the most common cause of wound dehiscence-necrosis.

Nightly sleep duration in the 2-week period preceding multiple sleep latency testing.

Study Objective: To assess usual nightly sleep duration of patients referred for a Multiple Sleep Latency Test (MSLT).

Design: Retrospective chart review.

Setting: Military, hospital-based, sleep center.

An oral hypnotic medication does not improve continuous positive airway pressure compliance in men with obstructive sleep apnea.

Background: Compliance with continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) is highly variable. Recent studies suggest that the initial experience with CPAP may determine long-term success. We hypothesized that administration of a hypnotic medication to new CPAP users would facilitate acclimation and increase usage.

Technique and uses for absorbable barbed sutures.

The author describes barbed sutures as a unique wound closure tool. Their advantages include the closure of wounds without any knots or the need for a third hand. They are also capable of shifting tissues differentially along the suture to redistribute tensile and compressive forces.

Evaluation of a novel technique for wound closure using a barbed suture.

Background: Suture knots present several disadvantages in wound closure, because they are tedious to tie and place ischemic demands on tissue. Bulky knots may be a nidus for infection, and they may extrude through skin weeks after surgery. Needle manipulations during knot-tying predispose the surgeon to glove perforation.

Tuning the scattering length with an optically induced Feshbach resonance.

We demonstrate optical tuning of the scattering length in a Bose-Einstein condensate as predicted by Fedichev et al. [Phys. Rev.

Facial fractures and related injuries: a ten-year retrospective analysis.

A retrospective analysis of 828 patients with significant midface or mandibular fractures was undertaken to illustrate the multisystem nature of traumatic injuries associated with fracture of the facial skeleton, covering the period from 1985 to 1994. Special emphasis was placed on determining associated injuries sustained as well as epidemiological information. The experience presented differs from other large series in the literature in that the predominant mechanism of injury is motor vehicle accidents (67%) rather than assaults.

Genetic resistance of Creole goats to cowdriosis in Guadeloupe. Status in 1995.

A genetic predisposition to resistance (R)/susceptibility (S) has been demonstrated for cowdriosis in certain goal lines. In order to identify genetic markers of R/S and to follow their transmission to the offspring, 4 groups of sires and dams were crossbred in 1991, 1992, and 1993: Rr, RS, SR, and SS. The offspring were challenged at the age of six months with subsequent challenge of the S parent.

Soft-tissue fungal infections: surgical management of 12 immunocompromised patients.

Isolated fungal soft-tissue infections are uncommon but may cause severe morbidity or mortality among transplant recipients and other immunosuppressed patients. Twelve immunocompromised patients illustrating three patterns of infection were treated recently at the Duke University Medical Center. These groups comprised (I) locally aggressive infections, (II) indolent infections, and (III) cutaneous manifestations of systemic infection.

Reconstruction of multidirectional interferometric data using an isoparametric finite-element method.

The spatial resolution of tomographic reconstructions is critical when the object field contains large- and small-scale features. Simply increasing the number of elements used in the reconstruction process throughout the domain is generally an unsatisfactory method to achieve higher resolution because additional multiview data are required. Here a new series-expansion reconstruction procedure, based on isoparametric finite-element concepts, is described.

Twenty-year experience with early surgery for craniosynostosis: II. The craniofacial synostosis syndromes and pansynostosis--results and unsolved problems.

As the second of a two-part series, 76 patients with pansynostosis and craniofacial synostosis syndromes were retrospectively analyzed. Diagnoses included pansynostosis (7), craniofrontonasal dysplasia (8), and Apert (24), Crouzon (15), and Pfeiffer (15) syndromes. All patients underwent primary fronto-orbital advancement-calvarial vault remodeling procedures at less than 18 months of age (mean 6.

Twenty-year experience with early surgery for craniosynostosis: I. Isolated craniofacial synostosis--results and unsolved problems.

Early surgery for isolated craniosynostosis is designed to improve morphology, to prevent functional disturbances, and equally important, to enhance the psychosocial development of the child. As the first of a two-part series, 104 patients with isolated craniofacial synostosis were retrospectively analyzed. Diagnoses included bilateral coronal (10), unilateral coronal (57), metopic (29), and sagittal synostosis (8).