Publications by authors named "W J Altaf"
Article Synopsis
- A 27-year-old right-handed man experienced a rare scaphoid waist fracture where the proximal fragment was displaced unusually into the forearm's flexor compartment.
- Urgent surgical intervention involved open reduction and internal fixation with a Herbert screw, leading to successful healing and good wrist function after one year.
- The case highlights the importance of personalized treatment strategies for complex fractures to achieve positive long-term outcomes.
Introduction: Chronic osteomyelitis of the ribs in adolescents and adults is a rare condition. Current understanding of its diagnosis and management is primarily derived from case reports and small series studies. Here, we present a case of chronic rib osteomyelitis initially managed conservatively with antibiotics, followed by debridement, sequestrectomy, and continued antibiotic therapy.
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- Bilateral bifocal femur fractures, often caused by high-velocity trauma like falls or accidents, can lead to serious health issues such as shock or fat embolism.
- A case study of a 47-year-old man who fell from 35 feet showed he suffered multiple fractures, but after timely medical intervention, he stabilized and underwent surgery.
- The conclusion emphasizes the importance of thorough evaluation for other injuries and suggests that single-stage surgical treatment is beneficial for reducing recovery time and overall costs.
Article Synopsis
- * Research indicates that issues with brain energy metabolism and mitochondrial dysfunction may contribute to epilepsy, pointing to potential treatment options that focus on improving brain energetics.
- * Creatine, a compound that helps regulate energy in the brain, shows promise as a potential treatment for epilepsy, although more extensive clinical trials are necessary to confirm its effectiveness and understand how it works.
Background: The benefits of prone positioning in acute respiratory distress syndrome (ARDS) have been known for many years. While some controversy exists regarding whether coronavirus disease 2019 (COVID-19) pneumonia should be treated with the same therapeutic strategies as for non-COVID ARDS, the Surviving Sepsis Campaign still provide a weak recommendation to utilise prone positioning in this setting.
Aims: The aims of this study are to ascertain if prone positioning improves oxygenation significantly in mechanically ventilated patients with severe COVID-19 ARDS and to describe the feasibility of frequent prone positioning in an Irish regional hospital intensive care unit (ICU) with limited prior experience.