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Preparation of anterolateral thigh flap from polio-affected lower limb: A safe surgical option that preserves patient's motor function.
J Stomatol Oral Maxillofac Surg
January 2025
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China. Electronic address:
The anterolateral thigh (ALT) flap is a commonly used donor site for reconstructive surger, especially in head and neck reconstructions. The flap's success is primarily determined by the quality and quantity of its perforating vessels, which is why clinicians typically prefer harvesting from a healthy leg with intact vascular anatomy. Poliomyelitis typically causes unilateral lower limb paralysis, resulting in muscle atrophy and deformities.
View Article and Find Full Text PDFAdult vaccination in India: A rapid review of current status & implementation challenges.
Indian J Med Res
December 2024
Department of Library, ICMR-National Institute of Translational Virology and AIDS Research, Pune, Maharashtra, India.
Background & objectives The expanded programme on immunization launched in India in 1978, with its focus on preventing six diseases in children (tetanus, diphtheria, pertussis, poliomyelitis, typhoid, and childhood tuberculosis), was widened in its scope in 1985-86. This new avtaar, the Universal Immunization Programme (UIP), incorporated measles vaccine for children and rubella and adult diphtheria vaccines for pregnant women. We conducted this rapid review on adult immunization relevant for India, as recent COVID-19 experience revealed how newly emergent or re-emergent pathogens could have their onslaughts on the elderly and adults with comorbidities.
View Article and Find Full Text PDF"Build back the confidence": qualitative exploration of community experiences with polio vaccination in the Covid-19 context in Cameroon and Ethiopia.
BMC Public Health
September 2024
Polio Team, Programme Division, UNICEF Headquarters, New York, NY, USA.
Article Synopsis
- In 2020, the Covid-19 pandemic disrupted routine immunization efforts, affecting the Global Polio Eradication Initiative's work on vaccine-derived poliovirus outbreaks in sub-Saharan Africa.
- A qualitative study involving focus groups and interviews in Cameroon and Ethiopia revealed that the pandemic led to decreased caregiver confidence in routine vaccinations and eroded trust between caregivers and frontline workers.
- To improve community support for future oral polio vaccine (OPV) campaigns, stakeholders suggested rebuilding trust, ensuring consistent communication, boosting resources for frontline workers, and utilizing local influencers.
The impact of neurologic disorders on clinical and functional outcomes after shoulder arthroplasty: a systematic review.
J Shoulder Elbow Surg
December 2024
Steadman Philippon Research Institute, Vail, CO, USA; The Steadman Clinic, Vail, CO, USA. Electronic address:
Background: Patients with pre-existing neurologic disorders present a unique set of challenges for shoulder arthroplasty (SA) surgeons due to the presence of concomitant contractures, muscle weakness, and spasticity, which may affect outcomes and complication rates after SA. The goal of this systematic review was to evaluate the clinical and functional outcomes after SA in patients pre-existing with neurologic disorders, focusing on complication and reoperation rates.
Methods: This systematic review was performed in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines outlined by Cochrane Collaboration.
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