This is a report of a 2-year follow-up of a missed posterior shoulder dislocation treated with open reduction and glenoid reconstruction with corticocancellous iliac bone autograft. In such cases, this treatment option may be an alternative to hemiarthroplasty of the shoulder.
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| http://dx.doi.org/10.1007/s00402-004-0693-2 | DOI Listing |
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Material flow analysis (MFA) is used to quantify and understand the life cycles of materials from production to end of use, which enables environmental, social, and economic impacts and interventions. MFA is challenging as available data are often limited and uncertain, leading to an under-determined system with an infinite number of possible stocks and flows values. Bayesian statistics is an effective way to address these challenges by principally incorporating domain knowledge, quantifying uncertainty in the data, and providing probabilities associated with model solutions.
View Article and Find Full Text PDFAn Accessory Right Hepatic and Cystic Arteries Derived from the Superior Mesenteric Artery: A Cadaveric Case Report.
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Department of Medical Education, University of Toledo, Toledo, OH, USA.
BACKGROUND The configuration of the hepatic arteries is known to vary substantially between individuals. Here, we report a rare retroperitoneal configuration of an accessory hepatic artery existing alongside a left and right hepatic artery branching from the proper hepatic artery. During routine dissection, we discovered an anomalous configuration of the hepatic arteries that does not fit the commonly used categorizations for abnormal hepatic vasculature.
View Article and Find Full Text PDFBayesian Reanalyses of the Trials TOMAHAWK and COACT.
JACC Cardiovasc Interv
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DZHK (German Center for Cardiovascular Research), Germany; Department of Internal Medicine/Cardiology, Heart Center Leipzig at the University of Leipzig, Leipzig, Germany; Helios Health Institute, Leipzig, Germany. Electronic address:
Background: The timing of coronary angiography in patients with successfully resuscitated out-of-hospital cardiac arrest and missing ST-segment elevations on the electrocardiogram has been investigated in 2 large randomized controlled trials, TOMAHAWK (Angiography After Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation) and COACT (Coronary Angiography After Cardiac Arrest Trial). Both trials found neutral results for immediate vs delayed/selective coronary angiography on short-term all-cause mortality. The TOMAHAWK trial showed a tendency towards harm with immediate coronary angiography, though not statistically significant with traditional frequentist methods.
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Bone or cartilage anomalies affecting the arteries supplying the brain can be a structural cause of ischemic stroke. Due to their rarity, there is currently no standardized approach for evaluating and treating these so-called bony strokes. We present a case of a 79-year-old woman with a history of cranial settling due to rheumatoid arthritis (RA) and moderate disability, who presented with insidious dizziness and gait disturbances over three weeks.
View Article and Find Full Text PDFChronic pelvic insufficiency fractures and their treatment.
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Article Synopsis
- Fragility and insufficiency fractures of the pelvis and sacrum are on the rise among the elderly due to weakened bones, leading to persistent pain, reduced mobility, and a risk of loss of independence.
- While conservative treatments are an option, surgery is often preferred for unstable fractures, especially since many patients do not receive adequate preventative care for osteoporosis-related fractures.
- Diagnostic imaging is crucial for identifying these fractures, with CT scans being the gold standard, but MRI offers the highest sensitivity for detecting complex fractures, guiding treatment based on fracture type and stability.
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