The tibial apophysis is a separate center of ossification in the proximal tibia of skeletally immature dogs. Because it is made of cartilage during development, it is prone to fractures (avulsions) and other tensile-related injuries. One prior veterinary study proposed a classification system for proximal tibial apophyseal fractures, but this study did not include fractures that involved the proximal tibial physis or metaphysis, which have been described in human classification systems. The objectives of the study reported here were (1) to characterize and establish a radiographic grading system of proximal tibial apophyseal fractures in dogs, (2) to investigate the intra- and interobserver agreements of the proposed grading system, and (3) to identify associations between fracture types and patient signalment, surgical fixation, and clinical outcomes. This is a retrospective and observational study where images were assessed twice in a randomized order at least two weeks apart by three observers. The most frequent fracture configurations were type 1 (33/49, 67.3%) and type 5 (13/49, 26.5%), followed by type 4 (2/49, 4%) and type 2 (1/49, 2%). A fracture configuration type 3 was not identified. Dogs with a concurrent fibular fracture were associated with type 4 and 5 tibial avulsion fractures (P < .01). The intraobserver agreement for observers 1 and 2 was kappa ≥0.88, and for observer 3, kappa = 0.63. In conclusion, this study introduces an enhanced classification system for tibial apophyseal fractures in dogs, demonstrating substantial to moderate intraobserver reliability and moderate to modest interobserver agreement.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1111/vru.13473 | DOI Listing |
Ann Surg Oncol
December 2024
Department of Biliary-Pancreatic Surgery, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: Pancreatic enucleation is a reliable surgical method for treating benign and borderline pancreatic tumors; however, the incidence of postoperative pancreatic fistula (POPF) is high, especially when the tumor is close to the main pancreatic duct. This study aimed to reduce the incidence of pancreatic fistula by preoperative placement of pancreatic stents and to summarize our center's experience with this procedure.
Methods: From June 2020 to July 2023, patients diagnosed with benign or borderline pancreatic tumors at Renji Hospital were included.
Therapie
December 2024
Université de Paris, CRESS, AP-HP, 75000 Paris, France.
In France, the short-stay activities of public and private sector healthcare facilities have been financed since 2004 by activity-based pricing (T2A). The principle is to allow for payment determined primarily by the nature and volume of activities. T2A has enabled a major transformation compared to the old financing system, chiefly for public sector facilities that used to operate under a general allocation, and convergence between payment methods in the public and private sectors.
View Article and Find Full Text PDFZhonghua Wei Chang Wai Ke Za Zhi
December 2024
Chronic constipation is a common functional bowel disease, and its diagnosis is based on history and physical examination. Laboratory examination is important for determining the cause, type, severity and treatment effect of chronic constipation. At present, the commonly used workup of chronic constipation includes X-ray, magnetic resonance, pelvic floor ultrasound, neuroelectrophysiology and colorectal manometry, etc.
View Article and Find Full Text PDFJ Sch Psychol
February 2025
Department of Education and Human Services, Lehigh University, United States.
Within multi-tiered systems of support (MTSS) practice and research, students' need for academic intervention is often determined by comparison of students' screening scores to cut scores. We examined the degree to which the relationship between students' fall screening data (i.e.
View Article and Find Full Text PDFRedox Biol
December 2024
Jacqui Wood Cancer Centre, Division of Cancer Research, School of Medicine, University of Dundee, Dundee, UK; Department of Pharmacology and Molecular Sciences and Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Non-communicable chronic diseases (NCDs) are most commonly characterized by age-related loss of homeostasis and/or by cumulative exposures to environmental factors, which lead to low-grade sustained generation of reactive oxygen species (ROS), chronic inflammation and metabolic imbalance. Nuclear factor erythroid 2-like 2 (NRF2) is a basic leucine-zipper transcription factor that regulates the cellular redox homeostasis. NRF2 controls the expression of more than 250 human genes that share in their regulatory regions a cis-acting enhancer termed the antioxidant response element (ARE).
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!