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  • spine injury AND (hasabstract[text] AND "last 5 years"[PDat]); +23 new citations

    Posted 2017-06-27 10:02:17 dun: Mahammad A. Tafida

    23 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: spine injury AND (hasabstract[text] AND "last 5 years"[PDat]) These pubmed results were generated on 2017/06/27PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web ...

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  • Endovascular Repair of Iatrogenic Iliocaval Fistula Causing High-Output Cardiac Failure after Spine Fusion.

    Posted 2017-06-26 10:02:31 dun: Mahammad A. Tafida

    Endovascular Repair of Iatrogenic Iliocaval Fistula Causing High-Output Cardiac Failure after Spine Fusion. Ann Vasc Surg. 2017 Jun 21;: Authors: Noland S, Espinoza CA, Dvorak JD, Rose JD, Powell CS Abstract The case being presented is a 35-year-old female with a three-year history of progressive dyspnea and right-sided heart failure following spine surgery. Physical examination identified a continuous bruit in the lower abdomen radiating to her back which prompted further evaluation. Echocardiography showed normal left ventricle (LV) systolic function, enlarged right ventricle (RV), functional tricuspid regurgitation (TR) and moderate pulmonary hypertension. A computed tomography (CT) scan of the abdomen and pelvis demonstrated findings consistent with an arteriovenous fistula (AVF) between the right common iliac artery and the inferior vena cava (IVC). She underwent an uneventful endovascular repair without perioperative complication. The patient's symptoms resolved a few hours after the procedure and she continued to be symptom free at 3-month follow-up. This case illustrates an iatrogenic iliocaval fistula causing high-output cardiac failure which was successfully treated endovascularly with excellent clinical result. PMID: 28647630 [PubMed - as supplied by ...

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  • Use of antibiotics and the prevalence of antibiotic-associated diarrhoea in patients with spinal cord injuries: an international, multicentre centre study.

    Posted 2017-06-26 10:02:31 dun: Mahammad A. Tafida

    Use of antibiotics and the prevalence of antibiotic-associated diarrhoea in patients with spinal cord injuries: an international, multicentre centre study. J Hosp Infect. 2017 Jun 21;: Authors: Wong S, Santullo P, Hirani SP, Kumar N, Chowdhury JR, García-Forcada A, Recio M, Paz F, Zobina I, Kolli S, Kiekens C, Draulans N, Roels E, Martens-Bijlsma J, O'Driscoll J, Jamous A, Saif M Abstract BACKGROUND: Little is known about the use of antibiotics and the extent of antibiotic-associated diarrhoea (AAD) in spinal cord injury (SCI) patients. AIMS: To (1) record the use of antibiotics; (2) establish the prevalence of AAD and Clostridium difficile infection (CDI) and (3) assess whether there was any seasonal variation in antibiotic use and incidence of AAD. METHODS: A retrospective study was conducted in six European SCI centres during October 2014 to June 2015. We defined AAD as 2 or more watery stools type 5, 6 or 7 (Bristol stool scale) over 24 hours. FINDINGS: One-thousand-two-hundred-and-sixty-seven adults (median age: 54 years, 30.7% female) with SCI (52.7% tetraplegia; 59% complete SCI) were included. Of 215 (17%) patients on antibiotics, the top three indications for antibiotics were urinary-tract infections, infected pressure ulcers and other skin-infections. Thirty-two of 215 (14.9%) developed AAD and two of 1267 (0.16%) developed CDI. AAD was more common in the summer season than in spring, autumn and winter. (30.3%, 3.8%, 7.4%, 16.9%, p<0.01). AAD was associated with adults age above 65 years, tetraplegia, higher body-mass-index, hypoalbuminaemia, polypharmacy, multiple antibiotic users and high-risk antibiotic use. The summer and winter season and male gender were identified as independent predictors for development of AAD. CONCLUSION: This survey found AAD is common in SCI patients and UTI is the most common cause of infection. Summer and winter seasons and male gender ...

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  • Increased detection of blunt carotid and vertebral artery injury after implementation of diagnostic imaging pathway in level 1 trauma centre in Western Australia.

    Posted 2017-06-26 10:02:31 dun: Mahammad A. Tafida

    Increased detection of blunt carotid and vertebral artery injury after implementation of diagnostic imaging pathway in level 1 trauma centre in Western Australia. Injury. 2017 Jun 13;: Authors: Sinnathamby M, Rao SV, Weber DG Abstract BACKGROUND: The incidence of Blunt Carotid Artery and Vertebral Artery Injury (BCVI) is relatively low in modern trauma practice. However, these injuries may be associated with severe neurological consequences. Following the introduction of a Diagnostic Imaging Pathway in Department of Health of Western Australia, we hypothesized that this injury would be less likely to be missed, and accordingly diagnosed more frequently. METHOD: A review of all major trauma (Injury Severity Scale>15) admissions at the State Major Trauma Centre in Royal Perth Hospital was undertaken from 1995 until 2013. BCVI was identified from the hospital's trauma registry. The medical records of these patients were then reviewed. RESULT: 58 of 7451 (0.78%) major trauma patients were diagnosed of BCVI during the study period. An increased incidence, from 0.52% (20/3880) to 1.06% (38/3571), was seen after the introduction of the Diagnostic Imaging Pathway in 2007 (p=0.010). The majority of the cases were caused by motor vehicle crashes, with 66% (n=38) of the cases sustaining concomitant head or cervical spine injury. Other commonly associated injuries included chest, extremity and thoracic spine injury. CONCLUSION: Our study reports a significant increase in the diagnosis of BCVI among major traumas after the introduction of a Diagnostic Imaging Pathway for the screening of this injury in 2007. The previously low incidence of BCVI compared with other centres' reports indicated possible previous under-screening and diagnosis of this injury. PMID: 28647095 [PubMed - as supplied by ...

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  • Kinematic chain reactions on trunk and dynamic postural steadiness in subjects with recurrent low back pain.

    Posted 2017-06-25 10:02:02 dun: Mahammad A. Tafida

    Related Articles Kinematic chain reactions on trunk and dynamic postural steadiness in subjects with recurrent low back pain. J Biomech. 2017 Jun 08;: Authors: Sung PS, Maxwell MJ Abstract Although subjects with recurrent low back pain (LBP) demonstrate altered trunk control, the kinematic and kinetic responses of the trunk have not been carefully investigated. This study was conducted to compare the standing time, spine range of motion (ROM), and dynamic postural steadiness index (DPSI) based on visual condition between subjects with and without recurrent LBP during upright one leg standing. Sixty-three individuals participated in the study, including 34 control subjects and 29 subjects with recurrent LBP. The DPSI was a composite of the medio-lateral (MLSI), anterior-posterior (APSI), and vertical steadiness indices (VSI) on a force platform. The control group demonstrated longer standing time (s) during the eyes-open condition than the LBP group (26.82±6.03 vs. 19.87±9.36; t=2.96, p=0.01). Regarding spine ROM, visual condition was significantly different between groups (F=7.09, p=0.01) and demonstrated interactions with spine region and group (F=5.53, p=0.02). For the kinetic measures, there was a significant interaction between visual conditions and indices (F=25.30, p=0.001). In the LBP group, the DPSI was significantly correlated with the MLSI (r=0.59, p=0.002), APSI (r=0.44, p=0.03), and VSI (r=0.98, p=0.01) in the eyes-closed condition. Overall, the results of this study indicated that the LBP group decreased thorax and lumbar spine rotations during the eyes-closed condition. The LBP group also demonstrated positive correlations with the kinetic indices, enhancing dynamic postural steadiness in the eyes-closed condition in order to possibly avoid pain or further injury. This dynamic postural steadiness strategy is necessary to improve kinetic and kinematic chain reactions in the LBP group. This ...

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