Double Trouble: Both-Bone Fractures

​Both-bone forearm fractures may make you feel a little nervous. A completely crooked forearm is definitely a disturbing sight. Both-bone forearm fractures (especially of the midshaft) typically require surgical intervention, but relocation of bony injuries, regardless of site or complexity, is an important and necessary skill you need to know. Plus, you will be required to assist with sedation, reduction, and splinting when the orthopedic team is involved.​Correcting and stabilizing two bones (instead of one) may seem tricky, but we are going to help you do it right. This complex procedure should be done with orthopedic consultation whenever possible. If that isn't available and the patient requires transfer or faces a long wait, this is a good way to reduce and stabilize the injury.Creative Commons.Why do we care about doing closed reductions for fractures if the really bad ones go to surgery anyway? And data suggest that minor pediatric bony injuries may not need reduction at all. (J Bone Joint Surg Am 2012;94[3]:246.) It's important to know why angulation, displacement, and degree of fracture may require quick reduction. Reduction allows patients to start healing faster, restores blood flow, and relieves pain. Avascular necrosis also can set in as early as six to eight hours post-injury in many long bone fractures, such as femur fractures. Reduction, even if closed is the only option, is key to avoiding long-term complications.Both-bone fractures in pediatric patients...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

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Diagnostic accuracy of troponin T measured ≥6h after symptom onset for ruling out myocardial infarction. Scand Cardiovasc J. 2019 Dec 09;:1-9 Authors: Khoshnood A, Erlandsson M, Isma N, Yndigegn T, Mokhtari A Abstract Objectives: Guidelines recommend a single high-sensitivity cardiac troponin T (hs-cTnT) ≤14 ng/L measured ≥6 h after chest pain onset combined with a GRACE score
Source: Scandinavian Cardiovascular Journal - Category: Cardiology Tags: Scand Cardiovasc J Source Type: research
Publication date: Available online 8 December 2019Source: Radiation Physics and ChemistryAuthor(s): Khushboo Kapoor, Ajay Kumar Tyagi, Rajinder Kumar DiwanAbstractThe present work investigates the effect of gamma irradiation on the recovery of total reducing sugars from delignified sugarcane bagasse. The bagasse was irradiated with different radiation dose i.e. 25, 100, 250, 400 and 1000 kGy.The effect of different initiators in terms of sugar recovery was also investigated. The total reducing sugars was estimated by Dinitrosalicylic acid (DNS) method and individual sugars were identified and estimated by HPLC.The result...
Source: Radiation Physics and Chemistry - Category: Physics Source Type: research
Publication date: Available online 7 December 2019Source: Radiation Physics and ChemistryAuthor(s): Haiwei Zhang, Yajuan Zhang, Edgar Chambers, Qianying DaiAbstractThe aim of this study was to evaluate the electron beam irradiation effects on sensory quality and major chemical components in Fuzhuan brick-tea (FBT) at doses of 0, 1, 4, and 7 kGy. Furthermore, these samples were compared with those aged 3 years. The dose of 1 kGy showed no effect on appearance of the FBT infusion and amount of the major chemical components. However, when the dose rose to 4 or 7 kGy the color of tea infusion gradually deepened and red c...
Source: Radiation Physics and Chemistry - Category: Physics Source Type: research
CONCLUSION: The results of the study confirm the success rates of ankle fusions in the majority of cases. Well defined limitations and residual symptoms can be named on the basis of the available data. PMID: 31820431 [PubMed - as supplied by publisher]
Source: Zeitschrift fur Orthopadie und Unfallchirurgie - Category: Orthopaedics Tags: Z Orthop Unfall Source Type: research
Publication date: Available online 10 December 2019Source: Enzyme and Microbial TechnologyAuthor(s): Robson Tramontina, Lívia Beatriz Brenelli, Amanda Sousa, Rafael Alves, Ana Maria Zetty Arenas, Viviane Marcos Nascimento, Sarita Cândida Rabelo, Sindélia Freitas, Roberto Ruller, Fabio SquinaAbstractBioproducts production using monomeric sugars derived from lignocellulosic biomass presents several challenges, such as to require a physicochemical pretreatment to improve its conversion yields. Hydrothermal lignocellulose pretreatment has several advantages and results in solid and liquid streams. The forme...
Source: Enzyme and Microbial Technology - Category: Biotechnology Source Type: research
Authors: Togha M, Bahrpeyma F, Jafari M, Nasiri A Abstract BACKGROUND: Cervicogenic headache (CeH) is among the common types of headache which has an undesirable influence on the quality of life. The myofascial trigger point (MTrP) within the sternocleidomastoid (SCM) muscle is one of the most important causes of CeH. OBJECTIVE: The purpose of this study was to compare the effect of dry needling (DN) and ischemic compression (IC) on the headache symptoms as well as MTrP-related features in subjects with CeH originating from MTrPs of the SCM muscle using a sonographic method. METHODS: A total of 29 female su...
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research
Conclusion: Repeated colonoscopies can be perceived as both an assurance of life and a reminder of a lifelong illness. Healthcare professionals need to provide support in terms of awareness of patients' vulnerability, despite extensive experience of the colonoscopy procedure. For example, person-centred care and continuity in care are potential interventions based on the results of this study. Another important aspect of care is to minimise interference in everyday life to prevent feelings of loss of the healthy self, for example by self-administrated outpatient booking systems.Summarize the established knowledge on this s...
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
This study emphasis the production of yellow pigment from endolichenic Bacillus sp. isolated from the lichen Dirinaria aegialita (Afzel. ex Ach.) B.J. Moore. Yellow pigment-producing twenty different strains were investigated. The hyperactive pigment-producing bacterial strain was identified as Bacillus gibsonii based on 99 % sequence similarity. Maximum bacterial pigment production appeared in Luria Bertani medium. Methanol extraction of the pigment and its partial purification using TLC was carried out. Furthermore, isolated pigments were characterized using UV-visible spectroscopy, FTIR spectroscopy, and GC-MS results r...
Source: Saudi Journal of Biological Sciences - Category: Biology Source Type: research
Publication date: Available online 10 December 2019Source: Pesticide Biochemistry and PhysiologyAuthor(s): Xiao-Long Liu, Si-Jie Sun, Wen Hou, Jin Zhang, Qi Yan, Shuang-Lin DongAbstractInsect gustatory system plays important roles in multiple behaviors including feeding, mating, and oviposition. Gustatory receptors (GRs), located on the dendritic membrane of gustatory sensory neurons (GSNs), are crucial in peripheral coding of non-volatile compounds. However, GRs and their detailed functions remain poorly understood in lepidopteran pests. In the present work, focusing on GR genes of Plutella xylostella, an important worldw...
Source: Pesticide Biochemistry and Physiology - Category: Biochemistry Source Type: research
Publication date: February 2020Source: Phytochemistry Letters, Volume 35Author(s): Gamal A. Mohamed, Sabrin R.M. Ibrahim, Hani Z. AsfourAbstractTwo new diaryl ether derivatives [aspergillethers A (4) and B (5)] and five known metabolites [(22E,24R)-stigmasta-5,7,22-trien-3-β-ol (1), stigmasta-4,6,8(14),22-tetraen-3-one (2), orcinol (3), and butyrolactones I (6) and VI (7)] were separated from the endophytic fungus Aspergillus versicolor (Aspergillaceae) isolated from the roots of Pulicaria crispa Forssk (Asteraceae) growing in Saudi Arabia. The structures of these compounds were determined by various spectral techniqu...
Source: Phytochemistry Letters - Category: Chemistry Source Type: research
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