Fractures in patients with poliomyelitis: past or current challenge?
Poliomyelitis is a motor neuron disease of the anterior horn of the spinal cord. It leads to asymmetrical flaccid paralysis and muscle atrophy that reduces the patient's stability and mobility and alters the gait pattern, predisposing to falls. Until the massive clinical application of vaccines, it was quite prevalent in some countries in the 50s and, the people who suffered the epidemic during childhood is nowadays more than 65 years old, constituting a risk groups for traumatological pathology.
This study is a prospective clinical study. Purpose: This study aims to evaluate the characteristics of trunk musculature and intervertebral discs by using magnetic resonance imaging in patients with spinal cord injuries (SCIs) with thoracic and lumbar fractures. Overview of Literature: Muscle atrophy is an immediate consequence of SCI and is associated with secondary complications. At present, there are limited clinical data on muscle and disc responses to fractures of the thoracic and lumbar spine. Methods: A total of 51 patients with a mean age of 31.75±10.42 years who suffered traumatic SCI were incl...
Publication date: Available online 27 March 2020Source: Veterinary MicrobiologyAuthor(s): Adthakorn Madapong, Kepalee Saeng-chuto, Puwich Chaikhumwang, Angkana Tantituvanont, Kriangsak Saardrak, Rafael Pedrazuela Sanz, Joel Miranda Alvarez, Dachrit Nilubol
We present a case series to illustrate a new treatment paradigm utilizing front line EMS Paramedic units and high dose buprenorphine to treat withdrawal symptoms with next day bridge to long term care. The three patients described are exemplary cases, meant to represent overall characteristics of the intervention prior to complete data collection. Each patient was revived from opioid overdose with naloxone. Paramedics then treated each patient with 16 mg of buprenorphine to relieve and prevent withdrawal symptoms. Patients were provided with outpatient follow up irrespective of ED transport. To the best of our knowl...
Jack Iwashyna Should we put multiple COVID-19 patients on a single ventilator? Prof Jack Iwashyna on the highly limited role of single ventilator / multiple patient workarounds in the COVID-19 epidemic.
Insurance premiums could spike as much as 40 percent next year, a new analysis warns, as employers and insurers confront the projected tens of billions of dollars in additional costs of treating coronavirus patients.
Publication date: Available online 27 March 2020Source: The LancetAuthor(s): Alexandre I R White
Leading scientist Adam Finn warns of stumbles along the way to Covid-19 immunisationThe chances of an individual Covid-19 vaccine project producing a successful outcome are low, one of Britain ’s leading immunisation experts has warned. “Science does not have a track record where most of our vaccine projects work,” Professor Adam Finn, of Bristol University said last week. “We have a track record where most of them don’t work.”Finn ’s warning came as doctors and epidemiologists stressed how difficult it would be to contain the disease until people can be immunised against it.Continue reading...
The death toll from an outbreak of coronavirus in Italy has surged by 889, the Civil Protection Agency said on Saturday, the second highest daily tally since the epidemic emerged on Feb. 21.
Ian Lipkin joins Vincent to talk about his experience as a COVID-19 patient, and issues surrounding the disease and SARS-CoV-2 including limiting transmission, antivirals, vaccines, and much more. Hosts: Vincent Racaniello Guest: W. Ian Lipkin Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode Center for Infection and Immunity Control the Contagion videos Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees. Send your virology questions and comments to firstname.lastname@example.org
Publication date: Available online 27 March 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): A. Roquilly, B. Vigué, M. Boutonnet, P. Bouzat, K. Buffenoir, E. Cesareo, A. Chauvin, C. Court, F. Cook, A.C. de Crouy, P. Denys, J. Duranteau, S. Fuentes, T. Gauss, T. Geeraerts, C. Laplace, V. Martinez, J.F. Payen, B. Perrouin-Verbe, A. Rodrigues