How Common are Congenital Rib Abnormalities?

Discussion The embryonic mesoderm forms the skeletal system. The mesoderm is further divided into the dorsal, sclerotome and ventral dermatome. The sclerotome forms the ribs which are under the influence of various genes and growth factors. Congenital rib abnormalities occur in number ( the normal 12 ribs) or in formation/structural. Malformations can include hypoplastic, bridging, forked, fused and hypoplastic ribs. Even ribs with holes occur because of the segmentation issues. Illustrated examples can be found here. The rib’s cartilage, bone or both can be affected. Location along the rib is also variable. Abnormalities can be unilateral or bilateral. Most abnormalities do not cause problems. Some do however and the problems are usually related to their location. Extranummerary cervical or intrathoracic ribs can cause problems with potential nerve compression, or compression of the subclavian artery or lymphatics in the area. Rib abnormalities in other areas have been reported to cause liver laceration or pneumothorax. A review of back pain can be found here. Learning Point Congenital rib abnormalities affect ~1% of patients and most do not cause problems Many are found incidentally. Chest computed tomography, often recently with 3-D reconstruction, helps to delineate the abnormality and potentially the treatment. Treatment is usually conservative but sometimes resection is necessary. In a radiological study of congenital rib abnormalities where participants (N=650...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Conclusions: 60% of patients with MDD and/or AAD had at least one additional NCCD, which significantly increased the economic and humanistic burden. These findings are important for payers and clinicians in making treatment decisions. These results underscore the need for development of multi-pronged interventions which aim to improve quality of life and reduce activity limitations among patients with mental health disorders and NCCDs. PMID: 32468879 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - Category: Health Management Tags: J Med Econ Source Type: research
Authors: Priego-Quesada JI, Pérez-Guarner A, Gandia-Soriano A, Oficial-Casado F, Galindo C, Cibrián Ortiz de Anda RM, Piñeiro-Ramos JD, Sánchez-Illana Á, Kuligowski J, Gomes Barbosa MA, Vento M, Salvador Palmer R Abstract CONTEXT: Although skin-temperature assessment has received much attention in recent years as a possible internal-load measurement, scientific evidence is scarce. PURPOSE: To analyze baseline skin temperature and its rewarming through means of a cold-stress test before and after performing a marathon and to study the association between skin temperature and in...
Source: International Journal of Sports Physiology and Performance - Category: Sports Medicine Tags: Int J Sports Physiol Perform Source Type: research
CONCLUSIONS: The HRQOL of hemodialysis patients with CKD-FS remains poor, interacting with important functions such as sleep, vitality, cognition, and sexual function. PMID: 32468308 [PubMed - in process]
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
DISCUSSION: Sleep deprivation etiologies are multifactorial and have several effects on ICU patients. Sleep protocol and staff training should be introduced to reduce unnecessary interventions by ICU staff. Tele-ICU monitoring can also be introduced to reduce unnecessary interventions where clinicians can monitor patients remotely and therefore enhance sleep in the ICU. During their stay in the ICU, patients can be instructed to wear earplugs and also have aromatherapy massage to reduce stress and enhance sleep quality. More research on the physical pain and the psychological factors using objective methods should be condu...
Source: Dimensions in Critical Care Nursing - Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research
Authors: Vegas-Sánchez-Ferrero G, José Estépar RS Abstract Lung parenchyma destruction (emphysema) is a major factor in the description of Chronic Obstructive Pulmonary Disease (COPD) and its prognosis. It is defined as an abnormal enlargement of air spaces distal to the terminal bronchioles and the destruction of alveolar walls. In CT imaging, the presence of emphysema is observed by a local decrease of the lung density and the diagnose is usually set as more than 5% of the lung below -950 HU, the so-called emphysema density mask. There is still debate, however, about the definition of this pe...
Source: MICCAI International Conference on Medical Image Computing and Computer-Assisted Intervention - Category: Radiology Tags: Med Image Comput Comput Assist Interv Source Type: research
Publication date: 15 June 2020Source: Neuroscience, Volume 437Author(s): Jian Wang, Wei Xu, Yan Kong, Jiangju Huang, Zhuofeng Ding, Meiling Deng, Qulian Guo, Wangyuan Zou
Source: Neuroscience - Category: Neuroscience Source Type: research
DISCUSSION: As a nonpharmacological procedure, acupuncture is becoming increasingly important in pain and allergy therapy and is therefore increasingly included in current guidelines. In further studies, the efficacy of acupuncture should be determined in other indications and the mechanisms of action of this therapy method should be investigated. PMID: 32266488 [PubMed - as supplied by publisher]
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - Category: International Medicine & Public Health Authors: Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
AbstractChronic pain is a common medical condition. Patients who suffer uncontrolled chronic pain may require interventions including spinal injections and various nerve blocks. Interventional procedures have evolved and improved over time since epidural injection was first introduced for low back pain and sciatica in 1901. One of the major contributors in the improvement of these interventions is the advancement of imaging guidance technologies. The utilization of image guidance has dramatically improved the accuracy and safety of these interventions. The first image guidance technology adopted by pain specialists was flu...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicin...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs
We report a rare case of a 47-year-old female patient who developed a left L4/5 facet septic arthrosis with an associated subdural empyema and meningitis following facet joint injection. This case is unique, as to the best of our knowledge no other case of subdural empyema following facet joint injection has been reported in the literature. Furthermore this case serves to highlight the potential serious adverse sequelae of a routine and apparently innocuous intervention. The need for medical practitioners to be alert to and respond rapidly to the infective complications of facet joint injection cannot be understated. ...
Source: Neurologia i Neurochirurgia Polska - Category: Neurology Authors: Tags: Neurol Neurochir Pol Source Type: research
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