The gender differences in distal ulnar measurements can be beneficial for surgery and forensic science. UG is wider than ECU tendon, and this is the cause of normal subluxation. Therefore, rather than deepening UG, surgeons should focus on tendon sheath abnormalities as a physiological solution.
Objectives: We investigated whether red cell distribution width (RDW) and red cell distribution width to total serum calcium (RDW-to-TSC) ratio were associated with mortality in patients with acute pancreatitis (AP). Methods: A total of 170 patients who present emergency department between January 2017 and June 2018 with a diagnosis of AP were enrolled in this study. A comparison between survivor and nonsurvivor AP patients was performed. Diagnosis of AP were defined according to the revised Atlanta classification 2012. Variables evaluated included demographics, hospital stay, laboratorial parameters and mortality. Results: AP related in-hospital mortality was 6.4%. Red cell distribution (RDW), white blood cell (WBC), platelet, serum glucose and RDW-to-TSC ratio were associated with AP mortality. RDW-to-TSC ratio had the highest AUC (0.88; 95% CI, 0.756-1.0), followed by RDW, serum glucose, platelet and WBC (AUC = 0.801, 0.797, 0.743 and 0.687 respectively). A cutoff value of RDW-to-TSC ratio >2.0, the highest sensitivity (91.9%), specificity (81.1%), PPV (82.9%), and NPV (91.1%) were achieved for prediction of AP related in-hospital mortality in approximately 86.5% of the cases (p < 0.001). Conclusions: RDW and TSC are simple, inexpensive routine serum parameters, provided in a complete blood count test and available at admission. This study showed that RDW > 16.6 and RDW-to-TSC > 2.0 were very good predictors for AP mortality.
Servikal aortik ark, nadir görülen bir konjenital anomalidir. Çocuklukta genellikle semptomatiktir, ancak asemptomatik erişkinlerde bazen bu anormallik farklı nedenlerden dolayı radyolojik görüntüleme sırasında teşhis edilir. Biz bu yazıda öksürük ve nefes darlığı ile başvuran servikal aortik ark olgusunu ve literatürün gözden geçirilmesini amaçladık.
Blunt chest trauma has high mortality and morbidity rates. The aim of this study was to evaluate the relationship between trauma findings and sternoclavicular joint (SCJ) distances in patients with blunt chest trauma. Materials and Methods: Between May 2019-September 2019, Thorax Computed Tomography (CT) images of 102 patients (78 males, 24 females, aged 19-88 years) with blunt chest trauma were evaluated retrospectively. Rib fractures, costal cartilage fractures and other signs of trauma were evaluated. SCJ distances were measured at the inferior, mid, and superior segments in the coronal reformatted CT images. Post-traumatic SCJ expansion was evaluated in patients with rib and costal cartilage fractures. Additionally, SCJ and the presence of other post-traumatic signs were compared. An inter-observer reliability analysis with Intraclass correlation coefficient (ICC) scores with 95% CIs were calculated. Results: In the presence of fractures of 1st to 4th ribs a statistically significant widening of superior and mid segments of the ipsilateral SCJs were detected. A 2-mm or greater difference of widening of the superior segment of the ipsilateral SCJ compared to the contralateral joint was found statistically significant for hemothorax, pneumothorax, and wall emphysema. The inter-observer agreement was excellent for the measurements of the SCJ on coronal plane, having an ICC score ranging from 0.921 to 0.961 (95% CI). Conclusion:The expansion of the ipsilateral SCJ distances in rib fractures in the upper part of the chest wall shows that SCJ performs an important role in the absorption of energy to the chest wall. Amaç: Bu çalışmanın amacı, künt göğüs travması olan hastalarda travma bulguları ile sternoklaviküler eklem (SKE) mesafeleri arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Mayıs 2019 -Eylül 2019 tarihleri arasında künt göğüs travması olan 19-88 yaş arası 102 hastanın (78 erkek, 24 kadın) Toraks Bilgisayarlı tomografi (BT) görüntüleri retrospektif olarak değerlendirildi. Kosta kırığı, kostal kartilaj kırıkları ve diğer travma bulguları değerlendirildi. SKE mesafeleri, koronal reformat BT görüntülerinde alt, orta ve üst segmentlerde ölçüldü. Kostal ve kostal kartilaj kırıkları olan hastalarda travma sonrası SKE genişlemesi değerlendirildi. Ek olarak, SKE ve diğer travma sonrası bulguların varlığı karşılaştırıldı. Bulgular: 1-4. kosta kırığı varlığında, ipsilateral SKE'nin üst ve orta kesimlerinde istatistiksel olarak anlamlı bir genişleme saptandı. Hemotoraks, pnömotoraks ve duvar amfizemi için, ipsilateral SKE'nin üst kesimindeki 2 mm veya daha fazla genişlemesi kontralateral eklem ile karşılaştırıldığında istatistiksel olarak anlamlı bulundu. SKE'nin koronal düzlemde ölçümleri için gözlemciler arası uyum, 0.921 ile 0.961 (%95 CI) arasında değişen bir ICC skoru ile mükemmel olarak bulundu. Sonuç: Göğüs duvarının üst kısmındaki kaburga kırıklarında ipsilateral SKE mesafelerinin genişlemesi, SKE'nin travmada göğüs duvarına gelen enerjinin emiliminde önemli bir rol oynadığını göstermektedir.
Spontaneous common bile duct perforation is a rare cause of acute abdomen. Preoperative diagnosis is rare. The etiology is unclear, but the proposed theories include congenital, trauma, necrotizing enterocolitis, intramural thrombosis, iatrogenic, or bile duct stones. In this article, we report a case of common bile duct perforation in a 13-month-old female patient without any medical or traumatic history. Although it is a very rare disease, emergency physicians should consider common bile duct in patients with complaints of abdominal pain, distention, nausea, vomiting, and fever. An overlooked diagnosis or misdiagnosis can be potentially fatal.Spontan koledok perforasyonu: Nadir bir olgu ÖZ Spontan koledok perforasyonu, akut karnın nadir bir nedenidir. Ameliyat öncesi tanı nadirdir. Etyolojisi açık değildir, fakat teoriler doğuştan, travma, nekrotizan enterokolit, intramural tromboz, iyatrojenik veya koledokta taştır. Bu yazıda, 13 aylık herhangi bir tıbbi veya travma öyküsü olmayan bir kız hastada koledok perforasyonunu olgusu sunuldu. Çok nadir görülen bir hastalık olmasına rağmen, acil hekimleri karın ağrısı, şişkinlik, mide bulantısı, kusma ve ateş şikayetleri olan hastalarda koledok rüptürünü akılda tutmalıdırlar. Gözden kaçan veya yanlış bir tanı, potansiyel olarak ölümcül olabilir.Anahtar sözcükler: Karın ağrısı; koledok; perforasyon.
Relationship between the tilt angle of bipolar radial head prostheses and radiological radiocapitellar instability
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