scholarly journals A multicentre cross-sectional study to examine physicians’ ability to rule out a distal radius fracture based on clinical findings

2015 ◽  
Vol 42 (2) ◽  
pp. 185-190 ◽  
Author(s):  
M. M. J. Walenkamp ◽  
M. P. Rosenwasser ◽  
J. C. Goslings ◽  
N. W. L. Schep
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Radius Fracture ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rule Out

scholarly journals Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

2020 ◽  
Vol 11 ◽  
pp. 215145932090636
Author(s):  
Hatice Caliskan ◽  
Volkan Igdir ◽  
Cemile Ozsurekci ◽  
Emrah Caliskan ◽  
Meltem Halil
Keyword(s):  
Older People ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Frailty Index ◽  
Fracture Prevention ◽  
Cross Sectional Study ◽  
Radius Fracture ◽  
Cross Sectional ◽  
European Working ◽  
Independent Variable

Introduction: Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF. Materials and Methods: This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants. Results: Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( P = .48). Prefrail–frail (nonrobust) phenotype was higher in patients with DRF ( P = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models. Discussion: This study showed that nonrobust phenotype was an independent variable predicting DRF. Conclusion: Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.

scholarly journals Fever without source as the first manifestation of SARS-CoV-2 infection in infants less than 90 days old.

2021 ◽  
Author(s):  
Daniel Blázquez-Gamero ◽  
Cristina Epalza ◽  
José Antonio Alonso Cadenas ◽  
Lourdes Calleja Gero ◽  
Cristina Calvo ◽  
...  
Keyword(s):  
Bacterial Infections ◽  
Urine Culture ◽  
Pediatric Intensive Care ◽  
Cross Sectional Study ◽  
Nasopharyngeal Swab ◽  
Sectional Study ◽  
Cross Sectional ◽  
Bacterial Coinfection ◽  
Growth Of Bacteria ◽  
Rule Out

Abstract Fever without source (FWS) in infants is a frequent cause of consultation at the emergency department and the emergence of SARS-CoV-2 could affect the approach to those infants. The aim of this study is to define the clinical characteristics and rates of bacterial coinfections of infants < 90 days with FWS as the first manifestation of SARS-CoV-2 infection. This is a cross-sectional study of infants under 90 days of age with FWS and positive SARS-CoV2 PCR in nasopharyngeal swab/aspirate, attended at the emergency departments of 49 Spanish hospitals (EPICO-AEP cohort) from March 1st to June 26th, 2020. Three hundred and thirty-three children with COVID-19 were included in EPICO-AEP. A total of 67/336 (20%) were infants less than 90 days old, and 27/67(40%) presented with FWS. Blood cultures were performed in 24/27(89%) and were negative in all but one (4%) who presented a Streptococcus mitis bacteremia. Urine culture was performed in 26/27(97%) children and was negative in all, except in two (7%) patients. Lumbar puncture was performed in 6/27(22%) cases, with no growth of bacteria. Two children had bacterial coinfections: 1 had UTI and bacteremia, and 1 had UTI. C-reactive was protein over 20 mg/L in two children (one with bacterial coinfection), and procalcitonin was normal in all. One child was admitted to the Pediatric Intensive Care Unit because of apnea episodes. No patients died. Conclusion: FWS was frequent in infants under 90 days of age with SARS-CoV-2 infection. Standardized markers to rule out bacterial infections remain useful in this population, and the outcome is generally good.

Intracortical remodelling and porosity in the distal radius and post-mortem femurs of women: a cross-sectional study

The Lancet ◽  
2010 ◽  
Vol 375 (9727) ◽  
pp. 1729-1736 ◽  
Author(s):  
Roger MD Zebaze ◽  
Ali Ghasem-Zadeh ◽  
Ann Bohte ◽  
Sandra Iuliano-Burns ◽  
Michiko Mirams ◽  
...  
Keyword(s):  
Distal Radius ◽  
Cross Sectional Study ◽  
Post Mortem ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Perception of dental practitioners in and around Kanpur city towards forensic odontology: a cross sectional study

2019 ◽  
Vol 7 (7) ◽  
pp. 2732
Author(s):  
Vishal Mehrotra ◽  
Gauri Mishra ◽  
Rohan Sachdev ◽  
Kriti Garg ◽  
Sekhar Mukherjee ◽  
...  
Keyword(s):  
Personal Data ◽  
Forensic Odontology ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Forensic Sciences ◽  
Sectional Study ◽  
Training Experience ◽  
Cross Sectional ◽  
Dental Practitioners

Background: In the present era, forensic odontology has expanded as one of the most remarkable and commendable branches of Forensic Sciences. Through forensic odontology, a dentist plays a very important role in crime investigation of any type. The main objective of the present study was to evaluate the knowledge, percipience and practical perception of forensic odontology among the dental practitioners in and around Kanpur city.Methods: A cross-sectional study was conducted from Jan-Mar 2019 among 207 dental practitioners in and around Kanpur city including 143 BDS and 64 MDS through a questionnaire proforma. The proforma consisted of 20 questions prepared on the topic of forensic Odontology and role of dentist in the field of forensic Odontology.Results: In this study, nearly 70% of dental practitioners were aware of the role of dentist in forensics, and around 60% of dental practitioners maintain dental records with recording of personal data and clinical findings being the most frequently used method. In the present study most of the dental practitioners were not aware of significance of chelioscopy (63%) and rugoscopy (66%) in field of forensic Odontology. Nearly 70% of dentist accepted the fact that their level of knowledge regarding forensic dentistry is inadequate and nearly 40% of them were not confident in giving any opinion regarding the same.Conclusions: This study shows that although there is an adequate awareness of role of dentist in forensic Odontology, but there is lack of good knowledge, confidence and practical approach of the dental practitioners towards forensic Odontology which may be due to lack of training, experience, exposure in field of forensics. Thus, the need of the hour lies in updating the knowledge and also developing interest of the dental practitioners regarding forensic Odontology.

scholarly journals Study on functional outcome of distal radius intra-articular fractures managed by ligamentotaxis: a cross sectional study

2019 ◽  
Vol 5 (6) ◽  
pp. 1094
Author(s):  
Karu Shanmuga Karthikeyan
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Treatment ◽  
Articular Fractures ◽  
Study Population

<p class="abstract"><strong>Background:</strong> Fractures of the distal radius continue to be the one of the most common skeletal injuries treated by an orthopaedic surgeon. They are the most common fractures of the upper extremity and account for 15-20% of all fractures. All intra articular fractures need good reduction for better functional outcome. There are multiple treatment methods from casting to arthroscopic surgeries. This study has been undertaken to study the functional outcomes of distal radius intra-articular fractures managed by ligamentotaxis. The objective of the present study was to evaluate the functional outcomes of distal radial intra-articular fractures treated by ligamentotaxis.</p><p class="abstract"><strong>Methods:</strong> This cross sectional study was conducted in Orthopaedic department of Kilpauk Medical College between April 2017 to April 2019 on 60 patients with fracture of the distal end of radius, with comminuted fracture, who fulfilled the inclusion and exclusion criteria were included in the study. All fractures were managed by ligamentotaxis and were followed regularly and assessed after four months for their functional outcomes.<strong></strong></p><p class="abstract"><strong>Results:</strong> 80% of the study population were males. Around 67% of the study population had type III or type IV fracture according to Frykman’s classification. 84% of the study population had better prognosis with ligamentotaxis. The difference between mean Mayo wrist score between affected side and normal side was not statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> Ligamentotaxis, external fixation for comminuted intra articular distal radius fractures is safe and effective treatment. It is also cost effective.</p>

scholarly journals The Additional Information of Bitewing Radiographs in the Detection of Established or Severe Dentinal Decay in 14-Year Olds: A Cross-Sectional Study in Low-Caries Population

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Aija-Maaria Hietala-Lenkkeri ◽  
Mimmi Tolvanen ◽  
Pentti Alanen ◽  
Kaisu Pienihäkkinen
Keyword(s):  
Cross Sectional Study ◽  
Clinical Findings ◽  
Tooth Surface ◽  
Sectional Study ◽  
Caries Prevalence ◽  
Cross Sectional ◽  
Surface Level ◽  
Individual Level ◽  
Additional Information ◽  
Occlusal Surfaces

Aim. To reveal the additional value of radiographic bitewings (BW) in detection of caries and in comparing the occurrence of clinically undetected severe decay between 14-year olds with and without clinically observed dentinal caries in a low-caries prevalence population.Design. The cross-sectional study used 363 pairs of radiographs read by one examiner without knowledge of the clinical findings. The yield was analyzed on a tooth surface level by cross tabulating the clinical and radiographic information and on an individual level by counting the number of yield surfaces for all subjects. Mann-WhitneyUtest was used.Results. On a tooth surface level, the contribution of BW was the greatest on the occlusal surfaces of the first molars, where established or severe dentinal decay was registered in BW in 11% of clinically sound surfaces and in 40% of established cavitated enamel lesions. On an individual level, 53% of subjects benefited from BW. The subjects clinically DMFS > 0 benefited more than the clinically DMFS = 0 subjects (P=.004), nearly 60% in relation to 47%, respectively.Conclusions. In a low-caries prevalence population a remarkable portion of both clinically DMFS = 0 and DMFS > 0 14-year olds benefit from BW examination. Most of the benefit is obtained on the occlusal surfaces of the first and the second permanent molars.

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