scholarly journals Strong Medicine

2018 ◽  
Vol 140 (09) ◽  
pp. 43-47
Author(s):  
Tom Gibson

In the United States, the highest incidence of ACL injury is to athletes, many of whom are soccer players. Surgery is often required to repair those torn ACLs, and surgeons are working with mechanical engineers to better understand the physiology of children’s knees in order to better repair the injuries–or perhaps avert them entirely. This article delves into how these engineers and biomechanics specialists are applying techniques normally reserved for hard materials like steel to soft tissue.

2010 ◽  
Vol 36 (Suppl 3) ◽  
pp. 1819-1829 ◽  
Author(s):  
RHODA S. NARINS ◽  
WILLIAM P. COLEMAN ◽  
RODNEY ROHRICH ◽  
GARY MONHEIT ◽  
RICHARD GLOGAU ◽  
...  

2007 ◽  
Vol 5 (4) ◽  
pp. 364 ◽  
Author(s):  
_ _

Soft tissue sarcomas are the most frequent sarcomas; the annual incidence for 2007 in the United States is estimated at about 9220 cases, with an overall mortality rate of approximately 3560 cases per year. Important updates for the 2007 version of the guidelines include the addition of epirubicin (single agent) and the combination of epirubicin, ifosfamide, and mesna as generally accepted systemic therapy. Imatinib was added as an option for desmoid tumors. For the most recent version of the guidelines, please visit NCCN.org


Cancer ◽  
1993 ◽  
Vol 72 (2) ◽  
pp. 486-490 ◽  
Author(s):  
Julie A. Ross ◽  
Richard K. Severson ◽  
Scott Davis ◽  
John J. Brooks

2018 ◽  
Vol 68 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Ethan Morgan ◽  
Sam Hohmann ◽  
Jessica P Ridgway ◽  
Robert S Daum ◽  
Michael Z David

Abstract Background The incidence of skin and soft-tissue infections (SSTIs), for which human immunodeficiency virus (HIV) is a significant risk factor, in United States emergency departments (EDs) increased dramatically after 2000 with the emergence of community-associated methicillin-resistant Staphylococcus aureus. Few studies have examined SSTI incidence among HIV-infected and non–HIV-infected patients in the United States after 2010. Methods Data were obtained for patient encounters at all academic medical center EDs affiliated with the Vizient clinical data warehouse assigned an SSTI-associated code based on the International Classification of Diseases, Ninth Revision, between 1 January 2009 and 31 December 2014. The rate was calculated per 1000 ED encounters by year and stratified by SSTI, HIV infection, or both, and by age group, race, payer type, and region of care. Poisson regression was used to assess temporal change over the study period. Results In 2009–2014, a total of 47317 HIV-associated and 820440 SSTI-associated encounters were recorded among 25239781 ED patient encounters. The rate of SSTIs decreased by 8% among all patients and by 14.6%, among those with HIV infection. The SSTI incidence overall decreased from 32.0 to 29.7 per 1000 ED encounters between 2009 and 2014. HIV-infected patients had a significantly higher rate of SSTIs than HIV-uninfected patients (adjusted rate ratio, 1.91; 95% confidence interval, 1.84–1.99). Conclusions The decline in SSTI incidence in US EDs between 2009 and 2014 is a remarkable epidemiologic shift from the increase in SSTIs after 2000, and further research is necessary to assess reasons for this decrease.


2011 ◽  
Vol 46 (5) ◽  
pp. 484-488 ◽  
Author(s):  
Elizabeth A. Carter ◽  
Beverly J. Westerman ◽  
Katherine L. Hunting

Context: A major challenge in the field of sports injury epidemiology is identifying the appropriate denominators for injury rates. Objective: To characterize risk of injury from participation in basketball, football, and soccer in the United States, using hours of participation as the measure of exposure, and to compare these rates with those derived using population estimates in the denominator. Design: Descriptive epidemiology study. Setting: United States, 2003–2007. Participants: People ages 15 years and older who experienced an emergency department–treated injury while playing basketball, football, or soccer. Main Outcome Measure(s): Rates of emergency department–treated injuries resulting from participation in basketball, football, or soccer. Injury rates were calculated for people ages 15 and older for the years 2003–2007 using the U.S. population and hours of participation as the denominators. The risk of injury associated with each of these sports was compared for all participants and by sex. Results: From 2003 through 2007, annual injury rates per 1000 U.S. population were as follows: 1.49 (95% confidence interval [CI] = 1.30, 1.67) in basketball, 0.93 (95% CI = 0.82, 1.04) in football, and 0.43 (95% CI = 0.33, 0.53) in soccer. When the denominator was hours of participation, the injury rate in football (5.08 [95% CI = 4.46, 5.69]/10 000 hours) was almost twice as high as that for basketball (2.69 [95% CI = 2.35, 3.02]/10 000 hours) and soccer (2.69 [95% CI = 2.07, 3.30]/10 000 hours). Conclusions: Depending on the choice of denominator, interpretation of the risk of an emergency department–treated injury in basketball, football, or soccer varies greatly. Using the U.S. population as the denominator produced rates that were highest in basketball and lowest in soccer. However, using hours of participation as a more accurate measure of exposure demonstrated that football had a higher rate of injury than basketball or soccer for both males and females.


2020 ◽  
Vol 8 (5) ◽  
pp. 232596712091917
Author(s):  
Andrew S. Gupta ◽  
Lauren A. Pierpoint ◽  
R. Dawn Comstock ◽  
Michael G. Saper

Background: Anterior cruciate ligament (ACL) tears are common among high school athletes, with sex-based differences accounting for higher injury rates in girls. Previous epidemiological studies on ACL injuries focusing on adolescent athletes have looked at injuries across multiple sports, but few have analyzed ACL tears in solely high school soccer athletes. Purpose: To examine sex-based differences in the epidemiology of ACL injuries among high school soccer players in the United States (US). Study Design: Descriptive epidemiological study. Methods: ACL injury data for US high school soccer players were obtained from the internet-based National High School Sports-Related Injury Surveillance Study’s High School RIO (Reporting Information Online) system. Athletic trainers from a random sample of 100 high schools from 8 strata based on US Census geographic region reported data for athlete-exposures (AEs) (practice or competition) and ACL injuries from 2007 through 2017. Injury rates were calculated as the number of ACL injuries per 100,000 AEs. Subgroup differences were evaluated with rate ratios (RRs) or injury proportion ratios (IPRs) and 95% CIs. Statistical differences in demographics between groups were examined using independent t tests. Comparisons of categorical data (ie, level of play) were performed using the Wald chi-square test. Results: The reported number of ACL injuries corresponded to weighted national estimates of 41,025 (95% CI, 33,321-48,730) ACL injuries in boys’ soccer and 110,028 (95% CI, 95,349-124,709) in girls’ soccer during the study period. The rate of injuries was higher in girls’ soccer (13.23/100,000 AEs) than boys’ soccer (4.35/100,000 AEs) (RR, 3.04 [95% CI, 2.35-3.98]). The rate of ACL injuries was higher in competition compared with practice for girls (RR, 14.77 [95% CI, 9.85-22.15]) and boys (RR, 8.69 [95% CI, 5.01-15.08]). Overall, a smaller proportion of ACL injuries were caused by player-player contact for girls (30.1%) compared with boys (48.6%) (IPR, 0.62 [95% CI, 0.41-0.93]). Conclusion: ACL injury rates and patterns in high school soccer players differed between sex, type of exposure (practice vs competition), and mechanism of injury.


2020 ◽  
Author(s):  
Addison K. May ◽  
Victor B. Talisa ◽  
David A. Wilfret ◽  
Eileen Bulger ◽  
Wayne Dankner ◽  
...  

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 253-254
Author(s):  
HARRY KIPPERMAN ◽  
MOSHE EPHROS ◽  
MORRIS LAMBDIN ◽  
KAREN WHITE-ROGERS

Aeromonads are bacteria, found in water and soil, which cause a wide spectrum of human infections in normal and compromised hosts.1 Although primarily gastrointestinal pathogens, aeromonads also cause trauma-related infections of skin, soft tissue, muscle and bone, as well as non-trauma-related infections, including endocarditis.1-4 Gastrointestinal infections due to Aeromonas sp are frequently identified in Southeast Asia, India, and Australia3,5-7 but rarely in the United States.2,8 This report describes a case of profuse watery diarrhea due to Aeromonas hydrophila in a child from Maine. CASE REPORT A 5-month-old female infant with Down's syndrome and Hirschsprung's disease developed diarrhea and vomiting.


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