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Spinal cord injuries in children  [cached]
Muzumdar D,Ventureyra Enrique
Journal of Pediatric Neurosciences , 2006,
Abstract: Spinal injuries in the pediatric population are relatively rare. Hence there is not enough knowledge, experience and exposure amongst pediatric neurosurgeons about spinal injuries in children. They have to rely on general spinal or pediatric orthopedic colleagues for a comprehensive management of spine and spinal cord trauma. In addition, the advances in spinal instrumentation techniques and vast array of implantable devices for spinal stabilization add to the complexity of the problem. It is imperative that a pediatric neurosurgeon should be aware of the mechanics of spinal injury and recent advances in the management strategy of pediatric spinal injuries.
Rescuce, Transportation and Resuscitation in Pediatric Traumatic Spinal Cord Injury  [cached]
Ercan TüREC?
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: Medulla spinalis injury is present in 75% of polytraumatized pediatric cases. Cervical trauma accompanies 5-20% of the head injury pediatric cases. Approximately 3-26% of spinal injuries develop during transportation or as a result of inappropriate first aid interventions as posttraumatic spinal injuries. In children, due to the low body mass and the smaller amount of elastic tissue compared to adults, higher mortality and morbidity rates are seen in these types of injuries in comparison to adults. As a result, in pedriatric medulla spinalis trauma cases, appropriate rescue protocol, immobilization and transportation are extremely important. Turk J Phys Med Rehab 2008; 54 Suppl 2: 51-4.
Pediatric Ocular Trauma in Taiwan  [PDF]
Ching-Hsing Lee,Wan-Ya Su,Lan Lee,Meng-Ling Yang
Chang Gung Medical Journal , 2008,
Abstract: Background: Ocular trauma is a significant problem in pediatric patients. The aim of thisinvestigation was to evaluate the demographic, etiologic and prophylacticfactors of pediatric ocular trauma in a tertiary center in northern Taiwan.Methods: A retrospective review of medical charts of patients aged 15 years oryounger who visited the emergency department of Chang Gung MemorialHospital, Taoyuan for ocular trauma between July 2003 and June 2004 wasundertaken.Results: Of the 228 children in this study, ocular trauma occurred more frequently inboys than in girls (151:77 patients, p < 0.0001). Twenty-one patients (9.2%)presented with bilateral trauma. The most common ocular injury was closedglobe injury (178 patients, 78.1%). The next most common ocular injurieswere burns (35 patients, 15.4%), open globe injuries (8 patients, 3.5%) andorbital injuries (7 patients, 3.1%). Falling was the most common cause ofocular trauma in these children, followed by trauma caused by a fist or otherpart of the body. Sharp objects such as knives or scissors were the most commoncause of open globe injuries. Visual impairment (visual acuity less than20/50) occurred in three open globe injury patients.Conclusions: Ocular trauma in children is associated with visual loss. Many of the caseswere preventable. Public education, general awareness and aggressive primarymanagement may be indicated to optimize visual outcome.
New perspectives in pediatric trauma care  [cached]
Andreas Fette
Journal of Multidisciplinary Healthcare , 2008,
Abstract: Andreas FettePediatric Surgery, Children’s Care Center, SRH Klinikum Suhl/Thueringen, GermanyAbstract: An “American-style” pediatric trauma care symposia consisting of lectures, workshops, and skill stations was held at a pediatric trauma center to improve pre- and post-hospital care for children, facilitate communication, and to set up standards within the regional rescue chain.Keywords: trauma care, children, inhouse-training
MRI Findings in the Spinal Column Trauma
A. Radmehr
Iranian Journal of Radiology , 2008,
Abstract: The traumatic lesions of spinal column are important not only because of the structures involved but also because of the complications that may arise affecting the spinal cord."nThe traumatic lesions are usually encountered be-tween the ages of 20 and 50 years, with the majority of case (about 80%) being seen in males. Usually in trauma patients the study begins with plain X-ray, however, CT and MRI have major role for further evaluation."nOn the CT examination, the bony structures such as vertebral body, pedicles and posterior elements can be evaluated, clearly."nMRI is the imaging method of choice because of its ability to visualize the soft tissue such as spinal cord contusion, hemorrhage, syringomyelia or compres-sion from epidural hematoma."nIn this paper we wish to discuss MRI findings in the spinal column trauma in our patients which are re-ferred for MR study during the last eight years.
New perspectives in pediatric trauma care
Andreas Fette
Journal of Multidisciplinary Healthcare , 2008, DOI: http://dx.doi.org/10.2147/JMDH.S3087
Abstract: spectives in pediatric trauma care Rapid Communication (4715) Total Article Views Authors: Andreas Fette Published Date September 2008 Volume 2008:1 Pages 87 - 88 DOI: http://dx.doi.org/10.2147/JMDH.S3087 Andreas Fette Pediatric Surgery, Children’s Care Center, SRH Klinikum Suhl/Thueringen, Germany Abstract: An “American-style” pediatric trauma care symposia consisting of lectures, workshops, and skill stations was held at a pediatric trauma center to improve pre- and post-hospital care for children, facilitate communication, and to set up standards within the regional rescue chain.
Male infertility in spinal cord trauma
Utida, Cristiano;Truzzi, Jose C.;Bruschini, Homero;Simonetti, Rogerio;Cedenho, Agnaldo P.;Srougi, Miguel;Ortiz, Valdemar;
International braz j urol , 2005, DOI: 10.1590/S1677-55382005000400013
Abstract: every year there are 10 thousand new cases of patients victimized by spinal cord trauma (sct) in the united states and it is estimated that there are 7 thousand new cases in brazil. eighty percent of patients are fertile males. infertility in this patient group is due to 3 main factors resulting from spinal cord lesions: erectile dysfunction, ejaculatory disorder and low sperm counts. erectile dysfunction has been successfully treated with oral and injectable medications, use of vacuum devices and penile prosthesis implants. the technological improvement in penile vibratory stimulation devices (pvs) and rectal probe electro-ejaculation (rpe) has made such procedures safer and accessible to patients with ejaculatory dysfunction. despite the normal number of spermatozoa found in semen of spinal cord-injured patients, their motility is abnormal. this change does not seem to be related to changes in scrotal thermal regulation, frequency of ejaculation or duration of spinal cord damage but to factors related to the seminal plasma. despite the poor seminal quality, increasingly more men with sct have become fathers through techniques ranging from simple homologous insemination to sophisticated assisted reproduction techniques such as intracytoplasmic sperm injection (icsi).
PEDIATRIC OCULAR TRAUMA
M. R. Shoja A. M. Miratashi
Acta Medica Iranica , 2006,
Abstract: Ocular trauma is an important cause of ocular morbidity in children. At present only limited studies regarding distribution of ocular trauma exist in Iran. This study was performed to define epidemiologic characteristics and clinical profile of ocular trauma in children and to discuss management and final outcomes of such injuries. The files of 60 patients aged 16 years or younger who had been admitted for eye trauma at Shahid Sadoughi Hospital from April 2003 to March 2004 were analyzed. Sixty cases were studied. Majority of injuries occurred in the age group of 8-12 years (58.3%). There were 40 (66.6%) boys and 20 (33.3%) girls. The highest proportion of injuries occurred in streets-roads (41.6%), followed by home (25%). Open globe injuries accounted for 51.7% of injuries, closed globe for 35% and chemical injuries for 13.3%. The most common causes were pointed objects, stones, bow-arrow and accidental blows and falls. Best corrected visual acuity of 20/40 or better was achieved in 10 patients (47.9%) in closed globe group. However, only 5 eyes (16.1%) in open globe group could achieve this vision. Seventeen patients (28.3%) achieved visual acuity of 20/200 or less. In conclusion, most ocular injuries are preventable and occur due to unsupervised use of objects like pointed things and bow–arrow. Initial visual acuity is statistically an important predictor of final visual acuity.
Musculoskeletal Ultrasound in Pediatric Trauma
A. Shakeri Bavil,M. Nemati
Iranian Journal of Radiology , 2008,
Abstract: Radiographs are the initial diagnostic modality used in evaluation of trauma, but sonography lacks ionizing radiation risks and allows in depth assessment of no ossified joint areas, soft tissues and superficial bone-to-soft tissue interfaces. Regarding the use of sonography to asses soft tissue injuries, the ultrasonographic evaluation of clavicle fractures, proximal humerus epiphysiolysis and fractures of hip has been well standardized."nThe aim of this review is to present the currently applied clinical ultrasound imaging techniques and to provide guidelines for efficient evaluation of musculoskeletal injuries and disorders in children.
EVALUATION OF THE RESULTS OF CERVICAL SPINE & SPINAL CORD TRAUMA IN CHILDREN  [cached]
G.R. Bahadorkhan,F. Samini,M.R. Ehsaei
Iranian Journal of Child Neurology , 2009,
Abstract: Objectives Major differences exist in the anatomy and biomechanics of the growing spine that causes failure patterns different from those in adults. Spinal injury in the pediatric patient is a main concern because timely diagnosis and appropriate treatment can prevent further neurologic damage and deformity and potentiate recovery. We conducted a retrospective clinical study of 137 cases (93 boys, 44 girls) of pediatric cervical spine injuries, managed over fifteen years, to present data from a large series of pediatric patients with cervical spine injuries from a single regional trauma center. The aim was to assess and analyze complications, etiology, pathogenesis, site of injuries and age difference of cervical spine and spinal cord injury in a pediatric age group and compare the findings with current literature.Materials & Methods One hundred and thirty seven children with cervical spine injuries, seen over twelve years, were divided into two age groups: 54 patients were in group one (0-9 years ) and 83 patients were in group two (10 – 17 years) . We managed them according to status at presentation and type of injury. Forty seven patients were managed surgically and ninety nonsurgically (52 wore a halo brace and 38 wore different hard collars and braces). T-test and Chi squares were used to analyze differences between groups ResultsThe most common cause of injury was motor vehicle accidents(MVA). Our younger patients (Group 1) had sustained more neurological injuries than the older ones (Group 2), 77% vs.48%.; upper cervical spine was the most common site involved in 76%, while 43% suffered head injuries. In group two, 88% of children two sustained fractures or fracture/ subluxations; also in this group, subluxation, and fracture/subluxation was present in 10 and 25% of children respectively. The most common radiological findings were vertebral fractures (38%). Solid fusions were demonstrated in all patients at late follow–up review (mean 6 years). None of the children developed neurological deterioration; however 18% mortality was documented. Various fusion techniques were used and neurological and fusion outcomes improved as compared with the previous reports.Conclusion Outcomes of cervical spine injuries in children are more positive than in adults, particularly in patients with incomplete injuries. The prognosis for children with complete spinal cord injuries, however, is still discouraging. Upper cervical spine injuries are more common between birth and 9 years of age; however fractures and fracture/subluxation are rare in this group. Surgical i
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