Motor vehicle accident

Case presentation A 29-year-old man was brought to our level one trauma hospital after a motor vehicle accident, during which he was ejected from the vehicle during the crash. He lost consciousness on impact but was alert and oriented on arrival at the hospital, and was able to move all four extremities during the initial […]

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An Alternative Approach for Treating Severe Injured Temporomandibular Joints by Gunshot Wounds

Abstract Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted […]

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Cognitive decline in Parkinson disease

Abstract Dementia is a frequent problem encountered in advanced stages of Parkinson disease (PD). In recent years, research has focused on the pre-dementia stages of cognitive impairment in PD, including mild cognitive impairment (MCI). Several longitudinal studies have shown that MCI is a harbinger of dementia in PD, although the course is variable, and stabilization […]

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Ballistic Trauma

Combat and domestic improvised explosive devices (IEDs) deserve special consideration and mention as they result in additional trauma to the soft and hard tissues that extend far beyond that of typical ballistic patterns of permanent and temporary cavitation effects seen with handguns, shotguns, or even high-powered rifles. In addition to direct tissue damage from blast […]

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Dietary total fat, fatty acids intake, and risk of cardiovascular disease: a dose-response meta-analysis of cohort studies

Abstract Background Several epidemiological studies have investigated the association between dietary fat intake and cardiovascular disease. However, dietary recommendations based on systematic review and meta-analysis might be more credible. Methods and results Pubmed, Embase and Cochrane library were searched up to July 1st 2018 for cohort studies reporting associations of dietary fat intake and risk […]

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Neovascularization of coronary tunica intima (DIT) is the cause of coronary atherosclerosis.

1602 Samuel Drive, Madison, WI, 53717, USA Corresponding author: Vladimir M Subbotin: moc.liamg@nitobbus.m.rimidalv Background An accepted hypothesis states that coronary atherosclerosis (CA) is initiated by endothelial dysfunction due to inflammation and high levels of LDL-C, followed by deposition of lipids and macrophages from the luminal blood into the arterial intima, resulting in plaque formation. The success […]

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Laparoscopic retrieval of an unusual foreign body

Binay Kumar Shukla, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, and Pradeep Chowbey Author information Article notesCopyright and License information Disclaimer INTRODUCTION Foreign body ingestion is a common cause of accidental death. Although approximately 90% of them pass spontaneously, they can result in perforation or obstruction in the gastrointestinal (GI) tract. Toddlers aged 2-3 years are most commonly affected; as […]

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Jellyfish injuries

Lakkana Thaikruea & Potjaman Siriariyaporn  It is widely known that box jellyfish are one of the most venomous marine animals in the world [1]. Envenomation involves the physical discharge of venom into tissues. The venom is a complex mixture of polypeptides and proteins, including hemolytic, cardiotoxic and dermatonecrotic toxins The islands of Samui and Pha-ngan have the […]

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Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)

Raquel Andrade Lauria,* Fernando Laffitte Fernandes, Thiago Pires Brito, Pablo Soares Gomes Pereira, and Carlos Takahiro Chone Case Report A 14-year-old male adolescent, with no significant past medical history, presented at an otorhinolaryngology department of a tertiary teaching hospital with a 7-day history of a common cold that progressively evolved with frontal headache, vomiting, fever, purulent rhinorrhea, and frontal and […]

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Facial Transplantation

Patient 3 is a 25-year-old man who had sustained extensive ballistic facial injury in June 2016, requiring multiple procedures including maxillary, mandibular, zygomatic, and right orbital floor open reduction and internal fixation with debilitating functional deficits and exposed hardware. In preparation for FT, the patient underwent hardware removal, bilateral naso-orbito-ethmoid osteotomies, medial canthal tendons repositioning, […]

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Earthquake injuries

Lei Liu, Gang Tan, Fujun Luan, Xin Tang, Pengde Kang, Chongqi Tu, and Fuxing Pei The Wenchuan earthquake (May 12, 2008; 2:28 p.m. local time) was a disaster for China. Orthopedic surgeons faced major challenges in controlling fractures quickly and effectively, repairing tissue defects, closing the wounds, promoting wound healing, preventing infection, and minimising complications. […]

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Full facial and total scalp burn injury

The FT recipient was a 41-year-old male firefighter who sustained a full facial and total scalp burn injury in 2001 while in the line of duty. Following his initial injury, the patient had undergone >70 reconstructive procedures without improvement in functional or esthetic outcomes ​(Fig. 1). August 2015, the patient underwent a total face, eyelids, ears, […]

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Nine amputated fingers.

A 41-year-old male patient presented to Khoula Hospital, Muscat, Oman, in 2015 with nine amputated fingers. While operating a paper cutting machine, eight of the patient’s fingers were amputated through the proximal phalanges, while the right thumb was amputated through the distal phalanx [Figure 1]. The total ischaemia time when the patient was received at […]

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Amputated thumb by an electrical saw

A 44-year-old male presented to our department with an amputated thumb with radial part of the hand (Fig. 1). His injury was occurred by an electrical saw. The index finger circulation was intact. The margins of both the parts were crushed and severely damaged. Under general anesthesia and tourniquet control, they explored the wound. After […]

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