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9,600 | 9,236 | Open versus closed diagnostic peritoneal lavage in the evaluation of abdominal trauma.
Two hundred forty-two patients underwent diagnostic peritoneal lavage (DPL) over a 12-month period.
One hundred sixteen patients (48%) were randomized to an open lavage technique and 126 (52%) to a percutaneous (closed) guide wire ... | C21 |
9,601 | 6,538 | Age, sex, and road-use patterns of motor vehicular trauma in Rhode Island: A population-based hospital emergency department study.
Population-based hospital emergency department data on motor vehicle traffic trauma in Rhode Island, 1984-85, are analyzed by age, sex, and road-use status.
Annualized rates of overall an... | C21 |
9,602 | 2,415 | Brake mechanics, asbestos, and disease risk.
Health risks posed by inhalable asbestos fibers are known to exist in a variety of industrial and nonindustrial settings.
Although early studies described an increased risk of asbestosis, lung cancer, and mesothelioma in asbestos-industry workers, subsequent research revea... | C21 |
9,603 | 9,225 | Stress fractures of the femoral neck in athletes. The consequence of a delay in diagnosis.
Twenty-three patients with stress fractures of the femoral neck were followed up at an average of 6.5 years after the injury.
There were 16 recreational athletes and seven elite athletes.
Most injuries (N = 15) occurred during... | C21 |
9,604 | 6,069 | Traumatic disruptions of the thoracic aorta: treatment and outcome.
Of 27 patients admitted to our level I trauma center with acute disruption of the thoracic aorta, two patients died of exsanguination before aortic repair.
One patient had massive leakage from the aneurysm after aortography and died during surgery.
... | C21 |
9,605 | 8,108 | Why use drains?
There is no firm published evidence to support the use of closed suction drains.
Over 20 years ago, large studies by the Public Health Laboratory Service and the National Research Council found that drains were risk factors for wound infection.
A prospective randomised study of the use of closed suct... | C21 |
9,606 | 5,149 | Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study
The prevalence of comorbid alcohol, other drug, and mental disorders in the US total community and institutional population was determined from 20,291 persons interviewed in the National Instit... | C21 |
9,607 | 9,204 | The course of the HIV epidemic among intravenous drug users in Amsterdam, The Netherlands.
To determine if behavioral changes in intravenous drug users in Amsterdam have retarded the HIV (human immunodeficiency virus) epidemic in this group in recent years, we report that: HIV-antibody seroprevalence in annual samples... | C21 |
9,608 | 5,207 | Public support for policy initiatives regulating alcohol use in Minnesota: a multi-community survey.
Public support for policies to control alcohol sales and consumption was surveyed in seven Minnesota communities.
A total of 438 women and 383 men were asked to indicate their level of support of or opposition to nine... | C21 |
9,609 | 4,721 | Unusual type of foreign body in the maxillary sinus.
A broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described.
The types of foreign bodies and their mechanisms of introduction into this site are summarized. | C21 |
9,610 | 2,091 | Metabolic bone disease in lumbar pseudarthrosis.
Pseudarthrosis occurs in many patients who undergo lumbar spine fusion and it has been suggested that abnormalities of bone metabolism contribute to it.
The authors evaluated 47 patients with pseudarthrosis for metabolic bone disease.
Symptomatic patients with pseudar... | C21 |
9,611 | 6,019 | Acute obstructive jaundice in the multiple trauma patient.
The appearance of acute jaundice in the multiple trauma patient may result from obstruction of the common bile duct by clot.
Management of this problem may be hindered by a delay in diagnosis, especially where alterations in pigment load and hepatic clearance... | C21 |
9,612 | 9,319 | A national study of AIDS and residency training: experiences, concerns, and consequences
OBJECTIVE: To examine residents' experiences in the care of patients with the acquired immunodeficiency syndrome (AIDS), and to examine factors that may influence their attitudes about such care.
DESIGN: Cross-sectional, self-ad... | C21 |
9,613 | 6,119 | Focal ischemic damage is reduced by CPP-ene studies in two animal models.
We have studied a new high-affinity competitive N-methyl-D-aspartate antagonist, D-CPP-ene (SDZ-EAA 494), in two models of focal cerebral ischemia.
In the cat middle cerebral artery occlusion model (6 hours' survival), pretreatment with D-CPP-e... | C21 |
9,614 | 4,009 | Esophageal obstruction after ingestion of a fiber-containing diet pill.
Foreign bodies of the esophagus in adults may be the result of a food bolus that becomes lodged proximal to a structural abnormality of the distal esophagus.
A case of peptic stricture of the esophagus in a patient who presented with acute dyspha... | C21 |
9,615 | 6,244 | Risk of cardiovascular mortality in alcohol drinkers, ex-drinkers and nondrinkers.
Lower cardiovascular mortality rates in lighter drinkers (versus abstainers or heavier drinkers) in population studies have been substantially due to lower coronary artery disease (CAD) mortality.
Controversy about this U-shaped curve ... | C21 |
9,616 | 9,250 | Improved trauma care in a rural hospital after establishing a level II trauma center.
A study of motor vehicle accident deaths occurring in Napa County, California, from 1979 through 1983 showed that there was a preventable death rate of 42% for deaths that were not related to central nervous system injuries.
After d... | C21 |
9,617 | 7,827 | Cementless total joint arthroplasty prostheses with titanium-alloy articular surfaces. A human retrieval analysis.
Surgical implants of titanium alloy (Ti-6Al-4V) have been found to be susceptible to abrasive wear, resulting in the well-known phenomenon of metallosis.
In the presence of the acrylic debris generated b... | C21 |
9,618 | 438 | Foreign body removal through an appendicostomy.
The removal of button cell batteries or small coins impacted in the terminal ileum or right colon through an appendicostomy is described.
This technique was used effectively in three patients. | C21 |
9,619 | 3,469 | Continuous suprascapular nerve block for analgesia of scapular fracture.
Fracture of the scapular is uncommon but painful.
A case is described in which a comminuted scapular fracture was treated with a continuous suprascapular nerve block.
With the patient lying supine an epidural needle was directed towards the sca... | C21 |
9,620 | 6,526 | Overcoming potential pitfalls in the use of Medicare data for epidemiologic research.
We used Medicare data bases and US Census data to address two questions critical to the use of Medicare files for epidemiologic research.
First, we examined the degree to which the population enrolled in the Medicare program is simi... | C21 |
9,621 | 7,469 | Association of vertebral end plate fracture with pediatric lumbar intervertebral disk herniation: value of CT and MR imaging.
A retrospective review of the radiologic findings in 31 patients less than 21 years old who underwent laminotomy for lumbar disk herniation revealed six cases of associated avulsion fracture of... | C21 |
9,622 | 7,836 | Knee function after complex femoral fractures treated with interlocking nails.
Twenty-three complex femoral fractures were treated with interlocking nails.
After fracture healing, knee function was analyzed, including alignment, quadriceps and hamstring strength, thigh atrophy, and range of motion (ROM).
Similar to ... | C21 |
9,623 | 5,454 | Traumatic aneurysm of the superior cerebellar artery: case report and review of the literature.
Less than 10% of the 250 reported cases of traumatic intracranial aneurysms have involved the posterior circulation.
Traumatic aneurysms of the superior cerebellar artery are extremely rare, with only three cases previousl... | C21 |
9,624 | 6,564 | Algorithm for assessing renal dysfunction risk in critically ill trauma patients receiving aminoglycosides.
A recent retrospective study proposed that the following screening criteria be used in identifying critically ill trauma patients receiving aminoglycosides who are at significant risk to develop renal dysfunctio... | C21 |
9,625 | 9,744 | Shielding of the patient's gonads during intramedullary interlocking femoral nailing.
Levels of exposure to radiation were recorded at sixty sites in fifteen patients during intramedullary interlocking femoral nailing.
Radiation film dosimeters were placed at four gonadal sites on each subject.
A standard male-gonad... | C21 |
9,626 | 2,417 | Path of bullet and injuries determined by radiography.
Radiography is commonly used to find bullet pathways in forensic pathology.
In the case presented here, a man had sustained multiple gunshot wounds and one bullet could not be traced.
A radiograph was used to find the bullet and showed an interesting bullet path... | C21 |
9,627 | 7,357 | Pediatric penetrating head and neck trauma.
Penetrating head and neck trauma in children causes uncommon and potentially life-threatening injuries.
We reviewed the charts of 21 patients who sustained penetrating injuries to the face or upper neck.
Seventeen males and 4 females, aged 32 weeks' gestation to 19 years (... | C21 |
9,628 | 3,363 | The development of medical education on alcohol- and drug-related problems at the University of Toronto.
Medical education on alcohol- and drug-related problems at the University of Toronto covers undergraduate, residency and graduate programs, a result of collaboration since 1959 between the university and the Addict... | C21 |
9,629 | 4,985 | Gunshot injuries to the hip and abdomen: the association of joint and intra-abdominal visceral injuries.
A retrospective review of all gunshot injuries to the hip at our medical center over a 24-year period was performed.
Adequate information and radiographs were available for 49 patients.
Of these, five patients (1... | C21 |
9,630 | 4,930 | Facial trauma in women resulting from violence by men.
In a 2 1/2-year period, 546 women with facial injuries were treated.
In 8.2%, the injury was related to some form of violence exerted by a man.
In cases where the individual was known, it was usually the husband or boyfriend (almost 67%).
The assault consisted ... | C21 |
9,631 | 3,599 | Post-traumatic acute renal failure, 1956-1988.
Eighty patients with acute renal failure secondary to trauma treated between 1956 and 1988 are reviewed.
The overall mortality was 46.3%.
Factors associated with increased mortality were age, high Injury Severity Score, and injury to the abdomen and pelvic contents.
Th... | C21 |
9,632 | 3,300 | Prediction of hip fracture in elderly women: a prospective study
OBJECTIVE--To assess the relative importance of osteoporosis of the os calcis, cognisance, and mobility in the risk of subsequent fracture of the hip in elderly women.
DESIGN--Prospective study of elderly women in residential care over two years.
SETT... | C21 |
9,633 | 3,030 | Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock [published erratum appears in Arch Surg 1991 Jan;126(1):43]
We evaluated the potential side effects of rapidly infusing 250 mL of either 7.5% sodium chloride or 7.5% sodium chloride per 6% dextran 70, using lactated Ringe... | C21 |
9,634 | 2,582 | Penetrating keratoplasty after ocular trauma.
We reviewed the records of 41 patients who underwent penetrating keratoplasty for a corneal opacity caused by trauma between Jan.
1, 1983, and Dec.
31, 1988.
Most of the patients were young males whose average age was 35 years.
Common tools accounted for many injuries ... | C21 |
9,635 | 5,200 | Alcohol consumption by college undergraduates: current use and 10-year trends.
In a carefully executed study with a high response rate, a random sample of 10% of the undergraduate student body at a rural New England university was surveyed as to the subjects' use of alcohol in 1987.
Over 87% of the surveyed students ... | C21 |
9,636 | 2,653 | Mandibular reconstruction with composite microvascular tissue transfer.
Microvascular free tissue transfer has provided a variety of methods of restoring vascularized bone and soft tissue to difficult defects created by tumor resection and trauma.
Over 7 years, 26 patients have undergone 28 free flaps for mandibular ... | C21 |
9,637 | 852 | Chilblains (perniosis).
Unfamiliarity of physicians with chilblains (perniosis) gives rise to unnecessary hospital admissions with expensive laboratory and radiologic evaluations and, at times, hazardous therapy.
Seven cases of chilblains were seen in San Francisco from November 1986 through January 1987.
The patien... | C21 |
9,638 | 2,518 | Evidence of subclinical blastomycosis in forestry workers in northern Minnesota and northern Wisconsin.
PURPOSE: To investigate the incidence of remote subclinical blastomycosis in a high-risk population of forestry workers.
PATIENTS AND METHODS: The study consisted of 39 male forestry workers from northern Minnesota... | C21 |
9,639 | 2,413 | Arsenic poisoning: acute or chronic? Suicide or murder?
The case of the death by arsenic poisoning of a 62-year-old white man is presented.
One year prior to death, he developed intermittent bouts of severe gastroenteritis with vomiting and diarrhea, hyperpigmentation and keratosis of the skin, neutropenia, and Guill... | C21 |
9,640 | 5,159 | Diclofenac-associated hepatotoxicity
Diclofenac sodium, a phenylacetic acid-derived nonsteroidal anti-inflammatory drug (NSAID) recently released in the United States, was associated with the development of significant hepatitis in seven patients, with one associated death.
Signs and symptoms developed within severa... | C21 |
9,641 | 3,359 | Spectrum of drinkers and intervention opportunities.
Most adults in North America are either light drinkers or abstainers, so alcohol does not cause them problems.
However, a small but often highly visible minority--approximately 5% of the adult population--show major symptoms of alcohol dependence.
Between these ex... | C21 |
9,642 | 7,556 | Treatment of digitalis intoxication with emphasis on the clinical use of digoxin immune Fab.
Many studies and cases of digitalis intoxication have been reported since the time of William Withering's first publication in 1785.
Recognition and management of digitalis toxicity is challenging.
Before digoxin immune Fab ... | C21 |
9,643 | 5,209 | The relationship between ethanol intake and DSM-III-R alcohol dependence.
The purpose of this investigation was to quantify the relationship between ethanol consumption and DSM-III-R alcohol dependence using mathematical modeling techniques that allowed for the control of confounding and assessment of interaction.
Al... | C21 |
9,644 | 5,465 | Xenon-enhanced computed tomographic measurement of cerebral blood flow in patients with chronic subdural hematomas.
We compared clinical symptoms with extent of brain shift on computed tomographic (CT) scans and quantitative and three-dimensional measurements of cerebral blood flow (CBF) on xenon-enhanced CT scans in ... | C21 |
9,645 | 7,687 | Barotrauma associated with high-frequency jet ventilation for hypoxic salvage.
Most reports describe reduction in proximal airway pressures with high-frequency jet ventilation.
This led us to speculate that high-frequency jet ventilation might reduce barotrauma by providing alveolar ventilation at lower airway pressu... | C21 |
9,646 | 6,422 | Hemoperitoneum as a result of coital injury without associated vaginal injury.
Hemoperitoneum as a result of coital injury without associated vaginal injury is an extremely rare entity, and evidence by only five cases that have been reported in the medical literature to date.
We report five additional cases encounter... | C21 |
9,647 | 6,572 | Hypothermia and acidosis worsen coagulopathy in the patient requiring massive transfusion.
Massive transfusion may cause abnormalities of electrolytes, clotting factors, pH, and temperature and may occur in a scenario of refractory coagulopathy and irreversible shock.
Identification of correctable variables to improv... | C21 |
9,648 | 2,581 | Successful treatment of recurrent corneal erosion with Nd:YAG anterior stromal puncture
I used a new technique to create anterior corneal stromal punctures for the treatment of traumatic recurrent corneal erosions that had not responded to conventional therapy.
Three patients with such erosions within the visual axi... | C21 |
9,649 | 4,996 | Subxiphoid pericardial windows--helpful in selected cases.
There is a small group of patients who sustain multiple penetrating injuries who present with haemodynamic changes, making it difficult to clinically exclude or prove the presence of penetrating cardiac injury.
It is in this select group of patients that we f... | C21 |
9,650 | 5,008 | Health locus of control beliefs and alcohol-related factors that may influence treatment outcomes.
Treatment programs have based their treatment approach on the premise that alcoholics should exert internal control over situations and events that affect them.
Since chronic alcohol use affects the health of an individ... | C21 |
9,651 | 7,110 | The relative biological effectiveness of fractionated doses of fast neutrons (42 MeVd----Be) for normal tissues in the pig. II. Late effects on cutaneous and subcutaneous tissues.
The late effects of irradiation with single and fractionated doses of X rays (250 kV) and fast neutrons (42 MeVd----Bc), on the cutaneous a... | C21 |
9,652 | 991 | An aid to the management of pediatric trauma in peripheral centers--a proposal for a pediatric trauma board.
In 1986, 630,000 children under the age of 15 were living in Queensland.
This accounted for 17% of Australia's pediatric population.
That year there were 39 pediatric deaths in Queensland resulting from road ... | C21 |
9,653 | 3,403 | Malignant fibrous histiocytoma developing in bone 44 years after shrapnel trauma.
Tumors induced by foreign bodies are uncommon in humans, but they are a relatively common occurrence in some experimental animals.
The development of sarcoma in association with metallic foreign bodies has rarely been reported.
The dev... | C21 |
9,654 | 3,093 | Laboratory tests in the follow-up of treated alcoholics: how often should testing be repeated?
The study group consisted of 60 male and 13 female alcohol-dependent employed patients who participated in inpatient treatment for alcoholism.
They were followed up bimonthly for eight months after the treatment period.
Th... | C21 |
9,655 | 7,435 | Split nails.
Photographic documentation of successful surgical correction of two major vertical-type and one horizontal-type split nail is presented.
The developmental mechanism of the horizontal-type split nail is discussed.
Treatment of the vertical-type split nail with bipedicled subperiosteal nailbed-matrix flap... | C21 |
9,656 | 4,173 | Measurement of anterior-posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination.
Thirteen subjects who had normal knees and fifteen patients who had a chronic rupture of the anterior cruciate ligament were tested in order to compare the measurements of ti... | C21 |
9,657 | 3,090 | Endocrine consequences of alcohol abuse.
The recognized endocrine consequences of alcohol abuse are reviewed on an organ by organ basis.
The organ systems for which the most information is available (liver, heart, brain) are presented first followed by those where the information base is less. | C21 |
9,658 | 5,010 | Case management in addictions treatment.
The need for case management in addictions treatment systems has been recognized for at least 10 years.
As more attention is paid to developing this treatment component and as more data are available concerning the implementation of case management in addictions, it is becomin... | C21 |
9,659 | 5,006 | Alcoholic blackouts: legal implications.
Alcoholic blackouts are defined as the temporary, complete inability to form long-term memory as the result of a high blood alcohol level.
This means that a neuron-to-neuron system has been blocked.
Since that is the case, such central nervous dysfunction should have legal im... | C21 |
9,660 | 4,997 | Bilateral sacroiliac joint fracture-dislocation: a case report.
Bilateral sacroiliac joint fracture-dislocation of the sacrum with displacement is a rare injury.
We found only four such injuries previously reported in the literature.
Nonoperative management in this case led to complete functional return and acceptab... | C21 |
9,661 | 2,768 | Treatment of moderate-to-severe hypothermia in an urban setting.
STUDY OBJECTIVES: To study the treatment of moderate-to-severe hypothermia using a combination of core rewarming techniques.
DESIGN: A prospective study.
SETTING: The emergency department of an urban, community hospital.
TYPE OF PATIENTS: Sixteen pati... | C21 |
9,662 | 3,031 | Blunt intestinal injury. Keys to diagnosis and management.
Fifty-six patients with blunt intestinal injury seen during 39 months were reviewed for keys to diagnosis and treatment.
Motor vehicle accidents were involved in 80% of the cases and seat/lap belts were in use 69% of the time.
Blunt intestinal injury was the... | C21 |
9,663 | 5,647 | Self-induced urinary tract infection in school-age boys.
This study focuses on a consecutive series of 31 boys, aged 5 years 3 months to 14 years 9 months, who had a first diagnosed urinary tract infection.
A questionnaire administered after diagnosis revealed that 10 of these boys injected water into their urethra w... | C21 |
9,664 | 9,214 | Pathologic synovial plica of the knee. Results of conservative treatment.
Observations of 136 cases of pathologic synovial plica of the knee were analyzed with regard to etiology, symptoms, and the results of conservative treatment.
The results obtained with conservative treatment were good in 40% of cases, average i... | C21 |
9,665 | 8,750 | The population mean predicts the number of deviant individuals
OBJECTIVE--To examine the relation between the prevalence of deviation and the mean for the whole population in characteristics such as blood pressure and consumption of alcohol.
DESIGN--Re-examination of standardised data from the Intersalt study, an in... | C21 |
9,666 | 4,895 | Needlestick injuries among resident physicians.
OBJECTIVE: To assess the frequency and causes of needlestick injuries in medical and surgical housestaff.
DESIGN: A retrospective survey.
SETTING: Urban university teaching hospital.
PARTICIPANTS: 386 housestaff; 221 responded.
INTERVENTION: Survey questionnaire.
MA... | C21 |
9,667 | 2,144 | Inadequate granulopoiesis after major torso trauma: a hematopoietic regulatory paradox.
Late postinjury sepsis is largely the result of defective host defense including failure to maintain an adequate number of functioning phagocytic cells.
In this study we used stem cell culture techniques to measure colony-stimulat... | C21 |
9,668 | 6,684 | The trauma triage rule: a new, resource-based approach to the prehospital identification of major trauma victims.
STUDY OBJECTIVE: To develop a new trauma decision rule.
DESIGN: Retrospective clinical review.
SETTING: Level I trauma center.
TYPE OF PARTICIPANTS: 1,004 injured adults.
MEASUREMENTS AND MAIN RESULTS:... | C21 |
9,669 | 4,733 | Determination of human immunodeficiency virus antibody status in forensic autopsy cases in Vancouver using a recombinant immunoblot assay.
Sera from 207 forensic autopsy cases were tested for the presence of antibody to the human immunodeficiency virus (HIV) using a recombinant immunoblot assay (RIBA) technique develo... | C21 |
9,670 | 6,032 | The loads on the lumbar spine during work at an assembly line. The risks for fatigue injuries of vertebral bodies.
This study was performed in an attempt to determine the total spinal compressive load during assembly line work to find a possible association with the many complaints of back pain.
A flexion analyzer wa... | C21 |
9,671 | 69 | An unusual case of acquired localized argyria.
We report an unusual cause of localized cutaneous argyria, due to the cutaneous implantation of a silver earring back. | C21 |
9,672 | 7,650 | Removal of blunt foreign bodies from the esophagus.
Historically, removal of blunt foreign bodies from the esophagus by esophagoscopy under general anesthesia has been considered to be relatively safe and effective.
In recent years, alternative techniques of blind removal with balloon catheters or bougies have been a... | C21 |
9,673 | 731 | Total hip arthroplasty after fracture of the acetabulum. Long-term results.
We made a retrospective study of 55 primary total hip arthroplasties in 53 patients with a history of previous acetabular fracture.
The mean follow-up was 7.5 years and the average age at fracture was 48.7 years.
The incidence of radiographi... | C21 |
9,674 | 7,686 | Reappraisal of pancreatic and duodenal injury management based on injury severity.
We evaluated the effectiveness of treatment protocols for pancreatic and duodenal injuries according to the severity of injury.
Of 81 patients, 65 survived initial injury.
Pancreatic injuries without ductal involvement occurred in 21 ... | C21 |
9,675 | 741 | External fixation for type III open tibial fractures.
An analysis of 51 type III open tibial fractures treated by external skeletal fixation is presented.
The fractures are subdivided according to the classification of Gustilo, Mendoza and Williams (1984) into types IIIa, IIIb and IIIc.
The different prognoses of th... | C21 |
9,676 | 5,015 | The effects of fluoxetine in the overdose patient.
Fluoxetine (Prozac) is a new antidepressant, first marketed in the United States in January 1988.
Only limited toxicologic information during a fluoxetine overdose is available.
The goal of this prospective multi-center study was to develop a toxicity profile of ini... | C21 |
9,677 | 739 | The AO dynamic hip screw and the Pugh sliding nail in femoral head fixation.
We compared, under laboratory conditions, the resistance to cutting out of the AO dynamic hip screw and the Pugh sliding nail.
The mean load at cut out, adjusted for bone strength, was 70% greater for the Pugh sliding nail.
The reasons for ... | C21 |
9,678 | 3,324 | Ureteric substitution with Boari bladder flap.
Between 1986 and 1989, 12 patients underwent ureteric substitution with a Boari bladder flap at this Institute.
The indications were ureteric injury following hysterectomy, difficult forceps delivery, difficult ureterolithotomy, ureteric strictures caused by a Dormia bas... | C21 |
9,679 | 3,360 | Early identification of alcohol problems.
A high proportion of patients seen in clinical practice have an underlying alcohol problem.
This is often difficult to detect, but failure to make the diagnosis may result in unnecessary investigations and inappropriate treatment.
Furthermore, there is now good evidence of t... | C21 |
9,680 | 8,257 | The effects of cyproheptadine on locomotion and on spasticity in patients with spinal cord injuries.
The effects of cyproheptadine, a serotonergic antagonist, were studied in seven patients with spastic paresis of spinal origin.
Six patients were included in a double blind crossover trial (maximal dose 24 mg/day).
T... | C21 |
9,681 | 308 | Paradoxes in the history of the anterior cruciate ligament.
A historic review of anterior cruciate ligament (ACL) investigation reveals two important paradoxes.
(1) Ideas and concepts recently proposed were first put forth much earlier.
(2) Controversy regarding this ligament continues despite the increased amount o... | C21 |
9,682 | 9,220 | Comparison of support provided by a semirigid orthosis and adhesive ankle taping before, during, and after exercise.
The purpose of this study was to compare the relative effectiveness of athletic taping and a semirigid orthosis in providing inversion-eversion range restriction before, during, and after a 3 hour volle... | C21 |
9,683 | 5,859 | Simultaneous reconstruction of cervical soft tissue and esophagus with a gastro-omental free flap.
A microvascular transfer of gastric tube and omentum was used to simultaneously reconstruct cervical soft-tissue and esophageal defects in five patients.
All patients had previous high-dose radiation and multiple flap r... | C21 |
9,684 | 7,826 | Dislocation after total hip arthroplasty. Causes and prevention.
In this prospective study, a technique of positioning the acetabulum by bony landmarks of the pelvis in the standing position was developed using a standing lateral preoperative roentgenogram with the X-ray tube centered over the trochanter.
Since 1984,... | C21 |
9,685 | 8,148 | Differences in health status between older and younger homeless adults.
The Institute of Medicine has placed a priority on determining the special health-care needs of elderly homeless persons.
As part of a community-based study of 521 homeless adults in two beach communities of Los Angeles, we compared the demograph... | C21 |
9,686 | 9,956 | Pathophysiologic events related to thermal injury of skin.
Acute thermal injury of skin equivalent to second-degree injury and involving approximately 25% of total body surface results in a series of pathophysiologic events which lead to both local and distant tissue/organ injury.
The distant effects involve intravas... | C21 |
9,687 | 2,682 | Late versus early onset problem drinking in older men.
Age at onset of problem drinking was studied in 132 older men (age 60 years and older) admitted to a VA geriatric alcoholism outpatient treatment program.
Demographics, alcohol history, self reported psychological status, special treatment, and treatment complian... | C21 |
9,688 | 6,893 | Thoracic spinal fractures and aortic rupture: a significant and fatal association.
We analyzed the frequency of occurrence of traumatic aortic rupture (TAR) in patients with and without thoracic spinal fractures.
Among 4,676 blunt chest trauma victims admitted to the hospital between 1972 and 1988, 148 (3.2%) suffere... | C21 |
9,689 | 9,828 | Injuries in an elderly inner-city population.
Even though injuries are a leading cause of morbidity and mortality among the elderly in the United States, no comprehensive population-based study of nonfatal and fatal injuries has been carried out in an elderly minority inner-city population.
To study injuries in this ... | C21 |
9,690 | 6,691 | Chylous drainage from a stab wound to the neck.
A 24-year-old man was assaulted and sustained a stab wound to the left lower neck.
When he arrived at the emergency department, he was hemodynamically stable.
Although the wound had penetrated the platysma, on initial evaluation the patient did not appear to have susta... | C21 |
9,691 | 4,752 | Multiple gunshot wounds of the head: an anthropological view.
A decomposed body was judged at the scene to have two gunshot wounds of the thorax and three of the head.
Confirmed at autopsy, the condition of the remains precluded conclusions about the precise nature of the defects.
Preparation and reconstruction of t... | C21 |
9,692 | 5,589 | Introducing the 'walk-up' flap.
Reconstructive oral and maxillofacial surgeons often find the need for additional soft tissue even when a myocutaneous flap has been previously placed.
This article introduces the principles, technique, and results of 32 "walk-up" muscle flaps derived from existing myocutaneous flaps.
... | C21 |
9,693 | 3,764 | Rounded atelectasis complicated by obstructive pneumonia and pulmonary arterial thrombosis [published erratum appears in Chest 1991 Jun;99(6):1556]
A patient with a history of asbestos exposure developed rounded atelectasis.
The mass was associated with local bronchial obstruction, obstructive pneumonia and arterial ... | C21 |
9,694 | 4,832 | Cruciate paralysis: a clinical and radiographic analysis of injuries to the cervicomedullary junction.
Fourteen patients with superior cervical spinal cord injuries and the clinical signs and symptoms of cruciate paralysis are presented.
This rare injury pattern is characterized by weakness of the upper extremities w... | C21 |
9,695 | 8,110 | Morphine pharmacokinetics during anesthesia and surgery in patients with burns.
The plasma clearance, plasma half-life, and apparent volume of distribution of morphine during anesthesia and surgery were determined in seven patients with burns and compared with seven age-matched control subjects.
The burn group had a ... | C21 |
9,696 | 4,938 | Poly(L-lactide) implants in repair of defects of the orbital floor: an animal study.
Because of the life-long presence of alloplastic, nonresorbable orbital floor implants and the complications of their use mentioned in literature, the use of a resorbable material appears to be preferable in the repair of orbital floo... | C21 |
9,697 | 7,412 | Repetitive strain injuries. How to deal with 'the epidemic of the 1990s'.
Occupational trends, especially the mushrooming of computer use in the United States, have brought with them a virtual epidemic of repetitive strain injury of the upper limb.
What can you as a primary care physician do to stem the tide? In this... | C21 |
9,698 | 2,936 | Selective monitoring of patients with suspected blunt cardiac injury.
Blunt chest trauma can result in cardiac injury with consequent dysrhythmias, valve malfunction, or frank rupture.
Typically, patients with blunt chest trauma and suspected cardiac injury have required cardiac monitoring for 48 to 72 hours.
Predic... | C21 |
9,699 | 740 | Femoral neck fracture fixation. Comparison of a sliding screw with lag screws.
The rigidity of a sliding compression screw and three cannulated lag screws in the treatment of subcapital fractures was compared in five pairs of female cadaver femora.
There were no significant differences between the compressive strengt... | C21 |
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