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Total Knee Prosthesis after Knee Joint Distraction Treatment

Journal of Surgery and Surgical Research Research Article Abstract  Background and purpose: During knee joint distraction (KJD) treatment, using an external fixation-frame, pin-tract infections frequently occur. These local skin infections, although treated successfully with oral antibiotics, might lead to latent infections. This raises concern about subsequent placement of a total knee prosthesis (TKP). This study evaluates the first five cases in which patients had to be treated with TKO after KJD failure. Patients and methods: An overall survival analysis of the first 26 patients treated with KJD revealed five failures, because of declining efficacy over time. These patients were treated with TKP. Complications of these TKPs are described and all cases were compared with age and gender matched primary-TKP-controls. WOMAC and VAS pain scores were assessed before and after TKP treatment. Results: The mean survival time of the five KJD before TKP was 61 ± 15 months (range 45-84...

Study on Innovative Scenario for Transportation and Lowering of 18000 Ton Caisson for Persian Gulf Bridge

Journal of Civil Engineering and Environmental Sciences Research Article Abstract  This paper aims to provide an innovative scenario for transportation and lowering installation of heavy caissons of 18000 tons for Persian Gulf Bridge. The project is supposed to be carried on in Bohal port from Hormozgan to Qeshm Island in Iran. There is a heated controversy over the suitable scenario to do the operation safely and lower the caissons correctly under sea to position them on their exact location. Due to this a comprehensive study is need to take heed all aspect of the operation. The study will include a discussion on both sides of installation and transportation and give a deep-rooted insight over the excuvation plane for the operation. http://www.peertechz.com/Civil-Engineering-Environmental-Sciences/pdf/JCEES-1-106.pdf

The Necessity of Nephrology Consultation for Critically Ill Patients with Acute Renal Failure

Archives of Clinical Nephrology Research Article Abstract Background: Acute renal failure (ARF) continues to be a challenging problem in critically ill patients. We reviewed the nephrology consultations in our ICU to assess the necessity of those consultations and if there are any clinical criteria to indicate a necessary consultation. Methods: Retrospective chart review of nephrology consultations for patients with ARF in our medical ICU from 2010 to 2011. After data collection we classified consultations to necessary versus unnecessary based on an experts review. We used chi square and multivariate logistic regression model to compare both groups Results: We found that 45% of patients with ARF admitted to the ICU received nephrology consultation. 32% were identified as unnecessary. Age, gender and etiology were similar in both groups. Oliguria independently predicted the need for nephrology consultation Conclusions: Oliguria predicted the need for nephrology consultation independ...

Financial Crisis and Health

Global Journal of Cancer Therapy Editorial The financial crisis has a dramatic impact on social life, since reduced or even non-existent incomes affect people’s well-being and push big parts of the population to poverty. The individuals’ financial status affects health indicators such as life expectancy, morbidity, mortality and healthcare service accessibility [1].   http://www.peertechz.com/Cancer-Therapy/pdf/GJCT-1-105.pdf 

Herpes Zoster Masquerading as Acute Coronary Syndrome

International Journal of Vascular Surgery and Medicine Clinical Image A 65 year old male presented to the causality department of our hospital with one day history of burning chest pain in the right upper half of the chest radiating to the right axilla & the left precordial region associated with diaphoresis. No history of fever, cough or rash was evident. Vitals were normal. An X ray chest done was normal and ECG showed RBBB (Figure 1). http://www.peertechz.com/Vascular-Surgery-Medicine/pdf/IJVSM-1-105.pdf

The Metabolic Syndrome in Hispanics – The Role of Inflammation

Global Journal of Obesity, Diabetes and Metabolic Syndrome Review Article Abstract  We report clinical and molecular mechanisms relating the pro-inflammatory and antiinflammatory process in the development of the components of the metabolic syndrome, emphasizing the cardiovascular problems developed in these groups of patients, especially the Hispanic population. Namely, the incidence, component characteristics and complications of the metabolic syndrome in island Puerto Ricans are described and evidence is presented supporting the fact that the metabolic syndrome may be milder in Puerto Rico than in the mainland United States because it is characterized by less aggressive coronary artery disease and a relatively normal lipid profile. Moreover, data supports the fact that increased serum cholesterol levels produce less myocardial infarctions in Puerto Rico than in mainland Hispanics and Caucasians. In addition, the incidence of ventricular tachycardia, a complication caused by ...

A Literature Review of Inflammation and Its Relationship with the Oral Cavity

Global Journal of Infectious Diseases and Clinical Research Review Article Abstract  Objective: This article presents a literature review which relates the processes, interactions, classification and the vascular and clinical characteristics of inflammation relating it with the oral cavity and describing the main cell types and chemical mediators used for its establishment. Materials and Methods: it was used as source of research the following databases: MEDLINE, LILACS, BBO, Cochrane Library, Scielo, PubMed and the database of CAPES. Results: much information was obtained concerning the chemical mediators as well as the main cell types responsible for the establishment of inflammation and its relationships with the oral cavity. http://www.peertechz.com/Infectious-Diseases/pdf/GJIDCR-1-106.pdf