Correction to: Flexor tendon repair with amniotic membrane

International Orthopaedics

Purpose The recent outbreak of the novel coronavirus (SARS-CoV-2) has emphasised the need to minimise hospital admissions and utilisation of healthcare resources. The purpose of this study was to examine the outcomes of an outpatient surgery protocol for acute closed ankle fractures. Methods In this retrospective study, 262 patients underwent outpatient surgery for their closed ankle fractures at our level-1 trauma centre. A total of 196 patients met our inclusion criteria and were ultimately included in the final analysis. Our primary outcomes' measures included post-operative admission to the emergency department within 30 days after surgery and unplanned hospital readmission within 30 days after surgery. Our secondary outcome measure included the incidence of surgical site infection (SSI) within 12 weeks after surgery. Results Thirty-two patients (16.3%) had an unplanned emergency department visit within 30 days of fracture fixation and two patients (1.0%) required hospital readmission within 30 days of their surgery. Sixteen patients (8.2%) developed SSI, which included 11 (5.6%) superficial and five (2.6%) deep infections. Conclusion Strategic outpatient management of acute closed ankle fractures is associated with acceptable rates of unplanned emergency department visits, hospital readmissions, and SSIs. In the context of the recent SARS-CoV-2 outbreak, outpatient management of these injuries may aide in the mitigation of nosocomial infections and the preservation of finite healthcare resources.

Journal of Orthopaedic Surgery, 2020

Introduction: Surgical intervention through the ‘triangle of auscultation’ is less morbid to patients, as it is devoid of muscles and provides an easy access to tumours arising on the ventral aspect of scapula especially near inferior angle. Method: Three patients presented to us with pseudo-winging of scapula and an audible thud on abduction of the arm. A bony mass, painful in two and painless in one patient, was palpable along the anterior aspect of the inferior angle of scapula. A clinical diagnosis of osteochondroma was made which was corroborated by X-rays and computed tomography (CT) imaging. Ventral scapular osteochondroma excision is challenging due to multiple muscle attachments, requiring extensive soft tissue dissection and muscular release. Numerous blood vessels and nerves in the vicinity may also add to the degree of difficulty. This necessitates the need of a minimally invasive and muscle-sparing procedure. We hereby describe a novel surgical approach to the ventral a...

Foot & Ankle International, 1994

From 1986 to 1990, 42 feet in 30 patients had a combined chevron osteotomy and lateral release to correct their painful bunion deformity. Seventeen patients, 23 feet, were available for follow-up. The purpose of this study was to evaluate the outcome of this procedure and to determine the incidence of avascular necrosis. The patients were examined by an independent examiner, radiographs obtained, and questionnaires filled out. Avascular necrosis was determined using plain films read by a musculoskeletal radiologist who did not know the outcomes.The average age was 45 years at the time of the procedure. Average follow-up was 50 months. The preoperative intermetatarsal angle averaged 13° and the hallux valgus angle averaged 31°. At study follow-up, the intermetatarsal angle averaged 8° and the hallux valgus angle averaged 17.5°. The results were graded by the Mayo Clinic Forefoot Scoring System (75-point scale) and a subjective scoring system. Average postoperative Mayo Clinic score w...

International Orthopaedics

Purpose After the appearance of first COVID-19 cases in Serbia, state of emergency was declared on 15 March 2020 and lasted for 54 days. The aim of this report is to compare orthopaedic fracture frequencies in this period, when the walk was limited at the home mostly, with those during the same part in the previous year with regular state, thus to examine staying at home as a factor influencing the frequency of different fracture types. Methods There were 86 patients during the state of emergency in year 2020 and 106 patients during the same part of year 2019 with a regular state, having orthopaedic trauma surgery. Number of fractures, gender distribution, and age of patients have been compared between these periods. Results Total number of fractures decreased for about 19% during the state of emergency. There was nonsignificant difference in fracture frequency for all skeletal areas (p > 0.05), except for distal femoral fractures which occurred more often during the state of emergency (p < 0.05). Female ratio was higher during state of emergency than in regular state for femoral neck fractures. Conclusion Restricted going outside the home for 54 days has the influence in total number of fractures and gender distribution in femoral neck fractures. The method of external fixation used could be assumed as a reducing factor of intraoperative virus pandemic propagation among medical staff.

This thesis uses Continuing Bonds Theory to reinterpret kispum, an ancient Mesopotamian family funerary practice, in a new way. Traditional scholarship has portrayed the purpose of the ritual as apotropaic, and that the family dead are feared as hostile ghosts. This study suggests that profound beliefs about life and death in Mesopotamia, and interactions between the family and deceased loved ones can be found in the material and textual evidence. A new perspective focusing on evidence from the second millennium BC in ancient Mesopotamia is used to investigate the kispum ritual using ideas from the archaeology of emotion and Death and Dying studies. Current understandings based on textual based studies and the varied traditions of archaeological investigation are introduced in Chapter 2. Then, using notions of continued bonds, new insights are explored to better understand the ongoing relationship between the living and the dead. In Chapters 3 through 6 textual sources and archaeological evidence are assessed against this background, and against each other, with attempts to correlate textual with archaeological details. In the context of ancient Mesopotamia, this thesis employs new approaches to mortuary archaeology to provide new insights suggesting ways that conventional methods may be enhanced. Finally, this study also brings us back to an archaeology of death which is interested in attitudes toward the dead. http://hdl.handle.net/2381/29251

”, Fylo. Engendering Prehistoric ‘Stratigraphies’ in the Aegean and the Mediterranean. Proceedings of an International Conference, University of Crete, Rethymno 2-5 June 2005 (Aegaeum 30), ed. by K. Kopaka, 2009

GORILA editors followed the traditional assumption that there is no difference between signs for men and women in Linear A. The Linear A sign *100/*102 is a picture of a man in a short skirt, combining distinctive features of two Linear B signs: a schematic picture of a man (VIR) and the picture of a woman in a long skirt (MULIER). Curiously enough, the prototype of this Linear B sign for woman is well attested in the Cretan hieroglyphic script too (*004), but it is absent from the Linear A repertoire. Whatever the relationship between these signs in the two scripts, the very lack of distinction between signs for men and women in Linear A is completely unparalleled in any comparable logographic-phonetic script (Cuneiform, Egyptian, Luwian, and Linear B). It is possible, of course, that Minoan civilisation was unique in this respect, but this is very unlikely. The reason for careful gender distinction in all other contemporary scripts was the separate record keeping for male and female work-teams: a common practice in all the ancient economic archives that have survived (Egyptian, Sumerian, Elamite, and Mycenaean Greek Linear B). As I have argued elsewhere, this bureaucratic sex segregation did not reflect the lack of normal family life of men and women under consideration, but rather indicated sex and age division of labour, which is typical for any early agricultural society.

Nasopharyngeal airway is an airway conduit to relieve the upper airway obstruction. It can be easily inserted in the nasal cavity and can be tolerated by an awake , comatosed or lightly anaesthesised patient. Oropharyngeal surgeries often pose difficult scenarios, both at the time of intubation as well as extubation. We report a case where nasopharyngeal airway was used orally to relive the airway obstruction.

International Encyclopedia of the Social & Behavioral Sciences, 2015

Like many aspects of human behavior, scientific research is a goal-directed activity.

Prácticas Genocidas y Violencia Estatal en Perspectiva Transdisciplinar, 2014

Si bien es a partir del inicio de la segunda mitad del Siglo XX que se define un término jurídico -genocidio- para tipificar como crimen distintos actos perpetrados contra un grupo nacional, étnico, social, racial o religioso para destruirlo total o parcialmente, en la historia de la humanidad pueden identificarse prácticas genocidas en distintos momentos, lugares y bajo diversas formas. Paradójicamente, la contundencia de los efectos que estas prácticas tienen no se condice con la posibilidad de rotularlos de manera inequívoca y no controversial. Operan, por un lado, la negación y, a menudo, los intentos de legitimación de los delitos por parte de sus perpetradores; por otro, la diferencia de vocabularios y concepciones con los que el tópico se aborda y debate en distintos ámbitos. Concretamente, ¿es genocidio toda y cualquier práctica sistemática de destrucción de colectivos, o podrían ser mejor entendidas en tanto violencia estatal, crimen de lesa humanidad, terrorismo de estado? ¿Qué implicaciones apareja diversificar o no las clasificaciones empleadas desde las ciencias jurídicas, la sociología, la antropología, las ciencias políticas, los estudios de género, las relaciones internacionales, entre otras disciplinas? La finalidad de este volumen es presentar una serie de trabajos que permitan al lector tener un panorama general de los múltiples mecanismos y tipos de estructura socio-cultural sobre los que operan diferentes prácticas de violencia sistemática y exterminio, así como poner en relación esas prácticas con procesos más amplios de expansión, guerra y cambios sociales; sin descuidar los debates históricos y filosóficos generados en cada momento histórico.