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Machine Learning Models for Predicting Abnormal Brain CT Scan Findings in Mild Traumatic Brain Injury Patients.

INTRODUCTION: Traumatic Brain Injury (TBI) is one of the leading causes of mortality and severe disability worldwide. This study aimed to de … wer Glasgow Coma Scale (GCS) scores, suspected fractures, hematomas, and visible injuries above the clavicle. Among the ML models, XGBoost performed best (AUC 0.9611, accuracy 0.8937), followed by Random Forest, while Naive Bayes showed high recall but poor specificity. SHAP analysis highlighted that lower GCS scores, decreased SpO2 levels, and tachypnea w …

Periosteal Osteosarcoma: Emerging Clinical Concepts, Evolving Treatment Options: A Narrative Review.

PURPOSE OF REVIEW: Periosteal osteosarcomas are rare bone tumors that comprise less than 2% of all bone malignancies. The tumor was previously thought to affect the diaphysis of long bones solely, but Recent case reports have demonstrated its existence in the clavicle, mandible, and scapula. RECENT FINDINGS: Several factors, including stage, grade, and medullary invasion primarily drive survival and recurrence of periosteal osteosarcomas. Related to its rarity, little data currently exists regarding optimum treatment strategies, including limb amputation, surgical resection, and chemotherapy …

Случай опрометчивых иллюзий и онемения в качестве первоначального представления множественного склероза.

Множественный склероз (MS) — хроническое аутоиммунное демиелинизирующее заболевание центральной нервной системы (CNS), обычно вызывающее оптический неврит, моторную дисфункцию или сенсорные нарушения. Однако трудноразрешимые икоты в качестве первоначального проявления являются крайне редкими. Раннее распознавание таких нетипичных симптомов имеет решающее значение для своевременного диагностики и вмешательства. A 19-year-old у женщины были неразрешимые икота и прогрессирующая онемение, затронувшая ее правую руку и ствол. Неврологический осмотр выявил слабость верхней части правой конечности, се

Совпадение в аннотации оригинала
Multiple sclerosis (MS) is a chronic autoimmune demyelinating disease of the central nervous system (CNS), commonly presenting with optic ne … and trunk. Neurological examination revealed right upper limb weakness, sensory impairment from the clavicle to the upper abdomen, and hyperreflexia in the right lower limb. Brain MRI demonstrated a hyperintense lesion in the dorsal medulla on axial T2-weighted imaging, with mild enhancement on contrast-enhanced T1-weighted imaging. Cervical spine MRI show …

Clinical Effect of Modified Ultrasound-Guided Subclavian Vein Puncture.

OBJECTIVE: This study compared the effect of ultrasound-guided subclavian vein puncture with traditional blind puncture and the double-scree … , 1 case of difficult positioning of thoracic deformity, 1 case of severe drug eruption, 3 cases of clavicle fracture, and 1 case of severe coagulation dysfunction). The remaining 60 cases were randomly divided into the traditional group (n = 30) and the improved group (n = 30). We record two sets of ultrasound localization time, puncture time, one-time pu …

Diagnostic accuracy of a commercially available deep-learning algorithm in supine chest radiographs following trauma.

OBJECTIVES: Trauma chest radiographs may contain subtle and time-critical pathology. Artificial intelligence (AI) may aid in accurate report … ) and segmental collapse (p = 0.012) on chest radiograph. Radiologists performed better than AI for clavicle fracture (p = 0.002), humerus fracture (p < 0.0015) and scapula fracture (p = 0.014). No statistical difference was found for identification of rib fractures and pneumomediastinum. CONCLUSION: The evaluated AI performed comparably to radiologists i …

Establishing the Optimal Time for Induction of Labor in Women with Diet-Controlled Gestational Diabetes Mellitus: A Single-Center Observational Study.

To determine the optimal week for labor induction in women with diet-controlled gestational diabetes mellitus by comparing differences in pe … es experiencing composite adverse neonatal outcomes defined as neonatal hypoglycemia, phototherapy, clavicle fracture, or umbilical artery pH < 7.15 (10.4%). Compared with expectant management, the risk for neonatal hypoglycemia was increased for induction at 39 weeks (adjusted odds ratio 12.29, 95% confidence interval 1.35−111.75, p = 0.026) and that for …

Long-term results of sclerotherapy for cervical-thoracic-mediastinal lymphatic and venous malformations: A case report.

Cervical-thoracic-mediastinal LVMs in infants is rare, and very difficult to be cured because of life-threatening risk and recurrence. An infant with cervical-thoracic-mediastinal LVMs was treated in our department. Left neck was thick at birth, usually depressed, lazy and inactive. He showed dyspnea after about 3 min of automatic activity, with increased wheezing and open-mouth breathing, squatting after walking no more than 6 steps. There were masses and bulges in the left submandibular area and the left neck. The left cervical root and left clavicle were full. LVMs was diagnosed, and treate…

Pinch-off syndrome from a chemoport catheter successfully managed with endovascular retrieval.

INTRODUCTION AND IMPORTANCE: A totally implantable venous access device (TIVAD), also referred to as 'chemoport', is frequently used for oncology patients. Chemoport insertion via the subclavian vein access may compress the catheter between the first rib and the clavicle, resulting in pinch-off syndrome (POS). The sequela includes catheter transection and subsequent embolization. It is a rare complication with incidence reported to be 1.1-5.0% and can lead to a devastating outcomes. CASE PRESENTATION: 50-year-old male had his chemoport inserted for adjuvant chemotherapy 3 years ago. During th…

Cervical spine lateral radiograph versus whole spine lateral radiograph: A retrospective comparative study to identify a better modality to assess cervical sagittal alignment.

This study is aimed to compare whole-spine lateral radiograph (WLR) and cervical lateral radiograph (CLR) in terms of T1 slope visibility an … could provide better visualization of the upper endplate of T1. Furthermore, WLR taken in hands on clavicle position distorted radiographic measurements such as CAC2-C7 and cSVA. Therefore, CLR performed in the standing position seems to allow more-accurate measurements of cervical sagittal parameters.

Size of the thoracic inlet predicts cervical anastomotic leak after retrosternal reconstruction after esophagectomy for esophageal cancer.

BACKGROUND: Although an anastomotic leak after esophagectomy is one of the most common postoperative complications, it is not well understoo … in 38 patients (15.3%). On univariate analysis, the thickness of the sternum, the thickness of the clavicle, the sternum-trachea distance, the ratio of the sternum-trachea distance/sternum-vertebral body distance, sex, body mass index, and method of anastomosis were statistically significantly associated with anastomotic leak. On multivariate analysis, th …

Pleuroparenchymal fibroelastosis (PPFE)-like finding on CT in daily practice -prevalence and serial changes.

OBJECTIVE: To characterize the prevalence of PPFE (pleuroparenchymal fibroelastosis)-like finding on CT in daily practice and to identify the risk factors for its progression. MATELIALS & METHODS: 2416 consecutive daily CT examinations were screened for PPFE-like finding. CT images with PPFE-like finding were retrospectively reviewed for the extent, maximum height, presence or absence of intraalveolar fibroelastosis (IAFE), emphysema, interstitial lung disease (ILD), suprasternal depression at the level of clavicle end, and bronchiectasis in upper lobe, and anterior-posterior/transverse diame…

Prevalence and Burden of Health Problems in Male Elite Ice Hockey Players: A Prospective Study in the Norwegian Professional League.

BACKGROUND: As previous epidemiological studies in elite ice hockey have focused on acute time-loss injuries, little is known about the burd … duct of severity and incidence). The most burdensome acute injuries were to the head/face, shoulder/clavicle, knee, and ankle. The most burdensome overuse injuries were to the knee, lumbar spine, and hip/groin. CONCLUSION: This registration captured a greater burden from overuse injuries than traditional injury registration, but acute injuries did represe …

High grade acromioclavicular injury: Comparison of arthroscopic assisted acromioclavicular joint fixation and anatomic acromioclavicular joint reconstruction.

BACKGROUND: Injuries to the acromioclavicular (AC) joint disrupting the AC and Coracoclavicular (CC) ligaments could lead to loss of clavicu … in 5 patients (17%) including 2 mild osteolysis, 1 superficial infection, 1 implant failure, and 1 clavicle fracture. CONCLUSION: Anatomic AC joint reconstruction was associated with functional and radiologic benefits and better restored the stability.

Transcutaneous Sonography for Detection of the Cervical Vagus Nerve.

Cervical vagus nerve is not identified by computed tomography or magnetic resonance imaging. Transcutaneous sonography may be the best imaging study to evaluate the cervical vagus nerve. A 7 to 18 MHz linear array transducer was placed transversely on the lateral neck focusing on the carotid sheath from the clavicle level upward to the digastric muscle level bilaterally. The gray-scale technique was used, with the scan setting for the thyroid gland. Between January 2015 and March 2016, 314 patients with 628 cervical vagus nerves were enrolled, including 104 men and 210 women. Their ages ranged…

Os acromiale: systematic review of surgical outcomes.

BACKGROUND: The literature is unclear as to the optimal surgical management of a symptomatic os acromiale that has failed nonoperative treat … current surgical procedure performed was rotator cuff repair (125 cases, 56.3%), followed by distal clavicle excision (31 cases, 14%). CONCLUSIONS: All surgical techniques employed resulted in improvement in postsurgical clinical outcomes without any technique demonstrating superior results. Operative management of a symptomatic os acromiale that has fail …

Treatment of chronic recurrent multifocal osteomyelitis with bisphosphonates in children.

OBJECTIVES: Assessment of bisphosphonates efficiency in the therapy of NSAIDs-refractory Chronic Recurrent Multifocal Osteomyelitis. METHOD … nd 34 were female. Disease started meanly in the age of 10. Most frequently pain localised in foot, clavicle and hip. In presented group, pamidronate was administered intravenously in the dose of 1mg/kg/day for 3 days. Patients received 6 series (1-17 series) on average with mean interval of 10 weeks (4-14 weeks). Our observations demonstrated rapid decrea …

Prevention of shoulder dystocia: A randomized controlled trial to evaluate an obstetric maneuver.

OBJECTIVE: Shoulder dystocia is a major obstetric emergency defined as a failure of delivery of the fetal shoulder(s). This study evaluated … significant between-group differences in neonatal complications, including brachial plexus injury, clavicle fracture, hematoma and generalized asphyxia. CONCLUSION: In this trial in 945 women who delivered vaginally, the push back maneuver significantly decreased the risk of shoulder dystocia, as compared with standard vaginal delivery.

Bacterial Osteomyelitis or Nonbacterial Osteitis in Children: A Study Involving the German Surveillance Unit for Rare Diseases in Childhood.

BACKGROUND: Although bacterial osteomyelitis (BO) is a commonly recognized diagnosis in pediatrics, it is often difficult to distinguish fro … ing with good general health, minimal inflammation markers and multifocal lesions in the vertebrae, clavicle and sternum.

High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature.

INTRODUCTION: Subcutaneous emphysema is a common complication of tube thoracostomy. Though self-limiting, it should be treated when it cause … g suction on chest tube. A subcutaneous fenestrated drain was placed mid-way between the nipple and clavicle in the mid-clavicular line bilaterally. Continuous negative suction (-150mmHg) resulted in immediate, sustained relief and complete resolution within 5days. DISCUSSION: Extensive and debilitating SE (subcutaneous emphysema) has to be treated prompt …

SURGICAL TREATMENT OF UNSTABLE PELVIC RING FRACTURE IN SKELETALLY IMMATURE PATIENTS.

OBJECTIVES: To present the outcomes from definitive surgical treatment for unstable fractures of the pelvic ring in children undergoing surg … ent and falling from a height. Five patients had other associated injuries such as fractures of the clavicle, femoral diaphysis, proximal humerus, lower leg bones, olecranon and bladder injury. All the patients evaluated showed an excellent clinical outcome. The pelvic asymmetry before surgery ranged from 0.7 to 2.9 cm (mean 1.45 cm), and dropped to values …