69 resultados para intermaxillary fixation


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The 4-amino-1,8-naphthalimide based chemosensors 2, 4 and 6 show striking green-to-purple colour changes due to the deprotonation of the 4-amino moiety on interaction with strongly basic anions such as F: these colour changes reverse gradually with time due to the fixation of atmospheric CO2 (as HCO3) yielding 1:1 adducts as demonstrated by X-ray crystallography.

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[The present comment considers an issue that has received little discussion in the common law world: namely whether fixation and authorship are parts of the same creative act in relation to literary, dramatic and musical works. The importance of the question is that, if authorship does not entail fixation, it should logically be possible for a person independent of the author to reduce the work to material form for copyright purposes. This would significantly expand the range of works protected by copyright and would extend protection to those works which have never been fixed by their authors. The focus of the comment is Australian law, but its discussion is comparative, with particular attention given to UK law.]

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Background
Neck of femur fractures (NOFFs) are a common cause of morbidity and mortality in our community. Minimally displaced intracapsular fractures are treated with internal fixation by a two-hole dynamic hip screw (DHS) or three partially threaded cancellous screws. Data to support the superiority of one are limited. This prospective randomized controlled trial compares outcomes with these two fixation methods.

Methods
We prospectively recruited patients over 50 years, with an acute fracture subcapital NOFF, who walked and lived independently, and were cognitively intact. They were randomized into DHS or cancellous screw groups and followed up for 2 years (overall 75.9%). Outcomes of mortality, revision, loss of fixation, avascular necrosis, surgical complications, WOMAC, Harris hip score and SF-12 were measured.

Results
We recruited 62 patients (31 DHS, 29 cancellous screws, 2 failed consent). Six deaths (19.3%) were seen in each group. A total of 3.2% of DHS (1 out of 31) and 10.3% (3 out of 29) of cancellous screw patients required re-operation (P = 0.272). There was no statistical significant difference in patient satisfaction, quality of life (QoL), radiological union or osteonecrosis. There are trends towards better functional scores and QoL in cancellous screws, particularly at 1 year (P = 0.0061), but with a higher re-operation rate. There was a combined mortality and transition to institutional care of 40.0% (24 out of 60) at 2 years.

Conclusions
This study found no difference in outcomes between DHS and cancellous screws in the treatment of subcapital NOFFs in a fit, independent population, but we found a high level of physical decline in previously fit, independently ambulating patients. A large, multicentre trial will be required to differentiate between these two fixation methods.

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This thesis weighs into the contemporary debate regarding needle fixation, utilising recent theory from addiction discourse. Freud and Lacan to specuate an unconscious cause for the compulsion to self-inject regardless of substance. It then applies this revelation to analyse the world of the 'needle fixator' and society's moral panic reaction.

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The present comment considers an issue that has received little discussion in the common law world: namely whether fixation and authorship are parts of the same creative act in relation to literary, dramatic and musical works. The importance of the question is that, if authorship does not entail fixation, it should logically be possible for a person independent of the author to reduce the work to material form for copyright purposes. This would significantly expand the range of works protected by copyright and would extend protection to those works which have never been fixed by their authors. The focus of the comment is Australian law, but its discussion is comparative, with particular attention given to UK law.

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The aim of this study was to review the complication rate and profile associated with surgical fixation of acute midshaft clavicle fracture in a large cohort of patients treated in a level I trauma centre.Patients and methods: We identified all patients who underwent surgical treatment of acute midshaft clavicle fracture between 2002 and 2010. The study group consisted of 138 fractures (134 patients). There were 107 males (78%) and 31 females (22%) and median age of 35 years (IQR 24-45). The most common mechanism of injury was a road traffic accident (78%). Sixty percent (n = 83) had an injury severity score of ≥ 15 indicating major trauma. The most common fracture type (75%) was simple or wedge comminuted (2B1) according to the Edinburgh classification. The median interval between the injury and operation was 3 days (IQR 1-6). Plate fixation was performed in 110 fractures (80%) and intramedullary fixation was performed in 28 fractures (20%). There were 85 males and 25 females in the plate fixation group with median age of 35 years (IQR: 25-45) There were 22 males and 6 females in intramedullary fixation group with median age of 31 years (IQR 24-42 years). Statistical analysis was performed using Independent sample t-test, Mann-Whitney test, and Chi-square test. Significant P-value was < 0.05.Results: The overall incidence of complication was 14.5% (n = 20). The overall nonunion rate 6%. Post operative wound infection occurred in 3.6% of cases. The incidence of complication associated with plate fixation was 10% (11 of 110 cases) compared to 32% associated with intramedullary fixation (9 of 28 cases) (P = 0.003). Thirty five percent of complications were related to inadequate surgical technique and potentially avoidable. Symptomatic hardware requiring removal occurred in 23% (n = 31) of patients. Symptomatic metalware was more frequent after plate fixation compared to intramedullary fixation (26% vs 7%, P = 0.03).Conclusions: Intramedullary fixation of midshaft clavicle fracture is associated with higher incidence of complications. Plate fixation is associated with a higher rate of symptomatic metalware requiring removal compared to intramedullary fixation. Approximately one in three complications may be avoided by attention to adequate surgical technique.

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Objective To report the design and benefits of a rigid polyethylenecover ‘shell’ for the protection of dorsal torso wounds andtube fixation in pigs.

Methods Open C-shaped polyethylene shells were designed toprotect wounds and dressings on the dorsum of pigs used inresearch into negative pressure dressing-assisted wound healing.The shells were designed to resist trauma and contamination, tobe comfortable and expansible, and to facilitate tube fixation andmanagement. Strap fixation was optimised during experimentation. Efficacy was assessed by direct observation of dressing andwound protection, tube integrity and by macroscopic and microscopicassessments of wound healing.

Results The shells effectively protected the wounds againstblunt and sharp trauma, were simple to remove and reapply, were well tolerated and allowed for growth of the pigs. Circumferentia lneck straps attached by lateral straps to the shells provedcritical. There was no wound infection or inflammation underlyingthe shells. Porting tubing via mid-dorsal holes in the shells andaffixing the tubing just cranial to these holes prevented tubedamage and traction, permitted tube management from outsidethe cages and allowed the pigs to move freely without becomingentangled.

Conclusion These shells effectively protected dorsal skinwounds and dressings, prevented tube damage and facilitatedtube management in pigs. Similar systems may be useful forother production animals for wound management and for tubemanagement with negative pressure wound healing, drain tubesor the delivery of nutrition, fluids or medications.

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This study examines the performance of digital ink-jet printing on cationized cotton treated with polyepichlorohydrin-dimethylamine (PECH-amine). The results show that the color yield of ink-jet printing with reactive inks on cationic modified cotton is much greater than that on untreated cotton. The effect on the increase of color yield by cationic modification is greater than that by preparation with alkali, urea, and thickener. The reason for this is that introducing positively charged sites increases dye uptake and dye fixation on cationized cotton. The results also show that cationic modification with PECH-amine decreases the rub fastness but increases the wash fastness of the treated cotton.