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Modified and Combined Lateral and Posterolateral Approach an Alternative Treatment to Tibial Plateau Fractures

The selection of a surgical approach for the treatment of tibia plateau fractures is an important decision. Approximately 7% of all tibia plateau fractures affect the posterolateral corner. Displaced posterolateral tibia plateau fractures require anatomic articular reduction and buttress plate fixation on the posterior aspect. These aims are difficult to reach through a lateral or anterolateral approach. The standard posterolateral approach with fibula osteotomy and release of the posterolateral corner is a traumatic procedure, which includes the risk of fragment denudation. Isolated posterior approaches do not allow sufficient visual control of fracture reduction, especially if the fracture is complex. Therefore, the aim of this case report was to present a surgical approach for posterolateral tibial plateau fractures that both protects the soft tissue and allows for good visual control of fracture reduction. The approach involves a lateral arthrotomy for visualizing the joint surface and a posterolateral approach for the fracture reduction and plate fixation, which are both achieved through one posterolateral skin incision. Using this approach, we achieved reduction of the articular surface and stable fixation in patients at the final follow-up visit. No complications and no loss of reduction were observed. Additionally, the new posterolateral approach permits direct visual exposure and facilitates the application of a buttress plate. This approach does not require fibular osteotomy, and fragments of the posterolateral corner do not have to be detached from the soft tissue network.
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Displaced Fracture of the Proximal Humerus Causing Axillary Artery Injury and Brachial Plexus Palsy

Proximal humeral fractures account for approximately 5% of fractures seen in the emergency department. Despite this relatively high incidence only 15% of these fractures are displaced with an even smaller proportion being severely displaced enough to cause an axillary artery injury. We report a case of an elderly female patient who slipped and fell at home. She presented to our unit complaining of left shoulder pain and an inability to feel or move the involved limb. Imaging studies confirmed the presence of a severely displaced fracture of the proximal humerus and occlusion of the axillary artery. She was taken for open reduction and internal fixation of the proximal humerus followed by immediate axillary artery endovascular stenting.
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Some Significant Developments in Bandage Fabrics

The article provides some useful insights on bandage cloths as pointed out by some significant researches. Some work has been focused on medical bandages. In the construction of bandages, cotton, bamboo and cotton/bamboo have been selected. In order to enhance the functional properties finish has been given that include antimicrobial using triclosan, vitamin E and aloe vera. The woven bandages have been tested for antimicrobial activity, comfort and aesthetic property.
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Access to and Utilisation of Adolescent Sexual and Reproductive Health Services among Secondary School Students in Mityana district, Uganda

The study of the access to and utilisation of Adolescent Sexual and Reproductive Health (ASRH) services among secondary school adolescents in, Mityana district was carried out in various schools in Ssekanyonyi sub-county. The study aimed to determine the prevalence of the ASRH burden, assess the utilisation of ASRH services in these schools and identify drivers/barriers to the utilisation of ASRH services among adolescents in secondary schools in Mityana district.
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Effect of Operator-Related Factors on Failure Rate of Orthodontic MiniImplants (OMIS) used as Temporary Anchorage Devices (TAD); Systematic Review

A search was performed through electronic databases; PubMed, EMBASE searched via ScienceDirect and Cochrane Library. Reference lists were limited to English papers ranging from 2012 to 2018. Eligibility criteria were defined by considering the (PICOS) question patients who received OMIs for orthodontic anchorage. Inclusion and exclusion criteria were performed independently by two authors.
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Accidentally Discovered Pure Squamous Cell Carcinoma of the Gall Bladder: A Case Report

Squamous cell carcinoma of the gallbladder is rarely reported, comprises less than 1% of all gall bladder cancer and portends a worse prognosis than the more common adenocarcinoma. We report a 80-year-old female who presented with acute onset epigastric pain. She was operated on based on a presumptive diagnosis of acute on top of chronic cholecystitis with cholelithiasis according to clinical and ultrasonographic findings. Histopathological examination of the thickened wall of the gallbladder revealed well to moderately differentiated keratinized squamous cell carcinoma invading full wall thickness and infiltrating the liver. Further examinations revealed no other primary site for the tumour. Gallbladder cancer should be considered as part of the differential diagnosis in elderly patients presenting with cholecystitis.
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Polycyclic Aromatic Hydrocarbons Separation from Oil-Contaminated Soil Using Supercritical and Subcritical Water

Finding an environmental-friend and an affordable method to remove contaminated soils from polycyclic aromatic hydrocarbons (PAHs) is now an attractive field for researchers. PAHs are slightly soluble, thus hardly dissolve in organic compounds, and also biological and chemical degradation processes are not effective to remove them, and the process of extracting these pollutants from soil is a complex process. Super-critical fluid extraction is an innovative process in the field of contaminated soil treatment. Extraction with super-critical fluid is a simple and rapid extraction process which uses supercritical fluids as solvents. This method addresses extraction methods using supercritical and subcritical fluid. The results showed that the supercritical fluid process is very suitable to remove the pollutants such as PHCs, PAHs, PCBs, dioxins, Furans, phenols, Chlorophenols, insecticides, metals and radioactive substances. The supercritical fluid extraction using CO2 also has the ability to effectively eliminate organic and inorganic compounds present in different contaminated soils. Moreover, this method is more economical for polluted soil treatment compared to other available methods. On the other hand, using this method that uses water is environment-friendly and has lower cost and a higher safety level. Research has also shown that pressurized hot water extraction (SWE) is a better way to extract PAHs. In this method, the extraction process can be improved by combining the SWE process with the oxidation process by adding oxidants such as air, oxygen, hydrogen peroxide, etc.
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The Economic Impact of Climate Change on Transportation Assets

Climate change is the statistical distribution changes of weather patterns when that change lasts for a long period. This paper aims to review economic wide effect of climate change on transportation assets. Climate change economically affects transportation by increasing maintenance, operation, rehabilitation, and repairmen costs of transportation infrastructure. Climate changes can also increase the cost of new transportation infrastructure due to higher climate adaptable design standards. It also accelerates infrastructure replacement costs. In addition to damage to transportation infrastructures, climate change can also indirectly cause loss of infrastructure service and activity disruption. Climate change also causes bring down travel times, higher cost choice required to address operational needs and accumulating yield for shipment when transport courses allow.
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Management of Traumatic Dental Injuries Presenting to the Emergency Department

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The Contribution of Alcohol Consumption to Overall Cancer Incidence in the Western World: A Meta-Analysis

The effect of alcohol consumption on overall cancer incidence is not clear. The aim of the paper is to estimate the impact of alcohol consumption on risk distribution of the 20 most common cancer types among men and women in the Western world. A meta-analysis of relative risks for the 20 most common cancer types potentially associated with alcohol consumption in the Western world was conducted based on the most recent cancer specific meta-analyses. Cancer risks were compared between men and women applying a sigmoidal dose response model. Drinking 2.5-14.9 g alcohol/day was associated with a small decrease in overall cancer incidence: 0.977 for men and 0.974 for women; followed by a small increase in the 15-29.9 g/day category: 1.029 for men and 1.077 for women. Further increases were observed in the 30-60 g/day category indicating a 5 and 10% increase in overall cancer risk for men and women, respectively. Women appeared to be more sensitive: the alcohol consumption level to acquire overall risk increase is 22 g/day for women and 46 g/day for men.
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Biological Availability of Phosphorus in Raw and Acidulated Sinda and Chilembwe Rock Phosphates in Broiler Chickens

A 14 day broiler chickens feeding trial was conducted to determine bio-availability and relative biological values (RBV) of phosphorus in raw and acidulated local rock phosphates (RPs) as potential replacements for imported and more expensive di-calcium phosphate (DCP). Treatments included Raw, Sulphuric acid and Phosphoric acid acidulated Sinda and Chilembwe RPs. Bio-availability was assessed based on feed intake, body weight gains, feed conversion ratios, phosphorus retention and mineralization of tibia bones and blood serum. RBVs were calculated on the same parameters using DCP as a reference standard. Phosphorus contents in local RPs were significantly (P ≥ 0.05) lower than in DCP, but acidulating RPs with Phosphoric acid significantly increased phosphorus, but reduced calcium contents. Other minerals were comparable with what was in DCP. Acidulating RPs significantly (P ≥ 0.05) increased body weight gains and feed conversion ratios, but not feed intake. Phosphorus retentions, weights and ash contents of tibia bones were significantly (P ≥ 0.05) lower in chickens fed diets based on raw than that of those fed diets based on acidulated RPs and DCP; an indication that acidulating the RPs improved phosphorus bio-availability in broiler chickens. There were however; no statistical differences (P ≥ 0.05) among treatments in calcium and phosphorus contents in both tibia bones and blood serum.
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Impaired Driving Associated with the Synthetic Cannabinoid 5F-ADB

Synthetic marijuana compounds are more potent than ∆9-tetrahydrocannabinol (∆9-THC) and are known to produce a wide variety of clinical symptoms including cardiac toxicity, seizures, and death. Erratic driving by a 45 y/o male was witnessed in the fall of 2017 and roadside evaluation of the driver by the responding law enforcement officer concluded that the driver was intoxicated. Comprehensive analysis of the cigarettes by gas chromatography-mass spectrometry detected the synthetic cannabinoid 5-fluoro-ADB (5F-ADB or 5F-MDMB-PINACA). Validated forensic liquid chromatography-tandem mass spectrometry (LC-MS/MS) methods were used to detect the 5-fluoro ADB metabolite 7 (26.37 ng/mL) in the driver’s blood sample. No other drugs were detected. This case report is one of the first to conclusively show that designer synthetic cannabinoids, commonly referred to as “K2” and “Spice”, can significantly impair driving at relatively low concentrations.
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The Roles of IL-33 and TGF-Β1 in the Pathogenesis of Stevens-Johnson Syndrome/ Toxic Epidermal Necrolysis: Potential Biomarkers for Disease Severity

MicroscopyStevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a disease continuum of potentially life threatening, severe allergic drug reactions which result in cellular apoptosis in the skin, mucous membranes, and ocular surface. The exact pathophysiologic mechanisms leading to this apoptosis is unclear but genetic predisposition and abnormal immune regulations play a role.
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Adrenal Incidentalomas - From Diagnosis to Follow-Up: Endocrine and Imaging Features at Diagnosis and Over Time

Adrenal incidentalomas (AIs) are frequent and although most of them are asymptomatic and benign, some do need treatment. The AIs follow-up has to be as sharp as to avoid missing pathology and to avoid harm and anxiety induced by the follow-up itself. It is, thus, a delicate medical condition for endocrinologists worldwide.
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Association between Physical Activity and Body Weight: Health Creation and Disease Prevention

Leisure time physical activity has a broad spectrum of health benefits. The objective of this study was to provide evidence and to support the association between physical activity and body weight. We used data from a probability sample of 8,128 individuals residing in Montreal (Canada). Multinomial multivariate logistic regression was used to determine the association between physical activity and body weight. Results showed no statistical association between physical activity and underweight. However, physical activity was associated with overweight, namely individuals doing less physical activity were significantly more likely to be overweight (OR=1.42; 95%CI=1.18- 1.69) than those performing intense physical activity. Additionally, the association between physical activity and obesity showed a negative incremental relationship, i.e. individuals reporting moderate physical activity were 29% more likely to be obese (OR=1.29; 95%CI=1.07- 1.55), and those reporting low physical activity were 123% more likely to be obese (OR=2.23; 95%CI=1.80-2.76) compared to intense physical activity status. Leisure time physical activity and overweight/obesity were significantly associated after accounting for several socioeconomic, lifestyle and health-related correlates. Due to the broader positive impact of physical activity on the health status of the individual, we advise health authorities to facilitate the propagation of healthy lifestyle in the community by adopting a health-creation policy in addition to the conventional disease-prevention strategy
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Introduction to the special issue on ‘Nanostructures by Valve Metal Anodization’

With this special issue of JMSN we are pleased to present significant contributions to a fascinating topic in the field of materials nanostructing, which is the anodization of valve metals. By this treatment porous oxides of controlled geometry can be grown on the respective metal surfaces. To date, aluminum (Al) has been used most often, as confirmed in this special issue where nine out of ten contributions deals with its anodization.
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Ordered Growth of Anodic Aluminum Oxide in Galvanostatic and Galvanostatic-Potentiostatic Modes

The results are presented of obtaining anodic aluminum oxide with an ordered pore arrangement by employing two anodizing modes - galvanostatic mode and combined (galvanostatic + potentiostatic) mode, at high values of the current density and voltage. Use has been made of an oxalate electrolyte and a complex electrolyte comprising oxalic acid and phosphoric acid. Scanning electron microscopy has been used to investigate the surface morphology of the barrier and porous layers and to determine pore sizes and inter-pore distance.
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Anodic Porous Alumina Array for Cyanine Fluorophore Cy3 Confinement

Self-organized anodic porous alumina films with hexagonal pore lattice have attracted a considerable attention for biological arrays and confinement of various organic probes dyes in solutions. A molecular structure with axial symmetry in bis-heterocyclic indole chains and conjugate system, such as cyanine fluorophore Cy3 dye, was investigated here with respect to its fluorescence when loaded in the anodic alumina pores.
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Anodizing for Design and Function

Two basic reactions occur during the anodizing of aluminum: 1) the aluminum is consumed and 2) an oxide grows. By accepting this statement as true, the anodizing process can be viewed as a corrosion process, and anodizing can be modeled using the Tafel Equation. Anodizing process parameters of electrolyte chemistry and concentration, temperature, aluminum substrate resistance and current density are presented as they relate to the Tafel Equation and how they impact the anodic aluminum oxide structure and properties. Understanding this relationship is consequent in making anodizing an engineering process, one that enables tuning the structure such that it yields distinct characteristics to fulfill design and application requirements.
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Recent Developments in Human Odor Detection Technologies

Human odor detection technologies have drawn attention due to the wide possibility of potential applications they open up in areas such as biometrics, criminal investigation and forensics, search for survivors under rubble, and security checkpoint screening. Gas chromatography/mass spectrometry (GC/MS) has been the most successful and powerful analytical approach developed to date for human odor analysis, and hundreds of human odorants have been identified using this tool.
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Electronic-nose Applications in Forensic Science and for Analysis of Volatile Biomarkers in the Human Breath

The application of electronic-nose (E-nose) technologies in forensic science is a recent new development following a long history of progress in the development of diverse applications in the related biomedical and pharmaceutical fields. Data from forensic analyses must satisfy the needs and requirements of both the scientific and legal communities. The type of data collected from electronic-nose devices provides a means of identifying specific types of information about the chemical nature of evidentiary objects and samples under investigation using aroma signature profiles of complex gaseous mixtures containing volatile organic compounds (VOCs) released from manufactured products and parts of the human body. E-nose analyses also provide useful qualitative information about the physicochemical characteristics and metabolic conditions of human subjects without the need for time-consuming analyses to identify all chemical components in human-derived volatile mixtures.
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Analysis of Sweat Simulant Mixtures using Multiplexed Arrays of DNA-Carbon Nanotube Vapor Sensors

Carbon nanotube (NT) based electronic vapor sensors were tested against synthetic sweat solutions, consisting of 13 volatile organic compounds (VOCs) in saline, in order to probe the device ability to analyze and differentiate vapors derived from complex biological samples.
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Characteristic Human Scent Compounds Trapped on Natural and Synthetic Fabrics as analyzed by SPME-GC/MS

The collection of human odor volatiles is of interest to forensic applications as a path to investigate canine scent discriminations in legal investigations. A study using a selected array of previously identified human odor compounds has been conducted to determine the retention and release capabilities of five (5) natural and synthetic fabric types, cotton (mercerized fabric and gauze matrix), polyester, rayon and wool.
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The Effects of the Film Thickness and Roughness in the Anodization Process of Very Thin Aluminum Films

The anodization of aluminum foils having micrometer thickness is a common process and results in hexagonally self-ordered alumina membranes. However, anodic aluminum oxide (AAO) membranes fabricated from nanometer-thin films present new challenges to the anodization process, since aluminum films adheres poorly on supporting substrates and the smoothness of the film is highly related to the kind of substrate.
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Anodic Oxidation of Titanium in Sulphuric Acid and Phosphoric Acid Electrolytes

Anodisation of pure titanium has been carried out in sulphuric and in phosphoric acid solutions at potentials ranging from 50 to 150V. The SEM and AFM morphological analysis indicates that, within this potential range, oxidation in sulphuric acid solution produces better developed mesoporous oxide layers.
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Fabrication of Ordered Arrays of Anodic Aluminum Oxide Pores with Interpore Distance Smaller than the Pitch of Nano-pits formed by Ion Beam Etching

We investigated a method for preparation of ordered nanopore arrays with the interpore distance of 60 nm by guided self-organization of anodic aluminum oxide with a prepatterned array of pits in the starting Al film.
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Preparation of Large Area Anodic Alumina Membranes and their Application to Thin Film Fuel Cell

The design of an electrochemical reactor for the preparation of self-supported comparatively thin (up to 10 μm) and large area (up to 50 cm2) anodic alumina membranes is described allowing growth of porous alumina at high applied potential (up to 150 V) without burning.
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Fabrication of Vertical Cu2ZnSnS4 Nanowire Arrays by Two-Step Electroplating Method into Anodic Aluminum Oxide Template

Vertical Cu2ZnSnS4 (CZTS) nanowire arrays have been synthesized via two-step electroplating method into anodized aluminum oxide template. For deposition of CZTS nanowires, anodized aluminum oxide (AAO) was used as the growth mask for the growth of the nanowires. AAO templates with hole sizes of 70 nm in diameter were used in the experiments.
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Fabrication and Luminescence of Anodic Alumina with Incorporated Vanadyl Citrate Chelate Anions

Anodic aluminum oxide doped with vanadyl citrate chelate complex anions was formed by a two-step self-organized anodization in 2 wt. % sulfuric acid containing 0.04 M V2O5 and 0.08 M citric acid at voltage range 13-23 V, and at 0 and 15 oC. The combination of two temperatures and at least four voltages (depending on the applied temperature) was applied as the operating conditions of anodization.
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Synthesis of BaTiO3 Nanowires via Anodic Aluminum Oxide Template Method Assisted by Vacuum-and-Drop Loading

In this paper, we report on the synthesis of BaTiO3 nanowires via the anodic aluminum oxide template method. To fill in the precursors of BaTiO3 into anodic aluminum oxide templates, the vacuum and drop loading method developed in our previous study was used. Ba(CH3COO)2 (barium acetate) and C12H28O4Ti (tetraisopropyl orthotitanate) were used as Ba and Ti sources, respectively. Anodic aluminum oxide membranes with the through-hole diameter of ~200 nm were used as the template for BaTiO3 nanowires.
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Editorial Board Members Related to

R. C. Gupta

Professor
Pro vice chancellor
Nagaland University
India

Bruno Amato

Associate Professor
Department of Clinical Medecine and Surgery
University Federico II of Naples
Italy

Nagendra K. Prasad

Assistant Professor
Division of Hematology and Oncology
Indiana University School of Medicine
United States

Parameswaran Ramakrishnan

Assistant Professor
Experimental Pathology
Case Western Reserve University
United States

Emmanuel Ho

Assistant Professor
Department of Immunology
University of Manitoba
Canada

Nicola Balato

Associate Professor
Department of Dermatology
School of Medicine
University of Naples Federico II
Italy

JIANYE GE

Assistant Professor
Department of Forensics and Investigative Genetics
University of North Texas Health Science Center
United States

Ana Margarida Violante Pombo

Professor
Department of Aquaculture
Polytechnic Institute of Leiria
Portugal

Amer A. Taqa

Professor
Department of Dental Basic Science
Mosul University
Iraq

Danelina Vacheva

Department of Physical Medicine, Rehabilitation
Pleven Medical University
Bulgaria
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