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Articles Related to Injury

Dengue Hemorrhagic Fever and Rapidly Progressive Glomerulonephritis (RPGN): A New Persuasion

Dengue is a prevalent arthropod-borne viral disease in tropical and subtropical areas of the globe. Dengue clinical manifestations include asymptomatic infections; undifferentiated fever; dengue fever, which is characterized by fever, headache, retro orbital pain, myalgia, and arthralgia; and a severe form of the disease denominated dengue hemorrhagic fever/dengue shock syndrome, characterized by hemoconcentration, thrombocytopenia, and bleeding tendency. However, atypical manifestations, such as liver, central nervous system, and cardiac involvement, have been increasingly reported called expanded dengue syndrome. The renal complications of dengue virus infection cover a wide spectrum of manifestations from acute kidney injury to glomerular injury with nephritic/nephrotic syndrome. Majority of cases remain symptom free and show full recovery. We report a 55 years old lady with atypical and rare presentation of dengue disease marked by rapidly progressive glomerulonephritis. Condition improved after initial 5 days pulse methylprednisolone followed by oral prednisolone therapy and mycophenolate mofetil. The main mechanism of dengue glomerulonephritis is still unknown though both direct viral infection and immune mediated damage have been suggested to be the cause. To avoid otherwise preventable morbidity and mortality, physicians should have a high index of suspicion for renal complications in patients with dengue illness and should manage this accordingly
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A Case Report: Delayed Onset Urinary Tract Injury after Laparoscopic Hysterectomy

Lower urinary tract injury in hysterectomy is rare, but once it occurs, the consequence can be deteriorating. We experienced late onset urinary tract injury that developed as late as 15 days after laparoscopic hysterectomy. The objective of this case report is to alert all gynecological laparoscopists that such late onset complication may happen to any of patients.
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A Case Report of Diffuse Ischemic Injury from Leptomeningeal Midline Glioma Metastases

Diffuse midline gliomas with the histone 3-lysine-27-methionine (H3K27M) mutation should be considered in the differential diagnosis of recurrent hemiparesis and headache in patients with midline brainstem lesions, even with the absence of contrast-enhancement. Early diagnosis is essential for prognostication and engagement in trials evaluating novel therapeutics such as ONC-201.
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Case Report: Severe Sequelae of Sleep Disorders

We report 2 cases of severe injuries in patients with sleep disorders. The first patient sustained multiple orthopedic traumas as sequelae of REM sleep behavior disorders (RBD). The second patient sustained a severe TBI as a result of restless legs syndrome (RLS). To our knowledge, there are only 2 reported cases of severe orthopedic traumas (cervical spine fractures) as a result of RBD and no reported cases of severe TBI from RLS.
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Pathology of Non-Fatal Asphyxia and the Risk of Fatal Outcome in the Context of Intimate Partner Violence

The victims of intimate partner violence are subjected to emotional, physical and/or sexual abuse. The physical abuse often includes episodes of mechanical asphyxia and its most frequent mechanisms: throttling and strangulation. Non-fatal asphyxia situations have signs, symptoms and short-term or long-term consequences whose severity varies according to the intensity, duration and number of episodes.
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Kidney Injury in Ordinary Adult Cases of Coronavirus Disease 2019

Kidney injury has been observed broadly in severe and critical coronavirus disease 2019 (COVID-19) patients, but the impairment of renal function in ordinary cases has rarely reported. We conducted this study to explore whether patients in ordinary condition suffered from kidney injury during the course of COVID-19 and to find out a proper indicator for detecting kidney injury in COVID-19 patients.
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Application of the Posterior Approach Technique in Laparoscopic Radical Hysterectomy for Cervical Cancer

The aim of this study was to compare and determine the feasibility, surgical outcomes, intraoperative and postoperative complications of the use of the posterior approach technique in the laparoscopic radical hysterectomy (LRH) to the conventional laparoscopic radical hysterectomy in patients with cervical cancer.
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Review Article: Managing Spinal Cord Injury on Anesthesiologists’ Perspective

Spinal cord injury (SCI) is trauma to the area of the vertebrae resulting in spinal cord lesions resulting in neurological disorders, depending on the location of the spinal nerve damage and the injured nerve tissue. The symptoms of SCI can range from pain and paralysis to incontinence. SCI due to trauma is estimated to occur in 30-40 per million population per year, and about 8,000- 10,000 sufferers each year; generally, occurs in adolescents and young adults. Although the annual incidence of events is relatively low, the cost of care and rehabilitation for spinal cord injuries is very high, at around US $ 53,000 / patient.
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Narrative Review of Challenges and Considerations in Resuming Elective Gynaecology Surgery in Climate of Continuing Community Transmission of Covid-19 in a Low Resource Setting

The World Health Organization declared COVID-19 a pandemic in March 2020 and since then COVID-19 infection has been reported in all parts of the world. Several Healthcare systems reduced or canceled none emergency or urgent surgeries to effectively manage the pandemic. Recently, the reported incidence of new cases of COVID-19 has reduced in some regions and some Healthcare systems are resuming elective gynecologic surgery. This narrative review explores the challenges of planning and resuming elective gynecologic surgery in a climate of continuing community transmission.
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Hyperbaric Oxygen Therapy Improves Cognition in Patients Severe TBI; A Prospective Study

Cognitive impairment post TBI is an important factor in rehabilitation outcomes. Pharmacological and therapeutic services do not directly address damage to the cortical infrastructure. Hyperbaric Oxygen Therapy is known to improve brain function and healing.
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Spontaneous Bruising on the Face, Neck and Chest

Bruises are due to the blood leaking from vessels into the dermis. They usually occur at sites exposed to trauma, mainly the lower limbs, outer hips and arms. Spontaneous bruising (purpura and ecchymoses) restricted to the face, neck and chest are an exception to the rule.
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Study of Microalbuminuria and its Correlation to Prognosis in Patients with Traumatic Brain Injury: A Longitudinal Study at Level 1 Trauma Centre

Microalbuminuria reflects rapid changes in glomerular permeability and is associated with systemic capillary permeability.
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Cervical Spinal Stimulation at Different Levels Evoked Multisegmental Motor Responses in the Lower Limbs

To report on the effect of electrical stimulation of the cervical spine while recording muscular signal from lower limb muscles with Cervical Multisegmental Motor Responses (MMR).
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Blunt Abdominal Aortic Injury and Multiple Traumatic Abdominal Wall Hernias: A case of Rare Concomitant Injuries

Blunt force trauma resulting in a combination of serious injuries is a significant cause of morbidity and mortality. We present a successfully managed case of blunt force trauma from a motor vehicular collision resulting in concomitant blunt abdominal aortic injury (BAAI) and multiple traumatic abdominal wall hernias (TAWH) that required emergency surgery.
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An Investigation into the Range of Movement and Forces Involved by the Application of Wrist Flexion Restraint Techniques - Pain Inducing or Not?

Although the use of physical restraint (PR) is accepted, it remains controversial as staff are required to balance professional, ethical and legal tensions between maintaining everyone’s safety, upholding human rights, and minimising harm. One such tension relates to the use of Wrist Flexion Techniques (WFT) used in some health, social care and custodial settings. WFT impose load onto the musculoskeletal structures of the wrist to gain control or compliance from a restrained person, and can result in discomfort, pain, injury, psychological trauma and be detrimental to therapeutic relationships. Current evidence and guidance on WFT are absent with debate existing as to whether WFT can be used without inducing pain. Twenty adults participated in the study. The mean discomfort angle was 90.1° (± 8.6) of flexion with 2.8 Kg (± 1.1) of force, and the mean pain angle was and 98.4° (± 7.9) of flexion with 4.4 Kg (± 1.8) of force, therefore only 8.3° of movement and 1.6 Kg of force separate pain free from pain inducing WFT. Genders did not differ in relation to angle of discomfort or pain. Females experienced discomfort with 1.1Kg less force (p = 0.021) and experienced pain with 1.7Kg less force (p = 0.023). This research challenges the assertion that WFT can exist as non-pain inducing and pain inducing PR techniques since the margin between them may be too small for practitioners to discriminate, particularly during the struggle of real world restraint. Further research may consider other potential pain inducing techniques, and the role and use of PIT during restraint.
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Editorial Board Members Related to Injury

Li-Ru Zhao

Associate Professor
Department of Neurosurgery SUNY Upstate Medical University
United States

Inbo Han

Associate professor
Department of Neurosurgery
CHA University
South Korea

Gregory Murphy

Professor
Department of Health Science
La Trobe University
Australia

Alfonso Caracuel

Assistant Professor
Department of Psychology and Education
University of Granada
Spain

Tao Liu

Children's Cancer Institute
University of New South Wales
Australia

Michael P. Namaka

Associate Professor
Faculty of Pharmacy and Medicine
University of Manitoba
Canada

Anuradha Ratna

Department of Medicine
University of Massachusetts Medical School
USA

Yuchuan Ding

Professor
Department of Neurosurgery
Wayne State University School of Medicine
United States

Xiaohong Kong

Professor
Medical & Molecular Virology Laboratory
Nankai University
China

Zakariya H. Nawasreh

Assistant Professor
Department of Rehabilitation Sciences
Jordan University of Science and Technology
Jordan
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