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Last Updated: 20 August 2022

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Management of lumbar shunt site swelling in children

Object The objective of this research was to establish the source and control of lumbar shunt site swelling/cerebrospinal fluid leak in children who underwent percutaneous lumbar shunt placement due to persistent ventricular shunt problems. Twenty patients had 30 episodes of CSF leak/swelling at a median age of 92 years, which was a 233 days after placement or revision. CSF leakage in the remaining patients was from around the proximal catheterization point to the spinal dura. Conclusions Lumbar's swelling is mainly a result of the perception CSF leakage from the mismatch in the dural opening, which corresponds to the 14-gauge Tuohy needle's outer diameter and the smaller proximal lumbar catheter.

Source link: https://doi.org/10.3171/ped/2008/1/5/357


Enhancing Rig Site Risk Awareness

In addition, NDC is also working on the SAP network to provide on-line HSE event tracking. This paper explains how three devices can be used in parallel to provide comprehensive rig site risk surveillance coverage. It explains how a multiple system approach to risk awareness eliminates holes, and a reporting network provides access to all reports.

Source link: https://doi.org/10.2118/85299-ms


Anterior versus posterior entry site for ventriculoperitoneal shunt insertion: a randomized controlled trial by the Hydrocephalus Clinical Research Network

OBJECTIVE The primary aim of this trial was to see if shunt entry site influences the risk of shunt failure, which was determined by a shunt entry site. METHODS The authors conducted a parallel-design controlled trial with an equal number of patients awaiting shunt placement via the anterior entry site and patients who underwent shunt placement by the posterior entry portal. All patients were children with signs or signs of hydrocephalus and ventriculomegaly. At 1 year, the trial was designed to produce high enough conviction to show a 10% or greater absolute difference in the shunt failure rate. RESULTS The study, which included 467 pediatric patients at 14 tertiary care pediatric hospitals in North America from April 2015 to January 2019, was randomized. In the anterior group, there were 229 patients in the posterior group and 224 in the anterior group for the primary analysis. The median patient age was 1. 3 months, and the most common etiologies of hydrocephalus were postintraventricular hemorrhage secondary to prematurity, myelomeningocele, and aqueduct stenosis. Using univariable Cox regression model, the hazard ratio of a posterior shunt relative to an anterior shunt was determined, but it was non-significant. No significant difference was found between entry sites for the surgery duration, number of ventricular catheter passes, ventricular catheterization location, and hospital length of stay. CONCLUSIONS This randomized controlled trial comparing the anterior and posterior shunt entry locations found no difference in the time to shunt failure in the time to shunt failure. Both Anterior and posterior entry site surgeries were found to have similar effects and similar complication rates.

Source link: https://doi.org/10.3171/2021.9.peds21391


Collaborative Tools for e-Participation across Networks: The Comuno Networking Site for Public Governance and Services

The Broadcast plugin helps cross-posting content from Comuno to a large number of other social networking platforms, such as Facebook or Twitter. UserFeed and TopicFeed widgets enable RSS feeds from content published by a particular user or a narrow topic. In Comuno's private account section, the LifeStream tool tracks a user's activity across several networking pages.

Source link: https://doi.org/10.29379/jedem.v2i1.17


A new species of Gulo from the Early Pliocene Gray Fossil Site (Eastern United States); rethinking the evolution of wolverines

The wolverine is the most able living terrestrial species of the Mustelidae; a nimble predator that is native to boreal areas of North America and Eurasia. We introduce a new species of Gulo from the Gray Fossil Site in Tennessee here. Early Pliocene, near the Hemphillianu2014Blancan transition between 4. 9 and 4. 5 Ma, a revised estimate of the age of the Gray Fossil Site based on biostratigraphy, a new estimate of the age of the Gray Fossil Site is based on biostratigraphy, based on biostratigraphy, a new estimate of the Age of the Gray Fossil Site is based on bios The new species of wolverine described here is similar to previously described species of Gulo and early fishers. As the earliest records of both Gulo and Pekania are known from North America, the genus may have emerged in North America and dispersed to Eurasia later in the Pliocene. Both fauna and flora at the Gray Fossil Site are typical of warm/humid climates, which means that wolverines may have been u2018cold-adapted,'u2019 more recent.

Source link: https://doi.org/10.7717/peerj.4648


Does patient ethnicity affect site of craniosynostosis?

Object No published papers have been published yet that investigates the role of ethnicity on suture involvement in nonsyndromic craniosynostosis. The authors investigated whether there is a significant difference in the epidemiological pattern of suture infection among various ethnic groups attending a regional craniofacial clinic with a diagnosis of nonsyndromic craniosynostosis. Both more cases of complex synostosis and fewer cases of sagittal synostosis than anticipated in the Asian patient cohort revealed. Conclusions: When Asian patients are compared to white patients, there is a statistically significant difference in the prevalence of the various sutures related to nonsyndromic craniosynostosis patient cohort. The results from this research show that nonsyndromic craniosynostosis is more prevalent in the Asian community than in the white community, although there may be inaccuracies in the estimates of the background population figures.

Source link: https://doi.org/10.3171/2014.9.peds14123


Risk factors for surgical site infection after intracranial electroencephalography monitoring for epilepsy in the pediatric population

OBJECTIVE INTRO OBJECTIVE INTERESTANCE Electroencephalography monitoring is a valuable tool in determining the seizure focus in patients with medically refractory epilepsy. Although previous studies have found low incidences of surgical complications, surgical site infections' rates are highly variable. After iEEG monitoring for epilepsy workup in pediatric patients and determining the variables that could play a role in the development of SSI, this study was designed to determine the incidence of SSI. METHODS An retrospective review of hospital charts at the Hospital for Sick Children was conducted for all patients who had undergone iEEG testing between 2000 and 2016. CONCLUSIONS This is the largest case series and the first comprehensive analysis of both patient and surgical risk factors in the onset of SSI in a pediatric population from iEEG monitoring.

Source link: https://doi.org/10.3171/2018.1.peds17476


Role of verb in personification used in sharia economic topics on KONTAN news site

Background: The linguistic registers related to the complexities of sharia economic, as well as their figurative language, have become a problem when the readers are not a Bahasa Indonesian speaker. The results of analysis reveal that there are 20 reports reviewed in this article, the bulk of articles from KONTAN's new site in various information or headlines. The outcome of analysis shows that the role of verb in personification adds more layers of meaning. Since the verb rules the subject and the object in the sentence, the verb determines the subject and the object in the sentence, it is evidently caused by verb'u2019s grammatical function in the sentence. These more layers of context also extend the layers of meaning into secondary meaning and so on. The function of verb in syntax also shows the function as the human reference point of action.

Source link: https://doi.org/10.56724/ladu.v2i1.94

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions