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A total of 134 people, aged between 25 and 60, were randomly selected from the Traffic Injury Register in Goteborg and interviewed 2 years after the accident. They were asked by telephone about their lives before and after the accident. There was a high rate of complications, even after some minor injuries. Half of the respondents still reported travel anxiety. Pain, fear and fatigue were also...
Gunshot wounds of the urinary tract are seen with increasing frequency due to the widespread use of firearms. There is much controversy regarding the optimal preoperative diagnostic evaluation and intraoperative management of such injuries. Debate also arises as to the need for mandatory exploration or the safety of non-operative management for carefully selected patients. Seventy-nine prospective...
We reviewed 71 consecutive spinal cord injuries to determine the factors influencing neurological recovery. Sixty-three (35 tetraplegics and 28 paraplegics) were available for follow-up at a mean of 29.6 months. The American Spinal Injury Association (ASIA) scoring system was used on admission and at follow-up to determine change in neurological status. Treatment with corticosteroids or surgical...
Twelve cases of traumatic rupture of a massive hydronephrosis are reported. The key points in the diagnosis are: injury around the loin, peritonitis, a fall of pH in the abdominal paracentesis fluid, a rise of blood urea nitrogen (BUN) and structural abnormality of the affected renal pelvis seen on ultrasonography. The treatment differed according to the disease causing the hydronephrosis before...
Recent debate over the use of eyepads and mydriatics for corneal abrasions in ophthalmology departments (Mindin et al., 1996,JAMA 1996; 27: 837) has prompted this review of the management of small corneal abrasions (<60% of cornea) in a large teaching hospital accident and emergency (A&E) department. Ninety-nine patients were studied who presented to the Leicester Royal Infirmary A&E Department...
In 17 patients plasma TNF-α and IL-8 were assayed with enzyme-linked immunosorbent assay. IL-6 activity in plasma was determined by bioassay with IL-6-dependent cell line 7TD1. The limulus amoebocyte lysate chromogenic test was used for plasma endotoxin assay. Plasma cytokine levels in injured patients were significantly increased. Plasma TNF-α was shown to be increased earlier, while an increase...
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