Connecticut medicine
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The amount of literature dealing with the diagnosis and treatment of adolescent concussions is considerable. Most articles focus on the athlete. This study examines both sports-related and nonsports-related concussions in adolescents, their etiology, mechanisms of injury (categorized by sport), symptoms exhibited, physical findings, computerized tomography scan results and the problem of prolonged recovery (persistent postconcussion syndrome used in this article to mean symptoms lasting over four weeks.) ⋯ A retrospective review of 863 adolescent concussions, in 11-year-old to 19-year-old patients, from July 2004 through December 31, 2008. Subjects were seen as a result of referrals largely from the author's practice (Pediatric Healthcare Associates), other physicians, athletic trainers or patients previously treated. All concussions, including nonsports-related concussions, were included in the study. Some patients had multiple concussions; 774 individuals accounted for the 863 concussions. The number of patients by age and the number of concussions they sustained are listed below.
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Connecticut medicine · Feb 2010
Comparative StudyA simple patient-driven tool to measure the results of total knee arthroplasty.
A telephone interview was conducted with 170 consecutive patients who received a total knee arthroplasty (TKA), a minimum of two years postoperatively. Patients were askedhow satisfied they were with the results. They were asked to compare pain before and after the surgery, and function of the kneebefore and after surgery. ⋯ Ninety-two percent had pain which was significantly better, or no pain. Eighty percent could do significantly more or everything they wanted. A simple survey like this would provide meaningful feedback for individual surgeons, specific centers, or regarding specific implants, which could be used to improve the quality of TKA
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To assess the risks associated with removal of more than 1 liter of pleural fluid in one settingwithout intrapleural pressure monitoring. ⋯ Large-volume thoracentesis is a safe procedure that is comparable in risk to small volume thoracentesis.