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OBJECTIVE To investigate whether the location and extent of the CT hyperdense artery sign (HAS) at presentation affects response to IV alteplase in the randomized controlled Third International Stroke Trial (IST-3). METHODS All prerandomization and follow-up (24-48 hours) CT brain scans in IST-3 were assessed for HAS presence, location, and extent by… (More)
Pyogenic sacroiliitis is considered to be an uncommon infection, which is often diagnosed late because of poor localization of symptoms and normal plain radiographs at presentation. Nine cases aged between 20 months and 14 years who presented with sacroiliitis over a 7 year period are reviewed retrospectively. Isotope bone scanning is a useful technique in… (More)
To the Editor: In the process of establishing a tro-ponin I assay in our laboratory, we found limited data on reference intervals for plasma. Because our laboratory relies heavily on plasma rather than serum to expedite analysis (1), we undertook a parallel study of serum and plasma troponin I concentrations with the Abbott AxSYM TM assay. To our surprise,… (More)
Ultrasound (US) is a proven method of identifying subperiosteal abscess formation in osteomyelitis, but its precise role in the management of children with the condition is contentious. We reviewed nine children in whom US was used in the management of long bone osteomyelitis, including ribs. US was helpful in confirming the presence of a subperiosteal… (More)
OBJECTIVE VHA Mountain States conducted a survey and analysis of infection control (IC) staffing resources, organizational structures, and clinical processes related to reducing the incidence of healthcare-associated infections (HAIs) in community healthcare facilities. METHODS Member participation was solicited for 2 study components. The first was a… (More)
We describe the embolization of a left internal mammary artery damaged by left internal jugular venous catheterization. Because potentially serious complications can occur with a blind approach for central venous catheterization, portable ultrasound machines should be used more often to ensure correct placement of the catheter.
There continues a significant debate over the best contemporary method for treating trigeminal neuralgia. Glycerol injection into the trigeminal cistern has been used in a consecutive series of 200 patients. A total of 80% of the patients have had good or excellent pain relief. Side effects have been a mild and usually transient numbness and tingling or… (More)
A case of pneumosinus dilatans of the frontal sinus is presented. The findings on serial skull X-rays, performed on three occasions over a 10-year period, seem to support a developmental aetiology for this rare condition.
BACKGROUND There is currently little evidence regarding potential risks of bacterial contamination of non-invasive ventilation (NIV) devices used by cystic fibrosis (CF) patients. AIM The aim of this study was to determine the extent of bacterial contamination of NIV devices in our regional adult CF centre. METHODS Seven NIV devices recently used by CF… (More)
Two patients with cirrhosis and portal hypertension had persistent bleeding from caput medusae and ascites. Transjugular intrahepatic portosystemic shunt (TIPS) resulted in regression of the caput medusae and ascites in both cases.