A rare cause of posterolateral elbow pain: radiohumeral plica syndrome with typical MRI findings

A 17-year-old female swimmer was presented to the department of orthopedics with a history of periodically increasing pain for 3 months on the left elbow. On examination, pain was located on the posterolateral site of the elbow. There was snapping during elbow flexion and extension. There was no history of trauma

Origin and insertion of the medial patellofemoral ligament: a systematic review of anatomy.

PURPOSE: The medial patellofemoral ligament (MPFL) is the major medial soft-tissue stabiliser of the patella, originating from the medial femoral condyle and inserting onto the medial patella. The exact position reported in the literature varies. Understanding the true anatomical origin and insertion of the MPFL is critical to successful reconstruction. The purpose of this systematic review was to determine these locations. METHODS: A systematic search of published (AMED, CINAHL, MEDLINE, EMBASE, PubMed and Cochrane Library) and unpublished literature databases was conducted from their inception to the 3 February 2016. All papers investigating the anatomy of the MPFL were eligible. Methodological quality was assessed using a modified CASP tool. A narrative analysis approach was adopted to synthesise the findings. RESULTS: After screening and review of 2045 papers, a total of 67 studies investigating the relevant anatomy were included. From this, the origin appears to be from an area rather than (as previously reported) a single point on the medial femoral condyle. The weighted average length was 56 mm with an 'hourglass' shape, fanning out at both ligament ends. CONCLUSION: The MPFL is an hourglass-shaped structure running from a triangular space between the adductor tubercle, medial femoral epicondyle and gastrocnemius tubercle and inserts onto the superomedial aspect of the patella. Awareness of anatomy is critical for assessment, anatomical repair and successful surgical patellar stabilisation. LEVEL OF EVIDENCE: Systematic review of anatomical dissections and imaging studies, Level IV

Recovery of dialysis patients with COVID-19 : health outcomes 3 months after diagnosis in ERACODA

Background. Coronavirus disease 2019 (COVID-19)-related short-term mortality is high in dialysis patients, but longer-term outcomes are largely unknown. We therefore assessed patient recovery in a large cohort of dialysis patients 3 months after their COVID-19 diagnosis. Methods. We analyzed data on dialysis patients diagnosed with COVID-19 from 1 February 2020 to 31 March 2021 from the European Renal Association COVID-19 Database (ERACODA). The outcomes studied were patient survival, residence and functional and mental health status (estimated by their treating physician) 3 months after COVID-19 diagnosis. Complete follow-up data were available for 854 surviving patients. Patient characteristics associated with recovery were analyzed using logistic regression. Results. In 2449 hemodialysis patients (mean ± SD age 67.5 ± 14.4 years, 62% male), survival probabilities at 3 months after COVID-19 diagnosis were 90% for nonhospitalized patients (n = 1087), 73% for patients admitted to the hospital but not to an intensive care unit (ICU) (n = 1165) and 40% for those admitted to an ICU (n = 197). Patient survival hardly decreased between 28 days and 3 months after COVID-19 diagnosis. At 3 months, 87% functioned at their pre-existent functional and 94% at their pre-existent mental level. Only few of the surviving patients were still admitted to the hospital (0.8-6.3%) or a nursing home (∼5%). A higher age and frailty score at presentation and ICU admission were associated with worse functional outcome. Conclusions. Mortality between 28 days and 3 months after COVID-19 diagnosis was low and the majority of patients who survived COVID-19 recovered to their pre-existent functional and mental health level at 3 months after diagnosis

Determination of the drying characteristics of cherry laurel (Laurocerasus officinalis Roem.) puree in a freeze-dryer

This study aims at the determination of the effect of thickness on the freeze drying behavior of cherry laurel (Laurocerasus officinalis Roem.) puree, together with the determination of the physical, chemical, and powder properties of the obtained powders and the calculation of the energy efficiency of the drying process. The samples were dried at 3, 5, and 7 mm thicknesses. Among the twelve thin-layer drying models used, the Page (3 and 5 mm) and Logarithmic models (7 mm) were found to satisfactorily describe the drying behavior. The drying times were 8, 10, and 11 h with increasing the moisture extraction rate (MER) and specific moisture extraction rate (SMER), and decreasing specific energy consumption (SEC) values for the increasing thicknesses. The effective moisture diffusivity (Deff) values were between 4.70-7.78E-08 m2/s. The average total phenolic compounds and the vitamin C content values were 710 mg GAE/100g (db) and 23 mg/100g (db)), respectively. The bulk density values were between 99.75 and 113.88 kg/m3, and the flowability and cohesiveness values were at fair-bad, and intermediate-high levels, respectively. © 2018 Bulgarian Academy of Sciences, Union of Chemists in Bulgaria.Firat University Scientific Research Projects Management Unit: BAP 2016/Muh/081Acknowledgement: The authors acknowledge the financial support by Ege University, Izmir, Turkey, Council of Scientific Research Projects (Project Number: BAP 2016/Muh/081). -

Dialogische Sprachstandsdiagnostik für mehrsprachige Kinder in der Grundschule - oder: Asmita lernt im Bündnis.

Dirim I, Lütje-Klose B, Willenbring M. Dialogische Sprachstandsdiagnostik für mehrsprachige Kinder in der Grundschule - oder: Asmita lernt im Bündnis. In: Mecheril P, Dirim I, eds. Wissenschaftliche Kontroversen. Münster: Waxmann; 2009: 11-26

Bir Cryptosporidiosis olgusunun kinyoun Asit-fast boyası ve polimeraz zincir reaksiyonu (PZR) ile takibi

Cryptosporidium sp. is a coccidian protozoon that displays an intracellular, extracytoplasmic entrenchment primarily in the intestinal systems of humans and can result in diarrhea. Especially children, undernourished persons and persons with immunosuppression in developing countries are vulnerable to infection with this parasite. There are 20 different species of Cryptosporidium sp. which can infect vertebrate hosts and C. parvum is the most common cause in humans. A 29 year-old female patient presented at the Ege University Medical Faculty Department of Parasitology with complaints of nausea, vomiting, diarrhea, abdominal pain, and lack of appetite. Cryptosporidium sp. oocysts and Blastocystys hominis cysts were found in examinations of feces using Kinyoun acid fast staining and iodine methods. The specific band of C. parvum was obtained in fecal material using the nested PCR method. She recovered following a 10 day treatment with trimethoprim-sulfamethoxazole. There were no oocysts in the examination of feces using specific staining methods and also no specific band in the nested PCR after treatment.Cryptosporidium sp. insanlarda primer olarak intestinal sistem epitelinde intraselliiler, ekstrasitoplazmik yerleşim gösteren ve diareye neden olabilen coccidian bir protozoondur. Özellikle gelişmekte olan ülkelerde çocuklar, beslenme yetersizliği olanlar ve immun sistemi baskılanmış kişiler bu parazit ile infeksiyona duyarlıdır. Cryptosporidium cinsinin çok sayıda omurgalı konağı infekte eden 20'den fazla türü vardır. Bunlardan memelileri infekte eden ve insanlarda da en sık rastlanan tür C. parvum 'dur. Dört gündür devam eden bulantı, kusma, ishal, karın ağrısı ve iştahsızlık şikayetleri ile Ege Üniversitesi Tıp Fakültesi Hastanesi Parazitoloji polikliniğine başvuran 29 yaşındaki bayan olgunun dışkısında nativ - lugol yöntemiyle Blastocystis hominis kistleri ve Kinyoun Asit-fast boyama yöntemi ile Cryptosporidium sp. ookistleri saptanmış ve hastanın dışkısına uygulanan nested PCR yöntemi ile C. parvum'; spesifik bant elde edilmiştir. Hastaya uygulanan 10 günlük trimethoprim-sulfamethoxazole (160 / 800 mg PO) tedavisi sonrası hastanın şikayetlerinin düzeldiği tespit edilmiştir. 10 günlük tedavi sonrası yapılan dışkı incelemesinde parazite rastlanamazken, uygulanan nested PCR yönteminde de spesifik bant tespit edilememiştir