Parent and Patient Satisfaction after Treatment for Supracondylar Humerus Fractures in 139 Children: No Difference between Skeletal Traction and Crossed Pin Fixation at Long-Term Followup

Aim. The aim of this study was to see whether the benefits of crossed wire fixation over skeletal traction in the treatment of pediatric supracondylar humerus fractures (SCHF) were mirrored in the children's or their caregivers' rating of the experience. Methods. As part of a study of the clinical outcome of SCHF, all the patients and the parents were asked to rate their experience of the treatment on a visual analogue scale (VAS). Results. There was no difference in the patients' or the parents' experience between the treatment groups. However there was a difference between the parents with children who experienced a neurovascular complication (mean VAS 6.1) and those that did not (mean VAS 4.3, P = 0.03). The boys rated the experience as less negative (mean VAS 3.6) than the girls (mean VAS 4.7, P = 0.02). Conclusion. In the long term, avoiding complications was more important to the parents than the choice of treatment for SCHF in the children

Depletion oil recovery for systems with widely varying initial composition

Abstract The principal depletion drive mechanism is the expansion of oil and gas initially in the reservoir-neglecting water influx. The main factors in depletion drive reservoir performance are total cumulative compressibility, determined mostly by initial composition (gas-oil ratio), saturation pressure, PVT properties, and relative permeability. In this paper, we systematically study the effect of initial composition on oil recovery, all other parameters held constant. We also evaluate other aspects of reservoir performance, but the main emphasis is surface oil recovery including condensate. To analyze the effect of initial composition, a series of fluid systems was selected by a recombination of separator samples at varying gas-oil ratios. The systems ranged from low-GOR oils to high-GOR gas condensates, with a continuous transition from gas to oil through a critical mixture. Black oil and compositional material balance calculations, 2D fine-grid, and 3D coarse-grid models have been used to investigate the effect of initial fluid composition on reservoir depletion performance. Systematic variation of relative permeabilities was also used to map the range of fluid systems, which were most sensitive to relative permeability. For reservoir oils, the depletion recovery of surface oil initially increases with increasing initial gas-oil ratio. Oil recovery reaches a maximum for moderate-GOR oil reservoirs, followed by decreasing oil recoveries with increasing initial solution GOR. A minimum oil recovery is reached at a near-critical oil. For gas reservoirs, depletion drive condensate recovery increases monotonically from a near-critical gas towards near 100% condensate recovery for veryhigh GOR systems. STO recovery from oil reservoirs depends increasingly on gas-oil relative permeabilities as initial solution GOR increases, up to a point. At higher initial solution GORs, oil recovery becomes less dependent on relative permeability and, as the fluid system transitions to a gas at the critical point, relative permeability dependence rapidly diminishes. Condensate recovery from www.elsevier.com/locate/petrol gas condensate systems is more or less independent of gas-oil relative permeabilities, with only slight dependence for nearcritical gases.

Prenatal and Neonatal Factors Predicting Sleep Problems in Children Born Extremely Preterm or With Extremely Low Birthweight

Objective: Prematurely born children have been reported to have more sleep problems throughout childhood than children born at term. The aim of this study was to explore if prenatal or neonatal factors can predict sleep problems at age 11 years in children born extremely preterm (EPT).Method: A prospective observational study of all infants who were born EPT in Norway in 1999 and 2000. Prenatal and neonatal data were collected by all Norwegian obstetric and pediatric departments. Parental questionnaire mapped sleep problems and sleep habits at the age of 11 years.Results: Of the 372 eligible children, 221 participated. Of those, 28.1% snored, 27.5% had difficulty falling asleep or frequent awakenings and 17.2% suffered from daytime sleepiness. The mean sleep duration was 9.4 h (range 4.3–11.0 h). Smoking in pregnancy predicted snoring (odds ratio 4.3). Neonatal cerebral hemorrhage and being born small for gestational age predicted difficulty falling asleep or frequent awakenings (odds ratio 2.2 and 2.3). Other morbidities during pregnancy or the newborn period, gestational age or the burden of treatment in the neonatal intensive care unit did not predict sleep problems. None of the studied prenatal or neonatal factors predicted daytime sleepiness or sleep duration <9 h.Conclusion: Of numerous prenatal and neonatal factors, only smoking during pregnancy, being born small for gestational age and cerebral hemorrhage predicted sleep problems at 11 years of age among these children born EPT

Results after 562 total elbow replacements: A report from the Norwegian Arthroplasty Register

Background: The aim of this study was to give results of elbow arthroplasty for a relatively large population and compare different prosthesis brands and different patient subgroups. Methods: Between 1994 and 2006, 562 total elbow replacement operations were reported to the Norwegian Arthroplasty Register. Revisions of prostheses were shown using Kaplan-Meier failure curves, and risk of revision was calculated using Cox regression analysis. Results: The overall 5-and 10-year failure rates were 8% and 15%, respectively. There were only minor differences between the different implants. Patients who developed traumatic arthritis after fracture had the worst prognosis compared with inflammatory arthritis (P ¼ .005). Risk of revision was also increased when the ulnar component was inserted without cement (P ¼ .02.) Conclusions: Good results in terms of prosthesis survival were obtained with total elbow arthroplasty, although results were worse than for knee-and hip arthroplasties. The best results were achieved in patients with inflammatory arthritis. Level of evidence: Level 2; prospective cohort study

Risk factors for revision after shoulder arthroplasty: 1,825 shoulder arthroplasties from the Norwegian Arthroplasty Register

Background and purpose Previous studies on shoulder arthroplasty have usually described small patient populations, and few articles have addressed the survival of shoulder implants. We describe the results of shoulder replacement in the Norwegian population (of 4.7 million) during a 12-year period. Trends in the use of shoulder arthroplasty during the study period were also investigated

Granulomatous-lymphocytic interstitial lung disease: an international research prioritisation

The first ever research prioritisation exercise in GLILD: this survey identified areas of interest in the diagnosis, treatment and management of GLILD, which can be used as a roadmap for future research

Granulomatous-lymphocytic interstitial lung disease: an international research prioritisation

The first ever research prioritisation exercise in GLILD: this survey identified areas of interest in the diagnosis, treatment and management of GLILD, which can be used as a roadmap for future research

Simultaneous bilateral total ankle replacement using a 3-component prosthesis: Outcome in 26 patients followed for 2–10 years

Total ankle replacement is an established surgical procedure in patients with end-stage ankle osteoarthritis. We analyzed complications and medium-term results in patients with simultaneous bilateral total ankle replacement