Rubinstein-Taybi syndrome with scoliosis

<p>Abstract</p> <p>Study Design</p> <p>Case report.</p> <p>Objective</p> <p>The authors present the case of a 14-year-old boy with Rubinstein-Taybi syndrome (RSTS) presenting scoliosis.</p> <p>Summary of Background Data</p> <p>There have been no reports on surgery for RSTS presenting scoliosis.</p> <p>Methods</p> <p>The patient was referred to our hospital for evaluation of a progressive spinal curvature. A standing anteroposterior spine radiograph at presentation to our hospital revealed an 84-degree right thoracic curve from T6 to T12, along with a 63-degree left lumbar compensatory curve from T12 to L4. We planned a two-staged surgery and decided to fuse from T4 to L4. The first operation was front-back surgery because of the rigidity of the right thoracic curve. The second operation of lumbar anterior discectomy and fusion was arranged 9 months after the first surgery to prevent the crankshaft phenomenon due to his natural course of adolescent growth. To avoid respiratory complications, the patient was put on a respirator in the ICU for several days after both surgeries.</p> <p>Results</p> <p>Full-length spine radiographs after the first surgery revealed no instrumentation failure and showed that the right thoracic curve was corrected to 31 degrees and the left lumbar curve was corrected to 34 degrees. No postoperative complications occurred after both surgeries.</p> <p>Conclusions</p> <p>We succeeded in treating the patient without complications. Full-length spine standing radiographs at one year after the second operation demonstrated a stable bony arthrodesis with no loss of initial correction.</p

Zugang und Nachsorge bei Psychotherapie: Herausforderungen im Behandlungspfad von Menschen mit psychischen Erkrankungen

Der Behandlungspfad von Menschen mit psychischen Erkrankungen ist oft lang, und es sind verschiedene Settings und ­Professionen beteiligt. Insbesondere an 2 Stellen können Schwierigkeiten ­auftreten: Beim Zugang zu psychotherapeutischen Angeboten und bei der Nachsorge nach einer Psychotherapie. Über die Identifikation ­personaler und systembezogener Barrieren und Herausforderungen kann der Behandlungspfad und somit die ­Versorgung psychisch ­kranker Menschen verbessert werden

Inferior shoulder dislocation after shortening osteotomy of the humerus. A case report

Summary: We present a case of a post-surgical complete dislocation after excessive proximal humeral shortening osteotomy performed in a patient operated on for atrophic non-union of a proximal humeral fracture. This complication has not been previously reported.The dislocation occurred due to extensive laxity of the soft tissue envelope, predominantly the deltoid muscle, as well as rotator cuff tear.The reconstructive procedurę consisted of vertical duplication of the capsule, reinforcement of the repair with coracoacromial ligament, tenodesis of the long head of the biceps tendon to the conjoined tendon and distal transfer of the deltoid muscle. The repair was reinforced with transarticular Steinmann pins. 15 months after surgery, there is an inferior subdislocation present, with full reduction in active abduction. Patient is pain-free at rest, and pain grade 4 in VAS scale in activity with loading. Keywords: Humerus, Pseudoarthrosis, Shoulder dislocation, Humerus osteotom

Hemozgodność niemodyfikowanych i plazmo-chemicznie modyfikowanych nanocząstek diamentu detonacyjnego

The purpose of this paper is to present the innovative design of microwave plasma system for modification of detonation nanodiamond particles (DNP) using a special rotating drum placed inside the reactor. Nanodiamond particles manufactured by detonation method reveal the biological activity depending on surface functionalization. Plasmachemical modification of detonation nanodiamond particles gives the possibility of controlling surface of nanodiamonds particles in biological tests. In this paper we would like to compare detonation nanodiamond (the grain sizes from 2 to 5 nm) with modified detonation nanodiamond in rotary reactor chamber, by microwave plasma activated chemical vapour deposition (MW PACVD) method in materials research (Raman and FT-IR spectroscopy) and in vitro examinations with full of human blood. The results indicate haemocompatibility of non-modified detonation nanodiamond and modified nanodiamond by MW PACVD method in rotary reactor chamber (modified ND-3) and the presence of haemolysis in commercial detonation nanodiamond.Celem pracy jest przedstawienie innowacyjnego projektu systemu plazmy mikrofalowej z wykorzystaniem do modyfikacji detonacyjnych cząstek nanodiamontowych (DNP) przy użyciu specjalnego obrotowego bębna umieszczonego wewnątrz reaktora. Nanodiamontowe cząstki wytwarzane metodą detonacji wykazują aktywność biologiczną w zależności od funkcjonalizacji powierzchni. Plasmo-chemiczna modyfikacja detonacyjnych nanodiamontowych cząstek daje możliwość kontrolowania ich powierzchni w testach biologicznych. Autorzy w artykule porównali detonacyjny nanodiament (wielkość ziarna od 2 do 5 nm) ze zmodyfikowanym w obrotowej komorze reaktora, za pomocą procesu chemicznego osadzania wspomaganego plazmą mikrofalową (MW PACVD), detonacyjnym nanodiamentem. Wykorzystano badania materiałowe (Ramana i FT-IR spektroskopia) oraz badania in vitro na pełnej krwi ludzkiej. Badania wykazały hemozgodność niezmodyfikowanego detonacyjnego nanodiamentu i nanodiamentu zmodyfikowanego za pomocą metody MW PACVD w obrotowej komorze reaktora (zmodyfikowany ND-3) oraz obecność hemolizy w komercyjnym detonacyjnym nanodiamencie

Haemocompatibility of non-functionalized and plasmachemical functionalized detonation nanodiamond particles

The purpose of this paper is to present the innovative design of microwave plasma system for modification of detonation nanodiamond particles (DNP) using a special rotating drum placed inside the reactor. Nanodiamond particles manufactured by detonation method reveal the biological activity depending on surface functionalization. Plasmachemical modification of detonation nanodiamond particles gives the possibility of controlling surface of nanodiamonds particles in biological tests. In this paper we would like to compare detonation nanodiamond (the grain sizes from 2 to 5 nm) with modified detonation nanodiamond in rotary reactor chamber, by microwave plasma activated chemical vapour deposition (MW PACVD) method in materials research (Raman and FT-IR spectroscopy) and in vitro examinations with full of human blood. The results indicate haemocompatibility of non-modified detonation nanodiamond and modified nanodiamond by MW PACVD method in rotary reactor chamber (modified ND-3) and the presence of haemolysis in commercial detonation nanodiamond