Article
Critical Care Medicine
Soo Min Cha, Hyun Dae Shin
Summary: This study aimed to identify diagnostic factors for atypical forearm fractures, in addition to atypical femur fractures, among patients using bisphosphonate therapy. It was found that the total period of BP administration may have a significant effect on the occurrence of atypical forearm fractures, with a cut-off value of 65 months predicting their presence. Multi-factor analysis showed that the prescribing physician/surgeon may also play a role in predicting forearm fractures, and further evidence-based studies are needed to understand the impact of cancer-related BP usage on forearm fractures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Kevin Williams, Noelle Whyte, Jacob R. Carl, Jennifer Marks, David Segal, Kevin J. Little
Summary: This study aimed to identify factors that increase the odds for surgical treatment of proximal third diaphyseal fractures of the radius and ulna. Age above 10 years and radius translation of more than 100% were associated with the need for surgery, while initial fracture angulation lacked an association with surgical treatment.
JOURNAL OF CHILDRENS ORTHOPAEDICS
(2023)
Article
Orthopedics
Lisa Soumekh, Tonye Sylvanus, Aaron Karlen, Caitlin Wahl, Aaron J. Huser, Walter H. Truong
Summary: A retrospective study on pediatric forearm fractures compared the effectiveness of different treatment methods, showing that prolonged bracing did not significantly reduce the refracture rate post-casting, contrary to previous findings. Larger prospective studies are needed to better understand treatment targets.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Pediatrics
Kasper Roth, Eline van Es, Gerald Kraan, Denise Eygendaal, Joost Colaris, Filip Stockmans
Summary: Re-displacement of pediatric diaphyseal forearm fractures can lead to malunion and impaired forearm rotation, requiring corrective osteotomy. Three-dimensional corrective osteotomy provides more accurate correction and better functional outcome. Anatomic correction results in a greater gain in pro-supination than non-anatomic correction.
Article
Orthopedics
William Barritt Gilbert Jr, Mihir Jitendra Desai
Summary: Intramedullary fixation of forearm fractures is a suitable option for certain patients with specific conditions. Injuries involving significant damage to soft tissues, such as open fractures, severely injured extremities, or severe burns, may benefit from intramedullary fixation. Palliative fixation of pathological forearm fractures and segmental fractures can also be treated with intramedullary implants. The use of newer locked implants provides better control of length and rotation, leading to improved outcomes. It is important to have surgical technique and pre-operative planning in order to restore the forearm's radial bow and prevent shortening or angulation caused by intramedullary nails. Plate osteosynthesis remains the preferred treatment for forearm fractures, except in these select patient populations.
Article
Orthopedics
David R. Veltre, Paul Tornetta, Peter Krause, Mary P. George, Heather Vallier, Mai P. Nguyen, Michael S. Reich, Lisa Cannada, Michael Eng, Anna N. Miller, Alexandra Goodwin, Hassan R. Mir, Charles Clark, Ben Sandberg, Jerald R. Westberg, Brian H. Mullis, Jonathan P. Behrens, Reza Firoozabadi
Summary: Open fractures of the forearm after gunshot wounds are serious injuries with high rates of infection and nonunion. Ulna fractures are particularly at risk for deep infection and septic nonunion and should be aggressively treated. Follow-up until union is essential to identify long-term complications in forearm fractures caused by GSWs.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Critical Care Medicine
Anthony M. Padgett, Timothy W. Torrez, Ezan A. Kothari, Michael J. Conklin, Kevin A. Williams, Shawn R. Gilbert, Philip Ashley
Summary: This study aimed to investigate whether Gustilo-Anderson type I tibia fractures can be safely treated nonoperatively. A retrospective review found that in a small group of children treated with bedside debridement and antibiotics, no infections occurred, and similar rates of non-infectious complications were observed compared to operative debridement.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Emergency Medicine
Kristene M. Rimbaldo, Emmanuelle Fauteux-Lamarre, Franz E. Babl, Carrie Kollias, Sandy M. Hopper
Summary: This retrospective study examined children presenting to the emergency department of a tertiary care children's hospital with closed distal and midshaft forearm fractures requiring reduction. It found that emergency physicians successfully reduced the majority of fractures, with distal greenstick fractures most amenable to successful reduction within the emergency department.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Pediatrics
Thoralf Randolph Liebs, Alex Lorance, Steffen Michael Berger, Nadine Kaiser, Kai Ziebarth
Summary: This study evaluated the health-related quality of life (HRQoL) in children with fractures of the distal forearm and found that the overall mid- and long-term HRQoL was good. Children with complete metaphyseal fractures reported slightly better HRQoL compared to patients with buckle fractures or Salter-Harris II fractures, but these differences were not statistically significant nor clinically relevant.
Article
Orthopedics
John Livingstone, Maria Opanova, Amanda Beaman, Joshua Radi, Byron Izuka
Summary: This study aims to evaluate the quality of closed reductions of angulated pediatric wrist and forearm fractures and to determine caregiver satisfaction with an anesthesia-free reduction technique. The results show that anesthesia-free reduction can achieve satisfactory outcomes and high caregiver satisfaction.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2022)
Article
Multidisciplinary Sciences
Tulyapruek Tawonsawatruk, Thepparat Kanchanathepsak, Thitinat Duangchan, Kuneerat Aswamenakul, Aungkura Supokawej
Summary: This study evaluated the characteristics of mesenchymal stem cells harvested from forearm bone marrow and demonstrated their potential for osteogenesis, chondrogenesis, and adipogenesis. These cells could be valuable in tissue engineering or orthobiologic approaches in orthopedic surgery.
Review
Pediatrics
Jennifer E. Thomson, O. Folorunsho Edobor-Osula
Summary: Recent literature shows increasing trend towards operative management of proximal humerus fractures, especially in older patients with greater deformity. However, nonoperative treatment is still preferred for patients under 12 years old and with less severe fractures. Consideration should be given to individual factors such as displacement, angulation, and potential complications when deciding on treatment approach.
CURRENT OPINION IN PEDIATRICS
(2021)
Article
Medicine, General & Internal
Majdi Hashem, Reem A. AlMohaini
Summary: This case report presents a rare mechanism of injury involving simultaneous ipsilateral distal and proximal forearm fractures, which were successfully treated with flexible fixation. The patient, a 49-year-old male truck driver, achieved complete healing and good hand grip after surgery.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Review
Orthopedics
Ameya Bhanushali, Rebecca Bright, Louis Xu, Peter Cundy, Nicole Williams
Summary: Clinicians often face the question of when a child can return to sport after treatment for a pediatric forearm fracture. Existing recommendations are limited and lack sufficient evidence. This study aimed to summarize existing recommendations and conduct a survey to determine usual clinical recommendations.
JOURNAL OF CHILDRENS ORTHOPAEDICS
(2023)
Article
Orthopedics
Niyathi Prasad, Julien T. Aoyama, Theodore J. Ganley, Henry B. Ellis, R. Justin Mistovich, Yi-Meng Yen, Peter D. Fabricant, Daniel W. Green, Aristides I. Cruz, Scott McKay, Indranil Kushare, Gregory A. Schmale, Jason T. Rhodes, Jason Jagodzinski, Brant C. Sachleben, M. Catherine Sargent, R. Jay Lee
Summary: The study compared operative and nonoperative treatment of type 2 TSFs in terms of overall complication rate, ligamentous laxity, knee range of motion, and rate of subsequent operation. There were no significant differences between the operative and nonoperative groups in overall complication rate, reoperation rate, or total range of motion, but the nonoperative group had higher rates of residual laxity and subsequent surgery.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Medicine, General & Internal
Ruth S. Martin, Barbara J. Hayes, Anastasia Hutchinson, Paul Yates, Wen Kwang Lim
Summary: This study introduced GOPC medical treatment orders in three residential aged care facilities to improve healthcare decision-making for residents. The healthcare providers identified ACP and GOPC as positive tools for assisting with medical decision-making, despite some barriers.
INTERNAL MEDICINE JOURNAL
(2022)
Article
Nursing
David Glanville, Jane Kiddell, Rosalind Lau, Ana Hutchinson, Mari Botti
Summary: This study evaluated the impact of an eLearn program on the clinical assessment approach of surgical nurses, showing that nurses who completed the eLearn spent more time conducting clinical assessments. However, not all nurses performed comprehensive assessments and there was variability in the sequencing of assessments.
NURSE EDUCATION IN PRACTICE
(2021)
Article
Nursing
Fazila Aloweni, Stephane L. Bouchoucha, Ana Hutchinson, Shin Yuh Ang, Hui Xian Toh, Nur' Azzah Bte Suhari, Raden Nurheryany Bte Sunari, Siew Hoon Lim
Summary: This study explored the experiences and concerns of healthcare workers regarding the prolonged use of personal protective equipment (PPE) in clinical settings. The results showed that PPE-related side effects were common, with the majority of them being reported by nurses and those working in high-risk areas. The study also found that while most participants believed PPE supplies were readily available and training was sufficient, only a small percentage reported feeling highly confident in overall PPE protection.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Nursing
Mirella Keast, Anastasia F. Hutchinson, Damien Khaw, Joanne McDonall
Summary: This study aimed to explore patient perceptions of postoperative pain impact on acute recovery following Total Knee Arthroplasty (TKA), and barriers and facilitators to participating in pain management. The majority of patients experienced severe pain on postoperative Day 3, but their participation in pain management was limited due to factors such as reliance on prior instruction, limited knowledge, inconsistent promotion of non-pharmacologic strategies, and suboptimal clinician-patient communication. Regular analgesia was identified as a facilitator for patient participation.
PAIN MANAGEMENT NURSING
(2022)
Article
Geriatrics & Gerontology
Joanne Tropea, Debra Nestel, Christina Johnson, Barbara J. Hayes, Anastasia F. Hutchinson, Caroline Brand, Brian H. Le, Irene Blackberry, Gideon A. Caplan, Ross Bicknell, Graham Hepworth, Wen K. Lim
Summary: People with dementia living in nursing homes often have suboptimal access to quality palliative and end-of-life care. This study evaluated the effectiveness of a simulation training intervention for nursing home staff in reducing unplanned hospital transfers and deaths among residents with dementia. The results showed no significant difference in these outcomes between the intervention and control groups.
Article
Nursing
Nantanit van Gulik, Stephane Bouchoucha, Siriluk Apivanich, James Lucas, Anastasia Hutchinson
Summary: The study revealed that most nursing students in Thailand only use water for handwashing, and some reuse surgical masks. Fourth-year students were found to have higher compliance in preventing cross infection from person-to-person, while second-year students had higher compliance in disposal of sharps. The factor of 'Contextual Cues' was identified as the most influential factor on adherence to standard precautions.
NURSE EDUCATION IN PRACTICE
(2021)
Review
Public, Environmental & Occupational Health
Prashant Jarhyan, Anastasia Hutchinson, Damien Khaw, Dorairaj Prabhakaran, Sailesh Mohan
Summary: The study found a high prevalence of COPD in South Asian countries, albeit varying by geographical region and study characteristics. Future research should utilize standardized diagnostic criteria to examine the impact of setting-specific risk factors on prevalence for effective prevention and control strategies.
BULLETIN OF THE WORLD HEALTH ORGANIZATION
(2022)
Article
Public, Environmental & Occupational Health
Stephane L. Bouchoucha, Jennie Livia Sangojoyo, Mataya Kilpatrick, Ana Hutchinson
Summary: This study aimed to explore the experiences, understandings, and perceptions of haematology Patient Service Assistants regarding their role in improving patient safety through environmental cleaning. The study found that Patient Service Assistants played a major role in infection prevention and control, but were reluctant to challenge observed practice deviations.
INFECTION DISEASE & HEALTH
(2022)
Article
Multidisciplinary Sciences
Sky Chew, Deb Colville, Anastasia Hutchinson, Piers Canty, Lauren Hodgson, Judy Savige
Summary: This study examined the presence of hypertensive microvascular disease in individuals with obstructive sleep apnoea (OSA) compared to those with chronic obstructive pulmonary disease (COPD) and hospital controls. The results showed that individuals with OSA had higher mean arterial pressure, more microvascular retinopathy, and narrower retinal arterioles compared to other patients. These findings suggest that OSA is associated with a higher risk of microvascular disease.
SCIENTIFIC REPORTS
(2022)
Article
Psychology, Multidisciplinary
Mataya Kilpatrick, Ana Hutchinson, Elizabeth Manias, Stephane L. Bouchoucha
Summary: This article aims to explore how Terror Management Theory (TMT) is used to explain children's, adolescents', and parents' behavior in situations that increase mortality salience through a systematic review. The findings indicate that adolescents comprehend death and exhibit mortality salience reactions similar to adults, highlighting the potential for TMT to explain children's and adolescents' social behavior in high-stress situations.
Review
Health Care Sciences & Services
David Glanville, Anastasia Hutchinson, Damien Khaw
Summary: This study reviewed the use of mobile health apps in nursing clinical decision-making. The findings suggest that mobile health apps have a positive impact on nursing decisions, care quality, and acceptance. However, more research is needed to determine the true potential of these apps in optimizing acute nursing care.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Emergency Medicine
Megan Hayes, Ana Hutchinson, Debra Kerr
Summary: The study found gender-based differences in the pharmacological management of acute abdominal pain in the emergency department. Men were more likely to receive combined opioid and non-opioid medication as first-line analgesia, while women were more likely to receive their first analgesic after 90 minutes from ED presentation and waited longer before receiving the second analgesia.
AUSTRALASIAN EMERGENCY CARE
(2023)
Article
Public, Environmental & Occupational Health
M. Kilpatrick, A. Hutchinson, E. Manias, S. L. Bouchoucha
Summary: This study aimed to explore nurses' understanding of antimicrobial stewardship and infection prevention and control practices. Through interviews and analysis of 43 nurses, the study found that nurses had some understanding of preventable infections, protecting patients based on guidelines, and their role in antimicrobial stewardship. However, there was a lack of understanding of pediatric COVID-19 transmission and presentations. The study highlighted the importance of educating nurses and parents on best practices in infection prevention and antimicrobial stewardship.
JOURNAL OF HOSPITAL INFECTION
(2023)
Review
Rehabilitation
Elyse Ladbrook, Stephane Bouchoucha, Ana Hutchinson
Summary: This scoping review synthesized the evidence on medical complications in adult patients in subacute inpatient rehabilitation and their impact on length of stay and readmission. The findings revealed that patients admitted for inpatient rehabilitation are at a high risk of medical complications and may require ongoing management by clinicians with expertise in functional rehabilitation and a multidisciplinary team.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Article
Health Care Sciences & Services
Jo McDonall, Bernice Redley, Patricia Livingston, Ana Hutchinson, Richard de Steiger, Mari Botti
Summary: This paper describes an implementation strategy and evaluation to examine the contextual factors for successful adoption of new technology by nurses in acute postoperative care. The results show positive outcomes in terms of patient participation and acceptance, but difficulties in assessing nurse engagement with the program.
JMIR HUMAN FACTORS
(2022)