Eventually, an expert panel (reference test) determines the true presence or absence of child abuse.\n\nDiscussion: CHAIN-ER will determine both positive and negative predictive value of a child abuse detection instrument used in the emergency room. We mention a benefit of the use of an expert panel and of the use of complete data. Conducting a diagnostic accuracy study on a child abuse detection instrument is also accompanied by scientific hurdles, such as the lack of an accepted reference standard and potential (non-) response. Notwithstanding these scientific challenges, CHAIN-ER will provide accurate data on the predictive value of SPUTOVAMO-R.”
“Cervical

pedicle screws check details have been reported to be biomechanically superior to lateral mass screws However, placement of these implants is a technical challenge The purpose of this investigation was to use an anatomic and a clinical study to evaluate a technique for placement of the pedicle screws in the C7 vertebra using fluoroscopic imaging in only the anteroposterior (A/P) plane Ten adult cadaver C7 vertebrae were

used to record the pedicle width, inclination and a suitable entry point for placement of pedicle screws A prospective study of 28 patients undergoing posterior instrumentation of the cervical spine with C7 pedicle screw placement was also performed A total of 55 C7 pedicle screws were placed using imaging only in the A/P plane with screw trajectory values obtained by the anatomic study Radiographs and CT scans were performed post-operatively Stattic The average posterior pedicle diameter of C7 vertebra was 9 5 +/- 1 2 mm in this study The average middle pedicle diameter was 7 1 mm and the average anterior MGCD0103 pedicle diameter was 9 2 mm The average transverse pedicle angle was 26 8 on the right and 27 3 on the left CT scans were obtained on 20 of 28 patients

which showed two asymptomatic cortical wall perforations One screw penetrated the lateral wall of the pedicle and another displayed an anterior vertebral penetration There were no medial wall perforations The preliminary results suggest that this technique is safe and suitable for pedicle screw placement in the C7 vertebra”
“Aim. This study identified risk factors for pressure ulcer development early in the admission stage to determine what appropriate interventions might be conducted early in the admission stage to decrease the risk of pressure ulcer development.\n\nBackground. Among patients who develop pressure ulcers, 8-40% of them occur in a critical care setting. Therefore, the development of pressure ulcers is a common problem.\n\nDesign. Prospective cohort study.\n\nMethods. The study facility was a 606-bed tertiary care hospital.