(C) 2010 American Institute of Physics. [doi:10.1063/1.3452356]“
“Objective. The indications for temporomandibular joint (TMJ) reconstruction are well established, but the method of reconstruction is controversial. The purpose of this retrospective study was to compare individual prefabricated condyle implants and costochondral grafts in condyle reconstruction after tumor resection.
Study design. We conducted a retrospective review of a case series with 28 patients treated with costochondral grafting and 23 patients treated BI-D1870 PI3K/Akt/mTOR inhibitor with individual prefabricated
titanium implants. For each patient, variables included both subjective (pain and interference with eating) and objective (interincisal distance) data.
Results. Baseline patient characteristics were similar
in the 2 groups; all patients were followed for a minimum of 2 years. Selleckchem Dorsomorphin Patients in both groups showed an improvement in symptoms. Those treated with individual prefabricated implants had greater improvement and fewer complications than those in the costochondral group; also, more patients in the autogenous group required reoperation.
Conclusion. Individual prefabricated condyle implants are effective in reconstruction of TMJ tumor defects. These prostheses are a viable choice in the setting of tumor resection and reconstruction, with improvement of jaw function, CP673451 purchase reduction
of joint pain, and esthetic improvement. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 147-152)”
“Hyperglycaemia is common amongst hospitalised patients. Some of this is due to pre-existing diabetes (either previously diagnosed or not), but a proportion is due to stress hyperglycaemia, a transient state of high blood sugars related to the underlying illness.
We aimed to estimate the prevalence of hyperglycaemia in an Irish hospital setting, including an assessment of what contribution is made by cases of stress hyperglycaemia.
Over a 9-day period, all bedside glucometer-measured point of care blood glucoses performed in medical and surgical wards in University Hospital Galway were examined. Medical case notes and our diabetes computerised database were analysed to identify individuals with pre-existing diabetes. Glycosylated haemoglobin (HbA(1c)) was measured on the remainder of patients, to differentiate between pre-existing diabetes (HbA(1c) a parts per thousand yen 48 mmol/mol) and stress hyperglycaemia (HbA(1c) < 48 mmol/mol).
A total of 1,637 glucose readings were performed on 262 in-patients, of which 164 (63 %) were in the hyperglycaemic range.