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    Early Weight-Bearing After Percutaneous Reduction and Screw Fixation for Low-Energy Lisfranc Injury
    (2013) ;
    Cristian Ortiz
    ;
    Ignacio E. Villalón
    ;
    Andrés Keller
    ;
    <jats:sec><jats:title>Background:</jats:title><jats:p>Anatomic restoration and postoperative rehabilitation of displaced fracture-dislocations of the tarsometatarsal junction of the foot are essential. Our objective was to report percutaneous reduction and screw fixation results in low-energy Lisfranc fracture dislocation injuries that were treated with early weight-bearing and rehabilitation.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>We retrospectively evaluated patients with low-energy Lisfranc injuries who underwent surgery between May 2007 and April 2011. The study reviewed 22 patients (12 men and 10 women) with an average age of 36.2 years (range, 16-50 years) and an average follow-up of 33.2 months (range, 12-50 months). We report the mechanism of trauma; quality of reduction in the postoperative digital radiographs; subjective satisfaction; AOFAS score; time required to return to work, recreational activities, and low-impact sports; and complications. Postoperatively, all of the patients were instructed to be non-weight-bearing for 3 weeks, and the stitches were removed after 2 weeks. At the third postoperative week, the patients were encouraged to bear weight as tolerated.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>Quality of reduction was anatomic or near anatomic in 100% of cases. The subjective satisfaction reported by patients was very good, with complete satisfaction in 20 of them (90.9%). The AOFAS average was 94 points (range, 90-100 points). Average return to work was at 7 weeks (range, 6-9 weeks), recreational activities 7.2 weeks (range, 6-9 weeks), training for low-impact sports 7.6 weeks (range, 7-8 weeks), and symptom-free sport activities 12.4 weeks (range, 11-13 weeks).</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>In this selected group of patients with low-energy Lisfranc fracture dislocation, anatomic or near-anatomic reduction can be achieved with percutaneous reduction and screw fixation. Early weight-bearing is possible in these patients, and early return to regular activities and low-impact sport can be expected.</jats:p></jats:sec><jats:sec><jats:title>Level of Evidence:</jats:title><jats:p>Level IV, retrospective case series.</jats:p></jats:sec>
      5Scopus© Citations 47
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    Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage
    (2013)
    Craig S. Anderson
    ;
    Emma Heeley
    ;
    Yining Huang
    ;
    Jiguang Wang
    ;
    Christian Stapf
    Scopus© Citations 1333  1
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    Understanding the effect of window length and overlap for assessing sEMG in dynamic fatiguing contractions: A non-linear dimensionality reduction and clustering
    (2021)
    Carlos De la Fuente
    ;
    Eduardo Martinez-Valdes
    ;
    Jose Ignacio Priego-Quesada
    ;
    Alejandro Weinstein
    ;
    Oscar Valencia
    Scopus© Citations 8  20
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    Neutral Sugar Content and Composition as a Sensitive Indicator of Fire Severity in the Andisols of an Araucaria–Nothofagus Forest in Southern Chile
    (2021)
    Yessica Rivas
    ;
    Jorge Retamal-Salgado
    ;
    Heike Knicker
    ;
    Francisco Matus
    ;
    Wildfire induces soil alterations that have a long-term impact on soil organic matter (SOM) quality. We postulated that after different fire severities, the neutral sugars in soils can be used as an indicator of soil organic matter quality after fire. The aim of this study was to determine the contribution of neutral sugar, bulk and occluded particulate organic matter (oPOM) affected by wildfire, at different soil depths in an Araucaria–Nothofagus Forest, four years post-after fire. The concentration and composition of the neutral sugars in the soils clearly comprised the major fraction in the unburned soil. Medium- and high-severity fires caused a drastic reduction in soil sugars in the bulk soil as well as in the oPOM fractions. The 13C-CPMAS NMR spectroscopy analysis revealed a high contribution of recalcitrant carbon to the decomposition such as aryl–C and aryl–O derived from charred material, whereas the abundance of O–alkyl C and alkyl C functional groups were decreased. The neutral sugars (Galactose+Mannose/Xilose+Arabinose) revealed a major microbial origin in fire affected areas as the ratio was &gt;2. Therefore. Therefore, we suggest that the neutral sugar content of soil should be used for monitoring both short- and long-term changes in SOM altered by fires.
    Scopus© Citations 1  1
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    Scopus© Citations 20  1
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    Music Therapy for Pain and Anxiety Management in Nasal Bone Fracture Reduction: Randomized Controlled Clinical Trial
    (2019)
    Alvaro Ortega
    ;
    Felipe Gauna
    ;
    Daniel Munoz
    ;
    Gerardo Oberreuter
    ;
    Hayo A. Breinbauer
    <jats:sec><jats:title>Objective</jats:title><jats:p> To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions. </jats:p></jats:sec><jats:sec><jats:title>Study Design</jats:title><jats:p> Randomized controlled trial. </jats:p></jats:sec><jats:sec><jats:title>Subjects and Methods</jats:title><jats:p> We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. For both groups, a protocolized closed reduction of the nasal fracture with local anesthesia was performed. The music group heard music through headphones during the pre-, intra-, and postprocedural periods of the intervention. Physiological variables (blood pressure and heart rate) were measured. An anxiety survey (State-Trait Anxiety Inventory) and the visual analog scale for measuring pain were also applied. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> The music group exhibited significantly lower levels of systolic blood pressure ( P = .0001), anxiety ( P &lt; .0001), and pain ( P = .0004) than the control group. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Listening to music through headphones—a safe and low-cost intervention—appears to aid in pain and anxiety management associated with procedures that are usually uncomfortable, such as the reduction of nasal bone fractures with local anesthesia. We believe that this effect is achieved by the modulation of pain and anxiety on an emotional-affective dimension at a central level. Given its safety, feasibility, and low cost, music therapy should be considered a complementary treatment for pain and anxiety management for nasal fracture reduction performed with local anesthesia, as well as for other medical procedures of similar pain levels conducted without general anesthesia. </jats:p></jats:sec>
    Scopus© Citations 30  7
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      2Scopus© Citations 261
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    Optimal achieved blood pressure in acute intracerebral hemorrhage INTERACT2
    (2015)
    H. Arima
    ;
    E. Heeley
    ;
    C. Delcourt
    ;
    Y. Hirakawa
    ;
    X. Wang
      13Scopus© Citations 89
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    Scopus© Citations 17  1