OBJECTIVE Successful reconstruction of the metacarpal hand requires thorough evaluation and careful surgical planning. Effective transplantation involves 3 main considerations: residual hand function, functional needs and desires of the patient, and optimal surgical management to maximize outcome and minimize patient morbidity. METHODS The following is a clinical example of the metacarpal han...

Background: Controlled ovarian stimulation (COS) has been shown to advance endometrial maturation and affect adversely implantation in assisted reproduction technology (ART) cycles. It has been reported that there is a better embryo-endometrium synchrony in frozenthawed embryo transfer (FET) cycles than fresh embryo transfer (ET) cycles. The Background of this study was to compare ongoing pregn...

OBJECTIVES To (1) describe patterns of posthospital care transitions; (2) characterize these patterns as uncomplicated or complicated; (3) identify those at greatest risk for complicated transitions. DATA SOURCES/STUDY SETTING The Medicare Current Beneficiary Survey was used to identify beneficiaries aged 65 and older who were discharged from an acute care hospital in 1997-1998. STUDY DESIG...

the appropriate time for performing transfers in radial nerve palsy is somewhat a controversial matter. brown suggested that it would be advisable to proceed early with the full component of tandon transfers when there is a questionable or poor prognosis for the nerve repair. for example, when there is a nerve gap of greater than 4 cm or when there is a large wound or extensive scarring or skin...

OBJECTIVE To evaluate the sex ratio of offspring born after blastocyst transfers. DESIGN Retrospective data analysis. SETTING A large assisted reproductive technology center. PATIENT(S) We included 1,284 offspring from 937 deliveries during the period August 2003-August 2005. INTERVENTION(S) Tabulation and statistical analysis of all births resulting from fresh IVF cycles. The sex of re...

conclusions according to the findings of the current study, dino is an appropriate tool to assess msds risk due to patient handling in the nursing personnel. this method can be used in the evaluation of patient transfer educational programs and also to identify and assess an unsafe work technique used by the nurses. results the prevalence of msds was 87.6% in a 12-month period. the average resu...

INTRODUCTION In order to minimize the additional risk of interhospital transport of critically ill patients, we started a mobile intensive care unit (MICU) with a specialized retrieval team, reaching out from our university hospital-based intensive care unit to our adherence region in March 2009. To evaluate the effects of this implementation, we performed a prospective audit comparing adverse ...