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Acute fractures of the pediatric foot and ankle

World Journal of Pediatrics 2015年第1期11卷 14-20页

作者： mansur halai Bilal Jamal Paul Rea Mobeen Qureshi Anand Pillai Department of Trauma and Orthopedics University Hospitials of South ManchesterManchester M239LTUK

Background:Injuries around the foot and ankle are *** is a paucity of literature,outside that of specialist orthopedic journals,that focuses on this subject in the pediatric *** sources:In this review,we outline pediatric foot and ankle fractures in an anatomically oriented manner from the current *** aim is to aid the emergency department doctor to manage these challenging injuries more efectively in the acute ***:These injuries require a detailed history and examination to aid the ***,plain radiographs are suficient,but more complex injuries require the use of magnetic resonance *** is dependent on the proximity to skeletal maturity and the degree of displacement of *** have a marked ability to remodel after fractures and therefore mainstay treatment is immobilization by a cast or *** fxation,although uncommon in this population,may be necessary with adolescents,certain unstable injuries or in cases with displaced articular *** the setting of severe foot trauma,skin compromise and compartment syndrome of the foot must be ***:The integrity of the physis,articular surface and soft tissues are all equally important in treating these injuries.

关键词： ankle foot fractures

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Femoro Patella Vialla patellofemoral arthroplasty: An independent assessment of outcomes at minimum 2-year follow-up

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World Journal of Orthopedics 2016年第8期7卷 487-493页

作者： mansur halai Andrew Ker Iain Anthony Graeme Holt Bryn Jones Mark Blyth Department of Trauma and Orthopaedics Glasgow Royal Infirmary Department of Trauma and Orthopaedics University Hospital Crosshouse

AIM: To determine outcomes using the Femoro-Patella Vialla(FPV) arthroplasty and if there is an ideal patient for this implant. METHODS: A total of 41 FPV patellofemoral joint replacements were performed in 31 patients(22 females, 9 males, mean age 65 years). Mean followup was 3.2 years(minimum 2 years). Radiographs were reviewed preoperatively and postoperatively. We assessed whether gender, age, previous surgery, patella atla or trochlear dysplasia influenced patient satisfaction or patient functional ***: The median Oxford Knee Score was 40 and the median Melbourne Patellofemoral Score was 21 postoperatively. Seventy-six percent of patients were satisfied, 10% unsure and 14% dissatisfied postoperatively. There was no radiological progression of tibiofemoral joint arthritis, using the Ahlback grading,in any patient. One patient, who was diagnosed with rheumatoid arthritis postoperatively, underwent revision to total knee replacement. There were no intraoperative lateral releases and no implant failures. Gender, age, the presence of trochlear dysplasia, patella alta or bilateral surgery did not influence patient outcome. Previous surgery did not correlate with outcome. CONCLUSION: In contrast to the current literature, the FPV shows promising early results. However, we cannot identify a subgroup of patients with superior outcomes.

关键词： Patellofemoral Arthritis Femoro-Patella Vialla Outcomes Arthroplasty

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How Achievable are the Governments Targets to Reach Net Zero Emissions by 2050?A View from the UK Commercial Construction Sector

How Achievable are the Governments Targets to Reach Net Zero...

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2021智慧城市与智能建造高端论坛

作者： Priyen halai Hua Zhong School of Architecture Design and the Built EnvironmentNottingham Trent University

The climate crisis we face today has reached tipping *** gathered shows that despite international efforts to slow the pace of global warming,the consequential changes to our planet caused by global heating are becoming *** is evident that the built environment plays a vital role in reducing global emissions and this research explores the situation within the UK construction industry.A literature review was conducted to investigate the rationale behind the 2050 net zero emission targets being set by the UK government,and the current context around the *** research was carried out through interviews to obtain the views of key stakeholders within the UK construction industry on how achievable they believe the UK’s 2050 net zero target *** participants were specifically chosen to represent the UK construction industry as a whole in order to form a comprehensive view on the achievability of the target.A case study analysis was then undertaken to analyse the feasibility of moving the UK commercial construction sector towards a net zero *** findings from the research show that the lack of government legislation and incentives,alongside the increased initial cost of designing and producing a net zero built asset are the largest obstacles facing the *** data collected from the research reveals that despite progress being made within the sector in terms of moving to a net zero future,the 2050 target will be tough to achieve if changes are not made by all key stakeholders within the UK construction *** is mainly due to the lack of government legislation and incentives in place to induce clients to build net zero *** research analyses the current issues facing the UK construction industry in achieving the target and suggests ways in which they can be overcome and what measures can be implemented in order to improve progress within the sector.

关键词： Sustainability Net Zero Carbon Reduction Legislation 2050 UK Target UK Construction

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Second and Third Trimester Fetal Death in the Setting of COVID-19: A California 2020 Case Series

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Maternal-Fetal Medicine 2022年第2期4卷 127-129页

作者： Rosalyn E.Plotzker Similoluwa Sowunmi Valorie Eckert Emily Barnes Van Ngo Lauren J.Stockman Chloe LeMarchand Umme-Aiman halai Division of Communicable Disease Control Center for Infectious DiseaseCalifornia Department of Public Health(CDPH)RichmondCA 94804USA California Birth Defects Monitoring Program Center for Family HealthCalifornia Department of Public Health(CDPH)RichmondCA 94804USA Los Angeles County Department of Public Health Los AngelesCA 90012USA.

Maternal severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection in the second and third trimesters of pregnancy may impact fetal development via vertical transmission,complications of coronavirus disease 2019(COVID-19),or placental ***,potential associations between prenatal SARS-CoV-2 infection and fetal loss are not well *** case series of thirteen second and third trimester fetal losses reported by local public health departments to California’s state public health surveillance included maternal clinical and demographic characteristics as well as placental pathology,fetal autopsy reports,and coroner *** was no evidence that maternal COVID-19 disease severity,placental injury,or SARS-CoV-2 vertical transmission contributed to pregnancy ***,this case series is a limited sample;more research is needed to identify factors of prenatal SARS-CoV-2 that may contribute to fetal death in the second and third trimesters.

关键词： COVID-19 Fetal death Prenatal infection Stillbirth

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