Rejected

The indications of deltoid ligament repair in ankle injuries with widened medial clear space in the absence of medial malleolus fracture remain controversial. Many authors reported no difference in long-term functional outcomes, while others stated that persistent medial clear space widening and malreduction are higher when deltoid ligaments went without repair. This meta-analysis aims to report the current published evidence about the outcomes of deltoid ligament repair in ankle fractures.

Several microvascular decompression technical variations for the treatment of medically refractory trigeminal neuralgia have been put forward that can be categorized generally as interposition and transposition techniques. These latter approaches, so-called slinging techniques, have been gaining traction, as they possibly reduce long-term recurrence rates by preventing the formation of fibrosis and granulomas at the decompression site. The authors report a technique for transposition of the superior cerebellar artery for microvascular decompression in trigeminal neuralgia using the superior petrosal vein as an in situ sling, to anchor and reroute the artery away from the nerve.

Studies report an increased risk of maternal and fetal adverse side effects when combined spinal-epidural, rather than standard epidural, analgesia is provided for labour and delivery. Intrathecal opioids used with local anaesthetic in combined spinal-epidural analgesia may be a cause. It is not known whether this is due to the addition of opioid to local anaesthetic in the intrathecal space only or due to concomitant administration into the intrathecal and epidural spaces.

Rib fractures occur frequently following blunt chest trauma and induce morbidity and mortality. Analgesia is a cornerstone for their management, and regional analgesia is one of the tools available to reach this objective. Epidural and paravertebral blocks are the classical techniques used, but the serratus plane block (SPB) has recently been described as an effective technique for thoracic analgesia.

It has been shown that patients with migraine have endothelial dysfunction. Migraine patients with aura, especially, have more clinical manifestations of autonomic nervous system dysfunction. We aimed to evaluate the endothelial and autonomic functions in migraine patients during both migraine headache attack and headache-free periods.

To investigate the clinical efficacy, related side-effectt and long-term survival condition of Philadelphia chromosome positive acute lymphoblastic leukemia (Ph ALL) patients treated with second generation TKI dasatinib and chemotherapy followed by allogeneic hematopoietic stem cell transplantation (allo-HSCT).

Thoracolumbar dysfunction (TLD) had been evoked as a possible etiology of chronic testicular pain. Our study investigated the efficacy of osteopathic diagnosis and treatment of TLD in men with chronic testicular pain.

Back pain is ranked as the fourth highest medical expense per year. The number of affected patients is constantly increasing because of increasing chronification due to insufficient recognition of the cause.

Faced with chronic inflammation for number of years, unable to work and mostly bed bound, this fifty-two year old woman decided to look elsewhere for answers after exhausting all allopathic medical support. As symptoms cascaded, medications increased. She felt herself at a point of no return as she started to question herself what may be propelling her inflammatory pathway. Systematic case taking, historical blood tests provided substantial information on the extent of organ stress that can result in problems such as hers. The client presented with chronic fatigue and extreme body pain. She had been diagnosed with a granulosa cell tumour in 2011. Subsequent to that she developed various ongoing health issues which were not eliminated by regular treatments. Inflammation was rampant. The client believed in herself and was committed to making extensive behavioural, dietary and lifestyle changes to improve her health. Regular monitoring of blood parameters and vital signs, by both her primary health providers and by us, gave her confidence to adhere strongly to the customised protocol we created for her, which enabled her to return to wellness.

With the increasing focus on setting up emergency care centers in railway stations across India by the government, there are no baseline data in India, or the world, about the profile of patients presenting with emergencies on the trains and at the railway stations.