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Among the 15 patients with no baseline myocardial IO (MIO), 2 worsened. There was a significant increase in both left and right ventricular end-diastolic volume indexes. Thirty-six percent of patients showed myocardial fibrosis correlating with aging. Two new occurrences were detected at the follow-up. In conclusion, by a more sensitive segmental approach, MIO is quite frequent in MDS patients and it can be present also in non-transfused patients and in absence of detectable hepatic iron. The incidence of cardiac and hepatic IO and of myocardial fibrosis and the increase in biventricular volumes after a 12-month interval suggest performing periodic MRI scans to better manage MDS patients.
The primary aim of this study was to evaluate the 30-day survival of nonagenarian patients who underwent non-traumatic emergency abdominal surgery. see more Other aims were 90-day and 12-month survival rates, the postoperative complications rate, the impact of the emergency operation on postoperative functional status, the accuracy of the P-POSSUM in predicting 30-day postoperative mortality and changes in care services after surgery.

This was a retrospective cohort study of nonagenarian patients who underwent non-traumatic emergency abdominal surgery between January 2010 and June 2017. Patients were divided in two groups according to the 30-day survival status to compare the distribution of patients' characteristics and postoperative outcomes. Overall survival was estimated using the Kaplan-Meier method. To assess the accuracy of P-POSSUM to predict 30-day mortality, a receiver operating characteristic curve and the Hosmer-Lemeshow goodness of fit test were used.

85 nonagenarian patients were enrolled in this sely inform relatives about the possible adverse discharge destination of surviving nonagenarian patients with a consequent increase in care needs.
To analyse acute cholecystitis (AC) management during the first pandemic outbreak after the recommendations given by the surgical societies estimating morbidity, length of hospital stay, mortality and hospital-acquired SARS-CoV-2 infection rate.

Multicentre-combined (retrospective-prospective) cohort study with AC patients in the Community of Madrid between 1st March and 30th May 2020. 257 AC patients were involved in 16 public hospital. Multivariant binomial logistic regression (MBLR) was applied to mortality.

Of COVID-19 patients, 30 were diagnosed at admission and 12 patients were diagnosed during de admission or 30days after discharge. In non-COVID-19 patients, antibiotic therapy was received in 61.3% of grade I AC and 40.6% of grade II AC. 52.4% of grade III AC were treated with percutaneous drainage (PD). Median hospital stay was 5 [3-8] days, which was higher in the non-surgical treatment group with 7.51days (p < 0.001) and a 3.25% of mortality rate (p < 0.21). 93.3% of patients with SARS-Ctay length which may have led to an increased risk hospital-acquired SARS-CoV-2 infection. Age, SARS-CoV-2 infection, AC severity and conservative treatment failure were mortality risk factors.
In our population, during COVID-19 pandemic, there was an increase of non-surgical treatment which was accompanied by an increase of conservative treatment failure, morbidity and hospital stay length which may have led to an increased risk hospital-acquired SARS-CoV-2 infection. Age, SARS-CoV-2 infection, AC severity and conservative treatment failure were mortality risk factors.
Comparable data of functional outcomes of anterior cruciate ligament reconstruction using either hamstring- or quadriceps tendon grafts is controversial. This prospective, randomized controlled trial aims to provide data comparing both grafts regarding the functional outcome.

A two centre trial involving symptomatic patients 18years of age or older with an anterior cruciate ligament tear was conducted. We randomly assigned 27 patients to quadruple hamstring tendon reconstruction and 24 to quadriceps tendon reconstruction. The patients were evaluated preoperatively, at 3, 6, 12 and 24months post-surgery. The primary outcome parameter was the side-to-side knee laxity measured with an arthrometer. Secondary outcomes included results in the International Knee Documentation Committee (IKDC) and Lysholm Scores and isokinetic testing of strength in knee extension and flexion.

Forty-four patients (86%) completed the 2-year follow-up. There was significantly improved knee stability at all time intervals with no difference between the two study groups. The manual side-to-side displacement improved by 4.7 ± 3.0mm in patients with hamstring tendon reconstruction and 5.5 ± 2.9mm in patients with quadriceps tendon reconstruction. In addition, muscle strength and outcome scores (IKDC and Lysholm Score) did not show any differences between the hamstring tendon group and the quadriceps tendon group. Patients in the hamstring tendon group returned to their pre-injury activity level after 95.2 ± 45.5days while patients in the quadriceps tendon group needed 82.1 ± 45.6days.

Quadriceps and hamstring tendon autografts yield comparably good results in primary anterior cruciate ligament reconstruction.
Quadriceps and hamstring tendon autografts yield comparably good results in primary anterior cruciate ligament reconstruction.As emerging environmental contaminants, microplastics may cause potential hazard to global ecosphere (including water, soil and air) and human health. To date, the occurance and ecological effects of microplastics in water and soil were systematically summarized. However, there are few reviews of microplastics in air (i.e. airborne microplastics). Recently, microplastics have been observed in atmospheric fallout collected from some areas. Although the studies are limited, most of the researches showed that synthetic textiles are the main source of airborne microplastics, and fibers are the dominant shape. Airborne microplastics are contributors to microplastic pollution in aquatic and soil environments. In addition, airborne microplastics can be directly inhaled and posed health risks to humans. Therefore, this review summarized the current knowledge and provide insights into further research to better understand airborne microplastics and their risks to human.
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