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Juliet Rose's novel "Trigger Point" follows Zoey Sanders, a young intern with Mountaintop Search and Rescue in Montana, as she navigates personal tragedy and forms a connection with Deaf dog handler Micah Byrne. The story explores themes of loss, belonging, and second chances as Zoey rebuilds her life after a devastating avalanche. While the writing may rely heavily on exposition, the narrative flows naturally, making it a compelling read for those interested in empathetic storytelling. [Extracted from the article]

Juliet Rose's novel "Trigger Point" follows Zoey Sanders, a young intern with Mountaintop Search and Rescue in Montana, as she navigates personal tragedy and forms a connection with Deaf dog handler Micah Byrne. The story explores themes of loss, belonging, and second chances as Zoey rebuilds her life after a devastating avalanche. While the writing style may rely heavily on exposition, the narrative flows naturally, making it a compelling read for those interested in stories of resilience and human connection. [Extracted from the article]

In case of craniocerebral trauma, the base of the skull is very often affected. A central component of the skull base is the petrous bone, which can fracture as part of the trauma. Another consequence of trauma can be a fracture-related connection to the liquor system, resulting in rhinoliquorrhea. The following article deals with the anatomy of the skull base, imaging diagnostics for petrous bone fractures, and audiological and neurootological diagnostics. [ABSTRACT FROM AUTHOR]

The article focuses on the Mine Safety and Health Administration (MSHA) reporting three miners permanently disabled in 2024 due to accidents involving rotating conveyor rollers, emphasizing the serious and fatal injuries that occur when miners clean or adjust conveyor components.

"Bones Worth Breaking: A Memoir" by David Martinez is an immersive debut that explores the author's tumultuous early life and his close relationship with his late younger brother, Mike. The memoir delves into their experiences growing up in a mixed-race household in a small Idaho Mormon community, where they faced racism and religious trauma. The brothers turned to drugs as a means of escape, leading them down different paths. Tragically, Mike died in prison while Martinez was writing the memoir, prompting him to confront the lifelong sense of absence that haunted them both. Martinez's urgent storytelling and vivid language make him a writer to watch. [Extracted from the article]

Os subfibulare and subtibiale are low prevalence accessory bones of the ankle. In most cases they are not associated with symptoms. They can mimicking malleolar fractures. In cases of chronic pain and instability associated with this accessory bones, surgical excision is the best therapy. [ABSTRACT FROM AUTHOR]

The article focuses on the SCABAEGO project by the Fraunhofer Institute for Manufacturing Technology and Advanced Materials, which develops a bioactive composite using three-dimensional (3D) printing for bone healing. Topics discussed include the utilization of a composite material, combining biodegradable polymer polycaprolactone and bioactive glass, to create customized 3D scaffolds for enhancing bone regeneration and reducing infection risks in medical applications.

OTC Focus Pharmacists Can Recommend Calcium, SmokingCessation Products, and Vitamin D to Stave OffThis Common Condition OSTEOPOROSIS IS A BONE DISEASE that involves decreasedbone mass, low bone density, and structural bone changesthat can lead to an increased risk of fractures. For instance,calcium carbonate contains 40% elemental calcium, andcalcium citrate contains 21%.3 Be sure to advise patients to avoid taking more than 500mg of a calcium supplement at a time because the body isusually unable to absorb higher doses.3 Patients shouldalso consult OTC drug facts labels, which provideinformation about the amount of elemental calcium in eachproduct. [Extracted from the article]

Aim: To facilitate a multidisciplinary collaborative approach to developing person-centred practice in hip fracture care for older people. Method: Collaborative inquiry, a form of action research, was used to collect data for this study. It involved exploration of dilemmas, questions and problems that are part of human experience. Clinical leaders from different disciplines (n=16), who work with older people with hip fractures at different stages of the care pathway, participated in a series of facilitated action meetings. The practice development techniques used in this study included: identifying the strengths and limitations of the current service, values clarification, creating a shared vision, sharing clinical stories, reviewing case records, and reflecting on the experiences of three older people and two caregivers. Findings: Hip fracture care was based on meeting service targets, national guidelines and audits. Care was fragmented across different service delivery units, with professional groups working independently. This resulted in suboptimal communication between members of the multidisciplinary group of clinical leaders and care that was process-driven rather than person-centred. Spending time away from clinical practice enabled the multidisciplinary group to collaborate to understand care from the patients' and caregivers' perspectives, and to reflect critically on the care experience as a whole. Conclusion: To develop a person-centred workplace culture, the multidisciplinary team requires facilitated time for reflection. Ongoing facilitative leadership would enable the multidisciplinary team to collaborate effectively to deliver safe, effective person-centred practice in hip fracture care for older people. [ABSTRACT FROM AUTHOR]

Healthcare professionals will be aware of the need to improve treatment of hip fractures, with the ultimate goal of returning the individual to pre-injury health. Patients with hip fractures awaiting surgery can experience severe pain that may be difficult to relieve with traditional analgesics. Physical assessment and essential nursing care require moving the patient, which further increases pain. Nerve blocks have been administered as a form of post-operative pain relief in a variety of surgical procedures, and there is growing interest in the use of femoral nerve blocks in the pre-operative period for patients with hip fractures. This article looks at the prevalence of hip fractures and associated problems. It highlights the importance of effective management of pain and explores the use of local anaesthetics for pain relief. [ABSTRACT FROM AUTHOR]

The article discusses the proper layup and startup practices for fossil plants. It provides information on the approach in choosing a layup procedure to avoid boiler tube failures and steam turbine pitting and cracking. It also cites the possible layup practices based on return-to-service requirements, layup methods of wet and dry idle equipment and special considerations for layups for different durations. INSETS: Damage Mechanisms from Improper Layup Practices;Possible Layup Practices Based on Return-to-Service Requirements.

The article discusses therapeutic strategies in cancer therapy-induced bone loss (CTIBL). It cites the risk of cancer patients for bone loss, osteoporosis, and fracture. Consequences of fracture and burden of CTIBL and diagnostic procedures and risk assessment for CTIBL are discussed. Also included are lifestyle modifications for management of CTIBL, impact of pharmacologic treatment, and major pharmacologic agents for prevention and treatment of CTIBL.

La osteoporosis es la enfermedad metabólica ósea más frecuente en nuestra población, caracterizada por un aumento de la fragilidad del hueso y mayor susceptibilidad a fracturas. Habitualmente cursa de forma silente. Si bien la historia clínica y la exploración física constituyen el primer paso de la valoración del paciente, el diagnóstico definitivo, hoy por hoy, se realiza por medio de pruebas complementarias: densitometría (T-score < -2,5) y/o radiografías que confirmen la existencia de fracturas. No hay pruebas específicas de laboratorio. Ante un paciente que no ha sufrido ninguna fractura, se recomienda la búsqueda de factores de riesgo de baja masa ósea (osteopenia, osteoporosis), de fractura y de caídas, y evaluar el riesgo de fractura. El FRAX® de la Organización Mundial de la Salud (OMS) es una herramienta de evaluación del riesgo de fracturas a 10 años que combina factores de riesgo clínicos con o sin densitometría ósea. La densitometría ósea dual con fuente de rayos X (DXA) de columna y cadera es el método por excelencia para medir la densidad mineral ósea (DMO). El objetivo terapéutico fundamental es evitar la aparición de fracturas. Las medidas no farmacológicas incluyen hacer ejercicio físico, evitar el consumo de tabaco y alcohol, seguir una dieta variada y equilibrada con un aporte adecuado de calcio (1.000 mg/día) y vitamina D (800 UI/día), prevenir las caídas y emplear protectores de cadera en ocasiones. Los fármacos disponibles pueden frenar la destrucción ósea (bifosfonatos, raloxifeno, estrógenos), formar hueso (teriparatida, paratormona, calcitonina) o tener acción dual (ranelato de estroncio). En general, los bifosfonatos son los fármacos de primera elección. La duración del tratamiento farmacológico no está establecida. El seguimiento del paciente implica valorar la adherencia y el cumplimiento del tratamiento, detectar los efectos secundarios y revisar periódicamente la masa ósea (DXA lumbar y cadera). [ABSTRACT FROM AUTHOR]

Osteoporosis is common, increasing in prevalence, and often associated with painful, disabling and costly fractures. Fracture rates may be reduced in the community by population-based interventions, and at the individual level by selective case finding and appropriate management. Correctly taken drugs reduce fracture risk by about one-half. NICE guidelines addressing primary and secondary fracture have recently been published, but these are difficult to follow and do not cover a significant proportion of the population at risk. The recent on-line publication of the World Health Organization (WHO) FRAX® algorithm allows GPs to simply estimate an individual's 10-year fracture risk. The FRAX® tool was developed from large, worldwide population cohorts. This article will help GPs to identify which patients should undergo dual energy absorptiometry (DXA) scanning, who might benefit from particular treatments and the pitfalls to avoid. [ABSTRACT FROM AUTHOR]

The article offers information about osteoporosis. Osteoporosis refers to porous bone considered as the most common bone disease among adults in the U.S. It refers to a disease wherein the bone tissue mass and architecture deteriorate thus leading to bone fragility and a risk for fracture. The disease can be classified as primary which occurs in later life and secondary which is characterized by bone loss caused by other conditions. Also explored are its risk factors, screening strategies and therapy.

The articles focuses on traction splints used during medical emergencies. It notes that splinting is performed on skeletal injuries once the condition of a patient is indicative of a bone fracture while the traction splint is used for severe midshaft fractures of the femur. It examines the two varieties of traction splints, namely, a bed that supports the severed leg and a post with a narrower interior post. It discusses the steps involved in applying the traction splint which start with the stabilization of the area above and below the fracture.

Many nurses working in the primary and secondary sectors will care for patients who have sustained fractures. The ability to assess these patients systemically in addition to the injury is important in detecting complications and enhancing bone healing at the various stages of injury or treatment. This article describes different types of fracture and principles for their management. The nursing care of patients who has sustained a fracture is discussed from admission to discharge. [ABSTRACT FROM AUTHOR]

External fixation is a key component in orthopaedic management. However, the use of metal pins or wires may result in complications, such as pin site infections. To prevent infections pin site care must include effective assessment, monitoring and cleaning of the pin site. Differing methods of pin site management in clinical practice have resulted in inconsistencies in the literature relating to best practice. This article explores some of the variations in pin site care. [ABSTRACT FROM AUTHOR]

The article presents a discussion on fractures due to falls. According to a study, 90% of fractures are caused by falling. The cause of falling could be cardiovascular disease, neurological disease, visual impairment, alcoholism or chronic debilitating illness. One should ensure safe environment, treatment of underlying medical condition, proper medications, and treatment of visual impairment to reduce the risk of falling.

This article focuses on the management of osteoporosis and prevention of fragility fractures for the older patients. Osteoporosis is important because of the fragility fractures it causes. One in two women and one in five men will suffer a fracture after the age of 50,' the majority of which will be osteoporotic. Hip fracture is the most serious, with 18% mortality at 3 months, and following the fracture, half of survivors are unable to walk independently outside or live alone. Each fracture will account for up to nine extra physicians consultations in the year following fracture, so treating high-risk patients should ultimately mean less physicians workload.

The article presents a new treatment for postmenopausal osteoporosis. In postmenopausal women there is more resorption than formation, causing net weakening of the bone structure, which leads to osteoporotic fractures. Osteoporosis is a major problem in Great Britain, with one in three women over 50 and one in 12 men having one or more osteoporotic fracture. A new product, strontium ranelate (Protelos), was launched in Great Britain in November 2004. It should be emphasised that none of the osteoporosis studies are true placebo controlled studies as all of them use calcium+ vitamin D as the "placebo" arm of the trial, when of course it's a rather effective treatment in itself.

The article reports that effective prevention of osteoporotic fractures could dramatically reduce morbidity and mortality in elderly patients, and associated costs. It is a major risk factor for minimal-trauma fractures in the elderly, of which there are more than 300,000 in Great Britain each year. Most hip fractures and some vertebral fractures are related to a fall, and much emphasis has been placed on identifying predisposing risk factors. Falls have such an impact on the health of elderly people that there is now a national directive stating that specialist falls teams should be set up in every area, with multidisciplinary teams providing access to acute care, rehabilitation and assessment of osteoporosis.

Percutaneous vertebroplasty is a minimally invasive procedure used to stabilise vertebral compression fractures caused by osteoporosis, haemangioma, myeloma, metastases and bone cysts. Acrylic bone cement is injected into the vertebral body to relieve pain and structurally reinforce the fracture. Interest in percutaneous vertebroplasty has grown as a result of technical procedural advances in radiology and the publication of an appraisal of, and guidelines for, the procedure by the National Institute for Clinical Excellence (2003). Nurses should be aware of the potential benefits of vertebroplasty and be involved in patient selection, and care of the patient before, during and after the procedure. Nurses should also be involved in audit analysis of the results of the procedure. More research into the effects of vertebroplasty is required and should involve nurses caring for this patient group. [ABSTRACT FROM AUTHOR]

The article discusses the effects of the concomitant use of benzodiazepines and opiate analgesics in older people with Alzheimer's disease. It references a study on the side effects of the medicines, including risks of hip fractures, osteoporosis and lung disease. Nurse prescribers are advised to consider reducing doses or stopping their use and to ensure that regular medication reviews are performed.

The article reveals the main factors in a medical tubing maintenance. Melt fracture refers to the sharkskin appearance of a tube caused by high viscosity of the polymer and low melt temperature, which can be prevented using big tooling gaps. Pressure control refers to the pumping consistency from the extruder, which can be managed through including a gear pump in a production line or utilizing a pressure-control setup that tolerates further control of the screw speed. Gels in medical tubing wherein they appear as bumps on the surface.

The article focuses on falls in older people. Falls are common. Up to 30% of people aged over 65 years fall each year in Great Britain. Many people do not suffer adverse effects from the fall, but many do. Fractures and fear of falling are among the most common consequences. A fall with femur fracture is the most common cause for admission to long-term care in Great Britain. Fear of falls reduces patients' quality of life and increases dependency. This has significant knock-on effects for social and community care. INSET: Successful cases.

Patients taking glucocorticoids are at increased risk of developing osteoporosis, and the need for preventive measures should be assessed when beginning steroid treatment. The fracture risk increases within three months of the onset of treatment. The most common reasons for glucocorticoid therapy are respiratory, musculoskeletal and skin diseases. While men and women are equally likely to receive oral glucocorticoids, use increases with age: 2.5% at 70-79 years compared with 0.2% in patients aged 20-29 years. Several other independent clinical risk factors for fracture have been identified, such as history of previous fracture, recurrent falls, poor health, family history of fracture, caucasion race, female sex and increasing age.

The article reports on a study which demonstrated the use of three-dimensional (3D) printed ceramic scaffolds to regrow or repair damaged bones which could replace the bone graft as a procedure for repairing broken or fractured bone.

The article features global research from nursing and scientific journals as of June 2018 on topics including the under-documentation of pain in nursing home cognitively-impaired residents, and vertebroplasty's similar effectivity level for osteoporosis pain relief as placebo procedures.

The article reports that according to a study World Health Organization (WHO) fracture risk algorithm scores with or without bone mineral density were useful models to predict clinical fractures in obese and nonobese women.

The article focuses on the problems concerning fracture patterns in adolescents and the ways they can be treated in North America. In treating the injuries, it suggests not to damage the physis, instead restoring it to its anatomical position. It argues that the gradation of decision-making is crucial as adolescents grow towards the adult range is a challenge.

This article discusses a study on the association of subclinical thyroid dysfunction with an increased risk for hip fracture in older men.

The article presents a case study of a patient presented with a diagnosis of orbital fracture after trauma. It mentions that the computed tomography (CT) images of the patient failed to show any fracture. Based on the images, the patient was diagnosed with having a silent sinus syndrome because of the retraction of the right anterior and medical maxillary sinus walls.

The article presents results from a study conducted in the U.S. concerning the evaluation of hip and pelvic fractures using x-rays in American emergency departments (EDs).

The article highlights the results of studies on obstetrics and gynecology that were published in various medical journals in 016. Topics discussed include alcohol consumption and fecundability in Denmark, effect of abaloparatide versus placebo on vertebral fractures in postmenopausal women with osteoporosis, association between maternal pre-pregnancy body mass index and plasma folate concentrations with child metabolic health.

The article explains the role of insufficient compliance with National Institute for Health and Care Excellence (NICE) guidelines towards inequalities in applying total hip arthroplasty in treating intracapsular fracture of the femoral neck, based on a published study in the journal "The BMJ."

I know the minute I walk in that something is up. Four people are talking quietly in a huddle, two are staring at their screens with rare concentration, and someone has put the office banter on mute. [ABSTRACT FROM AUTHOR]

The article reports that Australian researchers have found that low trauma osteoporitic fractures in older men and women are associated with increased mortality risk for five to ten years. Researchers also assessed the association of subsequent fracture with the risk of long-term mortality. Subsequent fracture was associated with an increased mortality hazard ratio.

The author boasts an unbroken record in avoiding fractures. He reveals that the secret to his success is to avoid contact sports, and no self-propelling conveyances with fewer than four wheels. The author shares how used to envy other children in plaster casts, which were usually covered in messages.

The article offers news briefs related to the field of medical sciences for July 2007. It mentions about a U.S. study quoting that, thiazolidinedione therapy may help prevent, fractures in older men with type 2 diabetes. Another U.S. study suggests that, Calcium and vitamin D supplementation may lower all-cancer risk in postmenopausal women. The herbal product echinacea can protect against the common cold, according to a meta-analysis.

The article reports on the result of the study conducted by Dr. Robert Cumming regarding the use of vision correction in elderly patients in Australia. The study found out that those elderly patients who adopt to updated vision correction have greater risks for falling accidents and fractures. Cumming explained that one reason for the findings is the time needed by the patients to adjust to new eyeglasses.

The article focuses on a study which shows that people over 50 who take serotonin reputake inhibitors (SSRIs) are at a risk of sustaining fractures. It is stated that depression is a common ailment at this age and SSRIs are administered for the treatment of it. The study concluded that the daily SSRI use is associated with increased risk of falling and lower bone mineral density.

The article discusses the summer experience of two agricultural college students from Great Britain. The first student was fractured by a sheep but has recovered. The other student has received the latest installment of his student loan which was less than he had expected. He is also looking forward to a party on a boat on Thames, New Zealand.

Looks at the design of two medical innovation ideas in the United States. Mechanics involved in a multi-chamber positive displacement pump for blood flow imagery invented by Amy Pomaybo of Medrad Inc.; Features of the Talon hip compression screw system for treating hip fractures invented by John Sodeika of Orthopedic Designs Inc.