Vancomycin bead is an important ancillary treatment for osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA). However, red-man syndrome, which can be a life-threatening complication of vancomycin, may occur from the use of vancomycin beads albeit rarely. We report our first case of red-man syndrome caused by vancomycin bead's insertion for chronic osteomyelitis. Symptomatic treatment was not
effective and removal of the vancomycin beads seems to be the best treatment for this condition.
Link analysis algorithms for Web search engines determine the importance and relevance of Web pages. Among the link analysis algorithms, PageRank is the state of the art ranking mechanism that is used in Google search engine today. The PageRank algorithm is modeled as the behavior of a randomized Web surfer; this model can be seen as Markov chain to predict the behavior of a system that travels from one state to another state considering only the current condition. However, this model has the dangling node or hanging node problem because these nodes cannot be presented in a Markov chain model. This paper focuses on the application of Markov chain on PageRank algorithm and discussed a few methods to handle the dangling node problem. The Experiment is done running on WEBSPAM-UK2007 to show the rank results of the dangling nodes.
Introduction: Application of dynamic hip screw (DHS) implant for the treatment of unstable intertrochanteric fractures continues to raise concern related to risk of lag screw cut-out with or without subsequent damage to the acetabulum. Measurement of tip-apex distances (TAD) has been recommended to guide the optimal placement of lag screw and to predict subsequent risk of screw cut-out. In this study, the value of TAD was evaluated to verify its usefulness.
Methods: This is a retrospective study of 33 consecutive patients with intertrochanteric fracture treated with DHS. Demographic data of the patients were traced from their case notes. Post-operative radiographs were reviewed by focusing on measurement of TAD on anteroposterior and lateral radiographs. Radiographs at one year follow-up were reviewed to depict any fixation-related failure or complication.
Results: Fifty two percent of patients did not achieved the recommended TAD of ≤ 25mm. The mean post-operative TAD was 25.9mm and elderly patients were likely to achieve TAD of ≤ 25mm. The overall complication rate of 6% was attributed to screw cut-out in two cases. The unstable left-sided fracture was identified to be a potential risk for screw cut-out or migration.
Conclusion: TAD is a valuable measurement to guide optimal placement of lag screw during DHS fixation of intertrochanteric fracture.
KEYWORDS: Intertrochanteric fracture, dynamic hip screw, tip-apex distance, screw cut-out
This paper presents the development of a Graphical User Interface (GUI)
for calculating the sum of nail-fold (NF) and distal interphalangeal joint
(DIP) ratios for all ten fingers. The sum of NF:DIP ratios for all ten fingers
leads to the Digital Index (DI) that was used as the measure for identifying
and determining the presence of finger clubbing symptom. This GUI system
was developed to serve as a simple and user-friendly interface for clinicians
to calculate DI value of patients in a busy clinic practice. It is also equipped
with the capability to keep the patient’s past diagnosis medical check-up
data for future monitoring purposes. The result shows that the developed
system helps the clinicians to perform calculation of DI value and identify
the presence of finger clubbing in a very short time. The average time taken
to measure both NF and DIP circumferences using Finger Clubbing Meter,
and to compute DI values using Digital Index Evaluation System (DIES)
interface is 6:36 ± 1:24 minutes (Mean ± SD) .This system is expected to
contribute in detecting the finger clubbing problem at early stage of so the
treatment can be performed immediately.