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  1 / 2514 MEDLINE  
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[PMID]:28973623
[Au] Autor:Clark AT; Wolf S
[Ti] Título:Electrical Injury.
[So] Source:JAMA;318(12):1198, 2017 09 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos por Eletricidade
[Mh] Termos MeSH secundário: Traumatismos por Eletricidade/prevenção & controle
Traumatismos por Eletricidade/terapia
Seres Humanos
[Pt] Tipo de publicação:PATIENT EDUCATION HANDOUT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.11156


  2 / 2514 MEDLINE  
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[PMID]:28723751
[Au] Autor:Zhang PH; Liu Z; Ren LC; Zeng JZ; Huang GW; Xiao MZ; Zhou J; Liang PF; Zhang MH; Huang XY
[Ad] Endereço:aDepartment of Burns and Reconstructive Surgery bDepartment of General Surgery cInstitute of Burn Research, Xiangya Hospital, Central South University, Changsha, Hunan Province, P.R. China.
[Ti] Título:Early laparotomy and timely reconstruction for patients with abdominal electrical injury: Five Case Reports and Literature Review.
[So] Source:Medicine (Baltimore);96(29):e7437, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: High-tension electricity can cause devastating injuries that may result in abdominal wall loss, visceral damage, and sometimes major threat to life. The visceral organ may be exposed after debridement and require flap cover, but the tensile strength of abdominal wall may be lack even if flap transplanted. METHODS: From April 2007 through May 2015, 5 patients with severe abdominal electrical injury were treated at our hospital. Exploratory laparotomy was performed based on their clinical manifestations and debridement findings of abdominal wall at early stage, and decision regarding technique for reconstruction of abdominal wall was based on an assessment of the location and extent of the defect. Medical records were reviewed for these data. RESULTS: Clinical evaluation and debridement findings of the abdomen revealed 4 patients with suspicious visceral damage. Laparotomy was performed in 4 cases, and revealed obvious lesion in 3 cases, including segmental necrosis of small intestine, partial necrosis of diaphragm, left liver and gastric wall, and greater omentum. Five patients underwent abdominal wall reconstruction using island retrograde latissimus dorsi myocutaneous flap or free/island composite anterolateral thigh myocutaneous flap. All flaps survived, abdominal bulging occurred in 3 cases after follow-up of 12 to 36 months. CONCLUSIONS: The clinical manifestations and wound features of abdomen collectively suggest a possible requirement of laparotomy for severe abdominal electrical burns. Retrograde latissimus dorsi myocutaneous flap or composite anterolateral thigh myocutaneous flap is an effective option for reconstruction of abdominal wall loss, the long-term complication of abdominal bulging, however, remains a significant clinical challenge.
[Mh] Termos MeSH primário: Traumatismos Abdominais/cirurgia
Traumatismos por Eletricidade/cirurgia
Laparotomia
Procedimentos Cirúrgicos Reconstrutivos
[Mh] Termos MeSH secundário: Traumatismos Abdominais/etiologia
Traumatismos Abdominais/patologia
Adulto
Desbridamento
Traumatismos por Eletricidade/patologia
Seres Humanos
Masculino
Meia-Idade
Retalhos Cirúrgicos/patologia
Fatores de Tempo
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007437


  3 / 2514 MEDLINE  
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[PMID]:28404561
[Au] Autor:Waldmann V; Narayanan K; Combes N; Marijon E
[Ad] Endereço:Cardiology Department, European Georges Pompidou Hospital, 20-40 rue Leblanc, 75908 Paris Cedex 15, France.
[Ti] Título:Electrical injury.
[So] Source:BMJ;357:j1418, 2017 04 12.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos por Eletricidade/diagnóstico
Traumatismos por Eletricidade/terapia
[Mh] Termos MeSH secundário: Traumatismos por Eletricidade/patologia
Traumatismos por Eletricidade/fisiopatologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1418


  4 / 2514 MEDLINE  
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[PMID]:28392326
[Au] Autor:Seo CH; Park CH; Jung MH; Jang S; Joo SY; Kang Y; Ohn SH
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
[Ti] Título:Preliminary Investigation of Pain-Related Changes in Cerebral Blood Volume in Patients With Phantom Limb Pain.
[So] Source:Arch Phys Med Rehabil;98(11):2206-2212, 2017 Nov.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate changes in the pain network associated with phantom limb pain, magnetic resonance imaging (MRI) was used to measure cerebral blood volume (CBV) in patients who had undergone unilateral arm amputation after electrical injury. DESIGN: Case-controlled exploratory MRI study of CBV via MRI. SETTING: University hospital. PARTICIPANTS: Participants (N=26) comprised patients with phantom limb pain after unilateral arm amputation (n=10) and healthy, age-matched persons (n=16). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The intensity of phantom limb pain was measured using the visual analog scale (VAS). Depressive mood was assessed using the Hamilton Depression Rating Scale, and cognitive function was assessed using the Korean version of the Mini-Mental State Examination. Voxel-wise comparisons of relative CBV maps were made between amputees and controls over the entire brain volume. The relationship between individual participant CBV (measured in voxels) and VAS score was also examined. RESULTS: Compared with control participants, amputees exhibited greater degrees of depression; significantly higher CBV in the bilateral medial frontal area (orbitofrontal cortex [OFC] and pregenual anterior cingulate cortex [pACC]); and significantly lower CBV in the right midcingulate cortex, posterior cingulate cortex, and primary somatosensory cortex. CBV increased in the contralateral and ipsilateral hemispheres of the amputated arm, regardless of the amputation side. This CBV increase in the OFC and pACC was strongly correlated with pain intensity in all amputees. CONCLUSIONS: We observed increased CBV in regions associated with emotion in the cerebral pain network of patients who had undergone unilateral arm amputation after electrical injury. This study suggests that CBV changes were related to neuroplasticity associated with phantom limb pain.
[Mh] Termos MeSH primário: Amputados/psicologia
Volume Sanguíneo Cerebral/fisiologia
Membro Fantasma/fisiopatologia
Membro Fantasma/psicologia
[Mh] Termos MeSH secundário: Adulto
Braço
Encéfalo/irrigação sanguínea
Encéfalo/diagnóstico por imagem
Cognição/fisiologia
Depressão/fisiopatologia
Depressão/psicologia
Traumatismos por Eletricidade/cirurgia
Emoções/fisiologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Medição da Dor
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE


  5 / 2514 MEDLINE  
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[PMID]:28352989
[Au] Autor:Burke M; Odell M; Bouwer H; Murdoch A
[Ad] Endereço:Victorian Institute of Forensic Medicine, 65 Kavanagh Street, Southbank, Vic, 3006, Australia. michaelb@vifm.org.
[Ti] Título:Electric fences and accidental death.
[So] Source:Forensic Sci Med Pathol;13(2):196-208, 2017 Jun.
[Is] ISSN:1556-2891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Deaths which occur in association with agricultural electric fences are very rare. In fact, electric fences have undoubtedly saved numerous human and animal lives by safely and reliably keeping livestock confined to their fields and enclosures and thus preventing motor vehicle incidents when livestock get onto roads and highways. Accidental and intentional human contact with electric fences occurs regularly and causes little more than transient discomfort, however, on exceptional occasions, contact with electric fences appears to be directly related to the death of the individual. The precise pathophysiological cause of these deaths is unclear. We present two cases of deaths associated with electric fences, discuss the possible pathophysiological mechanisms in these cases, and suggest a universal approach to the medico-legal investigation and documentation of these deaths.
[Mh] Termos MeSH primário: Acidentes Domésticos
Traumatismos por Eletricidade/complicações
[Mh] Termos MeSH secundário: Idoso
Criança
Traumatismos por Eletricidade/patologia
Feminino
Seres Humanos
Masculino
Insuficiência de Múltiplos Órgãos/induzido quimicamente
População Rural
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1007/s12024-017-9851-z


  6 / 2514 MEDLINE  
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[PMID]:28220279
[Au] Autor:Gopinathannair R; Lerew DR; Cross NJ; Sears SF; Brown S; Olshansky B
[Ad] Endereço:Division of Cardiovascular Medicine, University of Louisville School of Medicine, 550 So. Jackson St., ACB/A3L41, Louisville, KY, 40202, USA. Rakesh.gopinathannair@louisville.edu.
[Ti] Título:Longitudinal changes in quality of life following ICD implant and the impact of age, gender, and ICD shocks: observations from the INTRINSIC RV trial.
[So] Source:J Interv Card Electrophysiol;48(3):291-298, 2017 Apr.
[Is] ISSN:1572-8595
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: ICDs can improve survival in at-risk patients but no consensus exists with respect to their impact on health-related quality of life (QOL). Moreover, the data are unclear on QOL benefits in specific patient subgroups. We sought to analyze, in the INTRINSIC RV ICD trial population, health-related QOL longitudinally following ICD implant and consider impact of age, gender, and ICD shocks on QOL by employing a global measure of health-related QOL. METHODS: One thousand five hundred thirty patients had an ICD implanted. One week after implant (n = 1461), 988 patients were randomized to DDDR with AV search hysteresis (n = 502) or VVI (n = 486) programming. QOL data, using the SF-36 short form, were obtained for the 1461 patient cohort, irrespective of randomization status, at baseline and prospectively for 1 year following ICD implant. RESULTS: Longitudinal mixed-effect analyses revealed significant improvements from baseline across all SF-36 subscales and component scores for the overall study cohort. Women had a substantially lower QOL at baseline, although their improvement after implant was similar to men. Patients <50 years scored consistently worse at baseline but experienced the greatest QOL improvement versus other age groups. Patients with higher NYHA class, angina, and diabetes had greater QOL improvements. There was no significant difference in QOL between patients with and without ICD shocks. CONCLUSIONS: Our findings indicate that QOL was reportedly better post-implant and suggest that benefits associated with ICD implantation go beyond the direct treatment of arrhythmias, with benefits seen across genders and different age groups. These results further highlight that ICD implantation, in and of itself, does not reduce QOL.
[Mh] Termos MeSH primário: Desfibriladores Implantáveis/psicologia
Desfibriladores Implantáveis/estatística & dados numéricos
Traumatismos por Eletricidade/psicologia
Insuficiência Cardíaca/prevenção & controle
Insuficiência Cardíaca/psicologia
Satisfação do Paciente/estatística & dados numéricos
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Traumatismos por Eletricidade/epidemiologia
Traumatismos por Eletricidade/prevenção & controle
Feminino
Pesquisas sobre Serviços de Saúde
Insuficiência Cardíaca/diagnóstico
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Prevalência
Distribuição por Sexo
Taxa de Sobrevida
Resultado do Tratamento
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE
[do] DOI:10.1007/s10840-017-0233-y


  7 / 2514 MEDLINE  
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[PMID]:28118398
[Au] Autor:Zhang J; Lin W; Lin H; Wang Z; Dong H
[Ad] Endereço:Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
[Ti] Título:Identification of Skin Electrical Injury Using Infrared Imaging: A Possible Complementary Tool for Histological Examination.
[So] Source:PLoS One;12(1):e0170844, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In forensic practice, determination of electrocution as a cause of death usually depends on the conventional histological examination of electrical mark in the body skin, but the limitation of this method includes subjective bias by different forensic pathologists, especially for identifying suspicious electrical mark. The aim of our work is to introduce Fourier transform infrared (FTIR) spectroscopy in combination with chemometrics as a complementary tool for providing an relatively objective diagnosis. The results of principle component analysis (PCA) showed that there were significant differences of protein structural profile between electrical mark and normal skin in terms of α-helix, antiparallel ß-sheet and ß-sheet content. Then a partial least square (PLS) model was established based on this spectral dataset and used to discriminate electrical mark from normal skin areas in independent tissue sections as revealed by color-coded digital maps, making the visualization of electrical injury more intuitively. Our pilot study demonstrates the potential of FTIR spectroscopy as a complementary tool for diagnosis of electrical mark.
[Mh] Termos MeSH primário: Queimaduras por Corrente Elétrica/diagnóstico por imagem
Traumatismos por Eletricidade/diagnóstico por imagem
Traumatismos da Mão/diagnóstico por imagem
Pele/lesões
Espectroscopia de Infravermelho com Transformada de Fourier/métodos
[Mh] Termos MeSH secundário: Queimaduras por Corrente Elétrica/etiologia
Queimaduras por Corrente Elétrica/metabolismo
Queimaduras por Corrente Elétrica/patologia
Traumatismos por Eletricidade/diagnóstico
Traumatismos por Eletricidade/patologia
Traumatismos da Mão/etiologia
Traumatismos da Mão/metabolismo
Traumatismos da Mão/patologia
Seres Humanos
Análise dos Mínimos Quadrados
Inclusão em Parafina
Projetos Piloto
Análise de Componente Principal
Estrutura Secundária de Proteína
Pele/diagnóstico por imagem
Pele/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0170844


  8 / 2514 MEDLINE  
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[PMID]:28117879
[Au] Autor:Wuesthoff C; Ilan O; Rutka JA
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, University Health Network, Toronto, Ontario, Canada.
[Ti] Título:Neurotological findings after electrical injury at the workplace.
[So] Source:Laryngoscope;127(9):2126-2131, 2017 Sep.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: Neurotological findings secondary to electrical injuries have rarely been reported in the world literature. We attempt to characterize the neurotological findings following electrical injury and to determine the role head injury and loss of consciousness play in this population's clinical presentation. STUDY DESIGN: Retrospective cohort study. METHODS: A database containing 3,438 patients with work-related injuries was scanned for individuals who sustained and survived electrical injuries at work. Detailed analysis of the frequencies of presenting features and test results was performed. A comparative analysis was made between the subsets of patients with and without loss of consciousness and/or head injury. RESULTS: A cohort of 42 patients was identified. All patients had multiple symptoms. Dizziness was a significant complaint in all workers with electrical injuries. Other common complaints included tinnitus and imbalance. Characterization of these symptoms is provided in detail according to statistical frequency. In this cohort, 25 workers had a concomitant head injury and 17 workers had an associated loss of consciousness. There was no statistically significant difference when clinical presentation, examination, and balance testing results were compared between the subsets. CONCLUSIONS: Frequency and characterization of symptoms following electrical injury are provided. Dizziness is the most common presenting neurotological feature. Loss of consciousness and/or associated head injury do not affect the clinical presentation in this particular population. LEVEL OF EVIDENCE: 2b. Laryngoscope, 127:2126-2131, 2017.
[Mh] Termos MeSH primário: Traumatismos por Eletricidade/patologia
Traumatismos Ocupacionais/patologia
[Mh] Termos MeSH secundário: Adulto
Traumatismos Craniocerebrais/epidemiologia
Traumatismos Craniocerebrais/etiologia
Traumatismos Craniocerebrais/patologia
Bases de Dados Factuais
Tontura/epidemiologia
Tontura/etiologia
Traumatismos por Eletricidade/etiologia
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Traumatismos Ocupacionais/etiologia
Equilíbrio Postural
Estudos Retrospectivos
Transtornos das Sensações/epidemiologia
Transtornos das Sensações/etiologia
Zumbido/epidemiologia
Zumbido/etiologia
Inconsciência/epidemiologia
Inconsciência/etiologia
Inconsciência/patologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26453


  9 / 2514 MEDLINE  
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[PMID]:28068737
[Au] Autor:Franke K
[Ti] Título:1,5-T-MRT auch bei konventionellen Herzschrittmachern und ICD einsetzbar..
[So] Source:Rofo;188(1):16-17, 2017 Jan.
[Is] ISSN:1438-9010
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Desfibriladores Implantáveis/estatística & dados numéricos
Traumatismos por Eletricidade/epidemiologia
Falha de Equipamento/estatística & dados numéricos
Imagem por Ressonância Magnética/estatística & dados numéricos
Marca-Passo Artificial/estatística & dados numéricos
[Mh] Termos MeSH secundário: Feminino
Alemanha/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Segurança do Paciente
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-120211


  10 / 2514 MEDLINE  
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[PMID]:28058573
[Au] Autor:Xu G; Su R; Lv J; Hu B; Gu H; Li X; Gu J; Yu X
[Ad] Endereço:Department of Forensic Pathology, National Key Disciplines, Collaborative and Creative Center, Shantou University Medical College, Shantou, Guangdong Province, People's Republic of China.
[Ti] Título:Anterior wrist and medial malleolus as the novel sites of tissue selection: a retrospective study on electric shock death through the hand-to-foot circuit pathway.
[So] Source:Int J Legal Med;131(3):677-683, 2017 May.
[Is] ISSN:1437-1596
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Our previous work demonstrated that characteristic changes could occur in the anterior wrist and medial malleolus in electric deaths through the hand-to-foot electric circuit pathway in an electric shock rat model. However, whether the same phenomenon occurs in humans is unknown. The aim of the present retrospective study was to ascertain whether the anterior wrist and medial malleolus could also be selected as the promising and significant sites in electric death through the hand-to-foot circuit pathway. Nineteen human cases from the autopsy and one clinical survivor who sustained a severe electric shock through the hand-to-foot circuit pathway were analyzed. Additional ten autopsy patients who died from traffic accidents and sudden cardiac attacks were used as the control group. Histopathological changes in the soft tissues of the anterior wrist and medial malleolus in all autopsy patients, as well as the electric current pathway of the survivor, were observed. The results showed that the nuclear polarizations in the anterior wrist and medial malleolus soft tissues of the electric death were extremely noticeable as compared with the controls. The most severe electrical injury in the survivor occurred in the anterior wrist. These findings suggest that the soft tissues of the anterior wrist and/or the medial malleolus as the narrowest parts of the limbs could be used as the complementary sites for tissue selection and considered as necessary locations for examinations to assess the electric death in medicolegal identification.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/patologia
Traumatismos por Eletricidade/patologia
Traumatismos do Punho/patologia
[Mh] Termos MeSH secundário: Adulto
Fenômenos Biofísicos
Estudos de Casos e Controles
Feminino
Seres Humanos
Pulmão/diagnóstico por imagem
Masculino
Meia-Idade
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170107
[St] Status:MEDLINE
[do] DOI:10.1007/s00414-016-1527-9



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