Irish journal of medical science
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Toe amputation is a commonly performed procedure for irreversible foot sepsis. However, outcome and predictors of outcome are poorly understood. Our aim was to determine survival and rate of progression to further amputation following index toe amputation. ⋯ Almost half of patients undergoing toe amputation required further digital amputation. However, limb preservation rates are high, and a majority of patients are alive at 5-year follow-up. There was no significant difference in outcome between patients undergoing hallux and non-hallux primary procedures. Overall, increasing age remains the only independent predictor of iMAFS and OS.
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The fifth metacarpal fractures are the most common in all of hand fractures. To our knowledge, the classification of the fifth distal metacarpal bone fractures has not been studied. ⋯ This study represented a unique classification system for fractures of the distal part of the fifth metacarpal bone. Categorization in radiographs might provide ideas regarding the prognosis and clinical outcomes of fracture patterns. Therefore, this study could guide future investigations to determine the first-line treatment of fifth distal metacarpal fracture patterns using this classification and help form a common language among surgeons concerning their treatment options.
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Endometrial cancer (EC) is most frequently seen in older and postmenopausal women. ⋯ In conclusion, 2009 FIGO stage was found to be the only independent prognostic factor associated with recurrence and death in older patients with endometrial cancer.
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It is necessary to identify critical patients requiring hospitalization early due to the rapid increase in the number of COVID-19 cases. ⋯ MEWS and TREWS calculated at emergency services are effective in predicting 28-day mortality in patients requiring hospitalization due to COVID-19.
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Almost every day, new information about the COVID-19 pandemic continues to emerge. COVID-19 presents a mild clinical picture in children. However, how it goes in newborns and pregnant is still entirely unclear. ⋯ We did not come across any signs of vertical SARS-CoV-2 transmission. COVID-19 diagnosed newborns entirely healed with conservative treatment.